Sɛ wonyinsɛn a, oduruyɛfo no ka kyerɛ wo sɛ yɛ nhwehwɛmu ahorow, ɛnte saa? Ɛtɔ mmere bi a, sɛ wote nnuruyɛ mu nhwehwɛmu ahorow yi din a, wote ehu nka kakra na wopɛ sɛ wuhu. Wɔ nnipa pii fam no, wɔfrɛ sɔhwɛ a wonnim no kakra, nanso ɛho hia yiye no karyotype sɔhwɛ. Nnipa binom nso frɛ no awosu mu nhwehwɛmu, chromosome nhwehwɛmu, anaa cytogenetic analysis. Mma ɛnhaw wo, saa din ahorow yi kyerɛ sɔhwɛ koro no ara. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn ankasa ne Karyotype Sɔhwɛ yi?
Sɛ yɛbɛka no tiawa a, karyotype nhwehwɛmu hwehwɛ nkwaboaa a ɛwɔ yɛn nipadua mu nkwammoaa mu no yiye. Fa no sɛ saa chromosomes yi yɛ sɛnea wɔbɛkyekye yɛn nipadua no ho nhyehyɛe. Saa sɔhwɛ yi hwehwɛ nsakrae anaa nneɛma a ɛnteɛ biara a ɛwɔ saa nhyehyɛe yi mu.
Wɔ wo nyinsɛn mu no, ɛda adi sɛ wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu a wɔde hwehwɛ awosu ne nkwaadɔm mu tebea horow bi mu wɔ ɔsram abiɛsa a edi kan ne ɔsram abiɛsa a ɛto so abien no mu. Mpɛn pii no, nea efi sɔhwɛ ahorow yi mu ba no wɔ nea ɛfata mu. Sɔhwɛ foforo biara ho nhia.
Nanso, sɛ saa nhwehwɛmu ahorow a edi kan no fa ɔkwan bi so kyerɛ sɛ ebia ɔhaw bi wɔ hɔ a, ebia wo duruyɛfo bɛkyerɛ sɛ yɛ nhwehwɛmu foforo te sɛ Karyotype nhwehwɛmu. Eyi betumi asi so dua denneennen sɛ ebia akokoaa a ɔrenyin wɔ awotwaa no mu no wɔ awosu anaa nkwaboaa mu ɔhaw bi ankasa anaasɛ onni bi.
Dɛn na karyotype nhwehwɛmu hwehwɛ?
Mpɛn pii no, obi a ɔwɔ apɔwmuden wɔ chromosomes 46. Akokoaa nya eyinom mu 23 fi ɛna no hɔ na 23 a aka no nya fi agya no hɔ.
Ɛtɔ da bi a, akokoaa betumi anya chromosome foforo, chromosome biako ayera, anaasɛ nsakrae a ɛnteɛ betumi aba chromosome no biako mu. Karyotype sɔhwɛ betumi ahu sɛ eyi te saa anaa. Eyinom ne tebea horow a nnuruyɛfo de sɔhwɛ yi hwehwɛ titiriw no bi.
| Tebea | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| Down syndrome (Ayaresa a ɛba fam - Trisomy 21) . | Akokoaa no wɔ chromosomes abiɛsa (a ɛka ho) sen sɛ ebenya abien wɔ chromosome 21. Eyi ka akokoaa no honam ani hwɛbea ne sɛnea osua ade. |
| Edwards yare (Edwards yare - Trisomy 18) . | Akokoaa no wɔ chromosome 18 foforo.Mmofra yi taa nya akwahosan ho haw pii, na pii ntra ase ntra afe. |
| Patau yare (Trisomy 13) . | Akokoaa no wɔ chromosome 13 foforo.Mmofra yi taa nya komayare ne adwene mu yare a emu yɛ den. Pii ntra ase ntra afe biako. |
| Klinefelter ɔyare a ɛma obi nya ɔyare no | Abofra barima wɔ X chromosome foforo (sɛ XXY). Ebia wɔn mmabunbere bɛkyɛ, na mmofra no betumi ahwere tumi a wɔde bɛwo mma no. |
| Turner yare a ɛma obi nya ɔyare no | Ebia abofra a ɔyɛ ɔbea no X chromosomes no biako ayera anaasɛ asɛe. Eyi betumi de komayare, kɔn mu haw, ne ne tenten a ɛyɛ tiaa aba. |
Ɛnyɛ sɛ wɔde karyotype nhwehwɛmu di dwuma de hu awosu mu sintɔ ahorow a ɛwɔ akokoaa no mu bere a wanyinsɛn no. Ɛwɔ mfaso afoforo nso.
- Sɛ ɛyɛ den ma wo sɛ wubenyinsɛn abofra , anaasɛ woatu nyinsɛn mpɛn pii a , wo duruyɛfo betumi ayɛ nhwehwɛmu yi de ahwɛ sɛ ɔhaw biara wɔ wo anaa wo hokafo no chromosomes mu anaa.
- Hwehwɛ sɛ ebia wubetumi de awosu mu tebea bi ama wo ba anaa.
- Sɛ awo a wawu ba a, si so dua sɛ ebia nea ɛde ba no yɛ awosu mu haw anaa.
- Hwehwɛ nea ɛde nipadua anaa nkɔso mu haw biara a ebia wo ba anaa abofra a ɔretu mmirika rehyia no ba.
- Wɔ tebea a ɛntaa nsi a abofra a wɔawo no foforo bɔbeasu mu nna hɔ mu no, si so dua.
- Kokoram ahorow biKokoram betumi ama nsakrae aba nkwaadɔm mu. Karyotype nhwehwɛmu betumi aboa ma wɔahu ayaresa a ɛfata.
Dɛn ne Karyotype sɔhwɛ ahorow yi na bere bɛn na wɔyɛ?
Wobetumi ayɛ nhwehwɛmu ahorow yi wɔ nyinsɛn no adapɛn bi nkutoo mu. Wo duruyɛfo besi nhwehwɛmu a eye ma wo ho gyinae, a egyina baabi a woakɔ akyiri wɔ wo nyinsɛn no mu ne asiane ahorow a ɛwɔ hɔ so.
Ɛda adi sɛ akokoaa no benya nkwaadɔm mu haw kakra wɔ nsɛm a edidi so yi mu:
- Sɛ woadi boro mfe 35 a.
- Sɛ wowɔ abofra a ɔwɔ chromosomal disorder dedaw, anaasɛ obi wɔ w’abusua mu wɔ tebea no mu a.
- Sɛ wo anaa wo hokafo no wɔ nneɛma bi a ɛnteɛ wɔ wɔn chromosomes mu a.
- Sɛ woadi kan atu nyinsɛn anaasɛ woawo a wɔawuwu a.
Sɔhwɛ ahorow atitiriw abien na wɔyɛ:
1. Chorionic Villus a Wɔde Yɛ Nhwɛsode (CVS) .
Wɔ eyi mu no, oduruyɛfo no de ade tenten bi yi ntini ketewaa bi fi awotwaa no mu , na ɛma akokoaa no nya aduan. Wɔde saa nkwammoaa yi kɔ adwumayɛbea bi a wɔyɛ nhwehwɛmu. Eyi betumi aboa ma wɔahu sɛ akokoaa no wɔ awosu mu haw ahorow te sɛ Down syndrome, trisomy 13, anaa trisomy 18 anaa.
- Bere a ɛsɛ sɛ woyɛ: Wɔ nyinsɛn no adapɛn 10 kosi 13 ntam.
- Asiane ahorow: Asiane kakraa bi pɛ na ɛwɔ hɔ sɛ nyinsɛn a wobetu afi sɔhwɛ yi mu (bɛyɛ mmea 100 biara a wɔyɛ nhwehwɛmu no mu 1). Asiane bi nso wɔ akokoaa no so, enti sɛ asiane kɛse wɔ hɔ sɛ akokoaa no benya ɔhaw bi nkutoo a, na nnuruyɛfo kamfo kyerɛ.
2. Amniocentesis a ɛma nipadua no yɛ adwuma
Wɔ sɔhwɛ yi mu no, oduruyɛfo no de ade tenten bi fa wo yafunu mu na ɔfa awotwaa mu nsu a atwa akokoaa no ho ahyia wɔ awotwaa no mu no kakraa bi. Wɔde akokoaa no nkwammoaa a ɛwɔ saa nsu yi mu no kɔ ma wɔkɔhwɛ. Nea ɛka awosu mu haw ahorow a CVS sɔhwɛ no hwehwɛ nyinaa ho no, ebetumi ahu tebea horow a emu yɛ den a ɛka akokoaa no amemene anaa n’akyi berɛmo (neural tube defects) nso.
- Bere a ɛsɛ sɛ woyɛ: Wɔ nyinsɛn no adapɛn 15 kosi 20 ntam.
- Asiane: Asiane ketewaa bi da so ara wɔ hɔ sɛ nyinsɛn bɛtu, nanso ɛba fam sen CVS (bɛyɛ mmea 200 biara mu 1 a wɔyɛɛ wɔn nhwehwɛmu).
So asiane bi wɔ sɔhwɛ ahorow yi mu?
Yiw, sɛnea yɛadi kan aka ho asɛm no, asiane ahorow bi wɔ akwan a wɔfa so nya nkwammoaa yi mu. CVS anaa Amniocentesis ntaa mma nyinsɛn a wɔtow gu . Hokwan ketewaa bi nso wɔ hɔ sɛ mogya bɛtu obi kɛse anaasɛ obenya ɔyare mmoawa. Wo duruyɛfo no ne wo besusuw eyinom nyinaa ho akɔ akyiri. Enti ansa na ehu bɛbɔ wo no, bisa wo duruyɛfo no nsɛm biara a ebia wowɔ.
Dɛn na ɛba bere a sɔhwɛ no aba akyi?
Eyi ne ade a ɛho hia sen biara. Nea efi karyotype sɔhwɛ mu ba no yɛ pɔtee yiye . Ɛne sɛ, sɛ wonya nea efi mu ba no wie a, wubetumi ahu no yiye sɛ ebia akokoaa no ‘wɔ’ awosu mu haw anaasɛ ‘onni’.
Eyi nte sɛ sɔhwɛ ahorow a atwam a wɔde hwehwɛɛ mu no. Wɔkaa sɛ asiane no ‘kɔ soro’ anaasɛ ‘ɛba fam’ nkutoo. Nanso nea efii Karyotype sɔhwɛ no mu bae no nyɛ nsusuwii hunu, na mmom ɛyɛ nea wosi so dua.
Sɛ wo nsa ka nea efi mu ba no wie a, wo duruyɛfo no ne wo bɛbɔ ho nkɔmmɔ kɔ akyiri na wakyerɛkyerɛ anammɔn a ɛsɛ sɛ wutu akyi.
Nkrasɛm a Wɔde Kɔ Fie
- Karyotype sɔhwɛ yɛ awosu mu nhwehwɛmu titiriw bi a ɛhwɛ sɛ ebia nneɛma a ɛnteɛ wɔ chromosomes a ɛwɔ yɛn nkwammoaa mu no mu anaa.
- Sɛ nhwehwɛmu a edi kan a wɔyɛ wɔ nyinsɛn mu kyerɛ sɛ asiane biara nni hɔ a, wɔyɛ nhwehwɛmu yi de si so dua koraa sɛ ebia tebea horow te sɛ Down syndrome wɔ hɔ anaa.
- Akwan te sɛ CVS ne Amniocentesis a ɛboaboa nkwammoaa ano de yɛ eyi no, asiane kakraa bi na ɛwɔ hɔ sɛ nyinsɛn bɛtu, enti wɔyɛ no wɔ tebea horow a emu yɛ den mu nkutoo.
- Nea efi karyotype sɔhwɛ mu ba no nyɛ nsusuwii hunu te sɛ "asiane a ɛkorɔn/a ɛba fam", na mmom mmuae a ɛyɛ pintinn a ɛka sɛ "ɔhaw bi wɔ hɔ/ɔhaw biara nni hɔ".
- Fa ahofadi bisa wo duruyɛfo no ma ɔmma no ntease wɔ biribiara a ɛwɔ w’adwenem wɔ sɔhwɛ yi, asiane ahorow a ɛwom, ne nea efi mu ba ho.











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