Àdi be yeanya nu tso viwòa ƒe lãmesẽ ŋu do ŋgɔa? Mina míaƒo nu tso Domenyiŋusẽfianu Dodokpɔ Do Ŋgɔ na Vidzidzi ŋu!

Ne èle mɔ kpɔm be yeazu vidada la, nusi nèdina vevie enye be yeadzi vi si le lãmesẽ me, alo? Eyata, egbea míele nu ƒom tso dodokpɔmɔnu tɔxɛ aɖewo siwo akpe ɖe ŋuwò nànya do ŋgɔ nenye be domenyiŋusẽfianu ƒe dɔléle alo vidzidzi ƒe kuxi aɖewo le vidzĩa ŋu esime wògakpɔtɔ le vidzidɔa me. Míeyɔa esiawo be `(Domenyiŋusẽfianu Dodokpɔ Do Ŋgɔ Na Vidzidzi)`. Dodokpɔ siawo menye nusi wòle be amesiame nawɔ kokoko o, gake ele vevie ŋutɔ be nànya esia.

Nukae nye esia (Domenyiŋusẽfianu Dodokpɔ Do Ŋgɔ Na Vidzidzi)?

Kpuie ko la, esiawo nye dodokpɔ siwo ate ŋu anya ne domenyiŋusẽfianu ƒe dɔléle alo vidzidzi ƒe gbɔdzɔgbɔdzɔ aɖe le viwò si le dɔ me. To vovo na ʋu ƒe ƒomevi, hemoglobin, kple sukli dodokpɔ siwo nèwɔna zi geɖe le fufɔɣi la, domenyiŋusẽfianu dodokpɔ siawo mehiã o eye ne èdi ko hafi nàte ŋu awɔe . Àte ŋu aƒo nu tso esia ŋu kple wò ɖɔkta eye nàtso nya me le dodokpɔ siwo anyo na wò ŋu.

Míaƒe domenyiŋusẽfianuwoe kpɔa nusianu si le míaƒe ŋutilã me dzi. Wodzraa domenyiŋusẽfianu siawo ɖo ɖe nusiwo woyɔna be chromosomes me. Eyata, ɣeaɖewoɣi, ne tɔtrɔ alo gbɔdzɔgbɔdzɔ aɖewo va le domenyiŋusẽfianu alo domenyiŋusẽfianu siawo me la, dɔléle vovovowo ate ŋu ado mo ɖa. Míeyɔa nɔnɔme mawo tɔgbe siwo nɔa anyi le vidzidzi me be ``(Congenital Disorders)''. Domenyiŋusẽfianu ƒe dodokpɔ siawo ate ŋu ade dzesi nɔnɔme mawo dometɔ aɖewo hafi woadzi vidzĩa gɔ̃ hã.

Nukawoe nye dodokpɔ ƒomevi eve siawo? (Dodokpɔwo Dodokpɔ Kple Dɔlélewo Didi) .

Enyo, azɔ na míakpɔe ɖa. ``Domenyiŋusẽfianu Dodokpɔ Do Ŋgɔ na Vidzidzi'' ƒomevi vevi eve li.

1. Dodokpɔwo: Wozãa esiawo tsɔ nyaa nenye be domenyiŋusẽfianu ƒe dɔléle aɖe ate ŋu anɔ viwòa ŋu. Esia mefia kokoko be dɔlélea le vidzĩa ŋu o. Gake ne afɔkua lolo la, wò ɖɔkta agblɔ nusi nàwɔ emegbe na wò.

2. Dodokpɔ Siwo Dzea Vidzĩa: Dodokpɔ siawo ate ŋu aɖo kpe edzi nenye be domenyiŋusẽfianu ƒe nɔnɔme aɖe le vidzĩa ŋu loo alo mele eŋu o. Zi geɖe la, ne dodokpɔ si wowɔ le dodokpɔ me ɖee fia be afɔku aɖe le eme, alo ne afɔkua lolo wu le susu bubu aɖe ta ko hafi wowɔa esiawo.

Azɔ mina míaƒo nu tso ƒomevi siawo dometɔ ɖesiaɖe ŋu tsitotsito vie.

Mina míalé ŋku ɖe ‘Screening Tests’ (dodokpɔ siwo dia afɔku si le fugboe ŋu) ŋu gbã .

Nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui enye be dodokpɔ siawo megblɔna kple kakaɖedzi gbeɖe be domenyiŋusẽfianu ƒe nɔnɔme aɖe li o. Ne emetsonua mesɔ o hã la, mefia be nɔnɔmea adze vidzĩa dzi godoo o. Ðeko wòfia be afɔku aɖe li ne wotsɔe sɔ kple bubuwo. Wò ɖɔkta ate ŋu aɖe emetsonu siawo me na wò eye wòaɖe afɔ siwo wòle be nàɖe kplɔe ɖo la me na wò. Le go aɖewo me la, woate ŋu akafui hã be woawɔ dodokpɔ si me woakpɔ dɔlélea le.

Dodokpɔ ƒomevi vovovowo li siwo wowɔna tsɔ doa ame kpɔna:

1. Carrier Screening - Ðe dɔléle aɖe le ŋuwò si woate ŋu akaka na viwòa?

Esia nye ʋudodokpɔ si mia kple wò zɔhɛ miate ŋu awɔ. Edia domenyiŋusẽfianu ɖeka ƒe nɔnɔme siwo ate ŋu ahe lãmesẽkuxi sesẽ siwo dome viwòa ate ŋu anyi. Le kpɔɖeŋu me, ate ŋu ade dzesi nɔnɔmewo abe Cystic Fibrosis, Sickle Cell Disease, kple Spinal Muscular Atrophy ene.

Le kpɔɖeŋu me, ne wò ʋudodokpɔ ɖee fia be ènye domenyiŋusẽfianu ƒe afɔku aɖe tsɔla la, ele vevie ŋutɔ be wò zɔhɛa hã nadoe kpɔ. Elabena, ne dzila evea siaa nye domenyiŋusẽfianu ƒe afɔku ɖeka tsɔlawo la, anɔ eme be dɔléle ma ƒe ƒomevi sesẽ aɖe adze vidzĩa dzi. Wowɔa ``Carrier Screening`` dodokpɔ sia zi ɖeka ko le agbe me.

2. Dodokpɔ be domenyiŋusẽfianu ƒe xexlẽme mesɔ o hã

Abe alesi míegblɔe xoxo ene la, míenyia domenyiŋusẽfianu eve eve - ɖeka tso mía dada gbɔ eye ɖeka tso mía fofo gbɔ. Ɣeaɖewoɣi la, le vidzidzi ƒe ɖoɖo sia me la, dzɔdzɔme vodadawo ate ŋu adzɔ. Emegbe domenyiŋusẽfianu eveawo ƒe akpa aɖewo ate ŋu abu alo atsɔ wo akpe ɖe eŋu. Le kpɔɖeŋu me, ``Down Syndrome`` (domenyiŋusẽfianu 21 bubu ƒe anyinɔnɔ) kple ``Turner ƒe Dɔléle`` (X domenyiŋusẽfianu si bu ƒe anyinɔnɔ). Dodokpɔ siawo me tsonu ate ŋu ato vovo tso fufɔfɔ me yi bubu me.

Dodokpɔ ƒomevi vovovowo li:

• Fugboe ƒe DNA dodokpɔ si me lãmenugbagbeviwo mele o: Wogayɔa esia be `(Non-Invasive Prenatal Testing)` alo `(NIPT)`. Esia bia be nàɖe viwòa ƒe DNA (`fetal DNA`) ƒe akpa suewo tso wò ʋu me eye nàdi domenyiŋusẽfianu ƒe dɔmawɔmawɔ nyuie aɖewo siwo bɔ. Gake esi vidzĩ sia ƒe DNA ƒe agbɔsɔsɔ le sue ŋutɔ ta la, fufɔfɔ ƒe kwasiɖa 10 megbe ko hafi woate ŋu awɔ dodokpɔ sia.
• Serum screening: Esia hã nye dodokpɔ si me woɖea wò ʋu le. Gake meléa ŋku ɖe vidzĩa ƒe DNA ŋu tẽ o. Ke boŋ edzroa protein vovovo siwo le wò ʋu me ƒe agbɔsɔsɔ me be yeanya afɔku si le wò domenyiŋusẽfianu ƒe dɔmawɔmawɔ nyuie me. Esiawo ƒe kpɔɖeŋuwoe nye `(Dodokpɔ ɖe wo nɔewo yome)`, `(Dodokpɔ ene)` kple `(First Trimester Serum screening)`. Ele be woawɔ dodokpɔ siawo dometɔ ɖesiaɖe le ɣeyiɣi aɖe koŋ me le fufɔɣi, eyata anyo be nàbia wò ɖɔkta be wo dometɔ kae sɔ na wò hã. Zi geɖe la, woate ŋu awɔ dodokpɔ siawo le fufɔfɔ ƒe kwasiɖa 11 megbe.

3. Dodokpɔ be ame ƒe ŋutilã mesɔ o hã

Ɣeaɖewoɣi la, domenyiŋusẽfianu ƒe dɔmawɔmawɔ nyuie ate ŋu ana vidzĩa ƒe ŋutilã ƒe wɔwɔme natrɔ. Alo, ne domenyiŋusẽfianuawo sɔ gɔ̃ hã la, ate ŋu anye be vidzĩa ƒe ŋutilã me gblẽ. Ultrasound kple ʋudodokpɔ siwo wowɔna le fufɔɣi ate ŋu ana woanya afɔku si le vidzĩa ŋu be wòaxɔ ŋutilã me dɔléle mawo tɔgbe eye nenye be domenyiŋusẽfianu gbɔe wòtso.

• Nuchal Translucency (NT-nukpɔkpɔ):Ultrasound dodokpɔ sia dzidzea ŋutigbalẽ si le fugboea ƒe kɔ ƒe megbe ƒe titrime. Ne eƒe titrime sia lolo akpa la, ate ŋu afia be domenyiŋusẽfianu ƒe dɔmawɔmawɔ nyuie, kpakple ŋutilã me kuxiwo abe vidzĩa ƒe dzi ƒe tsitsi si mesɔ o ene ate ŋu afia. Wowɔa ultrasound sia le fufɔfɔ ƒe kwasiɖa 11 va ɖo 14 dome.
• AFP dodokpɔ (maternal serum screen): Woɖea wò ʋu ƒe kpɔɖeŋu eye wodzidzea protein si woyɔna be AFP (Alpha-fetoprotein) ƒe agbɔsɔsɔ. Ne agbɔsɔsɔ sia sɔ gbɔ akpa la, ate ŋu afia be ŋutilã me kuxi aɖewo ate ŋu anɔ vidzĩa ƒe ƒodo, mo, alo akɔta. Wowɔa esia le kwasiɖa 15 va ɖo 22 dome.
• Quad screen: Esia dzidzea nu ene siwo le wò ʋu me ƒe agbɔsɔsɔ be woatsɔ anya afɔku si le viwòa ƒe domenyiŋusẽfianu ƒe dɔmawɔmawɔ nyuie kple ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie me. Wogayɔa esia be ``Dzesi Geɖewo ƒe Screen''. Wowɔa esia hã le kwasiɖa 15 va ɖo 22 dome.
• Fetal anatomy scan: Esia nye nusi ame geɖe nya be "Anomaly Scan". Le esia me la, wozãa ultrasound tsɔ léa ŋku ɖe vidzĩa ƒe ŋutilã ƒe wɔwɔme ŋu, siwo dometɔ aɖewoe nye ahɔhɔ̃ si le tsitsim, ƒunukpeƒe, dzi, ayiku, ƒodo, mo, kple abɔ kple afɔwo. Zi geɖe la, wowɔa ultrasound sia le fufɔfɔ ƒe kwasiɖa 18 va ɖo 20 dome.

Vevietɔ: Le afisia hã la, ɖeko dodokpɔ siawo siwo wowɔna tsɔ doa ame kpɔ la ɖenɛ fiana be nɔnɔme aɖe ate ŋu anɔ ame ŋu. Womefiae godoo be dɔléle aɖe le ame ŋu o.

Nukae nye ‘Dodokpɔ Siwo Wotsɔ Kpɔa Dɔlélewo Gbɔ’? (Dodokpɔwo be woanya ne dɔléle aɖe li tututu)

Dodokpɔ siwo wowɔna tsɔ dia vidzĩa ate ŋu aɖo kpe edzi nenye be domenyiŋusẽfianu ƒe nɔnɔme aɖe le vidzĩa ŋu. Ne dodokpɔ si wowɔ le dodokpɔ me ƒe emetsonuwo mesɔ o, alo ne susu bubuwo le asiwò si ta nèsusu be domenyiŋusẽfianu ƒe dɔléle aɖe le ye vi ŋu (le kpɔɖeŋu me, dɔlélea le wò ƒomea me tɔ aɖe ŋu) ko hafi wowɔa dodokpɔ siawo .

Dodokpɔ ƒomevi eve siwo bɔ wue nye `(Amniocentesis)` kple `(Chorionic Villus Sampling / CVS)`.

• Amniocentesis: Le dodokpɔ sia me la, ɖɔktaa tsɔa aŋe sue aɖe toa wò ŋutigbalẽ me dea wò vidzidɔ me eye wòɖea vidzidɔ me tsi si ƒo xlã viwòa ƒe kpɔɖeŋu sue aɖe. Wowɔa dodokpɔ sia le fufɔfɔ ƒe kwasiɖa 16 va ɖo 20 dome.
• Chorionic Villus Sampling (CVS): Le dodokpɔ sia me la, ɖɔktaa tsɔa aŋe dea vidzidɔa me eye wòɖea lãmenugbagbeviwo ƒe kpɔɖeŋu sue aɖe tso vidzidɔa me. Ðɔktaa atso nya me nenye be yeade aŋea to ƒodo me loo alo ato nyɔnu ƒe vidzidɔ me, le esi le dedie wu nu. Wowɔa CVS dodokpɔa le fufɔfɔ ƒe kwasiɖa 11 va ɖo 13 dome.

Emegbe woɖoa kpɔɖeŋuawo ɖe nudokpɔƒe aɖe be woada wo kpɔ. Nudokpɔƒea ate ŋu awɔ dodokpɔ tɔxɛwo abe Fluorescence In Situ Hybridization (FISH), Karyotyping si wozãna ɖaa, kple Microarray ene. Dodokpɔ aɖewo siwo wowɔna tsɔ dia dɔlélewoe ate ŋu ana woakpɔ emetsonuwo le gaƒoƒo 72 pɛ ko me, evɔ bubuwo ya ate ŋu axɔ wu kwasiɖa eve.

Ðe wòle be woawɔ domenyiŋusẽfianu ƒe dodokpɔ siawoa? Amekae wòle be wòawɔ nusiawo?

Nenye be woawɔ ``Domenyiŋusẽfianu Dodokpɔ'' sia le Do Ŋgɔ na Vidzidzi'' alo màwɔe o la nye wò ŋutɔ wò nyametsotso bliboe. Ne mèka ɖe edzi o la, àte ŋu abia wò ɖɔkta nusi wòɖo aɖaŋu na wò. Dodokpɔ siawo me tsonu ate ŋu ana nyatakaka vevi aɖe ŋutɔ ku ɖe vidzĩa ƒe lãmesẽ ŋu. Zi geɖe la, wonaa nyanya funɔwo katã tso domenyiŋusẽfianu dodokpɔ siawo ŋu abe woƒe beléle na wo do ŋgɔ na vidzidzi ƒe akpa aɖe ene.

Susu siwo ta ƒome aɖewo tso nya me be yewoawɔ dodokpɔ siwo me woakpɔ dɔlélea le dometɔ aɖewoe nye:

• Nusiwo mesɔ o xɔxɔ tso dodokpɔ si wowɔ tsɔ doa ame kpɔ me.
• Domenyiŋusẽfianu ƒe nɔnɔme aɖe ƒe ƒome ŋutinya ƒe amesinɔnɔ.
• Fufɔfɔ si xɔ wu ƒe 35.
• Esi wòfɔ fu alo vi kuku aɖe va yi ta.

Ðe wòhiã be woawɔ dodokpɔ siawo le fufɔɣia?

Ao, mehiã o. Enye nyametsotso si wotu ɖe wò ŋutɔ wò dzixɔsewo kple atikewɔwɔ ŋutinya dzi. Dzila aɖewo lɔ̃a nyanya do ŋgɔ nenye be woadzi yewo vi kple nɔnɔme aɖe. Esia wɔnɛ be wowɔa ɖoɖo ɖe wo vi dzi kpɔkpɔ ŋu do ŋgɔ. Nublanuitɔe la, nublanuinya ŋutɔ ate ŋu ado tso ƒome aɖewo me, eye ate ŋu ahiã be woawɔ nyametsotso sesẽ si nye ne woayi fufɔfɔa dzi loo alo woayi edzi. Eyata nenye be woawɔ dodokpɔ sia si woatsɔ akpɔ dɔlélea alo womawɔe o la, etso wò kple wò ɖɔkta gbɔ bliboe.

Aleke wowɔa dodokpɔ siawoe?

Wowɔa `(Prenatal Genetic Screening)` dodokpɔ akpa gãtɔ ɖe ʋu si woɖe tso vidada si fɔ fu gbɔ dzi. Ne dodokpɔ ƒe dodokpɔ me tsonu ɖee fia be afɔku si le vidzidzi ƒe gbɔdzɔgbɔdzɔ me dzi ɖe edzi la, ɖɔkta ateŋu awɔ dodokpɔ deto geɖe wu (``dodokpɔ siwo xɔa ame me``) atsɔ ade dzesi nɔnɔme tɔxɛwo. Dodokpɔ deto siawo siwo wotsɔ dia dɔlélewoe nye ``(Amniocentesis)`` kple ``(CVS)``.

Dodokpɔ kawoe wowɔna le fufɔfɔ ƒe kwasiɖa vovovowo me?

Esia hã nye kuxi na ame geɖe.

Dodokpɔwo le Ɣleti Etɔ̃ Gbãtɔ (le ɣleti 3 gbãtɔwo me).

Wowɔa ʋumenugbagbeviɣidɔ ƒe dodokpɔ le ɣleti etɔ̃ gbãtɔ me, fugboe ƒe DNA dodokpɔ si me lãmenugbagbeviwo mele o (NIPT), kple NT ultrasound katã le fufɔfɔ ƒe kwasiɖa 11 va ɖo 14 dome. Ne ètsɔ nyatakaka siwo tso ʋudodokpɔ siawo kple ultrasound me ƒo ƒui la, àte ŋu akpɔ afɔku si le domenyiŋusẽfianu ƒe dɔléle siwo bɔ abe Down Syndrome ene me ŋu.

Woateŋu awɔ ``carrier screenings`` ɣesiaɣi le wò fufɔɣi, le kwasiɖa 6-10 me gɔ̃ hã. Dodokpɔ siawo dia ``domenyiŋusẽfianu ɖeka`` ƒe nɔnɔme siwo nàte ŋu atsɔ ana viwòa. Ke hã, ``Carrier screenings`` mateŋu ade dzesi nɔnɔme siwo tso domenyiŋusẽfianu ƒe masɔmasɔ gbɔ, abe ``Down Syndrome`` ene o.

Fugboe ƒe DNA dodokpɔ si me lãmenugbagbeviwo mele o (NIPT) doa vidzĩa ƒe DNA kpɔna le wò ʋu me. Edia domenyiŋusẽfianu ƒe nɔnɔmewo abe Down Syndrome, Trisomy 13, kple Trisomy 18. Woate ŋu awɔ dodokpɔ sia le fufɔfɔ ƒe kwasiɖa 10 me ke, alo emegbe le fufɔfɔa me.

Dodokpɔwo le Ɣleti Evelia me (le ɣleti 4-6 dome).

Wowɔa dodokpɔ siwo wowɔna le fufɔfɔ ƒe kwasiɖa 15 va ɖo 22 dome le fufɔfɔ ƒe kwasiɖa etɔ̃lia ƒe dodokpɔ evelia me. Ʋudodokpɔ siwo wowɔna le ɣeyiɣi sia mee nye `(Maternal Serum Alpha-Fetoprotein / AFP screen)` kple `(Quad screen)`. `(Quad screen)` xɔ ŋkɔ elabena edzidzea protein ƒomevi ene (`Alpha-fetoprotein / AFP`, `Estriol`, `Human Chorionic Gonadotropin / hCG` kple `Inhibin-A`). Dodokpɔ siawo kpena ɖe wò ɖɔkta ŋu wòkpɔnɛ nenye be domenyiŋusẽfianu alo ŋutilã me dɔmawɔmawɔ nyuie le viwòa ŋu. `(Fetal anatomy ultrasound)` (Anomaly scan) nye dodokpɔmɔnu bubu si ateŋu adi domenyiŋusẽfianu alo ŋutilã me nusiwo mesɔ o le viwòa ŋu.

Ðe ‘dodokpɔ’ dodokpɔ siawo siwo wowɔna hena nɔnɔmewo abe Down Syndrome ene ate ŋu anye nu gbegblẽa?

Ẽ, mɔnukpɔkpɔ li ɣesiaɣi be dodokpɔ si wowɔ be woatsɔ adoe kpɔ la mesɔ o. Eyae nye be, ɣeaɖewoɣi la, afɔku ate ŋu anɔ anyi togbɔ be egblɔ be afɔku aɖeke meli o hã, eye ɣeaɖewoɣi la, afɔku ate ŋu anɔ anyi togbɔ be egblɔ be afɔku aɖeke meli o hã (woyɔa esia be `aʋatso nyui` kple `aʋatso gbegblẽ`). Wò ɖɔkta ateŋu aɖe dodokpɔ ɖesiaɖe si nàwɔ le fufɔɣi ƒe nyateƒetoto ƒe agbɔsɔsɔme (`accuracy rates`) me.

Ðe afɔku aɖewo le dodokpɔ siawo mea?

Womebua dodokpɔ siwo wowɔna tsɔ doa ame kpɔ (ʋuɖeɖe) be enye afɔku o. Ke hã, ne èyi ɖawɔ dɔléle ŋuti dodokpɔ abe ``Amniocentesis`` alo ``CVS`` ene la, afɔku sue aɖe ŋutɔ li . Afɔku mawoe nye dɔlékuiwo xɔxɔ, ʋudodo, alo fuɖeɖe. Esia tae womewɔa dɔlélewo didi ƒe dodokpɔ siawo na amesiame le bliboe ``Prenatal Genetic Screening`` o, ke boŋ na amesiwo ŋu ɖikeke le etɔxɛe ko.

Ɣeyiɣi didi kae wòxɔna hafi emetsonuwo gadzena? Nukae emetsonuwo fia?

Dodokpɔ siwo wowɔna tsɔ doa ame kpɔ xɔa ŋkeke ʋɛ aɖewo hafi wokpɔa emetsonuwo. Dodokpɔ siwo wowɔna tsɔ dea dzesi dɔlélea ate ŋu axɔ ŋkeke ʋɛ aɖewo va ɖo kwasiɖa ʋɛ aɖewo hafi woakpɔ emetsonuwo. Zi geɖe la, woɖoa kpɔɖeŋu siawo ɖe dodokpɔxɔ aɖe be woado wo kpɔ. Wò ɖɔkta akpɔ emetsonuwo gbã, eye emegbe woagblɔ emetsonuwo na wò.

Ðeko dodokpɔ ƒe dodokpɔ me tsonu ɖea afɔku fiana. Womegblɔnɛ na wò kple kakaɖedzi nenye be domenyiŋusẽfianu ƒe nɔnɔme aɖe le vidzĩa ŋu o.

• Ne wokpɔ nu nyui aɖe la , efia be afɔku le vidzĩa me be wòaxɔ dɔléle ma wu amehawo katã.
• Ne wokpɔ nu gbegblẽ aɖe la , efia be afɔku si le vidzĩa me be wòaxɔ dɔléle ma le sue wu amehawo katã.

Wò ɖɔkta ate ŋu ado susu ɖa be nàwɔ dodokpɔ si me nàdi dɔlélewo le, abe CVS alo amniocentesis ene. Alo, woate ŋu aɖo wò ɖe domenyiŋusẽfianu ŋuti aɖaŋuɖola aɖe gbɔ, amesi bi ɖe fufɔfɔ siwo me afɔku le ŋutɔ kple domenyiŋusẽfianu ƒe nɔnɔmewo me. Mègavɔ̃ be yeaƒo nu kple wò ɖɔktawo tso nusi wò dodokpɔ me tsonu fia kple afɔku kple viɖe siwo le dodokpɔ siwo wowɔna tsɔ dia dɔlélewo me ŋu o.

Ðe woate ŋu ato dodokpɔ siawo dzi anya vidzĩa ƒe ŋutsu alo nyɔnu nyenyea?

Tsɔ kpe ɖe nyatakaka nana tso domenyiŋusẽfianu ƒe nɔnɔmewo ƒe afɔku ŋu la, ``Cell-free DNA screening / NIPT'' dodokpɔ ateŋu ana nyatakaka tso vidzĩa ƒe gbɔdɔdɔ hã ŋu. ``Ultrasound'' hã ateŋu afia gbɔdɔdɔ ɣeaɖewoɣi. Gake viɖe bubu aɖe koe esia nye, ke menye susu vevitɔ si ta wodoe kpɔ ɖo o.

Nukae wòle be mabia ɖɔktaa tso domenyiŋusẽfianu ƒe dodokpɔ siawo ŋu?

Dodokpɔ kple dɔléle ŋuti dodokpɔwo wɔwɔ le fufɔɣi nye ame ŋutɔ ƒe nyametsotsowo. Nyabiase aɖewo ate ŋu anɔ asiwò ku ɖe dodokpɔ siwo wòle be nàwɔ le dodokpɔ me alo nusi wò dodokpɔ me tsonu fia ŋu. Mègavɔ̃ be yeabia nya o. Ðo ŋku edzi be wò kple wò ƒomea koe ate ŋu atso nya me le alesi nàwɔ akpɔ nu nyui siwo do tso domenyiŋusẽfianu ƒe dodokpɔ ƒomevi eveawo siaa me gbɔe ŋu.

Nyabiase siwo bɔ dometɔ aɖewo siwo nàte ŋu abia:

• "Dodokpɔ kawoe nèkafu be woawɔ le nye lãmesẽ ŋutinya nu?"
• "Ne nye dodokpɔ ƒe dodokpɔ me tsonu nye `Positive` la, nukawoe nye afɔɖeɖe siwo kplɔe ɖo?"
• "Ðe domenyiŋusẽfianu dodokpɔ siawo ate ŋu agblẽ nu le vidzĩa ŋua?"
• "Nukae nye mɔnukpɔkpɔ siwo li be woakpɔ alakpanyawo?"

Mlɔeba la, nusiwo dzi nàɖo ŋkui (Take-Home Message) .

Ŋuɖoɖo nyui alo gbegblẽ aɖeke meli na Domenyiŋusẽfianu Dodokpɔ Do Ŋgɔ na Vidzidzi o. Nyametsotsoa le mia kple wò ƒomea gbɔ. Ne ètsi dzi ɖe dodokpɔ siawo ŋu, alo ne èdi be yease nusi dodokpɔ ɖesiaɖe adi gɔme la, ƒo nu kple wò ɖɔkta. Ate ŋu adzro afɔku kple viɖe siwo le domenyiŋusẽfianu dodokpɔ ɖesiaɖe me me kpli wò eye wòakpe ɖe ŋuwò nàwɔ nyametsotso nyuitɔ kekeake na wò kple wò ƒomea.

Ðo ŋku edzi be wodzia vidzĩ akpa gãtɔ le lãmesẽ me. Gake ele vevie be nàse nusiwo nye wò tiatiawɔblɔɖe kple domenyiŋusẽfianu dodokpɔ siwo li na wò gɔme. Wò ɖɔktae nye wò mɔfiala nyuitɔ kekeake le mɔzɔzɔ sia me.

` Fufɔfɔ, domenyiŋusẽfianu dodokpɔ, vidzĩ ƒe lãmesẽ, fugboe dodokpɔ, dodokpɔ dodokpɔwo, dɔlélewo didi ƒe dodokpɔwo, Down syndrome, ultrasound