Èbu alesi míewɔna kpɔa nuwo abe míaƒe ŋku ƒe amadede, ŋutigbalẽ ƒe amadede, kple ɖa ƒe nɔnɔme ene ŋu kpɔa? Domenyiŋusẽfianu siwo ƒe dome míenyi tso mía dada kple mía fofo gbɔe afia nusiawo katã. Wobla domenyiŋusẽfianu siawo ɖe domenyiŋusẽfianuwo me nyuie. Eyata, ɣeaɖewoɣi la, tɔtrɔ aɖewo ate ŋu anɔ domenyiŋusẽfianu siawo me, atsɔ wo akpe ɖe wo ŋu, alo woaɖe wo ɖa. Esia tae míeyɔa dodokpɔ tɔxɛ aɖe si dia tɔtrɔ mawo ɖo.
Kpuie ko la, nukae nye Karyotype Dodokpɔ?
Tsɔe be agbalẽdzraɖoƒe aɖe le wò ŋutilã ƒe lãmenugbagbevi ɖesiaɖe me si me nyatakaka blibo le tso ŋuwò. Woyɔa agbalẽ siwo le agbalẽdzraɖoƒe sia be domenyiŋusẽfianu. Le mama dedie nu la, agbalẽ siawo eve 23, alo agbalẽ 46, le ame si le lãmesẽ me si. Míexɔa nusiawo ƒe afã tso mía dada gbɔ eye afã mamlɛa tso mía fofo gbɔ.
Karyotype dodokpɔ nye dodokpɔ si ɖea domenyiŋusẽfianu siawo le wò lãmenugbagbeviwo me eye wòɖea woƒe "nɔnɔmetata". Ekema míate ŋu akpɔe tututu, .
- Ðe domenyiŋusẽfianu 46 tututue lia?
- Ðe domenyiŋusẽfianu ƒe xexlẽme dzi ɖe kpɔtɔa? Alo ɖe wòdzi ɖe edzia?
- Ðe nanewo to vovo le woƒe nɔnɔme, lolome, alo ɖoɖo si wowɔ mea?
Míate ŋu akpɔ kpeɖodziwo tso domenyiŋusẽfianu ƒe dɔléle aɖewo ŋu tso nusiwo mesɔ o alea me.
Amekawoe hiã dodokpɔ sia? Nɔnɔme kawo mee?
Dodokpɔ sia ate ŋu anɔ vevie le nɔnɔme vovovowo me. Na míakpɔ nusiwo wonye ɖa.
| Amewo ƒe ƒuƒoƒo si wobia | Tamebubu kple numeɖeɖe |
|---|---|
| Le ame tsitsiwo gome |
|
| Na ɖevi si le vidzidɔ me |
|
| Na vidzĩwo kple ɖevi suewo | Wowɔa dodokpɔ sia tsɔ ɖoa kpe edzi ne ɖevi aɖe ɖe dzesi aɖewo fia be eƒe tsitsi tsi megbe alo domenyiŋusẽfianu ƒe dɔléle. |
Ðe wòhiã be nàdzra ɖo hafi adze dodokpɔa gɔmea?
Zi geɖe la, dodokpɔ sia mehiãa dzadzraɖo geɖe o. Gake ne wodo ʋu na wò nyitsɔ laa la, ele be nàgblɔe na wò ɖɔkta . Ate ŋu abia tso asiwò be nàlala ŋkeke ʋɛ aɖewo hafi awɔ dodokpɔa.
Le go aɖewo me la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàtsi nu adɔ (mègaɖu nu alo ano nu o) gaƒoƒo ʋɛ aɖewo hafi woawɔ dodokpɔa. Eyata anyo wu be nàbia wò ɖɔkta ne mɔfiame tɔxɛ aɖewo li siwo dzi wòle be nàwɔ ɖo hafi adoe kpɔ.
Nu vevitɔ kekeakee nye be nyametsotso si nàwɔ be woado dodokpɔ sia ƒomevi la nye tɔwò bliboe. Dodokpɔ aɖe me tsonu, vevietɔ esi me fugboe le, ate ŋu akpɔ ŋusẽ ɖe dzilawo ƒe seselelãme dzi ŋutɔ. Eyata ele vevie ŋutɔ be nàƒo nu kple domenyiŋusẽfianu ŋuti aɖaŋuɖola alo wò ɖɔkta be nàse dodokpɔ sia ƒe viɖewo, kuxiwo, kple nusiwo ate ŋu ado tso eme gɔme bliboe.
Mɔnu vovovo siwo dzi woato awɔ karyotype dodokpɔ
Mɔ vovovowo li siwo dzi nàto axɔ lãmenugbagbevi ƒe kpɔɖeŋu si hiã na dodokpɔ sia, le wò nuhiahiãwo kple nɔnɔmea nu.
- Ʋudodokpɔ: Esiae nye mɔnu si wozãna wu. Wozãnɛ na ame tsitsiwo, vidzĩwo, kple ɖevi suewo.
- Bone Marrow Aspiration and Biopsy: Woɖea ƒumeŋuɖui ƒe kpɔɖeŋu aɖe hedonɛ kpɔna tso amesiwo ŋu kansa alo dɔléle siwo do ƒome kple ʋu abe ʋumenugbagbeviɣidɔ ene le gbɔ.
- Amniocentesis: Le fufɔɣi la, woɖea amniotic tsi si ƒo xlã vidzĩa le vidzidɔa me ƒe kpɔɖeŋu aɖe hedonɛ kpɔna.
- Chorionic Villus Sampling (CVS): Dodokpɔ si xɔa lãmenugbagbeviwo ƒe kpɔɖeŋu tso vidzidɔa me, si naa nunyiame vidzĩa, le fufɔɣi.
Nukae dzɔna le ʋudodokpɔ me?
Esia le bɔbɔe ŋutɔ eye woate ŋu awu enu le miniti ʋɛ aɖewo ko me.
1. Le dodokpɔxɔa me la, woatsɔ aŋe tsɛ aɖe aɖe ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me.
2. Vevesese sue aɖe koe nèsena le ɖokuiwò me be yeaƒo ye.
3. Ƒo ʋua nu ƒu ɖe mɔ̃ me, ɖe aŋea ɖa, eye nàtsɔ aŋe sue aɖe asisi ɖe teƒea.
Aleke nàwɔ axɔ ƒumeŋuɖui ƒe kpɔɖeŋu?
Zi geɖe la, ɖɔkta si bi ɖe kansa (kansaŋutinunyala) alo ʋumedɔlélewo (ʋumenugbagbeviŋutinunyala) ye wɔa esia.
1. Wonaa atike ame aɖewo be woase le wo ɖokui me be yewomu aha.
2. Woatrɔ wò ɖe wò axadzi alo ƒodo dzi eye woana nàmlɔ anyi.
3. Zi geɖe la, wodoa atike si naa ame ƒe lãme gbãna ɖe akɔtaƒu ƒe akpa si le etame.
4. Emegbe wotsɔa aŋe tsɛ aɖe toa ƒua me be woatsɔ axɔ ƒumeŋuɖui me tsi kple lãkusi kakɛ aɖe. Àte ŋu ase nyaƒoɖeamenu alo vevesese vi aɖe le ɣeyiɣi sia me.
Nukae dzɔna le amniocentesis dodokpɔ me?
Zi geɖe la, wowɔa esia le fufɔfɔ ƒe kwasiɖa 15 va ɖo 20 dome.
1. Woana nàmlɔ anyi eye woawɔ scan (ultrasound) na wò.
2. Ne èle ŋku lém ɖe fotoɖeɖea ŋu la, wotsɔa aŋe tsɛ aɖe dea wò vidzidɔ me to wò ƒodo me, eye wokpɔa egbɔ be yemagblẽ nu le vidzĩa ŋu o.
3. Wotsɔa aŋe sia dea vidzidɔa ƒe kotokua me, woɖea tsi ƒe kpɔɖeŋu, eye woɖea aŋea ɖa. Àte ŋu ase dzobibi alo ʋuʋudedi vi aɖe le ɣeyiɣi sia me.
Aleke wowɔa Chorionic Villus Sampling (CVS)e?
Zi geɖe la, wowɔa esia le fufɔfɔ ƒe kwasiɖa 10 va ɖo 13 dome.
1. Wowɔa esia hã to ŋkuléle ɖe scan la ŋu me.
2. Mɔ eve li siwo dzi míato awɔ esia. Ðekae nye be woaɖe vidzidɔa ƒe kpɔɖeŋu to mɔ̃ tsɛ aɖe dede to vidzidɔa me kple vidzidɔa me.
3. Mɔnu bubu si sɔ kple amniocentesis lae nye be woatsɔ aŋe ade ƒodoa me eye woaɖe lãmenugbagbevi aɖe tso vidzidɔa me.
Ðe afɔku aɖewo le dodokpɔ siawo mea?
Abe alesi wòle le atikewɔwɔ me dodokpɔ ɖesiaɖe gome ene la, afɔku sue aɖewo le eme. Gake mègatsi dzi o, afɔku gãwo mebɔ o.
- Le ʋudodokpɔɣi: Ate ŋu anye be abi, ʋu vi aɖe nado le eŋu, alo ase veve le afisi wodoe le.
- Le ƒumeŋuɖui ƒe kpɔɖeŋu xɔɣi: Ʋu ate ŋu ado le ame ŋu, axɔ abi, dɔlékuiwo naxɔ ame, alo vevesese le afisi wodoe le.
- Ne wowɔ amniocentesis alo CVS dodokpɔwo: Afɔku sue aɖe koe li be ʋu sue aɖe nado le ame ŋu, axɔ abi, eye wòaxɔ dɔlékui le vidzidɔa me. Afɔku si mebɔ kura hã le fuɖeɖe me o (anɔ abe ame ɖeka le 100 ɖesiaɖe si ŋu CVS le ene, mede ɖeka le 200 ɖesiaɖe si ŋu amniocentesis le o).
Wò ɖɔkta aɖe afɔku siawo me na wò tsitotsito.
Ɣeyiɣi didi kae wòxɔna hafi wokpɔa emetsonuwo? Nukae emetsonuwo fia?
Zi geɖe la, ate ŋu axɔ kwasiɖa geɖe hafi dodokpɔa me tsonu nagatrɔ ava. Bia wò ɖɔkta tso ɣeyiɣi sia ŋu.
Ne emetsonua "mesɔ o" la, efia be tɔtrɔ aɖe va le viwò alo viwòa ƒe domenyiŋusẽfianu me. Esia ate ŋu akpe ɖe mía ŋu míade dzesi domenyiŋusẽfianu ƒe nɔnɔme aɖewo. Le kpɔɖeŋu me:
- Down Syndrome (Down Syndrome alo Trisomy 21): Nɔnɔme si nana be ame ƒe susu ƒe tsitsi kple ŋutilã ƒe tsitsi tsia megbe.
- Edwards Syndrome (Edwards Syndrome alo Trisomy 18): Nɔnɔme si hea kuxi sesẽwo vɛ na lãkusi, ayiku, kple dzi.
- Patau Dɔléle: Nɔnɔme si ƒe dzesi enye be vidzidɔ me tsitsi ƒe megbetsitsi kple vidzidzi ƒe kpekpeme sue.
- Turner Syndrome: Nɔnɔme si xea mɔ na gbɔdɔdɔ ƒe nɔnɔmewo ƒe tsitsi le nyɔnuviwo me.
Nu vevitɔe nye be emetsonuwo ŋuti nyatakaka sia gɔmesese ate ŋu asesẽ na wò le ɖokuiwò si. Eyata ɖeko nàƒo nu tso emetsonuwo kple afɔɖeɖe siwo kplɔe ɖo ŋu na wò ɖɔkta . Aɖe nusianu me na wò eye wòana mɔfiame siwo hiã la wò.
Gbedasi si Wotsɔ Yi Aƒeme
- Karyotype dodokpɔ nye dodokpɔ si xɔa wò domenyiŋusẽfianu ƒe "nɔnɔmetata" eye wòdia nusiwo mesɔ o ɖesiaɖe.
- Esia kpena ɖe ame ŋu wòdea dzesi vidzidzikuxiwo, kansa aɖewo, kple domenyiŋusẽfianu ƒe kuxi siwo le vidzĩ si le vidzidɔa me.
- Woate ŋu azã mɔnu vovovowo atsɔ awɔ dodokpɔ sia, abe ʋu, ƒumeŋuɖui, alo ahɔhɔ̃metsi ene.
- Hafi nàwɔ dodokpɔ sia la, ele vevie be nàdzro viɖe siwo le eme, kuxi siwo le eme, kple afɔku siwo le eme la me kple wò ɖɔkta.
- Ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kple aɖaŋuɖoɖo be nàse emetsonuwo gɔme ahakpɔ nuteɖeamedzi si do ƒome kplii gbɔ.

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