Ke manaʻo nei ʻoe e lilo i makuahine, pono ʻoe e hana i nā hoʻokolohua lapaʻau like ʻole, ʻeā? Nā scan, nā hoʻokolohua koko... Ma waena o kēia mau mea, ua lohe paha ʻoe i ka 'hoʻokolohua AFP'. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hoihoi ke lohe ʻoe i kēia. Nui nā makuahine e hopohopo ke lohe lākou i ka inoa o kēia hoʻokolohua. No laila, ʻo ia ke kumu e kamaʻilio ai mākou i kēia lā e pili ana i kēia hoʻokolohua koko i kapa ʻia ʻo Alpha-fetoprotein (Alpha-fetoprotein - AFP) ma kahi ʻōlelo maʻalahi hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka AFP?
He mea maʻalahi loa ia. ʻO ka Alpha-fetoprotein (AFP) kahi protein i hana maoli ʻia e ke akepaʻa o kāu pēpē e ulu ana. Hele pū kēia protein i loko o kou koko mai kāu pēpē. No laila, ʻo ka mea a nā kauka e hana ai, ʻo ia ke lawe i kahi laʻana o kou koko a ana i ka nui o ka AFP i loko.
ʻO ka mea nui, ʻaʻole kēia he hoʻāʻo diagnostics . Ua kapa ʻia ia he hoʻāʻo screening . ʻO ia hoʻi, hāʻawi wale ia i kahi hōʻailona inā paha e loaʻa ana i ka pēpē kahi kīnā hānau, ʻoiai hoʻi kahi kīnā neural tube. ʻO ka neural tube ka ʻāpana o ke kino o ka pēpē e lilo i lolo a me ke kaula spinal i ka wā e hiki mai ana.
ʻO ke ʻano kēia, ʻaʻole hōʻoia 100% kēia hoʻāʻo he maʻi kou. Hāʻawi wale ia i kahi hōʻailona o ka hiki. He ʻāpana paha kēia o kahi pūʻolo hoʻāʻo "Quad Screen" a kāu kauka e ʻōlelo ai.
Pehea a i ka manawa hea e hana ʻia ai kēia hoʻokolohua?
He hoʻāʻo koko maʻalahi loa kēia. ʻAʻohe kumu e makaʻu ai ʻoe.
- Āhea: Hana pinepine ʻia kēia hoʻāʻo ma waena o 15 a me 20 mau pule o kou hāpai ʻana . ʻO ia hoʻi, aia ʻoe ma kahi o 4 mau mahina.
- Pehea e hana ʻia ai: E like me kāu e hāʻawi mau ai i ke koko no kekahi maʻi ʻē aʻe. E hoʻohana kekahi loea i kahi nila liʻiliʻi e huki i kahi koko liʻiliʻi mai kahi aʻa koko ma kou lima. E ʻike ʻoe i kahi ʻano ʻūlū iki, a e ʻike paha ʻoe i kahi ʻeha liʻiliʻi ma kahi i hoʻokomo ʻia ai ka nila. ʻO ia wale nō. A laila e hoʻouna ʻia kāu hāpana koko i kahi lab no ka hoʻāʻo ʻana.
He aha ka ʻōlelo a nā hualoaʻa?
ʻO kēia ka ʻāpana e hopohopo nei i nā kānaka he nui. Akā e nānā kākou i kāna ʻōlelo maoli. Mai hopohopo, ʻeā?
Ma keʻano laulā, aia ʻekolu ʻano hopena e hiki ke loaʻa. E hoʻomaopopo kākou iā ia ma kahi papa e like me kēia.
| Hopena | He aha ke ʻano o ia mea (Hōʻailona kūpono) |
|---|---|
| Hopena Maʻamau a Maikaʻi ʻole paha | ʻO kēia ka nūhou maikaʻi. ʻO ke ʻano o kēia, he haʻahaʻa loa ka pilikia o kāu pēpē i ka loaʻa ʻana o kahi kīnā neural tube a i ʻole kekahi mau ʻano chromosomal ʻē aʻe. |
| ʻOi aku ka kiʻekiʻe o ka pae AFP ma mua o ka mea i manaʻo ʻia | Hiki paha i kēia ke hōʻike i kahi manawa liʻiliʻi e loaʻa ai i ka pēpē kahi kīnā neural tube (e.g. spina bifida). Eia nō naʻe, nui nā kumu ʻē aʻe e hiki ke hoʻopilikia i kēia. |
| Haʻahaʻa ka pae AFP ma mua o ka mea i manaʻo ʻia | Hiki i kēia ke hōʻike i kahi liʻiliʻi o ka manawa kūpono o kahi maʻi chromosomal e like me Down syndrome a i ʻole Edwards syndrome. |
Pono anei au e hopohopo inā he maʻamau ka hopena?
Mai makaʻu! Eia hou, he pilikia wale nō kēia. ʻOiai he ʻano ʻē ka hopena, ʻaʻole ia he manaʻo he pilikia me ka pēpē. I ka manawa pinepine, hiki i kēia ke lilo i "mau hopena wahaheʻe ." ʻO ia hoʻi, hiki i ka hoʻāʻo ke hōʻike he pilikia ka pēpē, ʻoiai ʻaʻohe pilikia.
Nui nā kumu ʻē aʻe e kiʻekiʻe ai a haʻahaʻa paha nā pae AFP.
- Ka helu hewa ʻana o ka makahiki hāpai: Hiki i kou makahiki hāpai ke ʻokoʻa i hoʻokahi a ʻelua paha pule mai kou manaʻo. Hiki i kēia ke hoʻopilikia nui i ka hopena, ʻoiai ʻokoʻa nā pae AFP mai kēlā pule a i kēia pule.
- Māhoe : Inā he māhoe kāu, e piʻi maoli ka pae AFP i loko o ke koko o ka makuahine no ka mea ke hana nei nā pēpē ʻelua i ka AFP. ʻAʻole paha ʻoe e ʻike he māhoe kāu!
- Kou mau kūlana olakino:Hiki i nā mea e like me ke kaumaha o kou kino a inā he maʻi diabetes kou e hoʻopilikia i kēia hopena.
ʻAe, he aha ka mea e hiki mai ana?
Inā ʻaʻole maʻamau kāu hopena AFP, e hana mālie kāu kauka i nā hana aʻe, me ka hopohopo ʻole.
1. Ke nānā hou ʻana i ka hopena: I kekahi manawa e noi ke kauka iā ʻoe e hana i kahi hoʻāʻo koko ʻē aʻe e hōʻoia i ka hopena. ʻO ka hapa nui o ka manawa, hoʻi mai ka hopena i ka maʻamau i ka lua o ka manawa.
2. ʻIke Ultrasound kikoʻī: ʻO kēia ka hana koʻikoʻi aʻe. E noi aku ke kauka iā ʻoe e hana i kahi scan Ultrasound maikaʻi. Mai kēia,
- Hiki iā ʻoe ke hōʻoia i ka lā pololei o kou hāpai ʻana.
- Hiki iā ʻoe ke ʻike pono inā he mau māhoe lāua.
- Hiki ke nānā pono ʻia nā ʻōkana o ke kino o ke pēpē, ʻoiai ka lolo, ka iwi kuamoʻo, a me ka puʻuwai, e ʻike ai inā he mau kīnā hānau.
3. Nā hoʻokolohua kūikawā ʻē aʻe: Inā he kānalua nō ma hope o ke kiʻi ultrasound, hiki i ke kauka ke ʻōlelo aku i kahi hoʻokolohua ʻē aʻe. ʻO ia kahi hoʻokolohua i kapa ʻia ʻo amniocentesis . Maanei, lawe ʻia kahi liʻiliʻi loa o ka wai (wai amniotic) e hoʻopuni ana i ka pēpē a hoʻāʻo ʻia. Hiki i kēia ke hāʻawi i ka ʻike kikoʻī a hōʻoia.
4. Kūkākūkā lapaʻau: Ma kēlā me kēia ʻanuʻu, e wehewehe kāu kauka i nā mea āpau iā ʻoe. E kamaʻilio me ia e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. Inā pono, hiki iā ia ke kuhikuhi iā ʻoe i kahi loea.
Hiki ke paʻakikī ka hoʻoholo ʻana i kahi manawa e like me kēia. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Aia kāu kauka a me kāu hui lapaʻau e kōkua iā ʻoe a hāʻawi iā ʻoe i ka ʻike āpau āu e pono ai. Hiki iā ʻoe ke kamaʻilio me lākou a hana i ka hoʻoholo maikaʻi loa nou a me kou ʻohana.
Leka Lawe-Home
- He hoʻāʻo ka AFP e hāʻawi i kahi hōʻailona o ke olakino o ke pēpē, akā, ʻaʻole ia e hōʻoia 100% i ke alo o kahi maʻi.
- Mai hopohopo inā ʻaʻole maʻamau ka hopena o ka hoʻāʻo. Hiki ke loaʻa ma muli o nā kumu ʻē aʻe, e like me ka loaʻa ʻana o nā māhoe a i ʻole ka helu hewa ʻana i ka makahiki hāpai.
- Mai lele i nā hopena ma muli wale nō o ka hopena AFP. ʻO ke kiʻi ultrasound aʻe a me nā hoʻokolohua ʻē aʻe e hāʻawi i kahi kiʻi maopopo aʻe.
- He kuleana kou e kamaʻilio ākea me kāu kauka e pili ana i nā hopohopo a i ʻole nā makaʻu āu e loaʻa ai. ʻO ia nō hoʻi ke ala maikaʻi loa e hōʻoluʻolu ai i kou mau makaʻu.
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