Inā he makuahine hāpai ʻoe, ua noi paha kāu kauka iā ʻoe e hana i kahi 'hoʻāʻo AFP'. Ke lohe ʻoe i kēia inoa, makaʻu iki paha ʻoe a hopohopo. Hiki paha i nā mea e like me, "He aha kēia? No ke aha e hana ʻia ai kēia? Aia kekahi mea hewa me ka pēpē?" ke hiki mai i kou manaʻo. Akā, mai makaʻu iki. He hoʻāʻo maʻamau a koʻikoʻi kēia i hana pinepine ʻia ma luna o nā makuahine hāpai. Hoʻohana ʻia ia e loaʻa kahi hōʻailona liʻiliʻi e pili ana i ke olakino o ka pēpē. No laila, i kēia lā e ʻike mākou i nā pane i nā nīnau āpau āu e noʻonoʻo nei e pili ana i kēia hoʻāʻo AFP.
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He aha ka hoʻāʻo AFP maʻalahi?
I ka ʻōlelo maʻalahi, ʻo ka hoʻāʻo Alpha-Fetoprotein (AFP) he hoʻāʻo koko ia e nānā ai i nā pae o kahi protein i kapa ʻia ʻo AFP i loko o kou koko.
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "He aha kēia protein AFP?" He mea maʻalahi loa ia. He protein ia i hana ʻia e ke akepaʻa o kāu pēpē liʻiliʻi i loko o kou ʻōpū. I ka ulu ʻana o kāu pēpē, komo kekahi o kēia protein i loko o ka wai amniotic a puni kāu pēpē, a mai laila mai e komo ai i loko o kou koko. No laila, ma ka lawe ʻana i kahi liʻiliʻi o kou koko a hoʻāʻo iā ia, hiki iā ʻoe ke ana i ka nui o kēia protein AFP i loaʻa iā ʻoe.
ʻO ka maʻamau, pono nā pae AFP i loko o kahi pae i ka wā hāpai. Inā haʻahaʻa loa a kiʻekiʻe loa paha ka pae, hiki iā ia ke hāʻawi i nā kauka i kahi hōʻailona liʻiliʻi e loaʻa paha i ka pēpē i loko o ka ʻōpū kahi maʻi genetic a i ʻole kahi kīnā hānau.
E hoʻomanaʻo, he kuhi wale nō kēia. ʻOiai he ʻano ʻē kēia hopena hoʻāʻo, ʻaʻole ia he manaʻo he 100% ka manawa e loaʻa ai i kāu pēpē kahi pilikia. ʻO ia hoʻi, pono ʻoe e nānā hou aku.
Ke hana nei ʻoe i kahi hoʻāʻo AFP no kahi mea hāpai ʻole?
ʻAe, he mea ʻē paha kēia, akā i kekahi manawa ke noi aku nei nā kauka i nā poʻe hāpai ʻole e hana i kahi hoʻāʻo AFP. Akā, ʻokoʻa loa ke kumu o kēia.
ʻO ka maʻamau, haʻahaʻa loa nā pae AFP i kahi pākeke a keiki paha i hāpai ʻole ʻia (koe wale nō kahi pēpē hānau hou). Inā kiʻekiʻe kēia pae me ke kumu ʻole , hiki ke lilo i hōʻailona o kekahi maʻi. No laila, hoʻohana ʻia kēia hoʻāʻo e kōkua i ka ʻike ʻana i nā maʻi e like me ke kanesa. Ua kapa ʻia ʻo ia ka hoʻāʻo māka tumor AFP .
Nā kūlana i hiki ke hōʻike ʻia e nā pae AFP kiʻekiʻe:
- Ka maʻi ʻaʻai ate
- Ka maʻi ʻaʻai ovarian a i ʻole ka maʻi ʻaʻai testicular
- ʻO ka Cirrhosis o ke akepaʻa
- Nā maʻi mumū o ke ake, e like me ka hepatitis A, B a i ʻole C
Eia kekahi, i ka wā e mālama ai i kahi maʻi kanesa, hoʻohana pinepine nā kauka i kēia hoʻāʻo AFP e ʻike inā ua holomua ka lāʻau. Inā emi ka pae AFP me ka lāʻau, ʻo ia hoʻi ua holomua ka lāʻau.
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Check Availability →I ka manawa hea e hana ʻia ai ka hoʻāʻo AFP i ka wā hāpai? No wai ia mea he mea nui loa?
Hana pinepine ʻia kēia hoʻāʻo AFP ma kahi makuahine hāpai ma waena o 16 a me 22 mau pule o ka hāpai ʻana . Manaʻo ʻia kēia ka manawa kūpono loa e loaʻa ai nā hopena pololei.
ʻOiaʻiʻo, hiki i nā wahine hāpai āpau ke loaʻa i kēia hoʻāʻo. Akā, e paipai paha kāu kauka i kēia hoʻāʻo inā loaʻa iā ʻoe kekahi o kēia mau kumu pilikia:
- Inā ʻoe ma luna o 35 mau makahiki .
- Inā ua loaʻa i kekahi o kou ʻohana kahi keiki me kahi kīnā hānau .
- Inā loaʻa iā ʻoe ka maʻi diabetes Mellitus) .
I nā hihia e like me kēia, kiʻekiʻe loa ka pilikia o ka pēpē e loaʻa ana i kekahi mau pilikia, no laila he mea nui loa e hana ʻia kēia hoʻokolohua.
He aha nā mea e ʻimi nei kēia mau hoʻokolohua?
Ua like ka hoʻāʻo AFP me kahi mākaʻi. Hōʻike ia i kekahi mau hōʻailona koʻikoʻi e pili ana i ke olakino o ka pēpē. E nānā kākou i ke ʻano o lākou.
| Ke kūlana e noiʻi ʻia nei | He wehewehe maʻalahi |
|---|---|
| Nā hemahema o ka ʻōpū neural | Pili kēia i kahi pilikia me ka ulu ʻana o ka lolo o ka pēpē a i ʻole ke kaula kuamoʻo. No ka laʻana, nā kūlana e like me ka spina bifida ( kahi kīnā i ke kaula kuamoʻo) a i ʻole anencephaly (nā ʻāpana o ka lolo ʻaʻole e ulu ana). |
| Nā maʻi hoʻoilina | Nā kūlana i hoʻokumu ʻia e kekahi mau loli i nā chromosomes o ka pēpē. ʻO ka laʻana maikaʻi loa o kēia ʻo Down syndrome . |
| Ua hewa anei ka lā hānau o ka pēpē? | I kekahi manawa aia paha kahi hewa iki i ka helu ʻana i ka lā hānau. ʻOiai ke loli nei nā pae AFP i ka wā hāpai, hiki i kahi waiwai ʻokoʻa mai ka pae i manaʻo ʻia ke hōʻike pū ua hewa ka lā hānau. |
| Māhoe a ʻoi aku paha | Inā he ʻoi aku ma mua o hoʻokahi pēpē i loko o kou ʻōpū (e.g. māhoe), hana nui ʻia ka protein AFP. No laila, inā kiʻekiʻe loa ka pae AFP, hiki ke hōʻike ʻia he ʻoi aku ma mua o hoʻokahi pēpē kāu e hāpai nei. |
Pehea e hana ʻia ai ka hoʻokolohua a he aha kaʻu e pono ai e hoʻomākaukau no ia?
ʻAʻole pono ʻoe e hopohopo iki no kēia. He hoʻāʻo koko maʻalahi loa ka hoʻāʻo AFP.
I mea e pololei ai, ma ka lab, e lawe kahi kahu maʻi a kauka paha i kahi koko liʻiliʻi mai kahi aa koko ma kou lima . ʻAʻole i ʻoi aku ma mua o ʻelima mau minuke. Hiki i kekahi poʻe ke makaʻu iki i nā nila. Inā loaʻa iā ʻoe kahi makaʻu like (trypanophobia), e haʻi mua i ka mea e lawe ana i ke koko. Hiki iā ʻoe ke hana i kekahi mea i kēia manawa, e like me ka hanu hohonu a me ka nānā ʻana aku.
ʻAʻohe hoʻomākaukau kūikawā e pono ai no kēia hoʻokolohua. Eia nō naʻe, he manaʻo maikaʻi e inu i ka wai he nui ma mua o ka hoʻokolohua. E maʻalahi kēia i ka loaʻa ʻana o kou aa koko a e wikiwiki ka huki ʻana o ke koko.
Pehea e hoʻomaopopo ai i nā hopena o ka hoʻāʻo AFP?
ʻO kēia ka ʻāpana koʻikoʻi loa. Ke loaʻa iā ʻoe kāu hōʻike hoʻāʻo AFP, mai hopohopo i nā helu. Aia kāu kauka ma laila e kōkua iā ʻoe e hoʻomaopopo iā ia.
E hoʻomanaʻo: ʻAʻole manaʻo kahi hopena AFP kūpono ʻole he pilikia ko ka pēpē!
He hoʻāʻo nānā wale nō kēia. ʻO ia hoʻi, nānā wale ia e ʻike inā he pilikia. Inā hōʻike ia he pilikia, pono nā hoʻāʻo hou aʻe e hōʻoia iā ia.
E nānā kākou i ka mea e hiki ai i nā hopena kūikawā ke hōʻike.
| Hopena | Nā manaʻo kōkua paha (ʻaʻole maopopo kēia mau mea!) | Nā kumu ʻē aʻe paha |
|---|---|---|
| ʻOi aku ke kiʻekiʻe o ka pae AFP ma mua o ka maʻamau | He hōʻailona e hōʻike ana he kīnā neural tube paha ka pēpē, e like me ka spina bifida. |
|
| Ua emi ka pae AFP ma lalo o ka maʻamau | He kuhi e hiki i ka pēpē ke loaʻa i kahi maʻi genetic e like me Down syndrome . |
|
E like me kāu e ʻike ai, ʻaʻole pono ka hopena kūpono ʻole he pilikia no ka pēpē. No laila, ʻo ka mea maikaʻi loa e hana ai, ʻaʻole e hopohopo a kamaʻilio me kāu kauka i ka wā e ʻike ai ʻoe i ka hōʻike.
Inā he mea kupaianaha ka hōʻike a ka AFP, he aha ka mea e hiki mai ana?
Inā ʻaʻole ma waho o ka pae maʻamau kāu hopena AFP, e hōʻoluʻolu mua kāu kauka iā ʻoe. A laila, e paipai paha lākou i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka hopena a i ʻole e ʻike i ke kumu pololei.
- Nā hoʻāʻo koko ʻē aʻe: I kekahi manawa, me ka hoʻāʻo AFP, hana ʻia nā hoʻāʻo hormone ʻē aʻe, e like me ka hoʻāʻo triple screen . Hiki i kēia ke hāʻawi i ka ʻike hou aku.
- ʻO ke Kiʻi Ultrasound Kikoʻī: E kuhikuhi aku kāu kauka iā ʻoe i kahi loea no kahi kiʻi kikoʻī. E nānā kēia i ka iwi kuamoʻo o kāu pēpē, ka lolo, a me nā ʻōpū ʻē aʻe e ʻimi ai i nā mea ʻē.
- Nā hoʻokolohua hōʻoia paʻa: Inā kānalua mau ʻoe ma hope o nā hoʻokolohua i luna, hiki i kāu kauka ke kuhikuhi i kahi hoʻokolohua e like me ka amniocentesis a i ʻole ka chorionic villus sampling (CVS) . Lawe kēia i kahi laʻana o nā cell o ka pēpē a hoʻāʻo iā lākou, no laila hiki iā ʻoe ke 100% maopopo inā he maʻi genetic a ʻaʻole paha.
He aha hou kāu e makemake ai e nīnau aku i ke kauka?
E kamaʻilio ākea me kāu kauka e pili ana i kēia. Mai kānalua e nīnau i kekahi mau nīnau a hopohopo paha āu. Eia kekahi laʻana:
- "E ke kauka, āhea ka manawa kūpono loa noʻu e hana ai i kēia hoʻāʻo AFP?"
- "He aha ka mea a ka waiwai i loko o kaʻu hōʻike AFP e ʻōlelo nei?"
- "Pono anei au e hana i kekahi mau hoʻokolohua hou aʻe e pili ana i kēia hōʻike?"
- "He aha nā hana a mākou e hana ai ma hope?"
E wehewehe kāu kauka i nā mea āpau iā ʻoe a hāʻawi iā ʻoe i ke alakaʻi āu e pono ai.
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- He hoʻāʻo nānā ka AFP i hoʻohana ʻia i ka wā hāpai e loaʻa ai kahi ʻike e pili ana i ke olakino o ke pēpē, ʻaʻole kahi hōʻoia hope loa.
- Hana pinepine ʻia kēia hoʻāʻo ma waena o 16 a me 22 mau pule o ka hāpai ʻana .
- Mai hopohopo inā ʻaʻole kūpono ka hopena o ka hoʻāʻo. Hiki ke lilo i mea maʻalahi e like me ka hānau ʻana o nā māhoe a i ʻole ka hānau ʻana o ke pēpē i ka lā kūpono ʻole .
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e pili ana i kāu mau hopena hoʻāʻo. E hāʻawi ʻo ia i ke alakaʻi maopopo i nā hana aʻe āu e hana ai.
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