Ke noʻonoʻo ʻoe i ka pēpē āu e hāpai nei, manaʻo paha ʻoe i ka pīhoihoi a me ka makaʻu iki, ʻeā? He mea maʻamau ke noʻonoʻo inā e olakino ka pēpē a inā paha he mau pilikia. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi hoʻokolohua kūikawā i hana ʻia i ka wā hāpai e nānā inā he mau pilikia genetic a i ʻole nā kīnā hānau o ka pēpē. Ua kapa ʻia kēia ʻo Chorionic villus sampling , a i ʻole CVS no ka pōkole.
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I ka ʻōlelo maʻalahi, he aha ka CVS?
I ka ʻōlelo maʻalahi, he hoʻāʻo ʻo CVS i hana ʻia i ka wā mua o ka hāpai ʻana e ʻike i nā maʻi genetic, nā pilikia chromosomal, a me nā kīnā hānau ʻē aʻe i loko o ka pēpē i hānau ʻole ʻia. Pili ia i ka lawe ʻana i kahi laʻana liʻiliʻi loa o nā cell mai kahi e hoʻopili ai ka placenta i ka paia uterine.
Ua kapa mākou i kēia mau pūnaewele he chorionic villi. ʻOiai ua hana ʻia lākou mai ka hua manu i hoʻoulu ʻia, aia i loko o kēia mau pūnaewele nā genes o ka pēpē . ʻO ia hoʻi, ma ka nānā ʻana i kēia mau pūnaewele, hiki iā mākou ke loaʻa kahi manaʻo maopopo o ka ʻike genetic o ka pēpē.
No ke aha i ʻōlelo ʻia ai kēia hoʻāʻo CVS?
ʻAʻole ʻōlelo pinepine ʻia kēia hoʻāʻo no nā mea āpau. Inā manaʻo kāu kauka he kumu pilikia kou, e like me ka nui o ka manawa e loaʻa ai kahi keiki me kahi maʻi genetic a i ʻole kahi kīnā hānau, hiki iā ia ke ʻōlelo i kēia hoʻāʻo.
ʻO kekahi o nā pono nui o kēia, ʻo ia ka hiki ke haʻi maopopo iā ʻoe inā he pilikia i ka wā mua o kou hāpai ʻana. ʻOiai inā ʻoe e kali ana i nā māhoe, ʻaʻole pololei loa nā hopena o nā hoʻāʻo koko maʻamau. I kēlā mau hihia, hiki i kahi hoʻāʻo CVS ke hāʻawi i kahi pane maopopo. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o nā pilikia o ka loaʻa ʻana o kahi hoʻāʻo CVS no kahi makuahine hāpai me nā māhoe.
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Check Availability →He aha nā maʻi hiki ke ʻike ʻia a ʻaʻole hiki ke ʻike ʻia e CVS?
Aia kekahi mau maʻi lapaʻau nui e hiki i kēia hoʻāʻo ke ʻike. A aia kekahi mau mea hiki ʻole ke ʻike. E nānā kākou i ke ʻano o lākou.
| Nā kūlana i ʻike ʻia | Nā kūlana i ʻike ʻole ʻia |
|---|---|
| Nā ʻano maʻi chromosome e like me Down syndrome. | Nā hemahema neural tube hāmama, e like me ka spina bifida. |
| Nā maʻi hoʻoilina e like me ka cystic fibrosis, ka maʻi Tay-Sachs, a me ka anemia cell sickle. | (Pono nā hoʻokolohua ʻē aʻe e ʻike i ia mau kūlana.) |
| Ma muli o ka hiki ke hoʻoholo ʻia ke kāne a ke keiki, hiki ke ʻike ʻia nā maʻi i pili i hoʻokahi wale nō kāne (e laʻa, kekahi mau dystrophies muscular i ʻike nui ʻia i nā keikikāne). |
Ua manaʻo ʻia kēia hoʻāʻo he 98% pololei i ka ʻike ʻana i nā kīnā chromosomal , ʻo ia hoʻi he hoʻāʻo hilinaʻi loa ia.
He aha nā pōmaikaʻi o ka hoʻāʻo ʻana iā CVS?
ʻO ka pōmaikaʻi nui o kēia, hiki ke hana ʻia i ka wā mua o ka hāpai ʻana (ma waena o 10-12 mau pule). Hiki ke hana ʻia ma mua o kahi hoʻāʻo ʻē aʻe i kapa ʻia ʻo amniocentesis. Hiki ke loaʻa nā hopena i loko o 10 mau lā.
ʻO ka loaʻa ʻana o kēia ʻano ʻike i ka wā hāpai mua he mea kōkua nui ia no nā mākua i ka hana ʻana i nā hoʻoholo i ka wā e hiki mai ana.
E noʻonoʻo, inā hoʻoholo kekahi kāne e hoʻopau i ka hāpai ʻana ma hope o ka loaʻa ʻana o kekahi mau hopena maikaʻi ʻole, ʻoi aku ka palekana no ke olakino o ka makuahine e hoʻokō i kēlā hoʻoholo ma mua o ka kali ʻana i nā hopena amniocentesis e hiki mai a laila e hana pēlā ma hope.
Aia kekahi mau pilikia e pili ana i kēia hoʻāʻo?
ʻAe, e like me nā hoʻokolohua lapaʻau āpau, aia kekahi mau pilikia. Ma muli o ka hana ʻia ʻana o kēia hoʻokolohua i ka wā mua o ka hāpai ʻana, ʻoi aku ka kiʻekiʻe o ka pilikia o ka hāʻule ʻana ma mua o ka amniocentesis. Aia kekahi pilikia o ka maʻi.
I nā hihia kakaikahi loa, ʻoiai inā hana ʻia kēia hoʻāʻo ma mua o 9 mau pule, ua loaʻa nā hōʻike o nā kīnā i nā manamana lima o ka pēpē. No kēia kumu, ʻaʻole hana pinepine ʻia kēia hoʻāʻo a hiki i 10 mau pule .
ʻO ka mea nui loa, e haʻi aku kāu kauka iā ʻoe ma mua o kou hana ʻana i kēia hoʻokolohua.He mea nui e kamaʻilio me kāu kauka e pili ana i kēia mau pilikia. ʻOi loa aku inā he mau māhoe kāu, e hōʻoia e hana ʻia kēia hoʻokolohua e ke kauka i loaʻa ka ʻike me kēia hoʻokolohua.
No wai ka hoʻāʻo CVS i ʻōlelo ʻia?
ʻŌlelo pinepine nā kauka i nā makuahine me nā kumu pilikia e noʻonoʻo i kēia hoʻokolohua:
- Nā makuahine i piha i 35 mau makahiki a ʻoi paha (ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kahi keiki me kahi kīnā chromosomal e like me Down syndrome me ka makahiki).
- Nā kāne a wahine i loaʻa mua kahi keiki me kahi kīnā hānau a i ʻole he mōʻaukala ʻohana ko lākou o ia ʻano maʻi.
- Inā ʻeha kekahi o nā mākua i kahi maʻi chromosomal i ʻike ʻia a i ʻole kahi maʻi genetic.
- ʻO nā makuahine i loaʻa nā hopena maʻamau ʻole mai nā hoʻokolohua genetic ʻē aʻe i hana ʻia i ka wā hāpai.
Hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa no ka mea kūpono kēia hoʻāʻo iā ʻoe. Akā ʻo ka mea hope loa, ʻo ka hoʻoholo e hana i kēia hoʻāʻo a i ʻole ʻaʻole paha e hana ʻia e ʻoe a me kāu hoa, ma hope o ke kūkākūkā piha ʻana me kāu kauka.
Pehea e hana ʻia ai ka hoʻāʻo CVS?
Ma mua o ka hana ʻana i kēia hoʻokolohua, e kuhikuhi ʻia ʻoe a me kāu hoa no ke aʻoaʻo genetic, kahi e wehewehe pono ʻia ai nā pono, nā hemahema, a me nā pilikia o kēia hoʻokolohua iā ʻoe.
A laila hana ʻia kahi scan ultrasound e nānā i ka makahiki hāpai o ka pēpē a me kahi kikoʻī o ka placenta. Hana ʻia ka hoʻāʻo ma hope, ma waena o 10 a me 12 mau pule ma hope o kou wā menstrual hope loa.
ʻElua mau ala nui no ka loaʻa ʻana o kahi hāpana pūnaewele mai ka placenta.
Ma o ka vagina (ʻano hana Transvaginal)
Ma kēia, ua hoʻokomo ʻia kahi mea i kapa ʻia he speculum i loko o ka vagina, e like me ka hoʻāʻo Pap. A laila, ua hoʻokomo ʻia kahi paipu plastik lahilahi loa ma o ka vagina a piʻi i luna o ka cervix. Ma lalo o ke alakaʻi ʻana o kahi scan ultrasound, ua alakaʻi ʻia kēia paipu i ka placenta, kahi e ʻoki ʻia ai kahi hāpana liʻiliʻi o nā cell mai laila mai.
Ma o ka ʻōpū (ʻano hana Transabdominal)
Ma kēia ʻano hana, e like me ka hoʻāʻo amniocentesis, hoʻokomo ʻia kahi nila lahilahi loa ma o ka ʻōpū a hoʻokomo ʻia i loko o ka placenta. A laila lawe ʻia kahi laʻana o nā cell mai laila mai.
Hoʻouna ʻia ka hāpana kelepona i loaʻa ma kēia ʻano i kahi keʻena hoʻokolohua. Ma laila, hoʻoulu ʻia nā kelepona i loko o kahi wai kūikawā a hoʻāʻo ʻia i loko o kekahi mau lā. Hiki ke loaʻa nā hopena piha i loko o 2 mau pule. E hoʻomaopopo kāu kauka iā ʻoe i nā hopena.
He hoʻāʻo ʻeha anei kēia?
E ʻeha paha ʻoe, akā e hala koke ia. ʻO ka lōʻihi o ka hoʻāʻo holoʻokoʻa he 30 mau minuke mai ka hoʻomaka a hiki i ka hopena. He mau minuke wale nō e hōʻiliʻili ai i ka hāpana.
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?
Pono ʻoe e hoʻomaha no kekahi manawa ma hope o ka hoʻāʻo ʻana. No laila he manaʻo maikaʻi e lawe mai i kekahi me ʻoe i ka home. Pono ʻoe e hoʻomaha no ka lā. ʻŌlelo pinepine ʻia ʻoe e pale i ka hāpai kaumaha, ka hoʻoikaika kino, a me ka moekolohe no 3 mau lā.
Hiki paha iā ʻoe ke ʻike i kekahi ʻūlū a me ke kahe koko māmā, he mea maʻamau ia. Akā e hoʻomaopopo i kāu kauka e pili ana i ia mea. ʻO ka mea nui loa, inā ʻike ʻoe i kekahi kahe wai mai kou ʻōpū, e haʻi koke i kāu kauka.
Leka Lawe-Home
- He hoʻāʻo pololei loa ʻo CVS i hiki ke ʻike i nā kūlana genetic i loko o ka pēpē i ka wā mua o ka hāpai ʻana.
- He mau pono kēia (loaʻa koke nā hopena) a me nā pilikia liʻiliʻi loa ka manawa o ka hāʻule ʻana a me ka maʻi).
- ʻAʻole kēia he hoʻāʻo no nā kānaka a pau. Manaʻo pinepine ʻia no ka poʻe me kekahi mau kumu pilikia, e like me ka ʻoi aku ma mua o 35 mau makahiki.
- He hoʻoholo pilikino ma waena ou a me kāu hoa inā e hana ʻia kēia hoʻokolohua a ʻaʻole paha. E kamaʻilio pono me kāu kauka a e kiʻi i ka ʻike āpau ma mua o ka hoʻoholo ʻana.
- E hahai pono i ke koena a me nā kuhikuhi ʻē aʻe i hāʻawi ʻia ma hope o ka hoʻāʻo ʻana. Inā ʻike ʻoe i kekahi mau hōʻailona ʻē, e hoʻomaopopo koke i kāu kauka.
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