Ke hāpai nei ʻoe i kahi pēpē? A laila e aʻo kākou e pili ana i kēia mau hoʻokolohua! (Nā Hoʻokolohua Prenatal - Trimester Mua)

Ke kali nei ʻoe i kahi pēpē, ʻeā? I loko o kēia manawa, kapa mākou i nā `(Prenatal Tests)` nā hoʻokolohua i hana ʻia e nānā i ke olakino o ʻoe a me kāu keiki liʻiliʻi i loko o kou ʻōpū. Hiki i kēia ke ʻike inā he mau pilikia kāu pēpē, nā kīnā hānau, a i ʻole nā ​​​​​​ʻano chromosomal. Hōʻike kekahi mau hoʻokolohua (`screening tests`) he hiki ke loaʻa kahi pilikia, aʻo nā mea ʻē aʻe (`diagnostic tests`) hiki ke haʻi iā ʻoe i ke kūlana pololei. He mea nui loa iā ʻoe e ʻike e pili ana i kēia mau hoʻokolohua, no ka mea hiki iā lākou ke hāʻawi iā ʻoe i ka maluhia o ka noʻonoʻo a kōkua iā ʻoe e hoʻomākaukau no ka hoʻokipa ʻana i ka pēpē. Akā ʻo ka mea hope loa, ʻo ka hoʻoholo e loaʻa i kēia mau hoʻokolohua a i ʻole ʻaʻole na ʻoe.

He aha nā hoʻokolohua e hana ʻia ke ʻike mua ʻoe i ke kauka?

Ke ʻike mua ʻoe i kāu kauka, ʻo kekahi o nā pahuhopu ka hōʻoia inā hāpai ʻoe. E nānā pū lākou i nā pilikia olakino iā ʻoe a i ʻole kāu pēpē i hānau ʻole ʻia.

E hana ke kauka i kahi hoʻokolokolo kino piha , e komo pū ana me ka nānā ʻana i kou kaumaha, ke koko, a me ka hoʻokolokolo pelvic. ʻO kāu Pap smear maʻamau, inā pono, e hana ʻia i kēia manawa. Nānā kēia i nā loli i loko o nā pūnaewele o ka cervix e hiki ke alakaʻi i ka maʻi kanesa. Nānā pū ka hoʻokolokolo vaginal i nā maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STDs) e like me Chlamydia a me Gonorrhea .

ʻO ka mea aʻe, no ka hōʻoia ʻana ua hāpai ʻoe, e hana ʻia kahi hoʻāʻo hāpai mimi. E ʻimi ia i kahi hormone i kapa ʻia ʻo hCG (he hōʻailona o ka hāpai ʻana) . E nānā ʻia hoʻi kāu mimi no ka protein, ke kō, a me nā hōʻailona o ka maʻi. Ke hāpai ʻoe, e helu ʻia kou lā hānau ma muli o ka lā o kāu pōʻaiapuni menstrual hope loa a i ʻole ka wā. I kekahi manawa hiki ke hana ʻia kahi scan ultrasound , a i ʻole scan, e kōkua i kēia.

A laila hiki mai ka ʻāpana koʻikoʻi loa. Lawe lākou i kekahi koko mai ou aku a hana i kekahi mau hoʻokolohua. E ʻike kākou i kā lākou ʻōlelo.

• Kou ʻano koko a me ka `(Rh factor)`: He mea nui loa kēia. E noʻonoʻo inā he `(Rh maikaʻi ʻole)` kou koko a he `(Rh maikaʻi) ke koko o kāu kāne,` hiki i kou kino ke hoʻomohala i nā antibodies e hiki ke hoʻoweliweli i ka pēpē. Akā, mai hopohopo, aia nā hopena no kēia. Hiki ke pale ʻia kēia kūlana me kahi inikini lāʻau kūikawā i hāʻawi ʻia ma kahi o 28 mau pule o ka hāpai ʻana.
• ʻO Anemia, ʻo ia hoʻi ka helu haʻahaʻa o nā hunaola koko ʻulaʻula: Hiki i nā makuahine he nui ke loaʻa i kēia maʻi i ka wā hāpai. No laila he mea maikaʻi ke ʻike mua i kēia.
• Aia kekahi mau maʻi lele e like me ka `(Hepatitis B)`, `(Syphilis)`, a me `(HIV)`:Inā loaʻa kēia ʻano maʻi, inā ʻike mua ʻia, hiki ke hana ʻia nā hana e pono ai e pale i ka pēpē mai ia mau mea.
• Inā he palekana kou i ka measles German (Rubella) a me ka chickenpox (Varicella a i ʻole chickenpox): He mea nui e nānā inā he palekana kou i kēia mau maʻi, no ka mea hiki iā lākou ke hoʻopilikia i ka pēpē inā loaʻa i ka wā hāpai.
• Nā maʻi hoʻoilina i kapa ʻia ʻo `(Cystic Fibrosis)` a me `(Spinal Muscular Atrophy)`: He mau maʻi laha ʻole kēia. Akā i kēia manawa, i ka hapanui o nā hihia, ʻoiai inā ʻaʻohe moʻolelo o kekahi o ka ʻohana no kēia mau maʻi, paipai mau nā kauka i ka hoʻāʻo ʻana no kēia mau mea.

He aha nā hoʻokolohua ʻē aʻe i hana ʻia i ka trimester mua?

Ma hope o kou kipa mua ʻana, e nānā kāu kauka i kou mimi, e kaupaona iā ʻoe, a e nānā i kou koko i kēlā me kēia kipa a hiki i ka hānau ʻana o kāu pēpē (a i ʻole ma ka liʻiliʻi i kēlā me kēia manawa). Hiki i kēia mau mea ke kōkua i ka ʻike ʻana i nā pilikia e like me ka maʻi diabetes gestational (ka maʻi diabetes e loaʻa wale ana i ka wā hāpai) a me ka preeclampsia (kahi koko kiʻekiʻe weliweli e pono e ʻike koke ʻia).

I kou trimester mua, e hāʻawi ʻia aku iā ʻoe kekahi mau hoʻokolohua hou aʻe, e noʻonoʻo ana i nā mea e like me kou makahiki, ke olakino, a me ka mōʻaukala olakino ʻohana. E nānā kākou i ke ʻano o ia mau mea.

• Nānā ʻana i ka trimester mua: Pili kēia i kahi hoʻāʻo koko a me kahi scan ultrasound . Nānā nui kēia i ka pilikia o ka pēpē e loaʻa ana i kahi ʻano chromosomal e like me Down syndrome a i ʻole kahi kīnā hānau e like me nā pilikia puʻuwai. ʻAʻole kēia e ʻōlelo maopopo inā he pilikia, akā hōʻike ia inā he pilikia.
• Ultrasound: He hoʻāʻo palekana loa kēia a ʻeha ʻole. Hoʻohana ia i nā nalu kani e kiʻi i nā kiʻi o ke ʻano o ke pēpē, ke kūlana, a me ka ulu ʻana. Hiki ke hana ʻia i ka wā mua o ka hāpai ʻana a hiki i ka lā o ka hāpai ʻana. Hiki ke hana ʻia ma waena o 11 a me 14 mau pule, ma ke ʻano he ʻāpana o ka nānā ʻana i ka trimester mua . Pono paha nā wahine me nā hāpai pilikia kiʻekiʻe e loaʻa nā ultrasounds i nā manawa he nui i ka trimester mua.
• ʻO ka Chorionic Villus Sampling (CVS): He hoʻāʻo paʻakikī iki kēia. Pili ia i ka lawe ʻana i kahi hāpana liʻiliʻi o nā cell mai ka placenta a me ka ʻimi ʻana i nā ʻano chromosomal, e like me Down syndrome . Hana pinepine ʻia kēia ma waena o 10 a me 13 mau pule o ka hāpai ʻana. He hoʻāʻo diagnostic kēia, ʻo ia hoʻi hiki iā ia ke haʻi iā ʻoe me kahi kiʻekiʻe o ka maopopo inā e hānau ʻia kāu pēpē me kahi maʻi chromosomal kikoʻī. Eia naʻe, ʻaʻole hana ʻia no nā mea āpau, a hana ʻia ma ke ʻano hihia.
• Hoʻāʻo DNA ʻole-kelepona (Non-invasive prenatal screening a i ʻole NIPS): He hoʻāʻo koko hou kēia. He mea hoihoi loa ia, no ka mea, aia kahi liʻiliʻi o ka DNA o ka pēpē i loko o ke koko o ka makuahine. Hoʻāʻo ʻia kēia mau ʻāpana DNA e ʻike inā pilikia ka pēpē i ka loaʻa ʻana o kahi maʻi chromosomal e like me Down syndrome . Hiki ke hana ʻia kēia i kēlā me kēia manawa ma hope o 10 mau pule o ka hāpai ʻana. Eia naʻe, ʻaʻole kēia he hoʻāʻo diagnostic , ʻo ia hoʻi inā hāʻawi kēia i kahi hōʻailona he pilikia, pono kekahi hoʻāʻo e like me CVS e hōʻoia a kāpae paha. Manaʻo pinepine ʻia kēia no nā makuahine i ʻoi aku ka nui o ka pilikia, no ka mea ua ʻelemakule lākou a i ʻole ua loaʻa iā lākou kahi pēpē me kahi maʻi chromosomal i ka wā ma mua.

He aha nā hoʻokolohua ʻē aʻe āu e hiki ai ke kuhikuhi?

I kekahi manawa, e kuhikuhi paha nā kauka i nā hoʻokolohua hou nou. ʻO kēia no ka mea ke noʻonoʻo nei lākou i kāu mōʻaukala olakino pilikino (a me kāu kāne), nā kūlana olakino ʻē aʻe āu i loaʻa ai, a me nā mea pilikia e like me ka mōʻaukala ʻohana.

ʻO ka mea nui loa, ʻo ia ke kamaʻilio ʻana me ke kākāʻōlelo genetic inā he pilikia e loaʻa i kāu pēpē nā maʻi hoʻoilina. E wehewehe lākou i kēia iā ʻoe me nā kikoʻī. No ka laʻana, inā loaʻa i kekahi o kou ʻohana kahi maʻi genetic, hiki iā ʻoe ke kamaʻilio me ke kauka e pili ana i ia mea, e hālāwai me ke kākāʻōlelo inā pono, a e hana i nā hoʻokolohua e pono ai.

Hiki ke ʻōlelo ʻia kekahi mau hoʻokolohua nānā a i ʻole nā ​​​​hoʻokolohua diagnostic hou aʻe no kēia mau kūlana:

• Maʻi thyroid
• Toxoplasmosis - He maʻi kēia i hiki ke laha i kekahi manawa ma o nā ʻōpala pōpoki, a pēlā aku. He mea ia e makaʻala ai i ka wā hāpai.
• Hepatitis C
• ʻO ka maʻi Cytomegalovirus (CMV)
• ʻO ka maʻi Tay-Sachs - He maʻi laha ʻole kēia.
• ʻO ka maʻi Fragile X - He ʻano genetic kēia e hiki ke hoʻopilikia i ka ulu ʻana o ka noʻonoʻo.
• ʻO ka maʻi puʻupuʻu
• ʻO ka maʻi Canavan - He maʻi laha ʻole kēia e hoʻopilikia ai i ka ʻōnaehana nerve.

ʻO ka mea hope loa, he mea maikaʻi anei ke hoʻomanaʻo i kēia?

Ua maopopo paha iā ʻoe i kēia manawa he nui nā hoʻokolohua e hiki ke hana ʻia i ka wā hāpai. Akā, mai makaʻu i kēia. E hoʻomanaʻo, ua *manaʻo ʻia* wale nō kēia mau hoʻokolohua a pau nou. Loaʻa iā ʻoe ke kuleana piha e hoʻoholo ai inā e loaʻa iā lākou a i ʻole.

No ka hoʻoholo pono ʻana i nā hoʻokolohua kūpono iā ʻoe, a me nā mea āu e pono ai, e kamaʻilio me kāu kauka a kahu hānai paha. E hōʻoia i kou maopopo i ke kumu e ʻōlelo ʻia ai ka hoʻokolohua, he aha nā pilikia a me nā pono, a me nā mea a nā hopena e ʻōlelo maoli ai - a me nā mea a lākou *ʻaʻole* e ʻōlelo ai. A laila hiki iā ʻoe ke hana i ka hoʻoholo kūpono me ke kānalua ʻole.

Hana ʻia kēia mau mea a pau no ka pale ʻana iā ʻoe a me kāu pēpē i hānau ʻole ʻia. Mai kānalua e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai, ʻae? Makemake mākou iā ʻoe i ka ikaika a me ke koa e lawe mai i kahi pēpē olakino i ka honua!

Nā Hoʻāʻo_Hāpai_ʻana, Ka_ʻEhā_ʻEhā_ʻEhā_ʻEhā_ʻEhā_ʻEhā_ʻEhā, Down_Syndrome, Ultrasound, CVS_Test, NIPS_Test, Ola_Hāpai_ʻAna