He manawa hoihoi loa ka hāpai ʻana nou, ka makuahine hāpai. Eia nō naʻe, he mea maʻamau nō hoʻi ke loaʻa kekahi mau makaʻu a me nā kānalua e pili ana i ke olakino o kāu pēpē i hānau ʻole ʻia. I loko o kēia manawa, me nā scans a me nā hoʻāʻo koko a ke kauka e hana ai, e nīnau ʻia paha ʻoe e pili ana i kahi hoʻāʻo i loaʻa i kekahi manawa kahi inoa paʻakikī. ʻO ' Amniocentesis ' kekahi o ia mau hoʻāʻo. Ua makaʻu paha ʻoe i kou lohe ʻana i kēia inoa. No laila, e kamaʻilio kākou e pili ana i kēia i kēia lā me ka maʻalahi, i maopopo ai kāu mau nīnau a pau e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha ka amniocentesis?
ʻIke ʻoe, aia kahi wai wai e puni ana i ka pēpē i loko o ka ʻōpū. Kāhea mākou i kēia 'wai amniotic'. ʻAʻole wale kēia wai he wai. Aia i loko nā hunaola ola o ka pēpē, nā protein (no ka laʻana, alpha-fetoprotein - AFP), a me nā mea nui he nui. Hiki i kēia mau mea ke hōʻike i nā mea he nui e pili ana i ke olakino o ka pēpē, ʻoiai ka ʻike genetic.
ʻO ka Amniocentesis kahi hana e pili ana i ke komo ʻana i kahi nila lahilahi loa ma kou ʻōpū, ma lalo o ke alakaʻi ʻana o kahi scan, a me ka lawe ʻana i kahi hāpana liʻiliʻi (e pili ana i kahi teaspoon) o ka wai amniotic. Nānā ʻia nā cell o ka pēpē a loaʻa ka ʻike e pili ana i nā chromosomes o ka pēpē. Hiki ke hoʻohana ʻia nā hoʻokolohua kūikawā e like me ka `(karyotype test)` a me ka `(FISH test)` no kēia.
ʻO ka mea nui, ʻo kahi hoʻāʻo koko maʻalahi (e like me NIPT ) e nānā wale inā paha he "pilikia" ka pēpē i ka loaʻa ʻana o kahi maʻi. Eia nō naʻe, hiki i kahi hoʻāʻo amniocentesis ke ʻike maopopo inā he kīnā hānau paha .
He aha nā mea e hiki ke loaʻa ma kēia hoʻokolohua?
ʻAʻole ʻōlelo nā kauka i kēia hoʻāʻo no nā mea āpau. No ka mea, he liʻiliʻi loa ka pilikia, hana wale ʻia no nā makuahine i loaʻa ka pilikia nui o ka loaʻa ʻana o nā maʻi genetic. E noʻonoʻo, e ʻōlelo paha ke kauka i kēia hoʻāʻo ma ke kūlana e like me kēia:
- Inā ʻike ʻoe i kekahi mau ʻano ʻē i kahi scan a i ʻole ka hoʻāʻo koko āu i loaʻa ai.
- Inā ua loaʻa i kekahi o kou ʻohana a i ʻole ka ʻohana o kāu kāne nā maʻi hoʻoilina a i ʻole nā kīnā hānau.
- Inā he keiki kāu me ke kīnā hānau ma mua.
- Inā he ʻano ʻē nā hopena o kahi hoʻokolohua genetic ʻē aʻe i hana ʻia i ka wā o kēia hāpai ʻana.
ʻOiai ʻaʻole hiki i ka amniocentesis ke ʻike i nā kīnā hānau āpau, hiki iā ia ke ʻike i nā kūlana genetic nui e hiki mai ana.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| ʻO ka maʻi Down | He kūlana i hoʻokumu ʻia e ke alo o kahi chromosome keu. |
| Maʻi ʻeha o ke kelepona ʻokiʻoki | He maʻi ia i hoʻokumu ʻia e ka loli ʻana o ke ʻano o nā hunaola koko ʻulaʻula. |
| ʻO ka fibrosis cystic | Ka hana ʻana o ka mucus mānoanoa ma nā wahi e like me nā māmā a me ka ʻōnaehana hoʻoheheʻe. |
| ʻO ka dystrophy muscular | He maʻi ia e nāwaliwali mālie ai nā ʻiʻo a me ka mae ʻana. |
| Nā hemahema o ka ʻōpū neural | He kūlana kahi i ulu pono ʻole ai ka lolo a me ke kaula kuamoʻo o ka pēpē. Eia kekahi laʻana, spina bifida. |
Eia kekahi, hiki i ke scan i hana ʻia i ka manawa like me kēia hoʻāʻo ke ʻike i nā kīnā hānau ʻē aʻe, e like me ka palaka/lehelehe māwae. Inā makemake ʻoe, hiki i kēia hoʻāʻo ke hoʻoholo i ke kāne o ka pēpē me ka pololei 100% .
Āhea e hana ʻia ai kēia hoʻāʻo?
Hana pinepine ʻia kēia hoʻāʻo ma waena o 15 a me 18 mau pule o ka hāpai ʻana.
Pehea ka pololei o kēia?
ʻO ka pololei o ka amniocentesis ma kahi o 99.4% . He mea kākaʻikahi loa, ʻaʻole paha e loaʻa nā hopena ma muli o nā kumu loea, e like me ka lawa ʻole o ka wai i hōʻiliʻili ʻia.
Nā pilikia a me nā koho o ka hoʻāʻo
ʻO kēia ka pilikia nui loa i loaʻa i nā kānaka he nui. ʻO ka ʻoiaʻiʻo, ua haʻahaʻa loa ka manawa kūpono o ka hāʻule ʻana mai kēia hoʻāʻo. ʻO ia hoʻi,Ma lalo o 1% (ma kahi o 1 i loko o 1000). Ma waho aʻe o kēlā, ʻo ka hiki ke loaʻa nā mea e like me ka hōʻeha ʻana i ka makuahine a i ʻole ka pēpē, ka maʻi, a me nā mea ʻē aʻe he mea kakaikahi loa ia.
Ma ka ʻaoʻao ʻē aʻe, ua ʻōlelo ʻia hoʻi he liʻiliʻi loa ka manawa e loaʻa ai i ka pēpē kahi maʻi i kapa ʻia ʻo ka maʻi Rhesus (kahi e hoʻopau ai nā antibodies i loko o ke koko o ka makuahine i nā hunaola koko o ka pēpē) a i ʻole kahi maʻi wāwae i kapa ʻia ʻo club foot.
Makemake maoli ʻoe e hana i kēia? ʻAʻole. He hoʻoholo wale nō kēia ma waena ou a me kāu kāne. Ma mua o ka hoʻāʻo ʻana, e wehewehe kāu kauka a i ʻole ke kākāʻōlelo genetic i nā pono a me nā pōʻino āpau iā ʻoe. A laila hiki iā ʻoe ke hoʻoholo.
Aia kekahi mau koho ʻē aʻe?
ʻAe. Aia kekahi hoʻāʻo ʻē aʻe i kapa ʻia ʻo `(chorionic villus sampling - CVS)`. Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi loa o ka placenta ma kahi o ka wai amniotic o ka pēpē. ʻO kahi pōmaikaʻi o ka hoʻāʻo CVS ʻo ia ka hiki ke hana ʻia i ka wā mua o ka hāpai ʻana, ma waena o 10 a me 13 mau pule. Eia nō naʻe, he liʻiliʻi nō hoʻi ka pilikia. E kamaʻilio me kāu kauka e hoʻoholo i ka mea maikaʻi loa iā ʻoe.
Pehea e hana ai i ka hoʻāʻo
ʻAʻole kēia kaʻina hana e like me ka mea e kani ai. ʻO ka lōʻihi o ke kaʻina hana holoʻokoʻa he 30 mau minuke.
1. Hoʻomākaukau: ʻO ka mea mua, e hoʻomaʻemaʻe ʻia kahi ʻāpana liʻiliʻi o kou ʻōpū me kahi hopena antiseptic. Hiki ke hāʻawi ʻia kahi anesthetic kūloko i ka wahi e hōʻemi ai i ka ʻeha.
2. Ke nānā ʻana: A laila hoʻohana ke kauka i ka scanner e ʻike i kahi kikoʻī o ka pēpē a me ka placenta.
3. Ka lawe ʻana i ka hāpana: A laila, ma lalo o ka nānā ʻana o ke scan, ua hoʻokomo pono ʻia kahi nila lahilahi ma o ka ʻōpū i loko o ka uterus, e lawe ana i kahi wai liʻiliʻi mai ka ʻeke amniotic kahi o ke pēpē.
4. Ma hope: Ma hope o ka lawe ʻia ʻana o ka hāpana, e nānā ʻia ʻoe no kahi hola e hōʻoia ai ʻaʻohe hopena ʻaoʻao. Hiki iā ʻoe ke ʻike i kekahi ʻūlū iki, e like me nā ʻūlū menstrual. He mea maʻamau kēia.
Nā hopena a me nā mea e hana ai ma hope
ʻO ka maʻamau, he 2 a 3 mau pule ka lōʻihi e loaʻa ai nā hopena piha o ka hoʻāʻo. No kekahi mau kūlana, e like me Down syndrome, hiki ke loaʻa nā hopena mua i loko o kekahi mau lā.
Inā hōʻike nā hopena i kekahi mau pilikia, e loaʻa iā ʻoe ka manawa kūpono e kamaʻilio me ke kākā'ōlelo a kauka paha e kūkākūkā i ke kūlana a me kāu mau koho e neʻe ana i mua. Hiki ke mālama ʻia kekahi mau kīnā hānau (e like me ka spina bifida) ma ke ʻoki ʻana ʻoiai ke pēpē i loko o ka ʻōpū.
E hoʻomaha ma hope o ka hoʻāʻo
He mea nui loa e hoʻi i ka home a hoʻomaha maikaʻi i ka lā o ka hoʻokolohua.
- Mai hana i kekahi hoʻoikaika kino.
- Mai hāpai i kekahi mea i kaumaha ma mua o 20 paona (me nā keiki).
- Mai moe kolohe.
- Inā loaʻa iā ʻoe kekahi ʻehaʻeha, hiki iā ʻoe ke lawe i ka paracetamol i kēlā me kēia 4 hola.
Mai kekahi lā aʻe, ke ʻole ke kauka e hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo ʻē aʻe, hiki iā ʻoe ke hoʻi i ka hana e like me ka maʻamau.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e kāhea koke aku i kāu kauka.
- Kuni a i ʻole ke anu.
- Ka hoʻokuʻu ʻia ʻana o ke koko a i ʻole kekahi wai ʻē aʻe mai ka ʻōpū.
- ʻO ka ʻūmiʻi pinepine ʻana o ka ʻōpū (ʻeha ʻōpū).
- ʻO ka ʻeha ʻōpū i ʻoi aku ka koʻikoʻi ma mua o ka ʻūmiʻi maʻamau.
Leka Lawe-Home
- ʻO ka Amniocentesis kahi hoʻāʻo e hoʻoholo ai inā he kīnā hānau o ke pēpē.
- ʻAʻole kēia he hoʻāʻo no nā kānaka a pau. Paipai wale ʻia no ka poʻe i ʻoi aku ka pilikia ma muli o nā kumu kikoʻī e like me ka mōʻaukala ʻohana a i ʻole nā hōʻike scan.
- ʻOiai he haʻahaʻa loa ka pilikia o ka hāʻule ʻana o ka naʻau, he mea nui e makaʻala i kēia.
- ʻO ka hoʻoholo hope loa no ka hana ʻana i kēia hoʻokolohua a i ʻole ʻaʻole paha, aia nō ia iā ʻoe a me kāu kāne.
- E kamaʻilio me kāu kauka me ke kānalua ʻole e pili ana i nā hopohopo a kānalua paha āu e loaʻa ai.
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