Ke hāpai nei ʻoe i kēia manawa. I kēia manawa, e noi ke kauka iā ʻoe e hana i nā hoʻokolohua like ʻole e ʻike ai inā e holo pono ana nā mea āpau nou a me ke pēpē i loko o kou ʻōpū, ʻeā? I kēia lā ke kamaʻilio nei mākou e pili ana i kahi hoʻokolohua koko kūikawā i hana ʻia i ka lua o ka trimester o ka hāpai ʻana. Ua kapa ʻia kēia ʻo 'Quad Screen' a i ʻole 'Quad Marker Screen'.
Baby's due date (EDD)
Calculate the due date based on the last menstrual period
I ka ʻōlelo maʻalahi, he aha ka Quad Screen?
He hoʻāʻo koko maʻalahi loa kēia. Hana ʻia ma waena o 15 a me 20 mau pule o kou hāpai ʻana. Hiki i kēia hoʻāʻo ke hāʻawi i kāu kauka i kahi manaʻo inā paha e pilikia ana kāu pēpē i hānau ʻole ʻia i ka loaʻa ʻana o nā maʻi genetic e like me Down syndrome.
No ke aha i kapa ʻia ai kēia ʻo "Quad"?
ʻO "Quad" ke ʻano o ʻehā ma ka ʻōlelo Pelekania. No laila ua kapa ʻia kēia hoʻāʻo penei no ka mea ke ana ia i nā pae o ʻehā mau mea kikoʻī i loko o kou koko. ʻO kēlā mau mea ʻehā:
- AFP (Alpha-fetoprotein)
- HCG (Human chorionic gonadotropin)
- ʻO Estriol (kahi ʻano estrogen)
- ʻInhibin-A
He aha nā mea e ʻimi nei kēia mau hoʻokolohua?
ʻO ka Quad Screen ka mea nui e loiloi inā paha he pilikia ka pēpē no kekahi mau kūlana genetic. ʻO kekahi o nā kūlana nui:
- ʻO Trisomy 21: ʻO ke kūlana a mākou a pau i ʻike ai ʻo Down syndrome.
- ʻO Trisomy 18: He kūlana i kapa ʻia ʻo Edwards syndrome.
- Nā hemahema o ka ʻōpū neural (NTDs): Nā pilikia me ka ulu ʻana o ka lolo a me ke kaula kuamoʻo o kahi pēpē.
Akā eia kekahi mea āu e hoʻomaopopo pono ai . He hoʻāʻo 'nānā' wale nō kēia. ʻO ia hoʻi, he loiloi pilikia wale nō ia. ʻAʻole ʻōlelo 100% kēia hoʻāʻo he maʻi ko ka pēpē. Hōʻike wale ia he pilikia kekahi, no laila pono paha ka hoʻāʻo hou ʻana.
Medical test equipment that can be used at home
Essential home medical devices including blood pressure monitors, oximeters and digital thermometers.
Check Availability →He mea koi ʻia anei ke lawe ʻana i kēia hoʻokolohua?
ʻAʻole. ʻAʻole kēia he hoʻāʻo koi ʻia. Hiki iā ʻoe ke hana ia mea inā makemake ʻoe. Eia nō naʻe, ʻōlelo pinepine nā kauka e mālama ana i nā makuahine hāpai he mea maikaʻi ke hana i kēia hoʻāʻo. No ka mea hiki iā ia ke hāʻawi iā ʻoe i kekahi manaʻo e pili ana i ke olakino o ka pēpē ma mua.
He hana maʻalahi loa kēia. ʻO kāu wale nō e hana ai, ʻo ia ke lawe i kahi hāpana koko liʻiliʻi mai kou lima. He 5-10 mau minuke ka lōʻihi. ʻAʻole ia e hōʻeha iā ʻoe a i kāu pēpē paha. No laila, ʻaʻohe pono e hopohopo.
4 mau mea e nānā ai i ke koko a me ko lākou manaʻo
E nānā kākou i ke ʻano o nā pae ʻehā o ka loli. He mea paʻakikī iki paha kēia, akā e wehewehe maʻalahi wau.
| ʻO ka mea i ana ʻia i loko o ke koko | He aha ka mea i heluhelu ʻia mai kona pae |
|---|---|
| ʻAlepa-fetoprotein (AFP) | Hoʻopuka ʻia ia e ke akepaʻa o ka pēpē. Inā kiʻekiʻe loa ka pae AFP , hiki iā ia ke hōʻike i kahi pilikia o nā kūlana e like me nā kīnā neural tube. Eia nō naʻe, i kekahi manawa hiki ke kiʻekiʻe aʻe ka pae AFP inā he mau pule hāpai ʻoe a inā paha ʻoe e hāpai ana i nā māhoe. Inā haʻahaʻa ka pae AFP , hiki iā ia ke hōʻike i kahi pilikia o Down syndrome. |
| ʻEstriol (uE) | Hoʻopuka ʻia kēia hormone e ka pēpē a me ka placenta. Hiki i nā pae haʻahaʻa ke hōʻike i ka piʻi ʻana o ka pilikia o Down syndrome. |
| ʻO ka gonadotropin chorionic kanaka (hCG) | Hoʻopuka ʻia kēia hormone e ka placenta. ʻOi aku ka kiʻekiʻe o ka hCG ma mua o ka maʻamau he hōʻailona ia o ka piʻi ʻana o ka pilikia o Down syndrome. |
| ʻInhibin-A | Hoʻopuka ʻia kēia protein e kāu mau ovaries a me ka placenta. Inā ʻoi aku ke kiʻekiʻe o kona mau pae ma mua o ka mea i manaʻo ʻia, hiki iā ia ke hoʻonui i ka pilikia o ka loaʻa ʻana o kahi pēpē me Down syndrome. |
Ke ʻōlelo hou nei au, he mau mea pilikia wale nō kēia. ʻOiai he ʻokoʻa kekahi o kēia mau pae, ʻaʻole ia he manaʻo e loaʻa ka pilikia i ka pēpē. E hoʻohālikelike kāu kauka i kēia mau hopena me nā mea ʻē aʻe, e like me kou mau makahiki, e loiloi i ka pilikia.
Pehea ʻoe e loaʻa ai nā hopena?
ʻO ka maʻamau, e loaʻa iā ʻoe nā hopena o kēia hoʻāʻo i loko o ʻehā a ʻelima mau lā. Hiki ke loli kēia ma muli o ka lab a me kāu kauka.
He aha inā ʻo ka hopena he 'Maʻamau'?
Inā 'Maʻamau' a 'Negative' paha ka hopena, ʻo ia hoʻi, he haʻahaʻa ka pilikia o kāu pēpē i ka loaʻa ʻana o ke kūlana genetic i ʻōlelo ʻia ma luna. I kēlā mau hihia, ʻaʻole pinepine ke kauka e ʻōlelo hou aku i ka hoʻāʻo genetic. Eia nō naʻe, ʻoiai inā he 'haʻahaʻa ka pilikia', ʻaʻole ia manaʻo he 100% ʻaʻohe pilikia. Akā, ʻo ia hoʻi, he haʻahaʻa loa ka pilikia.
He aha inā ʻo ka hopena he 'ʻAno ʻē'?
Mai hopohopo. ʻAʻole manaʻo kahi hopena 'ʻAno ʻē' a 'Positive' paha he maʻi ko ka pēpē. ʻO ia hoʻi ke kiʻekiʻe o ka pilikia a pono e hoʻāʻo hou ʻia .
I kēia manawa, e kamaʻilio kāu kauka me ʻoe a wehewehe i ka mea e hana ai ma hope. Hiki iā lākou ke hāʻawi i kekahi mau hoʻokolohua hou aʻe.
- ʻO ke Kiʻi Ultrasound Kikoʻī: Hiki iā ʻoe ke ʻike maopopo i nā ʻano o ke kino o ke pēpē.
- Amniocentesis: Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi o ka wai amniotic e hoʻopuni ana i ka pēpē a me ka nānā ʻana i nā hunaola o ka pēpē e hoʻoholo ai i nā kūlana genetic. Aia kahi pilikia liʻiliʻi me kēia hoʻāʻo, no laila he mea nui e kūkākūkā me kāu kauka ma mua o ka hoʻoholo ʻana.
He aha ka ʻokoʻa ma waena o NIPT a me Quad Screen?
Ua lohe paha ʻoe i kahi hoʻokolohua i kapa ʻia ʻo NIPT (Noninvasive Prenatal Testing). He hoʻokolohua nānā nō hoʻi ia e nānā ana i ka pilikia.
- Hiki ke hana ʻia ka hoʻāʻo NIPT i ka wā he 10 mau pule o ka hāpai ʻana. Hoʻopili ia i ka DNA fetal i loko o kou koko e loiloi i ka pilikia.
- Hana ʻia ka Quad Screen i ka lua o ka trimester . ʻAʻole ia e nānā i ka DNA o ke pēpē, akā, i nā pae o nā hormones a me nā protein i loko o kou koko.
ʻO kēia mau hoʻāʻo ʻelua he mau hoʻāʻo 'nānā' e ana i ka pilikia, ʻaʻole nā hoʻāʻo 'diagnostic'. E kamaʻilio me kāu kauka e hoʻoholo i ka hoʻāʻo kūpono loa iā ʻoe.
He manawa kupaianaha ka manaʻolana ʻana i kahi pēpē, akā hiki nō hoʻi ke hāpai i nā manaʻo he nui. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke aʻo ʻoe e pili ana i kēia mau hoʻokolohua. Akā, ʻaʻole i manaʻo ʻia kēia mau hoʻokolohua e hoʻoweliweli iā ʻoe. Ua manaʻo ʻia lākou e kōkua iā ʻoe e ʻike i ke olakino o kāu pēpē ma mua a, inā pono, e hoʻomākaukau no ia. No laila, inā he mau nīnau kāu, mai hoʻopaʻa iā lākou i loko o kou manaʻo a nīnau i kāu kauka.
Leka Lawe-Home
- ʻO ka Quad Screen kahi hoʻāʻo koko i koi ʻole ʻia e hana ʻia i ka lua o ka trimester o ka hāpai ʻana.
- Hoʻoholo kēia inā paha e pilikia ana ke pēpē i ka loaʻa ʻana o nā maʻi genetic e like me Down syndrome.
- He hoʻāʻo 'nānā' kēia e ana i ka pilikia, ʻaʻole he hoʻāʻo 'diagnostic' e ʻike pono ai i kahi maʻi.
- Inā he 'ʻAno ʻē' ka hopena, mai hopohopo, ʻo ia hoʻi ke ʻano he pono e hoʻāʻo hou ʻia.
- Ma mua o ka hana ʻana i kekahi hoʻokolohua a ma hope o ka loaʻa ʻana o nā hopena, e kūkākūkā i nā hopohopo a me nā kānalua me kāu kauka.
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