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'.
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.
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.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo