Ua ʻike mākou ua hauʻoli loa ʻoe i kēia mau lā ma muli o ka malihini hou i loko o kou ʻōpū. I ka manawa like, he mea maʻamau nō hoʻi ke manaʻo iki i ka makaʻu a me ka hopohopo e pili ana i ke olakino o ka pēpē. E paipai paha kāu kauka i nā hoʻokolohua like ʻole nou i ka wā hāpai. ʻO kekahi o ia mau hoʻokolohua ʻo ia ka "Quad Marker Screen". Hiki paha iā ʻoe ke makaʻu iki ke lohe ʻoe e pili ana i kēia. Akā i kēia lā e kamaʻilio mākou e pili ana i kēia me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka Quad Marker Screen?
I ka ʻōlelo maʻalahi, he hoʻāʻo koko maʻamau kēia i hana ʻia i ka wā hāpai. Akā ʻo ka mea nui e pili ana i kēia, ʻaʻole ia he hoʻāʻo hōʻoia . He hoʻāʻo nānā ia e ʻike ai i ka hiki ke loaʻa i kāu pēpē i hānau ʻole ʻia kahi maʻi genetic a i ʻole kahi kīnā hānau.
E noʻonoʻo i kēia ʻano. Wahi a ka hōʻike aniau, "Aia he 70% ka manawa e ua ai i kēia lā." ʻAʻole ia manaʻo e ua maoli nō, akā ʻo ia hoʻi he nui ka manawa e ua ai. Pēlā ka hana o kēia hoʻāʻo. Hōʻike wale ia iā ʻoe i ka nui o ka pilikia.
Aia kekahi mau kumu pilikia nui e nānā ʻia e kēia hoʻokolohua:
- ʻO Down syndrome: He maʻi chromosomal kēia.
- ʻO ka maʻi Edwards (trisomy 18): He ʻano maʻi chromosomal koʻikoʻi kēia.
- Nā hemahema o ka neural tube : Nā pilikia e hiki ke kū mai i ka wā o ka ulu ʻana o ka lolo a i ʻole ke kaula kuamoʻo o kahi pēpē.
ʻAʻole pololei 100% kēia hoʻāʻo. ʻO ke ʻano kēia, i kekahi manawa hiki i kahi makuahine me kahi pēpē olakino ke loaʻa i kahi hopena "pilikia kiʻekiʻe". Eia kekahi, he mea kākaʻikahi loa, hiki i kahi makuahine me kahi pēpē me kahi pilikia ke loaʻa i kahi hopena "pilikia haʻahaʻa". No laila, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana i nā pono a me nā pōʻino o kēia hoʻāʻo me kāu kauka ma mua o ka hoʻoholo ʻana.
Pehea a i ka manawa hea e hana ʻia ai kēia hoʻokolohua?
He mea maʻalahi loa kēia. He hāpana koko maʻalahi wale nō ia i lawe ʻia mai kahi aa koko ma kou lima. ʻAʻole ia e hōʻeha i kāu pēpē. E ʻike wale ʻoe i kahi ʻano ʻūlū iki, e like me kahi hoʻāʻo koko maʻamau.
Hana pinepine ʻia kēia hoʻāʻo ma waena o 15 a me 22 mau pule o ka hāpai ʻana . Eia nō naʻe, ʻo ka manawa kūpono loa ma waena o 16 a me 18 mau pule . Hiki ke hala kekahi mau lā ma mua o ka loaʻa ʻana o nā hopena .
He aha ke ana maoli o ka Quad Marker Screen?
Hoʻouna ʻia kahi hāpana koko i lawe ʻia mai ou aku i kahi keʻena hoʻokolohua e ana i nā pae o nā kemika koʻikoʻi ʻehā e pili ana i ka ulu ʻana o ka pēpē. Loaʻa pinepine kēia mau mea i loko o ke koko o ka pēpē, ka lolo, ka wai o ka iwi kuamoʻo, a me ka wai amniotic (ka wai e hoʻopuni ana i ka pēpē). Komo pū kekahi mau liʻiliʻi o kēia mau mea i ke koko o ka makuahine.
| Mea i ana ʻia | He wehewehe maʻalahi e pili ana i ia mea |
|---|---|
| ʻAlepa-fetoprotein (AFP) | He protein kēia i hana ʻia e ke akepaʻa o ka pēpē. Inā ʻoi aku ke kiʻekiʻe o ka pae AFP ma mua o ka maʻamau, hōʻike paha ia i kahi kīnā neural tube. Inā haʻahaʻa nā pae AFP, hōʻike paha ia i ka piʻi ʻana o ka pilikia o Down syndrome. |
| ʻO ka gonadotropin chorionic kanaka (hCG) | He hormone kēia i hana ʻia e ka placenta. Ke kiʻekiʻe ka pilikia no ka Down syndrome, ʻoi aku ke kiʻekiʻe o nā pae hCG ma mua o ka maʻamau. |
| ʻO ka estriol i hoʻohui ʻole ʻia (UE) | He protein kēia i hana ʻia e ka placenta a me ke akepaʻa o ka pēpē. Hiki ke haʻahaʻa nā pae UE ma mua o ka maʻamau ke kiʻekiʻe ka pilikia no ka Down syndrome. |
| ʻInhibin-A | ʻO kēia kekahi hormone i hana ʻia e ka placenta. E like me ka hCG, piʻi pū nā pae inhibin-A ma luna o ka maʻamau ke kiʻekiʻe ka pilikia no Down syndrome. |
Pehea e hoʻomaopopo ai i nā hopena o ka hoʻāʻo?
Inā loaʻa iā ʻoe kahi hopena maʻamau ...
ʻO ke ʻano kēia, ua haʻahaʻa ka pilikia o kāu pēpē no nā kūlana i ʻōlelo ʻia ma luna. Ma mua o 98% o nā hāpai ʻana, ʻo ka hopena maʻamau he hōʻailona maikaʻi ia e loaʻa iā ʻoe kahi pēpē olakino. He nūhou maikaʻi maoli kēlā. Akā e like me kā mākou i ʻōlelo ai ma mua, ʻaʻohe hoʻokolohua e hiki ke hāʻawi iā ʻoe i kahi hōʻoia 100%.
He aha inā ʻo ka hopena he 'High Risk'?
ʻO kēia kahi e makaʻu ai ka poʻe he nui. Akā ʻo ka mea mua, mai hopohopo . ʻO ka hopena 'High Risk' ʻaʻole ia he manaʻo e loaʻa ana i kāu pēpē kahi pilikia. ʻO ia hoʻi, ʻoi aku ka nui o kou loaʻa ʻana i ke ʻano ma mua o ka makuahine hāpai maʻamau.
E noʻonoʻo e lawe ana he 1,000 mau makuahine hāpai i kēia hoʻokolohua. Ma waena o lākou, ma kahi o 50 e loaʻa i ka hopena 'High Risk'. Akā, ma waena o kēlā mau 50, hoʻokahi a ʻelua paha e loaʻa kahi keiki me ke ʻano e like me Down syndrome.
Inā loaʻa iā ʻoe kahi hopena 'High Risk', e wehewehe kāu kauka i ka mea e hana ai ma hope. ʻO nā hana aʻe maʻamau:
1. ʻIke Ultrasound Kikoʻī: Nānā ʻia ke ʻano a me ka ulu ʻana o ke kino o ke pēpē me nā kikoʻī nui.
2. Amniocentesis: Inā pono, lawe ʻia kahi hāpana liʻiliʻi loa o ka wai amniotic e hoʻopuni ana i ka pēpē a hoʻāʻo pololei ʻia nā chromosomes o ka pēpē. He hoʻāʻo diagnostic kēia.
Pono anei au e lawe i kēia hoʻokolohua?
ʻAʻole. ʻO ʻoe wale nō ka hoʻoholo e hana i kēia hoʻāʻo a i ʻole ʻaʻole. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau kumu pilikia, makemake paha ʻoe e noʻonoʻo hou i ka hana ʻana i kēia hoʻāʻo:
- Inā he 35 ou mau makahiki a ʻoi paha.
- Inā he moʻolelo kīnā hānau ko kekahi o kou ʻohana.
- Inā he keiki kāu me ke kīnā hānau ma mua.
- Inā loaʻa iā ʻoe ka maʻi diabetes Type 1 ma mua o kou hāpai ʻana.
ʻOiai ke ʻano, e kamaʻilio me kāu kauka ma mua o ka hoʻoholo hope loa ʻana a e hoʻomaopopo pono e pili ana i nā pono o kēia hoʻokolohua a me nā mea āpau e pili ana me ia.
Leka Lawe-Home
- ʻO ka Quad Marker Screen kahi hoʻāʻo nānā e ana i ka pilikia o kekahi mau kūlana e loaʻa paha i kahi keiki, ʻaʻole ia he hoʻāʻo diagnostics .
- Hana ʻia kēia me ka hoʻohana ʻana i kahi hāpana koko i lawe ʻia mai ka makuahine mai, no laila ʻaʻole ia e hōʻeha i ka pēpē.
- Mai hopohopo inā ʻōlelo ka hopena he 'High Risk'. ʻAʻole ia he manaʻo he pilikia me kāu pēpē. Na kāu kauka e aʻo iā ʻoe i ka mea e hana ai ma hope.
- ʻO kāu ka hoʻoholo e hana i kēia hoʻāʻo a i ʻole ʻaʻole. E kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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