Ma ke ʻano he makuahine e hiki mai ana, hiki iā ʻoe ke loaʻa nā manaʻo like ʻole e pili ana i kāu pēpē i hānau ʻole ʻia. ʻOiai he mea maʻamau kēia i ka hapa nui o nā hihia, he mea maikaʻi ke makaʻala i nā kūlana kakaikahi e hiki ke hoʻopilikia i ka ulu ʻana o kāu pēpē. ʻO kekahi o ia mau kūlana a mākou e kamaʻilio ai i kēia lā ʻo Triploidy . I ka ʻōlelo maʻalahi, he kūlana ia e kū mai ana i ka wā e ʻokoʻa ai ka helu o nā chromosomes i loko o kā mākou mau cell.
He aha ka Triploidy? E hoʻomaopopo pono kākou.
ʻAe, ʻo ka mea mua, e nānā kākou pehea e loaʻa ai i ko kākou kino nā chromosomes. ʻO ka maʻamau, ʻo kēlā me kēia cell i loko o ke kanaka olakino he 46 chromosomes , e like me nā pūʻolo liʻiliʻi e loaʻa ana kā mākou ʻike genetic āpau. Loaʻa iā mākou he 23 o kēia mau mea mai ko mākou makuahine a me 23 mai ko mākou makuakāne. No laila, ʻo kēia mau mea ʻelua e hana pū ana i ka set piha, ʻo ia hoʻi he 46.
I loko o ke kūlana i kapa ʻia ʻo triploidy , loli kēia helu maʻamau o nā chromosomes. ʻO ia hoʻi, he 69 mau chromosomes ko nā cell o ka pēpē ma kahi o 46. E noʻonoʻo i ka loaʻa ʻana o kahi set keu o nā chromosomes (23). He ʻano ʻē kēia o ka genetic hiki ke loaʻa ka hopena maikaʻi ʻole i ka fetus i loko o ka ʻōpū, a hiki ke hoʻoweliweli i ke ola. Hiki i kēia ke alakaʻi pinepine i nā hāʻule ʻana, a i ʻole e make koke ka pēpē ma hope o ka hānau ʻana.
Pehea ka maʻamau o kēia ʻano (Triploidy)?
He maʻi laha ʻole ka Triploidy . Wahi a nā helu helu ma nā ʻāina e like me ʻAmelika, ua hōʻike ʻia kēia maʻi ma waena o 1% a me 3% o 100 mau hāpai ʻana. ʻO ia hoʻi, he mea ia a mākou e lohe pinepine ʻole ai ma Sri Lanka. Ua ʻōlelo ʻia he ʻoi aku ma mua o 66% o nā fetuses e ʻeha nei i kēia maʻi he kāne.
He aha nā hōʻailona o Triploidy?
Inā ʻike ʻia kēia maʻi, hiki ke ʻike ʻia kekahi mau hōʻailona e hoʻopilikia i ka ulu ʻana o ka pēpē i loko o ka ʻōpū. Eia kekahi, hiki i ka makuahine hāpai ke ʻike i kekahi mau hōʻailona.
Nā hōʻailona e hiki ke ʻike i ke pēpē:
- Nā maʻi puʻuwai hānau.
- Ka ulu ʻana o ka lolo maʻamau: I kekahi manawa hiki i kēia ke alakaʻi i nā hopu ʻana, nā hopu ʻana, a me nā lohi o ka ulu ʻana.
- Maʻi puʻupaʻa cystic.
- Nā ʻano ʻē o ka ulu ʻana o nā ʻōpū, ke kaula kuamoʻo, ke akepaʻa, a me ka gallbladder.
- Nā manamana lima a me nā manamana wāwae i hoʻohui ʻia.
- Kino pōkole.
- Nā hiʻohiʻona helehelena kikoʻī: No ka laʻana, ka hoʻonui ʻia ʻana o nā maka, ka lehelehe māwae a i ʻole ka palale, nā pepeiao haʻahaʻa, a me ke alahaka haʻahaʻa o ka ihu.
- Ke kīnā noʻonoʻo.
Nā hōʻailona e hiki ke ʻike i kahi makuahine hāpai:
I kekahi manawa hiki i ka makuahine ke hōʻike i nā hōʻailona like me ke ʻano i kapa ʻia ʻo preeclampsia . ʻO kēia mau mea:
- Hiki ke piha ka placenta me nā mea e like me nā cysts.
- Ke koko kiʻekiʻe.
- Pehu (edema).
- ʻO ka nui o ka protein (albumin) i loko o ka mimi (albuminuria).
He aha ke kumu o ka triploidy?
Hoʻokumu ʻia kēia kūlana e ka hoʻohui ʻana o kahi set keu o nā chromosomes i nā cell o ka pēpē. ʻO ka maʻamau, aia he 46 mau chromosomes i loko o kahi cell. I ke ʻano o ka triploidy, lilo kēia i 69. ʻEkolu mau ala nui e hiki ai kēia ke hana:
1. Hoʻomomona ʻia ka hua manu e ʻelua sperm.
2. Hoʻomomona ʻia kahi hua manu maʻamau (me 23 mau chromosome) e kahi sperm me kahi hoʻonohonoho keu o nā chromosome (ʻo ia hoʻi, 46 mau chromosome).
3. Ka hoʻoulu ʻia ʻana o kahi hua me kahi hoʻonohonoho keu o nā chromosomes (ʻo ia hoʻi, 46 chromosomes) e kahi sperm maʻamau (me 23 chromosomes).
ʻO ka mea nui, ʻaʻole kēia he mea a nā mākua i hana hewa ai ma mua a i ka wā hāpai paha . He mea maʻamau ia, he hanana kūlike ʻole. ʻAʻohe ona pilina kūikawā i ka mōʻaukala ʻohana a i ʻole ka makahiki o ka makuahine.
Pehea e ʻike ʻia ai ka Triploidy?
Hoʻomaopopo pinepine nā kauka i kēia maʻi i ka wā hāpai. Manaʻo ʻia ma muli o nā hōʻailona e hoʻopilikia iā ʻoe a me kāu pēpē i hānau ʻole ʻia. No ka laʻana, nā mea e like me ke koko kiʻekiʻe a i ʻole nā mea ʻē aʻe i ka ulu ʻana o kāu pēpē.
No ka hōʻoia ʻana i ke kūlana, ua hana ʻia nā hoʻokolohua aʻe:
- ʻO ke kiʻi ultrasound: Hiki i ke kauka ke nānā i ka pēpē i loko o ka ʻōpū. Hiki iā ia ke nānā i nā ʻano ʻē i ka ulu ʻana o ka pēpē a me nā hōʻailona o kēia maʻi.
- Hoʻāʻo Amniocentesis: Ma kēia hoʻāʻo, lawe ʻia kahi liʻiliʻi o ka wai e hoʻopuni ana i kāu pēpē i loko o kou ʻōpū (wai amniotic) me kahi syringe a hoʻāʻo ʻia nā cell i loko o ia mea i loko o kahi keʻena hoʻokolohua no nā ʻano chromosomal.
- Hoʻāʻo ʻia ka laʻana ʻo Chorionic villus (CVS): Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi loa mai ka placenta a me ka nānā ʻana i nā chromosomes i loko o nā cell.
Hoʻopau ka hapai ʻana i nā hāpai he nui ma muli o kēia ʻano. I kekahi manawa, hana ʻia kahi hapai ʻana ma mua o ka hana ʻia ʻana o kēia mau hoʻokolohua, a ʻike wale ʻia ke ʻano (triploidy) i nā hoʻokolohua ma hope.
I nā hihia kakaikahi, inā hānau ʻia kahi keiki me ke ʻano, hiki ke hana ʻia kahi hoʻāʻo genetic ma ka lawe ʻana i kahi hāpana koko mai ke keiki.
He aha nā lāʻau lapaʻau no Triploidy?
ʻOiaʻiʻo, no ka mea, he nui nā hāpai (triploidy) e pau ana i ka hāʻule ʻana o ka naʻau, a i ʻole e nalowale paha ke pēpē ma hope koke o ka hānau ʻana, ʻo ke kumu nui o ka mālama ʻana, ʻo ke kākoʻo ʻana i nā mākua a me nā mea mālama. Hiki i ke kamaʻilio ʻana me kahi kākāʻōlelo olakino noʻonoʻo a i ʻole ke kākāʻōlelo ke kōkua nui i ka hoʻomanawanui ʻana i ke kaumaha e hele mai me ia pōʻino i manaʻo ʻole ʻia.
I ka hihia kakaikahi e hānau ʻia ai kahi pēpē me kēia maʻi, kau ʻia ka lāʻau lapaʻau ma ka hōʻemi ʻana i nā hōʻailona hoʻoweliweli ola o ka pēpē. Hiki i kēia ke komo pū me ke ʻoki kino, ka lāʻau lapaʻau, a i ʻole ka mālama kākoʻo e kōkua i ka pēpē e noho ʻoluʻolu.
Hiki ke pale ʻia ka Triploidy?
ʻAʻole. ʻAʻohe ala e pale aku ai i kēia. No ka mea, he mea kēia e hana wale ʻia, me ka manaʻo ʻole ʻia, ma muli o nā loli i ka mea hoʻoilina o ke pēpē (DNA). ʻO nā mea e like me kāu e hana ai ma mua o ka hāpai ʻana, kāu e hana ai i ka wā hāpai, a me kou mau makahiki, ʻaʻohe hopena i kēia. No laila, mai hopohopo no ia mea.
He aha kāu e manaʻo ai me kahi kūlana triploidy?
ʻOiai ʻo ka hapa nui o nā hāpai ʻana e pau i ka hāʻule ʻana o ke keiki, he mea nui e mākaukau ʻoe a me kou ʻohana no kēia. Hiki i kēia ke lilo i mea ʻeha loa. Loaʻa i kekahi poʻe ka hōʻoluʻolu ma o ke aʻoaʻo ʻana no ke kaumaha a i ʻole ke kamaʻilio ʻana me kahi loea olakino noʻonoʻo.
He mea kākaʻikahi loa, inā hānau ʻia kahi keiki me kahi ʻano ulu hānau ʻole, hiki iā lākou ke kū i kekahi mau pilikia. Pono paha lākou i nā mea kōkua e like me nā mea kōkua lohe, nā ʻoki kino he nui i ko lākou ola a pau, a i ʻole nā lāʻau lapaʻau lōʻihi e kāohi i nā hōʻailona.
ʻO nā keiki e ola ma hope o ka wā kamaliʻi, loaʻa paha iā lākou kekahi ʻano triploidy i kapa ʻia ʻo mosaicism . ʻO ke ʻano kēia, ʻo kekahi wale nō o nā cell o ke keiki ka chromosome keu (69 chromosomes). Loaʻa i nā cell ʻē aʻe ka helu maʻamau (46 chromosomes). Hiki i kēia ke hōʻemi i ka helu a me ke koʻikoʻi o nā ʻano ulu ʻole. ʻO ka triploidy piha ka maʻi koʻikoʻi loa a me ka hoʻoweliweli i ke ola, kahi i loaʻa ai i nā cell āpau i loko o ka fetus ka chromosome keu.
Pehea e hiki ai ke ola me ke kūlana (Triploidy)?
ʻO ka hapa nui o nā hāpai (triploidy) e pau i ka hāʻule mua ʻana no ka mea ke pale nei nā hōʻailona i ka ulu ʻana o ka fetus i loko o ka ʻōpū. Inā hānau ʻia ke pēpē, pili kona ola ʻana i ke koʻikoʻi o nā hōʻailona. Make ka hapa nui o nā pēpē i loko o kekahi mau lā o ka hānau ʻana. ʻOiai he mea kakaikahi, hiki iā lākou ke ola a hiki i ka wā makua, akā he kakaikahi wale nō nā hihia e like me ia ma nā moʻolelo lapaʻau. Pono kēlā pēpē i ka mālama kākoʻo nui i ke ola holoʻokoʻa.
Āhea ʻoe e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o ka hāʻule ʻana o ka pēpē, e ʻike koke i ke kauka a i ʻole e hele i ka haukapila. Hiki i kēia mau hōʻailona ke komo pū me:
- ʻOi aku a emi mai paha ke kahe ʻana o ke koko .
- ʻŌpū ʻeha.
- ʻEha ʻōpū.
- ʻEha hope haʻahaʻa.
Nā nīnau e nīnau aku ai i kāu kauka
Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka ma kēia kūlana:
- Inā loaʻa iaʻu kahi hāʻule keiki, hiki iaʻu ke loaʻa hou kahi pēpē?
- He aha nā pilikia o nā hoʻokolohua (e laʻa, Amniocentesis) e ʻike ai i ka triploidy?
- Pehea e mālama ai iaʻu iho i mea e pale aku ai i ka hāʻule ʻana o ka hāpai keiki? (ʻOiai ʻaʻole hiki ke pale ʻia kēia ʻano, hiki iā ʻoe ke nīnau i kēia nīnau e aʻo ai pehea e mālama ai i kou olakino i ka wā hāpai.)
- He mea maikaʻi anei ke kamaʻilio me kekahi kākāʻōlelo olakino noʻonoʻo e kōkua iaʻu e hoʻomanawanui i koʻu kaumaha a hoʻoponopono i kēia kūlana?
He aha ka ʻokoʻa ma waena o (Trisomy) a me (Triploidy)?
ʻO Trisomy lāua ʻo Triploidy nā kūlana genetic e pili ana i nā chromosomes, akā aia kahi ʻokoʻa iki.
- ʻO Trisomy ka loaʻa ʻana o kahi kope keu o hoʻokahi chromosome . ʻO kahi laʻana ʻo Down Syndrome, kahi i loaʻa ai kahi chromosome keu 21. Lawe kēia i ka huina o nā chromosome i 47 (ma kahi o 46 maʻamau).
- ʻO Triploidy ke ʻano o ka loaʻa ʻana o kahi hoʻonohonoho keu o nā chromosomes . ʻO ia hoʻi, ʻo ka huina o nā chromosomes he 69.
Leka Hoʻihoʻi Hope Loa
He maʻi laha ʻole ka Triploidy a he mea hoʻoweliweli paha i ke ola. Hiki iā ia ke hoʻoluhi nui i ka naʻau nou a me kou ʻohana. Inā ʻike ʻoe ua loaʻa i kāu pēpē i hānau ʻole ʻia ka Triploidy, e hoʻomaopopo ʻaʻole kēia he mea hiki iā ʻoe ke pale aku . He mea kūlike wale nō ia.
ʻO ke kamaʻilio ʻana me kekahi kākāʻōlelo olakino noʻonoʻo a i ʻole he kākāʻōlelo i ka manawa e like me kēia hiki ke lilo i mea kōkua nui iā ʻoe a me kou ʻohana i ke kū ʻana me kēia kaumaha a me ka nalowale i manaʻo ʻole ʻia. E hāʻawi lākou iā ʻoe i ke kākoʻo āu e pono ai e lanakila ai i kēia manawa paʻakikī. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi.
ʻO Triploidy, Chromosomes, Hāpai, Nā Maʻi Hoʻoilina, Hāʻule ʻana o ka Hānau, Ka Hoʻomohala ʻana o ka Hānau, Preeclampsia, Ultrasound, Amniocentesis, Chorionic villus sampling, Mosaicism, Chromosomes, Kūlana Hoʻoilina, Hāpai, Hāʻule ʻana o ka Hānau











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