Loaʻa i kāu pēpē kēia maʻi hoʻoilina laha ʻole? E kamaʻilio kākou e pili ana i ka Trisomy 13 (Trisomy 13 - Patau Syndrome)!

Ke hāpai nei ʻoe i kahi pēpē, a i ʻole he keiki liʻiliʻi, he mea maʻamau ke hopohopo iki a hoihoi paha i ko lākou olakino, ʻeā? I kekahi manawa aʻo mākou e pili ana i nā maʻi me nā inoa a mākou i lohe ʻole ai. No ka laʻana, ʻo kahi ʻano genetic kakaikahi i ʻike ʻole ʻia e ka poʻe he nui, akā hiki ke hoʻopilikia i kahi keiki, ua kapa ʻia ʻo Trisomy 13. Ua kapa pū kekahi poʻe iā ia ʻo Patau Syndrome. ʻOiai paha he mea weliweli iki kēia, he mea nui e ʻike pono e pili ana i ia mea. No laila, e kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo?

Ua ʻike anei ʻoe i ke ʻano o ka Trisomy 13?

I ka ʻōlelo maʻalahi, aia i loko o kēlā me kēia cell i loko o ko kākou kino nā pūʻolo liʻiliʻi i kapa ʻia he chromosomes e mālama ana i ka ʻike genetic. Ua like kēia me nā manual kuhikuhi e pono ai ko kākou kino e ulu a hana. E noʻonoʻo iā lākou me he mau mokuna i loko o kahi puke. ʻO ka maʻamau, loaʻa iā kākou nā pālua, a ʻelua paha, o kēlā me kēia chromosome. Loaʻa iā kākou kekahi mai ko kākou makuahine a kekahi mai ko kākou makuakāne.

Eia nō naʻe, ʻekolu kope o ka chromosome 13 o kahi pēpē me Trisomy 13 ma kahi o ʻelua. ʻO ia ke kumu i kapa ʻia ai ʻo 'trisomy' (ʻo 'tri' ke ʻano he ʻekolu). Hoʻopilikia kēia chromosome keu i ka helehelena, ka lolo, ka puʻuwai, a me ka ulu ʻana o ke kino o ka pēpē ma nā ʻano like ʻole. Hiki i kēia ke lilo i mea hoʻoweliweli i ke ola no ka pēpē. No laila, aia kekahi manawa ka pilikia o ka hāʻule ʻana i ka wā hāpai, a i ʻole, me ke kaumaha, ka pilikia o ka nalowale ʻana o ka pēpē i loko o ka makahiki mua o ke ola.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

He mea kēia e hiki ke hana i kekahi. No ka mea, ua hana ʻia e kahi hewa kope i hana ʻia me ka ulia ka wā e māhelehele ai nā pūnaewele i ka wā o ka ulu ʻana o ka fetal. ʻO ia hoʻi, ʻaʻole ia ma muli o ka hewa o ka makuahine a i ʻole ka makuakāne. Eia nō naʻe, ua ʻike kekahi mau noiʻi he ʻoi aku ka nui o ka pilikia o nā makuahine ma luna o 35 mau makahiki i ka loaʻa ʻana o kēia ʻano genetic ke loaʻa iā lākou kahi keiki . Eia naʻe, ʻaʻole kēia manaʻo ʻaʻole ia e hana i nā makuahine ʻōpio, ʻaʻole hoʻi e hana i nā mea a pau i ʻelemakule.

No ka ʻike ʻana inā he pilikia ʻoe no kēia ʻano maʻi hoʻoilina, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i ka hoʻāʻo hoʻoilina , ʻoiai inā ʻoe e hoʻolālā nei e hoʻomaka i kahi ʻohana a hāpai paha.

Pehea ka maʻamau o ka Trisomy 13 (Patau Syndrome)?

He maʻi laha ʻole kēia. Hoʻopilikia ia ma kahi o 1 i loko o 10,000 a 20,000 mau hānau ola. Kiʻekiʻe ka nui o ka make i nā lā mua o ke ola. No ka mea, hiki ke ulu nā maʻi hoʻoweliweli ola e like me nā pilikia puʻuwai a me nā ʻano ʻē o ke kaula kuamoʻo i ka wā o ka fetal, nui nā hāpai ʻana e pau i ka hāʻule ʻana. ʻO 5% a 10% wale nō o nā pēpē i hānau ʻia me Trisomy 13 e ola ana ma hope o ko lākou makahiki mua. He mea maopopo ke kaumaha ke lohe ʻoe i kēia mau helu, akā he mea nui e makaʻala i kēia maʻi.

Pehea ka hopena o ka Trisomy 13 (Patau Syndrome) i ke kino o kaʻu pēpē?

Hiki i ka Trisomy 13 ke loaʻa ka hopena koʻikoʻi i ka ulu ʻana o kāu pēpē. Hiki ke ʻokoʻa kēia mau hopena mai kekahi pēpē a i kekahi.

ʻo kahi laʻana,

• Lehelehe māwae a i ʻole lehelehe māwae
• Loaʻa nā manamana lima keu ma nā lima a me nā wāwae (polydactyly)
• Ka nāwaliwali o nā ʻiʻo (hypotonia) , ʻo ia hoʻi, ua like ke kino o ke pēpē me ke ola ʻole.
• Poʻo liʻiliʻi (microcephaly)

Hiki ke ʻike ʻia nā ʻano ʻē i ka ulu ʻana o ke kino.

Hoʻopilikia pū ia i ka ulu ʻana o nā ʻōpū o loko o ka pēpē. Hiki i kēia ke hana i nā pilikia me nā ʻōpū koʻikoʻi, ʻoiai ka puʻuwai, ka lolo, a me nā puʻupaʻa. Hiki i kēia ke alakaʻi i nā hōʻailona hoʻoweliweli i ke ola. Ma hope o ka hānau ʻana o ka pēpē, e mālama ʻia paha ka pēpē i loko o ka Neonatal Intensive Care Unit (NICU) . Ma laila, e hāʻawi nā kauka a me nā kahu maʻi i ka pēpē i ka lāʻau lapaʻau a me ka mālama e pono ai e pili ana i nā hōʻailona kino o ka pēpē e hāʻawi iā ia i ka manawa kūpono loa e ola ai.

He aha nā hōʻailona o ka Trisomy 13 (Patau Syndrome)?

Hiki ke ʻokoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka, a hiki ke ʻokoʻa ko lākou koʻikoʻi. Loaʻa paha i kekahi mau pēpē he nui nā hōʻailona, ​​a ʻo kekahi he kakaikahi paha.

ʻO nā hiʻohiʻona nui i ʻike ʻia:

• Nā ʻano ʻē o ka puʻuwai hānau. He kūlana maʻamau loa kēia.
• Nā pilikia o ka ulu ʻana o ke kino, ʻoiai nā ʻano ʻē o ke kaula spinal.
• Nā pilikia koʻikoʻi me ka hana noʻonoʻo. ʻO ia hoʻi, he hopena nui ia i ka ulu ʻana o ka noʻonoʻo o ka pēpē.
• Nā ʻōpū kūloko i ulu ʻole ʻia.

He aha nā hōʻailona kino?

Eia kekahi mau ʻano o waho:

• Lehelehe māwae a i ʻole ka lehelehe māwae.
• Ka paʻakikī i ka loaʻa ʻana o ke kaumaha, ʻo ia hoʻi, ʻaʻole lawa ka waiū o ka pēpē a ʻaʻole ia e ʻū maikaʻi.
• Loaʻa nā manamana lima a me nā manamana wāwae keu (polydactyly).
• Nā pepeiao haʻahaʻa.
• Nā ʻano ʻē i ka ulu ʻana o nā lima a me nā wāwae.
• Ka nāwaliwali o nā ʻiʻo (hypotonia).
• ʻO ke poʻo liʻiliʻi (microcephaly) a me ka ʻāwae liʻiliʻi (micrognathia).
• Nā maka liʻiliʻi loa, pili loa, a i ʻole nā ​​maka i ulu pono ʻole.

He aha nā hōʻailona e hoʻopilikia ai i nā ʻōpū o loko?

Hoʻopilikia pū kēia kūlana i nā ʻōpū i loko o ke kino:

• Nā pilikia Gastrointestinal (GI) e hoʻoulu ai i ka paʻakikī i ka ʻai ʻana.
• Ka hāʻule ʻana o ka puʻuwai.
• Nā pilikia lohe, ʻo ia hoʻi, nā hemahema o ka lohe.
• Nā māmā i ulu pono ʻole.
• Nā pilikia ʻike.

Ma muli o ka hiki i kēia mau hōʻailona o loko ke hoʻoweliweli i ke ola, ma kahi o 80% o nā pēpē i ʻike ʻia me Trisomy 13 e make ma mua o ko lākou lā hānau mua.ʻOiai ka poʻe e noho like ana me ia hiki ke loaʻa i nā maʻi hoʻoweliweli ʻē aʻe, e like me ke kanesa a me nā hopu ʻana, ma hope o ka makahiki mua.

He aha ke kumu o ka Trisomy 13 (Patau Syndrome)?

E like me kā mākou i ʻōlelo ai ma mua, ua hoʻokumu ʻia ʻo Trisomy 13 e ka hoʻohui ʻia ʻana o kahi chromosome keu ma waho aʻe o ka chromosome 13. No laila, ʻo ka huina o ka chromosome o ke kanaka me ka trisomy 13 he 47, ma kahi o ka 46 maʻamau.

E noʻonoʻo, aia i ko kākou kino kahi mea i kapa ʻia he chromosomes. ʻO kēia ka DNA (Deoxyribonucleic Acid) i loko o ko kākou mau cell, kahi e mālama ai i nā ʻōlelo kuhikuhi e pono ai ko kākou kino e ulu a hana. ʻO nā genes nā ʻāpana o kēia DNA, e like me nā mokuna i loko o kahi puke kuhikuhi.

Hoʻokumu mua ʻia nā pūnaewele i loko o nā ʻōpū hānau, i ka wā e hui pū ai ka sperm a me ka hua manu e hana i kahi pūnaewele i hoʻoulu ʻia. Māhele nā ​​​​kelepona hou a hana i nā kope o lākou iho me ka hapalua o ka DNA o ke kelepona mua. I loko o kēia kaʻina hana o ka mahele ʻana o ke kelepona, hiki ke hoʻohui ʻia kekahi chromosome ʻekolu i kahi pālua o nā chromosome ma ka manawa kūpono - ua kapa ʻia kēia he trisomy. Ua like ia me kahi leka keu i loko o kahi puke aʻo ke kope ʻoe iā ia huaʻōlelo no ka huaʻōlelo. Ke hana ʻia kēia 'typo', ʻike ʻia nā hōʻailona o ka trisomy 13. No ka mea, ʻaʻole i loaʻa i nā pūnaewele nā ​​​​kuhikuhi e pono ai lākou e ulu a hana pono.

ʻEkolu mau ala e hiki ai ke loaʻa ka trisomy 13:

ʻEkolu mau ala nui e hiki ai ke hana ʻia ka trisomy 13, ma muli o ke ʻano o ka hui ʻana o ka chromosome 13:

1. Trisomy piha 13: ʻO kēia ka mea maʻamau. ʻO ka mea e hana ʻia ma ʻaneʻi, ma mua o ka hāpai ʻana, i ka wā e hana ʻia ai ka sperm a me ka hua manu, kahi hewa kope kaulele e hoʻohui i nā mea genetic hou aʻe i ka chromosome 13 ma mua o ka mea e pono ai. ʻO ke ʻano kēia, ʻekolu kope o ka chromosome 13 i kēlā me kēia cell o ka pēpē. ʻO kēia mea genetic keu ke kumu o nā hōʻailona.

2. Hoʻololi ʻana: Hana ʻia kēia ma kahi o 20% o ka poʻe me ka trisomy 13. Hana ʻia kēia i ka wā, i ka wā o ka ulu ʻana o ka embryonic, hoʻopili ʻia kahi ʻāpana o ka chromosome 13 i kahi chromosome kokoke ʻē aʻe (no ka laʻana, chromosome 14). I kēia hihia, maʻamau he ʻelua mau pālua o ka chromosome 13, akā eia kekahi, hoʻopili ʻia kahi ʻāpana o ka chromosome 13 i kahi chromosome ʻē aʻe.

3. Mosaic Trisomy 13: He mea kākaʻikahi loa kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo kekahi mau cell wale nō i loko o ke kino ke kope hou o ka chromosome 13, ʻaʻole nā ​​cell āpau. ʻO ia hoʻi, aia i kekahi mau cell ʻekolu o nā chromosome 13, aʻo nā cell ʻē aʻe he mau pālua ʻelua maʻamau (euploid). ʻO ke koʻikoʻi o nā hōʻailona ma ka mosaic trisomy 13 e pili ana i ka helu o nā cell i loaʻa ka chromosome keu. ʻO ka nui o nā cell i loaʻa ka kope keu, ʻoi aku ka koʻikoʻi o nā hōʻailona.

Pehea e ʻike ʻia ai ka Trisomy 13 (Patau Syndrome)?

I ka wā o ka trimester mua o ka hāpai ʻana, ma kahi o nā pule 11-14, e hana kāu kauka i nā ultrasounds prenatal maʻamau.Eia kekahi , ua paipai ʻia nā hoʻokolohua loiloi genetic . Ke nānā nei kēia mau scan i nā mea e like me ka wai amniotic keu a me nā mea ʻē aʻe i ka ulu ʻana o ka pēpē. Hoʻokomo pū kēia i nā hoʻokolohua koko.

Inā hōʻike kēia mau hoʻokolohua mua i kahi pilikia, hiki i ke kauka ke kuhikuhi i nā hoʻokolohua diagnostic hou aʻe. Hiki ke hōʻoia ʻia ka hōʻailona ma hope o ka hānau ʻana o ka pēpē. A laila hiki i ke kauka ke nānā kino i ka pēpē e ʻimi i nā hōʻailona a, inā pono, e hana i nā hoʻokolohua chromosome kūikawā, e like me ka hoʻāʻo karyotype . Hoʻohana ʻia kēia hoʻāʻo karyotype e hōʻoia i ka abnormality chromosomal pololei.

Pehea e mālama ʻia ai ka Trisomy 13 (Patau Syndrome)?

Pono ka pēpē me Trisomy 13 i ka lāʻau lapaʻau i ka wā hānau a i ka wā lōʻihi, e kāohi i nā hōʻailona a hoʻoluʻolu i ka pēpē e like me ka hiki. Eia nō naʻe, pono mākou e hoʻomaopopo hoʻi ʻaʻohe lāʻau lapaʻau piha no kēia ʻano . ʻO ke kumu nui o ka lāʻau lapaʻau ʻana, ʻo ia ka hoʻokele ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ke ʻano o ke ola.

ʻO nā lāʻau lapaʻau no nā keiki i hānau ʻia me ka trisomy 13:

• Kākoʻo hoʻonaʻauao: Nā papahana hoʻonaʻauao i hana kūikawā ʻia no nā keiki me nā pono kūikawā.
• Nā lāʻau lapaʻau e hōʻemi i nā hōʻailona: No ka laʻana, nā lāʻau lapaʻau e kāohi i nā hopu ʻana a i ʻole no ka maʻi puʻuwai.
• ʻŌlelo, hana a me ka hoʻōla kino: Kōkua kēia mau lāʻau lapaʻau i ka hoʻomohala ʻana i nā hiki o ka pēpē.
• ʻO ke ʻoki kino e hoʻoponopono ai i nā ʻano kino ʻē: No ka laʻana, hiki ke hana ʻia ke ʻoki kino e hoʻoponopono i kahi palate māwae a i ʻole kekahi mau kīnā o ka puʻuwai. Eia nō naʻe, hana ʻia kēia mau ʻoki kino ma hope o ka noʻonoʻo ʻana i ke olakino holoʻokoʻa o ka pēpē.

I kekahi mau hihia o ka trisomy 13, ʻaʻole paha e ola ka pēpē a hiki i ko lākou lā hānau mua, akā ʻo ke koʻikoʻi o nā hōʻailona e pale aku iā lākou mai ka hiki ʻana i ko lākou lā hānau mua. I nā hihia he nui, ʻo ka hopena o ka trisomy 13 i ka hāʻule ʻana o ka hāpai keiki a i ʻole ka nalowale ʻana o ka hāpai ʻana. I loko o kēia manawa paʻakikī, he mea nui e ʻimi i ke kākoʻo mai kāu mau hoaaloha, ʻohana, a me nā limahana lapaʻau e kōkua iā ʻoe e hoʻomanawanui. Hiki i ke aʻo ʻana i ke kaumaha a i ʻole ke aʻo ʻana i ka make ke ala maikaʻi loa e kōkua iā ʻoe e hoʻomanawanui i ka nalowale ʻana o kahi mea aloha, ʻoiai he keiki.

Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia o ka loaʻa ʻana o ka Trisomy 13 (Patau Syndrome) i kaʻu keiki?

He kīnā genetic ʻo Trisomy 13 e kū mai ana ma ke ʻano ulia pōpilikia, no laila ʻaʻohe ala e pale aku ai. ʻO ia hoʻi, ʻaʻole hiki ke hana ʻia e kekahi mea āu i hana ai a i ʻole i hana ʻole ai. Eia nō naʻe, e like me kā mākou i ʻōlelo ai ma mua, inā ʻoi aku ʻoe ma mua o 35 i ka wā e hāpai ai ʻoe, ʻoi aku ka kiʻekiʻe o kou pilikia o ka loaʻa ʻana o kahi pēpē me ke ʻano genetic.

Inā ʻoe e hoʻolālā e loaʻa kahi keiki, e kamaʻilio me kāu kauka e pili ana i ke aʻoaʻo genetic.He mea nui e ʻike i ka hoʻāʻo ʻana i ka genetic a hoʻomaopopo i ka pilikia o ka loaʻa ʻana o kahi keiki me kahi maʻi genetic.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi keiki me Trisomy 13 (Patau Syndrome)?

ʻOiai he mea paʻakikī ke lohe i kēia, he mea nui e ʻōlelo i ka ʻoiaʻiʻo. He mea paʻakikī ke ʻōlelo i kekahi mea maikaʻi e pili ana i ka wānana o kahi pēpē i ʻike ʻia me Trisomy 13. ʻO kēia no ka mea hiki ke loaʻa nā pilikia koʻikoʻi i ka wā o ka fetal, ʻoi aku ka hoʻopilikia ʻana i nā kino koʻikoʻi o ka pēpē, e like me ka lolo, ka puʻuwai, ke kaulahao kuamoʻo, a me nā māmā.

Inā loaʻa i kahi pēpē ka trisomy 13, he mea maʻamau ka hāʻule ʻana i ka trimester mua. He pōkole ke ola o 80% o nā pēpē i hānau ʻia me ka trisomy 13. Make ka hapa nui o nā pēpē i loko o nā pule mua o ke ola a i ʻole ma mua o ko lākou lā hānau mua. Ma kahi o 10% wale nō e ola ana ma hope o ko lākou makahiki mua. Pono nō hoʻi kēia mau keiki e noho me nā pilikia olakino koʻikoʻi a me nā lohi o ka ulu ʻana i ka wā lōʻihi.

Pehea e mālama ai iaʻu iho ma hope o ka ʻike ʻia ʻana o ka Trisomy 13 (Patau Syndrome)?

He mea paʻakikī loa ka loaʻa ʻana o kahi maʻi Trisomy 13, a i ʻole ka nalowale ʻana o kahi keiki ma muli o ia mea. He mea nui loa ia e mālama iā ʻoe iho a me kou ʻohana i kēia manawa.

• Inā ʻoe e kaumaha ana, hopohopo, kaumaha, a manaʻolana ʻole paha, a ke pilikia nei ʻoe i ka hoʻomanawanui ʻana i ka nalowale o kāu pēpē, e ʻike i ke kauka a i ʻole ke kākāʻōlelo olakino noʻonoʻo .
• Hiki i ka loaʻa ʻana o ke aʻo ʻana ke lilo i mea kōkua nui i ka hoʻokele ʻana i kēia kaumaha.
• E hōʻike i kou mau manaʻo me kou ʻohana a me kou mau hoaaloha pili.
• E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. Eia kekahi, e ʻimi i nā hui kākoʻo kahi e hiki ai iā ʻoe ke loaʻa ke kākoʻo mai nā mākua ʻē aʻe i ʻike i nā ʻike like.

Āhea wau e ʻike ai i ke kauka?

E ʻike koke i ke kauka inā hōʻike kāu pēpē i nā hōʻailona koʻikoʻi o Trisomy 13. ʻO ke ʻano kēia:

• Inā paʻakikī ke ʻai, inā me he mea lā ua paʻa ka waiū i loko o ka puʻu.
• Inā paʻakikī ka hanu ʻana, inā ʻokoʻa ke ʻano o ka hanu ʻana.
• Inā ʻaʻole kūpono ka puʻuwai.
• Inā loaʻa nā hopu ʻana.

Eia kekahi, inā ʻoe e ʻike nei i ke kaumaha hiki ʻole ke hoʻomanawanui, ka hopohopo, a i ʻole ke kaumaha ma muli o ka nalowale ʻana o kahi keiki a i ʻole kēia hōʻailona, ​​​​e ʻike pono i ke kauka a kamaʻilio e pili ana.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

He mea maʻamau ka loaʻa ʻana o nā nīnau he nui i ka manawa e like me kēia. Mai makaʻu e nīnau i kāu kauka i kēia mau nīnau:

• "He aha koʻu/kā mākou pilikia o ka loaʻa ʻana o kahi keiki me kahi maʻi hoʻoilina?"
• "He aha nā lāʻau lapaʻau āu e ʻōlelo nei e kōkua i kaʻu pēpē e ola ma hope o kona hānau ʻana?"
• "He aha nā mea kūikawā e pono iaʻu e ʻike i ka wā e mālama ai i kahi keiki i hānau ʻia me kēia maʻi?"
• "Inā nalowale kaʻu keiki, hiki iā ʻoe ke haʻi mai iaʻu e pili ana i nā lawelawe aʻoaʻo a i ʻole nā ​​​​kumuwaiwai ʻē aʻe e kōkua iaʻu e hoʻomanawanui i ke kaumaha?"

He aha ka ʻokoʻa ma waena o Trisomy 13 a me Trisomy 18?

ʻO Trisomy 13 a me Trisomy 18 - i ʻike ʻia hoʻi ʻo Edwards syndrome - ua like lāua ʻelua ma ka hoʻohui ʻana o kahi chromosome keu i kahi pālua. ʻO ka ʻokoʻa inā ua hoʻohui ʻia ka chromosome keu i ka chromosome 13 a i ʻole ka chromosome 18. I nā hihia ʻelua, he 47 mau chromosome o ka mea maʻi, ma kahi o ka 46 maʻamau.

Ua like loa nā hōʻailona o nā maʻi ʻelua, a he koʻikoʻi loa nā mea ʻelua. Hoʻoweliweli pinepine nā hopena i ke ola. He nui nā mākua e ʻike i nā hāʻule ʻana o ka pēpē, nā hānau keiki make, a i ʻole make ke pēpē ma mua o kona lā hānau mua.

He leka koʻikoʻi e hoʻoholo ai i kou manaʻo

Ke ʻike ʻoe ua loaʻa i kāu pēpē ka Trisomy 13 a no laila ke manaʻo ʻia nei e ola i kahi ola pōkole, e manaʻo paha ʻoe i ka nui o ka haʻalulu, ke kaumaha, a me ka ʻeha. Hiki iā ʻoe ke manaʻo i nā manaʻo he nui i ka manawa hoʻokahi, e like me ke kaumaha, ka huhū, ka huikau, ke kōkua ʻole, a i ʻole e manaʻo paha ʻoe ua nalowale. He mea maʻamau kēia mau manaʻo a pau.

E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi i kēia manawa paʻakikī. He mea nui e loaʻa nā poʻe kākoʻo a puni ʻoe, me kou ʻohana, kāu hoa kāne, a me nā hoaaloha hilinaʻi, a me nā loea olakino noʻonoʻo e like me nā kauka, nā kahu maʻi, a me nā kākā'ōlelo kaumaha e hiki ke kōkua iā ʻoe e lanakila i kēia ʻike paʻakikī. Mai makaʻu e kamaʻilio e pili ana i kou mau manaʻo a noi i ke kōkua.

Manaʻolana wau ua kōkua kēia ʻike iā ʻoe e hoʻomaopopo i ke kūlana i kapa ʻia ʻo Trisomy 13 (Patau Syndrome).

ʻO Trisomy 13, Patau syndrome, nā maʻi genetic, nā ʻano chromosomal, hāpai keiki, olakino pēpē, nā kīnā hānau