Qhov kev xyiv fab uas los nrog cov xov xwm tias koj yuav los ua niam yog qhov tsis muaj peev xwm piav qhia tau. Tab sis nws yog ib txwm muaj ntau yam kev xav zoo li ntshai thiab xav paub tib lub sijhawm. Tshwj xeeb tshaj yog thaum koj mus ntsib koj tus kws kho mob thiab lawv qhia koj txog daim ntawv teev cov kev kuaj mob, "Kuv yuav tsum ua qhov kev kuaj mob no, kuv yuav tsum ua qhov kev kuaj mob ntawd," koj yuav xav tias, "Niam, tag nrho cov no yog dab tsi?" Tsis muaj laj thawj yuav tsum ntshai cov kev kuaj mob no. Hauv tsab xov xwm no, peb yuav tham txog cov kev kuaj mob no uas tau ua thoob plaws koj cev xeeb tub los xyuas kev noj qab haus huv ntawm koj thiab tus menyuam hauv koj lub tsev menyuam.
Vim li cas cov kev ntsuam xyuas no thiaj li tseem ceeb?
Xav txog cov kev kuaj no ua 'cov cim qhia' rau koj thiab koj tus menyuam. Cov kev kuaj no pab peb kom peb ntseeg siab thiab ua rau peb muaj kev thaj yeeb nyab xeeb tias txhua yam mus zoo. Feem ntau, cov txiaj ntsig ntawm cov kev kuaj no yog xov xwm zoo tias txhua yam mus raws li tau npaj tseg .
Tsis tas li ntawd xwb, cov kev kuaj no tuaj yeem pab nrhiav pom cov mob uas leej niam muaj, xws li tsis muaj hlau txaus lossis ntshav qab zib thaum cev xeeb tub, thaum ntxov. Qhov no ces tuaj yeem kho thiab kho tau ua ntej muaj mob hnyav tshwm sim.
Txawm li cas los xij, muaj qee qhov kev kuaj mob uas tau ua los nrhiav cov teeb meem caj ces xws li 'Down syndrome', 'Cystic Fibrosis' lossis 'Spina Bifida' (ib qho teeb meem ntawm tus txha nqaj qaum). Cov txiaj ntsig ntawm cov kev kuaj mob no tuaj yeem ua rau cov niam txiv txhawj xeeb me ntsis, thiab lawv yuav tsum tau txiav txim siab nyuaj. Tab sis ntawm no yog qee yam uas koj yuav tsum nco ntsoov . Cov kev kuaj mob thawj zaug ( kev kuaj mob ) no tsis lees paub 100% ntawm tus kab mob. Lawv tsuas yog qhia seb puas muaj kev pheej hmoo. Tsuas yog tias muaj kev pheej hmoo zoo li no, yuav muaj kev kuaj mob ntxiv los lees paub nws.
Qhov tseeb, feem pua ntawm cov menyuam uas yug los muaj qhov tsis zoo ntawm caj ces yog tsawg heev, kwv yees li 2% - 3%. Yog li ntawd, qhov muaj feem yuav muaj menyuam noj qab nyob zoo yeej ib txwm siab heev.
Ua ntej koj txiav txim siab seb qhov kev kuaj twg yog qhov zoo rau koj, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob txog txhua yam. Ua kom meej meej txog qhov kev kuaj ntsuas li cas, nws raug npaum li cas, seb nws puas muaj kev pheej hmoo, thiab koj cov kev xaiv yog dab tsi yog tias cov txiaj ntsig tsis zoo.
Kev Xeem Trimester Thawj Zaug
Cia peb los saib qee qhov kev ntsuam xyuas tseem ceeb uas koj yuav tau ua thaum lub sijhawm peb lub hlis thawj zaug ntawm cev xeeb tub. Qee qhov ntawm cov no, xws li kev ntsuas ntshav siab , yuav raug rov ua dua thoob plaws koj cev xeeb tub.
| Hom kev xeem | Yuav tsum nrhiav dab tsi thiab nws qhov tseem ceeb |
|---|---|
| Kev Ntsuas Ntshav | Koj cov ntshav hom thiab Rh factor, cov hlau theem, kev tiv thaiv kab mob rubella/German measles, thiab cov kab mob xws li Hepatitis B, Syphilis, thiab HIV raug kuaj xyuas. Koj keeb kwm tsev neeg kuj tseem siv tau los ntsuas koj qhov kev pheej hmoo rau cov kab mob xws li Thalassemia lossis Sickle-cell anemia. |
| Kev Kuaj Zis | Ua ntej, yuav muab cov zis kuaj seb puas muaj kab mob raum thiab ntsuas cov tshuaj hCG kom paub tseeb tias cev xeeb tub. Tom qab ntawd, thaum cev xeeb tub, yuav muab cov zis kuaj seb puas muaj qabzib los kuaj ntshav qab zib thiab cov protein hu ua albumin los kuaj seb puas muaj mob ntshav siab hu ua pre-eclampsia. |
| Cov Qhwv Ncauj Tsev Me Nyuam | Yuav tsum kuaj Pap smear kom paub txog mob qog nqaij hlav ntawm lub tsev menyuam. Kuj tseem yuav tsum tau coj cov ntaub so ntswg ntawm qhov chaw mos mus kuaj seb puas muaj kab mob xws li chlamydia, gonorrhea, thiab bacterial vaginosis, uas ua rau yug ntxov ntxov. Kev kho cov kab mob no yuav pab tiv thaiv kom tsis txhob muaj teeb meem rau tus menyuam. |
Kev Ntsuas Gene Tshwj Xeeb
Ntxiv rau cov kev kuaj mob uas tau hais los saum toj no, koj tus kws kho mob tej zaum yuav qhia ntau yam kev kuaj mob ntxiv kom paub txog cov mob caj ces tshwj xeeb.
Chorionic Villi Sampling (CVS) yog dab tsi?
Qhov kev kuaj no tsis yog rau txhua tus. Feem ntau pom zoo rau cov niam uas muaj hnub nyoog tshaj 35 xyoo lossis cov neeg uas muaj keeb kwm tsev neeg muaj kab mob caj ces. Kev kuaj no yog ua ntawm 10 thiab 12 lub lis piam ntawm kev cev xeeb tub.
`Down syndrome`, `Sickle-cell anemia`, `Qhov no tuaj yeem nrhiav tau ntau yam kab mob caj ces, xws li Cystic Fibrosis . Qhov no suav nrog kev ntxig ib lub catheter me me hla lub qhov ncauj tsev menyuam lossis ntxig ib rab koob me me rau hauv lub plab kom tau txais cov qauv nqaij me me los ntawm lub placenta.
- Kev Pheej Hmoo: Muaj kev pheej hmoo me me 1% ntawm kev poob qis los ntawm qhov kev kuaj no.
- Qhov Tseeb: Muaj qhov tseeb siab txog li 99% hauv kev txheeb xyuas cov teeb meem caj ces.
- Cov Kev Txwv: Tsis zoo li qhov kev xeem 'Amniocentesis', qhov kev xeem CVS no tsis tuaj yeem nrhiav pom cov teeb meem ntawm tus txha caj qaum zoo li 'Spina Bifida'.
Txoj kev kuaj mob tshiab kawg: kuaj ntshav thiab luam theej duab
Tam sim no muaj ib txoj hauv kev tshiab, zoo cog lus los txheeb xyuas qhov kev pheej hmoo ntawm cov mob xws li Down syndrome. Nws muab ob yam ua ke:
1. Kev kuaj ntshav: Ntsuas cov theem ntawm cov tshuaj hormones hCG thiab PAP-A hauv cov ntshav ntawm leej niam.
2. Kev ntsuas tshwj xeeb: Qhov tuab ntawm daim tawv nqaij ntawm sab nraub qaum ntawm tus menyuam lub caj dab (nuchal-translucency) yog ntsuas nrog kev ntsuas ultrasound .
Cov txiaj ntsig ntawm ob qho tib si raug muab tso ua ke los xam seb koj puas muaj feem yuav mob Down syndrome thiab lwm yam kab mob caj ces.
Tiam sis nco ntsoov qhov no: Qhov no tsuas yog kev kuaj mob xwb. Nws tsuas qhia seb qhov kev pheej hmoo siab lossis qis. Nws tsis hais 100% tias muaj tus kab mob no. Yog tias nws qhia tias qhov kev pheej hmoo siab, kev kuaj mob zoo li CVS raug siv los lees paub qhov ntawd.
Yog li ntawd, txawm koj yuav muaj kev kuaj mob dab tsi los xij, tsis txhob yig los tham txog tej lus nug, kev ntshai, lossis kev tsis ntseeg uas koj muaj nrog koj tus kws kho mob. Nws yog koj txoj cai.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ntau yam kev kuaj mob uas ua thaum cev xeeb tub yog ib txwm ua thiab ua kom ntseeg tau tias koj thiab koj tus menyuam noj qab nyob zoo, yog li ntawd tsis txhob ntshai lawv yam tsis tsim nyog.
- Tham nrog koj tus kws kho mob txog txhua yam kev kuaj mob. Qhia koj cov lus nug thiab kev ntshai rau lawv.
- Kev kuaj mob rau cov kab mob caj ces tsuas yog qhia txog kev pheej hmoo xwb, tsis yog kev kuaj mob zaum kawg.
- Qhov kev txiav txim siab los ua qhov kev kuaj mob zoo li CVS yog ib qho kev txiav txim siab ntawm tus kheej uas koj thiab koj tus khub yuav tsum tham nrog koj tus kws kho mob.
- Kev paub yuav ua li cas thiaj taug kev mus rau qhov kev taug kev no kom zoo siab thiab noj qab haus huv yuav yog lub hauv paus zoo rau koj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus