If yu na mama we go bi mama, yu dɔktɔ kin dɔn aks yu fɔ mek dɛn du ‘AFP tɛst’. We yu yɛri dis nem, yu kin fred smɔl ɛn fred. Tin dɛm lɛk, "Wetin na dis? Wetin mek dɛn de du dis? Sɔntin de we nɔ rayt wit di pikin?" kin kam na yu maynd. Bɔt nɔ fred atɔl. Dis na kɔmɔn ɛn impɔtant tɛst we dɛn kin du bɔku tɛm pan mama dɛn we gɛt bɛlɛ. Dɛn kin yuz am fɔ gɛt smɔl tin bɔt di pikin in wɛlbɔdi. So, tide wi go fɛn ansa to ɔl di kwɛstyɔn dɛn we yu gɛt na yu maynd bɔt dis AFP tɛst.
Wetin na AFP tɛst simpul wan?
Fɔ tɔk am simpul wan, di Alpha-Fetoprotein (AFP) tɛst na blɔd tɛst we de chɛk di lɛvɛl we wan prɔtin we dɛn kɔl AFP de na yu blɔd.
Naw yu go mɔs de tink se, "Wetin na dis AFP prɔtin?" I rili simpul. na protin we di liva fכ yu sכm pikin we de na yu bכdi de mek. as yu pikin de gro, sכm pan dis protin de go insay di amniotic fluid we de rawnd yu pikin, εn frכm de i de go insay yu bכdi. So, bay we yu tek smɔl pan yu blɔd ɛn tɛst am, yu kin no ɔmɔs pan dis AFP prɔtin yu gɛt.
nכmal wan, di AFP lεvεl dεm fכ de insay wan sכm rεnj we uman bεlε. If di lɛvɛl tu smɔl ɔ tu ay , i kin gi dɔktɔ dɛn smɔl tin fɔ no se di pikin we de na di bɛlɛ kin gɛt jɛnɛtik kɔndishɔn ɔ we dɛn bɔn am.
Mɛmba se dis na jɔs wan hint . jכs biכs dis tεst rεsכlt nכ nכ min se 100% chans de fכ yu pikin gεt prכblεm. I jɔs min se yu nid fɔ chɛk yu mɔ.
Yu kin du AFP tɛst ivin fɔ pɔsin we nɔ gɛt bɛlɛ?
Yɛs, dis kin tan lɛk se i strenj smɔl, bɔt sɔntɛnde dɔktɔ dɛn kin aks pipul dɛn we nɔ gɛt bɛlɛ fɔ du AFP tɛst. Bɔt di rizin fɔ dis rili difrɛn.
di AFP lεvεl dεm nכmal fכ rili lכw pan big man כ pikin we nכ bεlε (eksept fכ pikin we dεn bכn). If dis lεvεl de εlevεt fכ no rizin , e kin bi sayn fכ sכm mεdikal kכndyushכn. So, dɛn kin yuz dis tɛst fɔ ɛp fɔ no if pɔsin gɛt sik dɛn lɛk kansa. Dɛn kɔl am di AFP tumor marker test .
di kכndishכn dεm we kin sho bay di εlevεt AFP lεvεl dεm:
- Kansa na di liva
- Ovarian kansa ɔ tɛstikul kansa
- Sirosis na di liva
- Inflammatory kondishכn dεm na di liva, lεk epataytis A, B כ C
Dɔn bak, we dɛn de trit pɔsin we gɛt kansa, sɔntɛnde dɔktɔ dɛn kin yuz dis AFP tɛst fɔ si if di tritmɛnt dɔn wok fayn. If di AFP lɛvɛl go dɔŋ wit di tritmɛnt, dat min se di tritmɛnt dɔn wok fayn.
Ustɛm dɛn kin du di AFP tɛst we uman gɛt bɛlɛ? Udat i impɔtant mɔ fɔ?
dis AFP tεst dεn kin du am pan mama we gεt bεlε bitwin 16 εn 22 wiks we i bεlε . Dɛn kin tek dis as di bɛst tɛm fɔ gɛt kɔrɛkt rizɔlt.
Fɔ tru, ɔl uman we gɛt bɛlɛ kin gɛt dis tɛst. Bɔt yu dɔktɔ kin tɛl yu fɔ du dis tɛst mɔ if yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt dis sik:
- If yu dɔn pas 35 ia .
- If sɔmbɔdi na yu famili dɔn gɛt pikin we nɔ bɔn yet .
- If yu gɛt dayabitis (Diabetes Mellitus) .
insay kes dεm lεk dis, di risk fכ di pikin fכ gεt sכm kכmplikεshכn dεm kin rili hכy, so i rili implεnt fכ mek dεn du dis tεst.
Wetin dɛn tɛst ya de luk fɔ?
Di AFP tɛst tan lɛk ditektiv. I de sho sɔm impɔtant tin dɛn we de sho aw di pikin gɛt wɛlbɔdi. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di sityueshɔn we dɛn de chɛk | Wan simpul ɛksplen |
|---|---|
| Nyural tiub difrɛns dɛn | dis de tכk bכt prכblεm we de wit di divεlכpmεnt fכ di pikin in bren כ spεnal kכd. fכ egzampl, kכndyushכn dεm lεk spina bifida ( wan dεfekt na di spεnal kכd) כ anencephaly (pat dεm na di bren we nכ de divεlכp). |
| Di prɔblɛm dɛn we kin apin we pɔsin gɛt jɛnɛtiks | di kכndishכn dεm we de kכz fכ sכm chenj dεm na di pikin in kromozom dεm. Di bɛst ɛgzampul fɔ dis na di sik we dɛn kɔl Down syndrome . |
| Di de we di pikin fɔ bɔn nɔ rayt? | Sɔntɛnde, dɛn kin mek smɔl mistek we dɛn de kɔl di de we dɛn fɔ pe. biכs di AFP lεvεl dεm de chenj tru di bεlε, wan valyu we difrεn frכm di lεvεl we dεn bin de εkspεkt kin sho bak se di de we dεn fכ bכn di pikin nכ kכrekt. |
| Twins ɔ mɔ | if yu gεt mכr dan wan pikin na yu bכdi (e.g. twins), di AFP protin de prodyuz pasmak. So if di AFP lɛvɛl rili ay, i kin min se yu de kɛr pas wan pikin. |
Aw dɛn kin du di tɛst ɛn wetin a nid fɔ rɛdi fɔ am?
Yu nɔ nid fɔ wɔri bɔt dis atɔl. Di AFP tɛst na wan rili simpul, rutin blɔd tɛst.
Fɔ tɔk di kɔrɛkt tin, na di lɛb, nɔs ɔ dɔktɔ go tek smɔl blɔd frɔm wan vein na yu an . I nɔ kin tek fayv minit. Sɔm pipul dɛn kin fred smɔl fɔ nidul. If yu gɛt di sem kayn fred (trypanophobia), tɛl di pɔsin we de tek di blɔd bifo tɛm. Yu kin du sɔntin insay dis tɛm, lɛk fɔ blo dip dip wan ɛn luk ɔdasay.
No spɛshal pripia nɔ de fɔ dis tɛst. Bɔt i fayn fɔ drink bɔku wata bifo yu du di tɛst. Dis go mek am izi fɔ fɛn yu vein ɛn di blɔd we yu de pul go kwik.
Aw fɔ ɔndastand di rizɔlt fɔ di AFP tɛst?
Dis na di pat we impɔtant pas ɔl. We yu gɛt yu AFP tɛst ripɔt, nɔ fred di nɔmba dɛn. Yu dɔktɔ de fɔ ɛp yu fɔ ɔndastand am.
Mɛmba se: If yu gɛt abnɔmal AFP rizɔlt, dat nɔ min se di pikin gɛt prɔblɛm!
Dis na jɔs tɛst fɔ chɛk pɔsin. Dat min se, i jɔs de chɛk fɔ si if risk de. If i sho se risk de, dɛn go nid fɔ du ɔda tɛst fɔ kɔnfirm am.
Lɛ wi si wetin di tin dɛn we nɔ kɔmɔn kin sho.
| Rizɔlt | Posisibul hint (dis nɔto difinitiv!) . | Ɔda rizin dɛn we kin apin |
|---|---|---|
| AFP lεvεl hכy pas nכmal | Sayn we de sho se di pikin kin gɛt nyural tiub we nɔ fayn , lɛk spina bifida. |
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| AFP lɛvɛl de dɔŋ di nɔmal | Wan tin we de sho se di pikin kin gɛt wan sik we dɛn kɔl Down syndrome . |
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As yu si, if yu nɔrmal rizɔlt nɔ min se i gɛt prɔblɛm fɔ di pikin. So di bɛst tin fɔ du na fɔ nɔ panik ɛn tɔk to yu dɔktɔ jɔs afta yu si di ripɔt.
If di AFP ripɔt na ɛkstra ɔdinari, wetin go apin nɛks?
If yu AFP rizɔlt nɔ de na di nɔmal rɛnj, yu dɔktɔ go fɔs mek yu biliv. Dɔn, dɛn kin se dɛn fɔ du sɔm ɔda tɛst dɛn fɔ no if di tin apin ɔ fɔ no di rayt tin we mek i apin.
- Ɔda blɔd tɛst dɛn: Sɔntɛnde, wit di AFP tɛst, dɛn kin du ɔda ɔmon tɛst dɛn bak, lɛk di triplɛ skrin tɛst . Dɛn tin ya kin gi wi mɔ infɔmeshɔn.
- Ditayl Ultrasound Scan: Yu dɔktɔ go rifer yu to spɛshal pɔsin fɔ mek dɛn du ditayla skan. Dis go chɛk yu pikin in spayna, in bren, ɛn ɔda pat dɛn fɔ luk fɔ ɛnitin we nɔ fayn.
- Difinitiv diagnostik tɛst: If yu stil gɛt dawt afta di tɛst dɛm we wi dɔn tɔk bɔt, yu dɔktɔ kin tɛl yu fɔ du tɛst lɛk amniocentesis ɔ chorionic villus sampling (CVS) . dis dεm de tek sεmpl fכ di pikin in sεl dεm εn tεst dεm, so yu kin sכri fכ 100% if jεnεtik kכndishכn de כ nכ de.
Wetin bak yu wan aks di dɔktɔ?
Tɔk opin wan wit yu dɔktɔ bɔt dis. Nɔ shek fɔ aks ɛni kwɛstyɔn ɔ tin we de mɔna yu. Fɔ ɛgzampul:
- "Dɔkta, ustɛm na di bɛst tɛm fɔ mek a gɛt dis AFP tɛst?"
- "Wetin ekzakli di valyu fo mai AFP ripot se?"
- "A nid fɔ du ɛni ɔda tɛst bays pan dis ripɔt?"
- "Us step wi fɔ tek nɛks?"
Yu dɔktɔ go ɛksplen ɔltin to yu ɛn gi yu di gayd we yu nid.
Mɛsej we dɛn kin kɛr go na os
- di AFP tεst na skrεning tεst we dεn kin yus we uman bεlε fכ gεt clue bכt di pikin in hεlth, nכto fכ di las diagnosis.
- dis tεst kin bi bitwin 16 εn 22 wiks we uman bεlε .
- Nɔ wɔri if di tɛst rizɔlt nɔrmal. I kin bi sɔntin we simpul lɛk fɔ bɔn twins ɔ fɔ mek di pikin bɔn di rɔng de .
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt yu tɛst rizɔlt. I go gi yu klia advays bɔt di nɛks tin dɛn we yu fɔ du.
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