If yu na mama we de kam bɔn pikin, i go mɔs bi se yu dɔktɔ dɔn tɛl yu bɔt wan spɛshal tɛst we go tɛl yu bɔku tin bɔt di pikin in wɛlbɔdi bifo tɛm. CVS na wan pan dɛn kayn tɛst dɛn de. Di nem kin tan lɛk se i de mek pɔsin fred smɔl, bɔt na impɔtant tɛst fɔ bɔku mama dɛn. Lɛ wi tek tɛm luk wetin i bi, wetin mek dɛn de du am, aw dɛn de du am, ɛn if na sɔntin we wi fɔ fred.
Wetin na dis CVS tɛst rili?
Fɔ tɔk am simpul wan, CVS (Chorionic Villus Sampling) na spɛshal tɛst we dɛn kin du we uman gɛt bɛlɛ. Dɛn kin yuz am fɔ chɛk if yu pikin we de na yu bɛlɛ gɛt ɛni sik we de kɔmɔt pan yu jɛnɛtiks ɔ we dɛn bɔn am. Yu dɔktɔ go jɔs tɛl yu fɔ du dis tɛst if yu tink se yu pikin gɛt ɛni prɔblɛm wit in jɛnɛtik ɔ we i bɔn.
Bɔt dis nɔto tɛst we pɔsin fɔ du. Dis na sɔntin we yu fɔ disayd fɔ du ɔltin bay wetin yu want. Na if yu fil se i fayn fɔ yu afta yu dɔn tɔk bɔt ɔl di gud tin dɛn, bad tin dɛn, ɛn di prɔblɛm dɛn we kin apin to yu dɔktɔ.
dis tεst kin bi bitwin 10 εn 13 wiks we uman bεlε. Wan ɔda bɛnifit we dis tɛst gɛt na dat i kin no bak kɔrɛkt wan udat na di pikin (ilɛksɛf na gyal pikin ɔ bɔy pikin).
Aw fɔ du di tɛst?
wetin de apin insay dis na we dεn de tek wan rili sכm sכm sεl dεm frכm yu pikin in plasεnta. Wi kin kɔl dɛn sɛl ya `(Chorionic Villi)`. Naw yu kin de wɔnda wetin mek dɛn kin tek sɛmpul frɔm di plasɛnta ɛn nɔto frɔm di pikin. Tink bɔt am, na wan sɛl nɔmɔ mek pikin. di pat dεm na di plasεnta bak na dεn sem sεl dεm de mek am. fכ dat di pikin in jεnεtik infכmeshכn de insay dεn pat dεm ya bak na di plasεnta. In ɔda wɔd dɛn, dɛn sɛl ya tan lɛk di pikin in jɛnɛtik twin dɛn. So dεn kin tek dis sεl sεmpl εn sεn am na lab εn analכz am fכ si if di pikin gεt εni jεnεtik prכblεm.
Udat fɔ gɛt CVS tɛst?
Dis CVS tɛst nɔto rutin tɛst fɔ ɛvri uman we gɛt bɛlɛ. Yu dɔktɔ kin tɛl yu fɔ du am if yu gɛt sɔm tin dɛn we kin mek yu gɛt prɔblɛm, ɔ if yu dɔn notis ɛnitin we nɔ fayn we yu bin dɔn du skan ɔ ɔda tɛst we yu bin dɔn du trade.
Yu dɔktɔ kin tɛl yu bɔt dis tɛst pan dɛn tin ya:
- If yu dɔn gɛt pikin we gɛt sik we dɛn kɔl jenɛtik.
- If yu dɔn pas 35 ia (di tɛm we yu gɛt bɛlɛ). Di risk fɔ gɛt sɔm kayn jɛnɛtik kɔndishɔn kin go ɔp smɔl wit di ej.
- If di rizɔlt fɔ skan ɔ ɔda tɛst we dɛn bin dɔn du bifo dis tɛm dɔn sho se di pikin gɛt mɔ risk fɔ gɛt wan sik we dɛn kɔl jenɛtik.
- If yu, yu man, ɔ ɛnibɔdi na yu famili gɛt ɔ dɔn gɛt wan sik we dɛn mek wit yu jɛnɛtiks.
Di impɔtant tin na fɔ disayd if yu fɔ du tɛst ɔ nɔ fɔ du am, ilɛksɛf yu gɛt dɛn tin ya we kin mek yu gɛt prɔblɛm. Yu gɛt ɔl di rayt fɔ skip dis.
Sɔntɛnde, yu dɔktɔ kin advays yu fɔ nɔ du dis tɛst. Dɛn tin ya na:
- If yu dɔn gɛt blɔd na yu vagina insay dis bɛlɛ.
- If yu gɛt infekshɔn, mɔ di sik we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs wit ɔda pɔsin (STI).
Us sik dɛn kin no wit dis tɛst?
CVS de mεntal luk fכ prכblεm wit di pikin in kromozom dεm. di kromozom dεm lεk sכm sכm paket dεm we de kip wi bכdi in jεnεtik infכmeshכn (DNA). If chenj de pan dεn tin ya, lεk we wan kromozom de inkrεs, dכn, כ brok, di pikin kin gεt wan sik we dεn bכn wit.
Na sɔm pan di men tin dɛm we pɔsin kin no bay we dɛn du CVS tɛst:
- Daun sindrom (Down syndrome or trisomy 21): Dis na di jenɛtik kɔndishɔn we dɛn kin tɔk bɔt pas ɔl pan wi.
- Sistik fibrosis we de mek pɔsin gɛt sik
- Siklɔs sik sik
- Di sik we dɛn kɔl Tay-Sachs
- Trisɔmi 18 (Trisɔmi 18 ɔ Ɛdwado sindrom) .
- Trisɔmi 13 (Trisɔmi 13 ɔ Patau Sindrom) .
Tin dɛn de we CVS tɛst nɔ kin ebul fɔ no?
Yɛs. I nɔ kin ebul fɔ no ɔl di prɔblɛm dɛn we dɛn bɔn pikin dɛn. i nכ kin ebul fכ no tin dεm lεk nyural tyub dεfεkt (NTD dεm). Fɔ ɛgzampul, i nɔ kin ebul fɔ no wan prɔblɛm we dɛn kɔl spina bifida. Ɔda tɛst dɛn de lɛk amniocentesis we kin no tin dɛn lɛk dat.
כlso, CVS nכ kin ebul fכ no di strכkchכral dεfekt dεm lεk wan ol na di pikin in at כ di lip כ palata we kכl. dεn kin no dεn tin ya wit anomaly skan, we dεn kin du bitwin 18 εn 20 wiks we uman bεlε.
Wetin kin apin bifo ɛn we dɛn de du di tɛst?
Bifo yu schedule yu test, yu go mit wit wan jenɛtik advaysa ɔ wan jɛnɛtik spɛshal pɔsin. Dɛn go ɛksplen to yu di bɛnifit dɛn, di prɔblɛm dɛn we kin apin, ɛn di wan ol we aw dɛn kin du am. Dɛn go aks yu ɛni kwɛstyɔn ɔ ɛnitin we de mɔna yu. Dɔn dɛn go du wan skan fɔ no ɔmɔs wik yu gɛt bɛlɛ. Di bɛst de fɔ di CVS tɛst go bi bay dat.
Aw dɛn kin du dis tɛst? Yu tink se i de mek pɔsin fil bad?
Dis tɛst nɔr kin rili pen, bɔt yu kin fil sɔm kayn pwɛl hat. Tu men we dɛn de fɔ du dis. yu dכkta go pik di bεst mεtכd dipכnt pan usay yu plasεnta de.
1. Tru di vagina (Transcervical): .insay dis, dεn kin put wan tin we dεn kכl spεkulכm insay yu vagina, εn dεn kin pas wan rili tכn plastic tכb tru am tru di sεviks to usay di plasεnta de. Dɛn kin du ɔl dis ɔnda di sɔpɔtishɔn fɔ wan skan. afta dat, dεn kin tek sכm sכm sεl dεm frכm di plasεnta tru da tכb de.
2. Transabdominal: insay dis we ya, dεn de put wan nidul we rili tכn tru di skin na yu bכdi, we dεn de gayd bay skan, insay di εria we di plasεnta de, εn dεn tek wan sεl sεmpl. If yu du dis we, yu nɔ go fil bɔku pen bikɔs dɛn kin injɛkt smɔl mɛrɛsin fɔ mek di say nɔmɔ we dɛn put di nidul nɔ de wok.
Ilɛk aw i bi, di wan ol tin we dɛn kin du nɔ kin tek 30 minit.
Wetin kin apin afta di tɛst?
Yu go ebul fɔ go na os jɔs afta di tɛst dɔn. I bɛtɛ fɔ lɛ yu rɛst fɔ di de. Bɔrku pipul kin go bak to nɔrmal tin fɔ du di nɛks de. Bɔt yu dɔktɔ go tɛl yu fɔ avɔyd tin dɛn lɛk fɔ du mami ɛn dadi biznɛs, ɛksesaiz, ɛn fɔ es ebi ebi tin fɔ tu to tri dez.
Afta di tɛst, yu kin gɛt sɔm smɔl smɔl bɛlɛ kramp, we fiba yu prɛgnɛshɔn. Yu kin gɛt bak smɔl smɔl blɔd we de kɔmɔt na yu vagina. Dis na nɔmal tin. If dɛn bin du di tɛst tru di bɛlɛ, yu kin fil smɔl pen usay dɛn put di nidul.
Wetin na di risk ɛn bɛnifit dɛn we pɔsin kin gɛt we i de du CVS tɛst?
Jɔs lɛk ɛni mɛdikal tɛst, smɔl risk de. Bɔt i rili smɔl. Wi nid fɔ disayd fɔ du sɔntin bay we wi kɔmpia am wit di bɛnifit dɛn we wi go gɛt.
| Risk dɛn we kin apin | Bɛnifit dɛn |
|---|---|
| Miscarriage: Dis na tin we bɔku pipul dɛn kin fred. Bɔt di risk fɔ mek uman nɔ gɛt bɛlɛ frɔm CVS tɛst nɔ rich 1%. Dat min se nɔto wan pan ɛvri 100 pipul dɛn we dɔn du am. | Fɔ gɛt di rizɔlt kwik: Di big bɛnifit na fɔ no di pikin in kɔndishɔn ali we i gɛt bɛlɛ, we de gi yu mɔ tɛm fɔ disayd ɛn pripia na yu maynd fɔ di tumara bambay. |
| Infεkshכn: Jεk εni mεdikal prכsidכm, na sכm sכm risk de fכ infεkshכn. | Ay akkurayt:Dis tɛst na 99% kɔrɛkt, so yu kin gɛt kɔmplit kɔnfidɛns pan di rizɔlt. |
| di limb diformities: Na sכmtεm, spεshal if dεn du dis tεst bifo 10 wik, ripot dεm dεn dכn se di pikin kin gεt difεkt na wan pan in an כ in leg dεm. Na dat mek dɛn kin du am di rayt tɛm. | Tɛm fɔ pripia: If di rizɔlt sho se di pikin go nid ɛni spɛshal tritmɛnt afta dɛn bɔn am, dis go ɛp yu fɔ rɛdi fɔ dɛn tin dɛn de bifo tɛm ɛn tɛl di ɔspitul. |
| כda sכm sכm risk dεm: sכm sכm risk dεm de lεk fכ bכku bכku bכku wan, di amniotic fluid we de lik rawnd di pikin, εn Rh sεnsitayzεshכn. | Saykolojik kɔmfɔt: We di risk factors de ɛn di tɛst rizɔlt kam bak pɔsitiv, di saykolojik kɔmfɔt fɔ ebul fɔ spɛn di ɔda pat pan di bɛlɛ gladi witout ɛni fred ɔ dawt na prɛshɔ. |
Aw lɔng i kin tek fɔ mek di rizɔlt kam bak? Wetin yu go du if di tin dɛn we dɛn dɔn fɛn na fayn tin?
afta dεn sεnd di sεl sεmpl to di lab, dεn de gro di sεl dεm εn tεst dεm. Sɔm fɔs rizɔlt dɛn kin de insay sɔm dez. Bɔt sɔm tin dɛn kin tek lɔng tɛm fɔ tɛst. So i kin tek 10 dez to tu wiks fɔ gɛt ful ripɔt. Yu dɔktɔ ɔ yu jenɛtik kɔlnɔ go kɔl yu fɔ tɛl yu bɔt di rizɔlt.
Pan ɔl we di CVS tɛst na 99% kɔrɛkt, i nɔ kin ebul fɔ tɔk bɔt aw di sik go siriɔs. insay wan rili sכm nכmba fכ di kes dεm, arawnd 1%-2%, di abnכmaliti kin de fכ di plasεnta εn i nכ gεt nכ ifekt pan di pikin.
If di rizulεt כnכtunate wan kכnfכm se yu pikin gεt jεnεtik kכndishכn, i go bi tεm we i go rili at fכ yu. Da tɛm de, yu dɔktɔ ɛn di pɔsin we de gi yu advays go tɔk to yu klia wan bɔt di sik, aw i go afɛkt yu pikin in tumara bambay, ɛn di tin dɛn we yu go ebul fɔ du. Da tɛm de, yu fɔ tɔk to yu man ɛn tink gud wan bɔt di nɛks tin we yu fɔ du.
Wetin na di difrɛns bitwin CVS ɛn Amniocentesis?
Bɔku pipul dɛn kin gɛt dɛn tu tɛst ya we dɛn kin kɔnfyus. Amniocentesis na ɔda tɛst we de luk di pikin in jɛnɛtik kɔndishɔn. Sɔm impɔtant tin dɛn de we difrɛn bitwin dɛn tu.
| Di pɔynt | CVS tɛst we dɛn kin du | Amniocentesis tɛst we dɛn kin du |
|---|---|---|
| Taim fo du am | di ali we uman bεlε, bitwin wik 10-13 . | Mid-gεstεshכn, afta 16 wik. |
| Di sampul we dɛn tek | Sεl dεm we dεn tek frכm di plasεnta (Chorionic villi) . | Amniotic fluid we de rawnd di pikin |
| Wetin dɛn kin no | di kromozom abnכmaliti dεm εn jεnεtik sik dεm. | di kromozom abnכmaliti, jεnεtik sik dεm εn nyural tyub dεfεkt (NTD) . |
| Risk fɔ mek uman nɔ gɛt bɛlɛ | Smɔl smɔl (lɛs dan 1%). | Smɔl smɔl. |
Yu dɔktɔ go ɛksplen to yu us tɛst go fayn fɔ yu, i go dipen pan di tin we de apin to yu.
Kwɛstyɔn dɛn we yu fɔ aks di dɔktɔ
Na nɔmal tin fɔ mek bɔku kwɛstyɔn dɛn kam na yu maynd we yu de tɔk bɔt tɛst lɛk dis. Nɔ ol ɛnitin bak. Aks di dɔktɔ ɔltin.
- "A rili nid fɔ tek dis kayn tɛst?"
- "A de pan ay risk fɔ mek mi pikin gɛt jenɛtik sik? Wetin mek na so?"
- "CVS ɔ Amniocentesis bɛtɛ fɔ mi?"
- "Eksaktli wetin bi di risk fo miscarriage from dis?"
- "Us simptom a fɔ wɔri bɔt afta di tɛst?"
- "Wetin ekzakli a go lan from di rizolt?"
Mɛsej we dɛn kin kɛr go na os
- CVS (Chorionic Villus Sampling) na tεst we dεn kin du ali we uman bεlε (10-13 wik) fכ no di pikin in jεnεtik sik dεm.
- Dis nɔto tɛst fɔ ɔlman. Na fɔ di wan dɛn nɔmɔ we gɛt sɔm tin dɛn we kin mek dɛn gɛt prɔblɛm.
- Di las tin we yu go disayd fɔ du if yu fɔ tek di tɛst ɔ yu nɔ fɔ tek am.
- dis de gi 99% akכrd risכlt, εn di risk dεm fכ miskεrishכn rili lכw (lεs dan 1%).
- Di big bɛnifit we dis kin gɛt na dat yu kin gɛt mɔ tɛm fɔ disayd bɔt di tumara bambay bay di tin dɛn we go apin ɛn rɛdi di pikin fɔ spɛshal tritmɛnt dɛn if nid de.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
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