If yu na mama we de kam bɔn pikin, yu dɔktɔ go dɔn tɛl yu bɔt difrɛn tɛst dɛn. Na dɛn wan ya, yu go dɔn yɛri bɔt di tɛst we dɛn kɔl ‘NIPT’. Bɔku mama dɛn kin fred smɔl we dɛn yɛri dis nem. Kwɛstyɔn dɛn lɛk ‘Wetin na dis?’, ‘Dis go ambɔg di pikin?’ kam na yu maynd. So tide, lɛ wi fɛn simpul ansa to ɔl di kwɛstyɔn dɛn we yu gɛt bɔt dis NIPT tɛst.
Wetin na dis NIPT tɛst?
Fɔ tɔk am simpul wan, NIPT na skreynin tɛst we de chɛk fɔ si if di pikin gɛt wan sik we de na di pikin we i gɛt bɛlɛ. I rili simpul. Dɛn kin du am jɔs lɛk aw dɛn kin du blɔd tɛst ɔltɛm, bay we dɛn kin tek blɔd sɛmpul frɔm di mama in an.
Imajin, we yu gɛt bɛlɛ, yu blɔd kin gɛt smɔl smɔl pat pan yu pikin in DNA wit yu yon DNA. wi kכl dis ``sεl-fri DNA (cfDNA)''. So wetin di NIPT tɛst de du na fɔ chɛk dɛn pat ya pan yu pikin in DNA na yu blɔd sɛmpul ɛn gɛt sɔm aidia bɔt di pikin in jenɛtik infɔmeshɔn.
Di tin we impɔtant pas ɔl na dat dis na jɔs tɛst. Dat min se i jɔs de tɛl yu if yu de pan denja fɔ wan patikyula sik. I nɔto fɔ no if pɔsin gɛt di sik . I kin tɛl yu bak di sɛks fɔ di pikin (bɔy ɔ gyal pikin).
Wetin di NIPT tɛst de luk fɔ?
dis tεst nכ kin ebul fכ no εvri jεnεtik sik, bכt i kin εp fכ no di risk fכ sכm kכmכn kromozom abnכmaliti dεm.
| Di Kɔndishɔn we dɛn Skrin | Wan Simpul Ɛksplen |
|---|---|
| Daun sindrom (Dɔwn sindrom - trisɔmi 21) . | wan kכndishכn we kכz fכ di prεsεns fכ wan εkstra kכpi (tri) fכ kromozom 21 insted fכ tu. |
| Edwards sindrom (Edwards sindrom - trisomi 18) . | wan kכndyushכn we de kכz fכ tri kromozom dεm insted fכ tu, 18. |
| Patau sindrom (trisomy 13) we de mek pɔsin gɛt sik. | wan kכndishכn we de kכz fכ tri kromozom dεm insted fכ tu, 13. |
| Di prɔblɛm dɛn we kin apin to pɔsin we gɛt kromozom we gɛt fɔ du wit mami ɛn dadi biznɛs | difrεns dεm na di nכmal nכmba fכ di X εn Y kromozom dεm. Ɛgzampul dɛn: Turner sindrom, Klinefelter sindrom. |
Nɔto ɔl di NIPT tɛst dɛn kin luk ɔl dɛn tin ya, so i impɔtant fɔ tɔk to yu dɔktɔ fɔ no ustɛm yu NIPT go luk fɔ.
Wetin mek dɛn kin du dis NIPT tɛst? Udat i bɛtɛ fɔ?
Di men tin we mek dɛn du dis tɛst na fɔ no bifo tɛm if di pikin we de na in bɛlɛ de pan denja fɔ gɛt wan patikyula sik we dɛn mek wit in bɔdi. Bifo dis tɛm, dɛn bin de rɛkɔmɛnd dis tɛst fɔ mama dɛn nɔmɔ we gɛt bɛlɛ we gɛt ay risk. Dat na:
- Mama we dɔn bɔn pikin we gɛt prɔblɛm wit in kromozom bifo.
- If yu si ɛni abnɔmal tin na di pikin we dɛn de skan.
- If ɔda tɛst we dɛn bin dɔn du bifo dis tɛm dɔn sho ɛni risk.
Bɔt di las tin we dɛn se na fɔ gi ɛni bɛlɛ uman we want fɔ du dis tɛst di chans fɔ du am, ilɛksɛf i gɛt prɔblɛm. Dis na yu yon sɛns ɔltogɛda.
Wetin na di bɛst tɛm fɔ tek dis tɛst?
NIPT kin bi eni tεm afta 10 wiks we uman bεlε . Bɔku tɛm, dɛn kin du am rayt te dɛn bɔn am.
di rizin fכ dis na biכs di fetal DNA nכ de insay yu bכdi bifo 10 wik. So, e tranga fɔ gɛt kɔrɛkt rizɔlt if yu du dis bifo 10 wik.
Aw di NIPT tɛst kɔrɛkt ɛn sef?
Kɔrɛkt
Di kɔrɛkt we aw dɛn mek dis rili ay. I kin kɔrɛkt mɔ fɔ no bɔt di sik we dɛn kɔl Down syndrome, wit akchualiti we kin rich lɛk 99% . Fɔ ɔda kɔndishɔn dɛn, di akkuracy kin smɔl smɔl. כltu, we dεn kכmpεr am wit כda tεst dεm we dεn kin du bifo dεn bכn (e.g. kwad skrin), di chans fכ fכs fכs positifu frכm di NIPT tεst rili lכw.
Fɔ sef
Dis na di big prɔblɛm we bɔku mama dɛn gɛt.
Dis tɛst nɔ de mek di pikin gɛt ɛni prɔblɛm.Dis na 100% sef bikɔs na di mama in blɔd nɔmɔ dɛn kin du am. I nɔ de afɛkt di pikin ɛni we.
Wetin di rizɔlt dɛn se?
Bɔrku tɛm, i kin tek lɛk tu wiks fɔ gɛt di rizɔlt. We yu gɛt di rizɔlt, dɛn go tɔk sɔntin lɛk dis:
- Lכw Risk / Nεgεtiv: Dis min se yu pikin gεt rili lכw chans fכ divεlכp di kכndishכn dεm we dεn tεst fכ.
- High Risk / Positive: Dis min se yu pikin kin gɛt sɔm chans fɔ gɛt wan ɔ mɔ pan di kɔndishɔn dɛn we dɛn dɔn tɛst.
"High Risk" rizulεt nכ min se di pikin fכ tru fכ gεt di sik. I jɔs min se risk de ɛn dɛn nid fɔ du mɔ tɛst fɔ no if di sik de ɔ nɔ de.
If di risk bɔku, wetin yu go du nɛks?
If na so, yu dɔktɔ go advays yu fɔ du diagnostik tɛst dɛm we go gi yu difinitiv "yes" ɔ "no" ansa.
- Amniocentesis: na tεst we de tek sכm sכm wata (amniotic fluid) we de rawnd di pikin. Dis kin bi afta 15 wik.
- Chorionic Villus Sampling (CVS): na tεst we de tek wan rili sכm sכm sεl dεm frכm di pikin in plasεnta. Dɛn kin du dis bitwin 10 ɛn 13 wik.
Yu dɔktɔ go tɛl yu mɔ bɔt dɛn tɛst ya.
Aw yu kin disayd if yu fɔ tek dis tɛst ɔ nɔ fɔ tek am?
No ɔbligayshɔn nɔ de fɔ mek dɛn du dis tɛst. Dis na tin we yu ɛn yu famili kin disayd fɔ du. Fɔ ɛp yu fɔ disayd fɔ du dat, aks yusɛf dɛn kwɛstyɔn ya:
- aw a go fil if tehst lek dis kam bak wit "risk" rizulyt?
- If na so, a go rɛdi fɔ gɛt kɔnfɔmatɔri tɛst lɛk `Amniocentesis` ɔ `CVS`?
- If a kam fɔ no kwik kwik wan se mi pikin gɛt wan sik we a gɛt frɔm in jɛnɛtiks, yu tink se i go afɛkt di tin dɛn we a de disayd fɔ du?
- We a no dis infɔmeshɔn, dat go mek a fil bad ɔ wɔri? Ɔ i go ɛp mi fɔ rɛdi mi maynd ɛn mi bɔdi fɔ kia fɔ di pikin?
- If dɔktɔ dɛn no dɛn tin ya bifo tɛm, dat go ɛp dɛn fɔ kia fɔ di pikin gud gud wan afta dɛn dɔn bɔn am?
Wit di ansa dɛm we yu gi to dɛn kwɛstyɔn ya, tɔk opin wan wit yu dɔktɔ ɛn disayd fɔ du di bɛst.
Mɛsej we dɛn kin kɛr go na os
- NIPT na tɛst we rili sef we dɛn kin du pan di mama we gɛt bɛlɛ in blɔd ɛn i nɔ kin du bad to di pikin.
- Dis na bɔt di risk fɔ gɛt jɛnɛtik kɔndishɔn lɛk Daun sindrom. I nɔto di las tɛm fɔ no if pɔsin gɛt di sik.
- dis tεst kin bi εni tεm afta 10 wiks we uman bεlε.
- Nɔ wɔri if di rizɔlt se "High Risk." I min se dɛn nid fɔ du mɔ tɛst fɔ no if pɔsin gɛt di sik.
- If yu disayd fɔ du dis tɛst ɔ yu nɔ disayd fɔ du am, na yu yon disayd nɔmɔ. Tɔk bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu wit yu dɔktɔ.
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