Bɛlɛ na tɛm we yu kin rili gladi fɔ yu, we na di mama we gɛt bɛlɛ. Bɔt i nɔmal bak fɔ mek yu gɛt sɔm fred ɛn dawt bɔt di wɛlbɔdi we yu pikin we yu nɔ bɔn yet gɛt. Insay dis tɛm, wit di skan ɛn blɔd tɛst we di dɔktɔ kin du, dɛn kin aks yu bak bɔt wan tɛst we sɔntɛnde kin gɛt kɔmplikɛt nem. ‘ Amniocentesis ’ na wan pan dɛn kayn tɛst ya. Sɔntɛm yu bin de fred we yu yɛri dis nem. So, lɛ wi tɔk bɔt dis rili simpul wan tide, so dat ɔl yu kwɛstyɔn dɛn bɔt am go klia.
Fɔ tɔk am simpul wan, wetin na amniocentesis?
Yu no, wata de rawnd di pikin insay di bɛlɛ. Wi kin kɔl dis ‘amniotic fluid’. Dis wata nɔto jɔs wata. i gεt di pikin in liv sεl dεm, protin dεm (fכ egzampl, alfa-fetoprotein - AFP), εn bכku imכtant tin dεm. dis kin sho bכku tin bכt di pikin in hεlth, mכtalman in jεnεtik infכmeshכn.
Amniocentesis na wan we we yu kin put wan nidul we rili tan tru yu bɛlɛ, ɔnda di gayd fɔ skan, ɛn tek smɔl sampul (lɛk wan ti spɔnj) pan amniotic fluid. dεn de egzamin di pikin in sεl dεm εn dεn gεt infכmeshכn bכt di pikin in kromozom dεm. spεshal tεst dεm lεk `(karyotayp tεst)` εn `(FISH tεst)` kin yus fכ dis.
di imכtant tin na fכ simpul bכdi tεst (lεk NIPT ) de כnli luk if di pikin de ‘at risk’ fכ gεt wan patikyula sik. Bɔt, wan amniocentesis tɛst kin rili no if wan patikyula prɔblɛm we dɛn bɔn de ɔ nɔ de .
Wetin wi kin fɛn pan dis tɛst?
Dɔktɔ dɛn nɔ kin tɛl ɔlman fɔ du dis tɛst. Bikɔs i kin kɛr wan rili smɔl risk, dɛn kin du am fɔ mama dɛn nɔmɔ we gɛt ay risk fɔ gɛt jɛnɛtik kɔndishɔn. Imajin, dɔktɔ kin tɛl yu fɔ du dis tɛst we tin tan lɛk dis:
- If yu notis ɛni abnɔmal tin na skan ɔ blɔd tɛst we yu dɔn du.
- If ɛnibɔdi na yu ɔ yu man in famili dɔn gɛt jenɛtik sik ɔ bɔn prɔblɛm.
- If yu bin dɔn gɛt pikin we gɛt prɔblɛm we dɛn bɔn yu bifo.
- If di rizulyt fכ כda jεnεtik tεst we dεn du insay dis bεlε nכ nכmal.
pan ɔl we amniocentesis nɔ kin ebul fɔ no ɔl di prɔblɛm dɛn we pɔsin kin gɛt we i bɔn, i kin no di men tin dɛn we de apin na di jɛnɛtiks .
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Sindrom we gɛt di sik we dɛn kɔl Down syndrome | wan kכndyushכn we de kכz fכ di prεsεns fכ wan εkstra kromozom. |
| Siklɔs sik sik | Na sik we kin kam bikɔs di rɛd blɔd sɛl dɛn shep chenj. |
| Sistik fibrosis we de mek pɔsin gɛt sik | di prodyushכn fכ tik mכkus na ples dεm lεk di lכng dεm εn di dijestiv sistεm. |
| Distrofi we de na di mɔsul dɛn | Na sik we di mɔsul dɛn kin wik smɔl smɔl ɛn dɛn kin atrofi. |
| Nyural tiub difrɛns dɛn | wan kכndyushכn we di pikin in bren εn in spεnal kכd nכ de divεlכp fayn. Fɔ ɛgzampul, wan sik we dɛn kɔl spina bifida. |
כlso, di skan we dεn du di sem tεm we dεn du dis tεst kin sכmtεm fכ no כda bכn pikin dεm we dεn bכn, lεk cleft palate/lip. If yu want, dis tɛst kin no bak di pikin in sɛks wit 100% akkuracy .
Ustɛm dɛn kin du dis tɛst?
dis tεst kin bi bitwin 15 εn 18 wiks we uman bεlε.
Aw dis kɔrɛkt?
Amniocentesis na lɛk 99.4% akchual . Na smɔl tɛm nɔmɔ, di rizɔlt nɔ kin de bikɔs ɔf tɛknikal rizin dɛn, lɛk we dɛn nɔ de gɛda bɔku wata.
Risk ɛn opshɔn dɛn fɔ di tɛst
Dis na di big prɔblɛm we bɔku pipul dɛn gɛt. Infakt, di chans fɔ mek uman nɔ gɛt bɛlɛ bikɔs ɔf dis tɛst rili smɔl . Dat min seless dan 1% (roughly 1 in 1000). apat frכm dat, di chans fכ tin dεm lεk injuri to di mama כ di pikin, infεkshכn, εn כda tin dεm dεn tu nכ kin bכku.
na di כda say, dεn se bak se i rili sכm chans de fכ mek di pikin gεt wan kכndyushכn we dεn kכl Rhesus disease (we di antibodi dεm we de na di mama in bכdi de pwεl di pikin in blכd sεl dεm) כ wan fut dizayd we dεn kכl kכb fut.
Yu rili want fɔ du dis? Nɔ, dis na tin we yu ɛn yu man disayd fɔ du. Bifo di tɛst, yu dɔktɔ ɔ di pɔsin we de advays yu bɔt yu jɛnɛtiks go ɛksplen ɔl di gud ɛn bad tin dɛn to yu. Dɔn yu kin disayd fɔ du dat.
Yu tink se ɔda tin dɛn de we yu go ebul fɔ du?
Yɛs. wan כda tεst de we dεn kכl `(chorionic villus sampling - CVS)`. dis involv fכ tek wan rili sכm sεmpl fכ di plasεnta insted fכ di pikin in amniotic fluid. Wan bɛnifit we di CVS tɛst gɛt na dat dɛn kin du am rili ali we uman gɛt bɛlɛ, bitwin 10 ɛn 13 wik. Bɔt, i kin gɛt smɔl prɔblɛm bak. Tɔk to yu dɔktɔ fɔ disayd uswan go fayn fɔ yu.
Aw fɔ du di tɛst
Dis prɔses nɔ de mek pɔsin fred lɛk aw i tan. Di wan ol tin we dɛn kin du kin tek lɛk 30 minit so.
1. Aw fɔ pripia: Fɔs, dɛn go klin smɔl pat na yu bɛlɛ wit antiseptik sɔlvushɔn. Dɛn kin gi lokal anestetik to di say fɔ ridyus di pen.
2. Di skan: Dɔn di dɔktɔ de yuz di skan fɔ fɛn di rayt say we di pikin ɛn di plasɛnta de.
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4. Afta: Afta dɛn dɔn tek di sampul, dɛn go wach yu fɔ lɛk wan awa so fɔ mek shɔ se nɔ sayd ɛfɛkt nɔ de. Yu kin gɛt sɔm kayn smɔl smɔl kramp, we fiba lɛk we yu de gɛt mɔnt. Dis na nɔmal tin.
Rizult ɛn wetin fɔ du nɛks
I kin tek 2 to 3 wiks fɔ mek di ful tɛst rizɔlt de. Fɔ sɔm kayn sik, lɛk Daun sindrom, di fɔs rizɔlt kin de insay sɔm dez.
If di rizɔlt sho ɛni prɔblɛm, yu go gɛt di chans fɔ tɔk to advays ɔ dɔktɔ fɔ tɔk bɔt di tin we de apin ɛn di tin dɛn we yu go ebul fɔ du fɔ go bifo. sכm difεkshכn dεm we dεn bכn pikin (lεk spina bifida) dεn kin trit naw wit כpεrayshכn we di pikin stil de na di bεlε.
Rɛst afta di tɛst
I rili impɔtant fɔ go na os ɛn rɛst fayn di de we dɛn go du di tɛst.
- Nɔ du ɛni ɛksesaiz.
- Nɔ es ɛnitin we ebi pas 20 pawn (inklud pikin dɛn).
- Nɔ du mami ɛn dadi biznɛs.
- If yu gɛt ɛni prɔblɛm, yu kin tek paracetamol ɛvri 4 awa.
Frɔm di nɛks de, pas di dɔktɔ gi yu ɔda advays, yu kin go bak na wokples lɛk aw yu kin du.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
- Fiva ɔ kol kol.
- blɔd ɔ ɔda wata we de kɔmɔt na di vagina.
- di uterin kכntrikshכn fכs fכs (abdominal kramp).
- Bɛlɛ we de at we kin at pas aw i kin at we i nɔmal.
Mɛsej we dɛn kin kɛr go na os
- Amniocentesis na tɛst fɔ no if di pikin gɛt ɛni prɔblɛm we dɛn bɔn am.
- Dis nɔto tɛst fɔ ɔlman. Na fɔ di wan dɛn nɔmɔ we gɛt ay risk bikɔs ɔf sɔm patikyula rizin dɛn lɛk famili istri ɔ skan ripɔt.
- Pan ɔl we i nɔ kin rili izi fɔ mek uman gɛt bɛlɛ, i impɔtant fɔ no bɔt am.
- Di las tin we yu go disayd if yu fɔ du dis tɛst ɔ yu nɔ fɔ du am, na yu ɛn yu man gɛt fɔ disayd.
- Tɔk to yu dɔktɔ ɛn nɔ shem bɔt ɛnitin we yu de fred ɔ dawt.
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