Yu de ɛkspɛkt naw. Dis tɛm ya, di dɔktɔ go tɛl yu fɔ du difrɛn tɛst dɛn fɔ si if ɔltin de go fayn fɔ yu ɛn di pikin we de na yu bɛlɛ, nɔto so? Tide wi de tɔk bɔt wan spɛshal blɔd tɛst we dɛn kin du insay di sɛkɔn tri mɔnt we uman gɛt bɛlɛ. Dɛn kɔl dis ‘Kwad Skrin’ ɔ ‘Kwad Mak Skrin’.
Fɔ tɔk am simpul wan, wetin na Kwad Skrin?
Dis na wan rili simpul blɔd tɛst. Dɛn kin du am bitwin 15 ɛn 20 wiks we yu gɛt bɛlɛ. Dis tεst kin gi yu dכkta sכm aidia fכ no if yu pikin we de bכn de pan risk fכ gεt jεnεtik kכndyushכn lεk Down syndrome.
Wetin mek dɛn kɔl dis "Quad"?
"Quad" min 4 na Inglish. So dɛn kɔl dis tɛst dis bikɔs i de mɛzhɔ di lɛvɛl we 4 patikyula tin dɛn de na yu blɔd. Dɛn 4 tin dɛn de na:
- AFP (Alfa-fεtoprotεin) .
- HCG (Human kɔriɔnik gonadotropin) .
- Estriol (wan kayn εstrojen) .
- Inhibin-A we gɛt di sik
Wetin dɛn tɛst ya de luk fɔ?
di Kwad Skrin de mεnli ases if di pikin de pan risk fכ sεvεra jεnεtik kכndishכn dεm. Sɔm pan di men tin dɛn we kin apin na:
- Trisomy 21: Na dis sik wae wi ɔl no as Down syndrome.
- Trisomy 18: Na wan sik wae dɛn kɔl Edwards syndrome.
- di nyural tyub dεfekt (NTD): Prכblεm we de wit di divεlכpmεnt fכ di pikin in bren εn spεnal kכd.
Bɔt na sɔntin we yu fɔ rili ɔndastand . Dis na jɔs ‘skrinin’ tɛst. Dat min se na jɔs risk asɛsmɛnt. dis tεst nכ 100% se di pikin fכ tru fכ gεt wan sכm kכndishכn. I jɔs de sho se sɔm prɔblɛm de, so dɛn kin nid fɔ du mɔ tɛst.
Yu tink se i fɔ tek dis tɛst?
Nɔ, dis nɔto tɛst we pɔsin fɔ du. Yu kin du am nɔmɔ if yu want. Bɔt, dɔktɔ dɛn we de kia fɔ mama dɛn we gɛt bɛlɛ kin tɛl dɛn se i fayn fɔ du dis tɛst. Bikɔs i kin gi yu sɔm aidia bɔt di pikin in wɛlbɔdi bifo tɛm.
Dis na rili simpul we fɔ du tin. Na wetin yu fɔ du na fɔ tek smɔl blɔd sɛmpul na yu an. I kin tek lɛk 5-10 minit so. I nɔ go ambɔg yu ɔ yu pikin. So nid nɔ de fɔ wɔri.
4 tin fɔ luk fɔ na blɔd ɛn wetin dɛn min
Lɛ wi luk naw wetin di 4 lɛvul dɛn we chenj min. Dis kin kɔmplikt smɔl, bɔt a go ɛksplen am simpul wan.
| Di tin we dɛn mɛzhɔ insay blɔd | Wetin dɛn kin rid frɔm in lɛvul |
|---|---|
| Alfa-fεtoprotεin (AFP) . | Na di pikin in liva de mek am. if di AFP lεvεl rili hכy , i kin sho se risk fכ kכndyushכn lεk nyural tyub dεfεkt. Bɔt sɔm tɛm di AFP lɛvɛl kin go ɔp if yu gɛt bɛlɛ fɔ sɔm wiks ɔ if yu de kɛr twins. If di AFP lɛvɛl smɔl , i kin sho se yu gɛt risk fɔ gɛt Daun sindrom. |
| Ɛstriɔl (uE) . | dis כmon na di pikin εn di plasεnta de mek am. If yu smɔl , dat kin sho se yu gɛt mɔ risk fɔ gɛt Daun sindrom. |
| Yuman kɔriɔnik gonadotropin (hCG) . | dis כmon na di plasεnta de mek am. di hCG hכy pas nכmal lεvεl kin bi sayn fכ inkrεs risk fכ Daun sεndrכm. |
| Inhibin-A we gɛt di sik | dis protin na yu ovaria dεm εn di plasεnta de mek am. If in lɛvɛl dɛn pas aw dɛn bin de tink, i kin mek di risk fɔ gɛt pikin we gɛt Daun sindrom go ɔp. |
A de ripit, dis na jɔs risk factors. Jɔs bikɔs wan pan dɛn lɛvɛl ya difrɛn nɔ min se di pikin go gɛt prɔblɛm. Yu dɔktɔ go kɔmpia dɛn rizɔlt ya wit ɔda tin dɛn lɛk yu ej fɔ no if yu gɛt di prɔblɛm.
Aw yu kin gɛt di rizɔlt?
Yu go gɛt di rizɔlt fɔ dis tɛst insay 4 to 5 dez. Dis kin difrɛn difrɛn wan fɔ di lab ɛn yu dɔktɔ.
Wetin fɔ du if di rizɔlt na ‘Nɔmal’?
if di rizulεt na ‘Nכmal’ כ ‘Nεgεtiv’, i min se yu pikin gεt lכw risk fכ gεt di jεnεtik kכndishכn we wi bin dכn tכk bכt. If dɛn kayn tin ya apin, bɔku tɛm di dɔktɔ nɔ go tɛl yu fɔ du ɔda tɛst fɔ yu jɛnɛtiks. Bɔt ivin if i ‘lɔ risk’, i nɔ min se 100% prɔblɛm nɔ de. Bɔt i min se di prɔblɛm rili smɔl.
Wetin fɔ du if di rizɔlt na ‘Abnɔmal’?
Nɔ wɔri. ‘Abnormal’ ɔ ‘Positive’ rizulyt nɔ min se di pikin gɛt sik. I jɔs min se di risk bɔku ɛn dɛn nid fɔ du mɔ tɛst .
Dis tɛm ya, yu dɔktɔ go tɔk to yu ɛn ɛksplen wetin fɔ du nɛks. Dɛn kin tɔk bak se dɛn fɔ du sɔm ɔda tɛst dɛn.
- Ditayl Ultrasound Scan: Dis de mek yu si di pikin in bɔdi strɔkchɔ rili klia wan.
- Amniocentesis: dis involv fכ tek sכm sכm sεmpl fכ di amniotic fluid we de rawnd di pikin εn egzamin di pikin in sεl dεm fכ no di jεnεtik kכndishכn dεm. Smɔl prɔblɛm de wit dis tɛst, so i impɔtant fɔ tɔk bɔt am wit yu dɔktɔ bifo yu disayd fɔ du sɔntin.
Wetin na di difrɛns bitwin NIPT ɛn Kwad Skrin?
Yu go dɔn yɛri bak bɔt wan tɛst we dɛn kɔl NIPT (Noninvasive Prenatal Testing). Na screening test bak wae de luk pan risk.
- di NIPT tεst kin bi as ali as 10 wiks insay di bεlε. i de analכz di fetal DNA we de insay yu bכdi fכ ases di risk.
- Di Kwad Skrin de du insay di sɛkɔn trimɛst . i nכ de luk di pikin in DNA, bכt i de luk di lεvεl dεm fכ di כmon εn protin dεm na yu bכdi.
Dɛn tu tɛst ya na ‘skrinin’ tɛst we de mɛzhɔ risk, nɔto ‘diagnostic’ tɛst. Tɔk to yu dɔktɔ fɔ disayd us tɛst go fayn fɔ yu.
Fɔ ɛkspɛkt pikin na fayn tɛm, bɔt i kin briŋ bɔku filin bak. Na nɔmal tin fɔ fil smɔl frayd ɛn wɔri we yu lan bɔt dɛn tɛst ya. Bɔt dɛn tɛst ya nɔto fɔ mek yu fred. Dɛn mek dɛn fɔ ɛp yu fɔ no yu pikin in wɛlbɔdi bifo tɛm ɛn if nid de, rɛdi fɔ am. So if yu gɛt ɛni kwɛstyɔn, nɔ ol am na yu maynd ɛn aks yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Kwad Skrin na di bכdi tεst we nכ de fכ du insay di sεkכn trimεst we di bεlε de du.
- dis de ases if di pikin de pan risk fכ gεt jεnεtik kכndyushכn lεk Daun sεndrכm.
- Dis na ‘skrinin’ tɛst we de mɛzhɔ di risk, nɔto ‘diagnostic’ tɛst we de difinitiv wan fɔ no di sik.
- If di rizɔlt na ‘Abnormal’, nɔ panik, i jɔs min se dɛn nid fɔ du mɔ tɛst.
- Bifo yu du ɛni tɛst ɛn afta yu dɔn gɛt di rizɔlt, tɔk to yu dɔktɔ bɔt ɔl di tin dɛn we de mɔna yu ɛn di tin dɛn we yu de dawt.
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