Yu na mama we go bi mama? Ɔ yu de plan fɔ bi wan pan dɛn jisnɔ? Dɔn tide wi go tɔk bɔt sɔm spɛshal tɛst dɛn we go ɛp yu fɔ no mɔ bɔt yu ɛn yu pikin we nɔ bɔn yet in wɛlbɔdi. Dis na wetin wi kin kɔl ‘jɛnɛtik tɛst ’. Bɔrku pan dɛn tɛst ya nɔr kin bi, bɔt di infɔmeshɔn wae dɛn kin gi kin ɛp yu fɔ plan fɔ yu ɛn yu famili tumara bambay.
Bifo uman bεlε: Jεnεtik Kεria Skrin
Fɔ tɔk am simpul wan, lɛ wi fɔs luk udat na ‘carrier’. Imajin se yu gɛt jin fɔ wan patikyula sik na yu jin, bɔt yu nɔ gɛt di sik. Dɔn dɛn kin kɔl yu ‘kɛriɔ’. So, dis tɛst kin no if yu ɛn yu patna gɛt di jin fɔ wan patikyula sik, ɛn if na so, wetin na di chans fɔ mek yu pikin gɛt da jin de.
Pan ɔl we dɛn kin du dis tɛst bifo yu gɛt bɛlɛ ɔ we yu gɛt bɛlɛ, i go fayn fɔ du am bifo yu gɛt bɛlɛ. Yu dɔktɔ go tek blɔd sɛmpul ɔ saliva sɛmpul frɔm yu fɔ du dis tɛst. Bɔku men kɔndishɔn dɛn de we dɛn kin skan fɔ wit dis tɛst.
| Men jenɛtik kɔndishɔn dɛn we dɛn tɛst fɔ |
|---|
| Sistik Faybrosis we pɔsin kin gɛt |
| Fragile X Sindrom we pɔsin kin gɛt |
| Siklɔs Sɛl Sik |
| Tay-Sachs Sik we pɔsin kin gɛt |
| Spinal Mɔskul Atrofi |
Pipul dɛn we kɔmɔt na sɔm trayb dɛn kin gɛt sɔm sik dɛn. Fɔ ɛgzampul, pipul dɛm we kɔmɔt na Afrika, Mɛditarenian ɛn Sawt Is Eshia kin gɛt siklɛt sik. So, i impɔtant fɔ no yu famili istri.Yu kin tɔk to yu dɔktɔ ɛn disayd if yu nid dis kayn tɛst.
di tεst dεm we dεn de du insay di fכs tri mכnt (insay 3 mכnt) we di bεlε de
We yu dɔn gɛt bɛlɛ, sɔm tɛst dɛn de we go ɛp yu fɔ no bɔt di bad tin dɛn we kin apin to yu pikin in wɛlbɔdi. Dɛn kɔl dɛn tin ya skrinin tɛst . Dɛn kin jɔs luk if yu de pan ‘risk’ fɔ wan patikyula sik.
- di tεst fכ di pikin in DNA we nכ gεt sεl: i wɔndaful fכ no se yu bכdi gεt sכm sכm sכm sכm dεm pan yu pikin in DNA. so, arawnd 10 wiks insay yu bεlε, dεn kin yuz bכdi sεmpl we dεn tek frכm yu fכ tεst yu pikin in DNA fכ si if yu de pan risk fכ sכm kכndyushכn dεm (e.g., Down syndrome, trisomy 18, trisomy 13).
- Sikuɛns skrin ɛn Integreted skrinin: Dɛn tu we ya kin jɔyn ɔltra saund skan ɛn blɔd tɛst fɔ chɛk fɔ Daun sindrom, trisomy 18, ɛn ɔda prɔblɛm dɛn we kin afɛkt di pikin in bren ɛn spɛnal kɔd. Dɛn kin bigin dɛn tɛst ya bitwin 10 ɛn 13 wik .
Di impɔtant tin na dat, dɛn tin ya na jɔs skrinin tɛst. If dɛn sho se prɔblɛm kin de, yu dɔktɔ go tɛl yu fɔ du ɔda patikyula tɛst fɔ no if i gɛt prɔblɛm.
di tεst dεm we dεn du insay di sεkכn trimεst (bitwin 3-6 mכnt) .
difrεn imכtant tεst dεm de na dis stej we di bεlε de.
- Maternal serum quad screen: Dis na blɔd tɛst bak. I de mɛzhɔ sɔm kayn prɔtin dɛn na yu blɔd fɔ si if yu pikin de pan denja fɔ gɛt Daun sindrom , trisomy 18, ɔ prɔblɛm wit in bren ɛn spɛnal kɔd. Dis kin bi bitwin 15 ɛn 21 wik .
- Ditayl Ultrasound Scan (Anomaly Scan): Dis skan we dɛn kin du arawnd 20 wiks, go mɔs bi se bɔku pipul dɛn sabi am. I de yuz sawnd wev fɔ chɛk di pikin in ɔgan dɛn. I kin no bɔt pikin dɛn we nɔ fayn lɛk at prɔblɛm, kidni prɔblɛm, ɛn cleft palate.
Diagnostik Tεst dεm: Amniocentesis εn CVS
If wan skrinin tɛst sho se di pikin de pan denja, na dɛn tɛst ya we dɛn kin du fɔ kɔnfɔm am 100% . Dɛn tin ya kin kɔrɛkt pas di tɛst we dɛn kin du fɔ chɛk pɔsin. Dɛn kɔl dɛn tin ya Diagnostic Tests.
Dɛn tu tɛst ya pas 99% kɔrɛkt.
Dɛn tɛst ya kin no kɔrɛkt wan bɔt di jenɛtik kɔndishɔn lɛk Daun sindrom. Bɔt nɔto ɔlman kin du dɛn tɛst ya. Bikɔs, pan ɔl we i rili smɔl, di risk de fɔ mek uman nɔ gɛt bɛlɛ wit dɛn tɛst ya. So, di dɔktɔ kin jɔs gi dɛn tin ya if di tɛst we dɛn de du fɔ chɛk pɔsin in sik sho se i gɛt prɔblɛm, ɔ if yu want fɔ mek dɛn du di tɛst we kɔrɛkt pas ɔl.
| Tɛst | Aw fɔ du am ɛn ustɛm |
|---|---|
| Sampling fɔ di chorionic villus (CVS) . | wan rili sכm pat pan di tisu dεn de tek am frכm di plasεnta we de insay di uterus. Dɛn kin du dis bitwin 10 ɛn 13 wik . |
| Amniocentesis we dɛn kin yuz | sכm sכm amniotic fluid dεn de kכl am tru yu bεlε we dεn de yuz wan tin nidul. Dis kin fayn fɔ du am bitwin 15 ɛn 20 wiks . |
If yu dɔktɔ tɛl yu bɔt dis kayn tɛst, i nɔ min se prɔblɛm rili de wit yu pikin. I jɔs min se dɛn nid fɔ kɔnfɔm di rizɔlt fɔ wan skrinin tɛst we dɛn bin dɔn du bifo. So, tɔk to yu dɔktɔ bɔt am gud gud wan, ɔndastand di gud ɛn bad tin dɛn, ɛn disayd fɔ du di rayt tin fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Bɔku pan dɛn jenɛtik tɛst ya na tɛst dɛn we yu kin pik fɔ du, nɔto we yu fɔ du, we yu kin pik.
- Skrin tεst dεm (e.g. Cell-free DNA, Quad screen) de כnli sho di risk fכ wan sik, we diagnostik tεst dεm (e.g. Amniocentesis, CVS) dεfinitivli kכnfכm wan sik.
- If di skrinin test rizulyt na risky, i nɔ min se yu pikin go mɔs gɛt prɔblɛm. Na jɔs rizin fɔ fɛn ɔda tɛst.
- Ɛni tɛst gɛt difrɛn bɛnifit dɛn, bad tin dɛn, ɛn prɔblɛm dɛn. I impɔtant fɔ tɔk bɔt ɔl dɛn tin ya opin wan wit yu dɔktɔ ɛn disayd fɔ du sɔntin we yu no.
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