If yu na mama we go bi mama, yu dɔktɔ kin dɔn tɛl yu bɔt ‘NT skan’, ɔ ‘fɔs trimɛst skrinin’. We yu yɛri dis nem, i kin mek yu fred smɔl ɛn want fɔ no mɔ. Bɔt fɔ tru, na wan rili simpul tɛst, ɛn natin nɔ de fɔ fred. Insay dis atikul, wi go tɔk bɔt ɔl wetin yu nid fɔ no bɔt dis NT skan.
Wetin rili na NT skan?
Fɔ tɔk am simpul wan, NT skan na spɛshal ɔltra saund skan we dɛn kin du insay di fɔs tri mɔnt we yu gɛt bɛlɛ, bitwin wik 11 ɛn 14. di ful nem fɔ dis na di Nuchal Translucency skan. I kin mɔs luk pan di risk fɔ mek yu pikin gɛt sɔm jɛnɛtik kɔndishɔn, lɛk Daun sindrom.
Bɔku tɛm, dɛn kin du sɔm ɔda blɔd tɛst dɛn wit dis skan. Dɛn blɔd tɛst ya kin luk aw sɔm ɔmon ɛn prɔtin dɛn de na yu blɔd. Fɔ ɛgzampul:
- Fri beta- Yuman Kɔriɔnik Gɔnadotropin (b-hCG) .
- Plasma protin-A we gɛt fɔ du wit bɛlɛ (PAPP-A) .
- Alfa-fεtoprotεin (AFP) .
dis כmon dεm εn protin dεm de insay εvri uman we bεlε in bכdi. Bɔt if di pikin gɛt wan sik lɛk Daun sindrom , dɛn lɛvɛl kin smɔl ɔ pas aw i kin bi. we dεn du di NT skan εn dεn blכd tεst dεm ya tכgeda, wi kin kכl am ‘kכmbayn fכs trimεst skrεnin’ . Di tin dɛn we kin apin kin kɔrɛkt mɔ we dɛn du dɛn togɛda.
Wetin rili dis skan de luk fɔ?
Dis na tin we rili intrestin. εvri pikin we de gro na di bכdi gεt wan tכn mεmbran כnda di skin na di bak pat pan dεn nεk, we fulכp wit sכm wata. Wi kin kɔl dis di ‘nuchal fold’. Dis na sɔntin we ɔl pikin we gɛt wɛlbɔdi gɛt.
כltu, insay bebi dεm we gεt sכm jεnεtik kכndishכn dεm, mכr fכs wata pas nכmal de kכmכt na dis ‘nuchal fold’. Dɔn da mɛmbran de kin tik smɔl. Di NT skan de mɛzhɔ da tik de.
bay dis tik, i posibul fכ εstimat di risk fכ di pikin gεt wan sכm jεnεtik kכndishכn.
| Di Kɔndishɔn we dɛn Skrin | Simpul Ɛksplen |
|---|---|
| Daun sindrom (Dɔwn sindrom / Trisɔmi 21) . | Wan kɔndishɔn we wi sɛl dɛn gɛt ɛkstra kɔpi fɔ di kromozom 21, ɔ tri kɔpi dɛn, instead ɔf di tu we wi kin gɛt na wi sɛl dɛn. Dis kin afɛkt di divɛlɔpmɛnt pan in maynd ɛn bɔdi. |
| Trisɔmi 13 ɛn 18 | Dis na di sem tin wit di sik we dɛn kɔl Down syndrome. na ya, εkstra kכpi de fכ di kromozom 13 כ 18. Dis na kכndyushכn dεm we de mek pikin dεn bכn bad bad wan. |
| Turner sindrom we gɛt di sik | wan kכndyushכn we de כnli afekt uman bebi dεm we de kכri di X kromozom. insay dis kes, pat כ כl di X kromozom de mis. Dis kin mek yu gɛt prɔblɛm wit di divɛlɔpmɛnt ɛn at prɔblɛm. |
| Hat sik we dɛn bɔn wit | Sɔm at prɔblɛm dɛn kin de we dɛn bɔn am. Sɔm kin mek pɔsin in layf de pan denja, ɛn ɔda wan dɛn nɔ kin kɔz ɛni prɔblɛm atɔl. |
Bɔt i impɔtant fɔ mɛmba dis: Di NT skan na tɛst fɔ chɛk pɔsin , nɔto tɛst fɔ no if pɔsin gɛt di sik . Dat min se i nɔ de 100% garanti se yu pikin gɛt dɛn kɔndishɔn ya. I de sho nɔmɔ if di risk fɔ gɛt dis kayn sik bɔku ɔ smɔl.
Apat frɔm dis men pɔynt, di dɔktɔ go pe atɛnshɔn to bɔku ɔda tin dɛn we i de du dis skan.
- Yu pikin de gro fayn fayn wan?
- Ɔmɔs pikin dɛn de na di bɛlɛ?
- if dεn na twin, dεn de sheb di sem plasεnta?
- Mek shɔ se yu no gud gud wan aw lɔng yu gɛt bɛlɛ .
Wetin kin apin we dɛn de du NT skan?
Dis na nɔmal skan lɛk ɛni ɔda skan we yu dɔn gɛt bifo. Natin nɔ de we spɛshal. Dɛn go aks yu fɔ drink 2 to 3 glas wata lɛk wan awa bifo di skan. di rizin fכ dis na biכs i izi fכ si di pikin klia wan we yu blad fulכp. So nɔ pis bifo di skan. Pan ɔl we i kin fil bad smɔl, i go ɛp fɔ mek di skan go fayn.
We yu go insay di skan rum, dɛn go aks yu fɔ ledɔm na bed. Dɔn di tɛknishian go put smɔl jel na yu bɛlɛ we de dɔŋ ɛn pas wan smɔl inschrumɛnt (wand/probe) tru am fɔ tek pikchɔ. Yu go fil smɔl prɛshɔn dis tɛm, bɔt i nɔ go mek yu fil pen . We dɛn dɔn tek di pikchɔ dɛn we dɛn nid, di skan kin dɔn. Yu kin go na os lɛk aw yu kin go.
Yu tink se i nid fɔ mek dɛn du dis skan?
Nɔ, di NT skan nɔto tɛst we pɔsin fɔ du. Na tin we pɔsin kin disayd fɔ du atɔl. Dis min se yu gɛt di rayt fɔ disayd if yu fɔ gɛt am ɔ yu nɔ fɔ gɛt am.
Sɔm mama ɛn papa dɛn kin lɛk fɔ du dis tɛst ɛn no bifo tɛm bɔt di bad tin dɛn we kin apin to dɛn pikin in wɛlbɔdi. Da we de, if pikin de we gɛt spɛshal nid, dɛn kin gɛt tɛm fɔ rɛdi dɛn maynd ɛn ɔl ɔda we dɛn fɔ kia fɔ da pikin de.
Dɔn bak, sɔm mama ɛn papa dɛn kin fil se dis kayn tɛst kin mek pɔsin strɛs we i nɔ nid. Dɛn kin disayd nɔ fɔ du di tɛst if di rizɔlt nɔ chenj di we aw dɛn de kia fɔ dɛn pikin. Dɛn tu tin ya we dɛn disayd fɔ du na kɔrɛkt tin. Di impɔtant tin na fɔ mek yu ɛn yu patna disayd di bɛst fɔ yu, togɛda wit yu dɔktɔ if nid de.
Aw fɔ ɔndastand di skan rizɔlt?
as di pikin de gro na di bεlε, di nuchal fold we wi bin tכk bכt fכs de tik bak sכmtεm sכmtεm. So, dεn kכmpεr di mεzhɔmεnt we dεn gεt we dεn de skan wit di avεrej mεzjכmεnt fכ כda hεlty pikin dεm we gεt di sem ej.
| Rizɔlt | Tɔk bɔt |
|---|---|
| Avrej rizulyt (Lɔw Risk) . | dεn kin kכnsidr am nכmal fכ di mεzhɔ fכ 2 milimita (2mm) we i rich 11 wik εn i go rich 2.8 milimita (2.8mm) we i rich 13 wik εn 6 dez. Dis min se di pikin nɔ gɛt bɛtɛ risk fɔ gɛt wan sik we dɛn kɔl jenɛtik. |
| Abnɔmal rizɔlt (High Risk) . | if di mεzhɔmεnt de oba di nכmal rεnj we wi bin dכn mεnshכn, dεn kin kכnsidr am as "high risk" risכlt. Dis nכ min se di pikin gεt sik, bכt i nכ min se di risk bכku pas aw i nכmal. |
Yu dɔktɔ nɔ go jɔs yuz dis skan mɛzhɔmɛnt, bɔt i go yuz yu ej ɛn blɔd tɛst rizɔlt fɔ mek yu no di las diagnosis. we dεn kam togεda, di NT skan εn blכd tεst kin prεdikt di risk fכ jεnεtik kכndishכn wit lεk 85% akכda .
כltu, 5% chans de fכ "fals positifu" risכlt. Dis min se di pikin kin de pan ay risk, ivin if no prɔblɛm nɔ de.
Wetin fɔ du if di NT skan rizɔlt nɔ nɔmal?
Fɔs, nɔ panik . ‘high risk’ rizulεt nכ min se prכblεm de wit di pikin. I jɔs min se dɛn nid fɔ du mɔ tɛst.
Yu dɔktɔ go tɛl yu fɔ du ɔda tɛst dɛn we yu kin du. Dɛn tɛst ya kin mek dɛn no di sik 100% kɔrɛkt wan.
- Chorionic Villus Sampling (CVS): na ya, dεn de tek wan rili sכm pat pan di tisu frכm di plasεnta εn egzamin am.
- Amniocentesis: dis involv fכ tek sכm sכm sεmpl fכ di amniotic fluid we de na di uterus εn tεst am.
- di prεnatal sεl-fri DNA (cfDNA) skrεnin: Dis na simpul bכdi tεst we de analכz di pat dεm fכ yu pikin in DNA insay yu bכdi fכ skrεn fכ di jεnεtik kכndishכn dεm. ( Dis na simpul blɔd tɛst we de chɛk sɔm pat dɛn pan yu pikin in DNA na yu blɔd fɔ chɛk fɔ si if i gɛt jɛnɛtik.)
Yu dɔktɔ go ɛksplen to yu di gud, bad, ɛn di bad tin dɛn we kin apin to ɛni wan pan dɛn tɛst ya, ɛn i go mek yu no wetin de apin to yu. Dɔn, yu kin disayd if yu fɔ gɛt dɛn ɔ yu nɔ fɔ gɛt dɛn.
Mɛsej we dɛn kin kɛr go na os
- NT skan na ɔltra saund tɛst we rili sef ɛn we nɔ de mek pɔsin fil pen we dɛn kin du di fɔs tri mɔnt we uman gɛt bɛlɛ.
- I nɔ min se pɔsin fɔ du dis. I lɛf to yu ɔltogɛda.
- Dis kin tɛst fɔ di risk fɔ gɛt jɛnɛtik kɔndishɔn lɛk Daun sindrom, bɔt nɔ kin kɔnfɔm di prɛzɛns fɔ di sik.
- If yu gɛt ‘high risk’ rizɔlt, nɔ panik, bɔt tɔk to yu dɔktɔ fɔ mek dɛn du am mɔ tɛst.
- Nɔ ɛva shem fɔ tɔk ɛn mek ɔl yu prɔblɛm ɛn dawt dɛn klia wit yu dɔktɔ.
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