Nausen pum chhunga genetic problem awmte hi kan hmu hmasa thei ang em? (Chorionic Villus Sampling - CVS) chungchang hi han sawi ila!

Nu ni tur i nih chuan i pum chhunga naupang te tak te hi i ngaihtuah nasa hle mai thei, a dik em? A hrisel em tih leh harsatna a nei em tih ngaihtuah hi thil pangngai a ni. Chutiang hunah chuan naute chhunga genetic condition emaw congenital disorder thenkhat hriat theihna tura puitu, ``Chorionic Villus Sampling`` emaw ``CVS`` test emaw tih special test a awm bawk. Hemi chungchang hi chipchiar zawkin kan sawi dawn em ni?

A awlsam zawngin sawi ila, he `CVS` test hi naupai tirh lam, kar 10 leh kar 13 inkar vela tih theih a ni. Chu chu nausen atanga cell sample tlemte tak tak , `Chorionic villi` an tih chu lak a, enfiah a ni. Heng `Chorionic villi` cells te hi fertilized egg atanga siam a nih avangin an genetic information hi naute genetic information nen a inang tlangpui. Chuvangin, heng cell te hi laboratory-ah thawnin naute hian genetic condition a nei em tih enfiah a ni. Hei hian naute mipa leh hmeichhia pawh a hril thei a ni.

Engvangin nge he CVS test hi tih a nih? Tu tan nge a recommend?

Tunah chuan i ngaihtuah mai thei, mi zawng zawng hian he `CVS` test hi neih a ngai em? A tak tak lo. Nau neih hmaa i enkawlnaah chuan thil tih ngei ngei tur a ni lo. Doctor-te chuan he test hi risk factor thenkhat nei tan chauh an rawt a, a nih loh leh non-invasive prenatal screening dang emaw ultrasound scan-a thil danglam a awm chuan emaw chauh an rawt a ni. Mahse, he test hi neih leh neih loh thutlukna chu nangmah thu a ni . Hei hi a thatna leh that lohna te chu i doctor nen in sawiho thei a, i thutlukna i siam thei bawk.

Doctor-te chuan a hnuaia thil awmte hi CVS test neih an rawt thei ang:

• Fa hmasa ber, genetic condition nei i neih chuan.
• Naute i neih laiin kum 35 aia upa i nih chuan.
• Scan hmasa emaw test dang emaw atanga naute chu genetic condition neih theihna a sang zawk tih hmuhchhuah a nih chuan.
• Nangmah emaw, i kawppui emaw, i chhungte tu emaw pawhin genetic disorder (a nih loh leh history nei tawh) i neih chuan.

Engtikah nge CVS test skip hi a pawi?

Mahse, a then phei chuan doctor ten he test hi nei lo turin an fuih thei che a ni. Chu chu engtikah nge a nih tih i en ang u.

• I naupai lai khan vaginal bleeding i nei tawh a nih chuan.
• Infection i neih chuan, entirnan sexually transmitted infection (STI) i neih chuan.

CVS hian eng dinhmun nge a hriat theih?

He `CVS` test hmang hian eng chiah nge hriat theih? Hei hian a bik takin genetic disease thenkhat, a bik takin chromosomes lama harsatna awmte hriatchhuahna kawngah a pui ber a ni. Chromosomes hi naute `DNA` leh genetic makeup awmna thil a ni tih i hria em. Chuvangin, he test hian heng chromosome te hi a tam lutuk em tih te, a tlem lutuk em tih te, a nih loh leh chromosome te structure ah hian inthlak danglamna lian tham a awm em tih te a enfiah thei a ni. Chutiang chromosomal inthlak danglamna avang hian congenital disorder thenkhat leh hriselna lama harsatna dang a awm thin.

Entirna tlemte pe tur chuan:

• Down syndrome emaw Trisomy emaw a awm thei 21
• Cystic fibrosis natna (cystic fibrosis) a awm thin
• Sickle cell natna a ni
• Tay-Sachs natna a ni
• Trisomy 18 emaw Edward syndrome emaw a ni thei
• Trisomy 13 emaw Patau Syndrome emaw a ni thei

CVS test-in a hriat theih loh thil a awm em?

Ni e, thil pakhat hriat reng tur. He `CVS` test hian nau piangsual zawng zawng a hmu thei lo . Entirnan, `Neural tube defects (NTDs)` tih ang chi, naute ruhro emaw thluaka harsatna awmte chu he test hmang hian hriat theih a ni lo. `(Spina bifida)` tih hi i hre tawh em? Chu chu thil chu a ni. Chutiang dinhmun hriat theihna tur test dang pawh a awm a, entirnan, `(Alpha-fetoprotein (AFP) test)` a tha a, `(Amniocentesis)` a tha bawk.

Tin, naute taksaa structural defect thenkhat, thinlung natna, hmui cleft, emaw cleft palate te hi he `CVS` test hmang hian hriat theih a ni lo. Hengte hi `Ultrasound` scan hmanga hriat theih a ni tlangpui a, naupai kar 18 leh kar 20 inkarah tih thin a ni.

CVS test hma hian eng nge thleng thin?

Okay, CVS test neih i tum ta ang u. Chumi hma chuan eng thil nge thleng? Genetic counseling emaw, maternal-fetal medicine specialist emaw hnenah genetic counseling atan refer i ni tlangpui ang. He counselor hian test a hlauhawmna leh a hlawkna te chu a hrilhfiah ang che. Hei bakah hian ultrasound scan hmangin kar engzat nge i naupai tih chiang taka hriat theih a ni bawk ang. Hei hian CVS test neih hun tha ber tur a hriat theih nan a pui dawn a ni.

CVS test hi engtin nge an tih thin? A na em?

Mi tam takin zawhna an neih chu CVS test hian a ti na em tih hi a ni. A hrehawm tak tak lo, mahse tlem chuan i hrehawm lo mai thei. Doctor ten he test hi an tih dan kawng hnih a awm a:

1. Vagina kaltlangin (Trans-cervical method) .

Hemi a thil thleng chu, i vagina-ah hian `(Speculum)` an tih device an dah lut a ni. Duck beak ang maia siam device te tak te a ni a, hei hi `(Pap test)` i neih tawh chuan i hmu tawh mai thei. Hei hi vagina bang te chu tlem a tizau nan an hmang a, doctor chuan `(Cervix)` kaltlangin plastic tube te tak te a thun lut thin. Tichuan, `(Ultrasound)` scan kaihhruaina hnuaiah tube chu `(Placenta)` awmna hmunah an thawn a, chuta tang chuan `(Chorionic villi)` cell sample chu lak a ni.

2. Pum chhung kaltlangin (Trans-abdominal method) .

Hetiang tih danah hian ultrasound scan hmanga kaihhruaina hnuaiah doctor chuan i pum vun kaltlangin needle te tak te chu nausen chhungah a dah lut a, cell sample a la thin. He transabdominal procedure-ah hian i rilru hahna tihziaawmna turin local anesthesia pek i ni thei bawk.

Heng pahnih hmang hian test zawh nan minute 30 aia rei lo a ngai a ni.

CVS test hnuah eng nge thleng?

CVS test zawhah haw nghal theih a ni. In haw hnuah darkar engemaw zat chawlh hahdam a tha ber. Mi tam zawk chuan a tuk zingah hna pangngai an thawk leh thei a ni. Mahse, i doctor chuan ni hnih aṭanga ni thum chhûng chu mipat hmeichhiatna hman loh, exercise, a nih loh leh thiltih hahthlak tak takte pumpelh tûrin a ti thei che a ni .

A vawi hnihna atan CVS test neih a ngai em?

A châng chuan CVS test vawi hnihna neih a ngai thei bawk. Hei hi a tlem hle. Chumi awmzia chu test hmasa ber khan cell a khawlkhawm tlem a nih chuan a vawi hnihna atan cell mamawh zat i hmuh theih nan i tih a ngai mai thei tihna a ni.

Tin, twins i nei a, naute tin hian placenta hrang hrang an nei a nih chuan naute pakhat tan CVS test vawi hnih neih a ngai mai thei bawk.

CVS test hian eng risk leh side effect nge a neih?

Test zawhah i pum chhungah a na deuh mai thei. Vaginal spotting pawh hi thil pangngai a ni. Test hi pum chhunga tih a nih chuan i pum chhungah cramping pain tlem i nei thei.

CVS test hi a tlangpuiin a him a, mahse risk engemaw zat nei lo a ni lo . Heng hlauhawmnate hi doctor nen sawiho a, hriatthiam a pawimawh. Chu risk te chu eng nge ni tih hi han thlir ila:

• Nau pai: CVS test atanga nau pai theihna hi mi 100 zinga 1 aia tlem a ni a, a nih loh leh 1% aia tlem a ni . Chu chu percentage hniam tak a ni.
• Infection: Damdawi lam thil dang ang bawkin natna kai theihna chance a tlem hle.
• Limb deformities: A tlem hle a, a bik takin CVS test hi naupai kar 10 hmaa tih a nih chuan naute chu limb deformity neia piang a nih theihna chance a awm. Chuvang chuan a hun taka tih a pawimawh a ni.
• Thisen chhuah: Thisen chhuah ṭhenkhat chu a pangngai a nih laiin, a tlem berah chuan CVS hnuah vaginal bleeding nasa tak a awm thei.
• Amniotic fluid leak chhuak:A châng chuan amniotic fluid (naute vêla tui) tam lutuk chu a leak chhuak thei a, chu chuan naupai laiin harsatna a thlen thei a ni.
• Rh sensitization: Hei hi i thisen chi hrang hrang Rh-negative leh i nausen piang lo chu Rh-positive a nih chuan a thleng thin a, thisen chi hnih hi a inhmeh lo. Mahse, hei hi enkawlna a awm.

CVS testing hian eng hlawkna nge a neih?

He `CVS` test hian a thatna lian ber chu naupai tirh lamah genetic test result i hre thei a ni . He thu hi hriat lawk hian hriselna chungchanga thutlukna siam thuai theihna a siam a ni.

Entîr nân, i naute’n a pian hnua a mamawh enkawlna bik eng pawh atân i inbuatsaih lâwk thei a ni. A nih loh leh, naupai chhunzawm leh chhunzawm loh tur chungchanga thutlukna siam hunah he thu hi a pawimawh thei bawk.

A thatna pawimawh dang chu he `CVS` test hi 99% vel a dik a ni . He test result hi i ring thei tihna a ni.

CVS test result hi eng chen nge a ngaih?

Doctor chuan `(Chorionic villi)` sample a la a, laboratory-ah a thawn a. Chuta specialist-te chuan cell-te chu tui bik takah an tipung a, ni engemaw zat chhungin an test a ni. A tlangpuiin ni engemaw zat chhungin initial result i hmu thei. Mahse, condition thenkhat chu test nan hian hun rei vak lo a ngai thin. Heng result te hi a lo let leh theih nan ni 10 emaw kar hnih emaw vel a ngai thei. I genetic counselor chuan result hnuhnung ber chu a rawn biak ang che a, chu chu a sawipui ang che. A tul chuan test dang i tih tur chungchang pawh an sawiho thei bawk.

CVS test hi engtiang chiahin nge a dik?

Ka sawi tawh ang khan CVS test hi 99% vel a dik a ni . Mahse, he test hian genetic condition nasat dan chu dik takin a hre thei lo.

Tin, a chang chuan test result hi placental-specific a ni thei bawk. Chu chu a dik lo chu nausen chhungah chauh a awm a, nausen pum chhunga naute chu a nghawng lo tihna a ni. Hei hi case zawng zawng zinga 1% atanga 2% ah chauh a thleng thin.

CVS test result a positive a nih chuan eng nge tih tur?

CVS test result atanga i naute piang lai hian genetic condition a nei tih a hriat chuan i counselor, i kawppui leh i doctor te nen inbiain i tih tur i rel thei ang. I doctor emaw, genetic counselor emaw chuan CVS test result awmzia tak tak hriatthiamna kawngah a pui thei che a ni. Tichuan hmalam panna kawngah thutlukna tha ber ber i siam thei ang.

CVS test zawhah engtikah nge doctor ka hmuh ang?

CVS i neih hnua i pum na, i hrual, thisen chhuak, a bo lo emaw, a pung emaw i neih chuan doctor pan nghal rawh. A hnuaia symptoms te hi i neih chuan doctor hnenah pawh i hrilh tur a ni:

• Amniotic fluid a leak ang maia i hriat chuan ( zun tlem i pass ang maiin a lang thei).
• Khawsik leh khawsik nei ang maia i hriat chuan.
• I pum natna bakah contractions i neih chuan.
• Khawsik i neih chuan.

CVS test leh Amniocentesis test hi eng nge an danglamna?

Zawhna dang mi tam takin an zawh chu `CVS` test leh `(Amniocentesis)` test hi eng nge a danglamna tih hi a ni. Heng pahnihte hi nausen pum chhunga naute genetic condition enfiahna test a ni. Mahse, an pahnih hian danglamna engemaw zat a awm a:

• Engtikah nge: Heng test pahnih hi naupai laiin hun hrang hrangah tih thin a ni. CVS hi naupai tirh lamah (kar 10 leh 12 inkar) tih a ni a, chuvangin i naute hian genetic condition a neih leh neih loh i hre thuai thei ang. Amniocentesis hi naupai atanga kar 16 vel ah tih thin a ni.
• Thil awm dan hriat theih: Amniocentesis hian neural tube defects (NTDs) leh spina bifida ang chi dinhmun a hmu thei a. CVS hian heng dinhmunte hi a hmu thei lo.
• Nau pai theihna: ``Amniocentesis'' test neih chhunga nau pai theihna hi ``CVS'' aiin a hniam deuh a ni.
• Rh incompatibility: Rh incompatibility hi amniocentesis hmangin test theih a ni.
• Confirmation: A tlem hle a, CVS test result finfiah nan amniocentesis test tih a ni thei.

I doctor chuan i risk factors te chu a sawipui thei a, heng test zinga pakhat, pahnih, emaw, pakhat mah emaw nei lo turin a rawt thei bawk.

CVS test chungchangah hian doctor hnenah eng zawhna nge ka zawh tur?

Naupai i nih chuan doctor hnenah hetiang zawhna hi zawh a pawimawh hle:

• "Naupai lai hian prenatal testing neih a ngai em?"
• "Ka naute hian chromosomal problem emaw genetic problem dang emaw a neih theihna chance a sang zawk em?"
• "Ka tan chuan `CVS` test nge `(Amniocentesis)` test hi a tha zawk em?"
• "He test hi ka tih chuan eng nge nau pai theihna risk?"
• "`CVS` test zawhah eng thil nge ka hriat tur?"
• "`CVS` test result atang hian eng chiah nge ka zir theih ang?"

I hriat reng tur pawimawh ber berte

Chorionic Villus Sampling (CVS) hi i naute zingah hian genetic problem thenkhat a awm leh awm loh enfiah thin a ni. Test ngei ngei tur a ni lo . I neih i tum chuan naupai kar 10 leh kar 13 inkarah tih a ni tlangpui. Test hi a him a, result pawh a dik a, mahse hlauhawmna engemaw zat a awm. CVS test result hian hriselna chungchanga thutlukna pawimawh siam turin a pui thei che a ni. Genetic condition nei naute neih theihna chance sang tak i neih chuan i doctor nen inbia ang che. CVS test hi i tan a tha em tih ngaihtuah turin an pui ang che.

` CVS test, naupai test, thlahtute natna, nausen, nau piangsual, (Chorionic Villus Sampling), (Prenatal Diagnosis)