Nu i nih dawn tih i hriat veleh hlimna i neih chu sawifiah theih loh a ni lawm ni? Mahse, chutih rual chuan i thinlungah hlauhna tlem a awm bawk. "Ka naute hi a hrisel dawn em ni? Engkim a kal tha em?" Chutiang zawhna i rilruah i neih chuan thil pangngai tak a ni. Nu ni tur zawng zawng deuhthaw hian heng rilru put hmang hi an hre vek a ni. Chuvangin, nang leh i naute hriselna enfiah turin i naupai chhung zawng hian scan leh thisen test hrang hrang kan nei thin. Vawiin hian scan hmasa ber pakhat, early scan chungchang kan sawi dawn a ni. Chu chu NT scan a ni.
A awlsam zawngin sawi ila, he Nuchal Translucency (NT) scan hi eng nge ni?
Okay, hei hi awlsam takin han sawifiah ila. I pum chhunga i naupang te hian vun hnuaiah, a kawr hnung lamah tui tlem a nei a. Hei hi naute tin tan chuan thil pangngai tak a ni. Damdawi lam hawi chuan hei hi Nuchal Translucency (NT) kan ti a.
Nuchal (“nu-kal” tia lam tur) tih hian kawr hnunglam hmun a kawk a.
Translucency (trans-lu-sun-si) tih hian eng emaw, thlipui emaw thil pakhat kal tlanga a kal dan a kawk a, chu chu a translucent nature tihna a ni.
Chuvangin, he NT scan hian a tih chu ultrasound technology hmanga i naute kawr hnung lama he fluid membrane thickness tehna hi a ni. He tehna hi millimeter-a teh a ni.
A pawimawh ber chu hei hi diagnostic test a ni lo. Hei hi screening test a ni. Chu chu, he scan chauh hian "i naute hian autism a nei" tih hi 100% chiang takin a sawi thei lo tihna a ni. Mahse, naute chu genetic emaw chromosomal abnormality engemaw tak (Chromosomal or Genetic variant) nei thei tura hlauhawm a nih leh nih loh tehna atan eng emaw chen chu a pui thei a ni.
Engvangin nge he NT scan hi a pawimawh em em? Eng nge a zawn?
Doctor leh scientist te chuan naute chromosomal abnormalities thenkhat nei te hian naute pangngai aiin an kawr hnung lamah he tui hi a tam zawk deuh niin an hmuchhuak a. Chuvangin, NT value chu a tlangpui aia sang a nih chuan, condition thenkhat tan risk engemaw zat a awm thei tih hriattirna mai a ni.
He scan hian risk a tehna tur condition lian ber berte chu:
- Down syndrome (Down syndrome - Trisomy 21) natna a awm lo.
- Edwards natna (Edwards natna - Trisomy 18) 19. A rilru a hah lutuk chuan a rilru a buai em em a.
- Patau natna (Patau natna - Trisomy 13) .
Hengte hi chromosomal abnormalities awm tam ber an ni. Tin, NT value sang tak hian nauteah hian pianpui thinlung natna (congenital heart condition) a awm theihna a tilang thei bawk.
Tin, he scan hi a tih hian doctor chuan naute taksaa taksa peng bulpui engemaw zat lo thanglian chu a pangngaiin a thleng em tih a enfiah bawk.
Naupai lai hian engtik laiin nge NT scan hi tih thin?
Hei pawh hi zawhna pawimawh tak a ni. NT scan hi hun bituk chhunga tih theih chauh a ni .
Chu chu naupai kar 11 atanga kar 13 leh ni 6 inkar a ni.
Phên dangin sawi ila, naute crown-rump sei zawng chu millimeter 45 leh 84 inkar a nih chuan.
Hei hi chhan bik a awm. Naupai kar 14 hnuah naute a lo seilian chhoh zel chuan taksain a kawr hnung lama tui awm thenkhat chu a hip lut tan thin. Chumi hnuah chuan he tehna dik tak hi hmuh a harsa hle. Chuvangin he hun bituk chhunga scan neih hi a pawimawh hle.
He NT scan hi first-trimester screening test-a tel ve angin tih a ni tlangpui a, chu chu thisen test dang pawh a rualin tih a ni tihna a ni.
Chuti a nih chuan he first-trimester screening hi eng nge ni?
Hei hi "Combined Test" tia hriat a ni bawk. Hei hian NT scan result leh i hnen atanga thisen test lak chhuah result te chu inzawm khawm a, computer software hmanga naute chu hlauhawma a awm leh awm loh chhut a huam a ni. Thisen test nena inzawm chuan NT scan chauh a tih aiin a dik zawk a ni.
Engtin nge a rah chhuah chu ka hriatthiam theih ang? Ka hlau tur em ni?
Hei hi nu tam takte harsatna lian ber a ni. Results a lo luh chuan a buaithlak thei a, a lungchhiatthlak thei bawk. Mahse, lungngai suh. Hei hi engtin nge a kal zel dawn tih i lo en ang u.
Doctor chuan result chu "risk" angin a pe ang che. Chu chu Mathematic value angin a ni. Entirnan, i report-ah chuan "500 zinga 1" tih a ni thei.
- Hei hian eng nge a awmzia?
Chumi awmzia chu i result inang (NT score, thisen report, kum, etc.) nei nu 500 i lak chuan an zinga pakhat chauhvin genetic condition nei naute neih theihna chance a nei tihna a ni. Chumi awmzia chu i naute chu harsatna nei lovin hrisel taka a pian theihna chance 499 a awm tihna a ni.
Chuvangin, hei hi chance , thutlukna mumal tak a ni lo niin a lang .
| Result chi hrang hrang | Simple meaning leh eng nge lo awm leh dawn? |
|---|---|
| Risk outcome hniam tak a ni (e.g. mi 1000 zinga 1, mi 5000 zinga 1) | Naute hian chromosomal abnormality a neih theihna chance a hniam hle tih a tilang a ni. A tlangpuiin tun dinhmunah hian special test dang tih a ngai lo. I doctor chuan a hma ang bawkin naupai laiin test dang a ti chhunzawm zel ang. |
| Risk sang tak a ni (Entirnan: 100 zinga 1, 50 zinga 1) | Hei hian naute hian a natna hi a nei tihna a ni lo. Mahse, a awm theihna/risk chu a sang hle. Chutiang hunah chuan i doctor chuan test dang neih belh turin a refer thei che a ni. Hlauthawng suh la, hemi chungchang hi i doctor nen fimkhur takin sawipui rawh. |
NT value pangngai chu eng nge ni?
Naute a lo seilian chhoh zel chuan NT value pawh a danglam deuh deuh bawk. Mahse a tlangpuiin doctor tam zawk chuan 3.0 emaw 3.5 mm aia tlem value chu thil pangngaiah an ngai. Mahse, he hlutna ringawt hi thutlukna siam nan hman a ni lo. Risk chu engkim, i kum leh thisen test result te hi lakkhawm vek atanga chhut a ni. Chuvangin report-a number pakhat chauh enin nangmah ngeiin thutlukna siam suh. Doctor hnenah entir la, hrilhfiah ngei ang che.
Result-ah risk a sang tih a lan chuan engtin nge i tih ang?
A hmasa berin thawk la la, thlamuang rawh. Naute risk sang tak nei zawng zawng hian harsatna an nei vek lo. Chu chu i enfiah belh a ngai tihna chauh a ni.
I doctor chuan specialist emaw genetic counselor emaw hnenah a refer ang che a, a hnua i tih tur chu a hrilhfiah ang che. Test dang tih tur a ni tlangpui chu:
- Chorionic Villus Sampling (CVS): Hei hi naupai atanga kar 11-14 inkar test a ni. Chu chu nausen atanga tissue te tak te lak a, naute chromosomes enfiah a ni.
- Amniocentesis: Hei hi naupai kar 15 hnua test a ni. Naute chhehvel amniotic fluid sample tlemte lak a ni a, test a ni.
Heng test pahnih hi diagnostic test a ni. Chumi awmzia chu result 99% aia tam a dik tihna a ni. Heng test-te hian hlauhawmna a tlem hle a, chuvangin nang leh i kawppui nen chuan i doctor nen in neih leh neih loh chu in sawiho thei ang.
NT scan value sang tak pawh ni se, test belh leh chuan naute hian harsatna a nei lo tih a nemnghet tih hi hriat reng tur a ni. Chuvangin lungngai suh.
Take-Home Thuchah a ni
- NT scan hi naupai thla thum khatna (kar 11-13) chhunga ultrasound test tih a ni a, naute kawr hnung lama amniotic fluid thickness tehna a ni.
- Hei hi natna hriat theihna test a ni lo va, Down syndrome ang chi chromosomal abnormalities awm theihna tur test a ni zawk.
- Result dik zawk hmuh theih nan NT scan rual hian thisen test (Combined Test) an ti thin.
- A result chu "High Risk" a nih chuan lungngai suh. Naute chungchangah hian harsatna a awm ngei ang tihna a ni lo va, test dang neih belh a ngai a ni.
- I result emaw, i ngaihtuahna emaw i neih chuan i doctor nen zalen takin sawi rawh. Online-a thu hriatte hmanga thutlukna siamah zuang lut suh.
- He scan hian nangmah emaw i naute emaw a tichhe lovang. Test him tak a ni.
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