Naupai hi i nu naupai tan chuan hun hlimawm tak a ni. Mahse, i nausen piang lai hriselna chungchangah hlauhna leh rinhlelhna engemaw zat neih chu thil pangngai tak a ni bawk. Hetih lai hian doctor-in scan leh thisen test a tihte bakah hian a chang chuan hming buaithlak tak nei test chungchang pawh zawh i ni thei bawk. Chutiang test pakhat chu ' Amniocentesis ' a ni. He hming i hriat hian hlauhna i nei tawh mai thei. Chuvangin, vawiin hian he thu hi awlsam takin sawi ila, chutiang chungchanga i zawhna zawng zawng chu a chiang thei ang.
A awlsam zawngin, amniocentesis chu eng nge ni?
I hria em, naute pum chhungah hian tui ang maia tui a awm a. Hei hi ‘amniotic fluid’ kan ti a. He tui hi tui chauh a ni lo. Naute cell nung, protein (entir nan, alpha-fetoprotein - AFP), leh thil pawimawh tam tak a keng tel a ni. Hengte hian naute hriselna chungchang tam tak a pholang thei a, a bik takin genetic information a pholang thei a ni.
Amniocentesis hi i pum chhungah needle te tak te tak te dahin, scan kaihhruaina hnuaiah, amniotic fluid sample tlemte (teaspoon khat vel) lak a ni. Naute cell te enfiahin naute chromosome chungchang information an la chhuak thin. Hemi atan hian test bik `(karyotype test)` leh `(FISH test)` te hman theih a ni.
A pawimawh ber chu thisen test awlsam tak ( NIPT ang chi) hian naute chu natna engemaw a vei theihna tur ‘at risk’ a nih leh nih loh chauh a en a ni. Mahse, amniocentesis test chuan nau piangsual pakhat a awm leh awm loh chu chiang takin a hriat theih a ni .
He test-ah hian eng nge hmuh theih?
Doctor ten he test hi mi zawng zawng tan an rawt lo. Risk tlem tak a keng tel avangin, nu, genetic condition vei theihna risk sang tak nei tan chauh tih a ni. Hetiang dinhmunah hian doctor pakhat chuan he test hi a rawt mai thei ang tih han ngaihtuah teh:
- Scan emaw thisen test emaw i neih tawhah thil danglam i hmuh chuan.
- I pasal chhungkuaa tu emaw chuan thlah natna emaw, piansualna emaw nei tawh an nih chuan.
- Tun hmain nau piangsual nei i lo nei tawh a nih chuan.
- He naupai lai hian genetic test dang tih result chu a dik lo a nih chuan.
Amniocentesis hian nau piangsual zawng zawng a hmuchhuak thei lo nain, a hnuaia genetic condition lian ber berte hi a hre thei a ni .
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Down syndrome tih hi a ni | Chromosome extra awm avanga lo awm thin. |
| Sickle cell natna a ni | Thisen sen (red blood cells) pianzia danglam vanga lo awm natna a ni. |
| Cystic fibrosis natna (cystic fibrosis) a awm thin | Lung leh digestive system ang chi hmuna thick mucus siam chhuah. |
| Muscular dystrophy a awm thin | Natna a ni a, taksa ruhte chu zawi zawiin a chak lo va, a atrophy a ni. |
| Neural tube a chhiatna a awm | Naute thluak leh ruhro (spinal cord) a lo thanglian tha lo tihna a ni. Entirnan, ruhro (spina bifida) te. |
Tin, he test neih ruala scan tih hian nau piangsual dang, cleft palate/lip te pawh a hmuchhuak thei bawk. I duh chuan he test hian naute sex chu 100% dik takin a hre thei bawk .
Engtikah nge he test hi tih a nih?
He test hi naupai kar 15 leh kar 18 inkarah tih thin a ni tlangpui.
Hei hi engtiang chiahin nge a dik?
Amniocentesis hi 99.4% velin a dik a ni . A tlem hle a, technical thil vangin result a awm lo thei a, chu chu tui tling tawk lakkhawm a nih loh vang a ni.
Test-na atana risk leh option hrang hrangte
Hei hi mi tam takin an harsatna lian ber a ni. Dik tak chuan he test atanga nau pai theihna chance hi a tlem hle . Chumi awmzia chu1% aia tlem (a tlangpuiin mi 1000 zinga 1). Chumi piah lamah chuan nu emaw naute emaw hliam, hri kai, etc. ang chi thil thleng theihna chance pawh a tlem hle.
A lehlamah chuan naute hian Rhesus disease (nu thisena antibodies-in naute thisen cell a tihchhiatna) emaw, kea natna club foot tih emaw a neih theihna chance a tlem hle tih pawh sawi a ni bawk.
Hetiang hi i ti duh tak tak em? Ni lo, hei hi nang leh i pasal inkara thutlukna siam vek a ni. Test hmain i doctor emaw genetic counselor emaw chuan a thatna leh that lohna zawng zawng a hrilhfiah vek ang che. Tichuan thutlukna chu i siam thei tawh ang.
Thil dang duhthlan tur a awm em?
Awle. Test dang pakhat `(chorionic villus sampling - CVS)` tih a awm bawk. Hei hian naute amniotic fluid ai chuan placenta sample tlemte tak tak lak a huam a ni. CVS test thatna pakhat chu naupai tirh lamah, kar 10 leh kar 13 inkarah tih theih a ni. Mahse, risk tlemte a keng tel bawk. I doctor nen inbia la, i tan eng nge tha ber tih rel rawh.
Test tih dan tur
Hetiang kalphung hi a ngaihnawm angin a hlauhawm lo. A tih zawng zawng hi minute 30 vel a ni.
1. Inbuatsaihna: A hmasa berin i pum chhung hmun tlemte chu antiseptic solution hmangin i silfai ang. Chu hmunah chuan natna tihziaawmna turin local anesthetic pek theih a ni.
2. Scan: Chumi hnuah doctor chuan scanner hmangin naute awmna leh nausen awmna dik tak chu a zawng chhuak thin.
3. Sample lak: Tichuan, scan enkawlna hnuaiah uluk takin naute awmna amniotic sac atang hian tui tlem te te chu a pum chhung kaltlangin nausen pum chhungah an dah lut a.
4. A hnuah: Sample lak zawhah darkar khat vel an enkawl ang che, side effect a awm loh nan. Mild cramping engemaw zat i nei thei a, chu chu menstrual cramps ang chiah a ni. Hei hi thil pangngai a ni.
Results leh a hnua tih tur
Test result kimchang hmuh theih nan kar 2 atanga kar 3 vel a ngai tlangpui. Down syndrome ang chi natna thenkhat tan chuan ni engemaw zat hnuah a tir lama result a awm thei.
Results-ah harsatna a awm tih a lan chuan counselor emaw doctor emaw nen inbiakna hun remchang i nei ang a, thil awmdan leh hmalam pan zel tura i duhthlan turte sawihona hun i nei ang. Tunah chuan nausen piangsual thenkhat (spina bifida ang chi) chu naute pum chhunga a la awm laiin surgery hmanga enkawl theih a ni tawh.
Test zawhah chawlh hahdam rawh
In lama haw a, test ni-a chawlh hahdam a pawimawh hle.
- Exercise engmah ti suh.
- Pound 20 aia rit (naupang pawh tel) chu chawi suh.
- Sex hmang suh.
- Harsatna i neih chuan darkar 4 danah paracetamol i ei thei.
A tuk atang chuan doctor in thurawn dang a pek che loh chuan a hma ang bawkin hna i thawk leh thei tawh ang.
Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.
- Khawsik emaw, khawsik emaw.
- Vaginal atanga thisen emaw tui dang emaw chhuak.
- Uterine contraction (abdominal cramping) fo thin.
- Pum natna pangngai aiin a na zawk.
Take-Home Thuchah a ni
- Amniocentesis hi naute hian piansualna a neih leh neih loh enfiahna a ni.
- Hei hi mi zawng zawng tan fiahna a ni lo. Chhungkaw history emaw scan report emaw avanga chhan bik avanga risk sang zawk nei tan chauh a tha.
- Nau pai theihna a tlem hle nachungin, a hriat chian a pawimawh hle.
- He test hi neih leh neih loh chungchanga thutlukna hnuhnung ber chu nang leh i pasal kutah a awm a ni.
- I hlauhthawn leh rinhlelhna i neih apiang chu hreh lovin i doctor nen inbia ang che.
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