Tunlai hian i pum chhunga mikhual thar avang hian i hlim hle tih kan hria. Chutih rual chuan naute hriselna chungchangah pawh tlem a hlauhthawn leh hlauhthawn hi thil pangngai a ni bawk. I doctor chuan naupai laiin test hrang hrang i tan a rawt mai thei. Chutiang test pakhat chu "Quad Marker Screen" a ni. He thu i hriat hian i hlauthawng deuh mai thei. Mahse vawiinah hian he thu hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.
Quad Marker Screen hi eng nge ni tak tak?
A awlsam zawngin sawi ila, hei hi naupai laiin thisen test tih dan pangngai a ni. Mahse hei hi a pawimawh ber chu diagnostic test a ni lo . I naute piang lai hian genetic condition emaw, piansualna emaw a neih theih dan tur screening test a ni.
Hetiang hian han ngaihtuah teh. Weather report chuan, "Vawiin hian ruah sur theihna chance 70% a awm," a ti. Chu chu ruah a sur ngei dawn tihna a ni lo, mahse ruah sur theihna chance a sang tihna a ni. Chutiang chuan he test hian hna a thawk a ni. Buaina a awm theih dan tur a hrilh mai che a ni.
He test hian risk factor lian tak tak a enfiah a:
- Down syndrome: Hei hi chromosomal abnormality a ni.
- Edwards syndrome (trisomy 18): Hei hi chromosomal abnormality na tak dang a ni bawk.
- Neural Tube Defects: Naute thluak emaw, ruhro (spinal cord) lo thanglian chhoh laia harsatna awm thei.
He test hi 100% a dik lo. Hei hian a chang chuan naute hrisel nei nu chuan "high risk" result a hmu thei tihna a ni. Tin, a tlem hle bawk, naute harsatna nei nu chuan "low risk" result a hmu thei bawk. Chuvangin, thutlukna siam hmain he test thatna leh that lohna te doctor nen sawiho hmasak a tha ber.
Engtin nge he test hi tih a nih a, engtikah nge tih a nih?
Hei hi a awlsam hle. I kut chhunga vein atanga thisen sample lak awlsam tak mai a ni. I naute a tichhe lovang. Thisen test pangngai ang maiin, pricking sensation tlemte chauh i nei ang.
He test hi naupai atanga kar 15 leh kar 22 inkar ah tih thin a ni . Mahse, a hun ṭha ber chu kar 16 leh kar 18 inkar nia ngaih a ni . Results hmuh theih nan ni eng emaw zat a la ngai thei.
Quad Marker Screen hian eng nge a teh tak tak?
I thisen sample lak chu naute thanlenna nena inzawm chemical pawimawh pali level tehna atan lab-ah thawn a ni. Chungte chu a tlangpuiin naute thisen, thluak, ruhro tui, leh amniotic fluid (naute chhehvel tui)-ah te a awm thin. Chûng zînga tlêm tête chu nu thisenah a lût bawk.
| Substance tehna a ni | A chungchang sawifiahna awlsam tak |
|---|---|
| Alpha-fetoprotein (AFP) hmanga siam a ni. | Hei hi naute thin (liver) atanga siam protein a ni. AFP level chu a tlangpui aia sang a nih chuan neural tube defect a awm tih a tilang thei. AFP level a hniam chuan Down syndrome vei theihna a sang tih a tilang thei. |
| Mihring chorionic gonadotropin (hCG) hman a ni. | Hei hi nausen (placenta) atanga siam hormone a ni. Down syndrome vei theihna a san chuan hCG level chu a tlangpui aia sang a ni. |
| A rilru a buai em em a, a rilru a hah em em bawk a. Unconjugated estriol (UE) . | Hei hi nausen (placenta) leh nausen thin (liver) atanga siam protein a ni. Down syndrome vei theihna a san chuan UE level hi a tlangpui aia hniam a ni thei. |
| Inhibin-A tih a ni | Hei hi nausen (placenta) atanga hormone dang siam a ni. hCG ang bawkin Down syndrome vei theihna a san chuan inhibin-A level pawh a tlangpui aia sang a ni . |
Test result hi engtin nge kan hriatthiam ang?
Results pangngai i hmuh chuan...
Hei hian i naute chu a chunga kan sawi tak dinhmunte hi a hlauhawm lo tihna a ni. Naupai zinga 98% aia tamah chuan result pangngai a nih chuan naute hrisel tak i nei dawn tih a tilang chiang hle. Chu chu thu lawmawm tak a ni. Mahse kan sawi tawh ang khan test engmah hian 100% guarantee a pe thei lo.
A result chu ‘High Risk’ a nih chuan engtin nge ni ang?
Hei hi mi tam takin an hlauhthawn na hmun a ni. Mahse , a hmasa berin, hlauthawng suh . ‘High Risk’ result chuan i naute hian harsatna a nei ngei ang tihna a ni lo . Nu naupai pangngai aiin he natna hi i vei tam zawk tihna chauh a ni.
Nu naupai 1,000 velin he test hi an nei tih han ngaihtuah teh. Chumi zinga 50 vel chuan ‘High Risk’ result an hmu ang. Mahse chu mi 50 zingah chuan pakhat emaw pahnih emaw chauhvin Down syndrome ang chi natna nei fa an nei tak tak ang.
‘High Risk’ result i hmuh chuan i doctor chuan a hnua i tih tur a hrilhfiah ang. A dawt leh tur chu a tlangpuiin:
1. Detailed Ultrasound Scan : Naute taksa insiam dan leh a than dan chipchiar takin an enfiah thin.
2. Amniocentesis: A tul chuan naute hual vel amniotic fluid sample te tak te lak a, naute chromosome direct-a test a ni. Hei hi diagnostic test a ni.
He test hi ka tih a ngai em?
Ni lo, he test hi neih leh neih loh thutlukna chu nangmah thu a ni vek. Mahse, a hnuaia risk factors te hi i neih chuan he test hi neih hi i ngaihtuah nawn leh thei ang:
- Kum 35 aia upa i nih chuan.
- I chhungkuaa tu pawhin piansualna nei tawh an awm chuan.
- Tun hmain nau piangsual nei i lo nei tawh a nih chuan.
- Naupai hmaa Type 1 Diabetes i neih chuan.
Eng pawh ni se, thutlukna hnuhnung ber i siam hmain i doctor nen inbia la , he test hlawkna leh a kaihhnawih zawng zawng hi hre chiang rawh.
Take-Home Thuchah a ni
- Quad Marker Screen hi screening test a ni a, naupangin natna thenkhat a neih theih dan tur tehna a ni a, diagnostic test a ni lo.
- Hei hi nu atanga thisen lak chhuah hmanga tih a nih avangin naute a tichhe lovang.
- Result-ah ‘High Risk’ tih a nih chuan lungngai suh. I naute chungah harsatna a awm tihna a ni lo. I doctor chuan a hnua i tih tur chu a rawn hrilh ang che.
- He test hi neih leh neih loh tur thutlukna hi nangmahin i siam tur a ni. Chumi chungchang chu i doctor nen zalen takin sawipui rawh.
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