He whaea whānau koe? Kei te whakaaro rānei koe kia whānau wawe? Kātahi ka kōrero tātou i tēnei rā mō ētahi whakamātautau motuhake hei āwhina i a koe ki te ako atu mō tō hauora me tō pēpi kāore anō kia whānau. Koinei ngā mea e kiia nei e tātou ko te ' whakamātautau ira'. Ko te nuinga o ēnei whakamātautau ehara i te mea whakahau, engari ko ngā mōhiotanga e whakaratohia ana e rātou he āwhina nui ki te whakamahere mō te heke mai mōu me tō whānau.
I mua i te haputanga: Te Tirotiro Kaikawe Ira
Hei whakarāpopototanga, me titiro tuatahi tātou ko wai te 'kaimau'. Whakaarohia kei roto i ō ira he ira mō tētahi mate, engari kāore i a koe te mate. Kātahi ka kiia koe he 'kaimau'. Nō reira, ka taea e tēnei whakamātautau te whakaatu ki a koe mēnā kei a kōrua ko tō hoa te ira mō tētahi mate, ā, mēnā koinā, he aha te tūponotanga ka riro i tāu tamaiti taua ira.
Ahakoa ka taea te mahi i tēnei whakamātautau i mua atu, i te wā rānei e hapu ana, he mea tino whai hua te mahi i mua i te haputanga. Ka tangohia e tō tākuta he tauira toto, he tauira huware rānei i a koe hei mahi i tēnei whakamātautau. He maha ngā mate matua e tirotirohia ana mā tēnei whakamātautau.
| Ngā āhuatanga ira matua i whakamatautauria mō |
|---|
| Te Pūmua Pūmua |
| Te Mate X Pakaru |
| Mate Pūtau Hāripa |
| Te mate Tay-Sachs |
| Te ngoikore o te uaua o te tuaiwi |
He nui ake te tūponotanga o te hunga o ētahi iwi ki te kawe i ētahi mate. Hei tauira, he nui ake te tūponotanga o te hunga o Āwherika, o te Moana-nui-a-Kiwa me te Tonga-mā-rāwhiti o Āhia ki te kawe i te mate pūtau maripi. Nō reira, he mea nui kia mōhio koe ki tō hītori whānau.Ka taea e koe te kōrero ki tō tākuta me te whakatau mēnā me mahi koe i tēnei momo whakamātautau.
Ngā whakamātautau i te toru marama tuatahi o te hapūtanga (i roto i ngā marama e toru)
Kia hapu koe, he maha ngā whakamātautau hei āwhina i a koe ki te kimi i ngā mōrearea hauora o tō pēpi. Ka kiia ēnei he whakamātautau tirotiro . Ka tirohia noa e rātou mēnā kei te 'mōrearea' koe ki tētahi mate.
- Whakamātautau DNA kore-pūtau o te kōpū: He mea whakamiharo, he iti noa te DNA o tō pēpi kei roto i tō toto. Nō reira, i te 10 wiki pea ki roto i tō hapūtanga, ka taea te whakamahi i tētahi tauira toto i tangohia mai i a koe hei whakamātautau i te DNA o tō pēpi kia kite ai mēnā kei te mōrearea koe ki ētahi āhuatanga (hei tauira, Down syndrome, trisomy 18, trisomy 13).
- Te tirotiro raupapa me te tirotiro whakauru: Ka whakakotahihia e ēnei tikanga e rua te matawai ultrasound me te whakamātautau toto hei tirotiro mō te Down syndrome, te trisomy 18, me ētahi atu raruraru ka pā ki te roro me te taurakira o te pēpi. Ka tīmata ēnei whakamātautau i waenga i te 10 me te 13 wiki .
Ko te mea nui, he whakamātautau tirotiro noa iho ēnei. Mēnā e tohu ana he raruraru pea, ka tūtohu tō tākuta i ētahi atu whakamātautau motuhake hei whakaū.
Ngā whakamātautau i mahia i te rua o ngā marama (i waenganui i te 3-6 marama)
He maha ngā whakamātautau nui e mahia ana i tēnei wā o te hapūtanga.
- Te whakamātautau toto whā mō te whaea: He whakamātautau toto anō hoki tēnei. Ka ine i ētahi momo pūmua i roto i tō toto hei tirotiro mēnā kei te mōrearea tō pēpi ki te Down syndrome , te trisomy 18, ngā raruraru roro me te taurakira rānei. Ka taea tēnei te mahi i waenga i te 15 me te 21 wiki .
- Matawai Ultrasound Taipitopito (Matawai Anomaly): He mea mōhio pea tēnei matawai ki te nuinga o te tangata , e mahia ana i te 20 wiki pea . Ka whakamahia e ia ngā ngaru oro hei tirotiro i ngā whekau o te pēpi. Ka taea e ia te kite i ngā hapa whānau pēnei i ngā raruraru ngākau, ngā raruraru tākihi, me te waha whati.
Ngā Whakamātautau Tātaritanga: Amniocentesis me CVS
Mena ka whakaatuhia e te whakamātautau tirotiro kei te mōrearea te pēpi, koinei ngā whakamātautau ka mahia hei whakaū 100% . He tika ake ēnei i ngā whakamātautau tirotiro. Ka kiia ēnei he Whakamātautau Tātaritanga.
Neke atu i te 99% te tika o ēnei whakamātautau e rua.
Ka taea e ēnei whakamātautau te tautuhi tika i ngā āhuatanga ira pēnei i te Down syndrome. Engari kāore te katoa e mahi i ēnei whakamātautau. Nā te mea, ahakoa he iti noa iho, he tūponotanga ka puta he mate whānau i roto i ēnei whakamātautau. Nō reira, ka tūtohu noa te tākuta i ēnei mēnā he tūponotanga kei roto i te whakamātautau tirotiro, mēnā rānei e hiahia ana koe kia tika ake te whakamātautau.
| Whakamātautau | Me pēhea te mahi me te wā |
|---|---|
| Te Tātaritanga o ngā Awhiowhio Kōrionika (CVS) | Ka tangohia he wahi kiko iti rawa mai i te whenua i roto i te kōpū. Ka mahia tēnei i waenga i te 10 me te 13 wiki . |
| Te whakamātautau i te ine i te ira tangata | Ka tangohia he wai iti o te amniotic mā roto i tō puku mā te whakamahi i tētahi ngira angiangi. Ko te mea tino haumaru ko te mahi i waenga i te 15 me te 20 wiki . |
Ki te kōrero mai tō tākuta ki a koe mō tēnei momo whakamātautau, ehara i te mea he tino raruraru kei tō pēpi. Ko tōna tikanga me whakaū e rātou ngā hua o te whakamātautau tirotiro o mua. Nō reira, kōrerohia ki tō tākuta me te āta whakaaro, kia mārama ki ngā painga me ngā huakore, ā, me whakatau i te whakatau e tika ana māu.
Karere Tangohia ki te Kāinga
- Ko te nuinga o ēnei whakamātautau ira he mea whiriwhiri, ehara i te mea whakahau, ā, ka taea e koe te whiriwhiri mai.
- Ko ngā whakamātautau tirotiro (hei tauira, te Cell-free DNA, te Quad screen) e tohu ana i te mōrearea o tētahi mate, ko ngā whakamātautau tātaritanga ia (hei tauira, te Amniocentesis, CVS) e whakaū ana i tētahi mate.
- Mena he mōrearea te hua o te whakamātautau tirotiro, ehara i te mea he tino raruraru tō pēpi. He take noa iho tēnei hei rapu whakamātautau anō.
- He rerekē ngā painga, ngā ngoikoretanga, me ngā mōrearea o ia whakamātautau. He mea nui kia kōrerohia whānuitia ēnei mea katoa ki tō tākuta , kia whai whakaaro nui ai hoki ki te whakatau.
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