Kāore e taea te whakaahua i te harikoa e puta mai ana i te rongo ka noho koe hei whaea. Engari he mea noa te whai i ngā kare ā-roto maha pērā i te wehi me te hiahia nui i te wā kotahi. Ina koa ka haere koe ki tō tākuta , ā, ka kī atu rātou ki a koe mō te rārangi whakamātautau, "Me mahi ahau i tēnei whakamātautau, me mahi ahau i taua whakamātautau," tera pea koe e whakaaro ana, "E Māmā, he aha ēnei katoa?" Kāore he take e wehi ai koe i ēnei whakamātautau. I roto i tēnei tuhinga, ka kōrerohia e mātou ēnei whakamātautau e mahia ana i te wā e hapu ana koe hei tirotiro i te hauora o koe me te tamaiti i roto i tō kōpū.
He aha te hiranga o ēnei whakamātautau?
Whakaarohia ēnei whakamātautau hei 'tohu' i te huarahi māu me tō pēpi. Mā ēnei whakamātautau tātou e āwhina kia marino, kia tau ai te rangimārie o te hinengaro kei te pai ngā mea katoa. He maha ngā wā, ko ngā hua o ēnei whakamātautau he rongo pai kei te pai ngā mea katoa e ai ki te whakamahere .
Waihoki, ka taea e ēnei whakamātautau te āwhina ki te kite wawe i ngā āhuatanga kei te pā ki te whaea, pērā i te korenga o te rino, te mate huka hāpu rānei. Kātahi ka taea te rongoā me te whakaora i tēnei i mua i te whanaketanga o tētahi āhuatanga kino.
Heoi anō, kei reira ētahi whakamātautau e mahia ana hei kite i ngā raruraru ira pērā i te 'Down syndrome', te 'Cystic Fibrosis' me te 'Spina Bifida' (he raruraru o te tuaiwi). Ka āwangawanga pea ngā mātua ki ngā hua o ēnei whakamātautau, ā, me whakatau uaua pea rātou. Engari, me maumahara koe ki tētahi mea . Kāore ēnei whakamātautau tuatahi ( ngā whakamātautau tirotiro ) e whakaū 100% i te mate. E tohu noa ana mēnā he mōrearea kei roto. Mēnā ka kitea he mōrearea pēnei, ka mahia ētahi atu whakamātautau hei whakaū.
Ina hoki, i te nuinga o te wā, he tino iti te ōrau o ngā tamariki i whānau mai me te hapa ira, tata ki te 2% - 3%. Nō reira, he tino teitei tonu te tūponotanga kia whānau he tamaiti hauora.
I mua i te whakatau ko ēhea ngā whakamātautau e tika ana māu, he mea pai kia kōrero whānuitia ki tō tākuta mō ngā mea katoa. Kia mārama koe ki ngā inenga o te whakamātautau, tōna tika, mēnā he mōrearea kei roto, me ō whiringa mēnā kāore ngā hua i te pai.
Ngā Whakamātautau o te Wā Tuatahi o te Maramataka
Me titiro tātou ki ētahi o ngā whakamātautau matua ka mahia ki a koe i te toru marama tuatahi o te hapūtanga. Ko ētahi o ēnei, pērā i te ine i te toto toto , ka mahia anō puta noa i tō hapūtanga.
| Momo whakamātautau | He aha te mea hei rapu me tōna hiranga |
|---|---|
| Ngā Whakamātautau Toto | Ka whakamātauria tō momo toto me te take Rh, ngā taumata rino, te ārai mate ki te rubella/German rewharewha, me ngā mate pēnei i te Hepatitis B, Syphilis, me te HIV. Ka whakamahia pea tō hītori whānau hei aromatawai i tō mōrearea ki ngā mate pēnei i te Thalassemia, te Sickle-cell anemia rānei. |
| Ngā Whakamātautau Mimi | Tuatahi, ka tangohia he tauira mimi hei tirotiro mō ngā mate tākihi, ā, hei ine hoki i te homoni hCG hei whakaū i te haputanga. Kātahi, i te wā e hapu ana, ka whakamātauria te mimi mō te hukahuka hei kitea te mate huka me te pūmua e kiia nei ko te albumin hei kitea he mate toto toto tiketike e kiia nei ko te pre-eclampsia. |
| Ngā ūkui waha | Ka mahia he Pap smear hei kimi i te mate pukupuku o te kōpū. Ka taea hoki te tango i ngā swabs tara hei tirotiro mō ngā mate pēnei i te chlamydia, te gonorrhea, me te bacterial vaginosis, ka puta ai te whānautanga wawe. Mā te rongoā i ēnei mate ka āwhina i te ārai i ngā raruraru mō te pēpi. |
Ngā Whakamātautau Ira Motuhake
Haunga ngā whakamātautau kua whakahuatia i runga ake nei, ka tūtohu pea tō tākuta i ētahi atu whakamātautau hei tautuhi i ngā āhuatanga ira motuhake.
He aha te Chorionic Villi Sampling (CVS)?
Ehara tēnei i te whakamātautau mā te katoa. Ko te tikanga, he mea tūtohu tēnei mā ngā whaea neke atu i te 35 tau te pakeke , mā te hunga rānei he hītori whānau mō ngā mate ira. Ka mahia tēnei whakamātautau i waenga i te 10 me te 12 wiki o te hapūtanga.
`Te mate Down`, `Te mate toto toto-maroke`, `Ka taea e tēnei te kite i ngā mate ira maha, pērā i te Cystic Fibrosis . Ko te tikanga o tēnei ko te whakauru i tētahi catheter iti rawa mā roto i te cervix, te whakauru rānei i tētahi ngira iti ki roto i te puku hei tiki i tētahi tauira kiko iti rawa mai i te whenua whānau.
- Mōrearea: He iti noa te mōrearea o te whānautanga o te pēpi i tēnei whakamātautau, arā, 1%.
- Te Tika: He tino tika te tautuhi i ngā hapa ira, tae atu ki te 99%.
- Ngā Here: Kāore e taea e tēnei whakamātautau CVS te kite i ngā hapa o te tuaiwi pērā i te 'Spina Bifida', he rerekē ki te whakamātautau 'Amniocentesis'.
Te tikanga tirotiro hou: te whakamātautau toto me te matawai
Inaianei kua puta he huarahi hou, whai hua hoki hei tautuhi i te mōrearea mō ngā āhuatanga pēnei i te Down syndrome. E whakakotahi ana i ngā mea e rua:
1. Whakamātautau toto: Ka ine i ngā taumata o ngā homoni hCG me PAP-A i roto i te toto o te whaea.
2. Matawai motuhake: Ka inehia te matotoru o te kiri i te tuara o te kaki o te pēpi (nuchal-translucency) mā te matawai ultrasound .
Ka whakakotahihia ngā hua o ngā mea e rua hei tatau mēnā kei te tino mōrearea koe ki te mate Down syndrome me ētahi atu mate ira.
Engari kia maumahara ki tēnei: He whakamātautau tirotiro noa iho tēnei. E whakaatu ana mēnā he nui, he iti rānei te mōrearea. Kāore e kī ana he 100% te mate. Ki te whakaatu he nui te mōrearea, ka whakamahia he whakamātautau pēnei i te CVS hei whakaū.
Nō reira, ahakoa he aha te whakamātautau ka mahia e koe, kaua e mangere ki te kōrero ki tō tākuta mō ō pātai, ō mataku, ō ruarua rānei. Nāu te tika.
Karere Tangohia ki te Kāinga
- He mea noa te nuinga o ngā whakamātautau e mahia ana i te wā e hapū ana, ā, e mahia ana hei whakarite kei te ora koe me tō pēpi, nō reira kaua e mataku rawa ki a rātou.
- Kōrerohia ki tō tākuta mō ngā whakamātautau katoa. Kōrerohia ō pātai me ō mataku ki a ia.
- Ko ngā whakamātautau tirotiro mō ngā mate ira e tohu ana i te mōrearea anake, ehara i te tautuhi whakamutunga.
- He whakatau whaiaro te whakatau ki te whai i tētahi whakamātautau pēnei i te CVS, me kōrero tahi kōrua ko tō hoa tākuta.
- Mā te mōhio me pēhea te whakatere i tēnei haerenga katoa i runga i te harikoa me te hauora ka waiho hei puna nui mōu te kaha.
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