ʻO nā mea a pau e pili ana i ka amniocentesis

He aha ka amniocentesis?

ʻO ka Amniocentesis ka mea i kuhikuhi pinepine ʻia i nā hihia kahi i pilikia nui ai ka fetus no nā maʻi chromosomal, a i ʻole ka mea lawe i kahi maʻi hoʻoilina. Hiki iā ia ke hōʻoluʻolu i ke olakino o ke pēpē. He hoʻokolohua prenatal ia e pilikia ai nā mākua e hiki mai ana… Hiki ke hōʻike ʻia kahi amniocentesis ma nā ʻano like ʻole.

Inā loaʻa ka pilikia nui e hōʻike ana ke keiki i kahi chromosomal abnormality ma ke ʻano he trisomy 13, 18 a i ʻole 21. Ma mua, ua hana ʻia ka amniocentesis i nā wahine hāpai ma mua o 38 mau makahiki. Akā ʻo 70% o nā keiki me Down's syndrome i hānau ʻia i nā makuahine ma lalo o ka makahiki 21. I kēia manawa, ʻoiai ʻo ka makahiki o ka makuahine, ua hana ʻia kahi loiloi pilikia. Ma waho aʻe o kekahi paepae, kauoha ʻia ka amniocentesis inā makemake ka makuahine.

Hiki iā mākou ke hōʻole i ka amniocentesis?

Hiki iā ʻoe ke hōʻole i ka amniocentesis, ʻoiaʻiʻo! ʻO kā mākou hāpai ʻana! Hāʻawi ka hui lapaʻau i kahi manaʻo, akā aia ka hoʻoholo hope iā mākou (a me kā mākou hoa). Eia kekahi, ma mua o ka hana ʻana i kahi amniocentesis, koi ʻia kā mākou kauka e haʻi iā mākou e pili ana i nā kumu i hāʻawi mai ai ʻo ia iā mākou i kēia hoʻokolokolo, ʻo kāna mea e ʻimi nei, pehea e hana ai ka amniocentesis a me kāna mau pilikia a me nā hopena. Ma hope o ka pane ʻana i kā mākou mau nīnau āpau, e noi ʻo ia iā mākou e kau inoa i kahi palapala ʻae ʻike (koi ʻia e ke kānāwai), pono e hiki ai ke hoʻouna i nā laʻana i ka hale hana.

Ka loiloi ʻana i nā pilikia o ka chromosomal abnormalities i nā keiki

ʻEkolu mau ʻāpana i mālama ʻia:

ʻO ka nui o ka ʻāʻī o ka pēpē (ana ʻia maʻO ka ultrasound 1st trimester, ma waena o 11 a me 14 pule o ka amenorrhea): he hōʻailona hōʻailona inā ʻoi aku ia ma mua o 3 mm;

ʻO ka hoʻāʻo ʻana o nā māka serum ʻelua (i lawe ʻia mai ka hoʻāʻo ʻana o nā hormones i huna ʻia e ka placenta a hoʻokomo ʻia i loko o ke koko o ka makuahine): ʻo kahi mea ʻino i ka hoʻāʻo ʻana o kēia mau hōʻailona e hoʻonui i ka pilikia o ka loaʻa ʻana o kahi keiki me Down's syndrome;

Makahiki o ka makuahine.

Hoʻohui nā kauka i kēia mau mea ʻekolu e hoʻoholo i ka pilikia holoʻokoʻa. Inā ʻoi aku ka nui ma mua o 1/250, ʻōlelo ʻia kahi amniocentesis.

Inā he keiki i loko o ka ʻohana me ka maʻi genetic me ka cystic fibrosis, a ʻo nā mākua ʻelua nā mea lawe i ka gene deficent. I hoʻokahi o ʻehā mau hihia, hiki i ka pēpē ke lawe i kēia pathology. 

Inā ʻike ʻia kahi malformation ma ka ultrasound, me ka nānā ʻole i ka manawa o ka hāpai ʻana

No ka nānāʻana i ka holomua o nā'ōpū nui (e laʻa, rh incompatibility, a i ʻole ka loiloi ʻana i ke oʻo ʻana o ka māmā).

Hiki ke hana ʻia ka amniocentesis mai ka pule 15 o ka amenorrhea a hiki i ka lā ma mua o ka hānau ʻana. Ke kuhikuhi ʻia no ka mea aia kahi kānalua nui o ka chromosomal a i ʻole genetic abnormality, hana ʻia ia i ka hikiwawe, ma waena o ka pule 15 a me 18 o ka amenorrhea. Ma mua, ʻaʻole lawa ka wai amniotic no ka hoʻokolokolo kūpono a ʻoi aku ka nui o ka pilikia o nā pilikia. Hiki ke hoʻopaʻa 'ia i nā manawa a pau.

Pehea e hana ai ka amniocentesis?

Hana ʻia ʻo Amniocentesis i ka wā o kahi ultrasound, i loko o kahi haukapila, i kahi ʻāina sterile. ʻAʻole pono ka makuahine e hoʻokē ʻai a ʻaʻole koi ka hāpana i kahi anesthesia. ʻAʻole ʻoi aku ka ʻeha o ka puncture ma mua o ka hoʻāʻo koko. ʻO ka mālama wale nō: inā he rhesus maikaʻi ka wahine, e loaʻa iā ia kahi injection o anti-rhesus (a i ʻole anti-D) serum e pale aku i ke koko incompatibility me kāna keiki e hiki mai ana (inā he rhesus maikaʻi ʻo ia). Hoʻomaka ke kahu ma ka holoi ʻana i ka ʻōpū o ka makuahine. A laila, ʻimi pololei ke kahu hānai i ke kūlana o ke keiki, a laila hoʻokomo i kahi nila maikaʻi loa ma ka paia o ka ʻōpū, ma lalo o ka umbilicus. Lawe ʻo ia i kahi liʻiliʻi o ka wai amniotic me kahi syringe a laila hoʻokomo ʻia i loko o kahi hue sterile.

A ma hope o ka amniocentesis?

Hoʻi koke ka makuahine i ka home me kekahi mau kuhikuhi kikoʻī: noho hoʻomaha i ka lā a ma mua o nā mea a pau, e hele i ke keʻena pilikia inā ʻike ʻia ke koko, ke kahe wai a i ʻole ka ʻeha i nā hola a me nā lā ma hope o ka hoʻokolokolo ʻana. Hōʻike ka lab i nā hopena i ke kauka ma kahi o ʻekolu pule ma hope. Ma ka ʻaoʻao ʻē aʻe, inā noi wale ka gynecologist no ka noiʻi ʻana i hoʻokahi anomaly, trisomy 21 no ka laʻana, ʻoi aku ka wikiwiki o nā hopena: ma kahi o iwakāluakūmāhā mau hola.

Ua uku hou ʻia ka amniocentesis e Social Security?

Ua uhi piha ʻia ʻo Amniocentesis, ma hope o ka ʻaelike mua, no nā makuahine e hiki mai ana e hōʻike i kahi pilikia: nā wahine 38 a ʻoi aku, akā ʻo ka poʻe me ka ʻohana a i ʻole ka moʻolelo pilikino o nā maʻi genetic, kahi pilikia o Down's Syndrome. 21 fetal like a ʻoi aku paha ma mua o 1/250 a i ka wā e hōʻike ai ka ultrasound i kahi mea ʻino.

ʻAʻole koke kahi hoʻāʻo koko maʻamau no nā makuahine hāpai?