Hōʻike translucency Nuchal
ʻO ka hoʻāʻo translucency nuchal e ana i ka mānoanoa o ka pā nuchal. ʻO kēia kahi o nā kiko i ke kua o ka ʻāʻī o ka pēpē i hānau ʻole ʻia. ʻO ke ana ʻana i kēia mānoanoa e kōkua i ka nānā ʻana i ka makaʻu no Down Syndrome a me nā pilikia ʻē aʻe o ka pēpē.
Hoʻohana kāu mea mālama olakino i ka ultrasound ʻōpū (ʻaʻole i ka ʻōpū) e ana i ka pā nuchal. Loaʻa nā pēpē āpau āpau i kahi wai i ka hope o ko lākou ʻāʻī. I loko o kahi pēpē me Down Syndrome a i ʻole nā maʻi kūʻē ʻē aʻe, ʻoi aku ka nui o ka wai ma mua o ka maʻamau. Hana kēia i kahi ākea a mānoanoa.
Hana ʻia kahi hōʻike koko o ka makuahine. E hui pū kēia mau hoʻokolohua ʻelua inā hiki i ka pēpē ke loaʻa i Down Syndrome a i ʻole kekahi maʻi ʻē aʻe.
ʻO ka loaʻa ʻana o kahi bladder piha e hāʻawi i ke kiʻi ultrasound ʻoi loa. Noi paha ʻoe e inu i 2 a 3 mau aniani o ka wai i hoʻokahi hola ma mua o ka hoʻāʻo. Mai mimi ma mua o kāu ultrasound.
Hiki paha iā ʻoe ke hōʻoluʻolu mai ke kaomi ma luna o kāu bladder i ka ultrasound. ʻO ke gel i hoʻohana ʻia i ka wā o ka hoʻāʻo e ʻano anuanu a pulu hoʻi. ʻAʻole ʻoe e ʻike i nā nalu ultrasound.
E ʻōlelo paha kāu mea hāʻawi i kēia hōʻike e nānā i kāu pēpē no Down Syndrome. Hoʻoholo nā wahine hāpai he nui i kēia hoʻāʻo.
Hana pinepine ʻia ka translucency Nuchal ma waena o ka pule 11th a me 14th o ka hāpai ʻana. Hiki ke hana ʻia ma mua ma ka hāpai keiki ma mua o ka amniocentesis. ʻO kēia kahi hōʻike ʻē aʻe e nānā ana no nā kīnā hānau.
ʻO kahi maʻamau o ka wai i ka hope o ka ʻāʻī i ka manawa o ke ultrasound ʻo ia hoʻi he mea hiki ʻole paha i kāu pēpē ke loaʻa Down Syndrome a i ʻole kekahi maʻi ʻē aʻe.
Hoʻonui ka ana translucency Nuchal me ka makahiki hānau. ʻO kēia ka wā ma waena o ka hapai ʻana a me ka hānau ʻana. ʻO ke ana kiʻekiʻe ke hoʻohālikelike ʻia i nā pēpē i nā makahiki hānau like, ʻoi aku ka kiʻekiʻe o ka makaʻina no kekahi mau ʻano maʻi.
ʻO nā ana ma lalo e manaʻo ʻia he haʻahaʻa haʻahaʻa no nā maʻi genetics:
- Ma 11 mau wiki - a i 2 mm
- Ma 13 mau wiki, 6 mau lā - a i 2.8 mm o
ʻOi aku ka wai ma mua o ka hope o ka ʻāʻī ʻoi aku ka nui o ka makaʻu no Down Syndrome, trisomy 18, trisomy 13, Turner Syndrome, a i ʻole nā maʻi puʻuwai congenital. Akā ʻaʻole ia e haʻi maopopo no ka loaʻa ʻana o ka maʻi i Down pēpē a i ʻole kekahi ʻano maʻi ʻē aʻe.
Inā kūpono ʻole ka hopena, hiki ke hana i nā hoʻokolohua ʻē aʻe. ʻO ka hapanui o ka manawa, ʻo ka amniocentesis ka hōʻike ʻē aʻe i hana ʻia.
ʻAʻohe mea ʻike ʻia mai ka ultrasound.
Nucal translucency kānana; NT; Hōʻike Nuchal pā; Nuchal pelu scan mele; Ke kānana ʻōiwi Prenatal; Down syndrome - nuchal translucency
ʻO Driscoll DA, Simpson JL. Ke kānana genetic a me ka ʻike. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 10.
Walsh JM, DAlton ME. Nucal translucency. I: Copel JA, DAlton ME, Feltovich H, et al, eds. Kiʻi Obstetric: Diagnosis Fetal a me ka mālama. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 45.