ʻO Amniocentesis

Anter

• He aha ka amniocentesis?
• No ke aha e paipai ʻia ai ka amniocentesis?
• Pehea e hana ʻia ai ka amniocentesis?
• He aha nā pilikia e pili ana i ka amniocentesis?
• He aha ke ʻano o nā hopena hōʻike?

Ke hāpai ʻoe, hopohopo paha nā huaʻōlelo "hoʻokolohua" a i ʻole "kaʻina hana". E hoʻomaha, ʻaʻole ʻoe wale. Akā ke aʻo ʻana no ke aha mai paipai ʻia kekahi mau mea a pehea hana lākou hiki ke kōkua nui.

E wehe aʻe mākou i ke ʻano o ka amniocentesis a no ke aha ʻoe e koho ai i hoʻokahi.

E hoʻomanaʻo he hoa kāu kauka i kēia huakaʻi, no laila e haʻi iā lākou e pili ana i nā hopohopo a nīnau i nā nīnau āu e makemake ai.

He aha ka amniocentesis?

ʻO Amniocentesis kahi hana e lawe ai kāu kauka i kahi liʻiliʻi o ka wai amniotic mai kāu kōpū. ʻO ka nui o ka wai e hemo pinepine ʻia ma mua o 1 auneke.

Hoʻopuni ka wai Amniotic i kāu pēpē i ka ʻōpū. Aia kēia wai i loko o nā hunaola o kāu pēpē a hoʻohana ʻia e ʻike inā loaʻa i kāu pēpē kekahi ʻano ʻano ʻē. Hana pinepine ʻia kēia ʻano amniocentesis i ka trimester ʻelua, ma hope o ka pule 15.

Hiki nō ke hoʻohana ʻia e hoʻoholo inā mākua nā māmā o kāu pēpē e ola ma waho o ka ʻōpū. E loaʻa kēia ʻano amniocentesis ma hope i kou hāpai ʻana.

E hoʻohana kāu kauka i kahi nila nui lōʻihi a lahilahi e hōʻiliʻili i kahi liʻiliʻi o ka wai amniotic. Hoʻopuni a pale kēia wai i ka pēpē ʻoiai lākou i loko o kou ʻōpū.

A laila e hoʻāʻo kahi ʻenehana keʻena hoʻokolohua i ka wai no kekahi mau ʻano maʻi, e like me Down Syndrome, spina bifida, a me cystic fibrosis.

Hiki i nā hopena hōʻoia ke kōkua iā ʻoe e hoʻoholo i kāu hāpai ʻana. I ke kolu o ka trimester, hiki i ka hoʻokolohua ke haʻi aku iā ʻoe inā makua ʻole paha kāu pēpē e hānau.

He mea kōkua nō hoʻi no ka hoʻoholo ʻana inā pono ʻoe e lawe i kakahiaka e pale i nā pilikia mai kou hāpai ʻana.

No ke aha e paipai ʻia ai ka amniocentesis?

ʻO nā hopena hōʻike hōʻike prenatal kānana maʻamau kekahi kumu maʻamau e noʻonoʻo ai ʻoe i ka amniocentesis. Hiki i ka Amniocentesis ke kōkua i kāu kauka e hōʻoia a hōʻole paha i nā hōʻailona o nā hanana i loaʻa i ka wā o ka hoʻokolohua loiloi.

Inā loaʻa iā ʻoe kahi keiki me kahi kīnā o ka hānau a i ʻole kahi ʻino koʻikoʻi o ka lolo a i ʻole ka iwi kuamoo i kapa ʻia he neural tube defect, hiki i ka amniocentesis ke hōʻoia inā he ʻano maʻi kāu keiki hānau ʻole.

Inā 35 a ʻoi paha kāu mau makahiki, aia i ka nui o ka makaʻu o kāu pēpē no nā kino chromosomal, e like me Down Syndrome. Hiki i ka Amniocentesis ke hoʻomaopopo i kēia mau ʻano ʻē.

Inā ʻoe a ʻo kāu hoa paha he mea lawe i ʻike ʻia i kahi maʻi genetika, e like me cystic fibrosis, hiki i ka amniocentesis ke ʻike inā loaʻa kēia maʻi i kāu keiki i hānau ʻole ʻia.

Pono nā pilikia i ka wā hāpai e hāʻawi iā ʻoe i kāu pēpē ma mua o ka manawa piha. Hiki i ke amniocentesis oʻo ke kōkua i ka hoʻoholo inā lawa ka māmā o kāu pēpē e ʻae i kāu keiki e ola ma waho o ka ʻōpū.

Hiki paha i kāu kauka ke koi aku i kahi amniocentesis inā manaʻo lākou he maʻi ʻaʻa a anemia paha kāu keiki i hānau ʻia a manaʻo paha lākou he maʻi uterine kāu.

Inā pono, hiki ke hana i ke kaʻina hana e hōʻemi i ka nui o ka wai amniotic i loko o kou ʻōpū.

Pehea e hana ʻia ai ka amniocentesis?

ʻO kēia hōʻoia he hana i waho, no laila ʻaʻole pono ʻoe e noho i ka haukapila. E hana mua kāu kauka i kahi ultrasound e hoʻoholo i kahi kikoʻī o kāu pēpē i kāu kōpū.

ʻO kahi ultrasound kahi hana noninvasive e hoʻohana ai i nā nalu kani pinepine e hana i kiʻi o kāu pēpē i hānau ʻole ʻia. Pono e hoʻopiha i kāu ʻōpū i ka manawa o ke ultrasound, no laila e inu i ka nui o nā wai ma mua.

Ma hope o ka ultrasound, hiki i kāu kauka ke hoʻopili i nā lāʻau numbing i kahi o kou ʻōpū. E hāʻawi nā hopena ultrasound iā lākou i kahi wahi palekana e hoʻokomo ai i ka nila.

A laila, e hoʻokomo lākou i kahi nila i loko o kou ʻōpū a i loko o kou ʻōpū, e huki ana i kahi wai liʻiliʻi amniotic. ʻO kēia mahele o ke kaʻina hana ma kahi o 2 mau minuke.

Loaʻa nā hopena o nā hoʻāʻo genetic i kāu wai amniotic i loko o kekahi mau lā.

Loaʻa nā hopena o nā hoʻokolohua e hoʻoholo ai i ke ʻano o ke ake māmā o kāu pēpē i loko o kekahi mau hola.

He aha nā pilikia e pili ana i ka amniocentesis?

Paipai pinepine ʻia ka amniocentesis ma waena o 16 a 20 mau pule, aia ia i ka lua o kāu trimester. ʻOiai hiki ke hana i nā pilikia, kākaʻikahi ke ʻike i nā mea ʻoi loa.

Aia i ka .3 pakeneka ka makaʻu o ka hāʻule ʻole ʻana inā loaʻa iā ʻoe ke kaʻina hana i ka manawa o ka trimester ʻelua, e like me ka Mayo Clinic. ʻOi aku ke kiʻekiʻe o ka makaʻi inā kū ka hōʻike ma mua o 15 mau pule o ka hāpai ʻana.

ʻO nā pilikia e pili ana i ka amniocentesis me kēia mau mea:

• ʻūlū
• kahi liʻiliʻi o ke kahe o ke kahe
• ka wai amniotic e kahe ana mai ke kino (he kakaikahi kēia)
• uterine maʻiʻaʻai (kekahi laha ')

Hiki i ka Amniocentesis ke kumu i nā maʻi, e like me ka hepatitis C a i ʻole HIV, e hoʻohuli i ka pēpē i hānau ʻole ʻia.

I nā hihia kakaʻikahi, hiki i kēia hoʻokolohua ke kumu i kekahi o nā hunaola o kāu pēpē e komo i kāu kahena koko. He mea nui kēia no ka mea aia kekahi ʻano protein i kapa ʻia ʻo Rh factor. Inā loaʻa iā ʻoe kēia protein, Rh-positive kou koko.

Inā ʻaʻohe ou protein, Rh-maikaʻi ʻole kou koko. He mea hiki iā ʻoe a me kāu pēpē ke loaʻa nā ʻano Rh ʻokoʻa. Inā ʻo kēia ka hihia a hui pū ʻia kou koko me ke koko o kāu pēpē, e like paha kou kino me he mea lā he maʻi ia i ke koko o kāu pēpē.

Inā kū kēia, hāʻawi kāu kauka iā ʻoe i ka lāʻau i kapa ʻia ʻo RhoGAM. E kāohi kēia lāʻau i kou kino mai ka hana ʻana i nā mea pale maʻi nāna e hoʻouka i nā huna koko o kāu pēpē.

He aha ke ʻano o nā hopena hōʻike?

Inā maʻamau nā hopena o kāu amniocentesis, ʻaʻole loaʻa i kāu pēpē i nā ʻano genetics a chromosomal paha.

I ke ʻano o ke amniocentesis makua, hōʻoiaʻiʻo nā hopena hōʻike maʻamau iā ʻoe ua mākaukau kāu pēpē e hānau ʻia me ka likelihood kiʻekiʻe no ke ola.

Hiki paha i nā hopena maʻamau ke kumu o ka pilikia o ka genetic a i ʻole ke kūpono chromosomal. Akā ʻaʻole ia he manaʻo he paʻa loa ia. Hiki ke hana i nā hoʻokolohua diagnostics hou e kiʻi i ka ʻike hou aku.

Inā maopopo ʻole iā ʻoe ka manaʻo o nā hopena, mai hoʻokaʻulua e nīnau i kāu kauka. Hiki iā lākou ke kōkua iā ʻoe e hōʻiliʻili i ka ʻike e pono ai e hoʻoholo e pili ana i nā kaʻina hou.