No ke aha ka Cordocentesis?

Anter

• I ka wā e hana ai i ka cordocentesis
• Pehea e hana ai i ka cordocentesis
• He aha nā makaʻi o ka cordocentesis

ʻO ka Cordocentesis, a i ʻole ke laʻana koko fetal, he hōʻike diagnostic prenatal, hana ʻia ma hope o 18 a 20 mau pule o ka hāpai ʻana, a me ka lawe pū ʻana i kahi laʻana o ke koko o ka pēpē mai ka umbilical cord, e ʻike ai i kekahi hemahema chromosomal. I loko o ka pēpē, e like me Down's Syndrome, a i ʻole nā ​​maʻi e like me ka toxoplasmosis, rubella, anemia fetal a i ʻole cytomegalovirus, no ka laʻana.

ʻO ka ʻokoʻa nui ma waena o cordocentesis a me amniocentesis, ʻo ia nā hōʻike diagnostic prenatal 2, ʻo ia ke kālailai ʻana o Cordocentesis i ke koko umbilical pēpē o ka pēpē, ʻoiai ʻo Amniocentesis e nānā wale ana i ka wai amniotic. ʻO ka hopena o ka karyotype e puka i 2 a i ʻole 3 mau lā, ʻo ia kekahi o nā mea maikaʻi ma mua o ka amniocentesis, ma kahi o 15 mau lā.

I ka wā e hana ai i ka cordocentesis

Hōʻike nā hōʻike Cordocentesis i ka hōʻoia o Down Syndrome, ke hiki ʻole ke kiʻi ʻia ma o amniocentesis, ke hōʻoia ʻole nā ​​hopena o ka ultrasound.

ʻAe ʻo Cordocentesis i ka hoʻopaʻa ʻana i DNA, karyotype a me nā maʻi e like me:

• Nā maʻi o ke koko: Thalassemia a me ka anemia ʻula maʻi.
• Nā maʻi hōʻino koko: Hemophilia, maʻi o Von Willebrand, Autoimmune Thrombositopenia, Thrombositopenic Purpura;
• Nā maʻi Metabolic e like me Duchenne Muscular Dystrophy a i ʻole Tay-Sachs Disease;
• E hoʻomaopopo ai no ke aha e stunted ai ka pēpē, a
• E ʻike i nā hydrop fetal, no ka laʻana.

Hoʻohui ʻia, maikaʻi loa ia no ke kuhi ua loaʻa i ka pēpē kekahi maʻi hānau a hiki ke hōʻike ʻia ma ke ʻano he ʻano lapaʻau no ka transfusion o ke koko intrauterine a i ʻole ke kūpono e lawelawe i nā lāʻau i ka mālama ʻana i nā maʻi fetal, no ka laʻana.

E aʻo i nā hoʻokolohua ʻē aʻe no ka hōʻailona o Down Syndrome.

Pehea e hana ai i ka cordocentesis

ʻAʻole pono ka hoʻomākaukau ma mua o ka hoʻokolohua, akā pono ka wahine e hana i kahi hōʻike ultrasound a me kahi hōʻike koko ma mua o ka cordocentesis e hōʻike ai i kāna ʻano koko a me ka HR kumu. Hiki ke hana i kēia hoʻokolohua ma ka haukapila a haukapila paha, penei:

1. Ke moe nei ka wahine hāpai ma kona kua;
2. Pili ke kauka i ka anesthesia kūloko;
3. Me ke kōkua o ke ultrasound, hoʻokomo ke kauka i kahi nila kuʻikuʻi ma kahi kikoʻī e hoʻopili ai ka umbilical cord a me ka placenta;
4. Lawe ke kauka i kahi laʻana o ke koko o ka pēpē me ma kahi o 2 a 5 ml;
5. Lawe ʻia ka laʻana i ka hale hana no ka loiloi.

I ka wā o ka hoʻokolokolo ʻana, hiki i ka wahine hāpai ke ʻike i nā ʻōpū o ka ʻōpū a no laila e hoʻomaha no 24 a 48 mau hola ma hope o ka hoʻokolokolo ʻana a ʻaʻohe pili pili no 7 mau lā ma hope o ka cordocentesis

ʻO nā ʻōuli e like me ka nalowale ʻana o ka wai, kahe o ke kahe, ka hoʻohaʻahaʻa ʻana, ke kuni a me ka ʻeha o ka ʻōpū e ʻike ʻia ma hope o ka hoʻokolokolo ʻana. No ke kōkua ʻana i ka ʻeha a me ka hōʻoluʻolu he mea maikaʻi paha ke lawe i kahi papa Buscopan, ma lalo o ka ʻōlelo aʻoaʻo.

He aha nā makaʻi o ka cordocentesis

He hana palekana ʻo Cordocentesis, akā loaʻa nā makaʻu, e like me nā hōʻike hoʻouka ʻē aʻe, a no laila ke noi wale nei ke kauka iā ia ke loaʻa nā keu ʻoi aku ka maikaʻi ma mua o nā pilikia no ka makuahine a pēpē paha. ʻO nā pilikia o ka cordocentesis haʻahaʻa a hiki ke mālama ʻia, akā e hoʻopili pū me:

• Ma kahi o 1 ka pilikia o ka hāpai keiki ʻole;
• Kahe o ke koko ma kahi i hoʻokomo ʻia ai ka nila;
• Hoemi i ka helu o ka naʻau o ke pēpē;
• ʻO ka haki mua o nā membrane, kahi e makemake ai i ka lawe manawa mua.

ʻO ka mea maʻamau, kauoha ke kauka i ka cordocentesis ke manaʻo ʻia kahi maʻi genetika a maʻi paha i ʻike ʻole ʻia ma o amniocentesis a i ʻole ultrasound.