Nā hoʻāʻo Down Syndrome
Anter
- He aha nā hoʻāʻo Down Syndrome?
- He aha nā mea e hoʻāʻo ai?
- No ke aha e pono ai iaʻu kahi hōʻike Down Down?
- He aha nā ʻano ʻokoʻa o nā hōʻike Down Down?
- He aha ka hana ma ka hoʻāʻo ʻana o Down Syndrome?
- Pono wau e hana i kekahi mea e hoʻomākaukau ai no nā hoʻokolohua?
- Aia kekahi mau pilikia i nā hoʻāʻo?
- He aha ke ʻano o nā hopena?
- Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hōʻike Down Down?
- Nā kūmole
He aha nā hoʻāʻo Down Syndrome?
ʻO Down Syndrome kahi maʻi e kū ai i ke kino kīnā o ka naʻau, nā hiʻohiʻona kino ʻokoʻa, a me nā pilikia olakino like ʻole. Hoʻopili paha kēia i nā kīnā o ka puʻuwai, ka nalo ʻana o ka lohe, a me ka maʻi thyroid. ʻO Down Syndrome kahi ʻano o ka maʻi chromosome.
ʻO nā Chromosome nā ʻāpana o kāu mau pūnaewele i loaʻa i kāu mau ʻāpana. ʻO nā ʻāpana nā ʻāpana o ka DNA i hoʻoili ʻia mai kou makuahine a me kou makuakāne. Hāpai lākou i ka ʻike e hoʻoholo ai i kāu ʻano kū hoʻokahi, e like me ke kiʻekiʻe a me ke kala o ka maka.
- Loaʻa i nā kānaka he 46 chromosome, i mahele ʻia i 23 mau pālua, i kēlā me kēia cell.
- ʻO kekahi o kēlā me kēia pālua chromosome mai kou makuahine, a ʻo kekahi mau mea ʻelua mai kou makuakāne mai.
- I Down syndrome, aia kekahi kope hou o ka chromosome 21.
- Hoʻololi ka chromosome keu i ke ʻano e ulu ai ke kino a me ka lolo.
ʻO Down Syndrome, i kapa ʻia hoʻi he trisomy 21, ʻo ia ka maʻi chromosome maʻa mau loa i United States.
I nā ʻano lua ʻole o Down syndrome, i kapa ʻia mosaic trisomy 21 a me translocation trisomy 21, ʻaʻole hōʻike ʻia ka chromosome keu i kēlā me kēia cell. ʻO ka poʻe me kēia mau maʻi maʻamau ka loaʻa o nā ʻano a me nā pilikia olakino e pili pū ana me ka maʻi maʻamau o Down Syndrome.
Hōʻike nā hōʻike loiloi ʻo Down Syndrome inā paha he Down Syndrome paha kāu pēpē i hānau ʻole ʻia. ʻO nā ʻano hoʻokolohua ʻē aʻe e hōʻoia a hōʻole paha i ka hōʻailona.
He aha nā mea e hoʻāʻo ai?
Hoʻohana ʻia nā hoʻāʻo Down Syndrome e nānā a ʻike pono paha i ka Down Syndrome. ʻAʻohe o ka makaʻu paha o nā hōʻike loiloi ʻo Down Syndrome iā ʻoe a i ʻole kāu pēpē, akā ʻaʻole hiki iā lākou ke haʻi pololei iā ʻoe inā he Down Syndrome kāu pēpē.
Hiki i nā hōʻoia diagnostic i ka wā o ka hāpai ke hōʻoia a hōʻole paha i kahi kuhi, akā he wahi liʻiliʻi ka hopena o nā hoʻokolohua ʻana.
No ke aha e pono ai iaʻu kahi hōʻike Down Down?
Hōʻike ka poʻe lawelawe olakino i ka loiloi ʻana o Down Syndrome a me / a i ʻole nā hōʻike diagnostic no nā wahine hāpai i 35 mau makahiki a ʻoi paha. ʻO ka makahiki o ka makuahine ka mea nui pilikia no ka loaʻa ʻana o kahi pēpē me Down Syndrome. Hoʻonui ka makaʻi i ka nui ʻana o ka wahine. Akā hiki paha iā ʻoe ke makaʻikaʻi nui aʻe inā ua loaʻa iā ʻoe kahi pēpē me Down Syndrome a me / a i ʻole he moʻolelo ʻohana ka maʻi.
Eia hou, makemake paha ʻoe e hoʻāʻo e kōkua iā ʻoe e hoʻomākaukau inā hōʻike nā hopena i kāu pēpē e loaʻa i ka Down Syndrome. Hiki i ka ʻike ma mua ke hāʻawi iā ʻoe i ka manawa e hoʻolālā no ka mālama olakino a me nā lawelawe kākoʻo no kāu keiki a me kou ʻohana.
Akā ʻaʻole no ka poʻe āpau ka hoʻāʻo ʻana. Ma mua o kou hoʻoholo ʻana e hoʻokolohua, e noʻonoʻo e pili ana i kou manaʻo a me kāu e hana ai ma hope o ke aʻo ʻana i nā hopena. Pono ʻoe e kūkākūkā i kāu mau nīnau a me kāu mau hopohopo me kāu pakanā a me kāu kahu mālama ola.
Inā ʻaʻole ʻoe i hoʻokolohua i ka wā hāpai a makemake paha e hōʻoia i nā hopena o nā hoʻokolohua ʻē aʻe, makemake paha ʻoe e hoʻāʻo ʻia kāu pēpē inā loaʻa iā ia nā ʻōuli o Down Syndrome. Pākuʻi ʻia kēia mau mea:
- Pālahalaha ka maka a me ka ihu
- ʻO nā maka ʻano almond e piʻi i luna
- Nā pepeiao liʻiliʻi a me ka waha
- ʻO nā kiko keʻokeʻo liʻiliʻi ma ka maka
- Kahi leo maikaʻi ʻole
- Hoʻolālā hoʻomohala
He aha nā ʻano ʻokoʻa o nā hōʻike Down Down?
Aia ʻelua mau ʻano maʻamau o nā hoʻāʻo Down Syndrome: nā hōʻike loiloi ʻana a me nā diagnostics.
ʻO ka loiloi ʻana o Down Syndrome me nā hōʻike aʻe i hana ʻia i ka wā hāpai:
- ʻO ka loiloi mua ʻana iā trimester komo pū kahi hoʻāʻo koko e nānā i nā pae o kekahi mau protein i ke koko o ka makuahine. Inā ʻaʻole maʻamau nā pae, ʻo ia hoʻi he ʻoi aku ka kiʻekiʻe o ka pēpē e loaʻa ana iā Down Syndrome. Hoʻokomo pū ʻia ka kānana me kahi ultrasound, kahi hōʻike kiʻi e nānā i ka pēpē i hānau ʻole ʻia no nā hōʻailona o Down Syndrome. Hana ʻia ka hoʻāʻo ma waena o ka pule he 10 a me ka 14 o ka hāpai keiki.
- ʻO ka loiloi ʻana i ka trimester ʻelua. ʻO kēia nā hōʻoia koko e nānā pū kekahi no kekahi mau mea i ke koko o ka makuahine i hōʻailona paha o Down Syndrome. Nānā kahi hōʻike pale triple no ʻekolu mau mea like ʻole. Hana ʻia ia ma waena o ka pule 16th a me 18th o ka hāpai keiki. Nānā kahi hōʻike quadruple pale no nā mea ʻehā a hana ʻia ma waena o ka hebedoma 15 a me 20 o ka hāpai ʻana. E kauoha paha kāu mea hāʻawi i hoʻokahi o ʻelua paha o kēia mau hoʻāʻo.
Inā hōʻike kāu kānana Down Syndrome i kahi manawa kiʻekiʻe o Down Syndrome, makemake paha ʻoe e lawe i kahi hōʻike hōʻoia e hōʻoia a hōʻole paha i kahi hōʻailona.
ʻO nā hoʻāʻo diagnostical Down Syndrome i hana ʻia i ka wā hāpai.
- ʻO Amniocentesis, nāna e lawe i kahi laʻana o ka wai amniotic, ka wai e hoʻopuni ana i kāu pēpē i hānau ʻole ʻia. Hana maʻamau ia ma waena o ka 15th a me ka 20 wiki o ka hāpai keiki.
- Chorionic villus sampling (CVS), ka mea lawe i kahi laʻana mai ka placenta, ka meaola e hānai i kāu pēpē i hānau ʻole ʻia i loko o kou kōpū. Hana maʻamau ia ma waena o ka pule he 10 a me ka 13 o ka hāpai keiki.
- ʻO ka ʻili koko umbilical Percutanious (PUBS), ka mea lawe i kahi hāpana koko mai ka umbilical cord. Hāʻawi ka PUBS i ka hōʻoia pololei loa o Down Syndrome i ka wā hāpai, akā ʻaʻole hiki ke hana a hiki i ka hopena o ka hāpai ʻana, ma waena o ka pule 18 a 22.
ʻO ka maʻi maʻi Down Syndrome ma hope o ka hānau ʻana:
Loaʻa paha i kāu pēpē ka hoʻokolohua koko e nānā i kāna chromosome. E haʻi kēia hōʻike iā ʻoe inā he Down Syndrome kāu pēpē.
He aha ka hana ma ka hoʻāʻo ʻana o Down Syndrome?
Ma kahi hoʻokolohua koko, e lawe kahi loea mālama ola i kahi laʻana koko mai kahi aa i loko o kou lima, e hoʻohana ana i kahi nila liʻiliʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.
No ka ultrasound trimester mua, e hoʻoneʻe kahi mea mālama ola i kahi mea ultrasound ma luna o kou ʻōpū. Hoʻohana ka hāmeʻa i nā nalu kani e nānā i kāu pēpē i hānau ʻole ʻia. E nānā kāu mea hāʻawi i ka mānoanoa ma ka hope o ka ʻāʻī o kāu pēpē, kahi hōʻailona o Down Syndrome.
No ka amniocentesis:
- E moe ʻoe ma kou kua ma kahi papa hōʻike.
- E neʻe kāu mea hāʻawi i kahi mea ultrasound ma luna o kou ʻōpū. Hoʻohana ka ultrasound i nā nalu kani e nānā i ke kūlana o kou kōpū, placenta, a me kāu pēpē.
- E hoʻokomo kāu mea hāʻawi i kahi kui kele i loko o kou ʻōpū a huki i kahi liʻiliʻi o ka wai amniotic.
No ka laʻana chorionic villus (CVS):
- E moe ʻoe ma kou kua ma kahi papa hōʻike.
- E neʻe kāu mea hāʻawi i kahi mea ultrasound ma luna o kou ʻōpū e nānā i ke kūlana o kou kōpū, placenta, a me kāu pēpē.
- E hōʻiliʻili kāu mea i nā hunaola mai ka placenta ma kekahi o nā ala ʻelua: ma o kāu cervix me kahi paipu lahilahi i kapa ʻia he catheter, a i ʻole me ka nila nīnū ma o kou ʻōpū.
No ka hōʻiliʻili koko umbilical percutaneous (PUBS):
- E moe ʻoe ma kou kua ma kahi papa hōʻike.
- E neʻe kāu mea hāʻawi i kahi mea ultrasound ma luna o kou ʻōpū e nānā i ke kūlana o kou kōpū, placenta, pēpē, a me nā kaula umbilical.
- E hoʻokomo kāu mea hāʻawi i kahi nila kui lahilahi i loko o ka umbilical cord a huki i kahi hāpana koko liʻiliʻi.
Pono wau e hana i kekahi mea e hoʻomākaukau ai no nā hoʻokolohua?
ʻAʻole pono kahi hoʻomākaukau kūikawā no ka hoʻāʻo ʻana o Down Syndrome. Akā pono ʻoe e kamaʻilio me kāu kauka olakino e pili ana i nā pilikia a me nā pono o ka hoʻāʻo ʻana.
Aia kekahi mau pilikia i nā hoʻāʻo?
ʻAʻohe liʻiliʻi loa i ka loaʻa ʻana o kahi hōʻoia koko a ultrasound paha. Ma hope o kahi hoʻāʻo koko, loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi i hoʻokomo ʻia ai ka nila, akā ʻo ka hapa nui o nā ʻōuli hele koke aku.
ʻO nā hoʻokolohua Amniocentesis, CVS, a me PUBS he hana palekana loa ia, akā he pilikia iki ko lākou no ka hana ʻana i ka hāpai keiki ʻole.
He aha ke ʻano o nā hopena?
Hōʻike wale nā hopena kānana Down Syndrome inā ʻoi aku ka nui o kāu makaʻu i ka loaʻa ʻana o kahi pēpē me Down Syndrome, akā ʻaʻole hiki iā lākou ke haʻi iā ʻoe inā he Down Syndrome kāu pēpē He hopena paha kāu ʻaʻole maʻamau, akā e hāʻawi mai i kahi olakino pēpē me nā kīnā ʻole a me nā maʻi chromosomal paha.
Inā ʻaʻole maʻamau kāu mau hopena hōʻike Down Down, hiki iā ʻoe ke koho i hoʻokahi a ʻoi paha nā hōʻike diagnostic.
Hiki iā ia ke kōkua e ʻōlelo i kahi kākāʻōlelo genetic ma mua o ka hoʻāʻo ʻana a me / a ma hope paha o kāu loaʻa ʻana o kāu hopena. He loea aʻoaʻo aʻo loea kūikawā i ka genetics a me ka hoʻāʻo genetic. Hiki iā ia ke kōkua iā ʻoe e hoʻomaopopo i ke ʻano o kāu mau hopena.
E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.
Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hōʻike Down Down?
ʻO ka hāpai ʻana i kahi keiki me Down Syndrome hiki ke lilo i mea paʻakikī, akā maikaʻi nō hoʻi. ʻO ke kiʻi ʻana i ke kōkua a me ka mālama ʻana mai ka poʻe loea i ka wā mua o ke ola hiki ke kōkua i kāu keiki e hōʻea i kona hiki. Ke ulu nei nā keiki he nui me Down Syndrome e alakaʻi i ke ola olakino a hauʻoli hoʻi.
E kamaʻilio me kāu kauka olakino a me kāu kākāʻōlelo e pili ana i ka mālama kūikawā, nā kumuwaiwai, a me nā hui kākoʻo no ka poʻe me Down Syndrome a me ko lākou ʻohana
Nā kūmole
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ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.