Pehea e haʻi ai inā loaʻa i kāu pēpē Down Syndrome
Anter
ʻO ke kuhi o Down Syndrome hiki ke hana ʻia i ka wā o ka hāpai ʻana ma o nā hoʻokolohua kikoʻī e like me ka translucency nuchal, cordocentesis a me amniocentesis, ʻaʻole pono i kēlā me kēia wahine hāpai, akā i ʻōlelo pinepine ʻia e ka wahine hānau inā ʻo 35 a i ka wā a ka wahine hāpai. Loaʻa iā Down Syndrome.
Hiki ke kauoha ʻia kēia mau hoʻokolohua ke loaʻa ka pēpē i ka wahine me Down Syndrome, inā ʻike ka mea hānau i kekahi loli i ka ultrasound e alakaʻi iā ia e kānalua i ka maʻi maʻi a inā he mutation ka makua kāne o ka pēpē e pili ana i ka chromosome 21.
ʻO ka hāpai ʻana o kahi pēpē me Down Syndrome e like ia me ka pēpē i loaʻa ʻole i kēia maʻi, eia naʻe, pono nā hōʻike hou e nānā i ke olakino o ka ulu ʻana o ka pēpē, kahi e emi iki ai a liʻiliʻi ka paona no ka pēpē. makahiki hānau.
Nā hōʻoia diagnostic i ka wā hāpai
Nā hōʻike e hāʻawi ana i ka 99% pololei i ka hopena a lawelawe e hoʻomākaukau i nā mākua no ka hoʻokipa ʻana i kahi pēpē me Down Syndrome ʻo:
- ʻOhi o chorionic villi, i hiki ke hana ʻia i ka hebedoma 9 o ka hāpai ʻana a me ka lawe ʻia ʻana o kahi wahi liʻiliʻi o kahi placenta, nona nā ʻano ʻikepili e like me ka pēpē;
- Mālama ʻia ka ʻike biochemical makuahine, i lawe ʻia ma waena o ka pule he 10 a me ka 14 o ka hāpai ʻana a he mau hoʻokolohua e ana i ka nui o kahi protein a me ka nui o ka hone beta hCG i hana ʻia i ka hāpai keiki e ka placenta a me ka pēpē;
- Nucal translucency, i hiki ke hōʻike ʻia ma ka hebedoma 12 o ka hāpai ʻana a me ka pahuhopu e ana i ka lōʻihi o ka ʻāʻī o ka pēpē;
- Amniocentesis, ʻo ia hoʻi ka lawe ʻana i kahi laʻana o ka wai amniotic a hiki ke hana ʻia ma waena o ka 13th a me ka 16th wiki o ka hāpai ʻana;
- ʻO Cordocentesis, ka mea i kūlike i ka lawe ʻana i kahi hāpana koko mai ka pēpē e ka umbilical cord a hiki ke hana ʻia mai ka wiki 18th o ka hānau ʻana.
Ke ʻike nei i ke kuhi ka manaʻo maikaʻi e nānā nā mākua i ka ʻikepili e pili ana i ka maʻi maʻi e ʻike i ka mea e kali ai i ka ulu ʻana o kahi keiki me Down Syndrome. E ʻike i nā kikoʻī hou aʻe o nā ʻano a me nā hana e pono ai i: He aha ke ola ma hope o ka Diagnosis o Down Syndrome.
Pehea ka hōʻailona ma hope o ka hānau ʻana
ʻO ke kuhi ma hope o ka hānau ʻana hiki ke hana ʻia ma hope o ka nānā ʻana i nā ʻano o ke pēpē, i pili pū paha me:
- ʻO kekahi laina ma ka lihilihi maka o nā maka, e waiho ana iā lākou i pani hou a huki i ka ʻaoʻao a i luna;
- ʻO ka lālani 1 wale nō ma ka poho o ka lima, ʻoiai ʻo nā keiki ʻē aʻe i loaʻa ʻole ka Down Syndrome e loaʻa paha i kēia mau ʻano;
- Uniona o nā kuʻemaka;
- Ihu laulā;
- Ke alo pālahalaha;
- Lelo nui, waha kiʻekiʻe loa;
- Nā pepeiao lalo a liʻiliʻi;
- Lauoho lahilahi a lahilahi;
- Pōkole nā manamana, a hiki ke kekeʻe ka pinky;
- ʻO kahi mamao loa ma waena o nā manamana wāwae nui o nā manamana lima ʻē aʻe;
- ʻĀʻī ākea me ka hoʻoliʻiliʻi momona;
- Nāwaliwali o nā mākala o ke kino holoʻokoʻa;
- ʻO ka maʻalahi o ka loaʻa kālā;
- Loaʻa paha i ka hernia umbilical;
- ʻOi aku ka kiʻekiʻe o ka maʻi celiac;
- Aia paha he kaʻawale o nā mākala o ka rectus abdominis, ka mea e hoʻonui ai i ka ʻōpū.
ʻO nā hiʻohiʻona i loaʻa i ka pēpē, ʻoi aku ka nui o nā manawa o ka loaʻa ʻana o Down Syndrome, eia naʻe, ma kahi o 5% o ka heluna kanaka kekahi o kēia mau ʻano a ʻaʻohe o kekahi o lākou e hōʻike i kēia maʻi. No laila, he mea nui e hana ʻia nā hoʻokolohua koko e ʻike i ke ʻano o ka loli o ka maʻi.
ʻO nā hiʻohiʻona ʻē aʻe o ka Syndrome ka loaʻa ʻana o ka maʻi puʻuwai, kahi e koi ai i ke kahakaha ʻana a me ka hoʻonui ʻana i nā maʻi pepeiao, akā he ʻano loli ko kēlā me kēia kanaka a no laila e pono e ukali ʻia e nā kauka pediatric kēlā pēpē me kēia Syndrome. i ka cardiologist, pulmonologist, physiotherapist a me ka mea haʻi ʻōlelo.
ʻO nā keiki me Down Syndrome ʻike pū i ka lohi o ka hoʻomohala psychomotor a hoʻomaka e noho, kolo a hele wāwae, ma hope o ka mea i manaʻo ʻia. Hoʻohui, loaʻa iā ia kahi retardation noʻonoʻo i hiki ke loli mai ke akahai a i ʻole koʻikoʻi loa, i hiki ke hōʻoia ʻia ma o kāna ulu ʻana.
E nānā i kēia wikiō aʻe a aʻo pehea e hoʻoulu ai i ka ulu ʻana o ka pēpē me Down Syndrome.
Hiki i ke kanaka me Down Syndrome ke loaʻa i nā pilikia olakino ʻē aʻe e like me ka maʻi kō, kolesterol, triglycerides, e like me nā mea ʻē aʻe, akā hiki ke loaʻa i ka autism a i ʻole kekahi maʻi ʻē aʻe i ka manawa like, ʻoiai ʻaʻole maʻamau ia.