Pehea ka lōʻihi e ʻike ai ʻoe i ka moekolohe o kāu pēpē?

Anter

• Pehea e hiki ai iā ʻoe ke ʻike i ka moekolohe o kāu pēpē?
• ʻO ka fertilization vitro me ke koho wahine
• Hōʻike prenatal hoʻōla ʻole
• ʻO Chorionic villus hāpana
• ʻO Amniocentesis
• Kukuna ultrasound
• Pehea e pili ana i nā hana ʻē aʻe e ʻike i ka moekolohe o kahi pēpē?
• Nā pahu hoʻāʻo hoʻokolohua ma ka home
• Nā moʻolelo a nā wahine kahiko
• Lawe aku

ʻO ka nīnau miliona miliona no ka poʻe he nui ma hope o ka ʻike e pili ana i ka hāpai keiki: He keikikāne a he kaikamahine paha wau?

Makemake kekahi poʻe i ka kānalua no ka ʻike ʻole i ka moekolohe o kā lākou pēpē a hiki i ka hānau ʻana. Akā ʻaʻole hiki i nā poʻe ʻē aʻe ke kali a ʻike koke.

ʻOiaʻiʻo, hiki wale i ke kauka ke hoʻoholo pono i ka moekolohe o kahi pēpē. Eia naʻe, ʻaʻole kēia e hoʻōki i nā mea he nui mai ka wānana ʻana i ka moekolohe o kā lākou pēpē e pili ana i nā mea e like me ka lawe ʻana i ka pēpē a i ʻole ka mea a lākou e makemake ai e ʻai.

Eia ka mea e pono ai ʻoe e ʻike e pili ana i nā hana i hoʻohana ʻia e hoʻoholo ai i ka moekolohe o kahi pēpē, a me ka hoʻohana ʻana o kekahi poʻe i nā moʻolelo a nā wahine kahiko e wānana ai i ka moekolohe.

Pehea e hiki ai iā ʻoe ke ʻike i ka moekolohe o kāu pēpē?

Ke hiki mai i ka ʻike ʻana i ka moekolohe o kāu pēpē, ʻaʻohe hoʻokahi hoʻokolohua e hoʻohana ʻia no kēlā me kēia mea. No laila inā makemake ʻoe e ʻike i ka moekolohe ma mua o ka manawa, hiki i kāu kauka ke hoʻohana i nā hoʻokolohua like ʻole i nā manawa like ʻole o kou hāpai ʻana.

Akā ʻoiai he hilinaʻi kēia mau hoʻokolohua āpau, ʻaʻole kūpono lākou āpau no nā mea āpau. Hāpai kekahi o lākou i nā pilikia nui. No ka hapanui o nā hoʻokolohua i helu ʻia, ʻo ka ʻike ʻana i ka moekolohe kahi pōmaikaʻi lua ʻoiai ke nānā nei ka hōʻike no nā ʻike ʻē aʻe.

ʻO kēia nā ala kūpono e aʻo ai i ka moekolohe o kāu pēpē, mai nā koho mua loa.

ʻO ka fertilization vitro me ke koho wahine

Inā ʻoe e hoʻolālā ana i ka fertilization vitro (IVF), aia kahi koho e koho i ka moekolohe o kāu pēpē e pili pū me kēia kaʻina hana. Kōkua ʻo IVF me ka momona ma ka hoʻohui ʻana i kahi hua manu makua me ka sperm ma waho o ke kino. Hoʻokumu kēia i kahi embryo, a laila hoʻokomo ʻia i loko o ka ʻōpū.

Inā koho ʻoe, hiki iā ʻoe ke loaʻa i ka moekolohe o nā embryos like ʻole i ʻike ʻia, a laila hoʻololi wale i nā embryos o kāu moekolohe i makemake ʻia.

He koho paha kēia inā he mea nui iā ʻoe e loaʻa i kahi keiki a kekahi moekolohe.

ʻO ke koho moekolohe ʻana me IVF ma kahi o 99 pakeneka ka pololei. Akā, ʻoiaʻiʻo, aia ka makaʻu o ka hānau hānau he nui me IVF - inā ʻoe e hoʻololi i kahi embryo i ʻoi aku i ka kōpū.

Hōʻike prenatal hoʻōla ʻole

ʻO kahi hōʻoia prenatal non-invasive test (NIPT) e hōʻoia no nā kūlana chromosomal e like me Down Syndrome. Hiki iā ʻoe ke loaʻa i kēia hōʻoia e hoʻomaka ana ma 10 mau pule o ka hāpai keiki. ʻAʻole ia e hōʻoia i kahi maʻi chromosome. Mālama wale ʻia ia no ka hiki.

Inā loaʻa nā hopena maikaʻi ʻole o kāu pēpē, hiki i kāu kauka ke kauoha hou i nā hoʻokolohua e kuhikuhi ai i ka Down Syndrome a me nā maʻi chromosome ʻē aʻe.

No kēia hoʻāʻo, hāʻawi ʻoe i kahi hāpana koko, a laila hoʻouna ʻia i kahi keʻena hoʻokolohua a nānā i ke kū ʻana o fetal DNA i hoʻopili ʻia i nā maʻi chromosome. Hiki i kēia hōʻoia ke hoʻoholo pololei i ka moekolohe o kāu pēpē. Inā makemake ʻole ʻoe e ʻike, e hoʻomaopopo i kāu kauka ma mua o ka hoʻomaka ʻana o ka hoʻāʻo.

Pono ʻoe i ka NIPT inā ʻoe i ka makaʻu nui i ka loaʻa ʻana o kahi pēpē me ka maikaʻi ʻole o ka chromosome. ʻO kēia paha ka hihia inā ua hānau mua ʻoe i kahi pēpē me kahi maʻamau, a i ʻole inā ʻoi aku ʻoe i ka makahiki 35 i ka manawa o ka hānau ʻana.

No ka mea he hōʻike noninvasive kēia, ʻaʻole hāʻawi ʻia kahi laʻana koko i kahi ʻino iā ʻoe a i kāu pēpē paha.

ʻO Chorionic villus hāpana

ʻO kahi laʻana villus sampling (CVS) kahi hōʻike kūlohelohe i hoʻohana ʻia e ʻike i ka Down Syndrome. Lawe kēia hoʻāʻo i kahi laʻana o ka villus chorionic, kahi ʻano o nā ʻano i loaʻa i ka placenta. Hōʻike ia i ka ʻike pili i kāu pēpē.

Hiki iā ʻoe ke loaʻa i kēia hōʻike i ka manawa o kou hebedoma he 10 a i ʻole 12 o kou hāpai ʻana. A ma muli o ka ʻike ʻikepili e pili ana i kāu pēpē, hiki iā ia ke hōʻike i ka moekolohe o kāu pēpē.

Hiki i kāu kauka ke aʻoaʻo iā CVS inā ʻoi aku ʻoe ma mua o 35 mau makahiki a i ʻole inā he moʻolelo ʻohana kou no ka maikaʻi ʻole o ka chromosome. He hōʻike pololei kēia no ka ʻike ʻana i ka moekolohe o ka pēpē, akā pili ia i kekahi mau pilikia.

Loaʻa i kekahi mau wahine ka cramping, ke kahe ʻana o ka wai, a i ʻole ke kulu ʻana i ka wai amniotic, a aia pū kekahi ka pilikia o ka hāpai ʻana a me ka hana mua.

ʻO Amniocentesis

ʻO Amniocentesis kahi hōʻike e kōkua i ka hōʻoia ʻana e ʻike i nā pilikia ulu i loko o kahi ʻōpū. Hōʻiliʻili kāu kauka i kahi liʻiliʻi o ka wai amniotic, kahi i loaʻa nā hunaola e hōʻike i nā ʻano kūpono ʻole. Hōʻaʻo ʻia nā hunaola no Down Syndrome, spina bifida, a me nā ʻano ʻē aʻe.

Hiki i kāu kauka olakino ke koi aku i kahi amniocentesis inā ʻike kahi ultrasound i kahi mea kūpono ʻole, inā ʻelemakule ʻoe ma mua o 35 i ka manawa o ka hānau ʻana, a inā he moʻolelo ʻohana kou no ka maʻi chromosome. Hiki iā ʻoe ke loaʻa i kēia hōʻike ma kahi o 15 a 18 mau pule o ka hāpai ʻana, a he 30 mau minuke ka lōʻihi.

ʻO ka mea mua, hoʻohana kāu kauka i kahi ultrasound e hoʻoholo i kahi o kāu pēpē i loko o ka ʻōpū, a laila hoʻokomo i kahi nila maikaʻi ma o kou ʻōpū e huki i ka wai amniotic. Pākuʻi ʻia nā pōpilikia me ka cramping, bruising a me ka spotting. Aia kekahi pilikia o ka hāʻule ʻole.

Me ke ʻimi ʻana i nā kīnā o ka hānau ʻana a me nā mea ʻē aʻe ʻē aʻe me kāu pēpē, ʻike pū kekahi amniocentesis i ka moekolohe o kāu keiki. No laila inā ʻaʻole ʻoe makemake e ʻike, e hōʻike i kēia ma mua o ka hoʻāʻo ʻana no laila ʻaʻole ninini kāu kauka i nā pī.

Kukuna ultrasound

ʻO kahi ultrasound kahi ho'āʻo prenatal maʻamau kahi e moe ai ʻoe ma ka papa ʻaina a nānā ʻia kou ʻōpū. Hoʻohana kēia ho'āʻo i nā nalu kani e hana i kiʻi o kāu pēpē, a hoʻohana pinepine ʻia e nānā i ka ulu a me ke olakino o kāu pēpē.

ʻOiai hana kahi ultrasound i kiʻi o kāu pēpē, hiki iā ia ke hōʻike i ka moekolohe o kāu pēpē. Hoʻonohonoho ka hapa nui o nā kauka i kahi ultrasound ma kahi o 18 a 21 mau pule, akā e hoʻoholo ʻia paha ka moekolohe e ka ultrasound ma mua.

ʻAʻole mau ia he 100 pākēneka pololei. Aia paha kāu pēpē i kahi kūlana kūpono ʻole, kahi mea paʻakikī e ʻike akāka i nā ʻōiwi. Inā ʻaʻole hiki i ka loea ke loaʻa kahi peni, hoʻoholo lākou e loaʻa ana iā ʻoe kahi kaikamahine a ʻo ka ʻaoʻao ʻē aʻe. Akā hiki mai nā hewa.

Pehea e pili ana i nā hana ʻē aʻe e ʻike i ka moekolohe o kahi pēpē?

Nā pahu hoʻāʻo hoʻokolohua ma ka home

Me nā kuʻuna kuʻuna, loaʻa i kekahi poʻe ka ʻike maikaʻi e hoʻohana ana i nā kit i ka home i kūʻai ʻia ma ke ʻano he "hoʻokolohua koko ʻōpio ʻōpio."

ʻO kekahi o kēia mau hoʻāʻo (e like me nā koi) hiki ke hoʻoholo i ka moekolohe ma mua o 8 mau wiki, me kahi o 99 pakeneka pololei. Eia nō naʻe, he mau koi kēia i hana ʻia e nā ʻoihana a ʻaʻohe noiʻi e kākoʻo i kēia mau helu helu.

Penei e hana ai: Lawe ʻoe i kahi laʻana o kou koko, a laila hoʻouna i kēia hāpana i kahi keʻena hoʻokolohua. Nānā ke keʻena hoʻokolohua i kāu hāpana koko no ka fetal DNA, e nānā pono ana no ka chromosome kāne. Inā loaʻa kēia chromosome iā ʻoe, ke keikikāne nei ʻoe. A inā ʻaʻole ʻoe, he kaikamahine kāu.

E hoʻomanaʻo i ka wā e hoʻouna ai i nā hōʻailona ma o ka leka uila i kahi lab i ʻike ʻole ʻia he nui nā kumu e hoʻoliʻiliʻi ai i ka hilinaʻi o nā hopena. Kūleʻa kēia mau hoʻokolohua i mea nui no laila makemake ʻoe e noʻonoʻo inā paha he kumukūʻai lākou no ʻoe.

Nā moʻolelo a nā wahine kahiko

Hoʻohana kekahi poʻe i nā moʻolelo a nā wahine kahiko e wānana ai i ka moekolohe o kā lākou pēpē. Wahi a ka moʻolelo, inā he pōloli keu i ka wā hāpai, hāpai paha ʻoe me kahi keikikāne. Manaʻo ʻia ʻo ke keu testosterone i hūnā ʻia e kahi pēpē pēpē e hoʻonui i ka makemake.

Aia nō ka manaʻoʻiʻo i kahi puʻuwai fetal kiʻekiʻe (ma luna o 140 bpm) ʻo ia hoʻi ke loaʻa nei kāu kaikamahine. A ke hāpai nei ʻoe i kahi kaikamahine inā hoʻopoina ʻoe i ka wā hāpai. Manaʻoʻiʻo kekahi he keiki kāne kāu inā haʻahaʻa kou ʻōpū a kaikamahine inā kiʻekiʻe kou ʻōpū.

Akā ʻoiai he moʻolelo leʻaleʻa nā moʻolelo a nā wahine kahiko e wānana ai i ka moekolohe o kahi pēpē, ʻaʻohe ʻepekema a noiʻi paha e kākoʻo i kēia mau manaʻoʻiʻo a i ʻole nā ​​koi. ʻO ke ala wale nō e ʻike ai i kāu mea e loaʻa nei ke hoʻonohonoho i kahi manawa me kāu kauka.

Lawe aku

Hiki ke pīhoihoi ke aʻo ʻana i ka moekolohe o kāu pēpē a hiki ke kōkua iā ʻoe e hoʻomākaukau no ka hiki mai o kāu pēpē. Eia nō naʻe, ʻoluʻolu kekahi mau kāne a me ke aʻo wale i ka moekolohe o kā lākou pēpē i ka lumi hānau - a maikaʻi maikaʻi kēlā.

No ke alakaʻi hāpai hāpai hou a me nā ʻōlelo aʻoaʻo a kēlā me kēia pule i hoʻopili ʻia i kāu lā kūpono, kau inoa no kā mākou Ke manaʻo nei wau i ka leka uila

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