Nā kuhikuhi no ka nānāʻana i ka perinatal no ka lā mua mua
ʻAʻole kēia helu i loaʻa i loko o ka papa inoa o nā kauoha no nā wāhine hāpai a pono e hoʻonohonohoʻia e like me nā hōʻailona, aʻo nā makuahine'ē aʻe a pau ka palena wale nō i nā hōʻailona o ke ultrasound. Akāʻo ka'ōlelo pinepine a nā kauka e hāʻawi aku i nā wāhine a pau e pale i nā hewa nui ma ka hoʻouluʻana i ke keiki.
ʻO nā'ōkuhi no ka nānāʻana i ka perinatal no kaʻekolu o nā makahiki he mau mea kēia:
- I loko o ka hana hana a ka wahine, he'ōkū maloʻo, kahi hāʻuleʻole, he keiki'ōpū;
- kekahi o nāʻohana o nā wāhine he mau maʻi kino'ī;
- i nā hebedoma mua o ka hāpaiʻana, ua maʻi kekahi wahine, lawe i ka lāʻau lapaʻau;
- nā makahiki o ka makuahine ma luna o 35;
- ʻo kekahi o nā wāhine i loko o kona ola, ua hāʻuleʻo ia ma lalo o ka mana o ka hoʻokuʻuʻana.
Hoʻomāla heluʻana no ka lāʻekolu
ʻO ka pae muaʻo ia ka heleʻana o ka hōʻailona o ke ultrasound, i mālamaʻia e kahi geneticist. E aʻo ke kauka i nā mea hoʻohālikelike e hiki nei:
- ka lōʻihi o ke kōpiko (keʻano coccyx-parietal);
- ka nui o ka'āpana'āpana, he mea nui ia o ka hōʻailona i ka manawa i hāʻawiʻia;
- ka nui o ke poʻo a me nā iwi āpau;
- hōʻailona o ka hemispheres cerebral;
- lōʻihi o nā iwi;
- ka nui o ka'ōpū, naʻau;
- ke kaulike o nā mea i loko o ko lākou mau wahi.
Ma hope o ka nānāʻana i nāʻikepili a pau, hiki i ke kauka ke kānalua i ka loaʻaʻana o kekahi mau maʻi kupa, e like me Down syndrome a iʻole Edwards a iʻole paha.
ʻO ka hoʻopiliʻana o nā meaola lāʻau paila no ka pilina mua
ʻO ka pahuhopuʻelua,ʻo ia ka hōʻoiaʻana o ke kokoʻona. Hoʻomaopopoʻia ka nānāʻana o nā meaola lāʻau kūpilikiʻi he "test double". Laweʻia kaʻike o nā meaola placental ma PAPP-A a me ka b-hCG free. Eia hou, ua hanaʻia nāʻikepili i loko o ka polokalamu kamepiula e nānā ana i nā hualoaʻa o ke ultrasound. No ka hanaʻana, hoʻohanaʻia kekahi mauʻikepili, no ka laʻana, e like me ka makahiki o ka wahine, ke heleʻana o IVF , ka maʻi hēhē, nā hanaʻino.
Ke kaʻina o ka nānāʻana i ka peinatal no nā lā mua
He mea maikaʻi e hāʻawi i ka loiloiʻana o nā hopena o ka hōʻailona i ke kauka nānā, aʻaʻole e ho'āʻo e hoʻoholo i kāu mau hopena. ʻO nā hualoaʻa o ka nānāʻana i ka lainana o ka lā mua mua ma hope o ka hoʻoponoponoʻana i loko o ka polokalamu kamepiula i hoʻopukaʻia e like me ka hopena kūikawā. Hōʻike ia i nā hopena o ka haʻawina a hoʻopili i nā hopena o nā maʻi. ʻO ka mea kuhikuhi nui he mea nui, i kapaʻiaʻo MoM.
Inā hōʻike ka hōʻike i kahi kiʻekiʻe o Down syndrome a iʻole kekahi kanaka āpau,ʻaʻole hiki ke hoʻomaopopoʻia heʻike pololei. Hiki i ke kauhonua ke hoʻopuka i kahi kuhikuhi no ka weheweheʻana i nā diagnostics.