Ko nga Tohenga Whakaaro i te Whakamatau i te Whakamatau i te Paanga
Ko te Kaupapa o te Mataaratanga mo te Pao Pao i te Maakutanga
Kua piki haere te maha o nga waahanga tirotiro mo Down syndrome i nga tau kua pahure. I mua i to whakatau koe mo nga whakamatautau, ki te mea, he tika mo koe, he mea nui kia mohio ki te ariui i muri i nga whakamatautau tirotiro.
Ko te whakamātautau me te whakamātautau i nga whakamātautau ka taea e nga ariā pakeke te whakaaro ki nga tangata.
Kei te whakamahia matou ki nga whakamatautau hauora e homai ana ki a matou he whakautu, engari ki te whakamatautau whakamatautau, hei utu mo te whakautu, ka kitea he painga o te raru. Hei tauira, kaore e taea e nga whakamatautau tirotiro te korero ki a koe no te mea he Down Down syndrome to tamaiti, ka taea e koe anake te whakatau i to tupono ki te whai tamaiti me te Down syndrome. I runga i tenei whakaaro morearea me te kaainga o te haukoti o te mate, ka tohatohahia to whanau me te kino kino (he iti noa te mate) me te mata pai (he nui te mate). Ko te tirotiro i te wehewehe i te iwi ki nga taupori e rua - ko nga mea e kiia ana ko te nuinga o te mate (te nuinga) me te hunga e kiia ana he nui te mate (he iti).
He iti nei te raru o tenei, engari e whakaaro ana ahau ka awhina i te tauira o te tauira.
He tauira o te whakamatau whakamatau
Ko tetahi whakamātautau whakamātautau māmā e taea ai te aromatawai i te mate o te whaea ki te whai tamariki me te Down syndrome, ko te ui noa atu ki a ia he whaea-ki-te-tau. I runga i tana whakautu me te haukoti-mate, ka taea te wehewehea nga whaea-ki-te-roopu ki nga roopu e rua-ko te hunga e whakaarohia he iti te mate (kaore he kino) me te hunga e whakaarotia ana he nui te mate.
Hei wehe i nga kanohi pai o nga whaea mai i nga whaea kino mata, kia whakaarohia ko te tangata e nui atu ana i te 1 i te 200 (neke atu ranei i te hawhe o te 1 hekene) ka whakaarohia he pai. Ko tenei 1 ki te 200 nga raruraru ko to maatau-kore.
I teie nei, a ani i te mau metua vahine e piti to ratou mau matahiti. Ko te whaea o A he 30 tau me te mea i tana tau anake, ko tona morearea kia whanau he potae ki Down syndrome he 1 i 900.
Kei te whakaarohia ia he "kino kino" mai i te mea he iti ake tona raruraru i to tatou werohanga o te 1 i te 200. Na ka iti noa iho tona raru, a kaore ia e tukuna he whakamatautau whai muri. Engari, he nui rawa tenei, he kore noa iho tana morea-he 1 i te 900. Ko te tikanga ko te mea kei roto i te ruma he 900 nga tau-30-tau-tau, ka whanau tetahi tamaiti me te Down syndrome ahakoa ko ta matou "whakamatautau" ka mea he kino te kino o te kino (he iti rawa te raru!)
Na, me tono atu ki a Mom B tana tau. Ko te Mom B kei te 38 me te mea i tana tau anake, ko tana morearea kia whanau he potae ki Down syndrome he 1 i te 180 (he iti ake ranei i to taatau mate o 1 i te 200). Mai i te mea he nui ake tona morearea i te 1 i te 200, kua whakaarohia ia "he pai" he mea nui ranei. I tenei wa, ko tana morearea e tata ana ki te hawhe o te kotahi ōrau (neke atu rānei i te 99 ōrau kaore he mate Down Down syndrome) engari i runga i to maatau whakamatautau, ko tona hua he "tohu pai". , "Ko te mea pea kaore he tamaiti Down Down syndrome. Engari, i runga i tana "mate," ka tukuna ia ki te whakamatautau i te whakamatautau -a-muri ki te whakatau mehemea kei te tamaiti te Down syndrome. Ko te nuinga o nga wahine, ahakoa he hua pai o te tirotiro, ka whai tamariki he kaore i te Down syndrome.
Ka taea e koe te kite, ko te whiwhi i te hua "papanga pai" ka taea te whakanui ake i to hiahia.
Nga painga me nga huakore o te whakamatau i nga whakamatautau
Ahakoa e kore e whakamatautauhia e nga whakamatautau i te whakamatautau a te tamaiti ki a koe mo nga chromosomes o to tamaiti, kei te whai hua etahi ki te whakamatau i te whakamatautauranga matemate penei i te amniocentesis or chorionic villi sampling (CVS). No te mea kotahi, kaore he mate mo te hapu. Ko te nuinga o nga whakamatautau whakamatautau ko nga whakamatautau toto ranei, ko te huinga o nga mea e rua, a kaore he raruraru o te marearea e whai ana ki a ratou me te mea ko te amniocentesis ranei CVS. Ko te raruraru kaore ratou i te whakautu ki a koe, ka hoatu e koe he whakatau ki a koe mo to whara.
Ko te nuinga o tenei ka iti te utu o tenei whakatau (kaore he kino) me te maha o nga wahine e kitea ana tenei ahuareka. Engari, ki te whakaarohia he hua pai te kitenga o to hua, ka nui pea te manukanuka ki a koe, ahakoa he mea pea kaore a Piripi i te Down syndrome. Mena ka whakaarohia he pai o taau whakamatautau, ka raru ano koe ki te whakatau i te waahanga whakamatautau.
Nga Aratanga ki te Whakarite i te Whakaoti mo Nga Tohu Whakamutunga
I a koe e whakaaro ana ki au whakatau, me tango he wa poto ki te haere i enei mahi, me whakaaro he aha te waahanga e whai ake nei ahakoa he aha nga whakamatautau e whiriwhiria e koe:
- Mena he nui ake te mate o Down syndrome i runga i to tau, tohua he wa poto ki te mohio ki te piki o te mate o Down syndrome ki te tau. I te mea i tuhia, tae atu ki nga whaea tawhito, ko te mea, neke ake i te 40 tau, kaore pea he tamaiti kaore i te mamae o te Down syndrome mai i te potae he Down syndrome.
- Mena, i runga i to tau, e whakaaro ana koe he nui ake te painga o to tamaiti ki te mate Down syndrome, ka whakaarohia e koe nga whakamatautau mataara (ko nga whakamātautau mataora tuatahi o te toru marama, te taumata B-HCG, te whakamatautau apha, te ultrasound me te marama tuatahi te whakamatautau i nga tohu a te pakiwaitara o te pakiwaitara ranei i te waenganui o te hapori?) I mua i te whakamatau i enei whakamatautau, whakaarohia te mahi i muri mai. Mena kei te whakamatautauhia e koe o nga whakamatautau whakamatautau-kore (whakamatautauranga toto ranei ultrasound) kei roto koe i te waahanga haumaru nui atu i te iti o te raruraru, he aha koe ka mahi i muri mai? Mena ka hiahia koe ki te whakahaere i te amniocentesis ranei CVS, he mea nui kia whakaarohia i mua i te wa. Mena kaore koe e haere ki te kohikohi me te CVS, whakaarohia me pehea e taea ai e koe te whakatutuki i te mohio he nui ake te raruraru i to koe waahi. Kaore he whakautu tika ranei. Ko etahi o nga tangata ka raruraru ki te mohio ki te piki atu o te raru, engari ko etahi e hiahia ana ki te mohio mehemea he nui ake te painga ki a ratou hei whakarite mo te waahanga.
- Mena he whakamatautau whakamatautau rerekanga koe (me te mea he nui te raruraru e pa ana ki te tau) ka whakaaro koe ki te mahi i te amniocentesis ranei CVS? Ma enei rangahau, he mea nui kia paahitia te matauranga e pa ana ki a koe mo te painga o nga paanga tawhito pēnei i te matemate. Ahakoa kei te iti te mate o te mate me te amniocentesis, kei te takoto tonu. Engari i mua i te whakamatautau i tenei whakamatautau ka mohio koe ki nga hua mehemea ka whai hua koe. Ka taea e koe tetahi mea rereke, hei tauira, whakaarohia he materoto? Me mohio koe ka whanau he potae ki a Down syndrome ka awhina koe i te pai mo te whanau? Kae ranei, ko koe he tangata e mamae ana i roto i to koe hapu, e mohio ana kaore i te whakarite koe i te mate pukupuku, engari kei a koe anake te manukanuka?
Ko te Rarangi Rarangi mo te Whakatauranga Prenatal for Down Syndrome
Ko te whakatau ki te whakamatautau i roto i te waahi i te wa e hapu ana he mea takitahi. Ko te nuinga o nga whakamatautau whakamatautau e whakarato ana i nga matua-ki-te ki te whakapumau. Engari, ka kitea te pai o te whakamatautau tirotiro, ka taea te whakatikatika. Kei te wātea nga whakamatautauranga whakamatautau whai muri, engari he raruraru kei a ia, he waahi hoki ka whai hua, he mea uaua mo etahi matua-ki-te. I te whakatau i tetahi ahua o te whakamatautau i roto i te waahi o te hapu, he mea nui kia whakaarohia he aha nga hua o te whakamatautau mo to koe me te aha e mahi ai koe ki taua korero.
Kaupapa:
Halliday, J., Messerlian, G., me G. Palomaki. Akoranga Mateu: Me whai tohu au mo te mate o Down i te wa e hapu ana? (I tua atu i nga Kaupapa). UpToDate . Whakahoutia 08/10/15.