los ntawm Jennifer Shakeel
Nrog koj zoo siab koj cev xeeb tub! cuaj lub hlis tom ntej no yuav zoo siab heev rau koj. Kuv paub tseeb tias koj tau hnov cov dab neeg los ntawm lwm tus neeg uas koj paub txog qhov hnyav nce, kev ntshaw thiab kev mob thaum sawv ntxov. Dab tsi tsis muaj leej twg qhia koj txog yog txhua qhov kev sim uas tus kws kho mob yuav xav ua rau koj thaum koj cev xeeb tub. Thaum koj thawj zaug hnov lawv tham txog qhov kev ntsuam xyuas thawj zaug yog, "Vim li cas kuv thiaj xav ua qhov ntawd?" Tom qab ntawd lawv teb cov lus nug thiab koj lub siab yog tias overloaded nrog cov ntaub ntawv thiab kev txhawj xeeb. Lub hom phiaj yog tsis txhob txhawj lossis chim siab rau koj. Txhawm rau pab daws qhov kev ntxhov siab no kuv yuav mus dhau qhov kev sim ntau tshaj plaws thiab qhia koj tias yuav xav li cas kom koj tau npaj thaum koj tus kws kho mob pib tham txog lawv.
Txoj hauv kev zoo tshaj plaws los saib cov kev xeem sib txawv yog mus dhau txhua lub peb hlis ntuj, kom koj tsis tsuas paub tias qhov kev xeem yog dab tsi tab sis koj paub tias thaum twg yuav tau txais lawv. Nyob rau hauv koj thawj peb lub hlis twg qhov kev ntsuam xyuas yuav yog ib tug ua ke ntawm cov ntshav kuaj thiab fetal ultrasounds. Lub hom phiaj ntawm feem ntau ntawm kev tshuaj ntsuam xyuas yog los ntsuas qhov kev pheej hmoo ntawm qee yam kev yug me nyuam. Cov kev sim hauv qab no tau ua tiav thaum thawj 12 lub lis piam:
- Ultrasound test rau fetal nuchal translucency (NT) - Nuchal translucency screening siv ib qho kev kuaj ultrasound los tshuaj xyuas thaj tsam tom qab ntawm tus menyuam hauv plab caj dab kom muaj dej ntau ntxiv lossis thickening.
- ob qhov kev kuaj ntshav rau leej niam (ntshav ntshav) - Kev kuaj ntshav ntsuas ob yam khoom pom hauv cov ntshav ntawm txhua tus poj niam cev xeeb tub:
- Pregnancy-associated plasma protein screening (PAPP-A) - ib qho protein uas tsim los ntawm cov placenta thaum ntxov cev xeeb tub. Cov qib txawv txav yog txuam nrog kev pheej hmoo ntxiv rau chromosome abnormality.
- Tib neeg chorionic gonadotropin (hCG) - cov tshuaj hormones tsim los ntawm cov placenta thaum ntxov cev xeeb tub. Cov qib txawv txav yog txuam nrog kev pheej hmoo ntxiv rau chromosome abnormality.
Nyob ntawm cov txiaj ntsig ntawm cov kev sim no, kev sim ntxiv tuaj yeem ua tiav, suav nrog kev tawm tswv yim txog caj ces. Kuv tuaj yeem qhia rau koj tias txawm tias qhov kev ntsuam xyuas rov qab zoo li qub koj tus kws kho mob tuaj yeem xa koj mus rau kev tshuaj ntsuam genetic rau lwm yam laj thawj xws li koj lub hnub nyoog lossis haiv neeg pleev. - Thaum lub sijhawm peb lub hlis thib ob, muaj kev sim ntau ntxiv nrog rau kev kuaj ntshav ntxiv. Cov kev kuaj ntshav no yog hu ua ntau tus cim thiab lawv tau ua kom pom tias muaj kev pheej hmoo rau cov kab mob caj ces lossis kev yug me nyuam. Kev kuaj ntshav feem ntau ua tiav ntawm lub lim tiam 15 thiab 20 ntawm cev xeeb tub, nrog lub sijhawm zoo tshaj plaws yog lub lim tiam 16-18. Feem ntau cov cim muaj xws li:
- Kev tshuaj ntsuam alpha-fetoprotein (AFP) - kuaj ntshav uas ntsuas qib alpha-fetoprotein hauv cov niam cov ntshav thaum cev xeeb tub. AFP yog cov protein uas ib txwm ua los ntawm lub plab hauv plab thiab muaj nyob rau hauv cov kua dej nyob ib puag ncig tus me nyuam hauv plab (kua amniotic), thiab hla cov placenta mus rau hauv niam cov ntshav. Kev kuaj ntshav AFP tseem hu ua MSAFP (niam txiv AFP).
- Cov qib txawv txav ntawm AFP tuaj yeem qhia cov hauv qab no:
- qhib neural tube defects (ONTD) xws li spina bifida
- Mob ntsws qis
- lwm yam chromosomal txawv txav
- defects nyob rau hauv lub plab phab ntsa ntawm fetus
- ntxaib - ntau tshaj ib tug fetus yog ua cov protein
- ib hnub tsis suav hnub kawg, raws li qib sib txawv thaum cev xeeb tub
- hCG - tib neeg chorionic gonadotropin hormone (ib yam tshuaj uas tsim los ntawm cov placenta)
- estriol - ib qho tshuaj hormones tsim los ntawm cov placenta
- inhibin - ib qho tshuaj hormone tsim los ntawm cov placenta
Nkag siab tias ntau qhov kev tshuaj ntsuam xyuas tsis yog cov cuab yeej kuaj mob, uas txhais tau tias lawv tsis yog 100%. Lub hom phiaj ntawm cov kev ntsuam xyuas no yog los txiav txim seb koj puas xav tau kev kuaj ntxiv thaum koj cev xeeb tub. Thaum koj muab cov thawj peb lub hlis twg nrog rau qhov kev sim thib ob hauv peb lub hlis twg nws muaj peev xwm ua tau ntau dua ntawm cov kws kho mob tuaj yeem kuaj pom qhov txawv txav ntawm tus menyuam.
Muaj lwm yam kev xeem uas tau ua thaum koj lub hlis thib ob yog tias koj xav kom lawv ua tiav. Ib qho ntawm cov no yog amniocentesis. Qhov no yog ib qho kev sim uas lawv coj ib qho me me ntawm cov kua amniotic uas nyob ib puag ncig tus me nyuam hauv plab. Lawv ua qhov no los ntawm kev ntxig ib rab koob ntev ntev los ntawm koj lub plab mus rau hauv lub hnab amniotic. Kuj tseem muaj qhov kev xeem CVS, uas yog chorionic villus sampling. Qhov kev sim no kuj yog xaiv tau thiab nws yuav tsum tau coj ib qho piv txwv ntawm qee cov ntaub so ntswg placental.
Ib qho kev sim uas txhua tus poj niam cev xeeb tub muaj, seb koj puas yog tub hluas, lossis ib tug poj niam laus, yog qhov kev kuaj ntshav qabzib, uas tau ua thaum lub sijhawm 24 - 28 lub lis piam ntawm cev xeeb tub. Yog tias muaj qhov txawv txav ntawm cov piam thaj hauv cov ntshav nws tuaj yeem ua rau muaj ntshav qab zib gestational. Koj tseem yuav raug coj mus rau pawg B Strep kab lis kev cai. Qhov no yog cov kab mob uas pom nyob rau hauv qhov chaw mos thiab kwv yees li 25% ntawm tag nrho cov poj niam muaj cov kab mob no. Thaum nws tsis ua teeb meem rau leej niam, nws tuaj yeem ua rau tus menyuam tuag taus. Qhov no txhais tau hais tias yog tias koj kuaj tau zoo koj yuav tau muab tshuaj tua kab mob los ntawm lub sijhawm pib ua haujlwm mus txog thaum tus menyuam yug los.
Kuv tsis tau npog ultrasounds vim tias txhua tus paub txog ultrasounds thiab lawv zoo siab thiab lom zem!
Biography
Jennifer Shakeel yog tus kws sau ntawv thiab yav dhau los tus kws saib xyuas neeg mob nrog ntau dua 12 xyoo kev paub txog kev kho mob. Raws li ib tug niam ntawm ob tug me nyuam zoo kawg nkaus nrog ib tug ntawm txoj kev, kuv nyob ntawm no los qhia rau koj txog qhov kuv tau kawm txog kev ua niam txiv thiab kev xyiv fab thiab kev hloov pauv uas tshwm sim thaum cev xeeb tub. Ua ke peb tuaj yeem luag thiab quaj thiab zoo siab vim tias peb yog niam!
Tsis muaj ib feem ntawm tsab xov xwm no yuav raug luam lossis luam tawm hauv ib daim ntawv yam tsis muaj kev tso cai los ntawm More4Kids Inc © 2009 All Rights Reserved
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