Ma kēiaʻatikala, e kamaʻilio mākou e pili ana i ka'ōkiko 18, aʻo ka inoaʻo Edwards syndrome.
Pehea eʻike ai i ka'ōhumu ma ka chromosome 18?
No kaʻikeʻana i ka hoʻololi likeʻoleʻana i ke keiki i ka laulā, e like me kaʻano 18, hiki ke hana waleʻia ma ka nānāʻana i ka 12-13 a me ka 16-18 mau pule (manaʻoʻia ua hoʻololiʻia ka lā i ka hebedoma 1). ʻO ia ka hopena o ke koko a me ka ultrasound.
ʻO ka pilikia o kahi keiki e loaʻa ana kahi'āpana 18 i loko o ke keiki no ka hōʻaneʻana ma lalo o ka mea maʻamau o ka hormone free b-hCG (human chorionic gonadotropin). No kēlā me kēia pule, heʻokoʻa ka mea hōʻike. No laila, no ka loaʻaʻana o ka paneʻoiaʻiʻo, ponoʻoe eʻike pono i ka manawa o kou hāpai. Hiki iāʻoe ke nānā aku i nā kulekele penei:
I kekahi mau lā ma hope o ka hōʻoiaʻana, loaʻaʻoe i kahi hopena ma kahi e hōʻikeʻia ai, pehea kāu kūlana o ka loaʻaʻana o kahi trisomy 18 a me kekahi mau mea'ē aʻe i loko o ka'ōpū. Hiki iā lākou ke haʻahaʻa, kūpono a kiʻekiʻe paha. Akā,ʻaʻole kēia heʻike maʻamau, no ka mea, ua loaʻa nā haʻawina o kaʻikepili helu.
I ka nui o ka pilikia, ponoʻoe e nīnau i kahi geneticist e kuhikuhi ana i ka noiʻi kūpono no ka hoʻoholo inā loaʻa aʻaʻoleʻole i hala i ka hoʻonohoʻia o nā chromosomes.
Nā Hiʻona o ka Mokuna 18
Ma muli o kaʻikeʻana o ka nānāʻana i ka uku no ka hoʻopaʻiʻana a hāʻawi pinepine i ka hopena o ka hopena,ʻaʻole nā wāhine hāpai a pau e hana. A laila hiki ke hoʻoholo i ke alo o Edwards syndrome ma kahi keiki e kekahi mau hōʻailona waho:
- Ua hoʻonuiʻia ka lōʻihi o ka hāpaiʻana (42 mau pule), i ka manawa iʻikeʻia ai ka hana haʻahaʻa haʻahaʻa a me polyhydramnios.
- Ma ka hānauʻana, he kino iki ke kino o ke keiki (2-2.5 kg), he poʻo poʻo kehā (dolichocephalic), he hanana helehelena iʻole keʻano (he lae liʻiliʻi, he mau maka maka'ākau a me ka liʻiliʻi liʻiliʻi), a kāwili i nā lima a me nā manamana lima.
- Hoʻomaopopoʻia nāʻanoʻino o nā lālā a me nā anomalies o nā'ōpū o loko (i ka puʻuwai).
- No ka loaʻaʻana o nā meaʻino nā keiki me ke kīkino 18, he ola pōkole wale nō (ma hope o nā makahiki he 10 wale nō 10% o lākou).