Down maʻi pale: symptoms i hāpai keiki, kumu

Kela keiki, ka nānā 'ana i ka pilikia i ke ku iluna, e ke aloha, a i kahu malama ma ko lakou mau makua. Ma keia 'atikala au makemake e kamailio e pili ana pehea hāpai keiki puka keiki me Down maʻi pale a me ka pilikia' oe e 'ike.

A mau olelo e pili ana i ka maʻi

I ka maʻi la kona inoa i loko o ka hanohano o ke kauka nana i hookolokolo aku la ia ia ia - Dzhon Lengdon Down. Medic hoomaka i kana hana i loko o ka mamao 1882, i nā hualoaʻa paʻi i loko o 4 makahiki. He aha hiki mākou e'ōlelo e pili ana i ka maʻi? No laila, ia mea he pathology i loaʻa chromosomal maoli: aia no he ole ma ke kaʻina hana o ka halepaahao mahele. ʻepekema, ua hoike ia na keiki i hanau me Down maʻi pale, he mea ka hou, 47th chromosome (i ola kanaka, kēlā halepaahao he 46 chromosomes, a lawe nui aaiaoe 'ike). Inā mākou e olelo wale, kanaka me kēiaʻike, e manaoia mentally retarded (aole nae pela i ole ia e kapaia e like me ka pono a me ka pono hae).

kūʻiʻo

Key kūʻiʻo e pili ana i ka maʻi.

1. Down ka maʻi pale ma ka hāpai keiki like e loli ai i nā keiki a me nā kaikamāhine.
2. 'Ikepili helu: 1.100 ola na keiki hanau 1 kamaiki me keia maʻi pale.
3. 21 March - i ka lā o ka kūpaʻa me ka poʻe i loaʻa Down maʻi pale. He hana hoihoi 'ana o ka lā i i wae mai ma ka iho. Ma hope o nā mea a pau, i ke kumu o ka maʻi - trisomy o chromosome 21 (i ka helu 21, o ka pūkaʻina helu o ka malama - 3).
4. People me kēiaʻike, e ola mai ka 60 makahiki. A me ka mahalo i ke kālā no ua ike-pehea i loko o ka oihana, e pana aku au i hala loa ka maʻamau piha ola (ka mea, ike pehea e heluhelu, kākau, komo 'ana i lehulehu ola).
5. I ka maʻi i ole mokuna a kamepiula pūʻulu. Oia ke keiki e e hanau ana o ka wahine, nānā 'ole o ka nui o ka hoʻonaʻauao' ana, ka nohona kulana, waihoʻoluʻu a ola you.

kumu

E noonoo hou i ka theme like: "Down maʻi pale:. Symptoms i hāpai keiki" He aha kumu ke hoʻonui i kēia maʻi? No laila, e like me ua olelo mai ma luna, ia mea kuleana no nā mea a pau keu 47th chromosome. A pau na keʻano o ka hanaʻana i alakai ai i ka hanana o ka maʻi pale, e ana i ka manawa o ke kahua o intrauterine fetal i aeea mahele. Hoikehonua, poe akamai i aku nei au ia mea kaulele chromosomal mutations, i mai i hilinaʻi ma luna mawaho aʻe.

kamepiula pūʻulu a me nā 'ikepili helu

Ka pilikia o ko Down ka maʻi pale ma ka hāpai keiki loli aʻe no kekahi pūʻulu o nā wāhine.

1. 20-25 makahiki. Ka pilikia o kēia symptom i loko o ke keiki, ua like ia 1/1562.
2. 25-35. 'Ākena, piʻi pū: 1/1000.
3. 35-39: 1/214.
4. Mua o 45 makahiki. Ke kamepiula like ka nui me hiki ka nui. Ma keia hihia, no ka 19 mau keiki, he keiki ua hanau me Down maʻi pale.

Like no ka Pāpā, 'aneʻi no ka' inikua haʻina i ole i maopopo. Eia naʻe, ka hapanui kilo'ōlelo aku nei au i ka mea i loaʻa i ka poʻe kūpuna, ma ka makahiki o ka 42 makahiki ka manawa nui e hapai i ka "la keiki".

ho'āʻo ai i

Hoikehonua,ʻepekema Ua invented kūikawā e ho'āʻo ai, ma i oe ke hoʻopau i ka pilikia o ko Down ka maʻi pale ma ka hāpai keiki. Ma keia hihia, e i ka wahine, e pane mai i ka i kēia kī nīnau:

1. Makahiki.
2. Lāhui.
3. Hewaʻano (e uwahi ana).
4. kino ke kaumaha.
5. Ke alo aku o nā mimikō mellitus.
6. Ka helu o nā pregnancies.
7. Hapai ana: He IVF ina hana i hoʻohana.

Naʻe, ka mea, ke waiwai, e olelo aku i ke aloha i kekahi wale hoao polokalamu, e hoʻopau i ka pilikia o ke keiki maʻi i kēia maʻi pale hiki ole ia he haneri pakeneka. E hana i kēia, e hoʻohana i ka hou kālā.

Pehea la au e ike ai?

E hoʻomau kūkākūkā hou ia ma luna o ke kumuhana: "Down maʻi pale: symptoms i hāpai keiki." Me ua i haiia ae maluna, keia pathology i ka aaiaoe ano. Nolaila, e hiki ke aʻo e pili ana ia i kekahi manawa i ka wa a ke keiki i loko o ke kaʻina hana o ka fetal? Acaeoey. He aha ke ano o ka noiʻi i loko o keia hihia, e e pili?

1. 'Amelika. No ka mea manawa mua pono e lawe mai i loko o ka manawa mai ka 11 a hiki i 13 pule. Ma ia ka hihia, e e? Anoee nuchal kao mea e hana ia e hiki ai i ka olelo ana, ina he mea ka pathology o ke keiki (ma ka ultrasound hiki ke ike pa oi ole ana mānoanoa o ka'ā'ī āpana ua oi aku mamua o 3 mm)
2. Ka Ikepili o ke koko o ka makuwahine o ka. E hana i kēia, e pono e hele i ke koko, mai ke aa koko. Inā he mea abnormality i loko o ka fetus, ka makuwahine makemake e ke kiekie pae o ka β-subunit o hCG (ka mea e e oi ma mua o 2 Mohm).
3. Ka Ikepili o ka wai koko. Ka pilikia o ka loaa i ka wā e hiki mai keiki maʻi pale i ia ka hihia ina ka ke keʻena PAPP-A makuahine emi o 0.5.

Ua pono e mai la oia i ua kapaia "hui loiloi mea o loko" (a me ka mea mua loiloi hoao ana) i kēia mahele. Wale ma ka hui pu ana, hiki paka i nā hualoaʻa i mea pololei ma 86%.

hou noiʻi

No laila, Down ka maʻi pale, symptoms o ka hāpai keiki. US - like me ka ano o ka hana noiʻi - no ka olelo hooholo i kūlike loaʻike, mea wale,ʻaʻole lawa. Inā ka mua loiloi hōʻike i ke kamaiki i ka cider, ka expectant makuahine a hiki i ke kauka ke kuhikuhi, e hele i kekahi ao (ka mea e pono ai i loko o ka hanana i ka lede e hele e olelo i ka i ka abortion). Ua transcervical amnioscopy. Iloko o keia ina hana, e laweia chorionic villus Eia kekahi laʻana, a e hele aku i ke keʻena hoʻokolohua no ka hoʻokolokolo pono lapaʻau. Nā hualoaʻa ma keia hihia, he 100% pololei. An nui wahi: keia ina hana hiki e weliweli i ke keiki ka ola, e hoolike ana ia i ka olelo hooholo, na makua e manaʻo pono e pili ana i keia. Kauka koi aku i kekahi wahine i keia ao e hiki ole.

lua o ka loiloi

Mākou i këia no hoi ka theme like: "Down maʻi pale: symptoms i hāpai keiki." No laila, nui i ka manawa o ka lawe ana i ke keiki, e ia i ka lua o ka loiloi. Ua ua paʻa i loko o ka lua o ka trimester, ma waena o ka 16th a me ka 18th pule o ka hāpai keiki. Symptoms o ka maʻi pale ma ka hoʻopaʻa 'ana o ke koko makuwahine:

1. HCG Mamma 2 ma luna.
2. AFP pae ma lalo 0.5 makuahine.
3. Free estriol - emi o 0.5 makuahine.
4. Inhibin A - 2 makuahine.

I nui, e e ultrasoundʻike,:

1. Ka hua nui uuku ma mua o maʻamau.
2. Hua'ōleloʻo a kaawale o ka nasal iwi i loko o ke keiki.
3. I ka hua'ōleloʻo o na iwi femoral a me ka humeral.
4. Ke a luna kao nui nō e uuku ma mua o maʻamau.
5. Ka mea, e lilo kekahi artery kahi o elua i loko o ka piko o ke keiki.
6. e māhuahua ai ka urinary bladder o ka fetus, e.
7. Ke keiki pinepine kokololio naʻau kōmi malama.
8. Ka wahine i ka wai e wī. A i 'ole amniotic loli paha hoi ma kahi ee loa.

hoopau wale o ka hāpai keiki

He aha hou aʻeʻoe e ike na wahine i ka poe e manao ana i ka theme like: "Down maʻi pale:? Symptoms o ka hāpai keiki" Pela, ke emi ma ka abortion o kekahi ke ole. Kēia E e pono e hoomanao. Ke kauka hiki wale kuhikuhi i ke kēia:

1. Hoopau wale o ka hāpai keiki, a pakele o ka fetus me ka pathology.
2. E haawi mai ka hanau ana, i mea mea, i ke kao keiki me ka kūikawā pono (i loko o keia hihia e pono ai,ʻaʻole wale hou mana, akā, i ka mea).

Ka hoʻoholo 'ana pehea hanana e ulu hou, e wale nō nā mākua i ke keiki ka.

About makuahine

No laila, Down ka maʻi pale. Na hoailona o ka hāpai keiki, no laila, e'ōlelo aku, e pili ana i kekahi mea 'ia e hōʻike i kēia maʻi, ma ka nanaia mai. No ke aha la e au haha i ka gestation o ka bebe i ka kuikawā e pili ana i ka expectant makuahine? ʻAʻohe hana. Ma ka mea mawaho ana a me ka ola o ka wahine loa he hopena. Ie na mea a pau i ka hana me nā hapai, e hiki mai ai me koʻu makuwahine, ka mea unborn keiki mea he pathology. No ia mea wale kekahi o ko lākouʻano i ka nānā 'ole imua o kekahi symptoms he wahine hiki ole ke olelo e pili ana paha i kona bebe deviations.

likelihood

Hou e manao ia pathology me Down ka maʻi pale. Ma hāpai keiki, o ka oi aku ina oe i kekahi mau 'ʻike, he nui na makua i hoihoi i: inā i hānau he keiki me ka pathology, Ua loaʻa kekahi manawa o ka loaa o ka lua o kamaiki ole haiahū kūmau? He mau koho:

1. Inā he keiki o ka typical pākolu o chromosome 21, ka pahiki o ka hope hāpai keiki me ka ia pathology - 1%.
2. Inā ka mea, ua ili mai ka makuahine a me ka Papai translocation palapala, i ka pahiki mea kiʻekiʻe. Eia naʻe, mau kii i ole kauka.

Oh bebe

Paha i ka mea ike i na keiki a me keia kāna hana ua kapaia "poe keiki." No ka mea, o ua kanaka he mea noʻonoʻo retardation (make i ka mehana i oi luna 'pepa). Akā, i kēia mea,ʻaʻole i ka hoʻopaʻi. Mahalo i kēia aʻo papahana a? Acaeoeyʻepekema, na keiki ke alakai i ka loa maʻamau ola. Inā hana pono, i ke keiki ole wale hiki, akā, i hiki nō iā kākou ke aʻo pehea e kākau, heluhelu. Mau keiki, e like kela mea'ē aʻe, makemake, e "hele mai", e hele, e nānā i kekahi mea hou, ao alohilohi a me ka nani. I nui na kulanakauhale he mea kūikawā ioauoa kahi me na keiki me ia i kaʻike,, e hoʻoili. Aia nō i kekahi mau kula no nā mea maʻi me Down maʻi pale. Oiaio, i ke kanaka a me kekahi manawa, hiki ole ke hana i kaʻike, me ka kōkua, ia mea e pono ke hoomanao ia. No laila, inā ua loaʻa ka fetus Down ka maʻi pale i hāpai keiki, nā mākua e malama ke kaumaha i ka pros a me Con e e i ka olelo hooholo akau.