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Why is "MFM" important? Not allergic to NIPT.

Today, Ploy would like to share his first examination experience. 🌸✨

💉 NIPT, the mother's blood is drilled to be tested in a lab for chromosomal abnormalities.

Like Down syndrome, if you know fast, plan fast for me.

I checked all 23 pairs, including rare diseases in children, for our comfort.

If NIPT has passed, why check the MFM?!

🌱🩺 MFM = The whole body was examined by an MFM doctor only. The mother of the antenatal doctor was a specialized doctor who examined the MFM, so no need to check with another doctor. It took almost an hour because the doctor looked very detailed and asked all the mother and father questions until the parents were comfortable.

When you check the MFM, what do you watch?

✅ brain structure.

✅ face, cleft lip, palate.

✅ 4-chamber heart + blood flow

✅ spine.

✅ stomach, intestines.

✅ kidneys, bladder.

✅ arms, legs, fingers, toes.

✅ placenta position, amniotic fluid, umbilical cord.

Doppler blood flow

Most check the gestational age range. 🌷

18-22 weeks

(The ideal range is about 20 weeks)

Because the structure of the organs, the functions have developed clearly. If anything, it is fast enough to plan a cure.

🌤️ when the doctor examined, the mother's heart was dancing. Because this checkpoint is also very important. Praying throughout the examination 💛, the doctor will keep telling me not to worry too much. The mother is a handful until the doctor can see.

So the 🌤️✨

NIPT tells "chromosome"

MFM tells "body structure"

These two are important on different sides.

Mother suggested to do it together.

Because something "normal chromosome."

But the structure can be unusual.

Complete inspection = more comfortable and better plan. 🌸🌱✨

# mfm check # Check Nif # NIPT # New Mom # Second quarter

4/20 Edited to

... Read moreถ้าให้สรุปแบบที่เราเข้าใจหลังจากไปตรวจเองนะคะ “NIPT กับ MFM ไม่ได้แทนกันได้” เพราะเขาดูคนละเรื่องเลย ถึงผล NIPT จะออกมาปกติ ก็ยังมีเหตุผลที่คุณหมอแนะนำให้ไปตรวจ MFM อยู่ดีค่ะ NIPT คือการเจาะเลือดแม่ แล้วเอาไปคัดกรองความผิดปกติของ “โครโมโซม” ของลูก (เช่น กลุ่มเสี่ยงดาวน์ซินโดรม และโครโมโซมคู่ต่างๆ) จุดเด่นคือทำได้ค่อนข้างเร็วตั้งแต่ไตรมาสแรก ทำให้พ่อแม่รู้ผลไวและวางแผนได้ไวขึ้น แต่ต้องจำไว้ว่ามันเป็น “การคัดกรอง” ไม่ใช่การยืนยันโรค 100% และไม่ได้บอกว่าอวัยวะลูกสร้างมาครบไหม ส่วน MFM (หลายที่เรียกอัลตราซาวด์โครงสร้าง/อัลตราซาวด์ละเอียด) คือการตรวจ “โครงสร้างร่างกาย” ของลูกแบบละเอียดมากๆ โดยหมอเฉพาะทาง MFM ค่ะ ของเราใช้เวลาตรวจเกือบชั่วโมง เพราะคุณหมอดูละเอียดทีละจุด ทั้งสมอง ใบหน้า ปากแหว่งเพดานโหว่ หัวใจ 4 ห้องและการไหลเวียนเลือด กระดูกสันหลัง กระเพาะอาหาร-ลำไส้ ไต-กระเพาะปัสสาวะ แขนขา นิ้วมือ นิ้วเท้า รวมถึงตำแหน่งรก น้ำคร่ำ สายสะดือ และมี Doppler ดูการไหลเวียนเลือดด้วย คำถามที่คนชอบสงสัยเหมือนเราคือ “ถ้า NIPT ปกติแล้ว ยังต้องตรวจ MFM ไหม?” จากที่คุณหมออธิบายคือ บางความผิดปกติเป็นเรื่องโครงสร้าง เช่น หัวใจบางชนิด/ปากแหว่ง/ปัญหาของไตหรือกระดูกสันหลัง ซึ่งอาจเกิดได้แม้โครโมโซมปกติ ดังนั้น MFM จะช่วยเพิ่มความมั่นใจว่าอวัยวะต่างๆกำลังพัฒนาเหมาะสมค่ะ ช่วงเวลาที่แนะนำสำหรับ MFM ส่วนใหญ่จะอยู่ประมาณ 18–22 สัปดาห์ (ที่เหมาะมากๆคือราว 20 สัปดาห์) เพราะอวัยวะค่อนข้างเห็นชัดแล้ว และถ้าเจออะไรเร็วก็ยังมีเวลาให้คุณหมอวางแผนติดตาม/ส่งต่อ/รักษาได้ทัน ทริคเล็กๆจากประสบการณ์เรา: ก่อนวันตรวจ ลองจดคำถามที่อยากถามคุณหมอไปเลย เช่น รกเกาะต่ำไหม น้ำคร่ำปกติไหม สายสะดือปกติหรือเปล่า หัวใจเห็นครบ 4 ห้องไหม เพราะตอนตรวจจริงตื่นเต้นมาก อาจลืมถามได้ค่ะ สรุปคือ ถ้าทำได้ “ตรวจครบทั้ง NIPT + MFM” จะอุ่นใจขึ้นจริงๆค่ะ

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