அடுத்து நான் என்ன செய்வேன்?| High risk or intermediate risk in Double marker | Dr Karthik Senthilvel

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  • Опубликовано: 6 ноя 2024

Комментарии • 107

  • @ajiths1883
    @ajiths1883 День назад

    Hir sir
    My wife NT : 2.5MM
    Fetal abdominal show ecogenic bower loops
    Other wise normal sir
    Its are problem sir,
    Plz rply sir

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  День назад

      @@ajiths1883 Relative marriage?
      What was the risk for trisomy 21 after NT and double marker

  • @kaviyamythili9708
    @kaviyamythili9708 Месяц назад +1

    Thanks you so much sir such a clear explaination.i have cleared my doubt sir

  • @Jothilakshmi-r6z
    @Jothilakshmi-r6z Месяц назад +1

    Echogenic intercardiac focus which left ventricular in isolated marker.but fetel heart normal and out flow normal
    Heart rate 148
    NT 1.4 mm
    Its any issue?

  • @karthikvino6732
    @karthikvino6732 8 дней назад +1

    My age 27 husband age 33 .Sir nt scanla enakku 4.2 mm iruku enaku Bayama iruku plz tell me its normal??😢

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  8 дней назад

      @@karthikvino6732 70% it can be normal, please meet a fetal medicine specialist get a counseling and do a chorionic villus sampling.

    • @karthikvino6732
      @karthikvino6732 3 дня назад

      t21 1:250 apadinu vanthudichi confirm ithu risk thannu sollitanga unga child down syndrome apadinu sonanga😭

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  3 дня назад

      @ Please do chorionic villus sampling, which is the confirmatory test. Meet a fetal medicine specialist as soon as possible

    • @karthikvino6732
      @karthikvino6732 2 дня назад

      Neenga sona mathiri test panalanu ponom but avanga again oru scan panni pathanga everything is normal kulanthai sariyana valarchiyil iruku antha kaluthu pinnadi​ iruntha neerum ippo illa 3mm nu iruku but irunthalum panikuda neer eduthu test pannanumnu solaranga😢@@dr.karthiksenthilvel

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  2 дня назад +1

      @ Yes, they are right. Nuchal translucency will come down after 13 weeks, but we still have to do the testing

  • @pavideepak913
    @pavideepak913 4 месяца назад +2

    Tq so much sir indha video enakku rombha use full ah irukku ippodha oru thelivana vilakkam kedachu irukku 🙏🏻❤😍

  • @kayalkavi1901
    @kayalkavi1901 19 дней назад

    Hi sir,
    Hcg mom 1.376 (ob 77.3)
    Pappa mom 1.136 (ob 2.130)
    NT mom 0.814(observed 1.2)
    My screening test is positive with T21 final 1:227 increased
    Some doctors told me to terminate the baby its highly 100% chance to get down syndrome, already i lost my first baby with ectopic surgery, now im very depressed ..please tel me the solution🙏

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  19 дней назад

      @@kayalkavi1901 Please don't listen to anyone; your risk of having a downs baby is only 1 in 227. The remaining 226 babies can be normal, so meet a fetal medicine specialist and get a CVS or amniocentesis done. Don't terminate without testing 🙏🏼

    • @kayalkavi1901
      @kayalkavi1901 19 дней назад

      @@dr.karthiksenthilvel sir for amniocentisws test they charging around 33000, but we don't have that much money right now, is der any some other test in low amount, pls reply

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  19 дней назад

      @@kayalkavi1901 that is the test you have to do, if you can travel to Trichy, we can do it for you at an affordable price. 👍🏻

  • @immudivi6623
    @immudivi6623 3 месяца назад +1

    Such a clear explanation😊

  • @vijayr8614
    @vijayr8614 4 месяца назад +2

    Amniocentisis done last month for my wife...got negative result😊... At first we afraid of this test...but nothing to worry..more reliable than nipt...go for it.. mostly we will get -ve result only..

    • @govindsamy.c1390
      @govindsamy.c1390 4 месяца назад

      Hi Vijay..engalukum doctor sonnanga..wife ku today test aduthanga..probability ratio 1:328 intermediate risk nu sonnanga..any worries?

    • @vijayr8614
      @vijayr8614 4 месяца назад

      @@govindsamy.c1390 For us 1:82 and got -ve result.. no need to worry...

    • @kalaivani162
      @kalaivani162 3 месяца назад

      Is it painful procedure? Sir

    • @govindsamy.c1390
      @govindsamy.c1390 3 месяца назад

      @kalaivani162 my wife told that, which is not that much pain..after taking this test she is normal only which she can travel too...don't worry.

    • @kalaivani162
      @kalaivani162 3 месяца назад

      @@govindsamy.c1390 thank you sir

  • @renukamuthu7970
    @renukamuthu7970 2 месяца назад +1

    Super sir rompa thank you sir

  • @Sweety23785
    @Sweety23785 9 дней назад

    Sir enakku 12weeks 5days la nt3.2mm irukku... second baby....age 39...cvs pannirukka...nt value 3.2 high risk ah sir...plz reply...

  • @Mahalakshmi-vc1wo
    @Mahalakshmi-vc1wo Месяц назад

    Sir, I am in 5 th month, in 3 rd month there is low risk by analysis of double marker test. But now my baby don't have particular length of nossil bone, so I had been do for a amniocentesis test, all doctor said, this type of symptoms was identified on 3 rd month. But my case y there is no sign for this

  • @anandhip561
    @anandhip561 Месяц назад

    Sir screening test la positive nu vandhuruku sir
    Nt - 1.40 mm
    Beta hcg -61.88 equivalent to mom 1.679
    PAPP - 1.172 equivalent to mom 0.255 nu iruku sir idhu major problem ah enna nu reply panuga sir

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  Месяц назад

      Low PAPPA can be because of so many reasons, but first, we have to check the CRL image, so please meet a fetal medicine consultant 👍🏻

  • @snow54321
    @snow54321 2 месяца назад

    Hi sir.. free beta hcg mom 3.01 and papp A mom 2.01. NT value 1.6mm. nasal bone present. It came as low risk(screen negative).
    But y beta hcg value increased? Should I be worried or not sir?

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  2 месяца назад

      @@snow54321 High beta HCG is associated with maternal and fetal complications. Please meet a fetal medicine specialist nearby

    • @snow54321
      @snow54321 2 месяца назад

      @@dr.karthiksenthilvel But it is showing low risk for Trisomy 21 and trisomy 18/13 in the report. Also the reported date is one day delayed to the sample collected date. My Gynecologist told nothing to worry.
      Should I visit Fetal medicine specialist separately for high beta HCG sir? Pls reply thank you sir.

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  2 месяца назад +1

      @@snow54321 Yes, ma please, 80% of it can be normal, but few can have maternal complications like preeclampsia or fetal complications like structural or chromosomal abnormality. Since your combined screening is low-risk, need not worry about chromosomal abnormalities now. But have to see how the CRL was taken and other things. So pls take a fetal medicine specialist's opinion.

  • @maheshb9421
    @maheshb9421 Месяц назад

    Sir my age was 31.second pragnancy for 4th month .my double marker test result is
    T21- 1:42
    T18 - 1:2755
    T13 - 1:10197
    Free BHCG -131.9 ng/ml
    Papp-A- 1479.1 MU/L
    NT -0.8mm
    Nasal bone ossified.heart beat-168
    CRL-6.99cm
    Is there any problem sir pls reply me sir

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  Месяц назад

      @@maheshb9421 what are the MoM values for Beta HCG and PAPP A?

    • @maheshb9421
      @maheshb9421 Месяц назад

      Sir Free Bhcg -131.9 ng/mbl
      Papp a -1479.1 MU/L
      Ithu mattum than sir antha report la mention pannirukanga

    • @maheshb9421
      @maheshb9421 Месяц назад

      Sir Free Bhcg -131.9 ng/mbl
      Papp a -1479.1 MU/L
      Ithu mattum than sir antha report la mention pannirukanga

    • @maheshb9421
      @maheshb9421 Месяц назад

      Aminocentesis test Nipt test edukura alavuku enga kita amount ila sir Quatrable test eduthu confirm pannikalama sir . solution sollunga sir pls🙏🙏🙏

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  Месяц назад

      @@maheshb9421 No, you have to do CVS or amniocentesis. Do only fetal karyotype, that won't cost much.

  • @kalaivani162
    @kalaivani162 3 месяца назад

    Sir im taking LMW heparin injection .. after how many hours taking injection? to give blood sample for FTscreening ?
    Whether it affects the test result if i give blood sample immediately after taking injection?

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  3 месяца назад

      @@kalaivani162 it has no effect on double-marker values

    • @kalaivani162
      @kalaivani162 3 месяца назад

      @@dr.karthiksenthilvel no sir.. I screened poditive for trisomy 21.. with 1:150.. i suppose that it's bcoz of the timing of injection taken.. I have also sent my report to your ymail id sir.. but i did not get any reply from you sir..

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  3 месяца назад

      @@kalaivani162 In the middle of too many academic commitments, please try to get an online appointment. My juniors will go through everything, and they will bring it to me. Then, I can better guide you.

    • @kalaivani162
      @kalaivani162 3 месяца назад

      @@dr.karthiksenthilvel yes sir.. I knew the hectic schedules happen in duties.. doctor ask me to do amniocentesis.. but the appointment date was fixed only in August...
      Is there any other blood test possible to get second opinion on FTS test report.. before going to amniocentesis sir ..

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  3 месяца назад

      @@kalaivani162 NIPT can be done

  • @SelvipattuSelvipattu
    @SelvipattuSelvipattu 3 месяца назад

    Sir ennoda babyku 5 month scan la manneral oru chinna cysts irukku nu sonnanga sir athunala athum problem ethum varuma sir apdi iruntha athukku treatment irukka sir pls reply pannunga sir

  • @suvithasneha8911
    @suvithasneha8911 3 месяца назад

    Sir anomaly scan report la head la neer katti + kidney la urine kaladhirukunu amniocentesis test eduthirukaga innum result varala andha result la indha problem illana praganacy happy ah continue pannalama sir.. Illa idhanala edhachi problem varuma future la baby ku ..

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  3 месяца назад

      @@suvithasneha8911 have to see the patient to counsel this ma

    • @PreethiMurugesan-i6p
      @PreethiMurugesan-i6p 3 месяца назад

      Antha test entha test edu nu sollito one laks cash seilavalichuto...... Last la nimathi thookam happiness lam poi abostion bannu sollivainga😢😢😢😢.... Apram yen test edukka soltranga

  • @DeepaJesus-qu1xh
    @DeepaJesus-qu1xh 3 месяца назад

    Double marker test low risk whc was taken in 3 month. But qudraple test high risk shwoing in 5th month sir

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  3 месяца назад +1

      @@DeepaJesus-qu1xh If the double marker is done at a stranded place, forget about the quadruple marker; its sensitivity is low.

  • @amudham5638
    @amudham5638 4 месяца назад

    Sir nt scan normal ana double marker enga doctor eduka sollala, anomalyum normal idhukuda quadruple test eduka sollirundhanga andha test positive high risknu vandhruku... Inhibin A harmone tha red dot vandhruku... Vera endha indicationsum illa... Nipt ku blood koduthrukom endha problemum irukadhula sir

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  4 месяца назад

      @@amudham5638 mostly it will be normal, don't worry

    • @amudham5638
      @amudham5638 4 месяца назад +1

      @@dr.karthiksenthilvel Thanks for your timely reply sir... Report vandhadhum kandipa update panren sir

    • @TNPSCMasterClub
      @TNPSCMasterClub 4 месяца назад

      @@amudham5638 hi entha week la nipt test kuduthinga

    • @amudham5638
      @amudham5638 4 месяца назад

      @@TNPSCMasterClub last saturday inum report varala

    • @amudham5638
      @amudham5638 4 месяца назад

      @@TNPSCMasterClub 21 weeks

  • @manojkumar-m4h7v
    @manojkumar-m4h7v 3 месяца назад

    Sir en wife ku 2 days back amniosynthesis panom… ipo lite ah fever ah iruku… is there any problem?

  • @keerthuvenkat
    @keerthuvenkat 2 месяца назад

    My afp level is 115.9ng/ml and correct moM is 2.86 Is normal

  • @Swethadevil
    @Swethadevil Месяц назад

    Sir enaku nt scan la 4.2 mm nu iruku athunala nipt test kuduthirdha athula low risk nu vandhuruchu .ithukapram ethachum prachana iruka vaipugal iruka pls sir enaku therila solunga sir

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  Месяц назад

      @@Swethadevil please do amniocentesis, NIPT is not enough if NT is more than 3.5 mm

  • @helenruba4527
    @helenruba4527 4 месяца назад

    Good morning sir,
    Enaku ethu 1st baby. 11 week 3 days NT scan NB not assessed sonna sir. 10 days later 13w 3 days apo NT report 3 mm. Iruku sonnaga. doubt marker test panna sir. T 21- intermediate risk vadhu iruku (Value 1: 420). T 18 low risk (Value) 1: 1700. T 13 low risk (Value ) 1: 150. Iruku sir. Again naga vera Dr. Poi pathum NIPT test panna sonnaga. Or amniocentesis test panna sonnaga. Ethu pannanum confused iruku sir. At the same time Bayama iruku sir. Pls tel me any suggestion sir. This is my 16w 3d. NIPT or Amniocentesis. Online consultation epadi varanum sulluga sir. Report mail id la send pannitan sir.

    • @prema5068
      @prema5068 2 месяца назад

      Same pblm to me ungaluku enna sonaanga Dr. Entha test panuneenga again

    • @helenruba4527
      @helenruba4527 Месяц назад

      I did amino​centesis pannaga. Report normal vandhu iruku . Don't worry do Amniocentesis get report normal @@prema5068

    • @balakumar2854
      @balakumar2854 Месяц назад

      sister epo epadi baby eruku plz reply ena pannega

    • @prema5068
      @prema5068 Месяц назад

      @@balakumar2854 anomaly scan partha thaan theriyum nga
      Dr ithu normal thaan sonaanga

  • @kaliyuvil4062
    @kaliyuvil4062 2 месяца назад

    Sir yanakku high risk low risk nnu soldraga ethunala papy kki prachana varuma..

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  2 месяца назад

      @@kaliyuvil4062 have to see ur reports to counsel you, please meet a fetal medicine specialist nearby.

  • @vimalavel7173
    @vimalavel7173 2 месяца назад

    Hi doctor! How can I consult you online?

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  2 месяца назад

      Please contact my assistant at +91 70924 11222 for online consultations.

    • @vimalavel7173
      @vimalavel7173 2 месяца назад +1

      @@dr.karthiksenthilvel okay sir thanks you

  • @Jothivetri
    @Jothivetri 4 месяца назад

    After ovulation walking போகலாமா

  • @TNPSCMasterClub
    @TNPSCMasterClub 4 месяца назад

    Hi sir ..i am done quardable marker test 21st week ..its k va sir..

  • @JasinJasin-t7q
    @JasinJasin-t7q 21 день назад

    Nt 2 .8 risk undo

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  21 день назад

      @@JasinJasin-t7q only with value it's not possible to say, have to seen the whole scan

  • @priyaramaraj5583
    @priyaramaraj5583 3 месяца назад

    Sir through ivf pregnant got twin pregnancy.. Nt scan la oru baby nt level 2 mm another baby 3 mm. Scan report tells that is background risk.. What is background risk sir. What can i do sir

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  3 месяца назад

      @@priyaramaraj5583 We need to see what kind of twins it is first and review other scan findings to counsel you. Please visit a fetal medicine unit nearby.

  • @rajadurai8372
    @rajadurai8372 3 месяца назад

    Sir 16 week anamalauis scan 2mm coming nasal bone so doctors infrome me test for nipt why coming this pblm

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  3 месяца назад

      @@rajadurai8372 It's not a problem; it's just a sign that there can be a problem. It can also be seen in normal patients, so get tested.

    • @rajadurai8372
      @rajadurai8372 3 месяца назад

      Thanks sir

    • @rajadurai8372
      @rajadurai8372 3 месяца назад

      But my wife ivf patient sir door egg also

  • @NithySaran
    @NithySaran 4 месяца назад

    omphalocele defect , enna solution sir

  • @shriharikumarv4604
    @shriharikumarv4604 3 месяца назад

    Hi sir recently my wife taken aminocentisis... Everything is normal.. now 24 weeks .. whether the chromosome may become abnormal in upcoming month?? Or it won't become abnormal?

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  3 месяца назад

      @@shriharikumarv4604 if it's normal once, it will never change 👍🏻

  • @SPN26
    @SPN26 4 месяца назад

    Alpha test pathi sollunga sir

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  4 месяца назад

      @@SPN26 ruclips.net/video/eLqcKNUjVzE/видео.htmlsi=txEGlEFaxRLC8aOB

  • @akashsuviclmakashsuviclm3210
    @akashsuviclmakashsuviclm3210 2 месяца назад

    Sir yanagu low risk nu 2 vathu irugu aprm yellow inter risk nu onu vathu irugu sir reply panuga sir nan yan report ungalugu send panuran

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  2 месяца назад

      @@akashsuviclmakashsuviclm3210 ok ma send the report, will see and counsel

    • @akashsuviclmakashsuviclm3210
      @akashsuviclmakashsuviclm3210 2 месяца назад

      @@dr.karthiksenthilvel sir yapiti sir send panurathu

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  2 месяца назад

      @@akashsuviclmakashsuviclm3210 please contact my assistant for an online appointment +91 70924 11222

    • @akashsuviclmakashsuviclm3210
      @akashsuviclmakashsuviclm3210 2 месяца назад +1

      @@dr.karthiksenthilvel sir etha whats app number gu pic send pani irukan sir

  • @banuradhakrishnan6420
    @banuradhakrishnan6420 2 месяца назад

    3 month scan la nasal bone not imaged nu vanthathu sir blood test la low risk NEGATIVE nu vanthuruku sir 5 month scan la nasal bone 4 mm thaan iruku hypoplastic nu sollirukaanga innoru blood test eduka sollirukaanga sir NIPT test nu itha enga doc unga viruppam edukurengana edunga ilana vidunganu solranga details solla maatranga bayama irukuu sir plz konjam clear ah.solunga sir reply pannunga sir

    • @dr.karthiksenthilvel
      @dr.karthiksenthilvel  2 месяца назад

      @@banuradhakrishnan6420 ruclips.net/video/iAznXg8jCYM/видео.htmlsi=7fVlnV4BPVzg-fCw