Genetic Counseling

遺傳諮詢

We provide 45-minute, pre-test and post-test counseling sessions covering the following specialties

我們提供45分鐘的檢測前和檢測後的遺傳諮詢，涉及以下範疇：

• Pediatric & neonatal disorders including：

  小兒和新生兒疾病包括：

  • Developmental delay 發展遲緩

  • Autism, autism spectrum disorders, ADHD, bipolar disorders, and other behavioral abnormalities 包括神經系統疾病、發展和言語遲緩、智能障礙、自閉症，專注力失調及過度活躍症和行為障礙

  • Speech and motor delay 言語和動作遲緩

  • Dysmorphic and abnormal skeletal features 畸形和異常骨骼特徵

  • Neurological disorders 神經系統疾病

  • Emergency neonatal ICU cases 緊急新生兒重症監護病房病症

  • Newborn screening 新生兒篩查

  • Metabolic disorders 代謝綜合症

• Prenatal and reproductive disorders including:

  產前和生殖系統疾病包括：

  • Carrier testing 攜帶者篩查

  • Non-invasive prenatal testing 無創產前胎兒篩查

  • Infertility 不育

  • Recurrent pregnancy loss 反覆流產

• Family planning issues because of known familial genetic risks 由於已知的家族遺傳風險，而導致的計劃生育問題

• Adult Genetic Disorders including:

  成人遺傳疾病包括：

  • Cancers and cardiovascular system disorders 癌症和心血管系統疾病

  • Hearing loss 聽力損失

  • Eye disorders 眼疾

  • Skeletal & mobility degeneration 骨骼與活動退化

  • Abnormality of the immune system 免疫系統異常

• Hereditary cancers, including:

  遺傳性癌症，包括：

  • Breast and ovarian cancers 乳腺癌和卵巢癌

  • Prostate cancer 前列腺癌

  • Colorectal cancer and other cancers of the digestive system 大腸癌和其他消化系統癌

  • Stomach, pancreatic, skin and other cancers 胃、胰腺、皮膚和其他癌症

• Neuro-degenerative disorders including dementia, Parkinson’s and Alzheimer’s diseases 神經退行性疾​​病，包括癡呆症、帕金遜症和阿茲海默症

• Cardiovascular system abnormality including cardiomyopathy and arrhythmia 心血管系統異常，包括心肌病和心律不整

We Provide Genetic Counseling for Patients Who Are Considering the Following Types of Genetic Tests

我們為考慮以下類型的基因檢測的患者提供遺傳諮詢

Diagnostic testing is a genetic test performed in a symptomatic individual to confirm or exclude a genetic condition. If the test result is positive, the patient and the relatives should be offered genetic counselling. Even when the test result is negative, genetic counselling should also be needed.

診斷檢測是對有症狀的人進行遺傳檢測，以確認或排除遺傳狀況。如果檢查結果為陽性，應向患者及其親屬提供遺傳諮詢。即使檢測結果為陰性，也需要遺傳諮詢。

Predictive testing refers to genetic testing in a healthy person or a high-risk relative of a patient diagnosed with a specific monogenic disorder. The mutation in the family leads to the disease or confers high risk for the disease.

Even if the family has previously been counselled, further pre- and post-test genetic counselling maybe needed with predictive test results.

預測性檢測是指在健康人或診斷出患有特定單基因疾病患者的高危親戚進行的基因檢測。家庭中的突變導致該疾病或導致高風險患上該疾病。

即使該家庭以前曾接受過諮詢，也可能需要通過預測性檢測結果進一步進行檢測前和檢測後的遺傳諮詢。

Risk susceptibility testing means a genetic test of one or more genetic markers with the aim to detect an increased or decreased risk for a multifactorial condition in a healthy individual.

The clinical validity and utility of risk profiling for diseases of complex etiology needs to be proven before clinical use. If the test is or is claimed to be capable of detecting high relative risk for a serious condition and thus has significant implications for risk assessment, treatment or prevention in a person or his/her near relatives, then pre- and post-test genetic counselling is needed.

風險易感性檢測是指對一種或多種遺傳標記物進行的基因檢測，目的是檢測健康人士中多因素疾病的風險增高或降低。

複雜病因疾病的風險分析的臨床有效性和實用性，需要在臨床使用之前獲得證明。如果該檢測被認為或聲稱能夠檢測出嚴重狀況的較高相對風險，因此對一個人或其近親的風險評估、治療或預防具有重大意義，則需要進行檢測前和檢測後的遺傳諮詢。

Carrier testing means a genetic test that detects a gene mutation that will generally have limited or no impact to the health of the patients. However, it may confer a high risk of developing the disease in their children. Pre- and post-test genetic counselling needs to be offered.

攜帶者檢測是一種基因檢測，可檢測通常對患者健康影響有限或無影響的基因突變。但是，這可能會給他們的孩子帶來患上這種疾病的高風險。需要提供檢測前和檢測試的遺傳諮詢。

Prenatal testing refers to a genetic test performed during a pregnancy, where there is increased risk for a certain condition in the fetus. Pre- and post-test genetic counselling for the prospective parents needs to be offered.

產前檢測是指在懷孕期間進行的基因檢測，當胎兒某些狀況風險增加。需要為準父母提供檢測前和檢測後的遺傳諮詢。

What is included in a genetic counseling session?

一次遺傳諮詢包括甚麼？

Each Session will include:

一次遺傳諮詢包括：

• Assessment of genetic risks for patients and their families

  評估患者及其家人的遺傳風險

• Education about genetic conditions, inheritance pattern, management of the diseases, and prevention of onset of disorders

  關於遺傳狀況、遺傳模式、疾病管理和疾病預防的教育

• Interpretation of genetic test results and discussions of their implications, onset, risks and clinical management

  解釋基因檢測結果並討論其影響、發作、風險和臨床管理

• Discussion of genetic testing, additional testing and related clinical options, for patients and their family members

  為患者及其家屬討論基因檢測、其他檢測和相關的臨床選擇

• Referral to medical specialists for specific clinical assessment and treatment based on the genetic findings

  根據遺傳發現轉介醫學專家進行具體的臨床評估和治療

• Providing information about patient support groups

  提供有關患者支持小組的信息

• Providing psychosocial support

  提供社會與心理支持

Cost

費用

Our fees structure is designed to be affordable.

我們的收費旨在可負擔。

Patients who may not be able to pay for the regular fee may receive genetic counseling at a reduce cost during our community weekend outreach programs. Please inquire about availabilities of these programs.

在我們社區周末外展計劃期間，對於可能無法支付常規費用的患者，可以以較低的費用獲得遺傳諮詢。請查詢這些計劃的詳情。

We accept insurance payment. Please contact us to arrange for submission of claims to insurance companies.

我們接受保險付費。請與我們聯繫以安排向保險公司提交理賠。