So wo babea no wɔ saa sɛnkyerɛnne ahorow yi? Momma yɛnka Triple X Syndrome ho asɛm

So woahyɛ no nsow pɛn sɛ wo babea no yɛ n’ade wɔ ɔkwan soronko so kakra sen mmofra afoforo, anaasɛ ne nkɔso akyɛ? Anaasɛ, sɛ woyɛ ɔbea a wanyin a, so worepere sɛ wubehu nea ɛde akwahosan ho haw ahorow bi ba? Ɛnnɛ yɛrebɛka awosu mu tebea bi a nnipa pii ntee ho asɛm, nanso ɛka mmeawa nkutoo ho asɛm. Wɔfrɛ no Triple X Syndrome. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm wɔ ɔkwan a ɛnyɛ den so a wubetumi ate ase.

Dɛn ne Triple X Syndrome?

Sɛ yɛbɛka no tiawa a, Triple X Syndrome yɛ tebea a wɔwo abofra a ɔyɛ ɔbea a ɔwɔ X chromosome biako foforo wɔ ne nkwammoaa mu, sen sɛ wɔde X chromosome abien a ɛteɛ no bedi dwuma. Wɔsan frɛ eyi sɛ trisomy X syndrome, anaa 47,XXX, sɛnea nnuruyɛfo frɛ no no.

Fa no sɛ, nkwammoaa nketenkete ɔpepem pii na ɛka bom yɛ yɛn nipadua. Nkwammoaa yi mu biara kura yɛn awosu mu nsɛm te sɛ yɛn tenten, yɛn kɔla, ne sɛnea ɛyɛ mmerɛw sɛ yebenya nyarewa. Wɔde saa nsɛm yi sie nneɛma a wɔfrɛ no chromosomes mu. Sɛ wɔkyekyem pɛpɛɛpɛ a, onipa wɔ nkwaboaa abien abien 23, anaa nkwaboaa 46. Eyinom mu biako na ɛkyerɛ yɛn bɔbeasu. Ɔbea taa nya X chromosome abien (XX), na ɔbarima taa nya X chromosome biako ne Y chromosome biako (XY).

Nanso, obi a ɔwɔ Triple X Syndrome no wɔ X chromosome abiɛsa wɔ ne nkwammoaa nyinaa mu, anaasɛ ne nkwammoaa no bi nkutoo mu. Sɛ nkwammoaa no bi nkutoo na wɔwɔ X chromosome a ɛboro so yi a, wɔfrɛ no 46,XX/47,XXX mosaicism.

Ebia worennya trisomy X ho sɛnkyerɛnne biara , anaasɛ ebia wo tenten asen afoforo. Ebia ɛbɛyɛ den ama wo nso sɛ wobɛwo anaasɛ wobɛkɔ brayɛ mu ntɛm, nanso eyi nsi obiara a ɔwɔ yare no so.

Saa tebea yi abu so dɛn?

Wɔtaa hu saa tebea yi wɔ mmeawa a wɔawo wɔn foforo bɛyɛ 900 kosi 1000 biara mu biako mu. Eyi kyerɛ sɛ ebia mmofra a wɔte saa wɔ Sri Lanka nso. Nanso, ɛyɛ den sɛ yebehu dodow pɔtee no. Esiane sɛ nnipa pii a wɔwɔ saa tebea yi nkyerɛ yare no ho sɛnkyerɛnne biara nti, wɔnhwehwɛ nhwehwɛmu.

Dɛn ne Triple X syndrome ho sɛnkyerɛnne ahorow?

Nsɛnkyerɛnne ahorow pii wɔ nnipa a wɔwɔ Triple X Syndrome mu. Ebia worennya yare no ho sɛnkyerɛnne biara, anaasɛ wo sɛnkyerɛnne no bɛyɛ mmerɛw araa ma ebia worenhu. Anaasɛ, ebia wowɔ nipadua mu nneɛma bi, ɔhaw ahorow a ɛfa amemene ho, anaa ayaresa mu tebea afoforo a ɛbata Triple X Syndrome ho.

Nipadua mu su ahorow

Nnipa pii a wɔwɔ triple X syndrome no tenten sen afoforo a wɔn mfe akɔ anim. Ebia wɔbɛware nso asen sɛnea nnuruyɛfo begyina wɔn awofo tenten so ahyɛ nkɔm. Nea ɛka ho no, ebia nipadua mu su afoforo kakraa bi a ɛnyɛ anifere wɔ hɔ:

• Aniwa no ntam kwan sõ sen sɛnea ɛte daa ( hypertelorism ).
• Wora a ɛyɛ mmerɛw (epicanthal folds) a ɛwɔ aniwa no mu ntwea so.
• Nsateaa ketewa no a ɛkotow anaasɛ ɛyɛ kronkron ( clinodactyly ).
• Ntini mu mmerɛwyɛ ( hypotonia ), a ɛkyerɛ sɛ ebia nipadua no ahoɔden so bɛtew kakra.

Tebea horow a ɛfa ntini ahorow ho

Ebia nnipa binom a wɔwɔ triple X syndrome no bɛkyɛ wɔn nkɔso anaasɛ wobenya adwenemyare. Eyinom bi ne:

• Nkɔso a ɛkyɛ : Sɛ nhwɛso no, nneɛma te sɛ kasa a ɛkyɛ ne nantew a ɛkyɛ.
• Adesua mu dɛmdi ahorow .
• Adwene a wɔde si biribi so/adeyɛ a ɛtra so (ADHD ).
• Adwene mu haw te sɛ dadwen ne adwenemhaw.
• Adwene mu yare a emu nyɛ den .

Ayaresa mu tebea afoforo

Ɛwom sɛ ɛntaa nsi de, nanso nnipa binom a wɔwɔ triple X syndrome betumi anya tebea horow te sɛ:

• Tebea horow a nipadua no tumi ko tia nyarewa .
• Nsakrae a ɛba koma nhyehyɛe mu.
• Nsuo mu yare a ɛtaa ba ( UTI ).
• Genito- urinary deformities anaasɛ ɛnyɛ adwuma yiye.
• Asaabo a ɛnyɛ ne kwan so .
• Ovarian a enyin ntɛm anaasɛ entumi nyɛ adwuma yiye .
• Ntini a ɛma obi ho kyere no .

Kae sɛ ɛnyɛ obiara na obenya saa sɛnkyerɛnne ahorow yi nyinaa. Ebia nnipa binom wɔ biako anaa abien, na ebinom nso nni bi koraa.

Dɛn na ɛde triple X syndrome ba?

Triple X syndrome yɛ awosu mu tebea a efi X chromosome a ɛto so abiɛsa a ɛwɔ hɔ no mu ba. Ɛwom sɛ efi awosu mu de, nanso ɛntaa nnya mfi obi awofo hɔ . Mpɛn pii no, ɛba ara kwa. Ɛne sɛ, mfomso a ɛba wɔ chromosome mu mpaapaemu mu bere a ɛna no nkesua nkwammoaa anaa agya no mmadwoa nkwammoaa reyɛ no na ɛde X chromosome a ɛboro so no ba. Eyi yɛ tebea a ɛba bere ne bere mu.

Nanso, wɔka sɛ sɛ ɛna no adi boro mfe 35 bere a wɔwo abofra no a, ebetumi aba sɛ abofra no benya triple X syndrome no kɛse kakra.

Wobɛyɛ dɛn ahu eyi?

Nokwarem no, sɛ wunni aduruyɛ mu haw biara anaasɛ wo nkɔso a ɛkyɛ a, ɛda adi kɛse sɛ wɔrenhu tebea yi. Nanso, sɛ oduruyɛfo bi susuw sɛ wo (anaa wo ba) wɔ trisomy X syndrome a, wɔbɛkamfo akyerɛ sɛ wɔnyɛ awosu mu nhwehwɛmu. Wɔsan frɛ sɔhwɛ yi karyotype anaa chromosome microarray.

Nnipa binom hu sɛ wɔwɔ triple X syndrome bere a wɔyɛ wɔn nhwehwɛmu esiane awo ho nsɛm nti nkutoo.

Sɛ woanyinsɛn, na woadi boro mfe 35, anaasɛ w’ankasa wowɔ triple X syndrome a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ awosu mu nhwehwɛmu ansa na wɔawo, efisɛ wo ba a ɔhyɛ yafunu mu no wɔ asiane kɛse mu sɛ obenya tebea no. Ebia eyinom bi ne nhwehwɛmu a wɔyɛ ansa na wɔawo a wɔmfa wɔn ho nhyɛ mu (NIPT ), amniocentesis , anaasɛ chorionic villi sampling (CVS ). Ebia wubehu triple X syndrome ho asɛm nso wɔ akwanhyia mu bere a woreyɛ nhwehwɛmu afoforo de ahu wo ba no ho nsɛm pii no. Sɛ nhwehwɛmu a wɔyɛ ansa na wɔawo no kyerɛ sɛ triple X syndrome mpo a, ɛho da so ara hia sɛ woyɛ awosu mu nhwehwɛmu bere a wɔawo wo ba no akyi de si so dua sɛ wanya yare no .

Ɔkwan bɛn so na wɔsa?

Aduru pɔtee biara nni hɔ a wɔde sa triple X syndrome. Nanso, sɛ wohu yare no ntɛm na wɔde wɔn ho gye mu a, ebetumi aboa kɛse, titiriw ama mmofra a wɔn nkɔso kyɛ.

Sɛ wohu sɛ yare no awie a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu pii bio, sɛ nhwɛso no:

• Renal ultrasound de hwɛ sɛnea w’asaabo no te.
• Kɔ koma ho oduruyɛfo nkyɛn anaa yɛ EKG anaa echocardiogram na hwɛ sɛnea wo koma te.
• Ntini mu aduruyɛ ho animdefo ne ntini mu adwene ho sɔhwɛ .

Nea ɛka ho no, wo nnuruyɛfo betumi aboa wo ma woadi sɛnkyerɛnne biara a ɛfa triple X syndrome ho no ho dwuma. Ebia wɔde wo bɛkɔ animdefo te sɛ:

• Oduruyɛfo a ɔyɛ endocrinology (ɔhaw ahorow a ɛfa hormone ho) ho ɔbenfo.
• Apɔw-mu-teɛteɛ (ma nneɛma te sɛ ntini mu mmerɛwyɛ).
• Adwuma mu ayaresa (a ɛbɛboa wɔ da biara da nnwuma mu).
• Ɔkasa mu ayaresa (ma ɔkasa mu nsɛnnennen).
• Adwene ne nneyɛe ho nimdeɛ (ma adwenemyare ho).
• Awo ho ɔbenfo a ɔde afotu ma wɔ mma a wɔbɛwo ne abusua nhyehyɛe ho.
• Awosu mu afotu sɛ wopɛ sɛ wowo a.

Sɛ wo awotwaa no di huammɔ ntɛm a, wo duruyɛfo no bɛka mfaso ne ɔhaw ahorow a ɛwɔ estrogen aduru a wode bɛnom mu ho asɛm.

So wobetumi asiw Triple X Syndrome ano?

Sɛ yegyina nsɛm a ɛwɔ hɔ mprempren so a, ɔkwan biara nni hɔ a wɔbɛfa so asiw triple X syndrome ano. Sɛ wowɔ asiane kɛse mu sɛ wobɛwo abofra a ɔwɔ triple X syndrome (e.g., sɛ woadi boro mfe 35 a) a, ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa awosu mu afotu ne awosu mu nhwehwɛmu a wɔyɛ ansa na wɔawo ho.

Dɛn ne wɔn a wɔte saa tebea yi mu no anidaso?

Wɔ nnipa dodow no ara fam no, triple X syndrome nnya wɔn asetra so nkɛntɛnso kɛse. Mpɛn pii no, sɛ wohu yare no ntɛm na wɔde wɔn ho hyɛ mu a, ebetumi aboa ma wɔatew nkɛntɛnso a nkɔso a ɛkyɛ de ba no so . Ɛsɛ sɛ wɔyɛ mmofra nhwehwɛmu daa de hwɛ wɔn nyin ne wɔn nkɔso. Esiane sɛ yare no ho sɛnkyerɛnne betumi ayɛ soronko kɛse wɔ onipa biara mu nti, ɛho hia sɛ woyɛ nhwehwɛmu a edi mũ de hu w’ahiade pɔtee.

Nkwa nna te dɛn?

Triple X syndrome nnya nkwa nna so nkɛntɛnso ankasa. Nanso, nsunsuanso bɔne a ɛbata ho no bi betumi anya nkɛntɛnso. Mpɛn pii no, nnipa a wɔwɔ triple X syndrome no tra nkwa nna a ɛfata, te sɛ nnipa a wɔwɔ X chromosome abien.

So eyi yɛ dɛmdi?

Dabi, triple X syndrome no ankasa nyɛ dɛmdi. Nanso, tebea horow bi a ɛbata ho (e.g. adesua mu nsɛnnennen a emu yɛ den, adwenemyare) betumi asiw wo tumi a wode benya adwuma na woakura mu no ano. Sɛ saa a, wɔ aman bi mu no, ebia wubetumi abisa nneɛma te sɛ Social Security Disability benefits . Wɔ Sri Lanka no, sɛ ɛyɛ den ma wo sɛ wubenya adwuma a, wubetumi nso ahwehwɛ akwan a wobɛfa so anya mmoa bi afi aban anaa ahyehyɛde afoforo hɔ.

Ɔkwan bɛn so na triple X syndrome ka amemene no?

Esiane sɛ triple X syndrome yɛ tebea a ɛntaa nsi nti, wɔnyɛɛ nhwehwɛmu akɛse pii wɔ nnipa a wɔwɔ bi amemene ho. Wɔ nhwehwɛmu ketewaa bi a wɔyɛe wɔ mmofra 35 a wɔwɔ trisomy X ho mu no, nhwehwɛmufo hui sɛ wɔn amemene sua sen mmofra a wɔadi mfe ne wɔn bɔbeasu a ɛfata de. Amemene no mmeae a ɛka kasa ne adwumayɛfo dwumadi ho no na ɛkaa wɔn kɛse. Na mmofra yi mu 40% nso wɔ adwenemyare bi a wɔfrɛ no dadwen. Nanso, nhwehwɛmu akɛse ho hia na ama wɔatumi asi nea wɔahu yi so dua.

Nea ɛsɛ sɛ yesua fi eyi mu (Take-Home Message) .

Ebia wo ba no mmu ne ho ahe, anaasɛ ɔrehyia ɔhaw wɔ nnamfo a obenya mu. Anaasɛ ebia woabɔ mmɔden sɛ wobɛwo akokoaa akyɛ na woantumi. Sɛ bere nyinaa woate nka sɛ woyɛ soronko kakra wɔ obiara ho mpo a, sɛ wubehu sɛ wowɔ awosu mu tebea bi a, ebetumi ayɛ asɛm kɛse. Ɛtɔ da bi a, sɛ wonya yareɛ no a, ɛbɛtumi ayɛ ahotɔ, te sɛ, "Oh, yei ne deɛ akɔ so akyɛ saa." Mmere foforo nso, ebetumi ate nka sɛ ɛyɛ hu, anaasɛ ɛte sɛ nea ne nyinaa aba awiei.

Nanso, diagnosis yɛ nsɛm a na wunnim kan. Egye bere ansa na woatumi agye atom na woayɛ nsakrae wɔ mu. Sɛ woresusuw bere ne ɔkwan a wobɛfa so aka akyerɛ wo ba no ho a, wo ne wo ba no duruyɛfo nkasa. Wobetumi de wo abɔ akuw a wɔboa ne nneɛma afoforo ho. Kae sɛ ɛnyɛ wo nko ara. Ade a ɛho hia paa ne sɛ wubehu saa tebea horow yi na woanya mmoa a wuhia.

` Triple X Syndrome, Triple X Syndrome, Awosu mu Nyarewa, Mmea Akwahosan, Nkwammoaa, Nkɔso a Ɛkyɛ, X Nkwammoaa