Puas muaj tej lub sij hawm koj xav tias koj tus ntxhais luv dua li lwm tus menyuam? Txawm hais tias lwm tus phooj ywg uas muaj hnub nyoog li nws twb laus lawm, koj tus ntxhais tseem tsis tau qhia cov cim qhia ntawd? Nws yog ib qho ib txwm muaj rau niam lossis txiv kom ntshai thiab txhawj xeeb txog tej yam zoo li no. Feem ntau, cov no tuaj yeem yog tej yam ib txwm muaj. Txawm li cas los xij, qee zaum qhov laj thawj rau qhov no tuaj yeem yog ib qho mob tshwj xeeb hu ua 'Turner Syndrome' uas tsuas yog cuam tshuam rau cov ntxhais xwb. Peb tsis tas yuav ntshai thaum peb hnov lub npe no. Hnub no, peb yuav tham yooj yim thiab meej meej txog qhov no yog dab tsi, vim li cas nws tshwm sim, thiab yuav ua li cas txog nws.
Hauv lwm lo lus, Turner Syndrome yog dab tsi?
Turner syndrome yog ib yam mob uas muaj los ntawm noob caj noob ces uas tsuas yog cuam tshuam rau cov ntxhais xwb. Nws tsis kis tau.
Cia peb rov qab mus rau biology kom nkag siab qhov no. Hais yooj yim xwb, txhua lub cell hauv peb lub cev muaj 'chromosomes' uas txiav txim siab peb cov ntaub ntawv caj ces (peb qhov siab, xim, tsos, thiab lwm yam). Feem ntau, lub cell poj niam muaj ob lub chromosomes poj niam txiv neej hu ua X (XX). Lub cell txiv neej muaj ib lub X thiab ib lub Y (XY).
Turner syndrome yog ib qho mob uas ib tug menyuam ntxhais ploj tag nrho lossis ib feem ntawm ib qho ntawm ob lub X chromosomes. Qhov no yog ib qho xwm txheej random uas tshwm sim thaum lub sijhawm xeeb tub lossis thaum lub sijhawm embryonic. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov no tsis yog vim muaj qhov txhaum ntawm leej niam lossis leej txiv .
Tus mob no muaj peev xwm cuam tshuam rau txhua tus menyuam sib txawv, tab sis muaj ob qho tsos mob tseem ceeb:
1. Qis dua lwm tus (qhov siab qis)
2. Cov zes qe menyuam ua haujlwm tsis zoo , uas txhais tau tias lub sijhawm laus thiab lub peev xwm muaj menyuam raug cuam tshuam.
Cov tsos mob yog dab tsi? Peb yuav paub qhov no li cas?
Muaj ib txhia menyuam yaus uas muaj cov tsos mob no thaum yug los. Rau lwm tus, cov tsos mob maj mam tshwm sim thaum yau. Qee zaum, qhov no tsis raug xav tias yuav tshwm sim txog thaum lawv loj hlob tuaj. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov tsos mob no.
Qee zaum kev kuaj mob ua ntej yug menyuam, xws li kev kuaj ultrasound thaum cev xeeb tub, tuaj yeem muab cov lus qhia. Piv txwv li, yog tias tus menyuam zoo li muaj kua dej tom qab lawv lub caj dab, lossis yog tias muaj teeb meem nrog lawv lub plawv lossis lub raum, cov kws kho mob yuav ua xyem xyav.
| Lub sijhawm pib muaj cov tsos mob | Cov yam ntxwv feem ntau uas pom tau |
|---|---|
| Thaum yug los yog tom qab ntawd |
|
| Thaum yau, thaum hluas, thiab thaum laus |
|
Qhov tseem ceeb, tsis yog txhua tus menyuam uas muaj Turner syndrome yuav muaj tag nrho cov tsos mob no. Ib txhia menyuam yuav tsis muaj cov tsos mob li, thiab qhov mob yuav tsis raug kuaj pom kom txog thaum lawv loj hlob tuaj.
Puas muaj cov hom mob Turner syndrome tseem ceeb?
Yog, muaj ob hom tseem ceeb nyob ntawm seb qhov mob no tshwm sim li cas.
Ib Leeg X
Qhov no yog hom uas feem ntau tshwm sim. Qhov no yog qhov uas ib lub X chromosome ploj tag nrho ntawm txhua lub cell hauv lub cev ntawm tus menyuam. Qhov no feem ntau yog tshwm sim los ntawm qhov tsis zoo ntawm lub qe ntawm leej niam lossis cov phev ntawm leej txiv thaum lub sijhawm xeeb tub. Cov tsos mob feem ntau pom tseeb dua hauv hom no.
Mob Mosaic Turner Syndrome
Raws li lo lus 'mosaic' txhais tau hais tias, qhov tshwm sim ntawm no yog tias ib feem lossis tag nrho ntawm X chromosome ploj lawm hauv qee lub hlwb hauv lub cev ntawm tus menyuam.Lwm cov hlwb muaj cov chromosomes ib txwm muaj (XX). Xav txog peb lub cev zoo li phab ntsa ua los ntawm cov cib me me (cov hlwb). Hauv qhov xwm txheej mosaic, tsuas yog qee cov cib muaj qhov sib txawv no. Lwm tus yog ib txwm muaj. Qhov no yog qhov yuam kev random uas tshwm sim thaum lub sijhawm faib hlwb thaum lub sijhawm embryonic. Qhov no tuaj yeem ua rau muaj tsawg tus tsos mob, thiab nws kuj tseem tuaj yeem nyuaj me ntsis rau kev kuaj mob.
Muaj teeb meem kev noj qab haus huv dab tsi ntxiv (xws li teeb meem mob nkeeg) uas tshwm sim tau vim yog tus mob no?
Cov menyuam yaus uas muaj Turner syndrome muaj feem yuav muaj teeb meem kev noj qab haus huv ntau dua, yog li nws yog ib qho tseem ceeb uas yuav tsum tau mus kuaj mob tsis tu ncua.
| Lub kaw lus muaj teeb meem | Tej yam teeb meem uas yuav tshwm sim |
|---|---|
| Lub plawv thiab cov hlab ntsha (Cardiovascular) | Kwv yees li 50% ntawm cov menyuam yaus uas muaj Turner syndrome yuav muaj kab mob plawv txij thaum yug los. Teeb meem nrog lub aorta, uas yog cov hlab ntsha tseem ceeb uas nqa ntshav mus rau lub cev, yog qhov tshwm sim ntau heev. Kuj tseem yuav muaj ntshav siab. |
| Cov pob txha caj qaum | Muaj kev pheej hmoo ntxiv ntawm cov mob xws li osteoporosis, fractures, thiab scoliosis. |
| Lub cev tiv thaiv kab mob (Autoimmune system) | Muaj kev pheej hmoo ntawm kev mob autoimmune, uas lub cev lub cev tiv thaiv kab mob tawm tsam nws cov hlwb. Piv txwv li: teeb meem thyroid (Hashimoto's disease), celiac disease, inflammatory bowel conditions (IBD). |
| Kev Hnov Lus thiab Kev Pom Kev | Kev hnov lus tsis zoo tuaj yeem tshwm sim vim muaj kev kis kab mob ntawm pob ntseg nruab nrab lossis cov hlab ntsha puas tsuaj. Cov teeb meem pom kev, xws li qhov muag sib tshuam, kuj tuaj yeem tshwm sim. |
| Cov raum | Tej teeb meem nrog rau cov qauv ntawm lub raum tuaj yeem tshwm sim, uas tuaj yeem ua rau muaj kab mob ntawm txoj hlab zis (UTIs) ntau zaus. |
| Kev tsis taus kawm ntawv | Txawm hais tias feem ntau kev txawj ntse zoo los xij, tej zaum yuav muaj qee qhov teeb meem kev kawm, tshwj xeeb tshaj yog hauv kev suav lej, kev taw qhia, thiab kev xav txog qhov chaw. |
| Kev noj qab haus huv ntawm lub hlwb | Kev nyob nrog kev hloov pauv hauv koj lub cev thiab teeb meem kev noj qab haus huv tuaj yeem ua rau tsis muaj kev ntseeg tus kheej, kev ntxhov siab, thiab kev nyuaj siab. |
Tus kws kho mob kuaj mob li cas?
Tus kws kho mob tuaj yeem kuaj pom tus mob no ua ntej lossis tom qab tus menyuam yug los.
Ua ntej yug me nyuam:
- NIPT (Kev kuaj mob ua ntej yug menyuam uas tsis yog kev phais): Qhov no yog ib txoj kev kuaj cov ntaub ntawv caj ces ntawm tus menyuam siv cov ntshav uas tau los ntawm leej niam cev xeeb tub.
- Kev kuaj mob ultrasound: Qhov no yuav raug xav tias yog tias qhov kev kuaj mob qhia txog cov cim qhia txog teeb meem nrog tus menyuam lub plawv, lub raum, lossis cov kua dej nyob tom qab caj dab.
- Kev kuaj amniocentesis: Qhov mob no tuaj yeem lees paub 100% los ntawm kev coj cov kua dej amniotic nyob ib puag ncig tus menyuam thiab ua qhov kev kuaj caj ces (karyotype analysis) ntawm cov hlwb ntawm tus menyuam.
Tom qab yug me nyuam:
Tom qab tus me nyuam yug los, yog tias tus kws kho mob xav tias muaj qee yam tsis raug raws li tus me nyuam cov tsos mob, lawv yuav xaj kom kuaj ntshav hu ua 'karyotyping.' Qhov no suav nrog kev kuaj ntshav thiab kuaj cov chromosomes hauv qab lub tshuab microscope kom paub tseeb tias puas muaj X chromosome ploj lawm, tag nrho lossis ib feem.
Cov kev kho mob yog dab tsi? Puas kho tau tag nrho?
Ua ntej tshaj plaws, vim Turner syndrome yog ib qho mob caj ces, nws tsis tuaj yeem kho tau tag nrho.
Tiamsis tsis txhob ntshai! Muaj ntau yam kev kho mob zoo heev niaj hnub no uas tuaj yeem pab koj tswj cov tsos mob, tiv thaiv cov teeb meem uas yuav tshwm sim, thiab ua lub neej noj qab nyob zoo, vam meej, thiab zoo siab.
Kev kho mob feem ntau yog tsom mus rau cov tshuaj hormones.
- Kev kho mob hormones rau tib neeg: Kev kho mob no tseem ceeb heev rau kev ua kom tus menyuam qhov siab nce siab. Qhov no yog kev txhaj tshuaj hormones uas muab txhua hnub. Yog tias kev kho mob no pib thaum nws tseem hluas, uas yog, sai li sai tau thaum pom tias nws txoj kev loj hlob qeeb, tus menyuam yuav muaj peev xwm ua tiav qhov siab zoo.
- Kev kho mob Estrogen: Ntau tus ntxhais uas muaj Turner syndrome tsis tsim cov tshuaj estrogen ntuj, yog li lawv feem ntau tau txais cov tshuaj estrogen los ntawm cov chaw sab nraud thaum lawv tseem hluas (kwv yees li 11-12 xyoos). Qhov no yog qhov ua rau muaj cov cim ntawm kev laus, xws li kev loj hlob ntawm lub mis thiab kev pib muaj hli. Nws tseem ceeb rau cov pob txha muaj zog thiab kev noj qab haus huv ntawm lub plawv.
- Kev kho mob Progestin: Tom qab ob peb xyoos ntawm kev kho mob estrogen, ib yam tshuaj hormones hu ua progestin kuj tseem muab rau kom tswj tau lub voj voog ntawm lub cev.
Ntxiv rau cov kev kho mob hormones no, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob thiab kev kuaj xyuas tsis tu ncua los ntawm cov kws tshwj xeeb rau cov teeb meem uas tau tham ua ntej (xws li kab mob plawv, teeb meem raum, thiab kev hnov lus tsis zoo).
Thaum twg kuv yuav tsum nrog kws kho mob tham txog kuv tus menyuam?
Nws yog qhov tseem ceeb tshaj plaws los kuaj mob thiab pib kho sai li sai tau.
Saib xyuas koj tus menyuam txoj kev loj hlob thiab cov theem tseem ceeb. Yog tias koj xav tias koj tus ntxhais luv dua li lwm tus menyuam hnub nyoog nws, lossis yog tias nws muaj cov tsos mob ntawm lub cev uas tau hais los saum toj no, tsis txhob ncua sijhawm tham nrog koj tus kws kho mob menyuam yaus.
Muaj ob yam tseem ceeb ntxiv uas cov kws kho mob pom zoo:
- Kev Tshuaj Xyuas Kev Kawm Tsis Tau Zoo: Nws yog ib lub tswv yim zoo kom ua tib zoo saib xyuas koj tus menyuam txoj kev loj hlob sai li sai tau, tej zaum thaum muaj hnub nyoog 1-2 xyoos, thiab kuaj xyuas seb puas muaj kev kawm tsis tau zoo. Yog tias muaj, koj tuaj yeem tham nrog cov xib fwb hauv tsev kawm ntawv thiab muab kev txhawb nqa tshwj xeeb rau tus menyuam uas lawv xav tau.
- Nrhiav kev txhawb nqa kev noj qab haus huv ntawm lub hlwb: Nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab los ntawm tus kws pab tswv yim txog kev noj qab haus huv ntawm lub hlwb (tus kws kho mob hlwb rau menyuam yaus) los pab koj tus menyuam daws cov teeb meem hauv zej zog, kev tsis ntseeg tus kheej, thiab kev ntxhov siab uas tshwm sim thaum nyob nrog tus mob no.
Txawm hais tias lub neej ntev ntawm ib tug menyuam uas muaj Turner syndrome yuav luv dua li cov pej xeem feem ntau, yog tias muaj kev saib xyuas kho mob tas li, kev kho mob raws sijhawm, thiab kev tswj hwm cov teeb meem kev noj qab haus huv zoo, lawv tuaj yeem ua neej nyob zoo li qub thiab zoo siab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Turner Syndrome yog ib yam mob caj ces uas tsuas cuam tshuam rau cov ntxhais xwb thiab tsis yog los ntawm niam txiv.
- Ob qho tsos mob tseem ceeb yog poob qhov siab thiab qeeb lossis tsis muaj hnub nyoog laus.
- Nws tuaj yeem cuam tshuam rau lub plawv, raum, pob txha, thiab txawm tias kev noj qab haus huv ntawm lub hlwb. Yog li ntawd, kev kuaj mob tsis tu ncua yog qhov tseem ceeb.
- Txawm hais tias tus mob no tsis tuaj yeem kho tau tag nrho los xij, cov tsos mob tuaj yeem tswj tau zoo heev nrog kev kho mob hormone thiab lwm yam kev kho mob.
- Kev kuaj pom thaum ntxov yog qhov tseem ceeb rau kev vam meej ntawm kev kho mob. Yog tias koj muaj kev txhawj xeeb txog kev loj hlob ntawm koj tus menyuam, tsis txhob ncua sijhawm tham nrog koj tus kws kho mob.
- Nrog kev kho mob kom zoo thiab kev hlub thiab kev txhawb nqa los ntawm tsev neeg, tus ntxhais uas muaj Turner syndrome muaj txhua lub sijhawm los ua lub neej zoo thiab zoo siab.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus