I fate chu hmasawnna lamah tlem a hnufual deuh niin i inhria fo thin em? A nih loh leh a hmel lan dan leh a taksa pianzia chu a kum rualpui naupang dangte nen chuan a danglam deuh niin a lang em? A châng chuan, heng thilte hnung lamah hian kan hriat ngai loh dinhmun awm lo tak a awm thei bawk. Vawiin hian mi tam takin an hriat loh natna chungchang kan sawi a, mahse nu leh pate tan chuan kan fimkhur a pawimawh hle. Chu chu Hunter Syndrome a ni.
A awlsam zawngin Hunter Syndrome hi eng nge ni?
Hunter syndrome hi a awm lo hle a, genetic condition a ni. Hei hi i fa taksain a chhe thei lo va, sugar molecule complex thenkhat a digest thei lo a ni. Kan taksa chhunga workhorse te tak te ang maiin han ngaihtuah teh, chu chu enzyme kan ti a ni. An hna chu kan taksa chhunga thil lo lut, kan mamawh loh thilte tihchhiat leh tihfai hi a ni.
Hunter syndrome vei naupang chu sugar molecule chi khat tihchhiatna atana mamawh enzyme tlemte chauh nen a piang a. Chuti a nih chuan eng nge thleng ang? Chu sugar molecule tihchhiat theih lohte chu naupang taksa peng leh taksa peng hrang hrangah zawi zawiin a lo awm tan ta a ni. Bawlhhlawh paih loh ang bawkin a pung khawm thin. Hun a kal zel a, he khawlkhawm hian naupang taksa leh rilru lama hmasawnna a tichhe thei a ni.
Doctor-te chuan he natna hi chi hnihah an ṭhen a:
1. Natna chi hrang hrang: Hei hi a tam ber (60% vel) a ni. Heng naupangte symptoms te hian hma a sawn thuai a, an rilru lam theihna pawh a nghawng bawk. A tlangpuiin kum 6-8 a tlin meuh chuan naupang chuan thil tih tur bulpuiah harsatna a nei tan thin.
2. Mild type: Symptoms a lo lang zauh zauh. Naupang finna hi a tlangpuiin a nghawng lian lo hle.
He natna hi natna chi hrang hrang mucopolysaccharidoses an tih zinga mi a ni. Chuvangin Hunter syndrome hi mucopolysaccharidosis type II (MPS II) an ti bawk.
He natna hi engtiang chiahin nge a hluar? Tuin nge dawng thei ber?
Hei hi natna hmuh tur awm lo tak a ni . Tin, mipa naupang a nghawng tam ber bawk . Statistics atanga a lan dan chuan mipa naupang piang 100,000 atanga 170,000 zinga pakhat velin he natna hi an vei tih hmuhchhuah a ni.
Mahse, hmeichhe naupangte hi natna thlentu gene chhia chu phurtu an ni thei. A awlsam zawngin sawi ila, hmeichhia hian X chromosome pahnih a nei a, mipa pakhat erawh chuan pakhat chauh a nei thung. Chuvangin hmeichhe naupangin X chromosome chhia chu rochun mahse a X chromosome hrisel dang chuan a mamawh enzyme chu a siam thei a ni. Mahse mipa naupangin X chromosome chhia a rochun chuan duhthlan tur dang a nei lo va, symptoms a nei ta a ni.
He natna lan chhuah dan engte nge ni?
Naupang kum 2 leh 4 inkar ah hian symptoms hi a lang tan tlangpui a, heng symptoms te hi naupang hrang hrangah a inang lo thei. Naupang thenkhat chuan symptoms an nei tlem zawk a, thenkhat erawh chuan an nei tam zawk thung.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Taksa hmel lan dan | Facial features coarse (hnawng, hmui leh lei thickened), lu chu a tlangpui aia lian, rilru zau tak, leh kawr tawi. |
| Joints leh ruh te | Ke ruh ruh (joint) a nghet lo, ben harsa. |
| Thang | Hmasawn tlai. Height growth hi a tawp emaw, a thleng zawi hle emaw a, a bik takin kum 5 an tlin hnuah. |
| Hriatthiamna | Hriatna a chak lo zauh zauh a. |
| Chhungril taksa peng hrang hrang | Liver leh spleen lian tham (protrusion of the stomach). |
| Vun leh ha | Vunah hian bumps dum a awm tih a lang. Ha chhuah tlai emaw, ha inkar zau tak emaw. |
Engvangin nge he natna hi a lo awm tak tak?
Hei hi IDS gene a mutation vang a ni . IDS gene hian kan taksa mamawh enzyme iduronate 2-sulfatase (I2S) siam chhuahna a control a ni.
He I2S enzyme hian sugar molecule complex tak tak glycosaminoglycans (GAGs) an tih te chu a tichhia a ni. Hunter syndrome (MPS II) nei naupangte hian he I2S enzyme hi an siam chhuak lo tak tak a, a nih loh leh a tlem hle bawk.
Hei hian sugar molecule GAGs an tih chu lysosomes-ah a dah khawm a, chu chu cell-te recycling center a ni. Lysosomes hi cell recycling center ang mai a ni. Lysosomes chhunga thil awmkhawm avanga natna lo awmte hi lysosomal storage disorders an ti bawk . Hun a kal zel a, heng a khawlkhawmte hian taksa peng hrang hrang a tichhe thin.
He natna avang hian eng harsatna dang nge lo awm thei?
Natna nasat dan azirin naupangin harsatna chi hrang hrang a nei thei a. Doctor-te chuan heng harsatnate hi enkawl nan damdawi an hmang a, a châng chuan operation pawh an hmang ṭhin.
A pawimawh ber chu naupang zawng zawng hian heng harsatna zawng zawng hi an nei vek dawn lo tih hi a ni. Chuvangin lungngai suh. Doctor nena inbiak reng a pawimawh a, i fate chu en reng a pawimawh.
| Complication awm thei | Hrilhfiahna |
|---|---|
| Thâwk harsa | Thlawhna tissue thickening hian thawkna kawng a tikhawlo thei a ni. |
| Lung natna | Heart valve te hi a chhe thei hle. |
| Ruh leh ruhkawr lama harsatna a awm | Ruh leh ruh (joint)-ah deformity a awm thei. |
| Thluak hnathawh dan | Natna khirh takah chuan thluak hnathawh a tichhe thei a ni. |
| Harsatna dang | Carpal tunnel syndrome, hernia, seizures, leh nungchang lama harsatna te a awm thei. |
Engtin nge natna hi kan hriat theih ang?
I fa doctor chuan he natna hi a hriat theih nan test eng emaw zat a ti ang.
- Urine test: Hei hian a hmaa kan sawi tawh sugar molecules (GAGs) te chu zun chhunga a level sang lo tak tak a awm leh awm loh a enfiah thin.
- Thisen test: Hei hian thisen chhunga enzyme kaihhnawih hnathawh a hniam leh awm loh a hriat theih.
- Genetic testing: He test hi natna thlentu genetic mutation a awm leh awm loh finfiah nan tih a ni.
Engtin nge enkawl a nih?
Hunter syndrome hi damdawi a la awm lo . Amaherawhchu, natna kal zel dan tur thunun theihna tur, a hma thei ang bera harsatna awmte hriatchhuah theihna tur leh naupang nunphung tihchangtlunna tur enkawlna a awm.
Hei hi enkawlna tha ber chu Enzyme Replacement Therapy (ERT) a ni. Hei hian taksaa enzyme bo chu artificial-a siam chhuah a, naupang hnena pek a huam a ni. He damdawi hi idursulfase (Elaprase®) an ti a. He enkawlna hi kar khatah vawi khat thisen kal tlanga pek thin a ni.
Hei bakah hian khawvel hmun hrang hrangah gene therapy chungchanga zirchianna pawh kalpui mek a ni a, nakin lawkah enkawlna tha zawk a thlen theih beisei a ni.
Naupang hmalam hun tur eng nge i sawi theih ang?
Hei hi zawhna zawh harsa tak a ni tih ka hria. He natna khirh takah chuan naupang dam rei zawng hi a tawi thei hle. A tlangpuiin kum 10 leh 20 inkar a ni. Mahse, naupang natna lanchhuahna na lo tak takte chu puitlin thlengin an dam thei a ni.
A pawimawh ber chu, enkawlna hian i fain harsatna a tawhte a enkawl theih nan leh a nunphung a tichangtlung thei a ni. Chuvangin beiseina chu bansan ngai suh.
I doctor zawh tur zawhna
I fateah he natna hi i vei tih hmuhchhuah a nih chuan i rilruah zawhna tam tak awm hi thil pangngai a ni. Heng thilte hi i doctor hnenah chiang takin zawt la.
- Hei hi natna khirh tak nge na lo tak a ni em?
- Ka fa hun rei lote leh hun rei tak chhunga a dinhmun chu eng nge ni ang?
- He natna hian engtin nge ka fa nun a nghawng ang?
- Enkawlna kawng hrang hrangte chu engte nge ni?
Chhungkaw pakhatin hetiang damdawi lam dinhmun an hriat hian an mangang leh lungngai hi thil pangngai tak a ni. Hetih lai hian nangmah chauh i ni lo tih hre reng ang che. Hemi chungchang hi i doctor, chhungte leh i thiante hnai tak takte nen inbia ang che. I fa chu a tha thei ang bera enkawl turin kan thawk ho vek a ngai a ni.
Take-Home Thuchah a ni
- Hunter syndrome hi natna hlauhawm tak, genetic disease a ni a, mipa naupang a vei tam ber.
- He natna hi taksaa enzyme bik a awm loh vang a ni a, chu chuan sugar molecule thenkhat taksaah a khawlkhawm a, taksa peng hrang hrang a tichhia a ni.
- Kum 2-4 inkar ah hian symptoms hi a lang tan tlangpui. A lan chhuah dan ber chu a than tlai, hmai a inthlak, leh ruh a nghet lo.
- Hei hi tihdamna famkim awm lo mah se, enzyme replacement therapy (ERT) ang chi enkawlna hian natna lan chhuah dan a thunun thei a, naupang nun a titha thei bawk.
- I fate than chhoh danah thil danglam bik i hmuh chuan doctor pan nghal rawh. Enkawlna atan hian a hmaa hriatchhuah a pawimawh hle.











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