He raruraru tō tamaiti ki te whanaketanga ā-ira tangata? Akohia te Swyer Syndrome (XY Gonadal Dysgenesis)

Kua rongo kē koe i tētahi tangata he XY chromosomes tōna whānautanga he kōtiro? He ahua rerekē, kāore? Engari he tino taea. Ko te ingoa o tēnei mate onge ko te Swyer Syndrome. He maha pea āu pātai kei roto i tō hinengaro. Me kōrero taipitopito tātou mō tēnei katoa.

He aha te Mate Swyer?

He whakarāpopototanga noa iho, ko te Mate Swyer he āhuatanga e XY ai ngā ira o te tangata, arā, he tāne rātou, engari he wahine ō rātou ira o waho. I te nuinga o te wā, ina kitea ngā ira XY, ka puta he ure me he kiriuhi. Heoi, ko te hunga e pāngia ana e te Mate Swyer ka puta he tara, he kōpū, me ngā ngongo whēkau.

Kāore he repe ira tangata o ēnei tāngata, arā, he ovaries, he testicles rānei. Engari, he wahi kiko whara kei a rātou kāore e mahi ana. Ka kiia tēnei e ngā tākuta he streak gonads. Nā tēnei, kāore rātou e tae ki te pakeketanga ki te kore rātou e whiwhi i te rongoā whakakapinga homoni . Kāore hoki i a rātou te kaha ki te hapu ā-taiao. Heoi, ka taea te whānau tamariki mā roto i ngā tikanga pēnei i te koha hua manu .

Ko tētahi atu ingoa mō te Swyer Syndrome ko te XY gonadal dysgenesis. I konei, ko te "gonadal" e pā ana ki ngā gonads, ā, ko te "dygenesis" e pā ana ki te "whanaketanga rerekē." Ka taka tēnei āhuatanga ki roto i te kāwai o te intersex. Ka kiia e ngā tākuta he mate whanaketanga ā-ira tangata, he mate whanaketanga ā-ira tangata rānei (DSD) .

He pēhea te noa o te mate Swyer?

He tino onge tēnei mate . Tata ki te kotahi i roto i te 80,000 pēpi i whānau mai ka pāngia. Nō reira, ka taea e koe te whakaaro ki te iti o te ōrau.

He aha ngā tohu o te tangata e pāngia ana e te mate Swyer?

He maha ngā wā ka kitea tēnei mate i te wā o te taiohitanga , i te nuinga o te wā i te wā o te pakeketanga. Ka rerekē ngā tohu i ia tangata, engari he tohu noa iho ēnei:

• Kua heke, kua kore rānei te whanaketanga o te ū .
• Te korenga o te paheketanga o ia marama (amenorrhea) .
• Te tipu roa ake i ētahi atu o te tau kotahi.
• Kāore, he iti rānei te tupu o ngā huruhuru i ngā wāhi pēnei i ngā kēkē me ngā wāhi tūmataiti.

Whakaarohia, kua 14, 15 rānei tau te pakeke o tāu tamāhine ināianei. Kua pakeke katoa ana hoa, ā, kua tīmata te paheketanga. Engari kāore tonu tāu tamāhine i te rerekē. He roa ake ia i ētahi atu tamariki, engari kāore ōna ū e whakaatu ana i ngā tohu o te whanaketanga. Koinei te wā ka ruarua pea ngā mātua me te tamaiti mō tēnei.

He aha te take o te Mate Swyer?

Kāore i te mōhiotia tonutia te tino take o tēnei mate . Heoi, i runga i ngā rangahau o nāianei, e whakapono ana ngā tohunga ko te mate nei nā ngā whakarerekētanga ira e pā ana ki te rerekētanga ira tangata. I roto i ngā kupu māmā noa, ko tētahi huringa o tētahi ira e whai wāhi ana ki te whanaketanga o ngā porotiti ka puta ai te mate Swyer.

Ka riro mai i ētahi tāngata tēnei āhuatanga i ō rātou mātua . Kāore pea ō rātou mātua i te mōhio he whakarerekētanga ira kei roto i tētahi o ō rātou ira. Mō ētahi atu, ka puta noa mai, arā, ka puta he whakarerekētanga ira hou, kāore he take e kitea ana.

Ko te mate Swyer Syndrome ka puta mai i te whakarerekētanga o tētahi ira e kiia nei ko te SRY (Sex-determining Region Y), e pāngia ana e te 15% ki te 20% o te tangata. E whakapono ana ngā tohunga ira ko te ira SRY te kawenga mō te āwhina i te kiko kāore anō kia rerekētia kia whanake hei testicles. Mēnā ka whakarerekētia te ira SRY, kāore tēnei tukanga e tika te puta, ā, e kore rawa ngā testicles e whanake.

Hei tāpiritanga, ka taea hoki te whakaputa i te Mate Swyer e ngā huringa o ngā ira e whai ake nei:

• MAP3K1
• DHH
• NR5A1

Ahakoa te āhua uaua o ēnei ira, koinei ētahi o ngā ira matua e whai wāhi ana ki te whanaketanga ā-ira tangata.

He aha ngā raruraru ka pā mai i te Swyer Syndrome?

E rua ngā raruraru matua ka puta mai i tēnei āhuatanga:

• Puku gonad: Tata ki te 30% o te hunga whai Swyer Syndrome ka pāngia e te pukupuku i roto i ngā gonad, arā, he kiko koha e puta ana i te wāhi kei reira ngā ovaries. Ko te momo pukupuku tino noa ko te momo pukupuku e kiia nei ko te gonadoblastoma . Ahakoa he pukupuku pai te gonadoblastoma, e whakaaro ana ngā tākuta he tohu tēnei mō ngā pukupuku kino. Nō reira, hei ārai i te mate, ka tūtohu ngā tākuta kia tangohia ngā rārangi gonad i roto i te pokanga . Ahakoa he ahua whakamataku tēnei, he mea nui kia āraihia he raruraru nui ake ā muri ake nei.

• Osteoporosis: Ki te kore e rongoatia, ka ngoikore pea ō wheua e te Swyer Syndrome. I roto i te wā, ka arahi pea tēnei ki te osteoporosis.Ka taea e te rongoā whakakapinga homoni te āwhina i te aukati i te angiangi o te wheua me te ngaronga o te wheua.

Me pēhea te tautuhi i te mate Swyer Syndrome?

I ētahi wā, ka taea e ngā tākuta te kite i te mate i mua atu, i te whānautanga rānei. Engari he tokomaha te hunga kāore e mōhio kei a rātou tēnei mate tae noa ki muri mai, ina kore anō rātou i eke ki te pakeketanga e ai ki te tumanako.

Ina haere koe ki te tākuta, ka tirotirohia e ia tō tinana , ā, ka pātai atu mō tō hītori hauora. Kātahi ka tonoa pea e ia ētahi whakamātautau hei ako atu mō te hanganga o roto o tō tinana me te hanganga o ngā ira. Ko ētahi o ēnei ko:

• Whakamātautau karyotype: Mā tēnei ka taea e koe te kite i te tauira tuturu o ō chromosomes.
• Whakamātautau ira: Mā tēnei ka kitea mēnā he whakarerekētanga ira kei roto i ngā ira.
• Te ine-oro o te hope: Ka taea e tēnei te tirotiro i te āhua o ngā whekau o roto pērā i te kōpū me ngā ovaries (ngā whekau rānei e whakakapi ana i aua whekau).
• Matawai MRI (Imaging Resonance Magnetic): Ka taea hoki e tēnei te whakarato i tētahi pikitia mārama ake o ngā whekau o roto.

Ahakoa te ahua uaua o ēnei whakamātautau, mā ēnei ka āwhina i te tautuhi tika.

Me pēhea te rongoā i te Mate Swyer?

Kāore e taea te whakaora katoa i te Mate Swyer. Nō reira, ko ngā whāinga matua o te maimoatanga he whakahaere i ngā tohu kāore e hiahiatia, te pupuri i te kaha o ō wheua, me te whakaiti i te tūponotanga o te mate pukupuku. Hei whakatutuki i tēnei, ka tūtohu pea tō tākuta i ēnei e whai ake nei:

• Pokanga hei tango i ngā ira o te ure: E ai ki taku kōrero i mua, he mea nui tēnei hei whakaiti i te mōrearea o ngā pukupuku.
• Whakaora homoni: Ka āwhina tēnei ki te whakaora i te paheketanga, te āwhina i te whanaketanga o ngā ū, me te ārai i te osteoporosis. Ko te tikanga he hoatu homoni wahine.

Me aha ahau mēnā kei te pāngia taku tamaiti e te mate Swyer?

Ehara te pakeketanga i te wā ngāwari mō te tangata. Mō te tamaiti e pāngia ana e te Mate Swyer, i tēnei wā ka tīmata rātou ki te mōhio he rerekē tōna tinana i ō rātou hoa. Ka pā nui tēnei ki te hauora hinengaro o te tamaiti.

Tērā pea kei te pāngia tō tamaiti e ngā kare ā-roto maha mō tēnei. Kōrerohia ki a rātou me te kore e māharahara . He mea pai pea te rapu āwhina i tētahi kaiārahi hei āwhina i a rātou ki te whakatau i ēnei kare ā-roto uaua. Kia maumahara, he mea tino nui tō aroha, tō tautoko, me tō māramatanga ki tō tamaiti i tēnei wā.

He mea nui:I a koe e whakamārama ana i tēnei āhuatanga ki tāu tamaiti, me whakanui kāore ia i te "hauā". Ehara tēnei i te he o rātou, he rerekētanga noa iho o te whanaketanga o ō rātou tinana.

He aha te roanga o te oranga o te tangata e pāngia ana e te Mate Swyer?

Tērā pea ka marino koe i te rongonga i tēnei. He rite tonu te roanga o te oranga o te hunga whai Swyer Syndrome ki te hunga kāore i te mate . Ki te tika te rongoā, e kore e pā ki te roanga o te oranga o tō tamaiti, o tāu tamaiti rānei.

Ka taea te ārai i te Swyer Syndrome?

He mate ira te Swyer Syndrome. Nō reira, kāore he mea e taea e koe te mahi hei ārai. Ehara i te he o tetahi.

Āhea ahau me toro atu ki te tākuta?

• Mena he wahine koe, ā, kāore anō kia tīmata tō paheketanga i te 16 tau te pakeke , me toro atu koe ki te tākuta.
• Mena he mātua koe, ā, e whakaaro ana koe kei te whakaroa te pakeketanga o tāu tamaiti , kōrero ki te tākuta tamariki o tāu tamaiti. Ka taea e rātou te aroturuki i te whanaketanga o tāu tamaiti, me te kī atu ki a koe mēnā e hiahiatia ana he maimoatanga.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena kua tāpaetia koe kei te mate Swyer Syndrome, ka hiahia pea koe ki te pātai atu ki tō tākuta i ngā pātai penei:

• Ka taea e koe te kōrero mai he aha te take o tēnei mate nā te whakarerekētanga ira?
• Āhea ahau, taku tamaiti rānei me tīmata te rongoā whakakapinga homoni?
• Me pokanga ahau, taku tamaiti rānei? Mēnā koinā, āhea?
• Me whakamātautau ira te toenga o tōku whānau?
• He aha atu ngā rauemi e taunaki ana koe? (hei tauira, ngā ratonga tohutohu, ngā rōpū tautoko)

He mea noa te pōhēhē me te koretake ina kitea he Mate Whanaketanga Ira Tangata (DSD) tō tamaiti. Tērā pea ka kitea e koe he Mate Swyer tō tamaiti, he mate ira tangata, i te wā o te taiohinga, inā koa mēnā kāore ō rātou hoa e whakaatu i ēnei āhuatanga i a rātou e pakeke haere ana.

Hei whakamutunga, he karere hei kawe ki te kāinga

Ko te mea pai rawa atu, ka taea te whakahaere i te Mate Swyer mā te maimoatanga . Ka taea e tō tākuta te waihanga i tētahi mahere maimoatanga whaiaro māu, mā tō tamaiti rānei. Ka taea hoki e rātou te tohu i a koe ki ngā rauemi hei āwhina i tō tamaiti kia ora angitu me te mate.

Kaua e wehi. Kāore koe i te mokemoke.He tokomaha te hunga e noho tahi ana me tēnei mate. Mā te tohutohu hauora tika, te tautoko, me te māramatanga, ka taea e te tangata e pāngia ana e te Mate Swyer te ora hauora, harikoa hoki. Ko te mea nui ko te rapu tohutohu hauora i te wā tonu, me te whai i te maimoatanga kua tūtohutia.

Te Mate Swyer, te XY Gonadal Dysgenesis, te whanaketanga ā-ira tangata, ngā homoni, ngā whakarerekētanga ira, te pakeketanga, te ira tāne me te wahine, te DSD