Kodi ndinu wonyamula katundu? Tiyeni tikambirane za 'Kuwunika Onyamula Zinthu'!

Kodi mukukonzekera kuyambitsa banja? Kapena mukuyembekezera kale mwana? Ndiye muyenera kudziwa bwino za mayeso awa otchedwa 'Carrier Screening'. Izi zingakuthandizeni kudziwa pasadakhale za kuthekera kopatsira matenda enaake obadwa nawo kwa mwana wanu kudzera mwa inu. Tiyeni tikambirane za izi mwatsatanetsatane, sichoncho? Izi zidzakuthandizani kupanga zisankho zofunika zokhudza banja lanu.

Kodi kwenikweni 'chonyamulira' n'chiyani?

Mwachidule, 'wonyamula' ndi munthu amene ali ndi kusintha pang'ono mu jini , kapena tinene kuti pali matenda enaake, m'thupi lanu komwe kumakhudzana ndi matenda enaake. Koma chodabwitsa n'chakuti, nthawi zambiri, onyamula matendawa sasonyeza zizindikiro zilizonse za matendawa. Chifukwa chake ndi chakuti tili ndi makope awiri a jini iliyonse, imodzi yochokera kwa amayi athu ndi imodzi yochokera kwa abambo athu. Chomwe chimachitika kwa wonyamula matendawa ndi chakuti ngakhale kuti kopi imodzi ili ndi vuto, kopi ina yathanzi imaletsa zotsatira zake. Chifukwa chake simukudwala matendawa. Komabe, pali mwayi woti mwana wanu apatsire vutoli, makamaka ngati mnzanu nayenso ali ndi matenda omwewo.

Mukachita mayesowa, zotsatira zake zimasungidwa mwachinsinsi m'zolemba zanu zachipatala. Palibe amene angakupatseni chidziwitso chimenecho popanda chilolezo chanu. Komanso, malinga ndi lamulo, makampani a inshuwaransi yazaumoyo kapena abwana anu sangakusankhani chifukwa zotsatira za mayeso a majini ngati awa sizachilendo, makamaka ngati muli ndi thanzi labwino.

Kuyeza wodwala matenda opatsirana pogwiritsa ntchito magazi nthawi zambiri kumagwiritsidwa ntchito poyesa matenda opatsirana pogwiritsa ntchito magazi . Izi zingamveke ngati mawu asayansi, koma mwachidule, kuti mwana adwale matendawa, makolo onse awiri ayenera kukhala ndi kachilomboka. Izi zikutanthauza kuti makolo onse awiri ayenera kukhala ndi kopi imodzi ya jini yolakwika. Anthu ambiri sadziwa ngakhale kuti ndi omwe ali ndi matendawa, chifukwa palibe m'banja mwawo amene angakhale ndi matendawa.

Kuphatikiza apo, palinso gulu la matenda otchedwa 'X-linked' . Izi zimagwirizanitsidwa ndi chromosome ya X. Nthawi zambiri, mkazi (nthawi zambiri XX) akhoza kukhala wonyamula vutoli. Koma nthawi zambiri amakhala ndi zizindikiro zochepa kapena alibe zizindikiro. Izi zili choncho chifukwa ali ndi ma chromosome awiri a X. Ngati pali vuto ndi limodzi, linalo limalamulira. 'Fragile X syndrome' ndi vuto limodzi lofanana ndi 'X-linked', ndipo nthawi zambiri limaphatikizidwa mu 'Carrier Screening' panels.

Kodi kuwunikira kwa kampani yonyamula katundu kumeneku kumachitika liti?

Ngati mukuganiza zokhala ndi mwana, ndi bwino kuchita izi 'Carrier Screening'. Ndipotu , ndi bwino kuchita izi musanayambe kutenga mimba.Kenako mutha kudziwa pasadakhale momwe ana anu amtsogolo adzakhalira ndi matenda enaake a majini. Mukayesedwa pankhaniyi, mumakhala ndi nthawi yoganizira njira zosiyanasiyana zoyambira banja. Mwachitsanzo:

• Kulera mwana ndi njira yolerera mwana.
• Kutembenukira ku njira ya 'kubereketsa mwana m'mimba' (IVF - kubereketsa mwana m'mimba) pogwiritsa ntchito mazira a donor kapena umuna.
• Kuyesa majini asanaikidwe: Izi zimaphatikizapo kuyesa kapangidwe ka majini a mazira opangidwa kuchokera ku mazira ndi umuna wa banja asanaikidwe m'chiberekero cha mayi.

Ngati simungathe kuchita izi musanayambe kutenga mimba, dokotala wanu angakulangizeni kuti muyesedwe ndi dokotala wanu mu trimester yoyamba . Mukamaliza mayesowa panthawi ya mimba, mutha kukonzekera chisamaliro chaumoyo wanu kwa nthawi yonse yotsala ya mimba yanu. Mungafunikenso mayeso ena, monga amniocentesis kapena chorionic villus sampling (CVS) , kuti mudziwe bwino thanzi la mwana. Dokotala wanu akhozanso kukonzekera zosowa zapadera zomwe mwana wanu angakhale nazo atabadwa.

Ndani kwenikweni akufunikira mayeso awa?

Ndipotu, ndi bwino kuti banja lililonse lomwe likuganiza zoyambitsa banja liganizire zoyezetsa kachilombo ka HIV. Kawirikawiri, munthu amakhala ndi matenda enaake a majini. Mitundu yambiri ya anthu imakhala ndi matenda enaake a majini.

Anthu otsatirawa makamaka akhoza kukhala pachiwopsezo chachikulu chokhala ndi kachilomboka:

• Ngati wina m'banjamo (kaya mwana wakale kapena wachibale) ali ndi matenda a majini, kaya ndi matenda a autosomal recessive kapena matenda ogwirizana ndi X.
• Kapena, ngati wina m'banjamo akudziwika kale kuti ali ndi matenda a majini.

Ndani amachita mayeso owunikira anthu onyamula katundu awa?

Mungathe kupeza mayeso awa a 'Carrier Screening' kudzera mwa madokotala awa:

• Katswiri wa za kubereka.
• Mlangizi wa majini kapena katswiri wa majini azachipatala.
• Dokotala wa za mimba ndi dokotala wa matenda a akazi (An OB/GYN).

Ndi mitundu yanji ya matenda yomwe imayesedwa poyesa wodwala?

Kuwunika kwa wodwala nthawi zambiri kumayang'ana matenda ena ofala a autosomal recessive. Ena mwa awa ndi awa:

• Matenda a cystic fibrosis
• Matenda a Fragile X (omwe ali ndi X-linked)
• Matenda a sickle cell
• Matenda a Tay-Sachs
• Thalassemia

Kodi Kuyesa Kowonjezera kwa Wonyamula Zinthu ndi Chiyani?

Ngati mukufuna, mutha kukhalanso ndi 'kuyesa kowonjezera kwa wonyamula' . Izi zimayesa matenda osiyanasiyana kuposa mayeso ochepa omwe atchulidwa kale. Tsopano, madokotala nthawi zambiri amalimbikitsa mayeso owonjezerawa. Angaphatikize matenda ambiri, mwina makumi ambiri, kuwonjezera pa matenda omwe atchulidwa pamwambapa. Nazi zitsanzo zina:

• 'Congenital adrenal hyperplasia (CAH)' `(Congenital adrenal hyperplasia (CAH))`
• Kufooka kwa minofu ya msana
• Matenda a Turner
• Matenda a Wilson

Kodi Kuwunika Anthu Omwe Akufuna Kuthandizidwa ndi Chiyani?

Tangoganizani kuti pali matenda enaake a majini m'banja mwanu. Ngati simukufuna kuchita kafukufuku wowonjezera wa matenda opatsirana, mutha kuchita 'kuwunika matenda opatsirana' . Izi zikutanthauza kuti, timangoyang'ana matenda enieni omwe ali okhudzana ndi banja lanu.

Komanso, matenda ena amatha kukhudza anthu omwe ali ndi makolo enaake. Ngati zili choncho kwa inu, dokotala wanu angakupatseni 'gulu loyang'anira odwala' lomwe limakhudza matenda amenewo okha.

Kodi mayesowa (Carrier Screening) amachitidwa bwanji?

Kuyezetsa wodwala kumafuna kuyezetsa magazi anu, malovu, kapena thovu la tsaya lanu . Kutengera ndi zosowa zanu, dokotala wanu adzasankha imodzi mwa njira izi:

• Kuyezetsa magazi.
• Kuyesa malovu.
• Kutenga minofu kuchokera mkati mwa tsaya pogwiritsa ntchito swab (kuyesa minofu).

Kodi muyenera kukonzekera izi mwapadera?

Ngati mukuyesedwa malovu kapena minofu, mungapemphedwe kuti musadye kapena kumwa kwa kanthawi kochepa musanayesedwe . Kupatula apo, nthawi zambiri sipamafunika kukonzekera kwapadera kuti muyezedwe ndi wodwala.

Kodi chimachitika ndi chiyani pambuyo pa mayeso? Kodi zotsatira zake zikalandiridwa?

Dokotala wanu adzatumiza magazi, malovu, kapena minofu kuchokera kwa inu kupita ku labotale yapadera yofufuza majini kuti akawunikidwe. Kutengera mtundu wa mayeso omwe mudachita, mudzalandira zotsatira zake patatha masiku angapo kapena milungu ingapo .

Mukalandira zotsatira zanu, dokotala wanu angakutumizireni kwa katswiri wa majini . Awa ndi anthu omwe aphunzitsidwa mwapadera za matenda a majini. Angathe:

• Yankhani mafunso aliwonse omwe muli nawo okhudza kukhala wonyamula katundu.
• Ngati mukufuna, chonde perekani zambiri zofunika kuti mudziwe banja lanu za momwe kampani yanu ilili.
• Perekani zambiri zokhudza njira zolerera.
• Tumizani kwa othandizira ena azaumoyo ngati pakufunika kutero.

Kodi pali zoopsa zilizonse ndi mayesowa?

Mukatenga magazi anu, mungamve kupweteka pang'ono singano ikalowetsedwa, kapena mungamve kuvulala pang'ono pambuyo pake. Izi ndi zachilendo.

Musanayezedwe ndi dokotala wanu, kambiranani ndi dokotala wanu za ubwino ndi zofooka za mayesowa. Mwachitsanzo, pali mwayi wochepa woti simungakhale wodwala matenda okha, komanso mutha kukhala ndi mtundu wochepa wa matendawa (izi sizichitika kawirikawiri). Anthu ena angamve kupsinjika maganizo kapena kuda nkhawa ndi mayesowa. Lankhulani ndi dokotala wanu za mantha anu ndi nkhawa zanu. Pezani thandizo la thanzi la maganizo ngati pakufunika thandizo.

Kodi zotsatira zake zikuti chiyani?

• Zotsatira zoyipa: Izi zikutanthauza kuti mayesowo sanazindikire mitundu yosiyanasiyana ya majini yomwe ikudziwika m'thupi lanu. Pankhaniyi, chiopsezo choti ana anu alandire matenda a majini ndi chochepa kwambiri. Komabe, kuyezetsa kwa omwe ali ndi matendawa sikungazindikire 100% ya omwe ali ndi matenda aliwonse. Chifukwa chake, zotsatira zoyipa sizitsimikizira kuti ana anu sadzadwala matenda aliwonse a majini .

• Zotsatira zabwino: Ngati mayeso anu a Carrier Screening akuwonetsa kuti muli ndi kachilomboka, zikutanthauza kuti ndinu wodwala matenda amodzi kapena angapo a majini. Ngati zotsatira zanu zili zabwino, muyenera kuganizira zokayezetsanso mnzanu wobereka .

Tangoganizani kuti inu ndi mnzanuyo nonse muli ndi vuto lomwelo la autosomal recessive . Kenako mwana aliyense amene muli naye ali ndi mwayi wotsatira:

• Pali mwayi wa 25% (mmodzi mwa anayi) wolandira majini onse awiri omwe ali ndi vuto (limodzi kuchokera kwa mayi ndi lina kuchokera kwa abambo) komanso kubadwa ndi vutoli .
• Pali mwayi wa 50% (mmodzi mwa awiri) wolandira jini imodzi yokha yolakwika (kuchokera kwa mayi kapena bambo) ndikukhala wonyamula matendawa . Koma mwanayo sadzadwala matendawa.
• Pali mwayi wa 25% (mmodzi mwa anayi) wolandira majini onse athanzi, osati onyamula kapena opanda matendawa .

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Kuyezetsa majini nthawi zambiri kumatenga masiku angapo mpaka milungu ingapo kuti kumalizidwe. Funsani dokotala wanu nthawi yomwe mungayembekezere zotsatira zanu.

Kodi ndiyenera kuwonananso ndi dokotala?

Lumikizanani ndi dokotala wanu pazochitika izi:

• Ngati simukupeza zotsatira mkati mwa nthawi yomwe mudagwirizana.
• Ngakhale kuti mwalandira zotsatira zanu, mudakali ndi mafunso okhudza izo.
• Ngati mukufuna kukambirana za njira zanu zoyambira banja.

Pomaliza, zinthu zofunika kwambiri kukumbukira

Kotero, ndikukhulupirira kuti tsopano mwamvetsa bwino mayeso awa otchedwa 'Carrier Screening'. Chinthu chachikulu chomwe mungapeze kuchokera apa ndichakuti mudzakhala ndi mphamvu zopangira zisankho zolondola zokhudza mwana wanu wamtsogolo. Komanso, mwina izi zingakuthandizeni kuchotsa mantha ndi kukayikira kulikonse komwe mungakhale nako ndikupeza mtendere wamumtima .

Kumbukirani, musazengereze kulankhula ndi dokotala wanu, ndipo ngati kuli kofunikira, mlangizi wa majini, za momwe mungapitirire ndi zotsatirazi. Thanzi lanu la maganizo ndilofunikanso kwambiri, choncho funani thandizo pa zimenezo ngati mukufunikira. Zonsezi ndi chifukwa cha banja labwino komanso losangalala.

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