Monga mayi kapena bambo, maloto anu akuluakulu ndikuona mwana wanu ali wathanzi komanso wosangalala. Koma nthawi zina, ana amatha kukhala ndi mavuto azaumoyo omwe sitinkayembekezera. Matenda a Turner ndi matenda osowa kwambiri omwe amakhudza atsikana okha. Mutha kuchita mantha mukamva dzinali. Koma musadandaule. Tiyeni tikambirane chilichonse mosavuta komanso momveka bwino.
Mwachidule, kodi Turner Syndrome ndi chiyani?
Iyi si matenda opatsirana, kapena chinthu chomwe munalakwitsa. Iyi ndi matenda obadwa nawo.
Tangoganizani kuti thupi lathu limapangidwa ndi mamiliyoni a maselo ang'onoang'ono. Mkati mwa selo lililonse muli zinthu zotchedwa "chromosome" zomwe zimapanga dongosolo lonse la thupi lathu, kuphatikizapo mtundu wa tsitsi, mtundu wa maso, ndi kutalika. Kawirikawiri, mkazi amakhala ndi ma chromosome awiri a 'X' (XX) mu selo lililonse. Mwamuna amakhala ndi chromosome imodzi ya 'X' ndi imodzi ya 'Y' (XY).
Mwana wamkazi yemwe ali ndi matenda a Turner syndrome akusowa ma chromosome onse kapena gawo limodzi mwa ma 'X' awiriwa. Izi zimachitika panthawi yoyembekezera m'mimba mwa mayi.
Pali mitundu ikuluikulu ingapo ya vutoli:
- Monosomy X: Iyi ndi mtundu wofala kwambiri. Pano, pali chromosome imodzi yokha ya 'X' mu selo iliyonse ya thupi.
- Matenda a Mosaic Turner: Pano, maselo ena m'thupi ali ndi ma chromosome onse awiri a 'X', pomwe maselo ena ali ndi chromosome imodzi yokha ya 'X'. Zizindikiro nthawi zambiri zimakhala zochepa.
- Kusakhazikika kwa chromosome ya X: Nthawi zina chromosome imodzi ya 'X' ikhoza kukhala yathunthu, pomwe inayo ikhoza kukhalapo pang'ono.
Kodi zizindikiro za Turner syndrome ndi ziti?
Zizindikiro za matendawa zimatha kusiyana kwambiri malinga ndi munthu aliyense. Ana ena amabadwa ndi zizindikiro, pomwe ena amadwala ali ana kapena achinyamata. Nthawi zina zizindikiro zake zimakhala zosaonekera kwambiri kotero kuti matendawa sangadziwike mpaka atakula.
| Mwayi | Zinthu zodziwika bwino zomwe zawonedwa |
|---|---|
| Ali m'mimba (Prenatal) | Kujambula kwa ultrasound kungawonetse thumba lodzaza ndi madzi (cystic hygroma) kumbuyo kwa khosi, kapena mavuto ena ndi mtima kapena impso. |
| Pa Kubadwa & Ukhanda |
|
| Mu Ubwana | |
| Mu Achinyamata & Akuluakulu |
Chofunika kwambiri n’chakuti si makhalidwe onsewa omwe amapezeka mwa mwana aliyense. Ndipo palibe kusowa kwa nzeru mwa ana awa. Komabe, pangakhale zovuta zina pomvetsetsa zinthu zina (luso loona ndi kuona malo).
Kodi mungazindikire bwanji vutoli?
Ngati dokotala wanu akukayikira izi chifukwa cha mawonekedwe a mwana wanu kapena mavuto a kakulidwe kake, adzayesa mayeso angapo kuti atsimikizire izi.
- Pa nthawi ya mimba: Vutoli likhoza kuzindikirika msanga ndi magazi otengedwa kuchokera kwa mayi (NIPT - Non-Invasive Prenatal Testing) kapena poyesa madzi m'mimba (amniocentesis).
- Pambuyo pobadwa: Kuyesa kofunikira kwambiri ndi karyotype test . Izi zimaphatikizapo kutenga chitsanzo cha magazi a mwana, kutenga "chithunzi" cha ma chromosome, ndikuyang'ana chromosome X yomwe ikusowa.
Kuphatikiza apo, dokotala angakulimbikitseni mayeso monga echocardiogram ndi ultrasound scan kuti muwone ngati pali vuto lililonse la mtima, impso, ndi kumva.
Kodi imachiritsidwa ndi kuyendetsedwa bwanji?
Popeza Turner syndrome ndi matenda a majini, sangathe "kuchiritsidwa" kwathunthu. Komabe, mavuto ambiri azaumoyo okhudzana ndi matendawa amatha kuthetsedwa bwino kwambiri, kuthandiza mwana kukhala ndi moyo wathanzi komanso wabwinobwino.
Pali njira ziwiri zazikulu zochizira:
1. Chithandizo cha Kukula kwa Mahomoni: Chithandizochi nthawi zambiri chimayamba ali mwana pamene mwana wapezeka kuti ali ndi vuto la kukula movutikira. Jakisoni woperekedwa kangapo pa sabata amathandiza mwanayo kufika kutalika kwake kokwanira.
2. Chithandizo cha Estrogen: Chithandizochi nthawi zambiri chimayamba pafupifupi zaka 11-12. Estrogen ndi mahomoni omwe amapangidwa mwachibadwa m'thupi la mtsikana. Chithandizochi chimathandiza kuti atsikana azitha kukula bwino m'thupi, monga kukula kwa mawere ndi kusamba.
Thandizo kuchokera ku gulu la madokotala apadera
Popeza ana awa amatha kukhala ndi mavuto ochokera m'madera osiyanasiyana, nthawi zambiri chithandizo chimaperekedwa ndi gulu la madokotala apadera.
- Dokotala wa ana: Amasamala za thanzi la mwana.
- Katswiri wa Endocrinologist wa Ana: Amadziwa bwino za kukula ndi mavuto a mahomoni.
- Katswiri wa mtima: Amafufuza ngati pali vuto lililonse ndi mtima.
- Dokotala wa matenda a impso: Amafufuza momwe impso zimagwirira ntchito.
- Akatswiri ena: Ngati pakufunika thandizo, akatswiri a matenda a khutu, mphuno, pakhosi, mafupa, ndi mavuto ophunzirira amafunikanso.
Mukagwira ntchito limodzi mwanjira imeneyi, mungapereke chisamaliro chabwino kwambiri kwa mwana wanu.
Kodi mungachite chiyani ngati kholo?
Ndi zachilendo kumva chisoni komanso nkhawa mukaphunzira chinthu chonga ichi. Koma kumbukirani kuti simuli nokha.
- Dziŵani msanga: Ngati mukuona kuchedwa kapena kusintha kulikonse pakukula kwa mwana wanu, pitani kwa dokotala mwamsanga. Matendawa akadziwika msanga, chithandizo chimayamba msanga ndipo zotsatira zake zimakhala zabwino.
- Dziwani: Dziwani zambiri za vutoli. Izi zikuthandizani kupanga zisankho zoyenera kwa mwana wanu ndikukambirana ndi dokotala wanu.
- Pezani chithandizo: Lankhulani ndi makolo ena omwe ali ndi ana ngati awa. Zomwe akumana nazo zingakhale zolimbikitsa kwambiri. Komanso, zimakhala zabwino pa thanzi la maganizo la mwana wanu akadziwa kuti pali ena ngati iwo.
- Ganizirani za thanzi la maganizo:Ulendo uwu ukhoza kukhala wovuta kwa inu komanso mwana wanu. Funsani uphungu ngati pakufunika kutero. Thandizani mwana wanu kudzidalira. Yamikirani luso lake.
Mwana amene ali ndi matenda a Turner syndrome angavutike kutenga pakati. Komabe, ndi ukadaulo wamakono wa zamankhwala, pali njira zosiyanasiyana zothetsera vutoli. Mutha kulankhula ndi dokotala wanu za vutoli pa msinkhu woyenera.
Uthenga Wopita Nawo Kunyumba
- Matenda a Turner ndi matenda a majini omwe amakhudza atsikana okha ndipo amayamba chifukwa cha chromosome ya X yomwe ikusowa. Si matenda opatsirana.
- Zizindikiro monga kutalika kochepa, kulephera kukula msinkhu, komanso mavuto a mtima ndi impso zimatha kuchitika, koma izi zimasiyana malinga ndi munthu.
- Kuzindikira msanga ndi kulandira chithandizo pogwiritsa ntchito mahomoni okula ndi mahomoni a estrogen kungathandize mwana kukhala ndi moyo wopambana komanso wathanzi.
- Simuli nokha paulendowu. Thandizo la gulu la madokotala ndi zomwe makolo ena akumana nazo zidzakhala gwero lalikulu la mphamvu kwa inu.
- Ngati mukukayikira chilichonse chokhudza thanzi la mwana wanu, funsani dokotala wa banja lanu nthawi yomweyo kuti akupatseni upangiri.
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