Kodi izi zingachitikire mwana wanu wamwamuna? Tiyeni tiphunzire za matenda a 47,XYY (Jacobs Syndrome)!

Amayi ndi Abambo, nthawi zina tikamaona kusintha pang'ono mwa ana athu, akakhala ndi khalidwe losiyana pang'ono ndi ana ena, ndi zachilendo kumva mantha ndi nkhawa pang'ono, eti? Koma si kusintha kulikonse komwe kuli vuto lalikulu. Lero tikambirana za matenda a majini omwe ndi apadera pang'ono, koma amatha kuthandizidwa bwino ngati atamvetsetsedwa bwino ndikupatsidwa chithandizo chofunikira. Izi zimatchedwa 47,XYY syndrome . Ena amatchanso kuti Jacobs Syndrome .

Kodi matenda a 47,XYY ndi chiyani? Mwachidule...

Mukudziwa kuti matupi athu amapangidwa ndi maselo ang'onoang'ono. Mkati mwa maselo amenewo muli chidziwitso chathu cha majini, chomwe chimatsimikizira zinthu monga kutalika, mtundu, ndi kapangidwe ka tsitsi. Izi zili m'maphukusi otchedwa ma chromosome .

Kawirikawiri, selo la mwamuna limakhala ndi ma chromosome 46. Izi zikuphatikizapo chromosome imodzi ya X ndi chromosome imodzi ya Y (ndiko kuti, 46,XY). Komabe, mwana wamwamuna kapena wamkulu yemwe ali ndi matenda a 47,XYY ali ndi chromosome yowonjezera ya Y m'maselo ake. Izi zikutanthauza kuti chiwerengero chake chonse cha ma chromosome ndi 47 (47,XYY). Madokotala amatchanso izi mwachidule XYY.

Uku ndi kusiyana kobadwa nako . Ndiko kuti, ndi chinthu chomwe chimachitika mwana akadali m'mimba. Koma chodabwitsa n'chakuti, zizindikiro za vutoli n'zosaonekera kwambiri kotero kuti pafupifupi 10% yokha ya anthu omwe ali nalo ndi omwe amawazindikira molondola. Momwe vuto la 47,XYY limakhudzira munthu aliyense ndi losiyana.

Chinthu chabwino kwambiri kwa anthu ambiri omwe ali ndi vutoli ndi ichi:

• Homoni ya amuna ya testosterone imapangidwa mwachibadwa.
• Kukula kwa kugonana kumachitika nthawi zambiri akamatha msinkhu.
• Kupanga umuna ndi kubereka nthawi zambiri zimakhala zachilendo.

Kodi vutoli ndi lofala bwanji?

Matenda a XYY a 47 ndi matenda osowa kwambiri. Akuti amakhudza pafupifupi mwana mmodzi mwa ana 1,000 aamuna obadwa kumene.

Kodi zizindikiro za matenda a 47,XYY ndi ziti?

Ichi ndiye chinthu chofunikira kwambiri. Si aliyense amene ali ndi zaka 47,XYY amene angasonyeze zizindikiro zomwezo. Anthu ena sangasonyeze zizindikiro zinazake. Ena akhoza kukhala ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi pamodzi. Kumbukirani, ana ena akhoza kukhala ndi zizindikirozi mosadziwika bwino, ndichifukwa chake nthawi zambiri zimakhala zovuta kuzizindikira.

Makhalidwe omwe angagwirizane ndi chitukuko, khalidwe, ndi thanzi la maganizo:

• Nkhawa: Kumva mantha osafunikira komanso kusakhazikika nthawi zonse.
• Mphumu: Ana ena ali ndi mwayi waukulu wopeza mphumu.
• Matenda a ADHD: Kulephera kuyang'ana kwambiri, kusintha mwachangu kwa chidwi, komanso kusinthasintha nthawi zonse.
• Matenda a Autism (ASD):Zizindikiro monga kuvutika kusunga ubale wabwino ndi anthu, kulankhulana ndi ena, ndi kubwerezabwereza zinthu zomwezo mobwerezabwereza.
• Mavuto a khalidwe: Nthawi zina kukhala wankhanza mosafunikira, wouma mtima, komanso wokwiya msanga.
• Kuchedwa kukula kwa luso loyendetsa thupi: Mwachitsanzo, kutenga nthawi yayitali kuposa ana ena kuchita zinthu monga kulemba, kudula ndi lumo, kapena kutseka shati.
• Kuchedwa kwa luso lolankhula ndi chilankhulo: Zimatenga nthawi kuti munthu alankhule momveka bwino ndikumvetsa zomwe ena akunena.
• Kuvutika maganizo: Kumva chisoni kwa nthawi yaitali komanso kutaya chidwi ndi chilichonse.
• Machende okulirapo: Machende akuluakulu kuposa masiku onse.
• Kugwedezeka kwa manja: Kugwedezeka pang'ono m'manja.
• Kulephera kuphunzira: Kuvutika kumvetsetsa ndi kukumbukira ntchito ya kusukulu.
• Kugwidwa ndi khunyu: Anthu ena angakumane ndi matenda ofanana ndi khunyu.

Zizindikiro zooneka bwino:

• Kukhala wamtali kuposa wamba: Nthawi zambiri kutalika kwake kumatha kukhala mamita 1.88 kapena kupitirira apo.
• Mutu waukulu (macrocephaly): Mutu umaoneka waukulu kuposa wamba.
• Kuchuluka kwa maso m'thupi: Mtunda pakati pa maso ndi waukulu kuposa wachibadwa.
• Kusowa mphamvu ya minofu (hypotonia): Kumva kufooka m'thupi, kufooka pang'ono m'minofu.
• Kalasi: Chala chaching'ono chimapindika mkati .
• Mano akuluakulu kuposa abwinobwino (macrodontia): Mano akuluakulu kuposa abwinobwino.
• Kuluma: Pamene mano apansi ali patsogolo pa mano apamwamba pamene manowo atsekedwa .
• Mapazi osalala (pes planus): Mapazi osalala osapindika.
• Scoliosis: Kupindika kwa msana m'mbali mwake kungaoneke.

Chofunika: Si aliyense amene ali ndi zizindikiro zonsezi. Anthu ena akhoza kukhala ndi zochepa chabe, kapena palibe konse. Komanso, zizindikirozi zingayambitsidwe ndi matenda ena. Choncho, musaganize nthawi yomweyo kuti muli ndi 47,XYY mukawona chinthu chonga ichi.

Amuna ena - koma osati onse - omwe ali ndi vuto la 47,XYY akhoza kukhala ndi vuto lokhala ndi pakati chifukwa cha kuchuluka kochepa kwa umuna (oligospermia) kapena mavuto ena a umuna.

Kodi chimayambitsa 47,XYY ndi chiyani?

Mwachidule, izi zili choncho chifukwa chakuti pali chromosome yowonjezera ya Y mu jini. Kusinthaku kumachitika mwana asanabadwe, akadali m'mimba. Kungachitike m'njira ziwiri:

1.Izi ndi zomwe zimachitika nthawi zambiri: Selo limodzi la umuna wa abambo limakhala ndi chromosome yowonjezera ya Y. Selo la umuna ili likaphatikiza dzira limodzi la mayi, selo lililonse lomwe lili m'mimba mwa mayi limakhala ndi chromosome yowonjezera ya Y.

2. Vuto losazolowereka ndi ili: Pakukula msanga kwa mwana wosabadwayo, maselo amagawikana modabwitsa. Madokotala amatcha izi 46,XY/47,XYY mosaicism . Izi zikachitika, maselo ena okha a m'thupi amakhala ndi chromosome yowonjezera ya Y.

Ichi si chinthu chomwe chimalowa kuchokera kwa mayi kupita kwa bambo. Izi ndizofunikira kwambiri. Nthawi zambiri, chromosome yowonjezera ya Y imapangidwa mwangozi, chifukwa cha cholakwika pakupanga umuna wa bambo. Vutoli limachitika pamene umuna wokhala ndi ma chromosome awiri a Y ulumikizana ndi dzira limodzi ndi chromosome imodzi ya X.

Ofufuza sakudziwabe chifukwa chake kusintha kwa ma chromosome kumeneku kumachitika. Zikuoneka kuti zimachitika mwangozi. Sizikudziwikanso momwe kukhala ndi chromosome yowonjezera ya Y kumagwirizanirana ndi zina mwa matenda ndi makhalidwe akuthupi omwe atchulidwa pamwambapa.

Kodi mungazindikire bwanji vuto la 47,XYY?

Pali njira ziwiri zazikulu zodziwira matenda a 47,XYY:

• Musanabadwe (pa nthawi ya mimba): Ngati mwayesedwa panthawi ya mimba, monga Noninvasive Prenatal Testing (NIPT) , CVS (Chorionic Villus Sampling) , kapena Amniocentesis , mutha kudziwa ngati pali kusintha kulikonse mu ma chromosome a mwana wosabadwayo.
• Pambuyo pobadwa: Kuyezetsa majini kungatsimikizire ngati vuto la 47,XYY lilipo.

Koma modabwitsa, ofufuza amati pakati pa 85% ndi 90% ya anthu omwe ali ndi 47,XYY sapezeka ndi matendawa. Izi zili choncho chifukwa chakuti vutoli nthawi zambiri silimayambitsa zizindikiro kapena mavuto odziwika bwino. Komanso, chifukwa matenda omwe amagwirizanitsidwa nalo (monga ADHD ndi mavuto ophunzirira) amatha kuyambitsidwa ndi matenda ena, kuwachiza kungaphonye chifukwa chake, 47,XYY. Ngakhale munthu atapezeka ndi 47,XYY, nthawi zambiri zimakhala mochedwa. Avereji ya zaka zomwe munthu amazindikira matendawa ndi pafupifupi zaka 17.

Kodi mankhwala a 47,XYY ndi ati?

Ichi ndi chinthu chomwe chiyenera kumvedwa. Palibe chithandizo chachindunji kapena mankhwala a 47,XYY chifukwa ndi matenda obadwa nawo. Komabe, thandizo lachipatala ndi njira zina zingagwiritsidwe ntchito pothandiza kuthana ndi matenda ena ndi mavuto omwe angabwere chifukwa cha vutoli.

Mwachitsanzo:

• Chithandizo cha kulankhula: Chimathandiza ngati pali kuchedwa kwa kulankhula ndi chitukuko cha chilankhulo.
• Kuchiza thupi ndi ntchito: Kumathandiza ndi kufooka kwa minofu ndi mavuto a minofu.
• Zipangizo Zapadera Zophunzitsira:Ana omwe ali ndi mavuto ophunzirira angathandizidwe kusukulu kudzera mu zinthu monga Individualized Education Plan (IEP) .
• Chithandizo cha maganizo: Chimathandiza pa mavuto amisala (monga nkhawa ndi kuvutika maganizo) komanso mavuto a khalidwe.
• Mankhwala: Mankhwala angaperekedwe pa matenda monga mphumu ndi khunyu.
• Chithandizo cha mano: Mavuto a mano (monga mano akuluakulu ndi nsagwada yapansi yotuluka) akhoza kuchiritsidwa.
• Ngati mukuvutika kutenga pakati, mutha kupeza thandizo pogwiritsa ntchito njira monga `In vitro fertilization (IVF)` kapena `Intracytoplasmic sperm injection (ICSI)` .

Kodi ndiyenera kuchita chiyani ndikapeza kuti mwana wanga ali ndi vuto la 47,XYY?

Ngati mutapeza kuti mwana wanu ali ndi vutoli panthawi ya mimba, mungadabwe komanso kuchita mantha. Zimenezo n’zachibadwa. Koma kumbukirani, momwe matendawa amakhudzira munthu aliyense ndi osiyana kwambiri. Anthu ambiri amatha kukhala moyo wabwinobwino popanda mavuto ambiri kapena opanda mavuto. N’zosatheka kuneneratu momwe mwana wanu adzakhudzidwire. Koma mukadziwa zambiri za zoopsa zomwe zingachitikire mwana wanu, mumakhala okonzeka bwino.

Dokotala wa mwana wanu mwina adzachitapo kanthu kuti "dikirani ndione". Izi zikutanthauza kuti muyenera kuyang'anitsitsa kukula ndi khalidwe la mwana wanu, ndikuchitapo kanthu koyenera ngati kuchedwa kulikonse kapena zovuta (monga kuchedwa kulankhula, zizindikiro za ADHD, mavuto ophunzirira) zikupezeka.

Monga mwana aliyense, ndikofunikira kusamala ndi momwe mwana wanu akumvera thupi, maganizo, malingaliro, ndi khalidwe lake. Ngati muwona kusintha kulikonse mwa mwana wanu, lankhulani ndi dokotala wanu za vutoli. Ngati pali vuto, mukangoyamba kulandira chithandizo mwachangu, zimakhala bwino kwa mwanayo.

Kawirikawiri, ana azaka 47,XYY amakhala ndi moyo wabwinobwino. Angafunike thandizo lowonjezera kapena chithandizo chamankhwala nthawi zina. Komabe, ana ambiri opanda zaka 47,XYY amafunikanso thandizo lotere nthawi zina.

Nanga bwanji ngati ndapeza kuti ndili ndi zaka 47,XYY ndili wamng'ono kapena ndili wamkulu?

Ngati mutapeza kuti muli ndi vutoli, kaya muli achinyamata kapena mtsogolo, mungadabwe komanso kuda nkhawa. Mungakhale ndi mafunso ambiri. Zimenezo n’zachibadwa. Dokotala wanu adzakuuzani zambiri za vutoli. Mungapeze kuti vutoli “limafotokoza” zina mwa zomwe mwakumana nazo pamoyo wanu. Kapena, lingakhale kufotokozera kwina kwa inu.

Ngati n'kotheka, yesani kupeza gulu lothandizirana ndi anthu ena omwe ali ndi matenda a 47,XYY. Mwanjira imeneyi mutha kuphunzira zambiri za matendawa ndikumva ngati simuli nokha omwe ali ndi matendawa.

Chofunika kwambiri, kukhala ndi XYY 47 sikuwonjezera mwayi woti mwana wanu akhale ndi vutoli. XYY 47 si vuto lobadwa nalo. Ngakhale kuti anthu ena omwe ali ndi XYY 47 ali ndi mavuto obereka ana, ambiri alibe. Ngati mukuda nkhawa ndi izi, lankhulani ndi dokotala wanu.

Kodi munthu amene ali ndi matenda a 47,XYY amakhala ndi moyo wautali bwanji?

Kafukufuku wina wasonyeza kuti amuna omwe ali ndi vuto la 47,XYY akhoza kukhala ndi moyo wocheperapo ndi zaka 10 kuposa amuna ena. Ofufuza amakhulupirira kuti izi zitha kukhala chifukwa chakuti vutoli lingayambitse matenda ena (monga mphumu ndi khunyu) komanso mavuto a khalidwe (monga matenda oletsa kugwedezeka).

Choncho, kusamalira thanzi lanu ndi kutsatira malangizo a dokotala wanu kungakuthandizeni kukulitsa nthawi yanu yoyembekezera kukhala ndi moyo. Pitani kwa dokotala nthawi zonse ndikupeza mayeso ofunikira.

Kodi 47,XYY ingapewedwe?

Mwatsoka, palibe chomwe mungachite kuti mupewe izi. Chromosome yowonjezera ya Y imayamba chifukwa cha zochitika zinazake.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ndizachilendo kumva chisoni kwambiri mukazindikira kuti inu kapena mwana wanu ali ndi vuto la chromosome monga XYY syndrome. Kusadziwa bwino momwe vutoli lidzakhudzire moyo wanu kungakhale kovuta. Koma musadandaule . Madokotala anu ali pano kuti akuthandizeni.

Kaya munapezeka ndi vutoli muli mwana kapena muli wamkulu, kudziwa zoopsa zanu komanso njira zochiritsira kungakuthandizeni kwambiri kukhala ndi moyo wabwino. Chofunika kwambiri n’chakuti izi si vuto la wina aliyense, makamaka la makolo anu. Ndi chithandizo ndi kumvetsetsa kofunikira, mutha kukhala bwino ndi vutoli. Ngati muli ndi kukayikira kulikonse, musazengereze kufunsa upangiri kwa dokotala.

` 47, XYY syndrome, Jacobs syndrome, majini, thanzi la amuna, kuchedwa kukula, vuto la kuphunzira, vuto la chromosome