Pane dambudziko here nemusoro wemwana, mutsipa, kana musana? - Ngatitaurei nezve Iniencephaly

Ehe, dzimwe nguva tinosuruvara uye tinoshamiswa nezvinhu zvatinonzwa, handiti? Kunyanya kana zviri zvekuuya kwemwana mutsva munyika ino. Nhasi tichataura nezvechirwere chisingawanzoitiki chinonetsa, asi chakakosha kuti tizive. Tinochidana kuti Iniencephaly.

Saka, chii chinonzi Iniencephaly?

Zvichitaurwa zviri nyore, Iniencephaly chirwere chakaoma chekuzvarwa nacho . Chinonyanya kukanganisa musoro wemwana, mutsipa, uye musana. Vana vanozvarwa vane chirwere ichi vanogona kunge vaine mutsipa mupfupi, kana kutoshaya mutsipa zvachose. Vanogonawo kuva nemusoro wakakombama uye musana wakakombama. Fungidzira kuti izvi zvakaoma sei. Kazhinji, pamusoro pematambudziko makuru aya, panogona kunge paine zvimwe zvinhu zvisina kunaka mumimwe mitezo yemuviri wemwana, zvakaita semwoyo nemapapu.

Kazhinji, vana vanozvarwa vaine chirwere ichi vanofa vasati vaberekwa, kungave mudumbu kana nguva pfupi mushure mekuzvarwa. Kashoma, mwana ane chirwere chisina kunyanya kuoma anogona kurarama kwenguva yakareba.

Dambudziko iri rakajairika zvakadii?

Iniencephaly chirwere chisingawanzoitiki . Izvi zvinoreva kuti hachiwanzoitiki kakawanda. Masayendisiti akatanga kutaura nezvechirwere ichi kare muna 1836. Zvichienderana nedata riripo, zvinofungidzirwa kuti chirwere ichi chinoitika muvana vanosvika zana kusvika zana kubva pavana zviuru zana. Zvisinei, fungidziro idzi dzinosiyana. Chimwezve ndechekuti chirwere ichi chinonziwo chakanyanya kuwanda pakati pevana vechikadzi.

Iniencephaly inoitika sei?

Ngationei kuti Iniencephaly iyi inoitika sei. Uku ndiko kukanganiswa kwetsinga dzemuviri . Vanachiremba vanoti izvi "Neural Tube Defect". Waizviziva here kuti mavhiki mashoma ekutanga mushure mekubata pamuviri akakosha zvikuru? Panguva iyi ndipo panotanga kuumbwa `neural tube', iyo uropi hwemwana, spinal cord, uye spinal cord (tsinga huru inofamba nemuspinal cord). Kazhinji, pavhiki yechitatu kana yechina yekuzvitakura, neural tube iyi inenge yakavharwa zvachose, uye tsinga dzinofanira kukura zvakanaka. Zvisinei, kana iri Iniencephaly, nekuda kwechimwe chikonzero maitiro aya anokanganiswa, uye tsinga hadzikure zvakanaka.

Ndezvipi zvikonzero zve iniencephaly?

Zvakaoma kutaura kuti chii chaizvo chinokonzera izvi. Vanachiremba vanotenda kuti imhaka yemajini (kureva nhaka) nezvinhu zvakatikomberedza. Mune zvimwe zviitiko, kusarongeka kwemakromosomu, akadai se `(Monosomy X)`, `(Trisomy 13)` uye `(Trisomy 18)`, zvakawanikwa zvichibatanidzwa nazvo.

Pamusoro pezvo, zvimwe zvinhu zvinokanganisa nharaunda panguva yekuzvitakura zvinogonawo kuwedzera njodzi iyi. Izvi zvinosanganisira:

• Kushaikwa kwe folic acid:Iyi inyaya yakakosha zvikuru. Tichataura nezvazvo zvakanyanya.
• Kunwa doro: Kunwa doro panguva yekuzvitakura.
• Kusvuta: Izvi zvinoreva zvinhu zvakaita sekusvuta fodya.
• Chirwere cheshuga: Amai vane chirwere cheshuga chisingadzoreki.
• Kufuta: Huremu hwemuviri waamai hwakakwira zvakanyanya kupfuura huwandu hunokurudzirwa.
• Kushandisa mimwe mishonga: Mimwe mishonga inoshandiswa, kunyanya panguva yekuzvitakura. Mienzaniso inosanganisira mishonga yesulfa, mishonga yekudzivirira pfari, mishonga yekubvisa mvura mumuviri, uye mishonga yekurwisa mavhairasi.

Chinhu chinonyanya kukosha ndechekuti kana mwana wako aine dambudziko re neural tube mupamuviri wake wapfuura, njodzi yacho inenge yakakwira zvishoma mupamuviri wako unotevera.

Iniencephaly inoonekwa sei?

Kana mwana angoberekwa, vanachiremba vanogona kuona chirwere cheiniencephaly nekutarisa dehenya remwana nemusana. Kureva kuti, vanogona kuona nezviratidzo zvekunze . Kana mwana akararama kwenguva yakareba, chiremba anogona kushandisa bvunzo dzakadai se ultrasound, CT scan, uye MRI kuti vaongorore zviri nani chirwere chacho uye vasarudze kuti ndeapi marapirwo aripo.

Izvi hazvigone kuonekwa here mwana asati aberekwa?

Ehe, uyu mubvunzo unokosha zvikuru. Kune bvunzo dzinoverengeka dzinogona kuona zvikanganiso zve neural tube, zvakaita se iniencephaly, kunyangwe mwana asati aberekwa, kureva panguva yekuzvitakura . Chiremba wako anogona kukurudzira bvunzo idzi sechikamu chekuongororwa nguva dzose, kana kana vachifunga kuti pamuviri pako panjodzi.

• Ultrasound yemwana asati aberekwa: Iyi ndiyo scan yatinoziva tese. Inoshandisa mafungu eruzha kutora mifananidzo yemwana ari mudumbu. Chiremba anoshandisa scan iyi kuti anyatsoongorora musoro wemwana, mutsipa, uye musana kuti aone kana paine zvisina kumira zvakanaka.
• Chidzitiro cheQuad marker: Uku kuongororwa kweropa kunoitirwa amai. Kunotsvaga mahormone nemapuroteni akati wandei. Imwe puroteni inokosha inotariswa ialpha-fetoprotein (AFP). AFP iyi inogadzirwa nemwana. Yobva yapinda muropa raamai. Kana huwandu hweAFP muropa raamai hwakakwira zvakanyanya, zvinogona kuratidza kuti mwana anogona kunge aine neural tube defect.
• Amniocentesis: Kubuda kweropa muropa:Mubvunzo uyu, chiremba anoshandisa tsono diki kubvisa huwandu hushoma hwemvura yemudumbu yakakomberedza mwana. Rabhoritari inoyera huwandu hweAFP mumvura yemudumbu iyi, uye inoitawo bvunzo inonzi ``Karyotype testing'' kuti ione kana paine kusagadzikana kwemachromosome. Miedzo iyi yese inogona kupa pfungwa yekuti pane dambudziko re neural tube uye kuti chii chinokonzera.
• MRI yemwana asati aberekwa: Iyi imhando yescan. Inoshandisa mafungu eredhiyo nesimba rakasimba remagineti kuti ibudise mifananidzo yakajeka uye yakadzama yemapfupa nenyama yemwana. Chinhu chakanakisa ndechekuti MRI scan haiise mwana panjodzi yemwaranzi.

Zvakakosha zvikuru kuongorora chirwere ichi nekukurumidza sezvinobvira . Kana zvikaonekwa nekukurumidza, vanachiremba vanogona kutsanangurira mhuri nezvechirwere chemwana uye kupa vabereki rutsigiro rwepfungwa runodiwa. Kana pamuviri ukaramba uchiwedzera, izvi zvinogonawo kukonzera njodzi kuamai panguva yekusununguka.

Ndeipi mishonga yekurapa Iniencephaly?

Kutaura zvazviri, hapana mushonga chaiwo wechirwere ichi, Iniencephaly. Vana vazhinji vane chirwere ichi vanofa panguva yekuzvitakura, mudumbu, kana mukati memaawa mashoma ekuzvarwa. Iyi inyaya inosuwisa zvikuru. Vanachiremba nevashandi vehutano vanopa rubatsiro rwakakosha kumhuri kuti vagone kurarama nekusuwa uku uye kutsungirira.

Kashoma, zvichireva kuti vana vashoma vanorarama kwenguva yakareba, vanachiremba vanorapa mwana mumwe nemumwe zvakasiyana, zvichienderana nezviratidzo zvinomuka panguva iyoyo.

Folic acid inogona kudzivirira izvi here?

Ichi ndicho chinhu chakakosha chatinofanira kuziva tese . Chinhu chakakosha chaunogona kuita kudzivirira zvikanganiso zve neural tube, kusanganisira anencephaly, kutora folic acid usati wabata pamuviri uye panguva yekuzvitakura . Folic acid ivhitamini B. Inokosha pakugadzirwa kwemasero matsva mumuviri wedu.

Ongororo yakawana kuti kutora 400 micrograms (mcg) ye folic acid pazuva kunogona kuderedza njodzi yekukanganisika kwe neural tube ne70% . Zvakakosha kuti vakadzi vese vari pazera rekubereka vana vatore huwandu uhu zuva rega rega. Pane zvikonzero zviviri zveizvi:

• Mimba zhinji hadzina kurongwa.
• Kukanganisika kwetsinga dzemutsinga kunoitika mumavhiki ekutanga epamuviri, apo vanhu vazhinji vasingatombozivi kuti vane pamuviri.

Saka, kana uri kutarisira mwana, kana kuti wava pazera rekubereka, iva nechokwadi chekutaura nachiremba wako nezve folic acid. Kana uri kuronga kubata pamuviri, kumbira chiremba wako kuti akurudzire vhitamini yakagadzirwa zvakanaka ine folic acid.

Vakadzi vakambova nemwana ane neural tube defect uye vari kutarisira mumwe mwana vangangoda folic acid yakawanda. U.S. Centers for Disease Control and Prevention (CDC) inokurudzira kutora 4,000 micrograms (4 milligrams) ye folic acid zuva nezuva, kutanga mwedzi mumwe chete pamuviri usati wabata uye kuenderera mberi kwemwedzi mitatu yekutanga yekuzvitakura. Zvisinei, hazvina kunaka kutora folic acid yakawandisa . Saka, iva nechokwadi chekubvunza chiremba wako usati wawedzera folic acid yaunotora.

Chii chimwe chingaitwe kuderedza njodzi iyi?

Kuwedzera pakutora folic acid, kune zvimwe zvinhu zvakawanda zvaunogona kuita kuderedza njodzi yekurwara neanencephaly:

• Kudzivisa mimwe mishonga inozivikanwa nekukonzera kukanganisika kwetsinga dzemutsinga. (Taura nachiremba wako nezveizvi.)
• Kurega kunwa doro zvachose.
• Kuchengetedza huremu hwemuviri hwakanaka kwauri.
• Kana uine chirwere cheshuga, zvakakosha kuti uchitarisire zvakanaka.
• Kana uchisvuta, rega.

Ndeipi tarisiro yeiniencephaly?

Iniencephaly chirwere chakaoma zvikuru chemajini. Saka, mhedzisiro yechirwere ichi kazhinji haisi yakanaka . Mimba dzakawanda dzinoguma nekubviswa kwepamuviri kana kuberekwa kwemwana akafa. Kunyangwe mwana akazvarwa ari mupenyu, pane mukana mukuru wekuti achafa mumaawa mashoma.

Kusvika mugore ra2019, vacheche vasere chete pasi rose ndivo vakararama kwenguva yakareba vaine chirwere ichi pasi pesimba reuropi. Vana vavo vakavhiyiwa, uye kurapwa kwacho kunonzi kwakabudirira. Zvisinei, izvi hazviwanzoitiki.

Nzira yekuronga sei pamuviri une hutano?

Kana wava pazera rekubereka, zvakakosha kutora 400 micrograms ye folic acid zuva nezuva, kunyangwe usiri kuedza kubata pamuviri. Nekuti hafu yenhumbu dzese dzinenge dzisina kurongwa, neural tube defects, kusanganisira anencephaly, inoitika vanhu vazhinji vasati vatomboziva kuti vane mimba, uye folic acid inogona kudzivirira izvi.

Avo vanoronga kubata pamuviri vanofanira kuona chiremba uye kuwana mazano ekubatsira vana vasati vabata pamuviri . Panguva iyi yekusangana, chiremba wenyu achaongorora zvese zvinokonzera njodzi dzenyu uye achakurudzira matanho amungatora kuti muve nepamuviri pakanaka.

Zvinhu zvinonyanya kukosha zvatinofanira kurangarira kubva munyaya iyi ndeizvi:

Zvakanaka, saka tinovimba une ruzivo nezve Iniencephaly yatakataura nezvayo. Kunyangwe ichi chiri chirwere chisingawanzoitiki uye chakaoma, zvakakosha kuti tizive nezvacho.

Yeukai kuti zvakakosha kuti vakadzi vese vari kutarisira vana vawane folic acid yakakwana vasati vabata pamuviri uye mumwedzi mitatu yekutanga yekuzvitakura.

Izvi zvinogona kuderedza zvakanyanya njodzi yekukanganisika kwetsinga dzemutsinga dzakadai seiniencephaly. Zvakakoshawo kurarama hupenyu hune hutano, kudzivisa doro nekuputa fodya, uye kudzora zvirwere zvakaita sechirwere cheshuga. Kana uine mibvunzo kana kusava nechokwadi, iva nechokwadi chekutaura nachiremba wako. Vachakupa mazano anodiwa.

Iniencephaly , kutadza kuberekwa, kutadza kwetsinga dzemuuropi, folic acid, pamuviri, kuzvarwa nadzo