Wakambonzwa nezvezita iri here `(MUTYH-Associated Polyposis)`? Pamwe kwete. Idambudziko risingawanzoitiki, asi rinogona kunge rakakosha, rekugara nhaka. Nekuda kweizvi, matumbu madiki, anonzi `(polyps),` anogona kukura mune dzimwe nhengo dzemuviri. Ndosaka zvichikosha kuziva izvi.
Chii chinonzi MUTYH gene-associated polyposis (MAP)?
Zvichitaurwa zviri nyore, `(MUTYH-Associated Polyposis)` kana `(MAP)` chirwere chinopfuudzwa kuburikidza nemajini edu kubva kuchizvarwa kuenda kune chimwe. Chinoitika mune izvi ndechekuti kukura kudiki kusingadiwe kunonzi `(polyps)` kunoumbwa mumiviri yedu, kunyanya muura nemudumbu. Aya `(polyps)` haasi kenza. Zvisinei, kana mamwe acho asina kubviswa, ane mukana wakakura wekuva kenza nekufamba kwenguva. Aya `(polyps)` anogona kukura kwete muura chete, asi dzimwe nguva muura hudiki nemudumbu zvakare.
Ko chirwere ichi cheMAP chinouya nenjodzi yekenza here?
Ehe, zvechokwadi. Kana uine (MAP), njodzi yako yekubatwa nekenza yemudumbu yakakwira zvakanyanya kupfuura munhu asina chirwere ichi. Chimbofunga, inenge hafu yevanhu vane (MAP) vatova nekenza yemudumbu pavanoonekwa kuti vane (MAP)! Kazhinji, magomarara aya anoitika pakati pemakore makumi mana nemakumi matanhatu. Asi dzimwe nguva anogona kuonekwa nekukurumidza. Kwete izvozvo chete, unogona kunge uri panjodzi yekubatwa negomarara remudumbu nedzimwe mhando dzegomarara kunze kwegadziriro yekugaya (mudumbu (GI) tract).
Munhu ane MAP anotarisirwa kurarama kwenguva yakareba sei?
Usatya kunzwa izvi. Vanhu vazhinji vane `(MAP)` vanogona kurarama hupenyu hwakajairika, asi pane chimwe chinhu chimwe chete. Kureva kuti, kutanga kuongororwa kenza nekukurumidza uye kuzviita nguva dzose . Chinhu chakakosha ndechekutsvaga nekubvisa `(polyps)` idzi dzisati dzashanduka kuita kenza. Ndipo chete patinogona kuramba tiine hutano hwakanaka.
Ndezvipi zviratidzo zveMUTYH gene-associated polyposis (MAP)?
Heino dambudziko. Hauwanzoona kana kunzwa zviratidzo zveMAP. Kunyangwe uine polyps mudumbu mako, kazhinji hadzikonzeri zviratidzo. Saka, kuvapo kwepolyps chete hachisi chiratidzo chekuti une MAP. Nekuti:
- Kunyangwe vanhu vazhinji vaine ma polyps, vanogona kunge vasina MAP.
- Zvimwe zvirwere zvemajini, zvakaita seFamilial Adenomatous Polyposis (FAP), zvinogonawo kukonzera mapolyps muura. Kuongororwa kwemajini chete ndiko kunogona kuratidza chokwadi kana uine FAP, MAP, kana chimwe chirwere chemajini.
- Dzimwe nguva, kunyangwe kana vakaonekwa kuti vane MAP, vamwe vanhu vanogona kunge vasina mapolyps.
Chii chinokonzera mamiriro aya eMAP?
MAP inokonzerwa nekuchinja kwemajini edu eMUTYH (anozivikanwawo seMYH). Inogarwa nhaka nenzira ye autosomal recessive . Izvi zvinoreva kuti kuti uve nechirwere ichi, unofanira kugara nhaka yekuchinja kwemajini kubva kuvabereki vako vese. Kana ukagara nhaka yekuchinja kwemajini kubva kune mumwe wevabereki vako chete, hauzove neMAP. Zvisinei, iwe uri mutakuri weMAP. Kuva mutakuri zvinoreva kuti kana mumwe mubereki wako wekubereka ari mutakuriwo, unogona kupfuudza kumwana wako.
Pari zvino zvinofungidzirwa kuti pakati pe1% ne2% yevanhu vane chirwere che `(MAP)`. Vanhu vane chirwere ichi vanewo mukana wakawedzera wekuva nekenza yemuura, asi kwete wepamusoro sewevanhu vane `(MAP)`.
Dambudziko iri (MAP) rinogara nhaka sei kubva kuchizvarwa kuenda kune chimwe?
Ngatitii vabereki vese vane `(MAP)`. Kana zvakadaro, mikana yekuti vana vavo vagare nhaka chirwere ichi ndeiyi inotevera:
- Pane mukana mumwe chete pavana (25%) wekusagara nhaka `(MUTYH)` gene mutation. Izvi zvinoreva kuti mwana haazove nechirwere ichi, uye mwana iyeye haazokwanisi kupa gene iyi kuvana vake.
- Pane mukana wekuti mwana akwanise kutapurira chirwere ichi. Izvi zvinoreva kuti mwana haazokure (MAP), asi anogona kutapurira vana vake genetic mutation.
- Pane mukana mumwe chete pavana (25%) wekuti vabereki vese vachagara nhaka iyi mutation. Ipapo mwana achava nechirwere che `(MAP)`. Zvakare, mwana achapfuudza kanenge kamwe chete ke `(MUTYH)` gene mutation kuvana vake.
Nzira yekuziva sei chirwere chacho (MAP)?
Kuziva kana uine MAP kunowanzo sanganisira matanho mashoma. Chiremba wako achatanga nekukubvunza nezvenhoroondo yemhuri yako zvakadzama. Achakubvunza nezvegomarara kana zvimwe zvirwere zvakambosangana nazvo nevabereki vako, vanasekuru nasekuru vako, nevanun'una vako.
Kana chiremba wako achifungidzira kuti une chirwere chemajini, anogona kukurudzira kuongororwa kwemajini. Kuongororwa uku kunogona kuona shanduko yemajini (MUTYH) nezvimwe zvirwere zvemajini zvinowedzera njodzi yako yekubatwa nekenza.
Chiremba anogona kukurudzira kuongororwa kwemajini muzviitiko zvinotevera:
- Kana paine munhu mumhuri yako ane `(FAP)`, `(MAP)` kana zvimwe zvirwere zvemajini.
- Kana mhuri yako ine nhoroondo yakasimba yekenza yemudumbu.
- Kana mumwe kana kupfuura vevanin'ina vako vane ma polyps akawanda muura hwavo, asi vabereki vako vasina (izvi zvinoreva kuti vabereki vako vanogona kunge vaine chirwere ichi).
Kana kuongororwa kwemajini ako kukaratidza kuti une chirwere ichi (MAP) kana kuti une chirwere ichi, chiremba wako achataura newe nezvematanho anotevera ekuongororwa kwegomarara.Zvakakoshawo kuzivisa vamwe vemumhuri yako nezveizvi kuitira kuti vakwanisewo kuongororwa majini kana vachida.
MAP inorapwa sei?
Kutaura chokwadi, hapana mushonga wechirwere ichi `(MAP).` Zvisinei, kune miedzo yakawanda uye marapirwo anogona kubatsira kudzivirira kenza uye, kana kenza ikaitika, ionekwe uye irapwe ichiri nhanho yekutanga.
Kana uine chirwere chegomarara (MAP), ungangoda kuongororwa gomarara nekukurumidza uye kakawanda kupfuura zvawagara uchiita. Izvi zvinosanganisira:
- Colonoscopy: Panguva ye colonoscopy, chiremba wako anoshandisa chubhu ine chiedza chakakosha ine kamera yakabatanidzwa pairi kuti atarise mukati me colon yako ne rectum. Colonoscopy ndiyo nzira yakanakisisa yekuwana nekubvisa polyps mu colon yako. Unofanira kutanga kuwana colonoscopy yako pazera remakore angangoita makumi maviri, kana kana mumwe munhu mumhuri yako akambova nekenza ye colon, makore gumi apfuura kupfuura zera raakatanga nayo kenza (chero chinouya pakutanga).
- Upper endoscopy: Upper endoscopy inobvumira chiremba wako kuona nekubvisa polyps mudumbu mako nechikamu chepamusoro cheura hwako hudiki (duodenum). Kana wakaonekwa uine polyps muura hwako, unofanira kutanga kuva ne upper endoscopy pazera remakore makumi maviri nemashanu, kana kutopfuura.
Dambudziko iri rinogona kudzivirirwa here?
Hapana nzira yekudzivirira kushanduka kwemajini e`(MUTYH)` kuti asaitike. Kureva kuti, chinhu chatinogara nhaka. Zvisinei, kune nzira dzekubatsira pakubereka dzinogona kuderedza njodzi yekuti mwana weramangwana agare nhaka `(MAP). Semuenzaniso,` (Preimplantation Genetic Diagnosis - PGD)`, iyo inoshandiswa ne` (In Vitro Fertilization - IVF) , inogona kuwedzera mukana wekuva nemwana asina chirwere ichi chenhaka. Munzira iyi, mamiriro emajini emwana ari mudumbu anoedzwa asati aiswa muchibereko.
Zvisinei, kana uri kuita ``PGD'' ne``IVF'', zvinodhura mari yakawanda uye pane zvinhu zvakawanda zvepfungwa zvekufunga nezvazvo. Zvakanaka kusangana nachiremba wezvekubereka ane hunyanzvi kuti udzidze zvakawanda nezveizvi.
Kana ndine (MAP), chii chandinofanira kutarisira?
Kana uine `(MAP)`, ungangoda kuongororwa kenza kare uye kakawanda kupfuura vamwe. Izvozvo ndezvechokwadi. Zvisinei, nekurapwa kwakakodzera uye kutariswa, unogona kurarama hupenyu hwakanaka. Saka, zvakakosha kuona chiremba wako nguva dzose uye kukurukura nzira dzakanakisisa dzekudzivirira kenza.
Ndingazvitarisira sei semunhu ane (MAP)?
Kana ukanzwa kuti une mukana wakawanda wekuva negomarara, zvinogona kutungamira kumatambudziko ehutano hwepfungwa akadai sekuzvidya mwoyo kana kuora mwoyo. Izvi zvakajairika. Kana uine matambudziko epfungwa akadaro, ndapota usaedze kugadzirisa ari ega. Kune nzira dzakasiyana-siyana dzekurapa uye dzekutsigira, kubva pakurapwa nekutaura kusvika kumishonga.
Unogonawo kutsvaga zvinhu zvemunharaunda zvinogona kukupa nyaradzo negwara. Unogonawo kubatana nemapoka ekutsigirana kwaunogona kutaura nevamwe. Munzvimbo dzakadai, zvinogona kukubatsira zvikuru nekuti unogona kutaura nevanhu vakambosangana nematambudziko akafanana newe.
Kuva nechirwere chemajini chinowedzera njodzi yako yekubatwa nekenza kunogona kukushungurudza zvikuru. Asi hausi wega. Chikwata chako chehutano chiripo kuti chikubatsire. Nzira dzepamusoro dzekuongorora kenza dzanhasi dzinogona kuderedza zvikuru njodzi yako yekubatwa nekenza uye kukubatsira kuti uiwane nekukurumidza.
Pakupedzisira, zvinhu zvekurangarira
Zvakanaka, saka ikozvino wava kunzwisisa zviri nani zvatanga tichitaura nezvazvo (MUTYH-Associated Polyposis - MAP). Heano zvimwe zvinhu zvakakosha zvekurangarira:
- MAP chirwere chemajini chinotorwa nhaka. Chinokonzera ma polyps muura uye chinowedzera njodzi yekubatwa nekenza yemuura.
- Hazvikonzeri zviratidzo zvikuru. Saka, kana paine nhoroondo yemhuri yekenza, zvakakosha kuti munhu aedze majini ake mushure mekupiwa mazano nachiremba.
- Kana ukaonekwa uine `(MAP), usavhunduke. Nekuongororwa kwakadai se`(Colonoscopy)` uye `(Upper endoscopy)` panguva yakakodzera, kenza inogona kudzivirirwa kana kuonekwa pakutanga.
- Hutano hwepfungwa hwakakoshawo zvikuru. Kana uchida, usazeza kutsvaga rubatsiro.
- Gara uchitaurirana nechikwata chako chekurapa uye chengetedza hutano hwako.
Tinovimba kuti ruzivo urwu ruchakubatsira. Tinokushuvira iwe nemhuri yako hutano hwakanaka!
` MUTYH-Associated Polyposis, MAP, polyposis, zvirwere zvemajini, kenza yemuura, colonoscopy, kuyedzwa kwemajini











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