Itsvo dzemwana wako hadzisi kushanda zvakanaka here? Ngatizivei nezvechirwere ichi chePotter Syndrome!

Kana uri amai vane pamuviri, pamwe unonetseka zvakanyanya nezvehutano hwemwana wako, handiti? Zvakajairika kushamisika kana mwana wako ari kukura zvakanaka mudumbu uye kana zvese zviri kufamba zvakanaka. Nhasi tichataura nezvechirwere chisingawanzoitiki chinogona kukanganisa vacheche. Chinonzi Potter Syndrome. Unganetseka paunonzwa izvi, asi zvakakosha kuti uzvizive.

Zvichitaurwa zviri nyore, chii chinonzi Potter Syndrome?

Zvakanaka, ngatizvitsanangure. Chirwere chePotter, dzimwe nguva chinonzi Potter sequence , chirwere chisingawanzoitiki chinokanganisa kukura kwemwana achiri mudumbu. Chikonzero chikuru cheizvi ndechekuti itsvo dzemwana hadzikure zvakanaka kana kuti mashandiro adzo anokanganiswa . Waizviziva here kuti kana mwana ari mudumbu, pane mvura yakawanda yeamniotic yakaapoteredza. Itsvo dzinoita basa guru mukuchengetedza huwandu hwemvura iyi yeamniotic. Saka kana itsvo dzikasashanda zvakanaka, huwandu hwemvura iyi yeamniotic hunoderera. Izvi ndizvo zvinonzi navanachiremba oligohydramnios.

Zvinosuwisa kuti dzimwe nguva mwana anozvarwa asina itsvo dzese, chirwere chinonzi ``Bilateral Renal Agenesis``, chinogona kuuraya. Zvisinei, vamwe vacheche vanogona kurarama kana zviratidzo zvavo zviri zvishoma kana kuti kurasikirwa nemvura kusina kuipa. Zvisinei, vana ava vanogona kuva nematambudziko emapapu neitsvo asingarapiki pavanenge vachikura.

Ndiani angangonyanya kukanganiswa nemamiriro ezvinhu aya?

Kutaura zvazviri, chirwere ichi chinonzi Potter syndrome chinogona kukanganisa chero mwana. Nekuti chakabatana zvakananga nekusakwana kwemvura yeamniotic. Zvisinei, zvimwe zvidzidzo zvakawana kuti vacheche vechirume vane mukana wekuva nechirwere ichi .

Ko Potter syndrome inogarwa nhaka here?

Izvi zvakaoma zvishoma. Chirwere chePotter hachisi chirwere chemajini. Zvisinei, kune mamwe mamiriro anogona kuchikonzera. Ngatitarisei kuti chii:

• Chirwere cheitsvo chinonzi Polycystic: Ichi chinogona kutorwa kubva kuna amai kana baba (autosomal dominant) kana kubva kuvabereki vese (autosomal recessive). Izvi zvinokonzera kuti ma cysts aumbe muitsvo.
• Kuumbwa kweitsvo: Uku ndiko kutadza kukura kweitsvo. Dzimwe nguva izvi zvinogona kukonzerwa nekuchinja kwemajini eFGF20 kana GREB1L. Chirwere ichi chinogona kugarwa nhaka nenzira ye autosomal dominant kana autosomal recessive. Izvi zvinoreva kuti mwana anofanira kugara nhaka iyi genetic mutation kubva kumubereki mumwe chete kana vese.
• Kuchinja kwemajini nguva nenguva: Dzimwe nguva, kuchinja kwemajini kusingatarisirwi kunogona kukonzera chirwere chePotter, kunyangwe pasina munhu mumhuri akambova nechirwere ichi.

Dambudziko iri rakajairika zvakadii?

Chirwere chePotter chirwere chisingawanzoitiki . Zvinofungidzirwa kuti chirwere ichi chinobata mwana mumwe chete pavana 4,000 kusvika ku10,000 vanoberekwa. Saka musavhunduke kana mukanzwa nezvazvo. Asi zvakakosha kuti muzive.

Chirwere chePotter chinokanganisa sei muviri wemwana?

Ichi ndicho chinhu chakakosha. Potter syndrome inokanganisa mashandiro anoita nhengo dzemukati memwana, kunyanya itsvo . Sezvaunoziva, itsvo inhengo dzakakosha dzinobvisa tsvina nemvura yakawandisa kubva mumiviri yedu. Kana mwana ari mudumbu, itsvo dzinoburitsa weti. Weti iyi inodzokororwa kuita amniotic fluid.

Saka, kana itsvo dzemwana dzisiri kushanda zvakanaka, hadzizobudisi mvura yakakwana yeamniotic kuti dzimupoteredze. Mvura iyi yeamniotic ndiyo inochengetedza mwana. Kana mvura iyi yakarasika, kukura kwenhengo dzemuviri wemwana kunokanganisa. Nemamwe mashoko, nhengo hadzikure zvizere . Ipapo nhengo idzodzo hadzigone kuita mabasa adzo nemazvo. Izvi ndizvo zvinokonzera zviratidzo zvinotyisidzira hupenyu.

Ndezvipi zviratidzo zvePotter syndrome?

Zviratidzo zvePotter syndrome zvinogona kusiyana kubva pamucheche kuenda kumucheche, uye kuoma kwechirwere ichi kunogona kusiyana. Zviratidzo izvi zvinogonawo kukanganisa pamuviri wako, izvo zvinogona kukonzera kusununguka nguva isati yakwana .

Kushaikwa kweamniotic fluid

Munguva yekuzvitakura, panenge paine mvura yero yakajeka yakakomberedza mwana. Iyi ndiyo mvura yeamniotic. Izvi zvinodzivirira mwana uye zvinomupa mukana wekukura. Inoshanda sechipingamupinyi pakati pemadziro echibereko nemwana. Vacheche vane chirwere chePotter syndrome havana mvura yeamniotic yakakwana, saka kumanikidzwa kubva kumadziro echibereko kunokanganisa kukura kwemwana.

Zvimiro zvakakosha zvechiso nemuviri

Kumanikidzwa kunokonzerwa nekushaikwa kwemvura yeamniotic kunokanganisa kukura kwemuviri wemwana. Izvi zvinogona kukonzera zvimwe zvinhu zvechiso. Izvi zvinonzi "Potter facies" . Izvi zvinhu ndeizvi:

• Chirebvu hachikure zvakanaka (chinoita sechakatenderedzwa mukati).
• Kuva nekakunyarara pasi pemuromo wezasi.
• Maziso ari kure kure.
• Bhiriji muNaha rakapwanyika.
• Nzeve dzisina kusimba uye tsinga shoma munzeve.
• Ganda rinopetana mumakona emaziso.

Kumanikidzwa uku kunogonawo kukanganisa kukura kwezvimwe zvikamu zvemuviri wemwana. Semuenzaniso:

• Maoko nemakumbo mapfupi.
• Kusakwanisa kutambanudza nekutwasanudza majoini zvakanaka, uye kuomarara (kuomarara).
• Saizi yemwana mudiki kana tichienzanisa nezera repamuviri.

Nhengo dzisina kukura zvakanaka kana kuti dzisina kusimba

Zviratidzo zvinokanganisa nhengo dzemuviri ndizvo zvinonyanya kutyisidzira hupenyu.MuPotter syndrome, kukura kwemwana kunokanganiswa, saka nhengo dzemukati hadzigamuchire mirairo kana nguva yadzinoda kuti dzikure zvakanaka. Zviratidzo zvinogona kuitika semugumisiro ndeizvi:

• Matambudziko emwoyo akaberekerwa.
• Zvirwere zvemaziso (semuenzaniso cataracts, lens luxation).
• Zvirwere zveitsvo (kusashanda zvakanaka kweitsvo kwenguva refu, kuberekwa kweitsvo, chirwere cheitsvo chinonzi polycystic).
• Zvirwere zvemapapu (chirwere chemapapu chisingaperi, kutadza kufema zvakanaka).

Kukura kweitsvo kusina kujairika kunokanganisawo huwandu hweweti hunogona kuburitswa nemwana achangoberekwa. Ichi chiratidzo chinotsvakwawo navanachiremba pavanoongorora chirwere chePotter.

Ndezvipi zvinokonzera chirwere chePotter?

Pane zvinhu zvakawanda zvinogona kukonzera chirwere chePotter. Izvi ndeizvi:

• Itsvo dzisiri kukura zvakanaka kana kuti dzisiri kuva neitsvo.
• Chirwere cheitsvo chinonzi polycystic.
• Chirwere chedumbu chePrune (chirwere chedumbu chePrune / chirwere cheEagle-Barrett)
• Kuvharika kwenzira yeweti.
• Kubuda kwemvura yeamniotic nekuda kwekuputika kwemembrane.
• Matambudziko ehutano asina kudzorwa muna amai, semuenzaniso, chirwere cheshuga cherudzi rwekutanga.

Zviratidzo izvi, kunyanya izvo zvinokanganisa itsvo, zvinoitika nekuti mudumbu hamuna mvura yakakwana yeamniotic yekukomberedza mwana .

Sei mvura iyi yeamniotic iri kudzikira?

Ngatizvitarisei zvakadzama. Chikonzero chikuru kukura kweitsvo zvisina kujairika .

Waizviziva here kuti panguva yekuzvitakura, mwana wako anoyangarara mumvura yakachena, yero inonzi amniotic fluid. Mvura iyi inodzivirira mwana wako uye inomubatsira kukura panguva yese yekuzvitakura kwako? Pakutanga kwekuzvitakura kwako, mvura iyi yeamniotic inoumbwa nemvura nezvinovaka muviri zvinobva mumuviri wako. Mwana wako anonwa mvura iyi yeamniotic. Pakati pevhiki 16 ne20, mwana wako anotanga kuwedzera mvura iyi yeamniotic. Unozviziva sei? Nekuita weti! Mwana wako anonwa mvura iyi uye ozoiburitsa seweti. Izvi zvinoitika mudenderedzwa.

Saka, kana mwana wako aine chirwere chePotter syndrome, nhengo dzake dzinogadzira weti, itsvo, hadzina kukura zvakanaka, kana kuti hadzisipo, kana kuti hadzisi kushanda. Nekuti mwana haakwanise kuita weti, haakwanise kuwedzera huwandu hwemvura inomudzivirira. Ndosaka mvura inomudzivirira iri shoma mudumbu.

Kune marudzi akasiyana ePotter syndrome here?

Ehe, vanachiremba vanosiyanisa mhando dzakasiyana dzePotter syndrome, zvichienderana nezviratidzo zvinokanganisa itsvo.

• Classic Potter syndrome: Iyi ndiyo mhando inonyanya kuwanikwa. Inoitika kana mwana akazvarwa asina itsvo dzese.
• Chirwere chePotter type I:Rudzi urwu rwechirwere runokonzerwa nechirwere chinonzi polycystic kidney disease, icho chinotorwa kubva kuvabereki vese uye chirwere che autosomal recessive. Muchirwere ichi, ma cysts anoumbwa muitsvo.
• Chirwere chePotter type II: Rudzi urwu rwechirwere runokonzerwa nekusarongeka kwekukura kweitsvo mudumbu panguva yekuzvitakura.
• Potter syndrome rudzi rwechitatu: Izvi zvinokonzerwawo nechirwere cheitsvo chinonzi polycystic, senge rudzi rwekutanga. Zvisinei, chinotorwa kubva kumubereki mumwe chete (Autosomal dominant).
• Potter syndrome rudzi rwechina: Rudzi urwu rwechirwere runokonzerwa nekuvharika kwenzira yeweti (obstructive uropathy) nekuda kwekukura kusingajairika kwemwana ari mudumbu.

Chirwere chePotter chinowanikwa sei?

Chirwere chePotter chinogona kuonekwa panguva yekuzvitakura kuburikidza nekuongororwa kwemwana asati aberekwa . Chimwe chiratidzo chekuti ungave uine chirwere ichi panguva yekuzvitakura kushaikwa kwemvura inoyerera mudumbu yakakomberedza mwana. Chiremba wako achatsvaga izvi panguva yekuongorora kweultrasound. Vachatsvagawo zviratidzo zvemuviri zvakaita sekuoma kwemajoini (contractures).

Kana izvi zvikasaonekwa mwana asati aberekwa, chiremba achaita ongororo yemuviri mushure mekunge mwana aberekwa kuti aone kana paine zviratidzo. Zviratidzo izvi zvinosanganisira:

• Weti inobuda shoma kwazvo.
• Kuva nechimiro chaicho chechiso.
• Kutadza kufema zvakanaka.

Ndedzipi bvunzo dzinoitwa kusimbisa izvi?

Chiremba anogona kuita bvunzo dzinoverengeka kuti asimbise chirwere ichi:

• Kuongororwa kweropa remajini kuti uone jini rinokonzera zviratidzo.
• Tarisa mapapu emwana wako, itsvo, uye nzira yeweti uchishandisa mifananidzo yakaita seX-ray, MRI, kana ultrasound .
• Kuongororwa kweropa kana weti kuti vaone mazinga e electrolyte nema enzyme.
• Kuongororwa kwe echocardiogram kuti uone kana paine zviratidzo zvechirwere chemwoyo.

Ndezvipi zvinorapwa izvi?

Kurapwa kwePotter syndrome kunoenderana nekuoma kwematambudziko emapapu nemoyo (pulmonary hypoplasia) anokanganisa mwana wako, pamwe chete nesarudzo dziripo dzekutsigira mashandiro eitsvo dzemwana wako.

Funga nezvazvo, mwana wako ari kukura anofanira kunge akakomberedzwa nemvura yeamniotic panguva yekuzvitakura kuti mapapu ake akure zvakanaka. Kana chipfuva chemwana chikavharirwa kwenguva yakareba, anogona kurasikirwa nenyama yemapapu yakakwana kuti ararame mushure mekuzvarwa.

Kurapa mwana achangoberekwa ane dambudziko reitsvo zvachose kunogona kuoma zvikuru. Mune zvimwe zviitiko, kupindira kwevanorwara zvakanyanya kushoma uye kutarisirwa kwevanorwara nemwana achangoberekwa kunoshandiswa kuchengetedza mwana nevabereki pamwe chete uye kupa nyaradzo kumwana.Kurapa nenzira yekurapa kungave sarudzo.

Kana mwana wako akararama mushure mekuzvarwa, kurapwa kuchanyanya kutarisisa kudzivirira zviratidzo zvinogona kutyisidzira hupenyu. Mishonga iyi inogona kusanganisira:

• Kushandisa michina inotsigira kufema (semuenzaniso ventilator ).
• Mishonga inotsigira mapapu.
• Kuvhiyiwa kugadzirisa kana kubvisa zvivhariso munzira yeweti.
• Kuvhiyiwa kunovandudza kudya kuburikidza nekurapa kwemuviri nemuviri, chubhu yemudumbu, kana chubhu yekudyisa.
• Kuvhiyiwa kwetsvo inzira yekubvisa chepfu dzinoungana muropa nekuda kwekusashanda zvakanaka kweitsvo. Kana kurapwa kwetsvo kusina kubudirira mushure memakore akati wandei, chiremba anogona kukurudzira kuti munhu aisirwe itsvo .

Zvichienderana nekuti mwana wako akaonekwa riini, kurapwa kunogona kutanga panguva yekuzvitakura. Unogonawo kukodzera kurapwa kwakaongororwa, senge amnioinfusion, iyo inowedzera mvura mudumbu rako kuti itsive mvura yakakomberedza mwana wako. Kurapa uku kunoshanda zvakanyanya mavhiki makumi maviri nemaviri ekuzvitakura asati asvika.

Chirwere chePotter chinogona kudzivirirwa here?

Zvinosuwisa kuti hapana nzira yekudzivirira chirwere chePotter .

Chii chandinofanira kutarisira kana mwana wangu aine Potter syndrome?

Hapana mushonga wePotter syndrome. Kazhinji, kana chirwere ichi chikaonekwa nekukurumidza panguva yekuzvitakura, chiremba wako anogona kuronga kuti mwana wako asununguke zvakachengeteka uye kupa mushonga wekubatsira mwana wako kurarama mushure mekuzvarwa.

Zviratidzo zvePotter syndrome zvinogona kutyisidzira hupenyu. Zvisinei, kana mapapu neitsvo zvemwana wako zvikasakanganiswa zvakanyanya, mwana wako anogona kunge aine fungidziro iri nani zvishoma.

Nekuti kurapwa kunotanga pakarepo mushure mekuzvarwa, hazvisi zvese zvinobudirira. Vangatofanira kuvhiyiwa kakawanda vachiri vadiki.

Mwana ane chirwere chePotter syndrome anotarisirwa kurarama hupenyu hwakadii?

Vacheche vanoonekwa vaine chirwere chePotter syndrome vanogona kurarama kwenguva pfupi . Izvi zvakasiyana kune munhu wese, uye zvinoenderana nezviratidzo. Kana zviratidzo zvacho zvakanyanya, uye kana kukura nekushanda kwenhengo huru dzakadai semwoyo, mapapu, neitsvo zvikakanganiswa, fungidziro yacho haina kunaka. Vacheche vazhinji havararame mazuva mashoma ekutanga ehupenyu . Muzviitiko zvishoma, apo zviratidzo zvacho hazvina kunyanya kuoma uye nhengo dzisina kunyanya kukanganiswa, hupenyu hunogona kunge hwakareba zvishoma.

Chiremba wako achataura newe nezvenjodzi dzinogona kuitika kana mwana wako akaonekwa aine chirwere ichi, uye achakukurudzira kuti utore mishonga inomubatsira kuti ararame kwenguva refu. Kana chirwere ichi chakanyanya, kurapwa kwemwana wako kunogona kukubatsira kuti utsungirire kushungurudzika kwekufirwa nemunhu waunoda.Mazano ekubatsira vanhu vanochema kana kufirwa anogonawo kukurudzirwa.

Ndinofanira kuona chiremba rini?

Kana ukaona shanduko panguva yekuzvitakura kwako, kunyanya kana mwana wako akangoerekana arega kufamba mushure mekufamba zvakanaka , enda kuna chiremba wako nekukasika. Mwana wako anogona kuzvarwa nekukurumidza kupfuura zvawaitarisira. Saka, zvakakosha kuti ugare uchiongororwa nachiremba wako usati waberekwa kuti ugadzirire kuzvarwa kwemwana wako.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Zvakajairika kuva nemibvunzo yakawanda mupfungwa dzako panguva yakaita seiyi. Edza kubvunza chiremba wako mibvunzo iyi:

• Chii chiri kukonzera chirwere ichi mumwana wangu?
• Ndichazoda kuvhiyiwa here mushure mekunge mwana wangu azvarwa?
• Ndezvipi migumisiro yekurapa kwamakakurudzira?
• Ndeipi nzira yakachengeteka yekusununguka mwana wangu ane chirwere chePotter?
• Ndingaitei kuti ndibatsire mwana wangu kurarama?

Zvinogona kuva chiitiko chinoshungurudza uye chakaoma zvikuru kubata nenhau yekuti mwana wako angasapona chirwere chinouraya. Chiremba wako achashanda newe padhuze kuti aone kana mwana wako aine chirwere ichi. Vachave nechokwadi chekuti mwana wako akachengeteka uye kuti anowana kurapwa nekukurumidza kuti aderedze zviratidzo mushure mekuzvarwa.

Pakupedzisira, zvinhu zvekurangarira

Potter Syndrome chirwere chinoshungurudza zvikuru. Paunodzidza nezvazvo, unogona kunzwa kusuruvara uye kutya. Izvozvo zvakajairika.

• Yeuka kuti iyi inyaya isingawanzoitiki .
• Chikonzero chikuru cheizvi ndechekuti itsvo dzemwana hadzisi kukura zvakanaka uye nekudaro pane kudzikira kwemvura yeamniotic .
• Kuzivikanwa kwechirwere panguva yekuzvitakura kwakakosha .
• Kana zviratidzo zvacho zvakanyanya, vacheche vazhinji havazopona . Zvakaoma kuziva izvi, asi zvakakosha kutaura nezvazvo pachena.
• Hausi wega. Chikwata chako chezvekurapa, mhuri, neshamwari vachakutsigira munguva ino yakaoma . Usazeza kutsvaga mazano kana zvichidikanwa.

Tinovimba kuti ruzivo urwu rwakubatsira kunzwisisa chirwere ichi chisingawanzoitiki. Kana uine mimwe mibvunzo, usazeza kutaura nachiremba wako.

Potter syndrome, Potter syndrome, mwana, itsvo, amniotic fluid, pamuviri, zviratidzo, kurapwa