Dzimwe nguva unonzwa here kuti mwanasikana wako mupfupi pane vamwe vana? Kunyangwe vamwe shamwari dzezera rake dzasvika pazera rekuyaruka, mwanasikana wako haasati aratidza zviratidzo izvozvo? Zvakajairika kuti amai kana baba vanzwe kutya uye kunetseka nezvezvinhu zvakaita seizvi. Kazhinji, izvi zvinogona kuva zvinhu zvakajairika. Zvisinei, dzimwe nguva chikonzero cheizvi chinogona kunge chiri chirwere chemajini chinonzi 'Turner Syndrome' chinongobata vasikana chete. Hatifaniri kutya patinonzwa zita iri. Nhasi, tichataura zviri nyore uye zvakajeka nezveizvi, nei zvichiitika, uye zvingaitwa nezvazvo.
Zvichitaurwa zviri nyore, chii chinonzi Turner Syndrome?
Turner syndrome chirwere chekuzvarwa nacho chinongobata vasikana chete. Hachitapurirani.
Ngatidzokerei kubiology kuti tinzwisise izvi. Zvichitaurwa zviri nyore, sero rega rega mumuviri wedu rine 'chromosome' dzinosarudza ruzivo rwemajini edu (kureba kwedu, ruvara, chitarisiko, nezvimwewo). Kazhinji, sero rechikadzi rine machromosome maviri ebonde anonzi X (XX). Sero rechirume rine rimwe X nerimwe Y (XY).
Turner syndrome chirwere apo mwana wechikadzi anenge asisina ma chromosome ese kana chikamu cheimwe yema X chromosomes maviri. Ichi chiitiko chisingatarisirwi chinoitika panguva yekubata pamuviri kana panguva yekukura kwemwana. Zvakakosha kuyeuka kuti izvi hazvikonzerwi nekukanganisa kwaamai kana baba .
Chirwere ichi chinogona kukanganisa mwana mumwe nemumwe zvakasiyana, asi pane zviratidzo zviviri zvikuru:
1. Kuva mupfupi pane vamwe (kureba kupfupi)
2. Mazai asingashande zvakanaka , zvinoreva kuti kuyaruka uye kugona kuita vana zvinokanganiswa.
Zviratidzo zvacho ndezvipi? Tinozviziva sei?
Vamwe vana vanoratidza zviratidzo izvi pakuzvarwa. Kune vamwe, zviratidzo zvinoonekwa zvishoma nezvishoma panguva yehudiki. Dzimwe nguva, izvi hazvifungidzirwi kusvika pakukura. Saka, zvakakosha zvikuru kuziva zviratidzo izvi.
Dzimwe nguva bvunzo dzepamuviri, dzakadai se ultrasound scan panguva yekuzvitakura, dzinogona kuratidza zviratidzo. Semuenzaniso, kana mwana achitaridzika sekunge ane mvura iri kuseri kwemutsipa wake, kana paine dambudziko remwoyo wake kana itsvo, vanachiremba vanogona kunge vachifungidzira.
| Nguva yekutanga kwezviratidzo | Zvinhu zvakajairika zvinogona kuonekwa |
|---|---|
| Pakuzvarwa kana nguva pfupi mushure mekuzvarwa |
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| Muhudiki, hudiki, uye kukura |
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Zvakakosha kuti havasi vana vese vane Turner syndrome vane zviratidzo izvi zvese. Vamwe vana vanogona kunge vasina zviratidzo zvachose, uye chirwere ichi chingasaonekwa kusvika vakura.
Pane mhando huru dzeTurner syndrome here?
Ehe, kune mhando mbiri huru zvichienderana nekuti chirwere ichi chinoitika sei.
Monosomy X
Iyi ndiyo mhando inonyanya kuwanikwa. Apa ndipo panowanikwa chromosome imwe chete yeX mumuviri wemwana. Izvi zvinowanzokonzerwa nekukanganisika kwezai raamai kana mbeu yababa panguva yekubata pamuviri. Zviratidzo zvinowanzoonekwa zvakanyanya murudzi urwu.
Mosaic Turner Syndrome
Sezvinoreva izwi rekuti 'mosaic', chinoitika pano ndechekuti chikamu kana kuti yese X chromosome haipo mune mamwe masero ari mumuviri wemwana chete.Mamwe masero ane machromosome akajairwa (XX). Funga nezvemuviri wedu semadziro akagadzirwa nezvidhinha zvidiki (masero). Mumamiriro ezvinhu emosaic, mamwe ezvidhinha chete ndiwo ane musiyano uyu. Mamwe akajairika. Uku kukanganisa kunoitika panguva yekupatsanurwa kwemasero panguva yekukura kwemwana. Izvi zvinogona kukonzera zviratidzo zvishoma, uye zvinogonawo kuoma kuona.
Ndezvipi zvimwe zvinetso zvehutano (zvinetso) zvinogona kuitika nekuda kwechirwere ichi?
Vana vane Turner syndrome vari panjodzi yakakura yekuva nematambudziko ehutano, saka zvakakosha kugara vachiongororwa nachiremba.
| Sisitimu ine matambudziko | Matambudziko anogona kuitika |
|---|---|
| Mwoyo netsinga dzeropa (dzemwoyo) | Vana vanosvika 50% vane Turner syndrome vanogona kunge vaine chirwere chemwoyo chekuzvarwa nacho. Matambudziko ane aorta, tsinga huru yeropa inotakura ropa mumuviri, anowanzoitika. Kukwira kweropa kunogonawo kuitika. |
| Sisitimu yemafupa | Pane njodzi yakakura yezvirwere zvakaita se osteoporosis, kutyoka kwemapfupa, uye scoliosis. |
| Sisitimu yekudzivirira muviri (Autoimmune) | Pane njodzi yekubatwa nezvirwere zve autoimmune, umo masoja emuviri anorwisa masero awo. Mienzaniso: matambudziko e thyroid (chirwere chaHashimoto), chirwere che celiac, zvirwere zvemudumbu zvinoputika (IBD). |
| Kunzwa uye Kuona | Kurasikirwa nekunzwa kunogona kuitika nekuda kwehutachiona hwepakati kwenzeve kana kukuvara kwetsinga. Matambudziko ekuona, akadai sekutarisa maziso, anogonawo kuitika. |
| Itsvo | Matambudziko nemaumbirwo eitsvo anogona kuitika, izvo zvinogona kukonzera hutachiona hwemunzira yeweti (UTIs). |
| Kuremara pakudzidza | Kunyangwe njere dzichiwanzova dzakanaka, panogona kunge paine mamwe matambudziko pakudzidza, kunyanya mumasvomhu, kutungamira, uye kufunga nezvenzvimbo. |
| Hutano hwepfungwa | Kurarama nekuchinja kwemuviri wako nematambudziko ehutano zvinogona kukonzera kusazviremekedza, kuzvidya mwoyo, uye kuora mwoyo. |
Chiremba anoongorora sei izvi?
Chiremba anogona kuona chirwere ichi mwana asati aberekwa kana kuti mushure mekunge aberekwa.
Usati wazvarwa:
- NIPT (Noninvasive prenatal testing): Iyi inzira yekuongorora ruzivo rwemajini emwana uchishandisa ropa rakatorwa kubva kuna amai vane pamuviri.
- Kuongororwa kweUltrasound: Izvi zvinogona kufungidzirwa kana kuongororwa kunoratidza matambudziko emwoyo wemwana, itsvo, kana kuti mvura yakaungana kuseri kwemutsipa.
- Amniocentesis: Dambudziko iri rinogona kusimbiswa zvizere nekutora sampuro yemvura yeamniotic yakakomberedza mwana uye kuita bvunzo yemajini (karyotype analysis) pamasero emwana.
Mushure mekuzvarwa:
Mushure mekunge mwana azvarwa, kana chiremba akafungidzira kuti pane chakaipa zvichibva pazviratidzo zvemwana, vanoraira kuti ropa rake riongororwe rinonzi 'karyotyping.' Izvi zvinosanganisira kutora ropa uye kuongorora machromosomes pasi pemakroskopu kuti vaone kana X chromosome isipo, yese kana kuti chikamu chayo.
Mishonga yacho ndeipi? Inogona kurapwa zvachose here?
Chekutanga, nekuti Turner syndrome chirwere chinokonzerwa nemajini, hachigone kurapwa zvachose.
Asi usatya! Kune mishonga yakawanda yakanaka iripo nhasi inogona kukubatsira kudzora zviratidzo, kudzivirira matambudziko angangoitika, uye kurarama hupenyu hune hutano, hunobudirira, uye hunofadza.
Kurapa kunonyanya kutarisisa mahormone.
- Kurapa kwehomoni yekukura kwevanhu: Kurapa uku kwakakosha zvikuru kuti mwana awedzere kureba. Iyi ijekiseni rehomoni rinopihwa zuva nezuva. Kana kurapwa uku kukatanga achiri mudiki, kureva kuti, kana zvikaonekwa kuti kukura kwacho kuri kunonoka, mwana achakwanisa kusvika pakureba kwakanaka.
- Kurapa neestrogen: Vasikana vazhinji vane Turner syndrome havaburitse estrogen nenzira yechisikigo, saka vanowanzopihwa estrogen kubva kune dzimwe nzvimbo panguva yekuyaruka (makore angangoita 11-12). Izvi ndizvo zvinokonzera zviratidzo zvekuyaruka, zvakaita sekukura kwemazamu uye kutanga kwekuenda kumwedzi. Zvakakoshawo kuti mapfupa akasimba uye hutano hwemwoyo huvepo.
- Kurapa neProgestin: Mushure memakore mashoma ekurapwa neestrogen, hormone inonzi progestin inopiwawo kuchengetedza kutenderera kwemwedzi nenzira yechisikigo.
Kuwedzera pakurapwa kwemahormone aya, zvakakosha kutsvaga kurapwa uye kuongororwa nguva nenguva kubva kunyanzvi dzakakodzera nekuda kwezvinetso zvataurwa kare (zvakadai sechirwere chemwoyo, matambudziko eitsvo, uye kutadza kunzwa).
Ndinofanira kutaura nachiremba rini nezvemwana wangu?
Zvakakosha kuongorora chirwere ichi uye kutanga kurapwa nekukurumidza sezvinobvira.
Rambai muchitarisa kukura kwemwana wenyu uye matanho aanoita. Kana muchifunga kuti mwanasikana wenyu mupfupi zvakanyanya kupfuura vamwe vana vezera rake, kana kuti ari kuratidza chero zviratidzo zvataurwa pamusoro apa, musanonoka kutaura nachiremba wevana venyu.
Kune zvimwe zvinhu zviviri zvakakosha zvinokurudzirwa navanachiremba:
- Kuongororwa kwevana vane matambudziko ekudzidza: Zvakanaka kuti unyatsocherechedza kukura kwemwana wako nekukurumidza sezvinobvira, pamwe pazera remakore 1-2, uye woongorora matambudziko ekudzidza. Kana aripo, unogona zvakare kutaura nevadzidzisi kuchikoro wopa mwana rutsigiro rwakakosha rwaanoda.
- Kutsvaga rubatsiro rwehutano hwepfungwa: Zvakakosha kutsvaga rubatsiro kubva kune mupi wezano wehutano hwepfungwa (mwana wepfungwa) kuti abatsire mwana wako kugadzirisa matambudziko emagariro evanhu, kusazviremekedza, uye kuzvidya mwoyo kunoitika kana achirarama nechirwere ichi.
Kunyange zvazvo nguva yekurarama kwemwana ane Turner syndrome ingave pfupi zvishoma pane yevanhu vose, nekutarisirwa nguva dzose nachiremba, kurapwa nenguva, uye kutarisira zvakanaka matambudziko ehutano, vanogona kurarama hupenyu hwakajairika, hunofadza.
Mharidzo Yekuenda Nayo Kumba
- Turner Syndrome chirwere chemajini chinobata vasikana chete uye hachikonzerwi nevabereki.
- Zviratidzo zvikuru zviviri kushaya hurefu uye kunonoka kana kusasvika pakuyaruka.
- Zvinogona kukanganisa mwoyo, itsvo, mapfupa, uye kunyange hutano hwepfungwa. Saka, kugara uchiongororwa nachiremba kwakakosha.
- Kunyange hazvo chirwere ichi chisingarapike zvachose, zviratidzo zvinogona kudzorwa zvakanaka nekurapwa nemahormone nedzimwe nzira dzekurapa.
- Kuonekwa kwechirwere ichi nekukurumidza kwakakosha kuti kurapwa kubudirire. Kana uine zvinokunetsa nezvekukura kwemwana wako, usanonoka kutaura nachiremba wako.
- Kana mwanasikana ane Turner syndrome aine rubatsiro rwakakodzera rwekurapwa uye achitsigirwa nemhuri, ane mukana wekurarama hupenyu hunobudirira uye hunofadza.
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