Zvakajairika kunzwa kutya kukuru uye kuzvidya mwoyo paunonzwa izwi rausingazive rakaita sekuti "Trisomy 18" paunenge uchitaura nachiremba wako nezvemwana wako asati aberekwa. Idambudziko rerudzii iri, sei izvi zviri kuitika, uye pane chimwe chinhu chisina kunaka chakauya mupfungwa dzangu here? Usazvidya mwoyo. Nhasi, ngatinzwisisei chirwere chinonzi Trisomy 18 zviri nyore, sekunge tiri kutaura neshamwari.
Chii chaizvo chinonzi Trisomy 18?
Zvichitaurwa zviri nyore, trisomy 18 chirwere chinokonzerwa nedambudziko remachromosomes ane ruzivo rwemajini mumiviri yedu. Rimwe zita reizvi iEdwards syndrome , vachikudza chiremba akatanga kutsanangura chirwere ichi.
Funga nezvemuviri wedu sechivako chikuru. Purani yechivako ichi iri muzvinhu zvakaita semabhuku anonzi machromosome. Majini ari mumabhuku aya ndiwo mirairo yekuti nhengo yega yega yemuviri wedu, kubva paruvara rwebvudzi redu kusvika pamashandiro anoita mwoyo wedu, inofanira kukura sei.
Kazhinji, mwana ane hutano anogamuchira machromosomes makumi maviri nematatu kubva kuna amai uye makumi maviri nematatu kubva kuna baba. Machromosomes ese ari makumi mana nematanhatu. Aya akarongwa ari maviri. Izvi zvinoreva kuti kune makopi maviri echromosome 1, makopi maviri echromosome 2, zvichingodaro, kusvika kumakumi maviri nematatu.
Zvisinei, kana iri trisomy 18, panzvimbo pemakopi maviri echromosome 18, pane kopi yekuwedzera, kureva makopi matatu, mumasero emwana. "Tri" zvinoreva matatu. Ndosaka ichinzi "trisomy 18." Iyi chromosome yekuwedzera inogona kukonzera kusarongeka kwakasiyana-siyana mukukura kwenhengo dzakawanda mumuviri wemwana.
Kune mhando dzetrisomy 18 here?
Ehe, kune mhando nhatu chete:
1. Trisomy yakazara 18 : Iyi ndiyo mhando inonyanya kuwanikwa. Pano, sero rega rega mumuviri wemwana rine imwe chromosome yegumi nemasere.
2. Partial Trisomy 18: Izvi hazviwanzoitiki. Panzvimbo pe chromosome yakazara yekuwedzera, chikamu che chromosome yekuwedzera 18 chete ndicho chiripo mumasero. Chikamu ichi chekuwedzera chinogonawo kubatanidzwa kune imwe chromosome (translocation).
3. Mosaic Trisomy 18: Ichi chirwere chisingawanzoitiki. Pano, mamwe masero ari mumuviri wemwana chete ndiwo ane chromosome yakawedzerwa. Mamwe masero akajairwa. Zvakafanana nemasero akasiyana anosanganiswa pamwe chete sema mosaic tiles.
Dambudziko iri rakajairika zvakadii?
Dambudziko rechipiri rinonyanya kuzivikanwa rema chromosomes itrisomy 18. Rokutanga ndiro Down syndrome inozivikanwa zvikuru, kana kuti trisomy 21.
Zvichienderana nehuwandu, mwana mumwe chete pavana 5,000 vanoberekwa anogona kunge aine trisomy 18. Pavana ava, vanonyanya kutaurwa nezvavo vasikana. Zvisinei, muchokwadi, vana vakawanda vari mudumbu vanobatwa nechirwere ichi. Zvisinei, nekuda kwekuti matambudziko anokonzerwa nechirwere ichi akakomba, kazhinji vana ivavo vanorasika mudumbu panguva yekuzvitakura.
Ndezvipi zviratidzo zvemwana ane trisomy 18?
Vana vanozvarwa vaine trisomy 18 vanowanzova vadiki uye vasina simba . Vanogona kuva nematambudziko akawanda ehutano uye shanduko dzemuviri. Zvimwe zvacho zvakanyorwa patafura iri pazasi.
| Chikamu chemuviri | Zviratidzo zvinoonekwa |
|---|---|
| Musoro nechiso | Musoro mudiki pane wakajairika (microcephaly), shaya diki (micrognathia), nzeve dzakaderera, uye mukanwa wakatsemuka. |
| Maoko netsoka | Maoko akapfumbata (minwe yakapetwa pamusoro peimwe neimwe), tsoka dzakaita sedzepasi. |
| Mwoyo | Maburi ari pakati pemakamuri emwoyo (atrial septal defect kana ventricular septal defect). |
| Dzimwe nhengo dzemuviri | Zvirwere zvemapapu, itsvo, uye mudumbu/mudumbu. |
| Mamiriro ezvinhu akajairika | Kukura kunonoka zvikuru.(kukura kunonoka), matambudziko ekudya, kuchema kusina simba, uye kunonoka kukuru kwepfungwa nekukura. |
Chii chinokonzera izvi? Ndiani ari panjodzi?
Uyu ndiwo mubvunzo unobvunzwa nevabereki vazhinji. "Ndini here ndini ndine mhosva?"
Ndokumbirawo munzwisise kuti trisomy 18 haikonzerwi nekukanganisa kwaamai kana baba, kana nekudya, kunwa, kana maitiro. Kukanganisa kwekupatsanurana kwema chromosome kunoitika kana zai kana mbeu yaumbwa. Hapana chatingaita kuti tizvidzivirire.
Zvisinei, njodzi yekukanganiswa kwemachromosome aya inowedzera zvishoma sezvo amai vachikura (kunyanya mushure memakore makumi matatu nemashanu). Zvisinei, amai vezera ripi zvaro vanogona kuva nemwana ane trisomy 18.
Kana uine mwana ane trisomy 18 kare, njodzi yekuve nechirwere ichi pakubata pamuviri wako unotevera iri pakati pe0.5% ne1%. Zvisinei, kana iwe kana mumwe wako muine shanduko yemajini (translocation) inokonzera chikamu chetrisomy 18, chatakataura nezvacho, njodzi yacho inogona kunge yakanyanya. Zvakakosha kutaura nachiremba wako nezveizvi uye, kana zvichidikanwa, ona mupi wezano wemajini.
Izvi zvinogona kuonekwa here panguva yekuzvitakura?
Ehe, zvinogoneka zvechokwadi. Chiremba achatanga atora ropa kubva kuna amai ( ongororo yekuongorora ). Kunyangwe izvi zvisingagone kuva nechokwadi che100%, zvinogona kuona kana mwana ari panjodzi yakakura yekuve nechirwere chema chromosome chakadai setrisomy 18.
Kana bvunzo iyi ikaratidza kuti pane njodzi, pane mimwe miedzo yekusimbisa mamiriro acho ezvinhu.
- Kuongororwa kweChorionic Villus Sampling (CVS): Sampuro diki yeplacenta inotorwa uye inoongororwa mukati memavhiki ekutanga epamuviri (mavhiki 10-13).
- Amniocentesis: Mushure memavhiki gumi nemashanu, sampuro yemvura yeamniotic yakakomberedza mwana inotorwa yoongororwa.
Miedzo iyi yese inogona kuverenga nemazvo machromosome emwana uye kusimbisa nechokwadi kana aine trisomy 18 kana kuti kwete.
Pamusoro pezvo, kuongororwa kwe ultrasound kunoitwa mushure memavhiki gumi nemaviri kunogonawo kukonzera kufungira nezvechirwere ichi nekutarisa zvinhu zvakaita sekukura kwemwana, chimiro chemoyo, uye nzvimbo yemakumbo nemakumbo.
Pane mushonga here? Remangwana remwana rakaita sei?
Iyi inyaya inonetsa kutaura nezvayo. Hapana mushonga we trisomy 18 parizvino . Izvi zvinodaro nekuti kuchinja kwemajini kuripo musero rega rega remuviri wemwana.
Zvisinei, kusarapwa hakurevi kuti hapana chinogona kuitwa kumwana. Rubatsiro rwekutsigira runogona kupihwa kuitira kuti mwana agare akasununguka uye agare zvakanaka sezvinobvira.
- Kuvhiyiwa kwezvimwe zvinhu, zvakaita sezvirwere zvemwoyo.
- Kupa mishonga inodiwa.
- Kudyisa machubhu kana paine dambudziko rekunwa mukaka.
- Rutsigiro rwematambudziko ekufema.
Vamwe vabereki, pachinzvimbo chekurapa mwana wavo nemarwadzo, vanosarudza kumuchengeta akasununguka kwenguva pfupi, nerudo nerudo. Izvi zvinonzi kutarisirwa kwekunyaradzwa . Sarudzo idzi ndedzemunhu oga. Zvakakosha kutaura pachena nezvesarudzo idzi dzese nachiremba wako.
Zvinosuwisa kuti, nekuda kwematambudziko makuru ehutano anouya nechirwere ichi, vana vazhinji vanorarama kwenguva pfupi. Inenge hafu yevana vese vanoberekwa vanofa mukati mevhiki yekutanga. Vasingasviki 10% vanorarama kuti vapemberere zuva ravo rekutanga rekuzvarwa. Kunyangwe vacheche vanorarama vanoda kurapwa nguva dzose.
Kuchengeta mwana akadai kunogona kunetsa vabereki mupfungwa nemumuviri, saka zvakakosha kuti iwe nemhuri yako murwendo urwu muwane rutsigiro .
Mharidzo Yekuenda Nayo Kumba
- Trisomy 18 chirwere chemajini chinokonzerwa nekuva nekopi yekuwedzera yechromosome nhamba 18.
- Izvi hazvisi zvekukanganisa kwevabereki. Idambudziko rinokonzerwa nemajini.
- Dambudziko iri rinogona kuonekwa kuburikidza nekuongororwa kweropa uye kuongororwa kweropa kwakakosha panguva yekuzvitakura.
- Kunyange hazvo pasina mushonga chaiwo wechirwere ichi, kune nzira dzekubatsira nadzo mwana dzinogona kumubatsira.
- Zvakakosha zvikuru kuti vabereki vari kutarisana nemamiriro ezvinhu aya vatsvage rubatsiro rwepfungwa kubva kuna vanachiremba, vapi vemazano, nevamwe vemumhuri. Taura pachena nachiremba wako nezvechero chinhu.
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