Ucabanga ukuthi indodakazi yakho imfushane kunezinye izingane? Ukhathazekile ngokuthi umzimba wayo awushintshi njengabanye abantwana abangontanga yayo, okusho ukuthi iqala ukuthomba sekwephuzile? Ngezinye izikhathi imbangela yalezi zinto ingaba yisimo esingazwakali kakhulu ngaso, kodwa kubaluleke kakhulu ukusazi. Namuhla sikhuluma ngesinye sezimo ezinjalo, i-Turner Syndrome. Ukuqaphela lokhu kuzokusiza ukuthi unikeze ingane yakho ukunakekelwa okungcono kakhulu.
Iyini i-Turner Syndrome?
Kalula nje, imizimba yethu yakhiwe ngamaseli amancane. Iseli ngalinye linohlelo oluchaza konke kusukela ekubunjweni kwethu, ukuphakama, kanye nombala wesikhumba. Lokhu sikubiza ngokuthi ama -chromosome ohlelo.
Ngokuvamile, iseli lentombazane linama-chromosome angu-23. Ama-chromosome amabili angu-23 anquma ubulili yi-'X' kanye ne-'X' (XX). Lokhu kusho ukuthi intombazane inama-chromosome amabili angu-X. Kodwa-ke, intombazane ene-Turner syndrome ayinawo wonke noma ingxenye yawo wonke la ma-chromosome amabili angu-X.
Lesi yisimo sokuzalwa esithinta amantombazane kuphela. Akuzona zonke izingane ezinalesi simo ezifanayo. Kodwa-ke, kunezici ezimbili eziyinhloko ezivame ukubonakala:
1. Ukuphakama okufushane
2. Ama-ovary angasebenzi kahle
Lesi simo sivame ukwenzeka cishe koyedwa ezinganeni zabesifazane ezingu-2,000 noma ezingu-2,500.
Iyini imbangela yalesi simo?
Into yokuqala okufanele uyisho ukuthi lokhu akuyona into eyiphutha likamama noma likababa . Kwenzeka ngengozi ngokuphelele. Okusho ukuthi, lapho umntwana ekhulelwa, kungase kube nomehluko eqandeni kumama noma esidoda sikababa, noma kungase kube noshintsho ku-chromosome X ngesikhathi sokuqala kokukhula komntwana esibelethweni. Abacwaningi abasazi kahle ukuthi yini ebangela lokhu.
Kunezinhlobo ezimbili eziyinhloko zalesi simo.
- I-Monosomy X: Lokhu ukungabikho ngokuphelele kwe-chromosome eyodwa ye-X. Lolu uhlobo olubi kakhulu nolunezimpawu eziningi.
- I-Mosaic Turner syndrome: Kulesi simo, amanye amangqamuzana emzimbeni anama-chromosome amabili e-X, kodwa amanye amangqamuzana anelilodwa kuphela. Lokhu kungabangela izimpawu ezincane. Ngezinye izikhathi, lesi simo singase singatholakali.
Ziyini izimpawu zengane ene-Turner syndrome?
Ezinye izingane zibonisa izimpawu zisencane, kanti ezinye ziqaphela izimpawu kuphela lapho sezikhulile kancane. Ngezinye izikhathi izimpawu zicashile kakhulu. Ngakho-ke, kunezikhathi lapho lesi simo sitholakala khona ngisho nangemva kokufika ebudaleni. Ake sihlukanise lezi zimpawu zibe yizigaba eziningana.
Kungenzeka yini ukwazi ngaphambi kokuba umntwana azalwe?
Yebo, ngezinye izikhathi ukuhlolwa okwenziwa ngesikhathi sokukhulelwa kunganikeza inkomba ngalokhu.
- Udokotela angase asole okuthile ngesikhathi sokuhlolwa kwe-ultrasound: inkinga ngenhliziyo yengane, izinkinga zezinso, noma ukunqwabelana koketshezi ngemuva kwentamo.
- Ukuhlolwa kofuzo: Lesi simo singatholakala ngokuhlolwa kofuzo okwenziwa ngesikhathi sokukhulelwa.
Izimpawu ezibonakala ngesikhathi sokuzalwa noma ngesikhathi sobuntwana
Lezi zimpawu azibonakali ngendlela efanayo kuwo wonke umuntu, kodwa ungazibona ezimbalwa zazo.
| Isici | Incazelo nje |
|---|---|
| Izinguquko ezindlebeni | Izinto ezifana nokubekwa kwezindlebe phansi kunokujwayelekile, ama-earlobes ajiyile, njll. |
| Izinwele ngemuva kwentamo | Kusukela ngaphansi kwesilinganiso. |
| Isimo sentamo | Inentamo emfushane nebanzi. Ngezinye izikhathi intamo enezintambo ingabonakala kuzo zombili izinhlangothi zentamo. |
| Isilevu nesifuba | Umhlathi ongezansi ubonakala umncane futhi ucwile ngaphakathi. Isifuba siba sikhulu futhi isikhala phakathi kwezingono siyanda. |
| Izandla nezinyawo | Izingalo zigobile kancane ngaphandle endololwaneni, umunwe noma uzwane olulodwa lufushane kunolunye, izinyawo eziyisicaba. |
| Izinzipho | Ukuncishiswa kwezipikili ezandleni nasezinyaweni. |
Izimpawu ezibonakala ebuntwaneni, ebusheni, nasebudaleni
Lezi yizimpawu abazali okufanele bazinake kakhulu.
- Ukwehluleka kokukhula: Ukwehluleka ukukhula ubude ngenxa yokuguga. Lokhu kuvame ukubonakala cishe eminyakeni emi-5.
- Ukuntuleka kokukhula okusheshayo: Ngokuvamile, izingane ziba nezikhathi zokukhula ngokuzumayo njengoba zikhula. Lezi zingane azinazo lezo zikhathi.
- Ukuthomba okulibazisekile noma okungekho: Lokhu kungenye yezimpawu eziyinhloko. Izinto ezifana nokukhula kwamabele kanye nokuya esikhathini zingase zenzeke.
- Amazinga aphansi ama-hormone: Amazinga aphansi ama-hormone ocansi njenge-estrogen.
- Ukungasebenzi Kahle Kwesibeletho Esiyinhloko: Ama-ovari mancane kakhulu. Angase ayeke ukusebenza ngemva kweminyaka embalwa, noma angase angasebenzi kusukela ekuzalweni.
- Ukungazali: Ngenxa yokuthi ama-ovari awasebenzi, akunakwenzeka ukuba nezingane ngokwemvelo.
Khumbula, akuzona zonke izingane ezizoba nazo zonke lezi zimpawu. Ezinye izingane zingase zibe nezimpawu eziningi, kanti ezinye zingase zibe nezimbalwa kakhulu. Ngakho-ke uma unenkinga ngengane yakho, kungcono ukukhuluma nodokotela .
Yiziphi ezinye izinkinga zempilo ezingaba khona ngalesi simo?
Izingane ezine-Turner syndrome zisengozini enkulu yokuthola ezinye izinkinga zempilo, ngakho-ke kubaluleke kakhulu ukuhlolwa njalo kwezokwelapha futhi uqaphele ngalokhu.
| Uhlelo oluyinkinga | Izimo zezokwelapha ezingaba khona |
|---|---|
| Inhliziyo nemithambo yegazi | Isifo senhliziyo esizalwa naso singavela, ikakhulukazi izinkinga ngomthambo wegazi oyinhloko (i-aorta) othwala igazi emzimbeni. |
| Uhlelo lwamathambo | Izimo ezifana ne-osteoporosis, ukuphuka kwamathambo kalula, kanye ne-scoliosis. |
| Isimiso somzimba sokuzivikela | Izifo ezihlasela umzimba ngokwawo zingavela lapho amasosha omzimba ezihlasela wona. Izibonelo: Isifo se-Celiac, isifo sikaHashimoto (inkinga yendlala yegilo). |
| Izindlebe namehlo | Ukulahlekelwa ukuzwa, ukutheleleka njalo kwendlebe ephakathi, ukubona okufiphele kanye namehlo ahlangene. |
| Izinso | Kungase kube nezinkinga ezithile ngezinso, okungaholela ekuthelelekeni njalo kwe-urinary tract (UTIs). |
| Ikhono lokufunda | Nakuba ukuhlakanipha ngokuvamile kuhle, kungase kube nobunzima ekufundeni. Ikakhulukazi, izinto ezifana nenkumbulo nokuqonda ubudlelwano bendawo (isib. ukushayela) kungaba nzima. |
| Impilo yengqondo | Ukuphila nalesi simo kungaholela ezinkingeni zengqondo ezifana nokuzethemba okuphansi, ukukhathazeka kanye nokucindezeleka. |
Udokotela ukuthola kanjani lokhu?
I-Turner syndrome ingatholakala ngaphambi noma ngemva kokuzalwa.
- Ngaphambi kokuzalwa:
- I-NIPT (Ukuhlolwa kokukhulelwa okungahlaseli): Ukuhlolwa okubheka izinkinga zofuzo enganeni ngokuhlola igazi likamama ngesikhathi sokukhulelwa.
- Ukuskena: Njengoba kushiwo ngaphambili, ukusola kungase kuphakame ngokusekelwe ezicini ezibonwe kuskena.
- I-Amniocentesis kanye ne-CVS: Lezi izivivinyo zokuqinisekisa. Zihilela ukuthatha isampula yoketshezi lwe-amniotic noma ucezu lwe-placenta nokwenza isivivinyo sofuzo. Lezi zivivinyo zinembile ngokuphelele.
- Ngemva kokuzalwa:
- Ukuhlolwa kwe-Karyotyping: Lolu ukuhlolwa okubaluleke kakhulu. Ukuhlolwa kofuzo okuhilela ukuthatha igazi elincane. Lokhu kunganquma ngokunembile ukuthi i-chromosome X ayikho yini.
Yiziphi izindlela zokwelapha lokhu?
I-Turner syndrome akuyona isifo esingelapheki ngokuphelele. Kodwa-ke,Kunezindlela eziningi zokwelapha ezinhle ezingalawula izimpawu futhi zisize ingane iphile impilo evamile.
Ukwelashwa ngokuyinhloko kwenziwa ngama-hormone.
- Ukwelashwa ngama-hormone okukhula komuntu: Lokhu kuyimijovo yansuku zonke. Lokhu kungasiza kakhulu ekwandiseni ubude bengane. Uma kuqalwa esemncane, kungandisa ubude bokugcina bengane ngamasentimitha ambalwa nje.
- Ukwelashwa nge-estrogen: Lokhu kubalulekile ezinganeni eziningi ezine-Turner syndrome ukuze zifinyelele ekuthombeni. Kusiza ekukhuleni kwamabele kanye nokujikeleza kokuya esikhathini. Kusiza futhi ekuqiniseni amathambo futhi kuthuthukise impilo yenhliziyo. Lokhu kwelashwa kuvame ukuqhubeka kuze kube yilapho umuntu enqamuka ukuya esikhathini.
- Ukwelashwa nge-progestin: Lokhu kuqala eminyakeni embalwa ngemva kokuba kuqalwe i-estrogen. Lokhu kusiza ukugcina umjikelezo wokuya esikhathini wemvelo.
Ngaphezu kwalezi zindlela zokwelapha, uma unezinkinga zempilo ezishiwo ngaphambilini (inhliziyo, izinso), kufanele futhi ufune ukwelashwa kuchwepheshe.
Kufanele ngiyinakekele kanjani ingane yami?
Into ebaluleke kakhulu ukuxilonga lesi sifo bese uqala ukwelashwa kusenesikhathi.
Qaphela ukukhula kwendodakazi yakho kanye nezinyathelo ezibalulekile. Uma ucabanga ukuthi ayikhuli ngokushesha njengoba ungathanda, noma uma ikhombisa izimpawu zomzimba ezingavamile, khuluma nodokotela womndeni wakho ngokushesha .
Uma izinto ezifana nokwelashwa ngama-hormone ziqalwa ngokushesha, imiphumela iba ngcono. Futhi, lezi zingane zidinga ukuhlolwa njalo kwezokwelapha.
Ngaphezu kwalokho, odokotela batusa:
- Ukuhlolwa kokukhubazeka kokufunda: Uma lokhu kutholakala esemncane, othisha bangaboniswana nabo futhi izindlela zokufundisa zingaziswa ezidingweni zengane.
- Ukufuna usizo kumeluleki wezempilo yengqondo : Kubaluleke kakhulu ukufuna usizo kumuntu ofana nodokotela wengqondo wezingane. Lokhu kunganikeza amandla amakhulu okubhekana nezinkinga ezifana nezinkinga zomphakathi, ukuzethemba okuphansi, ukukhathazeka, kanye nokucindezeleka.
Ingane enalesi simo ingase ibe nesikhathi sokuphila esifushane kancane kunomuntu ojwayelekile. Kodwa-ke, ngokwelashwa nokuhlolwa okufanele, abaningi bangaphila impilo evamile negcwele .
Umlayezo Wokuya Nawe Ekhaya
- I-Turner Syndrome yisimo sofuzo esenzeka emantombazaneni kuphela.
- Lokhu akulona iphutha lanoma ubani, kungushintsho oluvela ngokungahleliwe lwezakhi zofuzo.
- Izimpawu eziyinhloko ukulahlekelwa ubude kanye nokwehluleka kwesibeletho, okungaholela ekuthombeni okulibazisekile.
- Nakuba kungelapheki ngokuphelele, ukwelashwa ngama-hormone kanye nezinye izindlela zokwelapha kungasiza ekulawuleni izimpawu futhi kuphile impilo evamile nenempilo.
- Uma unenkinga mayelana nokukhula kwengane yakho noma ezinye izimpawu, xhumana nodokotela wakho ngokushesha . Ukuxilongwa kusenesikhathi kubaluleke kakhulu ukuze ukwelashwa kuphumelele.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho