Fetal doro chirwere

Fetal alcohol syndrome (FAS) kukura, pfungwa, uye matambudziko emuviri anogona kuitika mumwana amai pavanonwa doro panguva yekuzvitakura.

Kushandisa doro panguva yekuzvitakura kunogona kukonzera njodzi dzakafanana nekushandisa doro zvakawandisa. Asi zvinowedzera njodzi kumwana asati aberekwa. Kana mukadzi ane nhumbu akamwa doro, zvinopfuura nyore kupfuura nepacenta kuenda kumucheche. Nekuda kweizvi, kunwa doro kunogona kukuvadza mwana asati azvarwa.

Iko hakuna "kwakachengeteka" mwero wekushandisa doro panguva yekuzvitakura. Hukuru huwandu hwedoro hunoratidzika hunowedzera matambudziko. Kunwa doro zvakanyanya kunokuvadza pane kunwa doro shoma.

Nguva yekushandisa doro panguva yekuzvitakura yakakoshawo. Kunwa doro kunogona kukuvadza mukati memwedzi mitatu yekutanga yepamuviri. Asi kunwa doro chero nguva panguva yekuzvitakura kunogona kukuvadza.

Mwana ane FAS anogona kunge aine zvinotevera zviratidzo:

• Kukura kwakashata mwana achiri mudumbu uye mushure mekuzvarwa
• Kupera kwemhasuru toni uye kusabatana zvakanaka
• Kunonoka kusimudzira kwekupedzisira
• Chiono chinetso, senge kuona pedyo (myopia)
• Kusanyanyisa
• Kufunganya
• Kunyanyisa kutya
• Pfupi kutarisisa span

Kuongorora kwepanyama kwemwana kunogona kuratidza kugunun'una kwemoyo kana mamwe matambudziko emoyo. Chirema chakajairika igomba pamadziro rinopatsanura makamuri ekurudyi nekuruboshwe emoyo.

Ikoko zvakare kunogona kuve nezvinetso nechiso nemapfupa. Izvi zvinogona kusanganisira:

• Akamanikana uye mashoma maziso
• Musoro mudiki uye shaya yekumusoro
• Smooth groove mumuromo wepamusoro, wakatsetseka uye mutete wepamusoro muromo
• Nzeve dzakaremara
• Yakafupika, ipfupi, uye yakasimudza mhino
• Ptosis (kudonhedza kwemaziso epamusoro)

Miedzo inogona kuitwa inosanganisira:

• Ropa doro huwandu mune vakadzi vane nhumbu vanoratidza zviratidzo zvekudhakwa (kudhakwa)
• Brain imaging zvidzidzo (CT kana MRI) mushure mekunge mwana azvarwa
• Kubata ultrasound

Vakadzi vane nhumbu kana vari kuedza kubata nhumbu havafanirwe kunwa chero huwandu hwedoro. Vakadzi vane nhumbu vane dambudziko rekushandisa doro vanofanirwa kujoina chirongwa chekumutsiridza uye kutariswa padyo nemupi wezvehutano panguva yese yepamuviri.

Mhedzisiro yevacheche vane FAS inosiyana. Vanenge vese veava vacheche vane zvakajairika kukura kwehuropi.

Vacheche nevana vane FAS vane matambudziko mazhinji akasiyana, izvo zvingave zvakaoma kubata. Vana vanoita zvakanyanya kana vakaonekwa vachiri vadiki uye voendeswa kuchikwata chevanopa vanogona kushanda panzira dzekudzidzisa nehunhu dzinoenderana nezvinodiwa nemwana.

Fonera musangano kuti uwane musangano nemupi wako kana iwe uchinwa doro nguva dzose kana zvakanyanya, uye zviri kukuomera kudzora kana kumira. Zvakare, fona kana iwe uri kunwa doro mune chero huwandu paunenge uine nhumbu kana kuyedza kuve nepamuviri.

Kudzivisa doro panguva yekuzvitakura kunodzivirira FAS. Counselling inogona kubatsira vakadzi vakatove nemwana ane FAS.

Vakadzi vanoita zvepabonde vanonwa zvakanyanya vanofanirwa kushandisa mabhureki uye kudzora maitiro avo ekunwa, kana kurega kunwa doro vasati vaedza kubata pamuviri.

Doro mukuzvitakura; Dambudziko rekuzvarwa-rakabatana nedoro; Fetal doro mhedzisiro; FAS; Fetal doro chakarondedzera kusagadzikana; Kunwa doro zvisina kufanira - fetal alcohol; Kunwa doro - fetal alcohol

• Imwe chete yemichindwe
• Fetal doro chirwere

Hoyme HE, Kalberg WO, Elliott AJ, et al. Yakagadziriswa kiriniki mirayiridzo yekuongorora fetal alcohol spectrum kusagadzikana. Pediatrics. 2016; 138 (2). pii: e20154256 PMID: 27464676 pubmed.ncbi.nlm.nih.gov/27464676/.

Weber RJ, Jauniaux ERM. Zvinodhaka uye vamiririri venharaunda mukuzvitakura uye mukuyamwisa: teratology, epidemiology, uye murwere manejimendi. Mune: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics yaGabbe: Yakajairika uye Dambudziko Pamuviri. 8th ed. Philadelphia, PA: Elsevier; 2021: chits. 7.

Wozniak JR, Riley EP, Charness INI. Kiriniki mharidzo, kuongororwa, uye manejimendi ye fetal alcohol spectrum kusagadzikana. Lancet Neurol. 2019; 18 (8): 760-770. PMID: 31160204 pubmed.ncbi.nlm.nih.gov/31160204/.