Vacheche kuongorora bvunzo

Kuzvarwa patsva kwekutarisa bvunzo kunotsvaga kukura, magene, uye metabolic kusagadzikana mumwana achangozvarwa. Izvi zvinobvumira matanho kutorwa zviratidzo zvisati zvavapo. Zvizhinji zvezvirwere izvi hazviwanzoitika, asi zvinogona kurapwa kana zvikabatwa nekukurumidza.

Mhando dzevacheche dzekuyedza kuongorora dzinoitwa dzakasiyana kubva kudunhu kuenda kudunhu. Pakazosvika Kubvumbi 2011, nyika dzese dzakarondedzera kuongororwa kweinenge makumi maviri neshanu kusagadzikana pane yakawedzera uye yakaenzana yunifomu pani. Iyo yakanyatso tarisa pani yekutarisa inoongorora kweanosvika makumi mana matambudziko. Nekudaro, nekuti phenylketonuria (PKU) ndicho chirwere chekutanga chakaongororwa bvunzo, vamwe vanhu vachiri kudaidza iyo ichangobarwa skrini "PKU bvunzo"

Pamusoro pekuedzwa kweropa, kuongororwa kwekunzwa kurasikirwa uye kwakakomba kuberekwa chirwere chemoyo (CCHD) inokurudzirwa kune vese vacheche. Nyika zhinji dzinoda kuongororwa uku nemutemo zvakare.

Kuongorora kunoitwa uchishandisa nzira dzinotevera:

• Kuongororwa kweropa. Madonhwe mashoma eropa anotorwa kubva chitsitsinho chemwana. Ropa rinotumirwa kurabhoritari kunoongororwa.
• Kunzwa bvunzo. Anopa hutano anoisa chidiki chezeve kana maikorofoni munzeve yemucheche. Imwe nzira inoshandisa ma electrode anoiswa mumusoro wemwana apa mwana akanyarara kana akarara.
• CCHD skrini. Anopa anoisa diki inononoka sensor pane ganda remwana uye oisungira kumuchina unonzi oximeter kwemaminetsi mashoma. Oximeter inoyera mazinga eoksijeni emwana muruoko netsoka.

Iko hakuna gadziriro inodiwa kune vacheche kuongorora bvunzo. Bvunzo dzinoitwa kazhinji vasati vabuda muchipatara kana mwana ari pakati pemakore makumi maviri nemana nemazuva manomwe ekuberekwa.

Mwana anozonyanya kuchema kana chitsitsinho chatsikwa kuti utore ropa. Zvidzidzo zvakaratidza kuti vacheche vanaamai vanovabata ganda-ganda kana kuvayamwisa panguva yekuita vanoratidza kushoma kushushikana. Kuputira mwana zvine simba mugumbeze, kana kupa pacifier yakanyikwa mumvura ine shuga, zvinogona zvakare kubatsira kudzikamisa marwadzo nekudzikamisa mwana.

Kuedzwa kwekunzwa uye iyo CCHD skrini haifanire kukonzera mwana kuti anzwe kurwadziwa, kuchema, kana kupindura.

Kuongorora bvunzo hakuzi kuongorora zvirwere. Vanoratidza kuti vacheche vapi vanoda kuongororwa kwakawanda kuti vasimbise kana kubvisa zvirwere.

Kana kuongororwa kwekutevera kuchisimbisa kuti mwana ane chirwere, kurapwa kunogona kutanga, zviratidzo zvisati zvaonekwa.

Kuongororwa kweropa kuongororwa kunoshandiswa kuona kuwanda kwezvinetso. Zvimwe zveizvi zvinogona kusanganisira:

• Amino acid metabolism kusagadzikana
• Kushayikwa kweBiotinidase
• Kuberekwa adrenal hyperplasia
• Kuberekwa hypothyroidism
• Cystic fibrosis
• Fatty acid metabolism kusagadzikana
• Galactosemia
• Glucose-6-phosphate dehydrogenase kushomeka (G6PD)
• Hutachiona hwehutachiona hwevanhu (HIV)
• Organic acid metabolism kusagadzikana
• Phenylketonuria (PKU)
• Sickle cell chirwere uye zvimwe hemoglobin kusagadzikana uye hunhu
• Toxoplasmosis

Maitiro akajairwa bvunzo yega yega yekutarisa anogona kusiyana zvichienderana nekuti bvunzo yacho inoitwa sei.

Ongorora: Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Mhedzisiro isingawanzo zvinoreva kuti mwana anofanirwa kuwedzerwa kuyedzwa kusimbisa kana kutonga mamiriro acho.

Njodzi dzeiyo ichangoberekwa chitsitsinho inobaya ropa sampuro inosanganisira:

• Kurwadziwa
• Zvinogona kuitika kukuvara panzvimbo iyi pakawanikwa ropa

Kuongororwa patsva kunokosha kuti mwana arapwe. Kurapa kunogona kuponesa. Nekudaro, haazi ese matambudziko anogona kuwanikwa anogona kurapwa.

Kunyangwe zvipatara zvisingaite bvunzo dzese dzekuongorora, vabereki vanogona kuita kumwe kuyedzwa kunoitwa kunzvimbo huru dzekurapa. Private labs zvakare inopa achangoberekwa kuongorora. Vabereki vanogona kuziva nezve mamwe mabvunzo ekuvhenekwa achangozvarwa kubva kumupi wavo kana kuchipatara kunozvarirwa mwana. Mapoka akaita saKurume weDimes - www.marchofdimes.org zvakare inopa yekuongorora zviwanikwa.

Miedzo yekuongorora kwevana; Kuongorora kwekuberekwa kweNonatal; Iyo PKU bvunzo

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Achangozvarwa kuongorora portal. www.cdc.gov/newbornscreening. Yakagadziridzwa Kukadzi 7, 2019. Yakasvika June 26, 2019.

Sahai I, Revy HL. Kuzvarwa patsva. Mune: Gleason CA, Juul SE, eds. Zvirwere zveAvery zveMucheche. 10th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 27.