Edwards syndrome (trisomy 18): chii, hunhu uye kurapwa

Zvemukati

• Chii chinokonzera chirwere ichi
• Zvinonyanya kukosha zvechirwere
• Maitiro ekusimbisa kuongororwa
• Kurapwa kunoitwa sei

Edwards Syndrome, inozivikanwawo se trisomy 18, chirwere chisingawanzoitika chinokonzera kunonoka mukukura kwe "fetus", zvichizoguma nekubvisa nhumbu kamwechete kana kuremara kwakakomba kwekuberekwa senge microcephaly nedambudziko remwoyo, risingakwanise kugadziriswa uye nekudaro tarisiro yeupenyu hwemucheche.

Kazhinji, Edwards 'Syndrome inowanzoitika mukubata umo mukadzi ane nhumbu anopfuura makore makumi matatu nemashanu ekuberekwa. Nekudaro, kana mukadzi akave nepamuviri mushure memakore makumi matatu nemashanu ekuberekwa, zvakakosha kuti uve nepamuviri nguva nenguva nachiremba anozvara, kuitira kuti akwanise kuona matambudziko anogona kutanga.

Nehurombo, Edwards's syndrome haina mushonga uye, nekudaro, mwana anozvarwa aine chirwere ichi ane tarisiro yehupenyu hwepasi, aine isingasviki gumi muzana achikwanisa kurarama kusvika gore rimwe mushure mekuzvarwa.

Chii chinokonzera chirwere ichi

Edwards 'syndrome inokonzerwa nekuonekwa kwemakopi matatu echromosome 18, uye kazhinji panongova nemaviri chete emakopi echromosome imwe neimwe. Shanduko iyi inoitika zvisina tsarukano uye, nekudaro, hazvishamise kuti nyaya yacho izvidzorezve mukati memhuri imwechete.

Nemhaka yekuti ihwo hwese hwakasarudzika geni kusagadzikana, Edwards Syndrome hapana chimwe kunze kwevabereki kuvana. Kunyangwe ichinyanya kuwanikwa muvana vevakadzi vanoita nhumbu kupfuura makumi matatu nemashanu, chirwere ichi chinogona kuitika chero pazera.

Zvinonyanya kukosha zvechirwere

Vana vanozvarwa vaine Edward syndrome kazhinji vane hunhu hwakadai se:

• Musoro mudiki uye wakamanikana;
• Muromo uye shaya diki;
• Minwe mirefu uye chigunwe chisina kugadzirwa zvakanaka;
• Akatenderera tsoka dzega;
• Cleft palate;
• Zvinetso zveitsvo, senge polycystic, ectopic kana hypoplastic itsvo, renal agenesis, hydronephrosis, hydroureter kana kudzokorora kweanodzidzisa;
• Zvirwere zvemoyo, sekuremara mu ventricular septum uye ductus arteriosus kana chirwere che polyvalvular;
• Kuremara kwepfungwa;
• Matambudziko ekufema, nekuda kweshanduko yemamiriro kana kusavapo kweimwe remapapu;
• Kuoma kuyamwa;
• Kuchema kushoma;
• Yakaderera huremu pakuberekwa;
• Cerebral shanduko senge cerebral cyst, hydrocephalus, anencephaly;
• Kuora mitezo kumeso.

Chiremba anogona kunge achinyumwira Edward's Syndrome panguva yepamuviri, kuburikidza neiyo ultrasound uye kuongororwa kweropa kunoongorora kwevanhu chorionic gonadotrophin, alpha-fetoprotein uye isina kugadziriswa estriol mune yemadzimai serum muna1 uye 2 trimester yepamuviri.

Uye zvakare, fetal echocardiography, inoitwa pamasvondo makumi maviri ekubata, inogona kuratidza kukanganisika kwemoyo, uko kuripo mu100% yeEdwards syndrome kesi.

Maitiro ekusimbisa kuongororwa

Kuongororwa kweEdward syndrome kunowanzoitwa panguva yekuzvitakura kana chiremba achiona shanduko dzakaratidzwa pamusoro. Kuti usimbise kuongororwa, mimwe miedzo inopinda inogona kuitwa, senge chorionic villus puncture uye amniocentesis.

Kurapwa kunoitwa sei

Iko hakuna chaiwo marapirwo eEdwards 'Syndrome, zvisinei, chiremba anogona kukurudzira mushonga kana kuvhiyiwa kurapa mamwe matambudziko anotyisidzira hupenyu hwemwana mumavhiki ekutanga ehupenyu.

Kazhinji, mwana ane hutano husina kusimba uye anoda kuchengetwa chaiko nguva zhinji, saka anogona kuda kuiswa muchipatara kuti awane kurapwa kwakakwana, pasina kutambura.

MuBrazil, mushure mekuongororwa, mukadzi ane nhumbu anogona kutora danho rekubvisa nhumbu, kana chiremba akaona kuti pane njodzi yehupenyu kana mukana wekukudziridza matambudziko akakura epfungwa kuna amai panguva yekuzvitakura.