Genetic Analyses pa kuronga pamuviri: rondedzero, unhu uye vanorumbidza

Achironga kuberekana mhuri ano kukodzera zvakakwana zvakakomba. Kugadzirira kuzviwanira anokosha uye mutoro chinzvimbo muupenyu - mubereki - zvinoda zvikuru vatevedzere nzira. Chokwadi, tiri kutaura pamusoro utano vevanaamai yemberi madzibaba. Nzwisisa mubvunzo uyu kuchabatsira misoro zvokurapa kuongororwa, izvo hazvo zvinosanganisira nemagene Analyses.

Kana kuronga pamuviri kuti vakande mapfumo pasi akatuma kwete chete vakadzi, izvo zviri ichangopfuura kare, vanachiremba, vachizevezera, inonzi "starorodyaschimi". Nhasi, masayendisiti ari kusango masero okugadzira vakasvika pakugumisa kuti wakadaro chirwere kunofanira kutora vakadzi makore 25 ekuberekwa.

Basic nemagene miedzo kuvakadzi vane mimba

Panguva gestation kunokosha zvikuru kudzora placental lactogen. Genetic kuongorora kana kuronga nhumbu anogona kuona kwayo mwero - kuti anosarudza mukana wokuti vaingoerekana pamuviri, pakuzadzisa ari pamuviri, uyewo yaro kunaka kuti kushaya zvokudya zvinovaka muviri ari mudumbu kana dzaisvava zvakakwana.

Uyewo chinokosha tsanangudzo kwevanhu chorionic gonadotropin. Padanho kemikari ichi kuti aone pamuviri Pandakangowana zvichibvira mazuva. Kwakadaro kuongorora magene kana kuronga pamuviri (mutengo haana zvikuru kuti pangozi utano hwavo uye pachavo upenyu mafufu) achaendeswa muropa serum.

Results of yokudzidza chichabatsira obstetrician-gayinakorojisiti kuziva mwero kutyisidzira kugumiswa pamuviri, uye zvinotarisirwa mukana yematambudziko mudumbu.

Basa genetics mubasa kuronga pamuviri

Genetic Analyses pa nokuronga pamuviri zvinosanganisira zvimwe zvidzidzo kuti vanyatsokwanisa kuongorora njodzi pathologies siyana angamuka kubva panguva yokunambwa uye paumbwe embryo. Mari kutsvakurudza akadaro kakawanda chete chipinganidzo ndima yavo, asi kubatsira, zvavakanga itakurwe nawo, dzakanaka anenge hazviiti.

Mubvunzo kushanda ramangwana hanya mwana haasi chete amai vakamutakura mwedzi mipfumbamwe pasi mwoyo wake. With nhaka zvirwere uye pamuviri abnormalities, chiedza ikaonekwa mwana paavhareji ose rechi20. Zvinosuruvarisa kuti inishuwarenzi vana vavo remangwana kubva pakuwana kuremara havagoni mumwe vakaroorana. Zivisa nezveimwe kutsauka muchitokisi DNA pamwero priori hazviiti. Mukuwedzera, dambudziko ndiro chokwadi vakaperekedza majini kuongorora ropa panguva ezvekuronga pamuviri, achiratidza zvinogamuchirika zvabuda, dzimwe nguva hakurevi zviitiko zvakanaka: ari ndingangokuvara panowanikwa kunotouraya vatsva utachiona masero kwevabereki, kusanganisira mukana kuchiita kwomuzvarirwo majini mu pathological , nguva dzose aripo.

Ndiani ucharwira majini kuongorora pakutanga?

Zvakanakira nenguva wezvokurapa Genetic Counseling uye pamuviri chirwere nzira iri kubatsira kuronga pamuviri uye kudzivirirwa kuberekwa kwemwana pamwe kurapwa pathologies.

Kwete mhuri vechiduku vakawanda hope kuva vabereki pedyo ramangwana kuziva nemagene Analyses kana kuronga pamuviri vane kuenda. Uyezve, mamwe mapoka evanhu vanoda firimu zvakanaka pamuviri asati fanira. Mapoka aya anosanganisira varume nevakadzi vari kuvabereki pangozi, zvinoti:

• vakaroorana, apo nhoroondo imwe chete kana kupfuura vawanani kupa chirwere chakakomba mumhuri;
• mumwe vakaroorana, munhoroondo mazita muti yakanga zviitiko makunakuna nzvimbo;
• Vakadzi vane pamuviri, akabereka vana vakafa kana vane chirwere kuti "kushaya mbereko" pasina zvakananga yakasimbiswa zvokurapa kuongorora chirwere;
• vabereki vari kwakasvibiswa nemwaranzi, anokuvadza makemikari;
• Vakadzi nevarume doro panguva pamuviri kana teratogenic chipimo chemushonga nzira iyo chinogona kuita kukonzera fetus malformation.

Pazera ripi rinofanira kuongororwa kuti chromosomal abnormalities?

majini ongororo sei anoita kana kuronga pamuviri, uye vakadzi vanoziva asingasviki 18, uye vari pamusoro makore 35, uye vanhu, wakati vakayambuka kuchikumbaridzo-makore 40. Sezvambotaurwa, ngozi kunotouraya mune nomumwe majini uye DNA masero kunowedzera imwe svomhu kunoita pamwe roga gore.

Pfuurai majini Analyses kana kuronga pamuviri inofanira Zvakanakisa kuva vakaroorana zvose pasina chakasara.

Pari, vakawandisa nhaka zvirwere, chakasvitswa kubva kuzvizvarwa nezvizvarwa - chikonzero chikuru chokuva kuenda kuburikidza kudzidza zvose vaduku vakaroorana, pasina anosara. Uyezve, genetics ano pasina kumbomira pagore mberi hwomukova vakawanda zvirwere zvitsva.

Genetic yokuedzwa - danho rinokosha kuronga kuti pamuviri

Sezvingatarisirwa, anopiwa muviri vabereki zvose kwemajini zvinogona mutation, hazvibviri. Kana majini kuongorora kana kuronga pamuviri haagoni kupa zvinovimbisa kwakakwana kuti imwe vakaroorana akaberekwa mwana zvachose utano pasina nhaka abnormalities. Zvichakadai, kujekesa mwero ngozi kunokosha kune yokungotaura uye chaiko kugadzirira pamuviri.

Saka, zvinogona vabereki vakakumbira kubatsirwa mune Medical genetics Center. Senyanzvi zvichaita kuitisa kuongorora, uye chero masero Analyses kana kuronga pamuviri zvavanoda zvakaitika fanira? Kuda kuziva kuchabatsira kusangana zhinji underwritten.

Pfungwa dzinokosha kuti nhaka kwezvinhu vanachiremba

The danho rokutanga kuongorora - Genetic Counseling nyanzvi, panguva iyo chiremba anoongorora nokungwarira uye zvizere kunyanya mumhuri Pedigree mumwe zvinogona mubereki. Special nzeve vakakodzera dzokurapwa nhaka kwezvinhu yakakwirira ngozi zvinokonzera kuti mwana. Ivo:

• kuvabereki zvirwere uye chisingaperi naamai nababa;
• nemishonga inoshandiswa kuzova vabereki;
• zvinhu uye kunaka kwoupenyu, Magariro;
• Kunyanya nyanzvi basa;
• okunze uye zvezvakatipoteredza zvinhu uye t. d.

Oddly zvakakwana, asi basa rinokosha kuti genetics ndivo mhinduro zvakafanana, zvose zvatinosiita ropa uye weti nemiedzo, mhedziso zvimwe yakamanikana unyanzvi (endocrinologist, wetsinga, uye zvichingodaro. D.). Kazhinji, vanachiremba akarayira vakaroorana kuongorora chirwere karyotype. Kuziva nhamba uye unhu okutodza mune moms itsva uye vanababa vari zvikuru panyaya makunakuna michato, nhumbu kakawanda, zvinoguma nokupfupfudzika, rokuongorora, asi hazvitaurwi kushaya mbereko.

How zvikuru nemagene kukuedzai?

Mari kuvabereki pachisara kuronga pamuviri, anonzi "Hla achitaipa" siyana Moscow Medical genetics Center anoda kubva 5000 kusvika 9000 rubles, zvichienderana noupamhi yokudzidza kubatwa kune pathologies.

Akafamba kudzidza kuchabatsira chiremba-genetics kuzochera chinangwa mhedziso pamusoro mikana yokuwana nematambudziko zvinhu. Genetic Analyses panguva yekuronga pamuviri kuchaita kuti munhu, achifanotaura huri yakarurama yemberi mamiriro utano anoramba. Zviri kudzidza kwakadai kuchabatsira kuudza vanonzi ngozi kuti chaiyo nhaka zvirwere vomwana. Chiremba anogona kupa mazano anobatsira, izvo zvinofanira kuva hwaro vakaroorana, zviroto yokuva mubereki izere utano kukambaira.

Ngozi okubereka vana majini kurwara

Mukuwedzera, kukosha iyo anosarudza mukana kuvapo imwe kubatwa, takaberekwa tine ose kuongorora. Genetic zvirwere vari kuronga pamuviri, kana panzvimbo ndingangokuvara panowanikwa yavo yemberi mafufu, akayera somunhu chikamu:

1. Yakaderera njodzi (10%) vabereki kunetseka. Analyses All dzinoratidza kuti vakaroorana ichi akaberekwa utano zvose anotya mwana.
2. With avhareji (10 kusvika 20%) kuwedzera pangozi, uye mukana murwere kuberekwa kwomwana kunova akaenzana ndingangokuvara pakaberekwa mwana zvizere. pamuviri Izvi zvichakurukurwa pamwe nokungwarira richiona nezvezvabuda pamuviri kubereka mukadzi: dzose Ultrasound, chorionic villus zvakabudiswa.
3. Pangozi yokuva (20%) vanachiremba zvichaita varumbidze vakaroorana varegedze pakunambwa kudzivirira pamuviri. Rinofanira mwana achaberekwa aine nemagene chirwere, wakakwirira zvikuru mukana dziri mwana utano akazvarwa. Serimwe rinogona kutsiva izvi nyanzvi inogona kupa mbiri kushandisa anyatsoronga mazai omukadzi nembeu yomurume, maererano purogiramu IVF.

Research in early pregnancy

Kuora mwoyo vabereki chero zvazvingava kufanira. Mikana yokuva mwana ane utano hwakanaka vari zvachose kunyange pangozi yokuva. Kuti tinzwisise chii anopa majini kuongorora kana kuronga pamuviri, vanofanira kuteerera Murabhoritari chirwere matanho malformations ari kutanga nemashoko.

Inenge kubva pakatanga akanga akamirirwa kwenguva refu kuti vabereki vakawanda pamuviri zvinogona kuwanikwa, uye kana zvose OK nezvibereko? Wanai kana paine nhaka kuvabereki chirwere ari mwana angave utero.

Nzira dzekufambisa majini zvokuongorora akazvitakura

Doctors vanokwanisa kushandisa yakawanda unyanzvi uye nzira nokuda chinangwa zvokuongorora yomukadzi pamuviri uye azvarwa. Zvechokwadi, kuvapo urema uye zvokukura abnormalities zvinogona kuonekwa refu asati mwana aberekwa. Gore negore kuchiita kuti Ultrasound michina uye tsvakurudzo rabhoritari pamusoro rakarurama mikana kuwedzera. Uyezve, vanachiremba Unoisa zvakadai chirwere nzira sezvo kuongorora mumakore mashoma apfuura. Chinhu "muhombe" sarudzo ongororo. Kuongorora zviri fanira kuvakadzi zvose pamuviri.

Rizowedzerwa majini inoongorora anodiwa zvose!

Nei zvichikosha kuti kutora nemagene miedzo, kunyange nevaya vasinganamati vari pangozi? Mhinduro yomubvunzo uyu imhaka tsamwisa nhamba. Somuenzaniso, vana vakaberekwa vaine chirwere cheDown syndrome muna vanaamai pamusoro makore 35, chete hafu. Pakati dzasara hafu yevakadzi mukubereka yakawanda vasikana vasina asvika kunyange makore 25 ekuberekwa. In nevakadzi vanova vanaamai nevana vane chromosomal abnormality, 3 chete% aiva pambiru iri ANC kadhi kuberekwa yapfuura vana pamwe chete chirwere. Ndiko, hapana mubvunzo kuti majini chirwere - harisi migumisiro nemakore vabereki.

Dzivisa kupfuura miedzo nokuda kuziva miedzo chromosomal abnormalities ari mudumbu kana kubatwa kuti majini nepfungwa mune ramangwana, asati agamuchirwa mwana haafaniri kuva. Kuona kuvapo chero chirwere achiri padanho kukura kwavo - saka mberi zvokurwara. Vakapiwa mikana zvokurapa ano, kwete kuti danho kurutivi akamirirwa kwenguva refu mafufu zvaisazova uye ratyama kwaari.