Syndrome: zviratidzo panguva pamuviri, zvinokonzera

mwana wese, zvisinei nezvinetso angamuka, kudiwa uye kukosheswa nevabereki vavo. Munyaya ino ndinoda kutaura nezvekuti pamuviri anobuda mwana pamwe chirwere cheDown syndrome uye chii nematambudziko unogona kuona.

A mashoko mashoma pamusoro chirwere

The chirwere akawana zita rayo mukukudza chiremba uyo ndamuongorora - Dzhon Lengdon Down. Medic akatanga basa rake muna kure 1882, migumisiro rakabudiswa muna 4 makore. Tingatii pamusoro chirwere? Saka, ndiko zvokurwara ane chromosomal zvisikwa: pane kukundikana kwacho foni weboka. Masayendisiti kwakaratidza kuti vana vaine chirwere cheDown syndrome, pane chimwezve, chromosome yechi47 (mu vanhu utano, sero rimwe ane 46 okutodza, izvo takura mashoko anokosha kuvabereki). Kana isu anongoti, vanhu vane chirwere ichi vanoonekwa mupfungwa chakakanganisika (kunyange saka havasi kunzi maererano netsika uye yetsika).

zvinhu

Key zvinhu pamusoro chirwere:

1. chirwere Down kuti mune nhumbu zvakafanana inobata vakomana nevasikana.
2. Statistics: Vana 1,100 utano kuzvarwa 1 mwana pamwe urwere ichi.
3. 21 March - zuva yokubatana nevanhu vane Down syndrome. Zvinofadza kuti musi haana kusarudzwa netsaona. Pashure pezvose, mhaka chirwere - Trisomy kuti chromosome 21 (nhamba 21, iyo Serial nhamba romwedzi - 3).
4. Vanhu vane chirwere ichi chinogona kurarama makore 60. Uye nemhaka ano anoziva anokwanisa kupedza chaizvo hwandaiva upenyu huzere (vanoziva kuverenga, kunyora, kubatanidzwa upenyu pachena).
5. The chirwere haana miganhu kana mapoka njodzi. mwana akadaro angave akazvarwa nomukadzi, zvisinei nezera dzidzo, chinzvimbo, ruvara kana utano chinzvimbo.

zvikonzero

We funga zvimwe musoro: "syndrome. Zviratidzo panguva pamuviri" Ndezvipi zvikonzero zvinogona kukonzera chirwere ichi? Saka, sezvo pamusoro apa, zviri kukonzera zvose mamwe yechi47 chromosome. All kwemasayendisiti kuti kukonzera panowanikwa munhu chirwere kuitika panguva inotungamirwa intrauterine fetus panguva muchitokisi nokupesana. Nyanzvi dzemazuva ano vanoti zviri kurongwa chromosomal kunotouraya, izvo Hazvirevi zvimwewo zvinoitika pasi.

Mapoka njodzi uye nhamba

Mukana Down kuti chirwere muna pamuviri kunosiyana-siyana kuti akasiyana vanhukadzi:

1. 20-25 Makore. Ngozi chiratidzo ichi ari mwana akaenzana 1/1562.
2. 25-35. Njodzi inowedzerawo: 1/1000.
3. 35-39: 1/214.
4. Older kupfuura makore 45. Ngozi napo kukuru. Panyaya iyi, vana 19 mwana anozvarwa aine Down syndrome.

Kana Baba, pano zvokurapa zvakawanikwa havasi sezvo pachena. Zvisinei, vanamazvikokota vakawanda vanoti mukuru mukana pamuviri "zuva mwana" inowanika madzibaba pamusoro makore 42.

miedzo

Masayendisiti Modern kuumba chaiwo miedzo, kuburikidza paunogona kubvisa ngozi Down kuti chirwere nepamuviri. Panyaya iyi, mukadzi kupindura mibvunzo inotevera inokosha:

1. Age.
2. Urudzi.
3. Bad tsika (kusvuta).
4. muviri uremu.
5. Kuvapo chirwere cheshuga mellitus.
6. Kuwanda pamuviri.
7. Conception: Ko yaishandiswa IVF pakuvhiya.

Zvisinei, zvinokosha kutaura kuti kuonga bvunzo chirongwa chimwe chete kubvisa ngozi chirwere mwana chirwere ichi hazvigoni kuva zana kubva muzana. Kuti aite izvi, shandisa mimwe mari.

Ndinoziva sei?

Tinoenda wokuzokurukurazve panyaya: "syndrome: Zviratidzo panguva yepamuviri." Sezvambotaurwa pamusoro, zvokurwara ichi ane majini hunhu. Naizvozvo, unogona kudzidza nezvazvo panguva apo mwana ari mubishi fetus kukura. Imhandoi tsvakurudzo iyi ichava akakodzera?

1. US. Kokutanga kunofanira kuitwa munguva kubva 11 kusvika 13 mavhiki. Pakadaro zvichabviswa kudzidzwa nuchal mbudzana kuti zvichaita kuti tikwanise kutaura kuti, kana pane zvokurwara mwana (pamusoro Ultrasound zvinogona kuonekwa nedanga zvakawandisa kana bvumidzwa pakukora nzvimbo mutsipa anopfuura 3 mm)
2. Analysis ropa ramai. Kuita izvi vanofanira kupfuura ropa kubva tsinga. Kana paine abnormality ari mudumbu, amai kuti pakukwana kwevari β-subunit pamusoro hCG (zvichava anopfuura 2 Mohm).
3. Analysis kuti plasma. Ngozi yokuva ramangwana mwana chirwere chingava nyaya kana rokuti PAPP-A Amai asingasviki 0.5.

Zvinofanira kunzi kudzidza ichi anonzi "kubatanidzwa rinovharidzira munhu akaidza" (kana wokutanga rinovharidzira bvunzo). Chete yakasanganiswa anogona nezvibereko kuti zvakarurama pa 86%.

zvokuwedzera

Saka, Down kuti urwere, zviratidzo pamuviri. US - sezvo nzira kutsvakurudza - chisarudzo chaiwo chirwere hadzisi kukwana. Kana tanga kuongorora kunoratidza kuti mwana ane cider, amai vanepamuviri kuti chiremba anogona mazano kuenda imwe kudzidza (zvichaita vanoda iri chiitiko kuti mukadzi ari kusarudza kubvisa pamuviri). It transcervical amnioscopy. Panguva nzira iyi, chorionic villus ivhu dzakundwa, izvo ndichaenda murabhoritari nokuda kwazvo kurapwa. Zvakabuda hazvisi 100% yakarurama. Pfungwa inokosha: nzira iyi kunogona kuva nengozi upenyu hwemwana, saka chisarudzo, vabereki vanofanira kufungisisa izvi. Doctors uchimanikidza mukadzi kudzidza uyu asingagoni.

chechipiri kuongorora

Tiri kudzidza mberi musoro: "syndrome: Zviratidzo panguva yepamuviri." Saka zvinokosha panguva pakutakura mwana achava ariwo kuongorora wechipiri. It rakaitirwa rechipiri trimester, pakati yechi16 uye rechi18 vhiki pamuviri. Zviratidzo zviri chirwere panguva kudzidza mai ropa:

1. HCG Amai 2 pamusoro.
2. AFP nhanho pazasi 0.5 Amai.
3. Free estriol - asingasviki 0.5 Amai.
4. Inhibin A - 2 Amai.

Uyewo chinokosha vachava Ultrasound kuongorora chirwere:

1. Fruit saizi duku pane dzose.
2. Kupfupikisa kana pasina nasal mapfupa ari mwana.
3. Kupfupikisa ari femoral uye humeral mapfupa.
4. Yokumusoro shaya mbudzana saizi richava duku pane dzose.
5. Ichava imwe tsinga pachinzvimbo zviviri achiine rukuvhute rwonzi mwana.
6. The Urinary dundira ari mudumbu achawedzerwa.
7. Mwana kazhinji nokukurumidza kwemwoyo kuchengetwa.
8. Mukadzi anogona kunge mvura chishoma. Kana Líquido Urume anogona kusava zvachose.

kugumiswa pamuviri

Chiizve unofanira kuziva vakadzi vari kufunga dingindira: "syndrome:? Zviratidzo pamuviri" Saka, kuderera pamuviri mumwe asingagoni. Izvi zvinofanira kuva zvakanaka kuyeuka. Chiremba anogona chete kurayira zvinotevera:

1. Kugumiswa pamuviri uye kubvisa fetus pamwe zvokurwara.
2. Asununguke, pasinei, mbudzana kunyatsotarisirwa (mu iyi zvaidikwa kwete chete zvakawanda simba, asiwo nzira).

Kusarudza sei zviitiko pachava zvakare, muri chete vabereki vomwana.

About mai

Saka, Down kuti syndrome. Zviratidzo pamuviri, saka kutaura, chete pane kuti rinozivisa nechirwere ichi, varipo. Ndokusaka ndichaita kunzwa panguva gestation yacho nomwana chaiyo pamusoro amai vanepamuviri? Hapana chinoshamisa. Pazuva kwokunze mamiriro uye utano womukadzi zvachose hakuna zvakwakabatsira. kureva zvose zvinoitika nevamwe nepamuviri zvichaitika naamai vangu, mwana asati aberekwa ari zvokurwara. Saka kuti chete imwe chitarisiko chavo kana kuvapo zvimwe zviratidzo mukadzi haagoni kutaura pamusoro kana zvarakasiya yake mwana.

Pasinei

Uyezve kufunga zvokurwara akadai Down kuti syndrome. Panguva pamuviri, kunyanya kana ukaisa yakananga nechirwere, vabereki vakawanda vanofarira: kana mwana akaberekwa aine zvokurwara, pane mukana wokuva nemwana wechipiri pasina kutsauka? Kune miviri nzira:

1. Kana mwana hwokufananidzira tripling pamusoro chromosome 21, mukana munhu unozotevera pamuviri pamwe chete zvokurwara - 1%.
2. Kana nhaka kubva amai kana baba translocation chimiro, mukana kwakakwirira. Zvisinei, chaiyo nhamba havana vanachiremba.

Oh mwana

Zvichida kwete vose vanoziva kuti vana vane chirwere ichi anonzi "rezuva vana." Nokuti vanhu vakadaro pane pfungwa retardation (ingabva nyoro kuti uwane kunzwisisa siyana). Asi ichi hachisi mutongo. Pamusana kurovedza ano zvirongwa uye kukura masayendisiti, vana vakadaro kunogona zvikuru muupenyu upenyu. Kana waita zvakarurama, mwana kwete chete anogona, asi zvikuru kukwanisa kudzidza kunyora, verenga. Vana ava, kufanana nevamwe vanhu vose, vanoda "kubuda", kufamba, kutarisa chinhu chitsva, inopenya uye akanaka. Mumaguta makuru pane chinokosha nzvimbo pamwe vana vane chirwere chakadaro, vari kuroorana. Kune vamwe zvikoro varwere Down syndrome. Pasina mubvunzo, munhu anogona nechirwere dzimwe nguva kuita pasina rubatsiro, zvakakosha kuyeuka kuti. Naizvozvo, kana fetus akawanikwa Down kuti chirwere panguva pamuviri, vabereki vanofanira kunyatsoona zvayakanakira nezvayakaipira kusarudza zvakanaka.