Chonyamula Fibrosis Chonyamulira: Zomwe Muyenera Kudziwa

Zamkati

• Kodi mwana wanga adzabadwa ndi cystic fibrosis?
• Kodi cystic fibrosis imayambitsa kusabereka?
• Kodi ndidzakhala ndi zisonyezo zilizonse ngati ndikanyamula?
• Kodi zotengera za cystic fibrosis ndizofala motani?
• Kodi pali chithandizo cha cystic fibrosis?
• Chiwonetsero
• Kodi ndingayesedwe bwanji ndi CF?

Kodi cystic fibrosis carrier ndi chiyani?

Cystic fibrosis ndi matenda obadwa nawo omwe amakhudza tiziwalo timene timapanga mamina ndi thukuta. Ana akhoza kubadwa ndi cystic fibrosis ngati kholo lililonse limakhala ndi jini imodzi yolakwika yamatendawa. Wina yemwe ali ndi jini imodzi yabwinobwino ya CF komanso jini imodzi yolakwika ya CF amadziwika kuti cystic fibrosis carrier. Mutha kukhala wonyamula osakhala ndi matenda nokha.

Amayi ambiri amazindikira kuti amanyamula akakhala ndi pakati, kapena akuyesera kukhala ndi pakati. Ngati wokondedwa wawo alinso wonyamula, mwana wawo akhoza kubadwa ndi matendawa.

Kodi mwana wanga adzabadwa ndi cystic fibrosis?

Ngati inu ndi mnzanu muli onyamula, mudzafunika kudziwa momwe zingakhalire kuti mwana wanu abadwe ndi cystic fibrosis. Omwe amanyamula CF ali ndi mwana, pamakhala mwayi woti 25 mwana wawo adzabadwe ali ndi matendawa ndipo 50% ali ndi mwayi woti mwana wawo azinyamula kusintha kwa majini a CF, koma alibe matendawa. Mwana m'modzi mwa ana anayi sadzakhala wonyamula kapena matendawa, chifukwa chake akumaswa unyolo wobadwa nawo.

Mabanja ambiri onyamula katundu amasankha kukayezetsa majini m'mazira awo, otchedwa preimplantation genetic diagnostics (PGD). Kuyesaku kumachitika asanakhale ndi pakati pa mazira omwe amapezeka kudzera mu vitro feteleza (IVF). Mu PGD, khungu limodzi kapena awiri amatengedwa kuchokera m'mimba iliyonse ndikuyesedwa kuti adziwe ngati mwanayo:

• khalani ndi cystic fibrosis
• khalani onyamula matendawa
• alibe jini lopunduka konse

Kuchotsedwa kwa maselo sikungasokoneze miluza. Mukadziwa izi za mazira anu, mutha kusankha zomwe muyenera kuyika muchiberekero chanu mukuyembekeza kuti mimba izikhala.

Kodi cystic fibrosis imayambitsa kusabereka?

Amayi omwe amanyamula CF samakumana ndi zovuta za kusabereka chifukwa cha izo. Amuna ena omwe amanyamula amakhala ndi mtundu wina wosabereka. Kusabereka kumeneku kumayambitsidwa ndi kanjira kosowa, kotchedwa vas deferens, komwe kamatumiza umuna kuchokera machende kupita nawo ku mbolo. Amuna omwe ali ndi vutoli ali ndi mwayi wosankha kuti umuna wawo uchiritsidwe. Umunawo ukhoza kugwiritsidwa ntchito kupangira wokondedwa wawo kudzera mu chithandizo chotchedwa intracytoplasmic sperm injection (ICSI).

Ku ICSI, umuna umodzi umalowetsedwa mu dzira. Ngati umuna umachitika, mluza umalowetsedwa mu chiberekero cha mkazi, kudzera mu vitro feteleza. Popeza si amuna onse omwe amanyamula CF ali ndi vuto lakusabereka, ndikofunikira kuti onse awiri akayezetse jini lopunduka.

Ngakhale nonse muli onyamula, mutha kukhala ndi ana athanzi.

Kodi ndidzakhala ndi zisonyezo zilizonse ngati ndikanyamula?

Onyamula CF ambiri sakhala ndi chizindikiro chilichonse, kutanthauza kuti alibe zisonyezo. Pafupifupi m'modzi mwa anthu aku America a 31 ndiwonyamula wopanda kachilombo ka CF. Zonyamula zina zimakumana ndi zizindikilo, zomwe nthawi zambiri zimakhala zofatsa. Zizindikiro zake ndi izi:

• mavuto a kupuma, monga bronchitis ndi sinusitis
• kapamba

Kodi zotengera za cystic fibrosis ndizofala motani?

Zonyamula za cystic fibrosis zimapezeka m'mitundu yonse. Zotsatira ndi kuyerekezera kwa omwe asintha kusintha kwa majini ku CF ku United States ndi mafuko:

• Azungu: m'modzi pa 29
• Hispanics: m'modzi pa 46
• Anthu akuda: m'modzi pa 65
• Anthu aku Asia aku America: m'modzi pa 90

Ngakhale mutakhala amtundu wanji kapena ngati muli ndi banja la cystic fibrosis, muyenera kuyesedwa.

Kodi pali chithandizo cha cystic fibrosis?

Palibe mankhwala a cystic fibrosis, koma zosankha za moyo, mankhwala, ndi mankhwala zitha kuthandiza anthu omwe ali ndi CF kukhala moyo wathunthu, ngakhale akukumana ndi zovuta.

Cystic fibrosis imakhudza kwambiri kupuma komanso kugaya chakudya. Zizindikiro zimatha kukhala zolimba ndikusintha pakapita nthawi. Izi zimapangitsa kufunika kwa chithandizo choyenera komanso kuwunika kuchokera kwa akatswiri azachipatala makamaka kofunikira. Ndikofunika kwambiri kuti katemera azikhala oyenera komanso kuti azikhala opanda utsi.

Chithandizo chimayang'ana kwambiri pa:

• kukhala ndi zakudya zokwanira
• kupewa kapena kuchiza zotchinga m'mimba
• kuchotsa ntchofu m'mapapu
• kupewa matenda

Madokotala nthawi zambiri amapereka mankhwala kuti akwaniritse izi, kuphatikizapo:

• maantibayotiki kupewa ndi kuchiza matenda, makamaka m'mapapu
• michere ya m'kamwa yopumira pakuthandizira kugaya chakudya
• mankhwala ochepetsa ntchofu othandizira kumasula ndi kuchotsa ntchofu m'mapapu kudzera kutsokomola

Njira zina zodziwika bwino zimaphatikizapo ma bronchodilator, omwe amathandiza kuti njira zapaulendo zizitseguka, komanso chithandizo chachifuwa. Kudyetsa machubu nthawi zina kumagwiritsidwa ntchito usiku umodzi kuti athandize kupeza kalori wokwanira.

Anthu omwe ali ndi zizindikilo zoopsa nthawi zambiri amapindula ndi maopareshoni, monga kuchotsa m'mphuno, kutsekula m'matumbo, kapena kumuika m'mapapo.

Chithandizo cha CF chikupitilirabe patsogolo ndipo momwemonso moyo ndi kutalika kwa moyo kwa iwo omwe ali nacho.

Chiwonetsero

Ngati mukuyembekeza kukhala kholo ndikupeza kuti ndinu wonyamula, ndikofunikira kukumbukira kuti muli ndi zosankha ndikuwongolera vutoli.

Kodi ndingayesedwe bwanji ndi CF?

American Congress of Obstetricians and Gynecologists (ACOG) ikulimbikitsa kupereka zowunika zonyamula kwa azimayi ndi abambo omwe akufuna kukhala makolo. Kuwunika kwaonyamula ndi njira yosavuta. Muyenera kupereka magazi kapena malovu amate, omwe amapezeka kudzera pakamwa. Chitsanzocho chidzatumizidwa ku labu kuti akawunikenso ndikupatseni chidziwitso chokhudza majini anu (DNA) ndikuwona ngati mungasinthe mtundu wa CF.