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Tsiku La Chilengedwe: 21 Kulayi 2021
Sinthani Tsiku: 14 Novembala 2024
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Zamkati

Kodi kuyesa kwa Down syndrome ndi chiyani?

Down syndrome ndimatenda omwe amachititsa kuti munthu akhale wolumala, mawonekedwe apadera, komanso mavuto osiyanasiyana azaumoyo. Izi zingaphatikizepo kupunduka kwa mtima, kumva, ndi matenda a chithokomiro. Down syndrome ndi mtundu wa matenda a chromosome.

Ma chromosomes ndi magawo am'maselo anu omwe ali ndi majini anu. Chibadwa ndi mbali za DNA zomwe zapatsidwa kuchokera kwa amayi ndi abambo anu. Amanyamula zidziwitso zomwe zimatsimikizira mikhalidwe yanu yapadera, monga kutalika ndi mtundu wamaso.

  • Anthu nthawi zambiri amakhala ndi ma chromosomes 46, ogawika m'magulu 23 awiriawiri, m'selo iliyonse.
  • Mmodzi mwa ma chromosomes awiri amachokera kwa amayi anu, ndipo awiriwo amachokera kwa abambo anu.
  • Mu Down syndrome, palinso mtundu wina wa chromosome 21.
  • Chromosome yowonjezera imasintha momwe thupi ndi ubongo zimakulira.

Down syndrome, yotchedwanso trisomy 21, ndi matenda ofala kwambiri a chromosome ku United States.

M'mitundu iwiri yosowa ya Down syndrome, yotchedwa mosaic trisomy 21 ndi translocation trisomy 21, chromosome yowonjezerayi sichimapezeka mchipinda chilichonse. Anthu omwe ali ndi vutoli nthawi zambiri amakhala ndi zovuta zochepa komanso mavuto azaumoyo okhudzana ndi mtundu wamba wa Down syndrome.


Kuyezetsa magazi kwa Down syndrome kumawonetsa ngati mwana wanu wosabadwa atha kukhala ndi Down syndrome. Mitundu ina ya mayesero imatsimikizira kapena kuthana ndi matendawa.

Kodi mayesero ake ndi ati?

Mayeso a Down syndrome amagwiritsidwa ntchito pofufuza kapena kuzindikira matenda a Down syndrome. Kuyesedwa kwa Down syndrome kulibe vuto lililonse kwa inu kapena kwa mwana wanu, koma sangakuuzeni motsimikiza ngati mwana wanu ali ndi Down syndrome.

Kuyezetsa magazi pa nthawi yoyembekezera kumatha kutsimikizira kapena kutulutsa matenda, koma mayeserowa ali ndi chiopsezo chochepa chopita padera.

Chifukwa chiyani ndikufunika kuyesa Down syndrome?

Ambiri opereka chithandizo chamankhwala amalimbikitsa kuwunika kwa Down syndrome ndi / kapena kuyezetsa matenda azimayi apakati azaka 35 kapena kupitilira apo. Msinkhu wa mayi ndiye chiopsezo chachikulu chokhala ndi mwana wokhala ndi Down syndrome. Chiwopsezo chimakula mzimayi akamakalamba. Koma mungakhalenso pachiwopsezo chachikulu ngati mudakhala kale ndi mwana yemwe ali ndi Down syndrome komanso / kapena muli ndi mbiri yabanja yokhudzana ndi vutoli.

Kuphatikiza apo, mungafune kukayezetsa kukuthandizani kukonzekera ngati zotsatira zikuwonetsa kuti mwana wanu akhoza kukhala ndi Down syndrome. Kudziwa pasadakhale kungakupatseni nthawi yokonzekera zaumoyo ndi ntchito zothandizira mwana wanu komanso banja lanu.


Koma kuyesa sikuli kwa aliyense. Musanaganize zokayezetsa, ganizirani momwe mungamvere komanso zomwe mungachite mutaphunzira zotsatira. Muyenera kukambirana mafunso anu ndi nkhawa zanu ndi mnzanu komanso wothandizira zaumoyo wanu.

Ngati simunayesedwe panthawi yapakati kapena mukufuna kutsimikizira zotsatira za mayeso ena, mungafune kuti mwana wanu ayesedwe ngati ali ndi zizindikiro za Down syndrome. Izi zikuphatikiza:

  • Chofewa nkhope ndi mphuno
  • Maso ooneka ngati amondi omwe amayang'ana mmwamba
  • Makutu ang'ono ndi pakamwa
  • Mawanga oyera ang'onoang'ono pamaso
  • Kusalankhula bwino kwa minofu
  • Kuchedwa kwachitukuko

Kodi mitundu yosiyanasiyana ya mayeso a Down syndrome ndi ati?

Pali mitundu iwiri yayikulu ya mayeso a Down syndrome: kuyezetsa ndi kuyesa matenda.

Kuwunika kwa Down syndrome kumaphatikizapo mayeso otsatirawa atachitika panthawi yapakati:

  • Kuwunika koyamba kwa trimester amaphatikizapo kuyezetsa magazi komwe kumafufuza kuchuluka kwa mapuloteni ena m'magazi a mayi. Ngati mulingo suli wabwinobwino, zikutanthauza kuti pali mwayi waukulu kuti mwana yemwe ali ndi Down syndrome. Kuwonetserako kumaphatikizanso ndi ultrasound, kuyesa kojambula komwe kumayang'ana mwana wosabadwa ngati ali ndi matenda a Down syndrome. Kuyesaku kumachitika pakati pa sabata la 10 ndi 14 la mimba.
  • Kuwunika kwachiwiri kwa trimester. Uku ndi kuyesa magazi komwe kumayang'ananso zinthu zina m'magazi a mayi zomwe zitha kukhala chizindikiro cha Down syndrome. Kuyesa kwazithunzi zitatu kumayang'ana zinthu zitatu zosiyana. Zachitika pakati pa sabata la 16 ndi 18 la mimba. Kuyesa kwazithunzi zinayi kumayang'ana zinthu zinayi ndipo kumachitika pakati pa sabata la 15 ndi la 20 la pakati. Wothandizira anu atha kuyitanitsa chimodzi kapena zonsezi.

Ngati kuyezetsa matenda anu a Down syndrome kukuwonetsa mwayi wochuluka wa Down syndrome, mungafunike kukayezetsa kuti mutsimikizire kapena kuti mupewe matendawa.


Kuyezetsa magazi komwe kumachitika panthawi yapakati ndi:

  • Amniocentesis, yomwe imatenga chitsanzo cha amniotic fluid, madzi omwe amazungulira mwana wanu wosabadwa. Nthawi zambiri zimachitika pakati pa sabata la 15 ndi la 20 la pakati.
  • Zitsanzo za chorionic villus (CVS), zomwe zimatenga chitsanzo kuchokera ku placenta, chiwalo chomwe chimadyetsa mwana wanu wosabadwa m'mimba mwanu. Nthawi zambiri zimachitika pakati pa sabata la 10 ndi 13 la mimba.
  • Zitsanzo zamagetsi zamtundu wa umbilical (PUBS), zomwe zimatenga sampuli yamagazi kuchokera ku umbilical chingwe. PUBS imapereka chidziwitso chotsimikizika kwambiri cha Down syndrome panthawi yoyembekezera, koma sichingachitike mpaka mochedwa, pakati pa sabata la 18 ndi 22.

Matenda a Down syndrome atabadwa:

Mwana wanu akhoza kuyesa magazi omwe amayang'ana ma chromosomes ake. Kuyesaku kukuwuzani motsimikiza ngati mwana wanu ali ndi Down syndrome.

Kodi chimachitika ndi chiyani poyesedwa kwa Down syndrome?

Mukayezetsa magazi, Katswiri wa zamankhwala adzatenga magazi kuchokera mumtsinje wamkono mwanu, pogwiritsa ntchito singano yaying'ono. Singanoyo italowetsedwa, magazi ang'onoang'ono amatengedwa mu chubu choyesera. Mutha kumva kuluma pang'ono singano ikamalowa kapena kutuluka. Izi nthawi zambiri zimatenga mphindi zosakwana zisanu.

Kwa ultrasound yoyamba ya trimester, wothandizira zaumoyo adzasuntha chida cha ultrasound pamimba panu. Chipangizocho chimagwiritsa ntchito mafunde akumveka poyang'ana mwana wanu wosabadwa. Wothandizira anu adzawunika makulidwe kumbuyo kwa khosi la mwana wanu, chomwe ndi chizindikiro cha Down syndrome.

Kwa amniocentesis:

  • Ugona chagada pa tebulo la mayeso.
  • Wopereka wanu amasuntha chida cha ultrasound pamimba panu. Ultrasound imagwiritsa ntchito mafunde omveka kuti aone momwe chiberekero chanu, chiberekero, ndi khanda lanu zili.
  • Wothandizira anu amalowetsa singano yopyapyala m'mimba mwanu ndikutulutsa pang'ono amniotic fluid.

Zitsanzo za chorionic villus (CVS):

  • Ugona chagada pa tebulo la mayeso.
  • Wopereka wanu amayendetsa chida cha ultrasound pamimba panu kuti muwone momwe chiberekero, chiberekero, ndi khanda lanu zilili.
  • Wothandizira anu amatenga maselo kuchokera ku latuluka mwa njira imodzi: mwina kudzera pachibelekero chanu chokhala ndi chubu chochepa kwambiri chotchedwa catheter, kapena ndi singano yopyapyala pamimba panu.

Pazitsanzo za umbilical magazi sampuli (PUBS):

  • Ugona chagada pa tebulo la mayeso.
  • Wopereka wanu amayendetsa chida cha ultrasound pamimba panu kuti muwone momwe chiberekero chanu, chiberekero, mwana, ndi umbilical zilili.
  • Wothandizira anu amalowetsa singano yopyapyala mu umbilical ndikuchotsa pang'ono magazi.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Palibe kukonzekera kwapadera kofunikira pakuyezetsa matenda a Down syndrome. Koma muyenera kuyankhulana ndi omwe amakuthandizani azaumoyo pazakuopsa ndi zabwino zoyesedwa.

Kodi pali zoopsa zilizonse pakuyesedwa?

Palibe chiopsezo chochepa chayezetsa magazi kapena ultrasound. Mukayezetsa magazi, mumatha kumva kupweteka pang'ono kapena kuvulala pamalo pomwe singano idayikidwapo, koma zizindikilo zambiri zimatha msanga.

Mayeso a Amniocentesis, CVS, ndi PUBS nthawi zambiri amakhala otetezeka, koma amakhala ndi chiopsezo chochepa chobweretsa padera.

Kodi zotsatirazi zikutanthauza chiyani?

Zotsatira zowunika za Down syndrome zitha kuwonetsa ngati muli ndi chiopsezo chachikulu chokhala ndi mwana yemwe ali ndi Down syndrome, koma sangakuuzeni motsimikiza ngati mwana wanu ali ndi matenda a Down Down Mutha kukhala ndi zotsatira zosazolowereka, komabe mungakhale ndi thanzi labwino mwana wopanda zopindika za chromosomal kapena zovuta.

Ngati zotsatira zanu zowunika za Down syndrome sizinali zachilendo, mungasankhe kuyesa kamodzi kapena kangapo.

Zitha kuthandizira kuyankhula ndi mlangizi wa majini musanayezedwe komanso / kapena mutapeza zotsatira zanu. Phungu wamtundu ndi katswiri wophunzitsidwa mwapadera pama genetics ndi kuyesa kwa majini. Akhoza kukuthandizani kumvetsetsa zomwe zotsatira zanu zikutanthauza.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Kodi pali china chilichonse chomwe ndiyenera kudziwa pamayeso a Down syndrome?

Kulera mwana yemwe ali ndi matenda a Down syndrome kumakhala kovuta, komanso kopindulitsa. Kupeza chithandizo ndi chithandizo kuchokera kwa akatswiri adakali mwana kungathandize mwana wanu kukwaniritsa zomwe angathe. Ana ambiri omwe ali ndi Down syndrome amakula kuti akhale ndi moyo wathanzi komanso wosangalala.

Lankhulani ndi omwe amakuthandizani azaumoyo komanso othandizira za majini za chisamaliro chapadera, zothandizira, ndi magulu othandizira anthu omwe ali ndi Down syndrome ndi mabanja awo.

Zolemba

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  2. American Pregnancy Association [Intaneti]. Irving (TX): Mgwirizano wa Amayi Achimereka; c2018. Amniocentesis; [yasinthidwa 2016 Sep 2; yatchulidwa 2018 Jul 21]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: http://americanpregnancy.org/prenatal-testing/amniocentesis
  3. American Pregnancy Association [Intaneti]. Irving (TX): Mgwirizano wa Amayi Achimereka; c2018. Zitsanzo za Chorionic Villus: CVS; [yasinthidwa 2016 Sep 2; yatchulidwa 2018 Jul 21]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: http://americanpregnancy.org/prenatal-testing/chorionic-villus-sampling
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  6. American Pregnancy Association [Intaneti]. Irving (TX): Mgwirizano wa Amayi Achimereka; c2018. Sonogram ya Ultrasound; [yasinthidwa 2017 Nov 3; yatchulidwa 2018 Jul 21]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: http://americanpregnancy.org/prenatal-testing/ultrasound
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  8. Malo Othandizira Kuteteza ndi Kupewa Matenda [Internet]. Atlanta: Dipatimenti ya Zaumoyo ndi Zaumunthu ku U.S. Uphungu Wachibadwa; [yasinthidwa 2016 Mar 3; yatchulidwa 2018 Jul 21]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.cdc.gov/genomics/gtesting/genetic_counseling.htm
  9. Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC: American Association for Clinical Chemistry; c2001–2018. Kufufuza kwa Chromosome (Karyotyping); [yasinthidwa 2018 Jan 11; yatchulidwa 2018 Jul 21]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/tests/chromosome-analysis-karyotyping
  10. Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC: American Association for Clinical Chemistry; c2001–2018. Down Syndrome; [yasinthidwa 2018 Jan 19; yatchulidwa 2018 Jul 21]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/conditions/down-syndrome
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  15. NIH National Human Genome Research Institute [Intaneti]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Chromosome Zovuta; 2016 Jan 6 [adatchula 2018 Jul 21]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.genome.gov/11508982
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Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.

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