Edwards syndrome (trisomy 18): ndi chiyani, mawonekedwe ndi chithandizo

Zamkati

• Zomwe zimayambitsa matendawa
• Zinthu zazikuluzikulu za matendawa
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira

Edwards Syndrome, yomwe imadziwikanso kuti trisomy 18, ndi matenda osowa kwambiri omwe amachititsa kuchedwa kwa kukula kwa mwana wosabadwayo, zomwe zimapangitsa kuti azichotsa mimba mwadzidzidzi kapena zovuta kwambiri zobadwa monga microcephaly ndi mavuto amtima, omwe sangakonzedwe ndipo, motero, amachepetsa zaka za moyo wa mwanayo.

Nthawi zambiri, Edwards 'Syndrome imapezeka pafupipafupi m'mimba momwe mayi wapakati amakhala wazaka zopitilira 35. Chifukwa chake, ngati mayi atakhala ndi pakati atakwanitsa zaka 35, ndikofunikira kuti azitsatira pafupipafupi ndi azamba, kuti athe kuzindikira zovuta zomwe zingachitike msanga.

Tsoka ilo, matenda a Edwards alibe mankhwala, chifukwa chake, mwana wobadwa ndi matendawa amakhala ndi chiyembekezo chokhala ndi moyo wocheperako, pomwe ochepera 10% amatha kukhala ndi moyo mpaka chaka chimodzi atabadwa.

Zomwe zimayambitsa matendawa

Matenda a Edwards amayamba chifukwa cha mawonekedwe a chromosome 18, ndipo nthawi zambiri pamakhala makope awiri okha a chromosome iliyonse. Kusintha uku kumachitika mosasinthasintha, chifukwa chake, sizachilendo kuti mlanduwu udzibwereza m'banja lomwelo.

Chifukwa ndi matenda osasinthika mwabadwa, Edwards Syndrome sichimangokhala makolo kwa ana. Ngakhale ndizofala kwambiri kwa ana azimayi omwe amatenga pakati pa 35, matendawa amatha kumachitika msinkhu uliwonse.

Zinthu zazikuluzikulu za matendawa

Ana omwe amabadwa ndi matenda a Edwards amakhala ndi mawonekedwe monga:

• Mutu wawung'ono ndi wopapatiza;
• Pakamwa ndi nsagwada kakang'ono;
• Zala zazitali ndi chala chachikulu chosakula bwino;
• Mapazi oyenda okha;
• Pakamwa paliponse;
• Mavuto a impso, monga polycystic, ectopic kapena hypoplastic impso, aimpso agenesis, hydronephrosis, hydroureter kapena kubwereza kwa ureters;
• Matenda amtima, monga zopindika mu ventricular septum ndi ductus arteriosus kapena polyvalvular matenda;
• Kulemala m'maganizo;
• Kupuma mavuto, chifukwa cha kusintha kwa kapangidwe kake kapena kusapezeka kwa mapapo amodzi;
• Zovuta kuyamwa;
• Kulira kofooka;
• Kulemera kochepa pobadwa;
• Kusintha kwa ubongo monga chotupa chaubongo, hydrocephalus, anencephaly;
• Kuuma ziwalo.

Dokotala atha kukayikira za Edward's Syndrome panthawi yapakati, kudzera pama ultrasound ndi mayeso amwazi omwe amayesa chorionic gonadotrophin, alpha-fetoprotein ndi unconjugated estriol mu gawo la amayi mu 1 ndi 2 trimester ya mimba.

Kuphatikiza apo, fetal echocardiography, yomwe imachitika m'masabata 20 atayamwitsa, imatha kuwonetsa kuwonongeka kwa mtima, komwe kumapezeka mu 100% ya matenda a Edwards.

Momwe mungatsimikizire matendawa

Matenda a Edwards syndrome amapezeka nthawi yapakati pomwe mayi amawona kusintha komwe kwatchulidwa pamwambapa. Kutsimikizira kuti ali ndi matendawa, mayeso ena owopsa amatha kuchitika, monga chorionic villus puncture ndi amniocentesis.

Momwe mankhwalawa amachitikira

Palibe mankhwala enieni a Edwards 'Syndrome, komabe, adotolo atha kulangiza mankhwala kapena opareshoni kuti athetse zovuta zina zomwe zimawopseza moyo wamwana m'masabata oyamba amoyo.

Nthawi zambiri, khandalo limakhala lofooka ndipo limafunikira chisamaliro chapadera nthawi zambiri, chifukwa chake limafunikira kulandilidwa kuchipatala kuti lilandire chithandizo chokwanira, popanda kuvutika.

Ku Brazil, atazindikira, mayi wapakati atha kupanga chisankho chofuna kuchotsa mimba, ngati dokotala atazindikira kuti pali chiopsezo chokhala ndi moyo kapena kuthekera kwakubwera kwamavuto azovuta zamaganizidwe kwa mayiyo ali ndi pakati.