Vamwe vevanhu vashoma munyika muno vane matambudziko aya
Chirwere chekare chinonzi boka rekushungurudzika umo kukura kwomunhu kunononoka kutanga mumatangi ekutanga ekubudirira, kana muchibereko. Kunyanya, vana vacheche vashoma vanove nekurasika kwekukura kwekuwedzera (IUGR), iyo kusakwanisa kwema fetus kukura kazhinji. Izvi zvinogona kuonekwa sekutanga kwemasvondo gumi nemasere ekugumira uye zvinowedzera kuipa sezvo mwana achisvika nguva yakazara.
Icho chimiro chechidiki chinokonzera vamwe vevanhu vashoma kudarika nyika. Vanhu vakuru havawanzokure kureba kupfuura masentimita makumi maviri uye vanowanzova nenzwi rakakwirira nekuda kwekuderera kwebhokisi rezwi.
Muvanhu vane Majewski osteodysplastic primordial dwarfism Rudzi rwechipiri (MOPDII), iro rimwe rematambudziko mashanu ekuberekwa aripo panguva ino akabatanidzwa pasi pekutenderera kwakanyanya, hukuru hwehuropi hunenge hwemwana wemwedzi mitatu. Zvisinei, izvi zvinowanzosanganisa kukurudzira kwepfungwa.
Primordial Dwarfism at Birth
Pakuberekwa, mucheche ane ruzivo rwakawanda runenge ruduku, kazhinji anorema piritsi (1.4 kg) uye akayera kudarika masendimita makumi matanhatu pakureba, iyo inenge yakaenzana nehutachiwana hwemavhiki makumi matatu. Kazhinji, mucheche anoberekwa nguva isati yasvika kumavhiki anenge makumi matatu ekuberekwa. Mwana wacho akanyatsoumbwa uye kutakura mashizha akaenzana nechiyero chemuviri, asi zvose zviri zviviri.
Mushure mokuberekwa, mwana achakura zvishoma nezvishoma uye anoramba ari kure shure kwevana muzera rake. Sezvo mwana achikura, akacherechedza kuchinja kwemuviri kunotanga kuonekwa:
- Musoro uchakura zvishoma nezvishoma kupfuura muviri wose (microcephaly).
- Mabheti emakumbo nemakumbo zvichave zvishoma zvishoma.
- Majoini achave akasununguka pamwe nekudengenyeka kamwechete kana kusarudzwa kwemabvi, maziso, kana mahudyu.
- Unhu hunoonekwa hunoita hunogona kusanganisira mumiriri wepamusoro uye maziso uye mazino mashoma kana kuti asina mazino.
- Zvinetso zvepinepa zvakadai sokuputika (scoliosis) zvinogonawo kukura.
- Pamusoro, izwi rakanyanyisa rakajairika.
Mhando dzePammordial Dwarfism
Zvinenge zvishanu zvirwere zvepabonde zvinowira pasi pemaambura ezvinyorwa zvekare, kusanganisira:
- Russell-Silver syndrome
- Seckel syndrome
- Chirwere cheMeier-Gorlin
- Majewski osteodysplastic primordial dwarfism (MOPD Aina I uye III)
- MOPD Type II
Sezvo izvi zviitiko zvisingawanzoitiki, zvakaoma kuziva kuti dzinowanzoitika sei. Inofungidzirwa kuti sevashomanana kana vanhu zana muNorth America vakave vakaonekwa seine MOPD Type II.
Mamwe mhuri ane vana vanopfuura imwe neMOPD Type II, iyo inoratidza kuti chirwere ichi chinotora nhaka kubva kumagenhi evabereki vose panzvimbo yechinhu chimwe chete (chinonzi chinonzi autosomal recessive pattern ). Vose varume nevakadzi vemarudzi ose vanogona kuchinjwa.
Kuongororwa Kukosha Kwepakati
Kubvira pakuvhiringidzika kwakanyanya kwechirwere chisingawanzoitiki, kusazivikanwa kwakawanda kunowanzoitika. Kunyanya mumucheche achiri muduku, kukundikana kukura kunowanzotarisirwa kushayikwa kwakashata kana chirwere chemagetsi.
A definitive diagnosis haigamuchirwe kusvikira mwana aine maitiro ehutano husina kunaka. Nenguva iyi, X-ray icharatidza kudonha kwemapfupa pamwe nekuwedzera kwemigumo yemapfupa akawanda.
Ikozvino haisi nzira inobatsira yekuwedzera kuwedzera kwekukura mumwana ane unhu hwakakura. Kusiyana nevana vane hutachiona hwekudzivirira , kusakosha kwekukura kwakanaka hakuna kufambidzana nekushaikwa kwekukura kwehomoni. Kukura kwema hormone therapy, saka, hazvizove nezvishoma.
Paanoongororwa, kurapwa kunotarisa mukurapa kwezvinetso sezvavanokura, zvakadai sekuchecherwa kwevana vacheche, zvinetso zvekuona, scoliosis, nekubatanidzwa kwekubatana.
> Kwakabva:
> Anna > Klingseisen uye Andrew P. Jackson. Nzira uye nzira dzekukurira kusakonzerwa nehukuru hwemasikati. Genesisi uye Kubudirira: A Journal of Cellular and Molecular Biology. 2011.
> Nemours Bhuku Rekushaya Puroatric Health System. Primordial Dwarfism.
> Shaheen, R .; Fageih, E ;; Ansari, S ;; et al. "Genomic kuongororwa kwepakati pekare kunoratidza zvirwere zvemaitiro." Genom Res. 2014; 24 (2): 291-299.