VACTERL Kuberekwa Kuzvarwa Kunoitika Pamwe Chete
Izwi reA VACTERL rinoreva boka rekuremara kwekuberekwa kunoitika pamwechete; izvi zvinokanganisa zvakabatana uye zvinowanzoitika, zvichikanganisa zvikamu zvakasiyana-siyana zvemuviri. VACTERL sangano rinogona kukonzera zviratidzo zvakawanda, saka hazvizivikanwe kuti vangani vana vanovhiringidzwa nayo. Mamiriro acho anogona kuitika nemamwe matambudziko echromosome akafanana neTrisomy 18 (Edwards syndrome), kana vana vevanaamai vane chirwere cheshuga , asi chikonzero chaicho chaicho hachizivikanwi; zvinogona kunge zvakakonzerwa nekubatana kwezvakatipoteredza uye zvizvarwa.
VACTERL Association isinganyanyi kushandiswa, iyo inobatanidza 1 chete mumakore makumi mana ekuberekwa.
Zviratidzo
Tsamba imwe neimwe mu VACTERL inomirira tsamba yekutanga yezviratidzo zvayo. Havasi vana vose vanobatwa neACTERL sangano vane zvose izvi zvisina kukodzera.
- V inomiririra vertebrae (mapfupa emutsana), izvo zvisingawanzoitiki
- A rinomirira anal atresia kana imperforate anus, zvinoreva anus isingasvinuri kune kunze kwomuviri
- C inomirira kukanganisa kwemwoyo (kazhinji), kazhinji gomba risina kusiyanisa pakati pemativi emwoyo (ventricular septal defect kana atrial septal defect)
- T inomirira tracheoesophageal fistula, zvinoreva kushamwaridzana kusinganzwisisiki pakati pe trachea (windpipe) uye inophagus (chikafu chokudya kusvika mudumbu)
- E inomirira esophageal atresia, zvinoreva kuti sophagus haina kubatana kusvika mudumbu
- R inomirira renal ( inso ) zvirema
- L inomiririra nhengo (ruoko) zvikanganiso zvakadai sokusavapo kana kubuda zvigunwe zviduku, zvigunwe zviduku (polydactyly), zvakagunwe neminwe (syndactyly), kana kuti kusina pfupa mumaoko kana pamakumbo
Vamwe vana vakaberekerwa neAVERL association vane mutezo mumwechetechete (panzvimbo yezvakanaka zviviri). Vana vakawanda vanoberekwa vaduku uye vanotambura kukura nekuwana uremu.
Kuziva
Kuongororwa kweboka reV VACTERL kunobva pakukanganisa kwechecheche. Hapana imwe yeruzhinji inotarisirwa kuti ibudise hutachiona.
Zvimwe zvinetso, zvakadai sekusafuridzira anus kana zvimwe zvigunwe, zvichawanikwa apo mwana achangobvunzwa mushure mokuberekwa. X-ray yepamusoro, maoko, nemakumbo zvinogona kuona mafupa asina kukodzera. Ikopikodhigiri (mwoyo ultrasound) inogona kuona kushaya mwoyo. Mimwe miedzo inogona kuitwa kuti ione kuvepo kweesophageal atresia uye tracheoesophageal fistula kana zvikanganiso zvepvo.
Kurapa
Chero mamiriro ezvinhu neAVCTL isangano yakasiyana zvachose uye iyo inogona kurapwa uye kufungidzira inobva pane mamiriro evanhu. Mamiriro acho anobatwa pane mumwe munhu; chirongwa chenyika yose yeACTERL hachina kugadzirwa. Zvimwe zvisina kumira zvakanyanya zvakanyanya kurapwa hakuzobudiriri uye mwana akangwara haagoni kupona. Mune dzimwe nguva, kuvhiyiwa kunogona kugadzirisa kukanganisa, zvichibvumira mwana kurarama nekurarama hupenyu hunofanana.
Kamwe kuberekwa kwekuberekwa kwave kuri kuonekwa, chirongwa chekurapa chinogona kugadzirwa nokuda kwechecheche. Zvimwe zvinetso, zvakadai seesophageal atresia, tracheoesophageal fistula, kana kuti kusaremara kwemwoyo, zvinoda kurapwa kana chirwere pakarepo. Dzimwe nguva kuvhiyiwa kugadzirisa dambudziko kunogona kusvika kusvikira mwana akwegura. Kazhinji, nyanzvi dzakawanda dzinobatanidzwa mukuchengetwa kwemwana neAVERL association.
Vana vane ruoko, gumbo, kana zvinetso zvepona vangada chirwere chemuviri kana chebasa.
Sources:
"VACTERL Association". BirthDefects.org, 2015.
Castori, M. "VACTERL Association". National Organisations for Rare Disorders, 2016.