Liteko tsa Down Syndrome

Litaba

• Liteko tsa Down syndrome ke life?
• Liteko li sebelisetsoa eng?
• Hobaneng ke hloka tlhahlobo ea Down syndrome?
• Mefuta e fapaneng ea liteko tsa Down syndrome ke efe?
• Ho etsahala'ng nakong ea tlhahlobo ea Down syndrome?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa liteko?
• Na ho na le likotsi tsa liteko?
• Liphetho li bolelang?
• Na ho na le eng hape eo ke hlokang ho e tseba ka liteko tsa Down syndrome?
• Litšupiso

Liteko tsa Down syndrome ke life?

Down syndrome ke boloetse bo bakang bokooa ba kelello, likarolo tse ikhethang tsa 'mele le mathata a fapaneng a bophelo. Tsena li ka kenyelletsa bofokoli ba pelo, ho se utloe litsebeng le lefu la qoqotho. Down syndrome ke mofuta oa boloetse ba chromosome.

Li-chromosome ke likarolo tsa lisele tsa hau tse nang le liphatsa tsa hau tsa lefutso. Liphatsa tsa lefutso ke likarolo tsa DNA tse fetisitsoeng ho tsoa ho mme le ntate oa hau. Li na le tlhaiso-leseling e khethollang litšobotsi tsa hau tse ikhethang, joalo ka bophahamo le 'mala oa mahlo.

• Ka tloaelo batho ba na le li-chromosome tse 46, ba arotsoe ka lihlopha tse 23 ka seleng ka 'ngoe.
• E 'ngoe ea li-chromosome ka' ngoe e tsoa ho 'm'ao,' me e 'ngoe e tsoa ho ntate oa hao.
• Ho Down syndrome, ho na le khopi e eketsehileng ea chromosome 21.
• Chromosome e eketsehileng e fetola tsela eo 'mele le boko bo hōlang ka eona.

Down syndrome, eo hape e bitsoang trisomy 21, ke lefu le tloaelehileng ka ho fetisisa la chromosome United States.

Mefuta e 'meli e sa tloaelehang ea Down syndrome, e bitsoang mosaic trisomy 21 le translocation trisomy 21, chromosome e eketsehileng ha e hlahe seleng e' ngoe le e 'ngoe. Batho ba nang le mathata ana hangata ba na le litšobotsi tse fokolang le mathata a bophelo bo amanang le mofuta o tloaelehileng oa Down syndrome.

Liteko tsa tlhahlobo ea Down syndrome li bontša hore na lesea la hau le e-s'o tsoaloe le na le monyetla oa ho ba le Down syndrome. Mefuta e meng ea liteko e tiisa kapa e thibela tlhahlobo.

Liteko li sebelisetsoa eng?

Liteko tsa Down syndrome li sebelisetsoa ho lekola kapa ho hlahloba Down syndrome. Liteko tsa tlhahlobo ea Down syndrome li na le kotsi e nyane kapa ha li na kotsi ho uena kapa ho lesea la hau, empa li ke ke tsa u joetsa hantle hore na ngoana oa hau o na le Down syndrome.

Liteko tsa tlhahlobo nakong ea bokhachane li ka netefatsa kapa tsa thibela hore motho a fumanoe, empa liteko li na le kotsi e nyane ea ho baka ho senyeheloa ke mpa.

Hobaneng ke hloka tlhahlobo ea Down syndrome?

Bafani ba bangata ba tlhokomelo ea bophelo bo botle ba khothaletsa tlhahlobo ea Down syndrome le / kapa liteko tsa tlhahlobo ea bakhachane ba lilemo li 35 kapa ho feta. Lilemo tsa bo-mme ke tsona lisosa tsa mantlha tsa ho ba le ngoana ea nang le Down syndrome. Kotsi e ea eketseha ha mosali a ntse a tsofala. Empa le uena u kanna oa ba kotsing e kholo haeba u se u bile le ngoana ea nang le Down syndrome le / kapa u na le nalane ea lelapa ea lefu lena.

Ntle le moo, o kanna oa batla ho etsa liteko ho u thusa ho itokisa haeba liphetho li bontša hore ngoana oa hau a ka ba le Down syndrome. Ho tseba esale pele ho ka u fa nako ea ho rala litšebeletso tsa bophelo bo botle le tšehetso bakeng sa ngoana oa hau le ba lelapa.

Empa ho lekoa ha se ha motho e mong le e mong. Pele u nka qeto ea ho etsa liteko, nahana hore na u tla ikutloa joang le hore na u ka etsa eng kamora ho ithuta liphetho. U lokela ho buisana ka lipotso le matšoenyeho a hau le molekane oa hau le mofani oa tlhokomelo ea bophelo.

Haeba u sa ka oa etsa tlhahlobo nakong ea bokhachane kapa ua batla ho netefatsa sephetho sa liteko tse ling, o kanna oa batla hore ngoana oa hau a hlahlojoe haeba a na le matšoao a Down syndrome. Tsena li kenyelletsa:

• Sefahleho le nko e sephara
• Mahlo a sebopeho sa almonde a shebileng hodimo
• Ditsebe tse nyane le molomo
• Mabala a masoeu a manyane leihlong
• Molumo o fokolang oa mesifa
• Ho lieha ho ntlafatsa

Mefuta e fapaneng ea liteko tsa Down syndrome ke efe?

Ho na le mefuta e 'meli ea mantlha ea liteko tsa Down syndrome: liteko tsa tlhahlobo le liteko tsa tlhahlobo.

Ho hlahlojoa ha Down syndrome ho kenyelletsa liteko tse latelang tse entsoeng nakong ea bokhachane:

• Ho hlahlojoa ha trimester ea pele e kenyelletsa teko ea mali e lekolang maemo a liprotheine tse itseng maling a mme. Haeba maemo a sa tloaeleha, ho bolela hore ho na le monyetla o moholo oa hore ngoana a tšoaroe ke Down syndrome. Tlhatlhobo e boetse e kenyelletsa ultrasound, teko ea litšoantšo e shebang lesea le e-so hlahe bakeng sa matšoao a Down syndrome. Teko e etsoa lipakeng tsa beke ea 10 le ea 14 ea bokhachane.
• Ho hlahlojoa ha trimester ea bobeli. Tsena ke liteko tsa mali tse batlang le lintho tse itseng maling a mme tseo e ka bang sesupo sa Down syndrome. Teko ea skrini e tharo e sheba lintho tse tharo tse fapaneng. E etsoa lipakeng tsa beke ea bo16 le ea bo18 ea bokhachane. Teko ea skrine e habeli e sheba lintho tse 'ne tse fapaneng mme e etsoa lipakeng tsa beke ea bo15 le ea bo20 ea boimana. Mofani oa hau a ka odara e le 'ngoe kapa tse peli tsa liteko tsena.

Haeba tlhahlobo ea Down syndrome e bontša monyetla o phahameng oa ho ba le lefu lena, u ka 'na ua batla ho etsa tlhahlobo ea tlhahlobo ho netefatsa kapa ho felisa hore na motho o na le lefu lena.

Liteko tsa lefu la Down syndrome tse entsoeng nakong ea bokhachane li kenyelletsa:

• Amniocentesis, e nkang sampole ea mokelikeli oa amniotic, mokelikeli o potolohileng lesea la hao le e-song ho hlahe. Hangata e etsoa lipakeng tsa beke ea bo15 le ea bo20 ea boimana.
• Sampole ea Chorionic villus (CVS), e nkang sampole ho tsoa placenta, setho se fepang lesea la hau le e-so hlahe ka popelong ea hau. Hangata e etsoa lipakeng tsa beke ea 10 le ea 13 ea bokhachane.
• Sampling ea mali ea umbilical ea mali (PUBS), e nkang sampole ya madi ho tsoa mokokotlong. PUBS e fana ka tlhahlobo e nepahetseng ka ho fetesisa ea Down syndrome nakong ea bokhachane, empa e ke ke ea etsoa ho fihlela nakong ea bokhachane, lipakeng tsa beke ea 18 le ea 22.

Tlhatlhobo ea Down syndrome kamora 'tsoalo:

Ngoana oa hau a ka fumana tlhahlobo ea mali e shebang li-chromosome tsa hae. Teko ena e tla u joetsa bonnete ba hore na ngoana oa hau o na le Down syndrome.

Ho etsahala'ng nakong ea tlhahlobo ea Down syndrome?

Nakong ea tlhahlobo ea mali, setsebi sa tlhokomelo ea bophelo se tla nka sampole ea mali mothapong o letsohong la hao, a sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.

Bakeng sa ultrasound ea pele ea trimester, mofani oa tlhokomelo ea bophelo o tla tsamaisa sesebelisoa sa ultrasound ka mpeng ea hau. Sesebelisoa se sebelisa maqhubu a molumo ho sheba lesea la hau le e-so hlahe. Mofani oa hau o tla hlahloba botenya ka morao molaleng oa ngoana oa hau, e leng letšoao la Down syndrome.

Bakeng sa amniocentesis:

• U tla robala ka mokokotlo tafoleng ea liteko.
• Mofani oa hau o tla tsamaisa sesebelisoa sa ultrasound ka mpeng ea hau. Ultrasound e sebelisa maqhubu a molumo ho lekola boemo ba popelo ea hau, placenta le lesea.
• Mofani oa hau o tla kenya nale e tšesaane ka mpeng ebe o tlosa lero le lenyenyane la amniotic fluid.

Bakeng sa sampling ea chorionic villus (CVS):

• U tla robala ka mokokotlo tafoleng ea liteko.
• Mofani oa hau o tla tsamaisa sesebelisoa sa ultrasound ka mpeng ho hlahloba boemo ba popelo ea hau, placenta le lesea.
• Mofani oa hau o tla bokella lisele ho tsoa ho placenta ka e 'ngoe ea litsela tse peli: ebang ke ka molomo oa hau o nang le tube e tšesaane e bitsoang catheter, kapa ka nale e tšesaane ka mpeng.

Bakeng sa sampling ea mali ea umbilical percutaneous (PUBS):

• U tla robala ka mokokotlo tafoleng ea liteko.
• Mofani oa hau o tla tsamaisa sesebelisoa sa ultrasound ka mpeng ho hlahloba boemo ba popelo ea hau, placenta, lesea le mokokotlo.
• Mofani oa hau o tla kenya nale e tšesaane ka mokokotlong ebe o tlosa sampuli e nyane ea mali.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa liteko?

Ha ho na litokisetso tse khethehileng tse hlokahalang bakeng sa liteko tsa Down syndrome. Empa o lokela ho bua le mofani oa tlhokomelo ea bophelo ka likotsi le melemo ea tlhahlobo.

Na ho na le likotsi tsa liteko?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali kapa ultrasound. Kamora tlhahlobo ea mali, o kanna oa ba le bohloko bo nyane kapa likotlo sebakeng seo nale e kentsoeng ho sona, empa matšoao a mangata a fela kapele.

Liteko tsa Amniocentesis, CVS le PUBS hangata ke lits'ebetso tse bolokehileng haholo, empa li na le kotsi e nyane ea ho baka ho senyeheloa ke mpa.

Liphetho li bolelang?

Liphetho tsa tlhahlobo ea Down syndrome li ka bonts'a feela haeba u na le kotsi e kholo ea ho ba le ngoana ea nang le Down syndrome, empa li ke ke tsa u joetsa bonnete ba hore na ngoana oa hau o na le Down syndrome U ka ba le liphetho tse sa tloaelehang, empa u ntse u fana ka bophelo bo botle lesea le se nang likoli kapa mathata a chromosomal.

Haeba sephetho sa tlhahlobo ea Down syndrome se ne se sa tloaeleha, o kanna oa khetha ho etsa tlhahlobo e le 'ngoe kapa tse' maloa tsa tlhahlobo.

E ka thusa ho bua le moeletsi oa liphatsa tsa lefutso pele u etsa liteko le / kapa kamora ho fumana liphetho tsa hau. Moeletsi oa liphatsa tsa lefutso ke setsebi se koetlisitsoeng ka ho khetheha liphatseng tsa lefutso le liteko tsa lefutso. A ka u thusa ho utloisisa hore na liphetho tsa hau li bolelang.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng hape eo ke hlokang ho e tseba ka liteko tsa Down syndrome?

Ho holisa ngoana ea nang le Down syndrome e ka ba phephetso, empa hape hoa putsa. Ho fumana thuso le kalafo ho litsebi tse sa le banyane ho ka thusa ngoana oa hau ho fihlela bokhoni ba hae. Bana ba bangata ba nang le Down syndrome ba hola ho phela bophelo bo botle le bo thabileng.

Bua le mofani oa tlhokomelo ea bophelo le moeletsi oa liphatsa tsa lefutso ka tlhokomelo e khethehileng, lisebelisoa le lihlopha tsa ts'ehetso bakeng sa batho ba nang le Down syndrome le malapa a bona.

Litšupiso

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Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.