Tijaabooyinka Cilladda Down Syndrome

Qanacsan

• Waa maxay baaritaannada Down syndrome?
• Maxay yihiin baaritaanada loo isticmaalo?
• Maxaan ugu baahanahay baaritaanka cilladda Down syndrome-ka?
• Maxay yihiin noocyada kala duwan ee baaritaanka cilladda Down syndrome-ka?
• Maxaa dhacaya inta lagu jiro baaritaanka Down syndrome?
• Ma u baahanahay inaan sameeyo wax walba si aan isugu diyaariyo imtixaannada?
• Ma jiraan wax qatar ah oo imtaxaanada ah?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka cilladda Down syndrome-ka?
• Tixraacyo

Waa maxay baaritaannada Down syndrome?

Cilladda Down syndrome-ka waa cilad keenta naafonimo aqooneed, astaamo jireed oo gaar ah, iyo dhibaatooyin caafimaad oo kala duwan. Kuwaas waxaa ka mid noqon kara cilladaha wadnaha, maqal la'aanta, iyo cudurka qanjirka 'thyroid'. Cilladda Down syndrome-ka waa nooc ka mid cilladda koromosoomka.

Chromosomes waa qeybaha unugyadaada oo ay kujiraan hiddo-wadahaaga. Hiddo-wadayaashu waa qaybo ka mid ah hidde-sideyaasha DNA ee laga soo gudbiyay hooyadaa iyo aabbahaa Waxay sitaan macluumaad go'aamiya astaamahaaga gaarka ah, sida dhererka iyo midabka indhaha.

• Dadku caadi ahaan waxay leeyihiin 46 koromosoom, oo loo qaybiyay 23 lammaane, qol kasta.
• Labada koromosoom midkood wuxuu ka yimaadaa hooyadaa, labada kalena waxay ka yimaadaan aabbahaa.
• Cilladda Down syndrome-ka, waxaa ku jira nuqul dheeri ah oo ah kromosoomka 21.
• Koromosoomka dheeriga ahi wuxuu beddelaa habka jidhka iyo maskaxdu u koraan.

Cilladda Down syndrome-ka, oo sidoo kale loo yaqaan 'trisomy 21', ayaa ah cilladda koromosoom ee ugu caansan Mareykanka.

Laba nooc oo dhif ah oo loo yaqaan 'Down syndrome', oo loo yaqaan mosaic trisomy 21 iyo translocation trisomy 21, koromosoomka dheeriga ah kama soo muuqanaayo unug kasta. Dadka qaba cilladahaan badanaa waxay leeyihiin wax yar oo ka mid ah astaamaha iyo dhibaatooyinka caafimaad ee la xiriira qaabka guud ee Down syndrome.

Baadhitaanada baarista cilladda Down syndrome-ka waxay muujinayaan in ilmahaaga aan dhalan ay u badan tahay inuu qabo cilladda Down Syndrome. Noocyada kale ee baaritaanka waxay xaqiijinayaan ama meesha ka saarayaan cudurka.

Maxay yihiin baaritaanada loo isticmaalo?

Baadhitaanka cilladda Down syndrome-ka waxaa loo isticmaalaa in lagu baaro ama lagu ogaado cilladda Down syndrome-ka. Imtixaanada baaritaanka Down syndrome-ka wax yar ama khatar ah kuma lihi adiga ama ilmahaaga, laakiin kuma sheegi karaan si hubaal ah in ilmahaagu qabo cilladda Down syndrome-ka.

Tijaabooyinka baaritaanka inta lagu jiro uurka waxay xaqiijin karaan ama diidi karaan ogaanshaha cudurka, laakiin baaritaannadu waxay leeyihiin khatar yar oo sababi karta dhicin.

Maxaan ugu baahanahay baaritaanka cilladda Down syndrome-ka?

Qaar badan oo ka mid ah bixiyeyaasha daryeelka caafimaadka ayaa kugula talinaya baaritaanka cudurka Down syndrome iyo / ama baaritaanada lagu ogaanayo haweenka uurka leh ee jira 35 sano ama ka weyn. Da'da hooyadu waa cunsurka aasaasiga u ah cunug qaba cilladda Down syndrome-ka. Khatartu waxay sii kordheysaa markay haweeneydu sii weynaato. Laakiin sidoo kale waxaad ku jirtaa khatar sare haddii aad horey u dhashay cunug qaba cilladda Down syndrome iyo / ama aad leedahay taariikh qoys oo cilladda ah.

Intaas waxaa sii dheer, waxaad u baahan kartaa in lagaa baaro si ay kaaga caawiso inaad isu diyaariso haddii natiijooyinka ay muujinayaan in ilmahaaga laga yaabo inuu qabo cudurka Down syndrome. Hore u sii ogaanshaha waxay ku siin kartaa waqti aad ku qorshayso daryeelka caafimaadka iyo adeegyada taageerada ee ilmahaaga iyo qoyskaaga.

Laakiin tijaabinta maahan qof walba. Kahor intaadan go’aansan inaad isbaarto, ka fikir sida aad dareemi laheyd iyo waxaad sameyn laheyd kadib barashada natiijooyinka. Waa inaad kala hadashaa su'aalahaaga iyo walwalkaaga lammaanahaaga iyo daryeel caafimaad bixiyahaaga.

Haddii aadan isbaarin inta aad uurka leedahay ama aad rabto inaad xaqiijiso natiijooyinka baaritaannada kale, waxaad u baahan kartaa in ilmahaaga la baaro haddii isagu ama iyadu ay leeyihiin astaamaha Down syndrome. Kuwaas waxaa ka mid ah:

• Weji fidsan iyo san
• Indhaha qaabeeya yicibta oo kor u dhacaya
• Dhagaha yaryar iyo afka
• Dhibco yaryar oo cad oo isha ah
• Muruq xumo
• Dib udhaca horumarka

Maxay yihiin noocyada kala duwan ee baaritaanka cilladda Down syndrome-ka?

Waxaa jira laba nooc oo aasaasi ah oo loo yaqaan 'Down syndrome tests': baaritaanka iyo baaritaanka cudurka.

Baaritaanka cilladda Down syndrome-ka waxaa ka mid ah baaritaannada soo socda ee la sameeyo muddada uurka:

• Baadhitaanka ugu horreeya ee saddexda bilood ah waxaa ka mid ah baaritaanka dhiigga oo hubiya heerarka borotiinnada qaarkood ee dhiigga hooyada. Haddii heerarku caadi ahayn, waxay ka dhigan tahay inay jirto fursad sare oo ah in ilmuhu yeesho cilladda Down syndrome-ka. Baadhitaanka waxa kale oo ku jira ultrasound, baadhitaan sawir leh oo ilmaha uurka ku jira ka fiirinaya calaamadaha Down syndrome. Baaritaanka waxaa la sameeyaa inta u dhexeysa usbuuca 10aad ilaa 14aad ee uurka.
• Baaritaanka seddex biloodlaha ah. Kuwani waa baaritaanno dhiig oo sidoo kale raadiya walxaha qaarkood ee dhiigga hooyada oo laga yaabo inay calaamad u tahay cilladda Down syndrome-ka. Tijaabada shaashadda saddex-geesoodka ah waxay raadisaa saddex walxo oo kala duwan. Waxaa la sameeyaa inta u dhexeysa usbuuca 16aad iyo 18aad ee uurka. Tijaabada shaashadda afar-laablaha ah waxay raadisaa afar walxo oo kala duwan waxaana la sameeyaa inta u dhexeysa usbuuca 15aad iyo 20aad ee uurka. Adeeg bixiyahaagu wuxuu dalban karaa mid ama labadaba tijaabooyinkan.

Haddii baaritaankaaga cilladda Down syndrome-ka ay muujiso fursadda sare ee cilladda Down syndrome-ka, waxaa laga yaabaa inaad rabto inaad sameyso baaritaanka cudurka si loo xaqiijiyo ama meesha looga saaro ogaanshaha cudurka.

Baaritaanada lagu ogaanayo cilladda Down syndrome-ka ee la sameeyo xilliga uurka waxaa ka mid ah:

• Amniyoosentasis, kaas oo qaada muunad dheecaanka amniotic, dareeraha ku xeeran ilmahaaga aan dhalan. Badanaa waxaa la sameeyaa inta udhaxeysa usbuuca 15aad ilaa 20aad ee uurka.
• Tijaabada Chorionic villus (CVS), kaas oo sambal ka qaada mandheerta, xubinta nafaqeysa ilmahaaga aan dhalan ee ku jira ilmo galeenkaaga. Badanaa waxaa la sameeyaa inta udhaxeysa usbuuca 10aad iyo 13aad ee uurka.
• Muunadaynta dhiigga xundhurta ee Percutaneous (PUBS), kaas oo dhiig ka qaada xudunta xudunta. PUBS waxay bixisaa ogaanshaha ugu saxsan ee cilladda Down syndrome inta lagu guda jiro uurka, laakiin lama sameyn karo illaa goor dambe oo uurka ah, inta u dhexeysa usbuuca 18aad iyo 22aad.

Cilladda cilladda Down syndrome dhalashada ka dib:

Canugaaga waxaa laga yaabaa inuu sameeyo baaritaanka dhiigga ee fiiriya koromosoomyadiisa ama keeda. Tijaabadani waxay kuu sheegi doontaa hubaal haddii ilmahaagu qabo cilladda Down syndrome-ka.

Maxaa dhacaya inta lagu jiro baaritaanka Down syndrome?

Inta lagu jiro baaritaanka dhiigga, xirfadle daryeel caafimaad ayaa tijaabo dhiig ah ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.

Ultrasound-ka seddex bilood ee ugu horreeya, bixiye daryeel caafimaad ayaa qalab ultrasound ah ku wareejin doona calooshaada. Qalabka wuxuu adeegsadaa hirarka codka si uu u eego ilmahaaga aan dhalan. Bixiyahaagu wuxuu hubin doonaa dhumucda xagga dambe ee qoorta ilmahaaga, taas oo ah calaamadda Down syndrome.

Amniocentesis:

• Waxaad ku seexan doontaa dhabarkaaga miiska imtixaanka.
• Bixiyahaaga ayaa aaladda ultrasound ku wareejin doona calooshaada. Ultrasound wuxuu adeegsadaa hirarka codka si loo hubiyo booska ilmo-galeenkaaga, mandheerta, iyo ilmahaaga.
• Bixiyahaaga ayaa irbad dhuuban gelin doona calooshaada wuxuuna kala bixi doonaa qadar yar oo ah dheecaanka amniotic.

Wixii muunad qaadista villus chorionic (CVS):

• Waxaad ku seexan doontaa dhabarkaaga miiska imtixaanka.
• Bixiyahaaga ayaa aaladda ultrasound ku wareejin doona calooshaada si uu u hubiyo booska ilmo-galeenkaaga, mandheerta, iyo ilmahaaga.
• Bixiyahaagu wuxuu unugyada ka soo qaadi doonaa mandheerta mid ka mid ah laba siyaabood midkood: ama afka minkaaga oo la mariyo tuubo khafiif ah oo loo yaqaan 'catheter', ama cirbad khafiifsan oo caloosha laga marin doono.

Tijaabada dhiigga xundhurta (PUBS):

• Waxaad ku seexan doontaa dhabarkaaga miiska imtixaanka.
• Bixiyahaaga ayaa aaladda ultrasound ku wareejin doona calooshaada si uu u hubiyo booska ilmo-galeenkaaga, mandheerta, ilmaha, iyo xudunta.
• Bixiyahaaga ayaa irbad khafiif ah galin doona xudunta oo kala bixi doona tijaabada dhiigga oo yar.

Ma u baahanahay inaan sameeyo wax walba si aan isugu diyaariyo imtixaannada?

Ma jiraan diyaargarow gaar ah oo loo baahan yahay baaritaanka cudurka Down syndrome. Laakiin waa inaad kala hadashaa bixiyaha xanaanada caafimaadkaaga halista iyo faa'iidooyinka baaritaanka.

Ma jiraan wax qatar ah oo imtaxaanada ah?

Khatar aad u yar baa jirta in lagaa qaado dhiig ama ultrasound. Ka dib baaritaanka dhiigga, waxaa laga yaabaa inaad xanuun yar ama nabar ku yeelato meeshii irbadda lagu muday, laakiin calaamadaha badankood si dhakhso leh ayey u baxaan.

Baadhitaanka 'Amniocentesis', 'CVS', iyo 'PUBS' badanaa waa nidaamyo aad u ammaan badan, laakiin waxay leeyihiin khatar yar oo ah inay soo ritaan dhicin.

Maxay natiijooyinka ka dhigan yihiin?

Natiijooyinka baaritaanka Down syndrome-ka waxay muujin karaan oo keliya haddii aad halis sare ugu jirto inaad dhasho ilmo qaba cilladda Down syndrome-ka, laakiin kuma sheegi karaan si hubaal ah haddii ilmahaagu qabo cilladda Down syndrome-ka Waxaad yeelan kartaa natiijooyin aan caadi ahayn, laakiin weli keena caafimaad ilmaha aan lahayn cillado koromosoom ama cilado.

Haddii natiijooyinkaaga baaritaanka Down syndrome-ka aysan caadi ahayn, waxaad dooran kartaa in lagugu sameeyo hal ama in ka badan oo baaritaanno lagu ogaanayo ah.

Waxay kaa caawin kartaa inaad la hadasho lataliyaha hidaha kahor baaritaanka iyo / ama kadib markaad hesho natiijooyinkaaga. Lataliyaha hidaha ayaa ah xirfadle si gaar ah ugu tababaran hidaha iyo baaritaanka hidaha. Isaga ama iyadu waxay kaa caawin karaan inaad fahamto macnaha natiijooyinkaaga.

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka cilladda Down syndrome-ka?

Barbaarinta ilmo qaba cilladda Down syndrome-ka waxay noqon kartaa caqabad, laakiin sidoo kale abaalmarin. Ka helitaanka caawimaad iyo daaweyn khabiiro takhasuska leh noloshiisa hore waxay ka caawin kartaa ilmahaaga inuu gaaro himiladiisa ama kartideeda. Carruur badan oo qaba cilladda Down syndrome-ka waxay ku koraan si ay u noolaadaan nolol caafimaad leh oo farxad leh.

Kala hadal daryeel caafimaad bixiyahaaga iyo lataliyaha hidaha ee ku saabsan daryeelka khaaska ah, ilaha, iyo kooxaha taakuleynta dadka qaba cudurka Down syndrome iyo qoysaskooda.

Tixraacyo

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Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.