Vuto la Kubadwa kwa VACTERL Kupezeka Pamodzi
VACTERL yachinsinsi imatanthawuza gulu la zilema zobereka zomwe zimachitika palimodzi; Zovuta izi zimagwirizana ndipo zimachitika mwadzidzidzi, zimakhudza ziwalo zosiyanasiyana za thupi. Gulu la VACTERL lingayambitse zizindikiro zambiri, kotero sichikudziwika kuti ndi ana angati omwe akukhudzidwa nazo. Mkhalidwewo ukhoza kuchitika ndi zofooka za kromosome monga Trisomy 18 (Edwards syndrome), kapena ana a amayi omwe ali ndi shuga , koma chifukwa chenichenicho sichidziwika; Zingatheke chifukwa cha kuphatikiza kwa chilengedwe ndi zibadwa.
VACTERL Association ndi yosavuta kwambiri, yomwe imakhudza 1 pa 40,000 obadwa.
Zizindikiro
Kalata iliyonse ku VACTERL imakhala kalata yoyamba ya zizindikiro zake. Osati ana onse omwe akhudzidwa ndi a VACTERL ali ndi zovuta zonsezi.
- V imaimira vertebrae (mafupa a msana), omwe ali osowa
- A imaimira anal atresia kapena imperforate anus, kutanthauza kuti anus yomwe sikutsegula kunja kwa thupi
- C imaimira zofooka za mtima (mtima), kawirikawiri ndi dzenje lopitirira pakati pa mtima (ventricular septal defect kapena atrial septal defect)
- T imayimira tracheoesophageal fistula, kutanthauza kugwirizana kosagwirizana pakati pa trachea (mphepo yam'mimba) ndi mimba (chakudya cha m'mimba mpaka m'mimba)
- E imayimirira kutchedwa atophageal atresia, kutanthauza kuti mimba imagwirizana ndi mimba
- R imayimira zovuta zapsogolo ( impso )
- L imayimira miyendo (mikono) zolakwika monga zopanda zala zazikulu kapena zazing'ono, zowonjezera (polydactyly), zala zachitsulo (syndactyly), kapena fupa losowa m'manja kapena miyendo
Ana ena obadwa ndi gulu la VACTERL ali ndi mitsempha imodzi yokha (m'malo mwa awiriwo). Ana ambiri amabadwa ochepa ndipo amakhala ovuta kukula ndi kulemera.
Kudziwa
Kuzindikira kwa mgwirizano wa VACTERL kumadalira zolakwika za kubadwa kwa khanda. Palibe mayeso ena omwe amafunika kuti atsimikizidwe.
Mavuto ena, monga anus imperate anus kapena zala, zidzawonekera pamene mwana wakhanda akuyang'anidwa atabadwa. Mazira a msana, mikono, ndi miyendo amatha kuona mafupa osalimba. Katswiri wina (mtima ultrasound) amatha kuona zofooka za mtima. Mayesero ena angathe kuchitidwa kuti azindikire kupezeka kwa esophageal atresia ndi tracheoesophageal fistula kapena zofooka za impso.
Chithandizo
Mkhalidwe uliwonse ndi VACTERL gulu ndi wapadera kwambiri ndipo kuthekera kwa chithandizo ndi kufotokoza kumadalira payekha. Matendawa amachiritsidwa payekha; ndondomeko yothandizira onse a bungwe la VACTERL silinapangidwe. Zina zowonongeka ndizovuta kwambiri chithandizo sichingapambane ndipo mwana wakhanda sangathe kukhala ndi moyo. Nthawi zina, opaleshoni ikhoza kukonza zolakwika, kuti mwanayo apulumuke ndi kukhala moyo wamba.
Pokhapokha ziwalo zoberekera zitazindikiritsidwa, ndondomeko ya chithandizo ikhoza kupangidwira kwa khanda. Matenda ena, monga esophageal atresia, tracheoesophageal fistula, kapena vuto la mtima, angafunikire chithandizo chamankhwala kapena opaleshoni yomweyo. Nthawi zina opaleshoni yokonza vuto imatha kufikira mwanayo atakula. Kawirikawiri, akatswiri ambiri amasamalira mwana yemwe ali ndi gulu la VACTERL.
Ana omwe ali ndi zilonda, miyendo, kapena matenda a msana angafunike chithandizo chamthupi kapena ntchito.
Zotsatira:
"VACTERL Association". BirthDefects.org, 2015.
Castori, M. "VACTERL Association". Mabungwe a Nationals for Disorder Disorders, 2016.