Mishonga mitsva ye cystic fibrosis

Cystic fibrosis (cystic fibrosis) ndechimwe chezvirwere zvakanyanya kufanana navana. Somugumisiro wezvisina kufanira zvemajeni, kutakura kweioni kuburikidza nesero membrane kunovhiringidzika, izvo zvinotungamirira mukuvhiringidzwa kwemabasa ezvizhinji. Cystic fibrosis chirwere chinokonzera kuzvidzora, kureva kuti, kuitira kuti izviratidze, munhu anofanira kugamuchira mairi maviri emakemikari asina kukwana, mumwe kubva kumubereki mumwe nomumwe. Mishonga mitsva ye cystic fibrosis ichabatsira mumamiriro ezvinhu aya.

Kuongororwa kwe cystic fibrosis

Zviratidzo uye zviratidzo zvechirwere zvakanyanya kunyanya, asi zvinogona kusiyana zvichienderana nekuoma kwechikoro.

Izvi zvinosanganisira:

■ Kusakwanira kwepancreatic function (yakaonekwa mu 85% yevarwere);

■ mishonga yemapurmoni isingakwanisi uye bronchiectasis (kusina kuchena kwechirwere chinokonzera), iyo inokura semugumisiro wekuunganidza kwekutevedza mucus mumugwagwa wekupumha;

■ Kushaya kwepabonde kunobatanidzwa nehunobudirira huri nhengo basa rinotungamirira ku kuora kwekureruka uye kuora kurasikirwa.

Mumhuri imwe chete, kuoma kwemapapu emuchepiti muvana kunogona kusiyana, asi kushaya simba kwepakreti mumatambudziko akawanda kune kuoma kwakafanana. Chirwere chepachivande chimwe chezvinhu zvinokonzera rufu rwevarwere vane chirwere checystic fibrosis. Kazhinji kazhinji izvi zvinokonzera kutapukirwa kwebhakitiriya iyo isingatenderwi kurapwa. Kuunganidzwa kwemascous viscous mumhepo inoita kuti pave nemamiriro ezvinhu akanaka ekuvandudzirwa kwemakorikari. Vanhu vanotambura ne cystic fibrosis vanonyanya kukanganiswa nehutachiona nebhakitiriya Pseudomonas aeruginosa. Utano hwemapapu hutano hwakakwanisa kurwisa hutachiona hunopinda. Mune varwere vane cystic fibrosis, basa iri harina simba, zvichiita kuti zvive zvakakonzerwa nekugadzirwa kwezvirwere zvisingaperi zvepemonari.

Kurapa kwe cystic fibrosis

Kuvandudza nzira dzekurapa kwe cystic fibrosis, kusanganisira mishonga inorwisa mabhakitiriya uye physiotherapy, inotarisirwa kubvisa mapapu emucheka, yakawedzera kuwandisa kwehupenyu hwevarwere kusvikira makore makumi matatu. Vakawanda varwere vane cystic fibrosis vane infertile. Chikonzero chekusununguka kwevarume ndiko kusina kubatana kwevas vas deferens, iyo madzamu inoshandiswa nevhu kubva mumatsetse muchirwere. Mumadzimai, kusava nekubatana kunobatanidza nekuvapo kwemajasi asina kukodzera mumukirini. Zvisinei, panguva ino varwere vakadaro vanogona kuva nevana vachibatsirwa nekudzivirira maitiro. Pakati pevamiririri vorudzi rutsva rweEurope, mumwe wevanhu 25 ndeye anotakura cystic fibrosis gene. Sezvo iri jenesi rakakosha, rinofanira kupiwa nhaka kubva kuvabereki vose nekuda kwezviratidzo zvezvirwere zvezvirwere. Pakati pevamiririri vorudzi rutsva rweEurope, mutakuri wechinokanganisa jeni re cystic fibrosis inenge 1 munhu kunze kwe 25. Vanhu vakadaro vanonzi heterozygous. Havana zviratidzo zvechirwere zvechirwere uye njodzi yekudzidzira cystic fibrosis. Mumiriri akadaro, mukana wekuti vaviri vari vaviri vari vaviri vari vaviri vari vaviri vanove vatakuri vejecha risina kukwana vanosvika 1: 400 (kureva, 1 pavanenge 400). Mumwe nomumwe anotakura ane 50% ngozi yekutumira mutered mutendi kumwana mumwe nomumwe. Kana vaviri vakaroorana vari vaviri vari vatakuri, mwana mumwe nomumwe ane mufananidzo wakajeka wechiitiko chekuwana nhaka yechipfumi.

■ Mungozi ye cystic fibrosis nekuda kwekufa kwemaviri maremai asina kukwana ndea1: 4.

■ Mungozi yekuve mutakuri wegenepa rakakosha kana uchiwana imwe isina kukwana uye rimwe jena rinowanzoita 1: 2.

■ Mukana wekugara nhaka mazamu maviri ega ega uye kuramba usingabatanidzwi nejecha rinokwana-1: 4.

Vanhu vakagara nhaka miviri yakashata yakakwana inonzi homozygous, uye avo vakagara nhaka imwe geni ndeye heterozygous, kana vatakuri. Zvinotakura zvinokonzera kuve nevana vanorwara kana mudiwa wavo anewo chiremera chakakwana. Vanhu vasiri ivo vanotakura geni havazi pangozi yekuvandudza chirwere mumana avo anotevera. Vakaroorana, mune umwe neumwe anotakura, vane mikana ye1: 4 kuti vane mwana anorwara. Kuoma kwechirwere kunogona kusiyana pane zvakasiyana-siyana. Vakawanda varwere vanoongororwa vasati vava nemakore egore, asi hunyoro hwechirwere hunogona kuonekwa munguva yepakati, dzimwe nguva pangozi, painoongororwa nekuda kwekushaya vana. Iyo yakawedzerwa munyu inogadzirwa paganda inogona kushanda sechiratidzo chekuongorora chinonzi cystic fibrosis. Mazuva ano "kuedzwa kwejenya" inoratidzika seanogue yakaoma yeyo nzira yakamboshandiswa nevanyamukuta vakanyengera pahuma yechecheche kuti vaone huwandu hwepamusoro wemunyu mu swe sweat. Kunyange zvakadaro yakave ichizivikanwa kuti huwandu hwemunyu huri chiratidzo chepermonary insufficiency. Cystic fibrosis ndechimwe chezvirwere zvakanyanya kufanana nehutachiona hwehutano husingaenzaniswi pakati pevamiririri vedzinza dema reEurope uye inowanikwa pamusana pevana 1 kuvana vana vakaberekerwa. Haasi marudzi ose emadzinza ane tsvina yakadaro. Semuenzaniso, mune vamiririri veSpanishi kana Latino mhuka, chiitiko chacho ndeche 1 nyaya yevana 9,500 vacheche, uye kune vaAfrica neAsia, pasi pe1 mhosva nevana 50 000 vanozvarwa. Vazhinji vemadzinza avo vakadzidza vane mikana yakaderera yepamusoro kupfuura vamiriri vepeuro yerimwe nyeredzi yeEurope. Zvisinei, zvakaoma kufanotaura huwandu hwehutachiwana muvanhu vakavhengana. Inenge 25 muzana yevagari vomuNorthern Europe ndivo vanotakura zvisikwa zvisina kukwana zve cystic fibrosis. Somuenzaniso, muUnited States, chirwere chinowanikwa mumwana 1 kubva pakuberekwa vana 4 000 (kusanganisira vana vemamwe madzinza, kunze kwemachena).