Ciwon Turner

Cututtukan Turner wani yanayi ne mai wuya wanda mace ba ta da nau'ikan ch chromosomes irin na X.

Adadin yawan chromosomes na mutum 46. Chromosomes sun ƙunshi duka kwayoyin halittar ku da DNA, tubalin ginin jiki. Biyu daga cikin wadannan chromosomes din, jinsin chromosomes na jima'i, suna tantance idan ka zama saurayi ko yarinya.

• Mata yawanci suna da 2 na chromosomes na jinsi, wanda aka rubuta a matsayin XX.
• Maza suna da X da Y chromosome (an rubuta su XY).

A cikin cutar ta Turner, ƙwayoyin sun ɓace duka ko ɓangare na ch chromosome na X. Yanayin yana faruwa ne kawai a cikin mata. Mafi yawanci, mace mai cutar Turner tana da chromosome 1 X kawai. Wasu na iya samun chromosomes 2 X, amma ɗayansu bai cika ba. Wani lokaci, mace tana da wasu ƙwayoyin halitta tare da chromosomes 2 X, amma sauran ƙwayoyin suna da 1 kawai.

Abubuwan da ake iya ganowa na kai da wuya sun hada da:

• Kunnuwa sun yi kasa-kasa.
• Wuyan yana bayyana mai fadi ko kama da yanar gizo.
• Rufin bakin yana da kunkuntar (babban palate).
• Layin gashi a bayan kai yana ƙasa.
• Jawananan muƙamuƙi yana ƙasa kuma yana bayyana kamar zai shuɗe (ja da baya).
• Lare idanun ido da busassun idanu.

Sauran binciken na iya haɗawa da:

• Yatsun hannu da na yatsu gajeru ne.
• Hannuwa da ƙafa sun kumbura cikin jarirai.
• Ilsusususususususussasዘርkan kuma juya sama.
• Kirji yana da faɗi kuma faɗi ne. Nono ya bayyana sosai.
• Hawan lokacin haihuwa ba shi da yawa fiye da matsakaici.

Yarinyar da ke da cutar Turner ya fi guntu fiye da yara waɗanda suke tsara ɗaya da jinsi. Wannan shi ake kira gajere. Ba za a iya lura da wannan matsalar a cikin 'yan mata kafin su kai shekaru 11 ba.

Balaga na iya kasancewa a rashi ko ba cikakke ba. Idan balaga ta auku, galibi yakan fara ne a lokacin al'ada. Bayan shekarun balaga, sai dai in an yi maganinsu da homonin mata, waɗannan binciken za su iya kasancewa:

• Gashi na yawanci yakan kasance kuma al'ada.
• Ci gaban nono bazai yiwu ba.
• Lokacin al'ada ba ya nan ko haske sosai.
• Bushewar farji da zafi tare da ma'amala sun zama gama gari.
• Rashin haihuwa.

Wani lokaci, ba za a iya yin gwajin cutar Turner ba har sai lokacin da ya girma. Ana iya gano shi saboda mace tana da haske sosai ko babu lokacin al'ada da matsalolin yin ciki.

Ana iya bincikar cutar Turner a kowane mataki na rayuwa.

Ana iya bincikar shi kafin haihuwa idan:

• Ana yin nazarin chromosome yayin gwajin haihuwa.
• Cystic hygroma shine ci gaban da ke faruwa sau da yawa a yankin kai da wuya. Ana iya ganin wannan binciken akan duban dan tayi yayin daukar ciki kuma yana haifar da karin gwaji.

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya nemi alamun rashin ci gaba. Yaran da ke fama da cutar Turner galibi suna da kumbura hannaye da ƙafa.

Za a iya yin gwaje-gwaje masu zuwa:

• Matakan hawan jini (homonin luteinizing, estrogen, da hormone mai motsa jiki)
• Echocardiogram
• Karyotyping
• MRI na kirji
• Duban dan tayi na gabobin haihuwa da koda
• Jarrabawar Pelvic

Sauran gwaje-gwajen da za a iya yi lokaci-lokaci sun haɗa da:

• Binciken jini
• Binciken thyroid
• Gwajin jini don lipids da glucose
• Gwajin ji
• Gwajin ido
• Gwajin ƙarfin ƙashi

Hormone na ci gaba na iya taimaka wa yaro mai cutar Turner ya yi girma.

Estrogen da sauran kwayoyin halittar ana fara su ne lokacin da yarinyar ta kai shekaru 12 ko 13.

• Wadannan suna taimakawa wajen haifarda girman nono, gashi, wasu halaye na jima'i, da girman su.
• Ana ci gaba da maganin Estrogen a rayuwa har zuwa lokacin jinin al'ada.

Mata masu fama da cutar Turner waɗanda ke son yin ciki na iya yin la'akari da amfani da ƙwai mai bayarwa.

Mata masu fama da cutar Turner na iya buƙatar kulawa ko kulawa don matsalolin kiwon lafiya masu zuwa:

• Tsarin keloid
• Rashin ji
• Hawan jini
• Ciwon suga
• Rage kasusuwa (osteoporosis)
• Fadada al'aura da takaita bawul aortic
• Ciwon ido
• Kiba

Sauran batutuwa na iya haɗawa da:

• Gudanar da nauyi
• Motsa jiki
• Canji zuwa girma
• Damuwa da damuwa akan canje-canje

Waɗanda ke fama da cutar Turner na iya samun rayuwa ta yau da kullun yayin da mai ba su kulawa ke kulawa.

Sauran matsalolin kiwon lafiya na iya haɗawa da:

• Ciwan thyroid
• Matsalar koda
• Ciwon kunne na tsakiya
• Scoliosis

Babu wata hanyar da aka sani don hana cutar Turner.

Bonnevie-Ullrich ciwo; Gonadal dysgenesis; Monosomy X; XO

• Karyotyping

Bacino CA, Lee B. Cytogenetics A cikin: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 98.

Sorbara JC, Wherrett DK. Rikicin ci gaban jima'i. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: babi 89.

Styne DM. Ilimin halittar jiki da rikicewar balaga. A cikin: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 26.