Rashin lafiyar Russell-Silver

Rashin lafiyar Russell-Silver (RSS) cuta ce da ke faruwa a lokacin haihuwa wanda ya shafi talauci. Wani gefen jiki na iya bayyana kamar ya fi girma fiye da sauran.

Inayan yara 10 da ke da wannan ciwo suna da matsala da ta shafi chromosome 7. A wasu mutanen da ke fama da cutar, yana iya shafar chromosome 11.

Mafi yawan lokuta, yana faruwa ne a cikin mutanen da ba su da tarihin cutar.

Adadin mutanen da suka kamu da wannan yanayin ya bambanta sosai. Maza da mata daidai suke shafar su.

Kwayar cutar na iya haɗawa da:

• Alamomin haihuwa waɗanda launin kawa ne tare da madara (alamomin cafe-au-lait)
• Babban kai don girman jiki, goshi mai faɗi tare da ƙaramar fuska mai siffar alwati uku da ƙarami, kunkuntar chin
  
• Lankwasa ruwan hoda zuwa yatsan zobe
• Rashin yin nasara, gami da jinkirta shekarun kashi
• Weightananan nauyin haihuwa
• Gajeren tsawo, gajerun makamai, yatsu da yatsu masu taurin kai
• Cutar ciki da na hanji kamar su shan ruwa da ƙoshin ciki

Yawancin lokaci ana gano yanayin ta hanyar yarinta. Mai ba da sabis na kiwon lafiya zai yi gwajin jiki.

Babu takamaiman gwaje-gwajen gwaje-gwaje don tantance RSS. Ganewar asali yawanci ana dogara ne akan hukuncin mai ba da yaronka. Koyaya, ana iya yin gwaje-gwaje masu zuwa:

• Sugar jini (wasu yara na iya samun karancin sukari a cikin jini)
• Gwajin shekaru na ƙashi (shekarun ƙashi yana da ƙuruci fiye da ainihin shekarun yaron)
• Gwajin kwayoyin halitta (na iya gano matsalar chromosomal)
• Hormone na ci gaba (wasu yara na iya samun rashi)
• Binciken kwarangwal (don kore wasu sharuɗɗan da zasu iya yin daidai da RSS)

Canjin maye gurbin girma na iya taimakawa idan wannan kwayar ta rasa. Sauran jiyya sun hada da:

• Tabbatar da cewa mutum ya sami isasshen adadin kuzari don hana ƙaran sukarin jini da inganta haɓaka
• Jiki na jiki don inganta sautin tsoka
• Taimakon ilimi don magance nakasar ilmantarwa da matsalolin ƙarancin kulawa da yaro zai iya samu

Masana da yawa na iya shiga cikin kula da mutum da wannan yanayin. Sun hada da:

• Wani likita wanda ya kware akan ilimin halittar gado don taimakawa wajen tantance RSS
• Masanin ilimin gastroenterologist ko likitan ci don taimakawa haɓaka ingantaccen abinci don haɓaka haɓaka
• Masanin ilimin kimiyya don tsara hormone girma
• Mai ba da shawara kan dabi'un halitta da kuma ilimin halayyar dan adam

Manya yara da manya ba sa nuna fasali irin na yara ko ƙananan yara. Hankali na iya zama na al'ada, kodayake mutum na iya samun nakasar karatu. Laifin haihuwa na hanyar fitsari na iya kasancewa.

Mutanen da ke da RSS na iya samun waɗannan matsalolin:

• Taunawa ko wahalar magana idan jaw ya yi ƙanƙan
• Rashin ilimi

Kira mai ba da yaron idan alamun RSS suka ci gaba. Tabbatar ana auna tsayi da nauyin yaro yayin kowane ziyarar kula da yara. Mai ba da sabis ɗin na iya tura ka zuwa:

• Kwararren masanin kwayar halitta don cikakken kimantawa da karatun chromosome
• Masanin ilimin likitancin yara don kula da matsalolin ci gaban ɗanka

Ciwon Silver-Russell; Ciwon azurfa; RSS; Rashin lafiyar Russell-Silver

Haldeman-Englert CR, Saitta SC, Zackai EH. Cutar chromosome. A cikin: Gleason CA, Juul SE, eds. Cututtukan Avery na Jariri. 10 ed. Philadelphia, PA: Elsevier; 2018: babi na 20.

Wakeling EL, Brioude F, Lokulo-Sodipe O, et al. Ganewar asali da gudanar da ciwo na Silver-Russell: sanarwa ta farko ta yarjejeniya ta duniya. Nat Rev Endocrinol. 2017; 13 (2): 105-124. PMID: 27585961 pubmed.ncbi.nlm.nih.gov/27585961/.