Ciwon Edwards (trisomy 18): menene menene, halaye da magani

Wadatacce

• Me ke haifar da wannan ciwo
• Babban fasali na ciwo
• Yadda za a tabbatar da ganewar asali
• Yadda ake yin maganin

Edwards Syndrome, wanda aka fi sani da trisomy 18, cuta ce mai saurin yaduwa a cikin kwayar halitta wacce ke haifar da jinkiri ga ci gaban tayin, wanda ke haifar da zubar da ciki ba tare da bata lokaci ba ko kuma mummunar lahani na haihuwa kamar microcephaly da matsalolin zuciya, waɗanda ba za a iya gyara su ba, sabili da haka, ƙasa shekarun rayuwar jariri.

Gabaɗaya, Cutar 'Edwards' Syndrome ta fi yawan faruwa yayin da mace mai ciki ta wuce shekaru 35. Don haka, idan mace ta sami ciki bayan shekaru 35, yana da matukar muhimmanci a samu ci gaba da samun juna biyu a kai a kai tare da likitan haihuwa, don gano matsalolin da ke iya faruwa da wuri.

Abin baƙin cikin shine, Ciwon Edwards ba shi da magani kuma, sabili da haka, jaririn da aka haifa da wannan ciwo yana da ƙarancin ran rai, tare da ƙasa da 10% na iya rayuwa har shekara 1 bayan haihuwa.

Me ke haifar da wannan ciwo

Ciwon Edwards yana haifar da bayyanar kwafi 3 na chromosome 18, kuma galibi akwai kwafi 2 ne kawai na kowane chromosome. Wannan canjin yana faruwa ne kwatsam kuma, saboda haka, baƙon abu ne ga shari'ar ta maimaita kanta a cikin iyali ɗaya.

Saboda cuta ce ta bazuwar ƙwayoyin cuta, Edwards Syndrome ba komai bane face iyaye ga yara. Kodayake ya fi faruwa ga yaran matan da suka yi ciki sama da 35, cutar na iya faruwa a kowane zamani.

Babban fasali na ciwo

Yaran da aka haifa da cututtukan Edwards galibi suna da halaye kamar:

• Karami da kunkuntar kai;
• Baki da ƙananan muƙamuƙi;
• Dogayen yatsu da yatsan hannu mara kyau;
• Feetafafun tafin kafa;
• Tsagaggen magana;
• Matsalar koda, kamar polycystic, ectopic ko hypoplastic koda, koda agenesis, hydronephrosis, hydroureter ko kwafi na ureters;
• Cututtukan zuciya, kamar lahani a cikin septum na ventricular da ductus arteriosus ko cututtukan polyvalvular;
• Rashin hankali;
• Matsalar numfashi, saboda sauye-sauyen tsari ko rashin ɗayan huhu;
• Matsalar tsotsa;
• Kuka mai rauni;
• Weightananan nauyi a lokacin haihuwa;
• Canje-canje na kwakwalwa kamar cyst cerebral, hydrocephalus, anencephaly;
• Fuskantar fuska.

Dikita na iya shakkar cutar ta Edward a lokacin daukar ciki, ta hanyar duban dan tayi da gwajin jini wadanda ke kimanta gonadotrophin chorionic, alpha-fetoprotein da unriojugated estriol a sashin uwa a cikin 1st da 2nd trimester na ciki.

Bugu da kari, amintaccen bayanan yanayin cikin tayi, wanda aka yi a makonni 20 na ciki, na iya nuna nakasawar zuciya, wadanda suke cikin 100% na cututtukan cututtukan Edwards.

Yadda za a tabbatar da ganewar asali

Ganewar cututtukan Edwards yawanci ana yin sa yayin cikin ciki lokacin da likita ya lura da canje-canjen da aka nuna a sama. Don tabbatar da ganewar asali, za a iya yin wasu gwaje-gwaje masu haɗari, kamar su chorionic villus puncture da amniocentesis.

Yadda ake yin maganin

Babu takamaiman magani don cutar ta Edwards, duk da haka, likita na iya ba da shawarar shan magani ko tiyata don magance wasu matsalolin da ke barazana ga rayuwar jariri a makonnin farko na rayuwarsa.

Gabaɗaya, jariri yana cikin raunin lafiya kuma yana buƙatar takamaiman kulawa mafi yawan lokuta, don haka yana iya buƙatar shigar da shi asibiti don karɓar isasshen magani, ba tare da wahala ba.

A Brazil, bayan ganowar cutar, mai juna biyu na iya yanke shawarar yin zubar da ciki, idan likita ya gano cewa akwai hadarin rai ko yiwuwar haifar da manyan matsalolin halayya ga uwar yayin haihuwa.