Mecece Ciwon VATER?

Wadatacce

• Bayani
• Me ke kawo shi?
• Menene alamun?
• Launin Vertebral
• Lalacewar dubura
• Lahani na zuciya
• Ciwon ƙwayar cuta na Tracheoesophageal
• Lahani na koda
• Bananan nakasa
• Sauran bayyanar cututtuka
• Yaya ake gane shi?
• Menene hanyoyin magancewa?
• Outlook

Bayani

Ciwon VATER, galibi ana kiransa VATER tarayya, rukuni ne na lahani na haihuwa waɗanda galibi ke faruwa tare. VATER a takaice ne.Kowace harafi tana tsaye ga wani sashi na jikin da abin ya shafa:

• vertebrae (kashin baya)
• dubura
• tracheoesophageal (trachea da kuma esophagus)
• koda (koda)

Ana kiran ƙungiyar VACTERL idan zuciya (zuciya) da gabobin jiki suma sun shafi. Kamar yadda wannan yake yawanci lamarin, VACTERL shine mafi daidaitaccen lokaci.

Don kamuwa da cutar VATER ko ƙungiyar VACTERL, dole ne jariri ya sami lahani na haihuwa a cikin aƙalla uku daga cikin waɗannan yankuna.

Ungiyar VATER / VACTERL ba safai ba. An kiyasta kimanin 1 daga cikin jarirai 10,000 zuwa 40,000 an haife su tare da wannan rukuni na yanayin.

Me ke kawo shi?

Doctors ba su san ainihin abin da ke haifar da VATER ba. Sun yi imanin cewa lahani na faruwa da wuri a cikin ciki.

Haɗuwa da ƙwayoyin halittu da abubuwan muhalli na iya kasancewa. Babu wata kwayar halitta da aka gano, amma masu bincike sun gano wasu ƙananan abubuwan rashin lafiyar chromosomal da canjin canjin yanayi (maye gurbi) da ke da alaƙa da yanayin. Wasu lokuta fiye da mutum ɗaya a cikin iyali ɗaya za a shafa.

Menene alamun?

Alamomin cutar sun dogara da lahani da jariri yake dashi.

Launin Vertebral

Har zuwa kashi 80 na mutanen da ke da ƙungiyar VATER suna da lahani a ƙashin kashin bayansu (vertebrae). Wadannan matsalolin na iya haɗawa da:

• kasusuwa masu ɓaci a cikin kashin baya
• karin kasusuwa a cikin kashin baya
• kasusuwa masu siffa mara kyau
• kasusuwa waɗanda suke haɗuwa tare
• mai lankwasa kashin baya (scoliosis)
• karin hakarkarin

Lalacewar dubura

Tsakanin kashi 60 zuwa 90 na mutanen da ke da ƙungiyar VATER suna da matsala ta duburar su, kamar su:

• wani siririn sutura akan dubura wanda ke toshe buɗewa
• babu wata hanyar wucewa tsakanin kasan babban hanji (dubura) da dubura, saboda haka tabo ba zai iya wucewa daga hanjin daga jiki ba

Matsaloli tare da dubura na iya haifar da bayyanar cututtuka kamar:

• ciki mai kumbura
• amai
• babu motsin hanji, ko 'yan hanji kaɗan

Lahani na zuciya

"C" a cikin VACTERL yana nufin "cardiac." Matsalar zuciya ta shafi kashi 40 zuwa 80 na mutanen da ke da wannan matsalar. Waɗannan na iya haɗawa da:

• Defectarfin ɓarna na Ventricular (VSD). Wannan rami ne a bangon wanda ya raba ɗakunan dama da hagu na zuciya (ventricles).
• Defectunƙarar raunin atrial Wannan shine lokacin da rami a bango ya raba ɗakunan sama biyu na zuciya (atrium).
• Tetralogy na Fallot. Wannan haɗuwa ne da lahani na zuciya guda huɗu: VSD, kara girman bawul (overriding aorta), taƙaitaccen bawul na huhu (huhun huhu), da kuma kaurin ƙyamar dama (madaidaiciyar hawan jini).
• Cutar cututtukan zuciya na hagu. Wannan shine lokacin da gefen hagu na zuciya baya yin tsari yadda ya kamata, yana hana jini yawo ta cikin zuciya.
• Patent ductus arteriosus (PDA). PDA na faruwa ne lokacin da akwai buɗewar mahaukaciya a ɗayan jijiyoyin jini na zuciya wanda ke hana jini zuwa huhu ya ɗauki oxygen.
• Canjin manyan jijiyoyin jini. Manyan jijiyoyin biyu daga zuciya suna baya (an sanya su).

Kwayar cututtukan zuciya sun hada da:

• matsalar numfashi
• karancin numfashi
• launin shuɗi zuwa fata
• gajiya
• bugun zuciya mara kyau
• saurin bugun zuciya
• gunaguni na zuciya (sauti mai sauti)
• rashin cin abinci mara kyau
• babu riba

Ciwon ƙwayar cuta na Tracheoesophageal

Fistula mahaɗi ne mara kyau tsakanin trachea (ƙoshin iska) da ƙoshin ciki (bututun da ke ɗaukar abinci daga baki zuwa ciki). Wadannan tsarin guda biyu basu saba haduwa kwata-kwata ba. Yana tsoma baki tare da abinci wucewa daga maƙogwaro zuwa ciki, yana karkatar da wasu abinci zuwa huhu.

Kwayar cutar sun hada da:

• shakar abinci a cikin huhu
• tari ko shaƙewa yayin ciyarwa
• amai
• launin shuɗi zuwa fata
• matsalar numfashi
• kumbura ciki
• ƙarancin nauyi

Lahani na koda

Kimanin kashi 50 na mutanen da ke da cutar VATER / VACTERL suna da lahani na koda. Waɗannan na iya haɗawa da:

• koda (s) mara kyau
• kodan da suke cikin wuri mara kyau
• toshewar fitsari daga cikin koda
• ajiyar fitsari daga mafitsara zuwa koda

Lalacewar koda na iya haifar da cututtukan urinary da yawa. Hakanan yara maza na iya samun nakasu wanda buɗewar azzakarin nasu yana a ƙasan, maimakon a ƙarshen (hypospadias).

Bananan nakasa

Har zuwa kashi 70 na jariran da ke da cutar ta VACTERL suna da nakasa a hannu. Waɗannan na iya haɗawa da:

• ɓace ko ɓatattun yatsu
• fingersarin yatsu ko yatsu (polydactyly)
• yatsun hannu ko yatsun kafa (a dunƙule)
• ƙananan ci gaban kafa

Sauran bayyanar cututtuka

Sauran, mafi yawan alamun bayyanar ƙungiyar VATER sun haɗa da:

• jinkirin girma
• rashin yin kiba
• siffofin fuska mara kyau (asymmetry)
• lahani na kunne
• huhu lahani
• matsaloli ta farji ko azzakari

Yana da mahimmanci a lura cewa ƙungiyar VATER / VACTERL ba ta shafar ilmantarwa ko haɓaka ilimi.

Yaya ake gane shi?

Saboda ƙungiyar VATER gungu ce ta yanayi, babu wani gwajin da zai iya tantance ta. Doctors yawanci suna yin ganewar asali dangane da alamun asibiti da alamun cutar. Jarirai masu wannan yanayin suna da aƙalla VATER ko VACTERL masu lahani. Yana da mahimmanci a kawar da wasu rikice-rikice na kwayar halitta da yanayin da zai iya raba fasali tare da ƙungiyar VATER / VACTERL.

Menene hanyoyin magancewa?

Magani ya dogara ne da wane nau'in lahani na haihuwa da ke ciki. Yin aikin tiyata na iya gyara yawancin lahani, gami da matsaloli tare da buɗewar dubura, ƙasusuwan kashin baya, zuciya, da koda. Yawancin lokaci ana yin waɗannan hanyoyin jim kaɗan bayan an haifi yaron.

Saboda ƙungiyar VATER ta ƙunshi tsarin jiki da yawa, wasu fewan likitoci daban-daban sun kula da shi, gami da:

• likitan zuciya (matsalolin zuciya)
• gastroenterologist (GI fili)
• likitan kasusuwa (kasusuwa)
• likitan urologist (kodoji, mafitsara, da sauran sassan tsarin fitsari)

Yaran da ke da ƙungiyar VATER galibi suna buƙatar sa ido da kulawa na tsawon rayuwa don hana matsalolin gaba. Hakanan suna iya buƙatar taimako daga ƙwararru kamar likitan kwantar da hankali da ƙwararren likita.

Outlook

Hangen nesa ya dogara da wane nau'in lahani mutum, da kuma yadda ake magance waɗannan matsalolin. Sau da yawa mutane tare da ƙungiyar VACTERL suna da alamun bayyanar cututtuka a duk rayuwarsu. Amma tare da magani mai kyau, zasu iya haifar da rayuwa mai kyau.