M'nkhaniyi, tikambirana za trisomy 18, yomwe imatchedwanso Edwards syndrome.
Kodi mungapeze bwanji trisomy pa chromosome 18?
Kuwona kupotoka kotereku kwa chitukuko cha mwana pamtundu wa jini, monga trisomy 18, kungatheke poyang'ana pa 12-13 ndi masabata 16-18 (tiyerekeze kuti tsikulo lapititsidwa kwa sabata limodzi). Zimaphatikizapo kuyesa magazi ndi ultrasound.
Kuopsa kwa mwana yemwe ali ndi trisomy 18 mwa mwanayo kuti apatsidwe pang'onopang'ono ndi mtengo wapatali wa hormone yaulere b-hCG (chorionic gonadotropin) yatsimikizika. Mlungu uliwonse, chizindikirochi n'chosiyana. Choncho, kuti mulandire yankho lolondola kwambiri, muyenera kudziwa nthawi yomwe mumatenga mimba. Mungathe kuganizira mfundo zotsatirazi:
Pakangotha masiku angapo mutayesedwa, mutha kupeza zotsatira zomwe zidzasonyezedwe, ndizotheka kuti mukhale ndi trisomy 18 ndi zina zosayembekezereka m'mimba. Iwo akhoza kukhala otsika, achibadwa kapena okwezeka. Koma izi siziri zotsimikizirika, chifukwa chakuti ziwerengero zosawerengeka zakhala zikupezeka.
Paziopsezo zambiri, muyenera kufunsa kafukufuku wa chibadwa amene angapereke kafukufuku wowonjezereka kuti adziwe ngati alipo kapena alibe kusiyana kwa ma chromosome.
Zizindikiro za trisomy 18
Chifukwa chakuti kufufuza ndiko kulipira malipiro ndipo nthawi zambiri kumapereka zotsatira zolakwika, osati amayi onse apakati amachita. Ndiye kukhalapo kwa matenda a Edwards mwa mwana kumatha kudziwika ndi zizindikiro zina zakunja:
- Kuchuluka kwa nthawi ya mimba (masabata 42), pomwe ntchito yochepa ya fetus ndi polyhydramnios zinapezeka.
- Pa kubadwa, mwanayo ali ndi thumba laling'ono (2-2.5 makilogalamu), choyimira mutu (dolichocephalic), mawonekedwe osasinthasintha a nkhope (pamutu wapansi, nsapato zapang'onopang'ono ndi pakamwa kakang'ono), ndi ziboda zokopa ndi zala zokopa.
- Kufooka kwa miyendo ndi zolakwika za ziwalo zamkati (makamaka mtima) zimawonedwa.
- Popeza ana omwe ali ndi trisomy 18 ali ndi vuto lalikulu lakuthupi, amangokhala kanthawi kochepa (patapita zaka 10 okha 10% amakhalabe).