Neonatal Screening

Sekare mumazuva mashomanana ekutanga ehupenyu, mwana achangoberekwa ari kumirira kuongororwa kwemvumo - neonatalatal kuongorora zvirwere zvinowanikwa nhaka, kana kuti "chengetedzo yesero." Iyi nzira yekutsvaga inotibvumira kuziva kuti pane danga rekutanga kune zvirwere zvakakomba izvo kwenguva refu hazviratidze chero zviratidzo zvekunze. Zvichakadai, izvi zvinogona kuwedzera kukura kwehupenyu hwemwana mune ramangwana uye zvinoda kuitwa nokukurumidza.

Iko "madzimambo kuedzwa" kunoitwa sei?

Neonatalatal screening, mwana anotora ropa kubva chitsitsinho kwemazuva 3-4 ehupenyu, muvana vasati vaona kuongorora kunoitwa 7-14 mazuva mushure mokuberekwa maawa matatu mushure mokudya.

Shanduro yeropa sampuli inowanikwa uchishandisa fomu chaiyo-pepa fomu. Pachimiro chacho zvinoratidzirwa zvirwere, izvo zvinongororwa, nenzira yezvidiki zviduku.

Ndezvipi zvirwere zvinogona kuona kuongorora machecheche?

Munguva yevanaonatal ekuongorora vana vechecheche, kuvapo kwe-5 kusangana kwezvirwere kunokonzerwa. Mune zvimwe zviitiko, nhamba yavo inogona kuva yakakura zvikuru. Heano zvirwere zvikuru zvinogona kuratidza "chengetedzo test":

  1. Adrenogenital syndrome, kana congenital kudzvinyirira kwe adrenal cortex. Iyi chirwere chakakomba chinogona kwenguva refu kwazvo chisingazviratidzi mairi nenzira ipi zvayo, zvisinei, panguva yekuyaruka, kukura kwevechiri kuyaruka kwezvikamu zvepabonde kunokanganiswa. Kana pasina mushonga, ACS inogonawo kutungamirira pakurasikirwa nemunyu netsvo, mumamiriro ezvinhu akaoma izvi zvinotungamirira kurufu.
  2. Galactosemia ndiko kusakosha kana kusavapo mumuviri wemakemikari anodiwa pakugadzirwa kwegalactose mu glucose. Mwana wacho anoratidzwa kudya kwemazuva ose kunokonzera zvachose mukaka nemishonga yose yemisi ine galactose.
  3. Congenital hypothyroidism chirwere chakakomba chetroroid gland. Neye, mwana haaiti mahomoni ane utachiwana akakwana, izvowo, zvinotungamirira kunonoka mukugadzirwa kwemaitiro akawanda uye nhengo. Pasina kurapwa, chirwere ichi chinokonzera kuremara uye kuchera kwepfungwa.
  4. Cystic fibrosis inoratidzika nehuwandu hwekuwedzera kwema immunoreactive trypsin muropa. Chirwere ichi chinogona kutungamirira kune zvinetso zvakakomba zvekudya uye kuporesa zvirongwa, pamwe nemaronda ependocrine.
  5. Mu phenylketonuria , muviri hauna enzyme inokonzera cleavage ye amino acid phenylalanine. Nekuwedzerwa kwakanyanya kweiyo zvinhu muropa remwana, ese nhengo dzomukati dzinotambudzwa, kutadza kwepfungwa kunowedzera, uropi hunofa.

Vana vakadaro ndevokurambidzwa upenyu kuti vadye chero michina ine proteine, kusanganisira nyama, hove, mukaka, nezvimwe; nokuti mishonga yavo yakagadzirwa nemishonga inorapwa inogadzirwa pasina phenylalanine.

Migumisiro yemaonatal ekuongorora, kana kusina kwekukanganisa mavari, hazviziwi kuvabereki vemucheche. Zvisinei, kana pakaonekwa chero chirwere chipi nechipi, kuedzwa kunowanzoitwa nokukurumidza, izvo zvinoita kuti zvikwanise kubvisa kukanganisa kwekukanganisa. Panosimbisa hutachiona, matanho anofanira kutorwa nokukurumidza, nokuti zvirwere izvi zvose zvakanyanya kukanganisa, uye kurapa kwavo kunofanira kutanga sekutanga.