Yayin da Your Hypothalamus Ba Mai iya yin aiki da kyau
Kullmann ciwo yana shafar maza sau da yawa fiye da mata, yana da kusan 1 a cikin 8,000 zuwa 10,000 maza da 1 a 40,000 zuwa 70,000 mata a dukan duniya.
Kwayar Kallmann za a iya gaji ko zai iya faruwa a wani wanda ba tare da tarihin iyali na cuta ba. Mafi kyawun gado shine siffar X -linked . Kalmar KAL1 a kan X chromosome tana da alhakin wannan nau'i.
Kashi na gaba wanda yafi kowa ya kasance saboda maye gurbi a cikin mahaifa KAL2 akan chromosome 8. An hade shi a hanya mafi rinjaye . Matsayi na uku na kallin Kallmann ne saboda maye gurbin ƙwayar KAL3 kuma an gaji shi a matsayin ƙazantattun cututtuka . Ba a gano ainihin wuri na layin KAL3 ba.
Cutar cututtuka
A cikin ciwon Kallmann, wani ɓangare na kwakwalwa, hypothalamus, ba zai iya yin aiki yadda ya kamata ba. Wannan yana haifar da bayyanar cututtuka kamar:
- rashin cin nasara ta hanyar balaga
- babu wata ma'ana (anosmia) ko mai rauni sosai ga warkarwa (gurguzu)
- gwajin da ba a yarda ba (cryptorchidism) cikin maza
- karamin azzakari ( microphallus ) cikin maza
- hani ba farawa a cikin mata (wanda ake kira amintarya na farko)
- motsi daya na hannayensu (wanda ake kira synkinesis bimanual) yana shafar kashi daya cikin biyar na maza tare da rashin lafiya
Akwai wasu bayyanar cututtuka da ke faruwa sau da yawa, kamar a haife shi tare da koda daya ko ciwon osteoporosis (kasusuwa rauni).
Sanin asali
Idan wani ya kasa yin tafiya ta hanyar balaga, an kira shi zuwa wani likitancin likita don ganewa da kulawa. Wannan likita ya ƙware ne a cikin cututtukan hormone kuma zai iya ƙayyade dalilin da ya sa balaga ba ta faru ba.
Akwai dalilai da dama da ya sa wani zai iya wucewa. Duk da haka, ƙwayar Kallmann ita kadai ne da ke haɗe da ƙwarewa.
Yawanci sauƙin ƙayyade idan ƙwayar cuta ta Kallmann zata kasance ta wurin yin gwajin ƙanshi.
Akwai gwaje-gwaje iri biyu. Ɗaya yana amfani da ƙananan kwalabe waɗanda ke da abubuwa daban-daban a cikinsu; wannan gwajin ta yi amfani da katunan zane-zane. Dukansu gwaje-gwaje sunyi amfani da abubuwa da suke da karfi da yawa wanda mafi yawan mutane ya san, irin su kofi. Idan mutumin da aka gwada yana da wariyar ƙanshi, to wata cuta ba tare da ciwon Kallmann ba.
Binciken ta jiki zai nuna ko jarrabawar marasa lafiya ko ƙananan magunguna suna samuwa a cikin namiji. Tarihin tarihin tarihin Kallmann ciwon zai zama muhimmiyar alama ga ganewar asali. An gwada gwajin jini don auna ma'aunin hormone na luteinizing (LH) da kuma hormone mai ruɗi (FSH), da testosterone ko estrogen. Duk waɗannan hormones suna da mahimmanci don bunkasa jima'i. Raƙan ƙananan matakan waɗannan hormones yana nufin akwai matsala tare da ko dai hypothalamus ko gurguntaccen kwakwalwa cikin kwakwalwa.
A cikin ciwo na Kallmann, rashin jin ƙanshi shine saboda rashin tsarin da ake kira kwararan fitila a cikin kwakwalwa. Hoto bayanan fuska mai haske (MRI) zai iya nuna ko wadannan siffofin suna a nan ko babu.
Jiyya
Jiyya na ciwo na Kallmann na mayar da hankali kan maye gurbin hormones da suka rasa.
Ga maza, ko dai testosterone ko hCG an ba su ta hanyar allura a kan jadawali. Ga mata, ana daukar kwayar neradio ne kullum. Ana daukar nauyin Allunan Progesterone kowace rana don kwanaki 14 na kowanne wata don ƙirƙirar haɗuwa. Ƙarin madaurin ɗaukar nau'i biyu na Allunan suna amfani da kwayoyin hana daukar ciki wanda ke dauke da isrogen da progesterone. Ga maza da mata, wasu jiyya suna samuwa ga rashin haihuwa. Amfani da lafiyar mutanen da ke tare da ciwo na Kallmann ya ba su damar samun lafiyar haihuwa.
Sources:
> AbuJbara, Mousa, Hanan Hamamy, Nadim Jarrah, > Nadima >> Shegem >, & Kamel Ajlouni. "Bayanin asibiti da gado na lalacewar Kallmann a Jordan." Lafiya ta jiki 1 (2004): ePub.
> "Kallmann Syndrome." Ƙarin Bayanan Ciwon Ƙari. Ƙungiyar Ƙungiyar Ƙananan Raunuka. 6 Feb 2008
> Saunders, Mark. "Fahimtar Ciwo na Kallmann - Amsar Tambayoyi." HYPOHH.net. 1997. HYPOHH.net. 6 Feb 2008