CCHS mummunar numfashi ne wanda zai fara a farkon rayuwar
Ciwon kwantar da jini na al'ada (CCHS), wanda aka fi sani da ciwon Ondine, shi ne cuta wanda zai rinjaye ka ikon numfashi. Mutanen da ke tare da CCHS suna da matsala ta numfashi sosai, musamman yayin barci. Maimakon yin numfashiwa a kai a kai, mutane da CCHS sun shayar da su (dauki motsa jiki mara kyau), wanda ya rage yawan oxygen a cikin jini kuma ya kara yawan matakan carbon dioxide.
An kiyasta CCHS game da mutane 1,000. Duk da haka, wannan lambar zai iya zama mafi girma kamar yadda masu bincike suka yi imani cewa wasu lokuta na rashin mutuwa na yara ba tare da kwatsam ba (SIDS) na iya zama CCHS ba tare da sanin su ba. Rabawar cutar ta jiki (PHOX2B) an hade shi da ciwon cututtuka na tsakiya na hypoventilation. Wannan kwayar ta haifar da samfurin neuron a cikin tsarin mai juyayi. Dama a cikin wannan jinsi zai iya bayyana dalilin da yasa wani da ke tare da CCHS yana da matsala wajen daidaita numfashi.
CCHS shine yanayin kwayoyin halitta . Iyaye daya kawai ya sauko da kwayoyin don yaro yaro. Duk da haka, kashi 90 cikin dari na lokuta yakan haifar da sabon maye gurbin - ma'anar cewa ba a taɓa sauka ba.
Kwayoyin cututtuka na CCHS
Yarin da aka haifa da bayyanar CCHS na iya kasancewa daga m zuwa mai tsanani, kuma yana iya haɗawa da:
- Rashin numfashi mara kyau ko rashin cikakkiyar numfashi marar lahani, musamman lokacin barci
- Yaran yara maras kyau (70 bisa dari na mutane)
- Cutar da wahala saboda haɓakar acid kuma rage motility na hanji
- Hirschsprung cuta, cuta na hanji wanda ya sa ya zama matukar wuya a shiga kaso (kashi 20 cikin dari na mutane)
- Rage ikon iya ji zafi
- Halayen ƙara karuwa
- Low jiki jiki
- A takaice, mai girman fuska mai siffar akwatin
- Matsalolin ƙwarewa
Samun Bincike
Domin a gano shi tare da ciwo na tsakiya na hypoventilation, wadannan alamun bayyanar dole ne su kasance:
- Bayani mai tsanani na rashin talauci a lokacin barci
- Cutar cututtuka da suka fara a farkon shekara ta rayuwa
- Babu wani yanayi na numfashi ko yanayin ƙwayoyin cuta wanda zai iya lissafa matsalolin numfashi
- Babu tabbacin cututtukan zuciya.
Wasu jarirai tare da CCHS za a iya kuskuren zaton sunyi mummunar zuciya ko kuma suna da wani nau'i na matsalar numfashi. Za a iya gane ganewar asali ta hanyar gwajin kwayoyin cutar ta PHOX2B.
Biyan CCHS
Idan ana zargin CCHS, binciken binciken barci zai iya taimakawa wajen ƙayyade yadda matsaloli mai mahimmancin numfashi suke, da kuma abin da za a buƙace su. Wasu gwaje-gwaje na musamman na aikin numfashi na iya gudanar da su. Cikakken zuciya da bincike na kwayoyin halitta na iya yin watsi da kowane nau'i na numfashi ko ƙwayar cuta. Sakamakon asirin farko da magani yana da mahimmanci don hana rikitarwa mai tsanani da ke haifar da lokacin rashin ƙarfi ko babu oxygen.
Jiyya yana mayar da hankali ga samar da goyon bayan numfashi, yawanci ta hanyar yin amfani da respirator (ventilator). Yawancin mutane tare da CCHS zasu buƙaci trachenomy . Wasu yara tare da CCHS zasu buƙaci fansa 24 hours a kowace rana. Sauran iya buƙatar taimako na numfashi lokacin barci. A wasu mutane, ƙwaƙwalwar jiki a cikin ƙwayar ƙwaƙwalwar ƙwayar cuta zai iya ƙyale motsin wutar lantarki na tsoka don sarrafa numfashi.
Yara da CCHS suna iya jagorancin rayuwar masu aiki. Suna yin, duk da haka, suna buƙatar kulawa ta kusa yayin yin iyo ko wasa a cikin tafki, tun da jikinsu zasu manta da numfashi yayin da suke karkashin ruwa. CCHS wani yanayi ne na rayuwa wanda yake buƙatar kulawa da sauri da tsayayya da magani. Ta hanyar karɓar yanayin da wuri da kuma biyan tsarin kulawa, waɗanda ke da yanayin zasu iya samun matsayi na rayuwa.
Sources:
Gozal, D. (2002). Ondine la'ana. eMedicine.
J Amiel, B Laudier, T Attié-Bitach, H Trang, L de Pontual, B Gener, D Trochet, H Etchevers, P Ray, M Simonneau, M Vekemans, Munnich, C Gaultier & S Lyonnet. (Maris 17, 2003). Haɓakar Polyalanine da sake maye gurbin jigilar kwayoyin cutar kamar yadda PHOX2B ke ciki a cikin ciwo na tsakiya na hypoventilation. Yanayin Genetics , a layi.
Ma'anar Gidajen Genetics. Ciwon kwakwalwa na rashin lafiya na tsakiya. (2008)