Multifactorial matenda, chibadwa ndi kuchuluka kwawo

matenda Gene otchedwa sakanikira mawonetseredwe matenda a gulu la matenda oyamba ndi chikoka cha masinthidwe pa mlingo jini lapansi. Tiyenera kuganiziranso gulu la matenda otengera kumtundu omwe angabuke ndi kukhala pa maziko a chilema zida za chibadwa maselo, ndiponso zochita za zinthu chowawa chilengedwe.

ndi multifactorial matenda otengera Kodi

Mwachindunji, gulu la matenda ndi imodzi bwino kusiyana kwa matenda mbewu. matenda Multifactorial kuonekere pansi zinthu chokhwima zachilengedwe. Akatswiri ena amati n'zotheka kuti kutengera za kumtundu zisadzachitike nthawi kupatula zinthu aliyense zachilengedwe.

Etiology ndiponso chibadwa cha matenda multifactorial ndi zovuta, magwero ndipo ali ndi dongosolo multistage angakhale osiyana pa nkhani iliyonse ya matenda makamaka.

Zosiyanasiyana multifaktorianyh pathologies

Conventionally multifactorial matenda otengera angathe kugawidwa:

• malformations mbadwa;
• matenda a ubongo ndi khalidwe wamanjenje;
• matenda obwera ndi ukalamba.

Malinga chiwerengero cha chibadwa nawo kudwala ndi kulekanitsidwa:

• Monogenic matenda - ndi chimodzi mutated jini, amene amalenga kumakhala kutengera ndi matenda makamaka. Ku matenda mu nkhani iyi kuyamba kukhala, izo zidzakhala zofunikira mavuto enieni chinthu zachilengedwe. Iyi ndi thupi, mankhwala, kwachilengedwenso kapena mankhwala zotsatira. Ngati panalibe chinthu zenizeni, ngakhale jini ZOOPSA ndi matendawa bbwino. Ngati munthu alibe jini tizilombo, koma poyera kuti zinthu zina zachilengedwe, matenda nazonso osadzuka.
• matenda Polygenic cholowa kapena multifactorial kuvutika matenda anatsimikiza majini ambiri. Action multifactorial makhalidwe kungakhale discontinuous kapena mosalekeza. Koma aliyense wa matenda angayambe okha mogwirizana kwa majini ambiri tizilombo ndi zinthu zachilengedwe. Normal makhalidwe a anthu, monga nzeru, kutalika, kulemera, mtundu wa khungu, ali mosalekeza multifactorial makhalidwe. Wakutali kobadwa nako malformations (mphanga mlomo ndipo m'kamwa), matenda obadwa nawo a mtima, ubongo zopindika chubu, polirostenoz, matenda oopsa, zilonda matenda chilonda, ndi ena ndi zochitika apamwamba mu achibale kuposa anthu ambiri. Multifactorial matenda, zitsanzo zomwe zalembedwa pamwambapa ndi "wosweka" makhalidwe multifactorial.

matenda MD

Oterewa matenda multifactorial ndi udindo wa majini kuthandiza osiyanasiyana kafukufuku. Mwachitsanzo, phunziro la banja, umene madotolo kumapeto, chiphunzitso cha "banja khansa", kuti zochitika komwe mkati pedigree limodzi m'mene mobwerezabwereza milandu matenda oopsa mwa achibale.

Madokotala amakonda amachita kuphunzira mapasa. Njira imeneyi ndi monga wina, limachititsa ntchito deta ndi zokhudza chikhalidwe cholowa cha matenda.

Kuphunzira matenda multifactorial, asayansi ambiri samalingalira kuphunzira kulumikizana kwa pakati pa matenda ndi dongosolo majini, ndi kusanthula pedigree.

i Chitsanzo kwa MDs

• Mlingo wa ubale kumakhudza mwachindunji Mwina wa matenda mu achibale, umene ndi wachibale wapafupi ndi kwa mtima (mawu majini), wamkulu mosavuta matenda.
• chiwerengero cha odwala ku banja amakhudza ngozi ya matenda a mwa abale wodwalayo.
• Kuopsa kwa matenda wathuyo m'banja amakhudza madokotala ananena zawo chibadwa.

Matenda okhudzana multifactorial

Matenda multifactorial monga:

- Bronchial mphumu - matenda zochokera aakulu awo sagwirizana kutupa bronchi ndi. Iwo limodzi ndi ofuntha ya m'mapapo ndi pakutchulidwa nthawi ya khunyu dyspnea kapena kutsamwa.

- chironda chachikulu matenda aakulu relapsing matenda. Yodziwika ndi mapangidwe zilonda mu m'mimba ndi duodenum chifukwa chophwanya mu njira ambiri komanso madera a mantha dongosolo ndi humoral.

- Matenda a shuga, nthawi yatsoka wa imene imakhudza zinthu onse mkati ndi kunja amene amayambitsa chisokonezo cha zimam'patsa kagayidwe. Pa zosayembekezereka ya matenda kwambiri bwanji zingachititse kupanikizika, matenda, zoopsa, opaleshoni. Zifukwa akhale matenda tizilombo, poizoni, onenepa, arteriosclerosis, utachepa zolimbitsa thupi.

- inatsekeratu matenda a mtima kwa mtima - ndi zotsatira za kuchepetsa kapena anasiya kotunga m'mnyewa wamtima magazi. Izi zimachitika chifukwa cha njira pathological ziwiya inatsekeratu.

Kupewa matenda multifactorial

Mitundu kupewa chenjezo yatsoka ndi chitukuko cha matenda otengera ndi kobadwa nako akhoza kukhala yaikulu, zasekondale ndi ukachenjede.

Mawonekedwe yaikulu ya kapewedwe umalimbana pa kulera odwala mwana. Izi zikhoza anazindikira mapulani a kubadwa ndi kusintha kwa chilengedwe anthu.

kupewa Secondary umalimbana ndi kuchotsa mimbayo, ngati Mwina wa matenda mu mwana wosabadwayo zazikulu, kapena matenda prenatally anaika kale. chifukwa ngati maziko chisankho akhoza kukhala matenda otengera kwa makolo. Zimachitika okha ndi chilolezo kwa mkazi m'njira yake.

Ukachenjede mtundu wa kupewa matenda otengera umalimbana kulimbana ndi chitukuko cha matenda mwana kale anabadwa ndi mawonetseredwe aakulu. Mtundu wa kupewa amatchedwanso normokopirovaniem. Ndi chiyani icho? Izi chitukuko cha mwana wathanzi ndi genotype tizilombo. Normokopirovanie ndi maofesi yoyenera mankhwala angathe kuchitidwa mu utero kapena pambuyo pa kubadwa.

Kupewa ndi mtundu gulu

Kupewa matenda otengera akuyendera m'njira zotsatirazi:

1. Medical ndi chibadwa uphungu - ndi apadera kuchipatala. Pakali pano, mmodzi wa mitundu ikuluikulu ya kupewa matenda otengera ndi chibadwa. Uphungu chibadwa, lemberani:

• Makolo wathanzi amene anabereka mwana wodwala komwe akazi ali matenda;
• banja kuti ana athanzi, koma amene ali ndi achibale ndi matenda cholowa;
• makolo amayesetsa kupanga kuneneratu thanzi la abale kapena alongo a mwana odwala;
• Amayi apakati amene ali pangozi yaikulu kubereka mwana wa thanzi nthenda kuchuluka.

2. matenda akalandire chithandizo amatchedwa kuti akalandire chithandizo mtima wa matenda kobadwa nako kapena cholowa cha mwana wosabadwayo. Ambiri, akazi apakati ayenera ndisanabadwe kuthetsa matenda otengera kwa makolo. Iwo amagwiritsa Kupenda ultrasound, mayesero amuzolengedwa wa seramu za amayi apakati. Zikuonetsa kuti matenda akalandire chithandizo zingakhale:

• kukhalapo mu banja molondola oterewa matenda cholowa;
• zaka akuchikazi kuposa zaka 35;
• yapita mimba mowiriza mu akazi, ndi zimayambitsa bwinobwino wa nthayo.

kufunika kupewa

Medical chibadwa chaka chilichonse chikusintha ndi mwayi kwambiri kuteteza ambiri matenda otengera kwa makolo. Banja lililonse ndi matenda mwatsatanetsatane zimene ali pa chiopsezo ndi kuti tizidalira. Kuwonjezeka majini ndi kwachilengedwenso grassroots kuzindikira, kulimbikitsa njira zabwino moyo pamisinkhu onse a munthu, tiyenera kuwonjezera mwayi kubadwa anthu a mwana wathanzi.

Koma pa nthawi yomweyo, madzi oipa, mpweya, chakudya ndi mutagenic ndi zinthu carcinogenic kuwonjezera kuchuluka kwa matenda multifactorial. Ngati zomwe wa chibadwa zidzagwiritsidwanso ntchito mu ntchito zachipatala, ndipo chiwerengero cha ana amene anabadwa ndi matenda otengera kumtundu, adzakhala yafupika, lidzakhala lilipo oyambirira matenda ndi chithandizo chokwanira cha odwala.