ʻO ka Turner's Syndrome aʻo Turner-Shereshevsky ka maʻi he hopenaʻekeʻekeʻole ka hopena o kahi anomaly o nā chromosomes X a loaʻa wale i nā wāhine wale nō. ʻO ka hapakolu o nā hōʻailona o kēiaʻano pilikino e like me Shershevsky,ʻo ia ka pūnaehana wahine e pili ana i ka wahine, a me kaʻili o ka wāwae. ʻO nā wāhine iʻeha i ka maʻi syndrome o Turner,ʻike pinepine lākou i ka hōʻino a me kaʻikeʻole .
Shereshevsky-Turner Syndrome - mau kumu
ʻOiai,ʻo ka Y-chromosome i hoʻonohonohoʻia he kanaka (46 (23 mau pai) o nā chromosomes. ʻO kēia mau mea, he hui hoʻokahi o ka moekolohe chromosomes (XX i loko o nā wahine a me XY i nā kāne). I ka hihia o Turner's Syndrome, ua nele kekahi o ka hui X-chromosome a uaʻeha paha. He aha ke kumu o ka anomaly genetic e hana ai i ka Turner's Syndrome,ʻaʻole i paʻa pololei, no ka mea, ināʻikeʻia ka maʻi ma kahi o nā'ōpiopio,ʻaʻole pono.
Ke hōʻoiaʻia nei ka hōʻailona o ka maʻi i ka hōʻuluʻuluʻana o ke karyotype,ʻo ia hoʻi, ka ho'ākāka o ka seto genetic chromosomes. Hiki ke mālamaʻia nā meaʻino e like me nā chromosomal:
- ʻO ka pahuhopu papahana no ka maʻi Turner he 45X,ʻo ia hoʻi, ka nele maoli o kahi X chromosome. Keʻikeʻia nei kēiaʻano karyotype i loko o 50% o ka poʻe maʻi, a ma 80% o nā hihiaʻaʻohe kino maʻi X.
- Mosaic -ʻo ia hoʻi, ka hōʻino i nā wahi o hoʻokahi aʻoi aku nā chromosomes i kahiʻano mosaic.
- Ka hoʻohuiʻiaʻana o kekahi o nā chromosomes X: ka chromosome X annular, ka nalowale o ka chromosome o ka lima pōkole a lōʻihi.
ʻO Syndrome Shereshevsky-Turner - hōʻailona
ʻO ka manawa pinepine o ka hoʻolāʻihi o ka uluʻana i ke kino eʻikeʻia ma ka hānauʻana - heʻanoʻuʻuku a me ke kaumaha o ke pēpē, hiki nō hoʻi ke hoʻololi i nā hui o ka wāwae (ua like lākou i loko), kūpikipiki o nā wāwae a me nā lāʻau, a ma ka'ā'ī ke kūʻana o kaʻili.
Ināʻikeʻoleʻia ka maʻi o Turner i ka wā ma hope o ka hānauʻana, a laila ma hope e hōʻike ia iho ma keʻano o nā hiʻohiʻona i lalo:
- ka hopena o ka ulu, ma ka uluʻana o ka ulu ulu ma hope o nā makahikiʻekolu;
- ua hoʻokuʻuʻia i lalo;
- ka'ā'ī ākea liʻiliʻi, pinepine i nā'āpanaʻili;
- he laina laula o ka lauoho ulu ma kaʻaoʻao o kaʻaoʻao;
- ka pahu nui me kahi ākea nui, i kekahi manawa i nā nipples;
- ka puka a me keʻano likeʻole o ka lāʻau, ka maʻi pepeiao pepeiao pinepine;
- ka lōʻihi i ka wā palau;
- i lalo o ka umauma i ka'ōpiopio (e pili ana i 13 makahiki);
- ka noʻonoʻoʻole o ka piʻo.
Ma kahi o 90% o nā kaikamāhine me Turner's Syndrome, he kōpū a me nā ovaries i lalo o ka uluʻana, a he mau mea hānaiʻole ia me ka hōʻawa kūpono a me ka hormonal therapy e kōkua ana i ka hoʻopauʻana i ka lōʻihi i ka hoʻolālā kino.
ʻAʻole hiki ke mālamaʻia ka lōʻihi o ka hoʻonaʻauaoʻana i kaʻikeʻana, akā naʻe hiki ke pilikia nā pilikia o ka nele i ka nānāʻana, a i nā mea kūpono paha, pili kekahi mau pilikia e pili ana i kaʻikeʻana i kaʻike pono e pono ai ka nānā.
ʻO Syndrome Shereshevsky-Turner - maʻi
ʻO ka pahuhopu nui o ka hoʻomaluʻana ma ke alo o Turner's Syndrome,ʻo ia ka hoʻomaopopoʻana i ka uluʻana o ka ulu a me ka hoʻomauʻana o ka wahine . ʻO ka mua iʻikeʻia ka maʻi a hoʻomakaʻia ka lāʻau hoʻomalu,ʻo ka nui o nā kūlana no ka uluʻana o ka mea maʻi.
No kēia mua, hoʻohanaʻia ka hormone therapy, a me ka wā'ōpio, he hormone wahine, estrogene, ua hoʻohuiʻia me ia.
Ma hope o ka pukaʻana i ka wā'ōpio, huiʻia ka huihuʻi pani homone a estrogen a me ka progestinrapy.
ʻOiaiʻoiai i ka manawa o ka poʻe hōʻoia e hoʻolālā i ka hana maʻamau a alakaʻi i kahi nohokino maʻamau, ponoʻole lākou. ʻO ka hiki ke hānau i kahi keiki me ka hoʻohanaʻana i ka hoʻonaʻauao paʻakikī, hiki wale nō i ka 10% o nā wahine e loaʻa ana i ka maʻi syndrome o Turner, a laila me ka hoʻohālikelike i kahiʻano mosaic.