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Klinefelter's syndrome (inozivikanwawo se47, XXY kana hypergonadotrophic hypogonadism) chirwere chinogarwa nhaka chinoitika muvarume vane genetic material ine X chromosome yakawedzera mune zvese kana mamwe mamwe masero emuviri. Panzvimbo pekuita 2 makromosomes epabonde - imwe X uye imwe Y chromosome, sezvinoitika kumurume ane hutano, vanhu vane Klinefelter syndrome vane machromosomes matatu epabonde - 2 X chromosomes uye imwe Y chromosomes. Masayendisiti anotenda kuti 47, XXY syndrome ndeimwe yematambudziko akajairika kuchinja kwechromosomal kunoitika muvanhu. Chikonzero chikuru chezviratidzo zvechirwere ichi ndechekuderera kwemazinga e testosterone eropa, achiperekedzwa nehuwandu hwegonadotrophins (kunyanya FSH).
Kunyangwe murume wese akabatwa nechirwere ichi aine X chromosome yekuwedzera, havasi vese vane zviratidzo zvakanyorwa pazasi. Uyezve, kuoma kwezviratidzo izvi kunoenderana nehuwandu hwemasero ane nhamba isina kujairika yekromosomes, chiyero che testosterone mumuviri, uye zera iro chirwere chinowanikwa.
Zviratidzo zveKlinefelter's syndrome zvine chekuita nenzvimbo nhatu dzinokosha dzebudiriro:
- Zvenyama,
- Kutaura,
- Social.
Klinefelter Syndrome - Kukura kwemuviri
Muhuduku, kushushikana kwetsandanyama uye simba zvinowanzopera simba. Vana vanenge vabatwa nechirwere ichi vanogona kutanga kukambaira, kugara pasi uye kufamba vakazvimirira pave paya pane vacheche vane utano hwakanaka. Mushure memakore mana, vakomana vane Klinefelter syndrome vanowanzove vakareba uye vanowanzove vasina kurongeka zvakanaka. Pavanosvika pakuyaruka, miviri yavo haibudisi testosterone yakawanda sezvinoita vanhu vane utano. Izvi zvinogona kukonzera kusasimba kwemasculature, kushoma kumeso uye bvudzi remuviri. Munguva yekuyaruka, vakomana vanogonawo kunge vakawedzera mazamu (gynecomastia) uye kuwedzera kwepfupa fragility.
Pavanenge vava vanhu vakuru, varume vane chirwere ichi vanogona kuratidzika sevanhu vane utano hwakanaka, kunyange zvazvo vachiwanzova vakareba kupfuura vamwe. Mukuwedzera, ivo vanowanzoita zvirwere zve autoimmune, kenza yemazamu, zvirwere zvevenous, osteoporosis uye kuora kwezino.
Mushure mekuyaruka, zviratidzo zvinowanzoitika zvevanhu vanobatwa neKlinefelter syndrome ndezvi:
- kukura kukuru,
- ganda rakachenuruka,
- mhasuru dzisina kugadzirwa zvakanaka (inonzi eunuchoid body structure),
- bvudzi shoma remuviri: bvudzi risina simba rechiso, vhudzi repubic rerudzi rwechikadzi rakatenderedza nhengo dzekunze,
- machende madiki ane maumbirwo enhengo chaiyo,
- kuderedza libido,
- bilateral gynecomastia.
Varume vane Klinefelter syndrome vanogona kutungamira hupenyu hwepabonde. Zvakadaro, nekuda kwekuti miviri yavo inogona kungoburitsa mbeu shoma kana kusavepo, 95 kusvika 99% yavo haina mbereko.
Klinefelter syndrome - Kutaura
Munguva yehujaya, 25 kusvika 85% yevanhu vane Klinefelter syndrome vane matambudziko ekutaura. Vanotanga kutaura mashoko avo okutanga gare gare kupfuura vezera ravo, vane zvinetso zvokutaura nomuromo zvavanoda nemifungo, pamwe chete nokurava nokugadzirisa mashoko avanonzwa. Sevanhu vakuru, vanozviona zvakaoma kupedza mabasa avo ekuverenga nekunyora, asi mazhinji acho anoshanda uye anobudirira muhupenyu hwavo hwekushanda.
Klinefelter syndrome - Hupenyu hwemagariro
Muhuduku, vana vane Klinefelter syndrome vanowanzonyarara uye havatore pfungwa dzevanhu vakavapoteredza. Gare gare, vangave vasina kuzvivimba uye vanoshingaira, uye vanoratidza chido chikuru chekubatsira nekuteerera kupfuura vezera ravo.
Munguva yekuyaruka, vakomana vanonyara uye vakanyarara, ndicho chikonzero ivo vanogona kazhinji kuva nezvinetso "kukodzera" kune vezera ravo.
Pakusvika pazera reruzhinji, vanorarama hupenyu hwakajairika, vanotanga mhuri uye vane shamwari. Vanokwanisa kupinda muhukama hwemagariro evanhu.
Klinefelter's syndrome - Chirwere ichi chinogona kurapwa here?
Klinefelter's syndrome ndeyekuzvarwa uye saka haigone kurapwa. Zvisinei, zvinokwanisika kuderedza zviratidzo zvayo. Nechinangwa ichi, marapiro mazhinji anoshandiswa, anosanganisira epanyama, ekutaura, maitiro, psychotherapy uye mhuri kurapwa. Dzimwe nguva vanobatsira kuderedza zviratidzo zvakadai sekuderera kwetsandanyama tension, matambudziko ekutaura kana kuzvitarisira pasi. Pharmacotherapy inoderedzwa kusvika pakushandiswa kwe testosterone replacement therapy (TRT). Inokubvumira kuti udzorere chiyero chehomoni iyi muropa kune zvakajairika tsika, iyo inobvumira kukura kwemisungo, kuderedza inzwi, uye kukura kwebvudzi rakawanda.
Chimwe chezvinhu zvinonyanya kukosha zvinotarisa kushanda kwekurapa ndiyo nguva yekutanga yekushandiswa kwayo.
Unozviziva here kuti:
Kana chimwe chinhu chinokuvadza spermatogenesis (maitiro ekuumbwa kwembeu) inobata pama testes emukomana akaberekwa, iyo inonzi inonzi inonzi Klinefelter syndrome. Zviratidzo zvacho zvakafanana nezvechokwadi cheKlinefelter syndrome chakurukurwa pamusoro, asi bvunzo yekaryotype hairatidze kuvepo kweiyo X yekuwedzera chromosome yebonde.
Chinyorwa: MD Matylda Mazur
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