Klinefelter kuti urwere

Muine hurwere kuti vari zvakaoma kuona uye kurapa nguva. Mumwe wavo ari Klinefelter syndrome. Zviri majini chirwere anokonzerwa isiri iine bonde okutodza. Kazhinji, munhu chromosome 46, vaviri izvo kuona pasi xy, ukuwo varwere vane dzimwe X-chromosome uye jini sezvinotevera: 47 XXY, kunyange pangava nedzimwe dzakasiyana, semuenzaniso, chromosome 48, apo pane XXXY kana XXYY. Mosaicism uyewo kunoitika, zvinoreva kuti vamwe masero vane dzose vanochengeta okutodza 46 xy uye chimwe chikamu - kushandurwa kuti 47 XXY.

X-chromosome ari munhukadzi uye nhaka kubva mai, uye Y - varume (kubva baba). mai zvakawandisa kuti chromosome kunokonzera kuchinja muviri mukomana, kunyanya zvine chokuita dzokubereka basa. Nhamba dzinoratidza kuti masero abnormalities vanonyanyova mune vana vakaberekwa navanaamai kwemakore 40, asi baba vake zera iri kuitika maturo.

Klinefelter kuti urwere, zviratidzo

Tinowanzofunga kuti majini zvirwere zvinozarurwa pakuzvarwa, akadai Down syndrome. Asi chirwere Klinefelter kuti kuyaruka kuziva uye zvakaoma kufungidzira. Around 14-15 Makore vanotanga kuratidza zviratidzo vokutanga - pamusoro-avhareji kukura, pamwe nemakumbo disproportionately refu, muviri bvudzi riri hadzi mhando rinowanikwa munzvimbo pubic nzvimbo, apo mune dzimwe nzvimbo hakuna anenge hapana bvudzi. Chest kuwedzera zvishoma nezvishoma, ukuru manhu kuramba diki.

Sexually akura murume havagoni kutungamirira hwandaiva pabonde upenyu, akatambura kubva erectile dysfunction pamwe nounyoro zvepabonde. Against ichi nechekumashure, kukura chirwere chepfungwa, munhu anova hazvina ushamwari, asi chiremba akaramba kuenda, achitaura kuti zvose zviri muhurongwa.

The mwero rezvedzidzo urema kunoenderana nenhamba zvisingakoshi X-chromosome. Kazhinji pane zvishomanana kunonoka kukura mupfungwa, asi vakuru inogona chose kufuratirwa. Zvisinei, varwere vakadaro havatani netsviyo.

Kazhinji, maitiro aya zvose ikashandiswa pamwe nemamwe systemic zvirwere, zvakadai pulmonary chirwere, chirwere cheshuga mellitus, osteoporosis kana thyroid matambudziko.

Klinefelter urwere, kuongorora chirwere

Mushure chirwere iri vakafunga nechitarisiko features, murume kana mwana inoendeswa ive endocrinologist. Makemikari Analysis inoratidza kuti ropa varwere rakawedzera zviri follicle-anotokonya kemikari uye testosterone uye androsterone achagara kuderedzwa.

Kana iwe chete vanopedza karyotyping - kutsunga of nhamba okutodza - uye kuti majini pasipoti, hapana zvimwe miedzo haangaupfuuri. Kudzidza uku inopa 100% mugumisiro.

Kazhinji zvakadai nyaya sezvo kufutisa, gynecomastia (zamu akawedzera) uye osteoporosis mu kuyaruka vakasiya pasina kurapwa. Zvisinei, kunyange chikonzero ava vanofungidzirwa chirwere, sezvo ivo vose chokuita nokusava testosterone pamuviri. Osteoporosis rinowanzoshandiswa kuonekwa chirwere hadzi, uye chirwere vakwegura.

Klinefelter kuti urwere, kurapwa

Nzira chete kurapa chirwere ichi - the testosterone kemikari yokutsiva marapirwo zvinodhaka. Treatment ndiye chinodiwa kutanga nekukurumidza, asi chirwere nokuomerwa kuti kuona chirwere kunodokuva kusingabviri pakuyaruka.

Makemikari dzokerai munhu unhu ake pabonde, kuwedzera chido chokurara, asi hairape kushaya mbereko. Ndicho chete chinhu chinoramba kuzochinja: Men pamwe Klinefelter kuti chirwere kumbobvira vana, havagoni kubereka dzisingaoneki.

Treatment rinoitwa kuti upenyu uye anopa zvakanaka akanaka, achidzoka munhu chivimbo.

Zvinofungidzirwa kuti mangwanani diagnosis (pazera 7) anobvumira nguva kutanga kurapwa uye zvinopa mukana kukudziridza uye kushandisa manhu zvakazara, izvo zvinoreva kuti munhu anogona kuva nevana.