Uluhlu lwe-VACTERL lokuzalwa lusebenza kunye
I- VACTERL icacisayo ibhekisela kwiqela leziphene zokuzalwa ezenzeka kunye; ezi ngxaki zihlobene kwaye zivela ngethuba, ezichaphazela iinxalenye ezahlukeneyo zomzimba. Umbutho we-VACTERL ungabangela iimpawu ezininzi, ngoko kuyaziwa ukuba bangaphi abantwana abachaphazelekayo. Isimo sinokuvela ngezinye iingxaki ze-chromosome ezifana ne- Trisomy 18 (i-Edwards syndrome), okanye kubantwana boomama abanesifo sikashukela , kodwa isizathu esona siyaziwa; mhlawumbi kubangelwa ukudibanisa imvelo kunye nemfuza.
Umbutho we-VACTERL unqabile kakhulu, uchaphazela u-1 kuphela kuma-40,000 okuzalwa.
Iimpawu
Incwadi nganye kwi-VACTERL ibonisa ileta yokuqala yeempawu zayo eziqhelekileyo. Akunabo bonke abantwana abachaphazelekayo yi-VACTERL ababenayo yonke le engafanelekiyo.
- Imele i-vertebrae (amathambo omgudu), aqhelekanga
- A imela i-atresia yama-anal okanye i-imperusate anus, oku kuthetha i-anus engavulelekanga ngaphandle komzimba
- I-C ibonisa ukukhubazeka kwentliziyo (inkohlakalo), ngokuqhelekileyo yindawo engavumelekanga phakathi kweentliziyo zentliziyo (isiphako se-septal defect okanye i-paral septal defect)
- I-T imele i-tracheoesophageal fistula, ithetha uxhulumano olungavumelekanga phakathi kwe-trachea (i-windpipe) kunye ne-esophagus (ityhubhu yokutya kwisisu)
- I-E imele i-atresia ye-esophageal, oku kuthetha ukuba i- esophagus ayinxulumani nesisu
- R ibhekisela kwiimpembelelo ( izintso )
- L imelela isalathiso (ingalo) iziphene ezinjengezandla zangasese okanye ezishiyekileyo, iminwe eyongezelelweyo (i-polydactyly), i-finger fingers (syndactyly), okanye ithambo elingekhoyo kwiingalo okanye emilenzeni
Ezinye iintsana ezizalwe nge-VACTERL zinomnye umzobo ongomnye (endaweni yeziqhelo eziqhelekileyo). Zininzi iintsana zizalwe zincinci kwaye zinobunzima bokukhula kunye nokufumana ubunzima.
Ukuxilongwa
Ukuxilongwa kombutho we-VACTERL kusekelwe kwiintsholongwane zokuzalwa zabantwana. Akukho vavanyo oluthile olufunekayo ukuqinisekisa ukuxilongwa.
Ezinye iingxaki, ezifana ne-imperusate anus okanye iminwe eyongezelelweyo, ziya kufunyanwa xa umntwana osanda kuzalwa ehlolwa emva kokuzalwa. I-X-ray yomgudu, iingalo, nemilenze iyakwazi ukubona amathambo angaqhelekanga. I-echocardiogram (intliziyo ye-ultrasound) iyakwazi ukubona ukukhubazeka kwentliziyo. Ezinye iimvavanyo zenziwa ukuba zibone ukufumaneka kwe-atresia ye-esophageal kunye ne-tracheoesophageal fistula okanye iimpembelelo zezintso.
Unyango
Ngomnye umbandela we-VACTERL unxulumene ngokupheleleyo kwaye unako unyango kunye nokuchaswa kuxhomekeke kwiimeko zomntu. Le meko iphathwa ngophuhliso lomntu ngamnye; Isicwangciso sonyango sobume be-VACTERL asizange sidalwe. Ezinye izinto ezingaqhelekanga zinzima kakhulu unyango aluyi kuphumelela kwaye intsana echaphazelekayo ayinakuphila. Kwezinye iimeko, utyando luyakwazi ukulungisa iziphoso, ukuvumela umntwana ukuba aphile kwaye aphile ubomi obuqhelekileyo.
Xa sele zichongiwe iziphoso zokuzalwa, isicwangciso sonyango singaphuhliswa kwintsana. Ezinye iingxaki, ezinjenge-atresia ye-esophageal, i-tracheoesophageal fistula, okanye iintsilelo zeentliziyo, zingadinga unyango okanye ukuhlinzwa ngokukhawuleza. Ngamanye amaxesha ukuhlinzwa ukulungisa ingxaki kunokulinda ade umntwana akhulile. Ngokuqhelekileyo, iingcali ezininzi zibandakanyeka ekunyamekeleni komntwana onxulumene ne-VACTERL.
Abantwana abaneengalo, umlenze, okanye iingxaki zentlambo bangadinga unyango lomzimba okanye lomsebenzi.
Imithombo:
"Umbutho we-VACTERL". BirthDefects.org, 2015.
Castori, M. "VACTERL Association". Imibutho kaZwelonke yeeNgxaki ezinzima, ngo-2016.