Turner syndrome lossis TS yog kev mob nkeeg uas muaj kev sib deev chromosome (X chromosome) yog ib nrab lossis tsis tuaj kiag li. Nws tsuas yog tshwm sim hauv cov menyuam ntxhais thiab poj niam thiab tuaj yeem ua rau muaj teeb meem kev noj qab haus huv, los ntawm kev loj hlob tsis zoo thiab tsis muaj kev txhim kho kev sib deev rau lub plawv, hnov lus, thiab teeb meem ntawm lub raum. TS tuaj yeem kuaj mob ua ntej yug lossis thaum menyuam yaus, thiab tsis muaj kev kho; txawm li cas los xij, nrog kev kho mob thiab kev kho mob txuas ntxiv mus, cov neeg mob feem ntau muaj peev xwm ua neej nyob noj qab nyob zoo.
Cov kauj ruam
Ntu 1 ntawm 3: Tau Txais Kev Kho Hormone
Kauj Ruam 1. Tham nrog koj tus kws kho mob kom xa mus
Ib qho ntawm cov yam ntxwv tseem ceeb ntawm Turner syndrome yog qhov tsis ua tiav kom loj hlob zoo. Cov ntxhais nrog TS feem ntau loj hlob qeeb dua cov phooj ywg thaum tseem hluas thiab hluas thiab tseem yuav muaj teeb meem nrog kev loj hlob ntawm kev sib deev. Qee leej tsis nkag mus rau qhov pub dawb - lub zes qe menyuam zoo li me me thiab tsis ua haujlwm ib txwm muaj. Qhov no txhais tau tias, yam tsis tau kho, cov ntxhais yuav tsis tsim lub mis lossis pib coj khaub ncaws.
- Tham nrog koj tus kws kho mob tshwj xeeb yog tias koj tus ntxhais tau kuaj pom TS thiab nug txog qhov muaj peev xwm kho cov tshuaj hormone. Kev kho tshuaj Hormone yog ib txoj kev kho mob thawj zaug rau cov ntxhais thiab poj niam uas muaj tus mob no.
- Koj tus kws kho mob yuav xa koj mus rau tus kws endocrinologist. Nov yog tus kws paub tshwj xeeb hauv cov xwm txheej hormonal uas tuaj yeem ua qhov kev kuaj mob thiab tshuaj xyuas ntxiv nrog rau kev qhia kho mob.
Kauj Ruam 2. Xav txog kev loj hlob hormone kho
Cov menyuam ntxhais uas muaj TS tuaj yeem pib tau txais kev kho tshuaj loj hlob sai li sai tau pom tias lawv tsis loj hlob ib txwm, thaum ntxov li tsib lossis rau xyoo. Kev kho mob feem ntau kav ntev txog thaum cov ntxhais muaj hnub nyoog 15 txog 16 xyoos thiab lub hom phiaj yog ua kom lawv qhov siab ntau li ntau tau los ntawm cov hluas xyoo. Feem ntau, cov kev kho mob no tuaj yeem ntxiv ob peb ntiv tes rau cov ntxhais qhov siab.
- Tham nrog koj tus ntxhais tus kws endocrinologist txog hom tshuaj kho zoo tshaj plaws. Hom feem ntau yog somatropin, uas tau muab los ntawm kev txhaj tshuaj ob peb zaug hauv ib lub lis piam.
- Paub tias somatropin muaj qee cov kev mob tshwm sim, zoo li o ntawm qhov qis, ntshav, tsis hnov lus txawv lossis ua rau hnov mob, thiab mob khaub thuas/khaub thuas zoo li. Cov ntxhais yuav tsum tsis txhob noj somatropin yog tias tsis muaj kev loj hlob hauv thawj xyoo, yog tias lawv nyob ze lossis mus txog lawv qhov siab kawg, lossis yog tias lawv muaj teeb meem nrog kev phiv tshuaj.
- Nug tus kws endocrinologist txog oxandrolone, ib yam. Nov yog cov tshuaj hormones androgen uas qee tus kws kho mob pom zoo rau cov neeg mob luv luv thiab tau muab nrog rau lwm cov tshuaj hormones kev loj hlob. Cov ntxhais yuav tsis tau txais androgens txog thaum lawv muaj tsawg kawg yog cuaj xyoos.
Kauj Ruam 3. Nug txog kev hloov tshuaj hormone
Lwm txoj hauv kev los kho TS yog los ntawm kev hloov tshuaj hormone, thaum kws kho mob muab tshuaj rau cov neeg mob noj tshuaj estrogen thiab progesterone - cov tshuaj uas ua rau kev loj hlob ntawm poj niam. Txij li hauv TS lub zes qe menyuam feem ntau tsis ua haujlwm zoo, cov ntxhais hluas yuav xav tau txoj kev kho no kom dhau mus txog thaum pub dawb thiab zoo li yuav muaj menyuam tsis taus thaum laus. Tus kws endocrinologist tuaj yeem pab koj txiav txim siab seb hom kev kho mob no puas tsim nyog.
- Kev kho tshuaj estrogen feem ntau pib thaum muaj hnub nyoog 11 xyoos, txog lub sijhawm thaum cov ntxhais feem ntau pib pub dawb. Cov kws kho mob yuav kho qhov kev kho mob rau txhua tus neeg mob tab sis tuaj yeem pom zoo maj mam nce koob tshuaj. Cov tshuaj estrogen tuaj yeem muab los ntawm thaj ua rau thaj, gel, lossis ntsiav tshuaj thiab yuav ua rau muaj kev loj hlob ntawm kev sib deev.
- Progesterone feem ntau tuaj tom qab kev kho tshuaj estrogen twb pib lawm. Hauv cov neeg mob feem ntau qhov no yuav ua rau thiab tswj hwm lub hli.
- Koj yuav tsum tham nrog kws kho mob txog thaum yuav pib kho qhov no, vim tias kev siv tshuaj estrogen ntau hauv cov hluas tuaj yeem ua rau pob txha loj hlob tuaj. Cov poj niam feem ntau nrog TS tseem yuav tau txuas ntxiv kho cov tshuaj kho kom txog thaum muaj hnub nyoog 50, thaum lub cev ib txwm tsis ua cov tshuaj estrogen.
Ntu 2 ntawm 3: Tiv Thaiv Kev Nyuaj Siab
Kauj Ruam 1. Tau txais kev kuaj mob tas li
TS tuaj yeem cuam tshuam rau ntau lub cev thiab tuaj yeem ua rau muaj ntau yam teeb meem sib txawv, los ntawm teeb meem hauv plawv thiab ntshav siab mus rau qhov hnov tsis hnov lus thiab tsis muaj zog tiv thaiv kab mob. Nws yog ib qho tseem ceeb mus ntsib kws kho mob tsis tu ncua rau kev kuaj mob kom paub tseeb tias koj tus ntxhais noj qab nyob zoo. Qhov tseeb, peb paub tias kev kuaj mob tas li tuaj yeem ua rau muaj kev txhim kho loj hauv qhov ntev thiab lub neej zoo ntawm cov poj niam nrog TS.
- Teem sijhawm kuaj mob ntau npaum li kws kho mob xav tias tsim nyog. Cov kev mus ntsib no yuav pab lawv taug qab koj tus ntxhais txoj kev txhim kho tab sis tseem tshuaj xyuas qhov teeb meem zoo ib yam.
- Kev kuaj mob tuaj yeem pab kws kho mob tshawb nrhiav lub plawv txawv txav thiab hnov teeb meem, piv txwv. Lawv tseem yuav ua cov thyroid cov ntshav txhua xyoo los tshuaj xyuas cov xwm txheej zoo li hyperthyroidism.
Kauj Ruam 2. Mus ntsib lwm tus kws tshaj lij, yog tias tsim nyog
Cov ntxhais nrog TS yuav tsum muaj qee qhov chaw saib xyuas kev noj qab haus huv rau lawv lub neej tag nrho. Yog tias muaj teeb meem tshwm sim hauv ib lossis ntau qhov ntawm cov cheeb tsam no, koj yuav xav tau kev xa mus rau kws kho mob tshwj xeeb. Nco ntsoov tias qee lub tsev kho mob tau mob siab rau TS lub tsev kho mob nrog cov kws tshaj lij hauv tsev. Tham nrog kws kho mob kom pom tias koj cov kev xaiv yog dab tsi.
- Kwv yees li 30% ntawm cov ntxhais nrog TS muaj lub plawv tsis xws luag. Ntshav siab kuj tseem muaj ntau. Hauv cov xwm txheej no, koj yuav tsum tau mus ntsib kws kho plawv tshwj xeeb rau kev tshuaj xyuas thiab ntsuas ultrasound.
- Kev hnov lus tsis zoo kuj tseem muaj rau cov ntxhais thiab poj niam nrog TS, ib yam li mob pob ntseg nruab nrab, yog li koj yuav xav nrhiav pob ntseg, qhov ntswg, thiab tus kws tshaj lij tshwj xeeb caj pas.
- Kwv yees li 1/3 tus ntxhais nrog TS kuj tseem muaj lub raum tsis ua haujlwm, uas tuaj yeem ua rau ntshav nce siab thiab muaj kev pheej hmoo ntawm cov kab mob tso zis. Nco ntsoov qhov no thiab txiav txim siab mus ntsib kws kho mob tshwj xeeb hauv lub raum (kws kho mob nephrologist).
- Sib nrug los ntawm cov kws kho mob no, cov ntxhais thiab poj niam uas muaj TS yuav xav tau kev saib xyuas tshwj xeeb los ntawm lwm tus kws tshaj lij xws li kws kho mob poj niam, kws tshuaj yug menyuam, thiab kws kho menyuam yaus thiab cov neeg laus endocrinologist. Qee leej kuj tseem yuav tau txais txiaj ntsig los ntawm kev kho kev txhim kho, vim TS qee zaum qee zaum tsim kev kawm tsis taus thiab nyuaj ua haujlwm hauv cov xwm txheej hauv zej zog.
Kauj Ruam 3. Pab nrog kev hloov pauv mus rau kev saib xyuas neeg laus
Cov poj niam nrog TS xav tau kev kho mob mus tas li. Yog tias koj muaj tus ntxhais nrog tus mob no, nws yog ib qho tseem ceeb rau nws kev noj qab haus huv uas koj npaj nws los saib xyuas nws tus kheej ua neeg laus thiab hloov pauv los ntawm kws kho menyuam yaus mus rau nws pab pawg kho mob. Nws tus kws kho mob laus yuav tuaj yeem koom tes saib xyuas nrog txhua tus kws tshaj lij nws xav tau.
- Pib tham nrog koj tus ntxhais ntxov txog nws kev kho mob thiab saib xyuas, kom nws kawm paub txog nws tus mob, xav tau, thiab kev noj qab haus huv tag nrho. Lub sijhawm, nws tuaj yeem ua lub luag haujlwm ntau thiab ntau dua.
- Txhawb kom nws muaj tus cwj pwm noj qab nyob zoo. Qhov no tuaj yeem suav nrog tau txais kev kuaj mob ib txwm tab sis kuj tseem ua haujlwm tsis tu ncua, tswj lub cev kom muaj zog, koom nrog pab txhawb rau TS, thiab ua neeg nyob.
Ntu 3 ntawm 3: Nrhiav Kev Kho Mob rau Fertility
Kauj Ruam 1. Tham nrog kws kho mob
Vim muaj teeb meem nws ua rau kev loj hlob ntawm kev sib deev, ntau tus poj niam laus nrog TS tsis muaj menyuam - lawv tsis tuaj yeem muaj menyuam. Thaum qee tus tuaj yeem muaj peev xwm xeeb tub ib txwm muaj, kwv yees li 2 - 5%, lawv lub zes qe menyuam tseem tuaj yeem ua tsis tau ntxov thaum laus. Lwm tus uas xav kom muaj menyuam yuav tau txiav txim siab cov khoom cuav.
- Zaum thiab tham nrog kws kho mob yog tias koj lossis ib tus neeg hlub nyob ze muaj TS. Sib tham txog kev noj qab haus huv kev sib deev yog ib qho tseem ceeb. Txij li tsawg tus poj niam nrog TS tuaj yeem cev xeeb tub, cov uas muaj kev sib deev yuav tsum muaj kev nkag mus rau cov kev pabcuam kev noj qab haus huv thiab kev qhia txog kev tiv thaiv cev xeeb tub thiab xyaum kev nyab xeeb kev nyab xeeb.
- Tus kws kho mob kuj tseem tuaj yeem pab lub sijhawm cev xeeb tub. Qhov no yuav yog qhov tseem ceeb yog tias kev xeeb tub tuaj yeem ua tau, tab sis tus kws kho mob txhawj xeeb txog kev noj qab haus huv ntawm tus neeg mob lub zes qe menyuam.
Kauj Ruam 2. Xav txog kev pab xeeb tub
Qee tus poj niam nrog TS uas tsis muaj menyuam tab sis tseem xav tau menyuam tuaj yeem cev xeeb tub nrog kev pab kho lub cev xeeb tub, zoo li kev pub qe thiab hauv vitro fertilization (IVF). Hauv cov txheej txheem no, lub qe los ntawm tus pub dawb tau pub nrog cov phev hauv chav kuaj thiab tom qab ntawd cog rau hauv tus neeg mob lub tsev menyuam kom loj hlob.
- Cov poj niam nrog TS uas xav sim IVF yuav tsum tau siv hom tshuaj kho tshwj xeeb los npaj lawv lub tsev menyuam rau cev xeeb tub.
- Paub tias IVF tsis pheej yig. Tus nqi ntawm ib qho kev hloov pauv hauv Asmeskas (thiab nws yuav siv sijhawm ntau ntxiv) tuaj yeem dhau $ 10, 000. Txawm li cas los xij, cev xeeb tub tsis tau lav.
Kauj Ruam 3. Tau kuaj lub plawv ua ntej thiab thaum cev xeeb tub
Kev xeeb tub rau cov poj niam nrog TS tuaj yeem muaj kev pheej hmoo siab thiab yuav tsum tau saib xyuas kom zoo. Yog tias tus poj niam nrog TS muaj hmoo txaus rau cev xeeb tub, nws tseem yuav tsum tau kuaj xyuas tas li thaum nws nqa tus menyuam mus txog lub sijhawm. Qhov no yog vim muaj teeb meem plawv thiab vascular uas TS tuaj yeem ua rau. Kev cev xeeb tub yuav ua rau muaj kev nyuaj ntxiv ntawm lub plawv thiab ntawm cov hlab ntshav, yog li, rau kev noj qab haus huv ntawm leej niam thiab menyuam, nws tseem ceeb heev uas yuav tau ceev faj.
- Cov neeg mob yuav tsum tau kuaj mob yog tias lawv tab tom xav txog kev muaj menyuam - qhov no suav nrog kev tshuaj xyuas dav dav tab sis kuj tseem muaj kev tshuaj xyuas kab mob plawv txhawm rau ntsuas ntshav siab thiab mob plawv. Cov kws kho mob yuav xav ua lwm yam kev ntsuas ntawm lub siab thiab cov kab ke endocrine, ib yam.
- Cov kws kho mob yuav txiav txim siab cev xeeb tub yog tias tus neeg mob muaj qee yam mob, tshwj xeeb yog tias nws muaj teeb meem nrog lub plawv aorta lossis ntshav siab tsis tuaj yeem tswj tau.
- Thaum cev xeeb tub, cov neeg mob yuav tsum tau txais kev saib xyuas tas li. Qhov no suav nrog echocardiograms tom kawg ntawm thawj peb lub hlis thib ob thiab tom qab ntawd txhua lub hlis thaum lub hlis thib peb. Nws yuav xav tau tshuaj ntshav siab zoo li beta blockers thiab raug tshuaj xyuas los ntawm ultrasound tom qab xa khoom, vim tias kev pheej hmoo ntawm cov hlab plawv txuas ntxiv mus rau ntau hnub.
Lub tswv yim
- Turner feem ntau tsis tau txais txiaj ntsig, tab sis tshwm sim thaum lub sijhawm tsim cov qe menyuam.
- Qhov xwm txheej no tshwm sim hauv kwv yees li 1 ntawm 2, 500 tus ntxhais yug menyuam tshiab thoob ntiaj teb.
