Multifactorial mate, te iranga, me o ratou nuinga

i huaina Gene mate faaiteraa haumanu heterogeneous o te rōpū o mate meinga e te mana o irakētanga i runga i te taumata ira. Me whai whakaaro ano hoki tatou i te rōpū o tuku ira mate e whakatika, ka whakawhanake i runga i te whakamārama o te koha i roto i te taputapu ira o ngā pūtau, me te mana o ngā āhuatanga kino o te taiao.

He aha e multifactorial mate tuku

Tüturu, tenei rōpū o mate he kotahi rerekē mārama ki mate ira. mate Multifactorial timata ki te puta i raro i ngā āhuatanga taiao kino. Ētahi pūkenga whakaaro te pea e kore e puta i te predisposition ira ake te kore tetahi āhuatanga taiao.

Ko etiology me iranga o mate multifactorial rawa matatini, te take mai me te he kia rerekē i roto i ia take o te mate ngā te hanganga multistage.

pathologies momo multifaktorianyh

Conventionally multifactorial mate tuku taea te wehea ki:

• malformations taketake;
• mate hinengaro, me te huru io;
• mate e pā ana-tau.

Tei runga i te maha o ngā ira whai wāhi i roto i te māuiuitanga kitea:

• mate Monogenic - i tetahi ira mutated, e hanga he predisposition ki te mate ngā. Hei tīmata i te mate i roto i tenei take ki te whakawhanake, ka waiho reira e tika ana ki te faatupu i te take taiao motuhake. Ka taea e waiho tenei he, matū, pānga koiora rongoa ranei tinana. Ki te kahore i te take motuhake i reira, ara, ki te ko te ira mutant, te mate ka kore e whakawhanake. Ki te kore e te tangata i te ira pathogenic, engari kua kitea ki āhuatanga taiao waho, e kore e hoki e ara te mate.
• Polygenic mate tuku ranei mate takoto abnormalities multifactorial i roto i ira maha. kia ka motu tonu ranei Mahi huru multifactorial. Ko tetahi o nga mate e taea puta noa i roto i te pāhekoheko o te maha ira pathogenic me ngā āhuatanga taiao. āhuatanga tangata noa, pērā i te maramarama, teitei, taimaha, tae o te kiri, he tonu āhuatanga multifactorial. malformations congenital taratahi (ngutu ngatata me ngao), mate ngakau congenital, melé ngongo neural, polirostenoz, takawhita, mate whewhe keté, me etahi ētahi atu whai he pā teitei i roto i whanaunga tata atu i roto i te taupori whānui. mate Multifactorial, tauira o nei e whakarārangitia i runga ake e "pakaru" huru multifactorial.

tātaritanga MD

Tātari i te mate multifactorial me te tūranga o te kainga ira ki te āwhina i ngā momo rerekē o te rangahau. Hei tauira, he ako te utuafare, ai roto i ngā tākuta mahi, te ariā o "whānau o te mate pukupuku,", e ko te āhuatanga i reira i roto i te tuatapaparaa tupuna kotahi ka toutou take o te mate ngau kino to whanaunga.

maha huihui Doctors ki te ako o mahanga. Tenei tikanga he rite kahore atu, hanga ana e ia taea ki te mahi ki raraunga pono e pā ana ki te āhua tuku iho o te mate.

Hono ako mate multifactorial, he maha pūtaiao e whakarongo ki te ako o te hononga i waenganui i te mate me te pūnaha ira, me te tātari ira.

paearu angamaheni mo MDS

• Tohu o te hononga he pānga tika i runga i te tūponotanga o te mate i roto i whanaunga, e ko, te piri te whanaunga, ko te ki te manawanui (i roto i ngā ira), te nui te tūponotanga o te mate.
• Ko te tokomaha o tūroro i roto i te utuafare pānga te mōrea o te mate i roto i nga whanaunga o te manawanui.
• Ko te pakeke o te mate te mema i pangia te utuafare pānga te waitohunga ira.

Mate e pā ana ki te multifactorial

Hoki mate multifactorial ngā:

- huangō arahau - he mate i runga i te mumura pāwera ma'i o te bronchi. Kei te haere tahi te reira i te totoa o te pūkahukahu, me te takanga wā o hukihuki dyspnea rāoa ranei.

- mate whewhe keté ko te mate kai paipa ma'i. Āhuatanga e te hanganga o keha i roto i te puku me te duodenum tika ki maumaui i roto i ngā tikanga whānui, me te rohe o te pūnaha io, me te humoral.

- Mate huka, i roto i takanga o e tā e rua ngā āhuatanga ā-me-waho e meinga raruraru o warowaihā pākia. I runga i te takanga o te mate nui pā āhuatanga ahotea, mate, te whētuki, pokanga. āhuatanga Risk kia mate viral, matū paitini, taumaha, arteriosclerosis, heke mahi tinana.

- mate ngakau Coronary o te ngakau - ko reira te putanga o te whakaiti oti ngaro o te supply toto myocardial ranei. tupu tenei no te mea o te tukanga pathological i roto i te oko coronary.

Prevention o mate multifactorial

Momo ārai whakatūpato tupu me te whanaketanga o mate tuku, me te congenital taea e tuatahi, tuarua, me te tuatoru.

hāngai ana te puka tuatahi o te ārai e i te ārai tamaiti mate. Ka taea te mohio tenei i roto i te whakamahere o ngā whānautanga me te whakapai ake o te taiao tangata.

hāngai ārai Tuarua te i te whakamutunga o te hapūtanga, ki te he nui te tūponotanga o te mate i roto i te kukune ranei pāngia prenatally kua tāuta. mo te taua pūtake whakatau e taea e te mate tuku. Puta i te reira anake ki whakaae te wahine o roto i te wā.

hāngai momo Tuatoru o te ārai o mate tuku te i tohe nei i te whanaketanga o te mate i roto i te tamaiti whanau kua me faaiteraa kino. Kei te hoki i huaina tenei momo o te ārai normokopirovaniem. He aha te mea te reira? Ko tēnei te whanaketanga o te tamaiti hauora ki te tohuira pathogenic. Normokopirovanie ki complexes tika hauora taea te kawea i roto i roto i te utero i muri i whanau ranei.

Ārai me ona momo whakahaere

whakatinana Prevention o mate tuku e i roto i te puka e whai ake nei:

1. tohutohu Medical me ira - ko te aro hauora motuhake. Ki te rā, tetahi o nga momo matua o te ārai o mate tuku, me te ira. Hoki tohutohu ira, whakapā atu koa:

• mau metua hauora nei i hoatu whanau ki te tamaiti e mate ana, te wahi kua te mate tetahi o nga hoa faaipoipo;
• whānau ki ngā tamariki hauora, engari e whai whanaunga ki mate tuku;
• ngā mātua e tohe ki te hanga i te matapae i runga i te hauora o nga teina tuahine o te tamaiti mate ranei;
• wahine hapu e whai he kaha ake te tūpono o ia i te tamaiti ki te hauora rerekē.

ka karanga 2. prenatal tātaritanga te faaotiraa prenatal o mate congenital tuku iho ranei o te kukune. I roto i te whānui, kia hipoki wahine hapu katoa ki te whakakore mate tuku. whakamahi te reira i whakamātautau ultrasound, whakamātautau matüora o serum o wahine hapu. kia Tuhinga mō te tātaritanga prenatal:

• aroaro i roto i te utuafare tika whakatau mate tuku;
• whaea tau nui ake i 35 tau;
• mâtutuhia noa o mua i roto i nga wahine, ki te take mārama o kahukahu.

te faufaa o te ārai

Medical Genetics te whakapai ake i nga tau, me te homai atu whai wāhitanga ki te ārai i te nuinga o mate tuku. Ia whānau ki ngā raruraru hauora whakarato taipitopito tonu o te mea e ratou i te mōrea me e taea e ratou te tatau i runga i. Te whakanui ake i te mōhiotanga tea ira, me te koiora, te whakatairanga i te ara hauora o te ora i ngā wāhanga katoa o te tangata, whakanui i tatou te tupono o whanautanga tangata o uri hauora.

Otiia i te wa kotahi, te wai poke, rangi, kai ki mutagenic me matū carcinogenic ake i te nuinga o mate multifactorial. Ki te ka whakamahia nga whakatutukitanga o iranga i roto i te mahi o te rongoā, me te tokomaha o ngā tamariki i whanau ki tuku mate ira, ka kia iti, ka hei tātaritanga wawe e wātea ana, me te tika maimoatanga o tūroro.