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KONSULTATSIYAI TIBBIYU GENETIKi

konsultatsiai-tibbi-genetikiKONSULTATSIYAI TIBBIYU GENETIKi, yak shakli yorii tibbi ba aholist, ki baroi kam kardani khuruji bemorihoi irsi ravona shudaast. Muassisae, ki chunin yori merasonad, niz hamin nomro giriftaast. Odatan, K.-ro dar nazdi In-thoi tadqiqoti ilmi, kafedrai maktabhoi olii tibbi, bemorkhonaho, poliklinikaho tashkil mekunand. Sababi dar doirai nigohdorii tandurusti tashkil shudani K. sarivaqt qone gardondani talaboti aholi ba yorii genetiki meboshad.
Imkoniyati peshgiri va tabobati bemorihoi irsi ba saviyai donishho oid ba khususiyati tagyiroti biokhimiyavi, fiziologi va morfologie, ki hangomi in yo on bemori ba amal meoyand va darajai tahiyai usulhoi ba in maqsadho zaruri jarrohi, tabobati va sanitariyu gigieni vobasta ast. Binobar in afkori dar bayni aholi mamule, ki guyo bemorihoi irsi noguzirand, az haqiqat dur meboshad. Bemorii irsi pesh az hama natijai tasoduf buda, hamon vaqt ruy doda metavonad, ki volidayni amalan solim dar organizmi khud yak moddai vayroni genetiki doshta, az mavjudiyati on tamoman bekhabarand. Ba tukhmai bordor (zigota) mattahid shudani har du nuqsi genetiki niz, ki az on organizmi kudak inkishof meyobad, tasodufist. Ehtimoli vokhurdani du homili nuqsi genetiki nihoyat kam meboshad. Vale agar chunin vokhuri ba amal oyad va azbaski dar in bora, odatan, badi tavalludi kudaki giriftori bemorii irsi mefahmand, darajai imkonnopazirii in guna bemoriro baroi kudakoni oyanda muayyan kardan mumkin ast. Pas, agar in tavr boshad, tavalludi kudaki bemorro dar oyanda metavon peshgiri kard. Gayr az in, genetikai tibbi alhol bo usulhoi tashkhisi dokhilibatnii taqr. 70 bemorii irsi musallah ast. Onho imkon medihand, ki pesh az tavallud volidaynro dar khususi bemor budani kudak bokhabar sozand va eshonro dar borai ba maqsad muvofiq budani qati homilagi bovar kunonand.
Tasavvurot doir ba ilojnopazirii bemorihoi irsi niz az haqiqat dur ast. Imruz tib dar ikhtiyori khud usulhoi tabobati taqr. 40 bemorii irsiro dorad va miqdori onho tadrijan meafzoyad.
Samarai kori K. az bisyor jihat ba durustii tashkhis vobasta ast. Ba bemorihoi irsi shabohat doshtani yagon bemorii digar chunin mano nadorad, ki on hatman irsi ast. Mas., kari mumkin ast mohiyati irsi doshta boshad, vale on metavonad oqibati bemorii surkhakon (gulafshon) niz boshad, ki onro zan hangomi homilagi az sar guzaronidaast. Janin ba angezandai bemorihoi siroyati, baze doruho, afkanishoti rentgeni va payvasthoi khimiyavii gunogun, ki dar organizmi modar dar davrai homilagi duchor meshavand, khele hassos meboshad. Aqidae, ki guyo organizmi modar janinro purra hifz mekunad, khato ast va binobar in, bemorii modarzodi hatman bemorii mohiyatan irsi buda nametavonad. Hatto chunin hodisai dar bayni azoi yak oila mamul budani hamon yak bemori, ki bo ehtimoli muayyan imkon medihad bemorii mohiyatan irsi budani on takhmin karda shavad, hamesha baroi tasdiqi irsi budani in bemori daleli kofi nest. Sababi bemor shudani chand kas dar oila shoyad omile boshad, ki ahli oila ba tasiri on duchor meshavad. Agar ilova ba in sukhanho guem, ki hamon yak bemori dar har shakhs zuhuroti gunogun dorad, malum meshavad, ki baroi javob guftan ba savoli irsi budan yo nabudani in bemorii kudak faqat badi muoyanai hamatarafa javob dodan mumkin ast. Dukhturi genetik hamesha bo usulhoi tamoman gunoguni tadqiq – kliniki, biokhimiyavi, sitogenetiki va g. saru kor dorad. Ba dukhtur usuli genealogi yo tahlili shajara yorii muhim merasonad. Ammo odamone, ki ba K. murojiat mekunand, aksaran ba dukhtur dar borai kheshu aqraboi khud va salomatii onho malumoti nodurust medihand, to ki sababi bemorii kudakro ba gardani kheshovandoni digar zanand yo padari haqiqi budani khudro rupush namoyand.
Maqsadi K. dar on ast, ki darajai ehtimoliyati paydo shudani bemorii irsi muayyan karda shavad. Vale bo in kori dukhturi K. khotima nameyobad. SHarhi durusti hodisai rukhnamuda va malumot dodan dar borai imkoniyathoi tibbi hozira oidi tashkhisu tabobati bemorihoi irsi – chunin ast doirai nopurrai masalahoe, ki dukhturi genetik dar rafti mashvarat boyad dakholat kunad, to ki volidaynro baroi halli durusti masalai asosi, az jumla farzanddor shudan yo nashudan, omoda sozad. Nig. niz. Gen, Genetika.

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