Yu dɔn ɛva notis, ɔ sɔntɛm yu dɔn yɛri bɔt, wan wan pipul dɛn—espɛshali smɔl pikin dɛn—we dɛn tɔŋ kin tan lɛk se dɛn big pasmak fɔ dɛn mɔt? Sɔntɛnde, di tɔŋ kin ivin kɔmɔt na di tit ɔ di lip dɛn. Insay mɛrɛsin, dɛn kin kɔl dis sik Macroglossia . Pan ɔl we di nem go tan lɛk se yu de mek yu fred, duya nɔ wɔri. Tide, lɛ wi tɔk bɔt dis insay simpul wɔd dɛn so dat yu go ɔndastand klia wan wetin i min.
Wetin rili na Makroglosia, ɛn aw dɛn kin no am?
Fɔ tɔk am simpul wan, macroglossia de tɔk bɔt wan sik we yu tɔŋ nɔ big we yu nɔ de si yu mɔt. Pan ɔl we dɛn kin si am mɔ pan yɔŋ pikin dɛn, i kin afɛkt big pipul dɛn bak. Bɔrku tɛm, na wan sik we dɛn bɔn wit, we min se i de frɔm we dɛn bɔn am, bɔku tɛm i kin gɛt fɔ du wit jɛnɛtik disɔda lɛkBeckwith-Wiedemann sindrom ɔ Daun sindrom . Bɔt makroglosia kin divɛlɔp bak leta na layf bikɔs ɔf sɔm patikyula kayn kansa, siriɔs infɛkshɔn, ɔ ɔda ɔndalayn mɛdikal prɔblɛm dɛn.
Yu go de wɔnda, “Mi pikin in tɔŋ luk big smɔl, dɛn go ebul fɔ gɛt dis?” If na so i bi, pe atɛnshɔn gud wan to dɛn sayn dɛn ya:
- di tכng we de kכmכt fכ kכmכt: Dis na di sayn we difrεn pas כl εn we yu kin si. Bɔku tɛm i kin tan lɛk se nɔto inof ples de na di mɔt fɔ mek di tɔŋ rɛst fayn fayn wan.
- I nɔ kin izi fɔ yu fɔ blo:
- Yu kin yɛri wan ay ay sawnd we de mek yu de blo we yu de blo, we dɔktɔ dɛn kɔl stridor .
- Ɔda we de fɔ mek yu notis sawnd we de snor ɔ rat we yu de blo, mɔ we yu de slip. Dɛn kɔl dis stertor .
- I nɔ izi fɔ swɛla (dysphagia): Bikɔs yu pikin in tɔŋ big pasmak, i kin tray tranga wan fɔ kip it na in mɔt, fɔ it, ɔ fɔ swɛla fayn fayn wan. Bebi dɛn kin gɛt prɔblɛm fɔ lat fɔ gi dɛn bɛlɛ ɔ fɔ drink frɔm bɔtul. Wan wan tɛm, i kin mek pɔsin chok we i de it.
- Drɔl: Bikɔs di tɔŋ de mek di mɔt nɔ lɔk fayn, na kɔmɔn tin fɔ drɔl fɔ lɔng tɛm, we yu kin notis bay we yu de pilo ɔ klos we wet bɔku tɛm.
- We pɔsin nɔ de tɔk fayn: Bikɔs di tɔŋ rili impɔtant fɔ mek pɔsin ebul fɔ tɔk fayn, if di tɔng big, i kin mek i nɔ izi fɔ kɔl di wɔd dɛn klia wan ɔ fɔ tɔk di rayt we, ɛn bɔku tɛm i kin mek i nɔ ebul fɔ tɔk fayn.
De tin wae impɔtant pas ɔl na dat, pan ɔl wae dɛn sayn ya kin sho se macroglossia , dɛn kin bi sayn dɛm bak fɔ ɔda ɔndalayn wɛl bɔdi kɔndishɔn dɛm. Ɔltɛm, go to pɔsin we sabi du in wok na Nirogi Lanka fɔ mek dɛn ebul fɔ evaluate am fayn fayn wan.
Yu go de wɔnda if dis na tin we kɔmɔn. Fɔ tru, macroglossia na wan sik we nɔ kin apin so ɔltɛm. Fɔ no di rayt prɛvalɛns we i gɛt nɔ kin izi bikɔs i kin prɛzɛnt as sayn fɔ wan ɔndalayn sik pas fɔ bi di praymar diagnosis fɔ insɛf.
Wetin kin mek yu gɛt makroglosia?
Makroglosia gɛt bɔku tin dɛn we kin mek i apin. Sɔmtɛm, dɛn kin bɔn wan wan pipul dɛn wit big tɔŋ we nɔ gɛt ɛni ɔda prɔblɛm wit dɛn wɛlbɔdi biznɛs. Bɔrku tɛm, na sayn fɔ wan ɔndalayn mɛdikal kɔndishɔn. Dɛn tin ya kin bi we dɛn bɔn am (jɛnɛtik) ɔ dɛn kin gɛt am leta na layf bikɔs ɔf sik, injury, ɔr mɛrɛsin.
Lɛ wi tɔk bɔt dɛn tin ya we kin mek wi gɛt dis sik:
Di Kɔndishɔn dɛn we dɛn kin bɔn wit (Jɛnɛtik).
Makroglosia gɛt fɔ du wit sɔm jɛnɛtik dizayd dɛm, lɛk:
- Beckwith-Wiedemann syndrome: Dis kin afɛkt di we aw yu bɔdi de gro. Pikin dεm we gεt dis kכndyushכn kin gεt big bכdi saiz εn כgan dεm. Dɛn kin gɛt mɔ risk bak fɔ gɛt sɔm kansa dɛn we dɛn kin gɛt we dɛn smɔl. i impɔtant fɔ no se lɛk 90% pan di pikin dɛn we gɛt Beckwith-Wiedemann syndrome de sho makroglosia.
- Hurler/Hunter syndrome (Mucopolysaccharidosis): Dis na mεtabolik dizכrd dεm we de afekt aw di bכdi de brok dכn di shuga mכlikul dεm, we kin mek di tכng big.
- Daun sindrom: Dɛn kin bɔn pipul dɛn we gɛt Daun sindrom wit ɛkstra kromozom, we kin afɛkt di bren ɛn bɔdi divɛlɔpmɛnt. Makroglosia na wan bɔdi we dɛn no bɔt we dɛn kin si bɔku tɛm pan di wan dɛn we gɛt Daun sindrom.
Di Kɔndishɔn dɛn we dɛn dɔn gɛt
sכmtεm, makroglosia kin divεlכp leta insay layf bikoz fכ mεtabolik, εndokrin, כ infεkshכn sik dεm.
- Amiloidosis: 1. .Dis na dizayd we gɛt fɔ du wit prɔtin usay abnɔmal protin dɛn kin de na di tisu ɛn ɔgan dɛn, we kin mek dɛn nɔ ebul fɔ wok fayn. makroglosia na wan mak sayn fכ amyloidosis we involv di כral rijyכn.
- Hypothyroidism: Na kɔmɔn tin we yu tayroyd gland nɔ de mek inof tayroyd ɔmon, we de mek yu mɛtabolism slo. Hypothyroidism na wan kɔmɔn tin we kin mek pɔsin gɛt makroglossia, mɔ pan pikin dɛn.
- Acromegaly: Na wan sik we nɔ kin apin so ɔltɛm we di ɔmon we de mek pɔsin gro pasmak, we kin mek di tɔŋ, di jaw, di an, ɛn di fut dɛn big pasmak.
- Difteria: Na sik we de kam wit baktri dɛm we kin mek yu tɔng swel bad bad wan.
Tumɔs ɛn Makroglosia
Sɔm benign ɔ malignant growth kin sho as makroglossia:
- Limfangioma: na fayn tכmכro na di limfatik sistεm we kin mek di sist dεm we fulכp wit wata na di mכkus mεmbran dεm, we kin mek di tכng big.
- εmangioma: Na bεnεn growth dεm we kכmכp fכ bכdi vεsul dεm.
- Limfoma: Na wan kayn kansa we de afɛkt di limfatik sistɛm.
Aw dɛn kin no bɔt macroglossia?
We yu ɔ yu pikin go to dɔktɔ, di fɔs tin we yu fɔ du na fɔ chɛk yu bɔdi . Di dɔktɔ go tek tɛm luk di tɔŋ, ed, ɛn nɛk. Fɔ fala dis, dɛn kin du sɔm diagnostik tɛst fɔ no di makroglosia ɛn ɛni ɔndalayn wɛlbɔdi kɔndishɔn we kin de mek i gɛt am.
Sɔm pan dɛn tɛst ya fɔ no if pɔsin gɛt sik na:
- Computed Tomography (CT scan): Dis prosidur de yuz X-ray ɛn kɔmpyuta prɔses fɔ mek ditayla 3D pikchɔ dɛn fɔ yu ɔ yu pikin in mɔt, ed, ɛn nɛk eria, we go mek yu si klia wan di tin dɛn we de insay.
- Magnetic Resonance Imaging (MRI): Dis na tin we nɔ de mek yu fil pen ɛn yu kin yuz strɔng magnet , redio wev , ɛn kɔmpyuta fɔ mek pikchɔ dɛn we rili kɔrɛkt bɔt di ɔgan dɛn na yu bɔdi ɛn di tin dɛn we de insay yu bɔdi.
Dɔktɔ dɛn go no wetin mek di sik we dɛn kɔl macroglossia ɛn di tritmɛnt plan we fit pas ɔl bay di rizɔlt dɛn we dɛn ɛgzamin ya dɔn gɛt.
Us tritmɛnt dɛn de fɔ Macroglossia?
I fayn fɔ no se sɔm pikin dɛn we gɛt mild macroglossia kin si impruvmɛnt as dɛn de gro; as dɛn fes bon dɛn de divɛlɔp, bɔku tɛm mɔ ples kin de fɔ di tɔŋ, jɔs lɛk aw bɔdi we de gro kin fit insay big klos.
Bɔt nɔto ɔltɛm dis kin bi. We dɛn de trit macroglossia, dɔktɔ dɛn kin pe atɛnshɔn fɔs fɔ no ɛn trit di sik we de ɔnda dis sik. di simptomatik mεnejmεnt fכ di makroglossia insεf de fכlכ afta dat.
Di tritmɛnt opshɔn dɛm fɔ makroglosia kin inklud:
- Mɛrɛsin: Dɛn kin gi yu mɛrɛsin lɛk kɔtikosterɔyd fɔ mek yu tɔng nɔ swel.
- Ɔtodɔnt tritmɛnt:If di tɔŋ we dɔn big de afɛkt di alaynɛshɔn we di tit de alayf, ɔtodɔnt intavɛnshɔn kin ɛp fɔ kɔrɛkt dɛn tin ya.
- Ɔpreshɔn: Sɔntɛnde—mɔ we bad bad tin dɛn kin apin lɛk we i nɔ izi fɔ blo ɔ swɛla—i kin nid fɔ du ɔpreshɔn fɔ mek di tɔng nɔ big. כltu, na כnli lεk 10% pan di pipul dεm we gεt makroglosia nid כpεrayshכn.
A kin ridyus di risk fɔ mek mi pikin gɛt makroglosia?
Bikɔs makroglosia kin gɛt fɔ du wit di tin dɛn we pɔsin kin bɔn wit ɔ we i gɛt jɛnɛtiks, bɔku tɛm i nɔ kin ebul fɔ avɔyd am. Bɔt bikɔs wan wan tɛm i kin kɔmɔt frɔm sik dɛn we de pas, yu kin ridyus di prɔblɛm bay we yu de no bɔt di vaysin dɛn (ɛgz., vaysin dɛn we de agens difteria) fɔ protɛkt yusɛf frɔm di sik dɛn we kin mek yu gɛt dɛn kayn tin ya.
Wetin a fɔ ɛkspɛkt if mi pikin gɛt makroglosia?
As wi bin dɔn tɔk, makroglosia kin bi wan sayn fɔ wan ɔndalayn kɔndishɔn, lɛk wan sik we pɔsin kin gɛt frɔm in jɛnɛtik ɔ we pɔsin bɔn wit. So, di tin we impɔtant pas ɔl na fɔ no ɛn manej da rut kɔz de.
Yu pikin kin dɔn ɔlrɛdi de gɛt kia fɔ dɛn patikyula ɔndalayn kɔndishɔn; fɔ stik to da tritmɛnt plan de na di tin we yu fɔ pe atɛnshɔn pan pas ɔl. Kɔnsul wit yu pikin dɛn dɔktɔ fɔ tɔk bɔt wetin fɔ ɛkspɛkt bɔt di trajektɔri fɔ dɛn kɔndishɔn ɛn di schedule fɔ fala-ap apɔntinmɛnt.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
Na nɔmal tin fɔ gɛt bɔku kwɛstyɔn dɛn we dɛn no se yu pikin gɛt macroglossia. Na sɔm impɔtant kwɛstyɔn dɛn we yu go want fɔ aks yu dɔktɔ:
- Wetin rili na makroglosia?
- Aw dis go afɛkt mi pikin in layf ɛvride?
- Wetin na di ɔndalayn kɔz fɔ mi pikin in makroglosia?
- Us tritmɛnt dɛn yu kin advays, ɛn us tritmɛnt dɛn kin gɛt sakrifays?
- Aw lɔng tritmɛnt go tek, ɛn us bad bad tin dɛn we kin apin to mi a fɔ luk fɔ?
- Sɔm patikyula we dɛn de we a fɔ kia fɔ mi pikin na os (ɛgz., aw fɔ gi pikin it ɔ aw fɔ slip)?
Nɔ ɛva shem fɔ aks dɛn kwɛstyɔn ya. Fɔ klin di tin dɛn we de mɔna yu rili impɔtant fɔ mek yu kia fɔ yu di bɛst we. Yu dɔktɔ go gladi fɔ ɛksplen dɛn tin ya to yu.
Ki tek-away (Nirogi Lanka) .
Fɔ gɛt macroglossia diagnosis kin mek yu at pwɛl, bɔt bɔku tɛm na jɔs wan sayn fɔ wan ɔndalayn kɔndishɔn. Di tin we impɔtant pas ɔl na fɔ de kwayɛt ɛn go to pɔsin we sabi du in wok kwik kwik wan.
- If yu notis se yu pikin in tɔŋ tan lɛk se i big pasmak ɔ if yu si di sayn dɛn we wi bin tɔk bɔt, duya go to dɔktɔ we de mɛn pikin dɛn ɔ dɔktɔ we de mɛn pipul dɛn na di Iya, Nos, ɛn Trot (ENT).
- We dɛn no di ɔndalayn kɔz ɛn fala wan tritmɛnt plan we dɛn dɔn tɔk bɔt, dɛn kin ebul fɔ manej Makroglosia fayn fayn wan.
- Insay sɔm pikin dɛn, dis sik kin bɛtɛ bay insɛf as dɛn de gro.
- I impɔtant fɔ fala yu dɔktɔ in advays strikt wan we yu de gi yu pikin lɔv ɛn sɔpɔt ɔltɛm.
Mɛmba se nɔto yu wangren de. Bɔku ɔda mama ɛn papa dɛn de we gɛt dis kayn prɔblɛm. If yu gɛt di rayt mɛrɛsin gayd yu ɛn yu de gi yu layf to Gɔd, yu go mek shɔ se yu pikin gɛt di bɛst tin fɔ du.
👩🏽 ⚕️ Kwɛstyɔn dɛn we dɛn kin aks bɔku tɛm (FAQs)
💬 Wetin na Macroglossia, ɔ tong we dɔn big?
dis kכndyushכn kin apin we di tכng nכmכl big we yu tכn to di sayz fכ di mכt, we kin mek i kכmכt כ prεs pan di tit dεm. dis kin mek di tכng de hang כut bכku tεm, εn yu kin notis se di ed dεm we de sכk along di sayd dεm na di tכng bikoz di prεshכn we di tit dεm de prεshכn.
💬 Dis na congenital (bכn) kכndishכn?
pan pikin dεm, bכku tεm na wan sik we dεn bכn wit, dεn kin si am bכku tεm pan dεn wan dεm we gεt Down syndrome כ Beckwith-Wiedemann syndrome. Bɔt if big pɔsin gɛt in tɔŋ we big wantɛm wantɛm, i kin gɛt fɔ du wit di tin dɛn we de ɔnda am lɛk amyloidosis ɔ haypotayroydism.
💬 Wetin kin apin if di tong tu big? Yu tink se dɛn kin yuz ɔpreshɔn fɔ ridyus am?
Wan tɔŋ we big pasmak kin mek i nɔ izi fɔ it, drink, ɛn tɔk. Dɔn bak, i kin mek yu gɛt prɔblɛm dɛn we de mek yu nɔ ebul fɔ blo lɛk Slip Apnea, usay di tɔŋ kin ambɔg di say we yu de blo we yu de slip. If dɛn tin ya de, dɔktɔ dɛn kin du wan tin we dɛn kɔl glossectomy fɔ ridyus di sayz fɔ di tɔŋ te i go wok.
Ki wɔd dɛn: Makroglosia, Tɔng we dɔn big, Pikin dɛn tɔŋ wɛlbɔdi, I nɔ kin izi fɔ blo, I nɔ kin izi fɔ it, Beckwith-Wiedemann syndrome, Down syndrome, Nirogi Lanka, Tong dizayd
