Kodi munayamba mwaonapo kapena kumvapo kuti anthu ena, makamaka ana aang'ono, ali ndi malilime akuluakulu kuposa pakamwa pawo? Nthawi zina mumatha kuona kuti lilime likutuluka mkamwa. Ichi ndi chomwe timachitcha `Macroglossia` mu sayansi ya zamankhwala. Dzinalo lingamveke ngati nkhani yaikulu, koma musachite mantha. Lero tikambirana izi m'njira yosavuta yomwe mungamvetse.
Ndiye, kodi 'Macroglossia' kwenikweni ndi chiyani? Kodi mumadziwa bwanji?
Mwachidule, `Macroglossia` ndi lilime lalikulu kwambiri poyerekeza ndi kukula kwa pakamwa. Limapezeka kwambiri mwa ana aang'ono, komanso limatha kuchitika kwa akuluakulu. Nthawi zambiri, limakhala lobadwa nalo. Ndiko kuti, limagwirizanitsidwa ndi matenda enaake a majini monga `Beckwith-Wiedemann syndrome` kapena `Down syndrome`. Komanso, `Macroglossia` imatha kuchitika chifukwa cha mitundu ina ya khansa, matenda oopsa, kapena ngakhale pambuyo pake.
Mwina mukuganiza kuti, 'Lilime la mwana wanga likuoneka lalikulu pang'ono, sindikudziwa ngati ali nalonso.' Choncho, samalani ndi zizindikiro izi:
- Lilime limatuluka pakamwa nthawi zonse: Ichi ndiye chizindikiro chachikulu komanso chodziwikiratu. Zili ngati palibe malo okwanira oti lilime likhale mkamwa.
- Mavuto opuma:
- Nthawi zina mungamve phokoso lalikulu komanso lokweza mukapuma. Zimakhala ngati wina akulira mluzu. Mu zamankhwala, timatcha izi kuti 'stridor'.
- Kapena, mungapume ndi phokoso la kukokoloka , makamaka mukugona. Izi zimatchedwa `stertor`.
- Kuvuta kumeza (dysphagia): Lilime lalikulu lingapangitse kuti zikhale zovuta kugwira, kutafuna, ndi kumeza chakudya bwino. Makanda aang'ono angakhale ndi vuto kuyamwa mkaka wa m'mawere kapena kumwa kuchokera m'botolo. Angamvenso ngati akudzimbidwa pamene akudya.
- Kutulutsa madzi m'kamwa: Lilime likakula kwambiri moti silingathe kutseka pakamwa bwino, malovu angatuluke pafupipafupi. Mutha kuzindikira kuti piloyo yanyowa ndi malovu.
- Kuvuta kulankhula: Zimakhala zovuta kutchula mawu ndi kulankhula momveka bwino. Izi zili choncho chifukwa lilime ndi chiwalo chomwe chimathandiza kwambiri polankhula. Ngati simungathe kutchula zilembo bwino, mawu anu amatha kukhala osamveka bwino.
Chofunika kukumbukira ndichakuti ngati mwana wanu ali ndi chimodzi kapena zingapo mwa zizindikirozi, chikhoza kukhala Macroglossia. Komabe, ndikofunikira kukumbukira kuti zizindikirozi zitha kukhalanso gawo la matenda ena .
Mwina mukudabwa ngati vutoli ndi lofala. Ndipotu, 'Macroglossia' ndi vuto losowa kwambiri. N'zovuta kunena kuti ndi anthu angati omwe ali nalo. Chifukwa nthawi zambiri limawoneka ngati chizindikiro cha matenda ena.
N’chifukwa chiyani ‘Macroglossia’ imeneyi imachitika? Kodi zimayambitsa chiyani?
Pali zifukwa zingapo zomwe zimayambitsa macroglossia. Nthawi zambiri, anthu ena amabadwa ndi lilime lalikulu popanda mavuto ena azaumoyo. Komabe, nthawi zambiri izi zimachitika ngati chizindikiro cha matenda enaake. Zina mwa izi zimatha kukhala zobadwa nazo (majini), pomwe zina zimatha kuchitika chifukwa cha matenda omwe amayamba mtsogolo. Maopaleshoni ena ndi chithandizo chamankhwala zingayambitsenso macroglossia.
Tiyeni tiwone zifukwa izi.
Kodi matenda obadwa nawo (majini) ndi ati?
Matendawa, otchedwa ``Macroglossia,'' amagwirizana ndi matenda angapo a majini. Nazi zina mwa matendawo:
- Matenda a Beckwith-Wiedemann: Uwu ndi matenda omwe amakhudza kukula kwa ana. Pachifukwa ichi, kukula kwa thupi la mwana ndi ziwalo zamkati zimakula kuposa momwe zimakhalira. Komanso, ana omwe ali ndi vutoli ali pachiwopsezo chachikulu chotenga khansa zina za ana. Chofunika kwambiri, pafupifupi 90% ya ana omwe ali ndi matenda a Beckwith-Wiedemann ali ndi macroglossia, kutanthauza lilime lalikulu.
- Matenda a Hurler/Hunter - mucopolysaccharidosis: Ili ndi gulu la matenda omwe amakhudza momwe thupi lathu limagayira mamolekyu a shuga. Pa vutoli, lilime limathanso kukula.
- Down syndrome: Mwina munamvapo izi. Ana omwe ali ndi Down syndrome amabadwa ndi chromosome yowonjezera. Izi zingayambitse kusintha kwa kukula kwa ubongo ndi thupi lawo, zomwe zimapangitsa kuti akhale ndi zovuta zakuthupi ndi zamaganizo. Macroglossia ndi chinthu chofala kwambiri cha Down syndrome.
Kodi zinthu zomwe zapezedwa ndi ziti?
Nthawi zina, lilime limatha kukula chifukwa cha matenda ena omwe sapezeka pobadwa. Mwachitsanzo, limatha kuchitika chifukwa cha matenda a kagayidwe kachakudya kapena matenda a endocrine, matenda monga hypothyroidism, kapena matenda monga diphtheria.
Nazi zina mwazochitika zotere:
- Amyloidosis: Iyi ndi matenda okhudzana ndi puloteni. Pamenepa, puloteni iyi imayikidwa m'maselo ndi ziwalo, zomwe zimalepheretsa kugwira ntchito bwino. Chizindikiro chachikulu cha Amyloidosis mkamwa ndi Macroglossia.
- Hypothyroidism: Kuchepa kwa chithokomiro cha chithokomiro:Vutoli ndi lofala kwambiri. Chomwe chimachitika apa ndichakuti chithokomiro chanu sichipanga mahomoni okwanira a chithokomiro ndikuchitulutsa m'magazi. Izi zimachepetsa kagayidwe kanu ka chakudya. Hypothyroidism ndi chifukwa chofala cha macroglossia, makamaka mwa ana.
- Acromegaly: Imeneyi ndi vuto losowa kwambiri. Chomwe chimachitika apa ndi chakuti thupi lanu limapanga mahomoni ochulukirapo. Anthu omwe ali ndi acromegaly amakhala ndi malilime, nsagwada, manja, ndi mapazi akuluakulu kwambiri.
- Diphtheria: Ichi ndi matenda opatsirana. Izi zingayambitsenso lilime kutupa.
Ndi mitundu iti ya zotupa zomwe zimayambitsa macroglossia?
Macroglossia ingakhalenso chizindikiro cha zotupa zina zabwino komanso za khansa.
- Lymphangioma: Ichi ndi chotupa chosakhala khansa chomwe chimayamba m'thupi la lymphatic. Chingayambitse ziphuphu zodzaza ndi madzi kupangika pa nembanemba ya mkamwa, zomwe zingayambitsenso lilime kukula.
- Hemangioma: Izi ndi zotupa zomwe sizili za khansa . Zimapangidwa kuchokera ku mitsempha yamagazi.
- Lymphoma: Iyi ndi khansa yomwe imakhudza dongosolo la lymphatic.
Kodi madokotala amazindikira bwanji vutoli molondola?
Inu kapena mwana wanu mukaonana ndi dokotala, chinthu choyamba chomwe angachite ndi kuyezetsa thupi . Izi zikuphatikizapo kuyezetsa bwino lilime, mutu, ndi khosi. Pambuyo pake, angachite mayeso angapo kuti adziwe macroglossia ndi matenda ena aliwonse omwe angayambitse vutoli.
Zina mwa mayeso amenewo ndi:
- `CT Scan` (Computed Tomography - CT scan): Izi zimaphatikizapo kugwiritsa ntchito X-ray ndi kompyuta kuti mujambule zithunzi za m'kamwa mwanu, mutu, ndi khosi la mwana wanu kapena la mwana wanu. Izi zingakuthandizeni kudziwa bwino zomwe zili mkati.
- Kujambula kwa Magnetic Resonance Imaging (MRI): Iyi ndi njira yoyesera yopanda ululu yomwe imagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi zomveka bwino za ziwalo ndi kapangidwe ka thupi mkati mwa thupi.
Madokotala amazindikira chomwe chimayambitsa vuto la 'Macroglossia' komanso chithandizo choyenera kwambiri.
Kodi n’chiyani chingachitike kuti munthu athetse vuto limeneli lotchedwa ‘Macroglossia’?
Nthawi zina, modabwitsa, ana ena omwe ali ndi macroglossia ali ana, akamakula, mafupa awo a nkhope amakula, zomwe zimapangitsa kuti lilime lilowe mkamwa, ndipo vutoli limadzisintha lokha. Monga suti yomwe imakwanira thupi, pakamwa pawo pamakulanso kuti ligwirizane ndi lilime.
Komabe, sizili choncho nthawi zonse. Madokotala akamachiza macroglossia, choyamba amazindikira ndikuchiza vuto lomwe linayambitsa matendawa. Ndipo pokhapokha amachiritsa zizindikiro za macroglossia.
Mankhwala a macroglossia angaphatikizepo:
- Mankhwala: Mankhwala monga corticosteroids angaperekedwe kuti achepetse kutupa kwa lilime.
- Chithandizo cha mano: Ngati lilime lalikulu lakhudza malo a mano, chithandizochi chingathandize kukonza manowo.
- Opaleshoni: Nthawi zina, makamaka ngati pali mavuto aakulu monga kupuma movutikira kapena kumeza, opaleshoni ingafunike kuti ichepetse kukula kwa lilime. Komabe, pafupifupi 10% yokha ya anthu omwe ali ndi macroglossia amafunika opaleshoni.
Kodi ndingachepetse chiopsezo cha mwana wanga chotenga macroglossia?
Nthawi zambiri, macroglossia ndi yobadwa nayo, zomwe zikutanthauza kuti imakhudzana ndi matenda a majini, kotero palibe chomwe tingachite kuti tipewe. Komabe, nthawi zina imathanso kuyambitsidwa ndi matenda opatsirana, kotero kudziteteza ku matenda otere kungachepetse chiopsezochi pang'ono. Mwachitsanzo, ndikofunikira kulandira katemera wa matenda monga diphtheria.
Ngati mwana wanga ali ndi Macroglossia, ndiyenera kuyembekezera chiyani?
Tsopano tikudziwa kuti macroglossia nthawi zambiri ndi chizindikiro cha vuto linalake, kaya ndi vuto lobadwa nalo kapena matenda ena. Chifukwa chake, chofunikira ndi kuzindikira ndikuchiza vuto lomwe limayambitsa vutoli.
Ngati mwana wanu ali ndi macroglossia, mwina akulandira kale chithandizo cha vuto lomwe linayambitsa vutoli. Chofunika kwambiri chiyenera kukhala kutsatira dongosolo la chithandizocho. Lankhulani ndi dokotala wanu za izi. Iye adzakuuzani zomwe mungayembekezere komanso nthawi yoti mudzamuwonenso.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala?
Ngati mwana wanu ali ndi macroglossia, mwina muli ndi mafunso ambiri. Chifukwa chake izi zachitika komanso zomwe mungayembekezere kuchokera ku chithandizo. Nazi mafunso ena omwe mungafunse dokotala wanu:
- Kodi `Macroglossia` kwenikweni ndi chiyani?
- Kodi izi zikhudza bwanji mwana wanga? Kodi zikhudza moyo watsiku ndi tsiku?
- N’chifukwa chiyani mwana wanga anadwala matenda a ‘Macroglossia’? Kodi chifukwa chake n’chiyani?
- Kodi ndi mankhwala ati omwe mumalimbikitsa? Kodi mankhwalawo ndi othandiza bwanji?
- Kodi chithandizochi chidzatenga nthawi yayitali bwanji? Kodi ndi zotsatirapo zotani zomwe ndingayembekezere?
- Kodi pali njira yapadera yomwe ndiyenera kusamalirira mwana wanga kunyumba? (monga kudyetsa, kumugonetsa)
Musamaope kufunsa mafunso awa. Ndikofunikira kwambiri kuthetsa kukayikira kwanu konse. Dokotala adzakufotokozerani zonse.
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Macroglossia, kapena lilime lokulirapo, lingamveke ngati loopsa pang'ono. Komabe, nthawi zambiri ndi chizindikiro cha matenda enaake. Chofunika kwambiri ndichakuti musachite mantha ndikupita kuchipatala nthawi yomweyo.
- Ngati mukuganiza kuti lilime la mwana wanu ndi lalikulu kwambiri, kapena ngati ali ndi zizindikiro zomwe takambiranazi, pitani kwa dokotala wa ana kapena dokotala wa khutu, mphuno, ndi pakhosi (ENT).
- Macroglossia ikhoza kuthetsedwa mwa kuzindikira chomwe chikuyambitsa ndikuchichiza moyenera.
- Kwa ana ena, vutoli likhoza kuchira lokha akamakula.
- Ndikofunikira kwambiri kutsatira malangizo a madokotala mosamala komanso kupatsa mwana chithandizo ndi chikondi chomwe akufunikira.
Kumbukirani, simuli nokha. Palinso makolo ena omwe akukumana ndi mavuto ofanana. Ndi malangizo oyenera azachipatala komanso kudzipereka kwanu, mutha kupeza zotsatira zabwino kwambiri kwa mwana wanu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Macroglossia, kapena lilime lalikulu ndi chiyani?
Imeneyi ndi vuto limene lilime la munthu limakhala lalikulu kwambiri, lotuluka mkamwa kapena lokhala pakati pa mano, kupitirira malo abwinobwino mkamwa mwake. Izi zimapangitsa lilime kukhala lotuluka nthawi zonse, ndipo nthawi zina m'mbali mwa lilime mumawoneka.
💬 Kodi ichi ndi chinthu chomwe chimabadwa nacho?
Kwa ana, nthawi zambiri izi zimakhala matenda obadwa nawo. Izi zimachitika makamaka kwa ana omwe ali ndi Down syndrome ndi makanda omwe ali ndi matenda a Beckwith-Wiedemann. Komabe, ngati munthu wamkulu mwadzidzidzi ali ndi lilime lalikulu chonchi, mwina chifukwa cha matenda monga amyloidosis kapena hypothyroidism.
💬 Chimachitika ndi chiyani lilime likakula? Kodi silingadulidwe ndi kuphwanyidwa?
Lilime likakula kwambiri moti silingathe kufalikira pakamwa, sizimangopangitsa kuti ana azivutika kudya, kumwa, ndi kulankhula, komanso zimatha kuyambitsa matenda a sleep apnea, vuto loopsa lomwe lilime limatuluka ndikutseka pakhosi. Ngati pali mavuto otere, madokotala amatha kuchita opaleshoni yotchedwa glossectomy kuti achotse chidutswa cha lilime ndikuchibwezeretsa kukula kwake kwabwinobwino.
'Macroglossia, Lilime lokulirapo, Lilime la ana, Kuvuta kupuma, Kuvuta kumeza, Macroglossia, Beckwith-Wiedemann syndrome, Down syndrome, Lilime lokulirapo, Matenda a lilime

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