Une kurwadziwa kwemutsipa nemusana nguva dzose here? Zvingave chirwere cheKlippel-Feil (KFS)!

Dzimwe nguva unomboomerwa nekutendeudza mutsipa wako here? Kana kuti mutsipa wako unoita sewapfupi zvishoma? Pamwe wakaona shanduko yakafanana pamutsipa wemwana wako. Kunyangwe paine zvikonzero zvakawanda zveizvi, nhasi tichataura nezvechirwere chisingawanzoitiki asi chakakosha chinonzi Klippel-Feil Syndrome (KFS). Usazvidya moyo, tichazvichengeta zviri nyore.

Saka, chii chinonzi Klippel-Feil Syndrome (KFS)?

Zvichitaurwa zviri nyore, Klippel-Feil Syndrome (KFS) chirwere apo mapfupa maviri kana anopfuura ari mumutsipa wedu, kana kuti majoini emusana, anobatanidzwa pamwe chete, zvichiita pfupa rimwe chete. Ichi chirwere chekuzvarwa nacho. Kazhinji, pane nzvimbo diki pakati pemapfupa ari mumutsipa wedu (anonziwo `(cervical vertebrae)`), ayo azere nezvikamu zvakaita sejelly zvinonzi `(intervertebral discs)`. Izvi ndizvo zvinoita kuti tikwanise kutendeudza mutsipa wedu zviri nyore. Zvisinei, kune munhu ane KFS, mapfupa aya anobatanidzwa pamwe chete, izvo zvinogona kudzikamisa kufamba kwemutsipa.

Mumusana wedu mune mapfupa emusana makumi matatu nematatu. Mafupa emusana manomwe epamusoro ari mumutsipa (C1 kusvika C7). MuKFS, mapfupa maviri emusana anonyanya kubatwa nechirwere ichi ndiwo C2 neC3. Zvisinei, dzimwe nguva chirwere ichi chinogona kukanganisa mamwe mapfupa emusana ari pasi pemutsipa.

Chirwere ichi chinonzi Klippel-Feil Syndrome zvichibva pamazita evanachiremba vaviri vakatanga kuchiwana.

Kune zvinhu zvitatu zvikuru zveKFS (izvi zvinogona kuva chimwe, zviviri, kana zvese, kana kusavapo zvachose):

• Kuomerwa nekutenderedza mutsipa nekuda kwekuti mapfupa emutsipa anonamatirana.
• Kutaridzika kwemutsipa mupfupi.
• Mutsetse webvudzi, uri kumashure kwemusoro, wakaderera pane zvakajairwa.

Dambudziko iri haringogumiri pamutsipa chete. Dzimwe nguva rinogonawo kukanganisa moyo, mapapu, itsvo, muromo, maziso, nzeve, tsandanyama, tsinga, musana, nemamwe mapfupa.

Klippel-Feil Syndrome (KFS) yakajairika sei?

Chirwere cheKFS chinowanzoitika kakawanda. Chinobata mwana mumwe chete pavana 40,000 kusvika 42,000 pasi rose. Zvinonziwo chinowanzoitika kuvasikana.

Ndingaziva sei kana mwana wangu aine Klippel-Feil Syndrome (KFS)?

Dzimwe nguva, zvichienderana nekuoma kwechirwere ichi, chinogona kuonekwa panguva yekuongorora ultrasound mumwedzi mitatu yekutanga yekuzvitakura. Kana, kana pasina zviratidzo zvakajeka pakuzvarwa, panguva yehucheche, kana pahudiki, chinogona kuonekwa pakukura kana pave paya. Zvisinei, tichifunga nezvezviratidzo zvakasiyana-siyana nezvimwe zvinetso zvinogona kuitika panguva iyi, hazviwanzoonekwa kusvika pave paya.

Ndezvipi zviratidzo zveKlippel-Feil Syndrome (KFS)?

Zvinoshamisa kuti vamwe vanhu vane KFS vanogona kunge vasina zviratidzo zvachose, kana kuti zviratidzo zvishoma. Zvisinei, vanhu vazhinji vanowana zviratidzo.Kunyange zvazvo izvi zvingakanganisa vamwe vanhu zvishoma, zvinogona kukanganisa vamwe zvakanyanya. Izvi zvinoreva kuti zviratidzo zvinogona kusiyana kubva pamunhu kusvika pamunhu.

Aya ndiwo zviratidzo zvinowanzoitika:

• Kuomerwa nekutenderedza mutsipa: Ichi ndicho chiratidzo chinowanzoitika mumuviri. Chinoitika nekuti rimwe kana kupfuura mapfupa emutsipa akabatana.
• Mutsetse webvudzi, uri kumashure kwemusoro, pazasi.
• Kutaridzika kwemutsipa mupfupi.
• Kusiyana kwehukuru nechimiro chemativi echiso.
• Kusagadzikana kwemapfupa emutsipa ari pamusoro pemutsipa, ayo akabatana nedehenya. Izvi zvinogona kuva nengozi zvikuru, kunyanya kana wakakuvara mutsaona, tsaona yemotokari, kana mumitambo yakaita serugby kana nhabvu.
• Scoliosis: Izvi zvinogona kuonekwa pakati pe30 ne50 muzana yezvirwere.
• Musoro.
• Kusanzwa: Izvi zvinogona kukanganisa vanhu vanosvika makumi matatu muzana.
• Kuomerwa nekutendeudza musana wekumusoro.
• Kurwadziwa kwetsinga kunosvika mumaoko kana kumakumbo.
• Kurwadziwa kwetsandanyama mumutsipa uye/kana kumusana.
• Kukuvadzwa kwetsinga dziri mumutsipa kana kumusana.
• Kukuvadzwa kwemusana: Izvi zvinogona kukonzera kukuvara kwemusana.
• Chirwere cheitsvo: Izvi zvinogona kukanganisa vanhu vanosvika makumi matatu muzana.

Uyezve, mamwe matambudziko anogona kuitika:

• Kutadza kunzwa kana kusanzwa.
• Mukanwa wakatsemuka kana chimiro chisina kujairika chemukanwa.
• Zvisina kumira zvakanaka muhurongwa hwekubereka, weti, moyo, mapapu, mbabvu, uye mitezo.
• Kupera simba kwemarunda ari pamusoro pemutsipa anobatanidza dehenya. Izvi zvinogona kukonzera kuti musana udzvanyirike uye kukuvadza tsinga kana mutsipa uchifamba.

Chii chinokonzera Klippel-Feil Syndrome (KFS)?

Vaongorori havasati vanyatsonzwisisa chikonzero chaicho cheKFS. Kazhinji, inoonekwa seisingawanzoitiki. Kureva kuti, inogona kuitika pasina nhoroondo yemhuri yechirwere ichi kana pasina chikonzero chakajeka chemajini.

Zvisinei, mune dzimwe nguva, chirwere ichi chinogona kukonzerwa nekuchinja (kuchinja) mune rimwe kana akawanda majini ane chekuita nekukura kwemapfupa nemusana.

Dzimwe nguva KFS inogona kuitika pamwe chete nedzimwe zvirwere, kana semhedzisiro yechimwe chirwere chekuzvarwa nacho. KFS inoitika semhedzisiro yechimwe chirwere, nekuda kwekuchinja (`(mutations)`) mumajini ane chekuita nezvirwere izvozvo.

Zvimwe zvezvirwere zvinogona kukonzerwa neKFS zvinosanganisira:

• Kunwa doro panguva yekuzvitakura kunogona kukonzera matambudziko etsinga dzemukati uye mamwe matambudziko (`(fetal alcohol syndrome)`).
• Chirwere chine kukura kusina kujairika kwemaziso, nzeve, uye musana (`(Goldenhar syndrome)`).
• Kukura kusina kujairika kwepfupa repafudzi (`(Sprengel deformity)`).
• Kusashanda zvakanaka kwekufamba kwemaziso (`(Duane syndrome)`).
• Kusavapo kweitsvo imwe kana dzese (renal agenesis).
• Chirwere chine kukura kusina kujairika kwemaziso, nzeve, uye mapfupa emutsipa (`(Wildervanck syndrome)`).
• Zvisina kumira zvakanaka mutsinga dzemuviri (semuenzaniso, mamiriro akadai seChiari malformation, spina bifida, uye syringomyelia).

Klippel-Feil Syndrome (KFS) yakagara nhaka here?

Kazhinji, KFS haisi nhaka. Zvisinei, sezvambotaurwa, mune dzimwe nguva, chirwere ichi chinogona kukonzerwa nekuchinja (`(mutations)`) mune rimwe kana kupfuura majini matatu akawanikwa. Kana paine chikonzero chemajini chakadaro, KFS inogonawo kugarwa nhaka.

Klippel-Feil Syndrome (KFS) inoongororwa sei?

Chiremba achaongorora chirwere cheKFS zvichienderana nezviratidzo zvako, kuongororwa kwekiriniki, uye bvunzo dzakasiyana-siyana dzemifananidzo. Chirwere ichi chinowanzoonekwa muhudiki. Dzimwe nguva, chinogona kuonekwa mwana asati aberekwa.

Chiremba wako achakubvunza nezvenhoroondo yako yehutano uye nhoroondo yemhuri. Zvadaro vachakubvunza nezvemuviri wako. Munguva yebvunzo iyi:

• Chiso chako, mutsipa (kuti uone kana chiri chipfupi), chikamu chose chemusana wako, uye ganda rebvudzi rako (kuti uone kana riri pasi pemusoro wako).
• Vanotsvaga zviratidzo zvekumanikidzwa kwetsinga yemuromo wechibereko (radiculopathy) kana kukuvara kwemusana (myelopathy).
• Inoedza ma "reflexes" anodzorwa ne "spinal cord" nedzimwe tsinga.
• Vachaongorora kufamba kwako.
• Vanoteerera chipfuva nedumbu uye vanozvibata nemaoko avo.

Ndedzipi bvunzo dzinoitwa kuti chirwere ichi chionekwe?

Hapana bvunzo dzemurabhoritari dzakanangana dzekuongorora KFS. Zvisinei, kana uine zviratidzo zvakawanda, chiremba wako anogona kuraira kuongororwa kweropa kuti aone kana paine zvimwe zvirwere. Vanogonawo kutarisa kusarongeka kwemoyo wako, itsvo, gastrointestinal system, uye weti. Unogonawo kupihwa bvunzo yekunzwa. Chiremba wako anogonawo kutaura newe nezvekuongororwa kwemajini.

Miedzo yeKufungidzira Musana

Chiremba wako achafanirwa kutora X-rays . Vanogona zvakare kuraira CT scan (Computed Tomography scan) kana MRI scan (Magnetic Resonance Imaging) .

• X-rays: Muzongoza wese unogona kuongororwa kuti uone kana mapfupa emuzongoza akabatana, kana paine diski ine herniated, kuti musana wacho wakasimba zvakadii, uye kana paine zvimwe zvisina kumira zvakanaka.
• Kuongororwa kweCT (`(CT scan)`):Unogona kutarisa chimiro chemapfupa emusana nemutsipa zvakasanganiswa zvakadzama.
• MRI scan: Iyi scan inobatsira kuona zviri pachena nyama dzakapfava dzakadai semusana, maburi ari pakati pemapfupa emusana, midzi yetsinga, uye mitsipa yemusana, uye kuona kusarongeka mune dzimwe nhengo dzemuviri.

Klippel-Feil Syndrome (KFS) inorapwa sei?

Kurapwa kunoenderana nezviratidzo zvako. Ungangoda mishonga uye/kana kurapwa nemuviri. Unofanira kuziva njodzi dzetsaona uye kudzivirira mabasa ane njodzi. Havasi vese vane KFS vanoda kuvhiyiwa.

Kurapa kwakajairika nemishonga

Vanhu vazhinji vasingade kuvhiyiwa vanowana rubatsiro rwakanaka nekurapwa kuri nyore kwakadai semakokora emuromo wechibereko, mabraces, uye kudhonza mutsipa. Chiremba wako anogonawo kukupa mishonga yekuderedza marwadzo nekuzvimba.

Kuvhiya (`(Kuvhiya)`)

Kazhinji ungangoda kuvhiyiwa kana:

• Kana paine dambudziko netsinga dzako, kureva uropi hwako, musana, uye tsinga.
• Kana uine chirema kana kusagadzikana mumusana wako.
• Kana uine tsandanyama dzisina simba, izvi zvinogona kuva chiratidzo chechimwe chinhu chakakomba chine chekuita nemusana wako kana musana.
• Kana paine kusarongeka mune dzimwe nhengo dzemuviri.

Kana uine vertebrae imwe kana kupfuura mumutsipa wako pasi peC3 vertebra (ndiko kuti, pasi peC1 neC2 vertebrae dziri pedyo nedehenya), zvingangokwana kungoongororwa nguva dzose uye kutarisa mamiriro acho ezvinhu. Kana iwe kana mwana wako muchitamba mitambo yakadai sehockey kana rugby, chiremba wenyu anogona kukukurudzirai kuti murambe muchitamba mitambo iyoyo mushure mekunge madzidza kudzivirira mutsipa wenyu.

Zvisinei, kana uine mapfupa emusana akasanganiswa pamusoro peC3 vertebra mumutsipa wako (kureva kuti pedyo nedehenya), unofanira kudzivisa mitambo ine simba guru, sezvo uri panjodzi huru yekukuvara kwemusana kune njodzi.

Chiremba wako anogara achiongorora moyo wako, mapapu, nhengo dzekubereka, itsvo, nedzimwe nhengo dzemuviri kuitira kuti vagone kuona matambudziko ese nekukurumidza uye kugadzirisa kana kurapa shanduko dziripo, kana kukurudzira chero kuvhiyiwa kunodiwa.

Ko Klippel-Feil Syndrome (KFS) inogona kuwedzera nekufamba kwenguva?

Ehe, Klippel-Feil Syndrome (KFS) inogona kuwedzera nekufamba kwenguva. Kana uine chimwe chinhu chisina kujairika mumusana wako, une mukana wekuva nematambudziko sezvaunokura. Semuenzaniso, matambudziko edhisiki anogona kukonzera kudzvanywa kwetsinga, kurwadziwa kwemusana nemusana, kana kushaya simba kwemakumbo nemaoko.

Une mukana mukuru wekukuvara nekuda kwekudonha nezvimwe zvinokanganisa muviri wako. Nekufamba kwenguva, mamwe matambudziko emukati anogona kuitika. Ndosaka zvichikosha kusangana nechikwata chako chekurapa nguva nenguva. Vachakuongorora, vachakuitira bvunzo dzinodiwa, uye vachasarudza kana kuchinja marapirwo ako.

Ko Klippel-Feil Syndrome (KFS) inokanganisa hupenyu hwehupenyu here?

Kuonekwa kweKlippel-Feil Syndrome (KFS) nekukurumidza ndiko kwakakosha. Ndipo panogona kugadziriswa matambudziko ehutano nekuvhiyiwa, nzira dzisiri dzekuvhiya, kana kunyatsoongororwa nekufamba kwenguva. Kana ukarapa matambudziko acho uye ukatevedzera zano rachiremba wako rekudzivirira musana wako, unogona kurarama hupenyu hwakajairika.

Munhu ane Klippel-Feil Syndrome (KFS) angatarisira remangwana rakaita sei?

Mhedzisiro yako ichaenderana nerudzi rwechirwere chaunacho (nhengo dzemuviri wako dzakabatwa nadzo) uye chero zvimwe zvirwere zvaungave nazvo. Munhu wese akasiyana. Chikwata chako chekurapa chichataura newe nezvechirwere chako pakushanya kwako nguva dzose. Vamwe vanhu vanogona kunge vasina zviratidzo zvachose, nepo vamwe vangave nezviratidzo zvakakosha zvinoderedza hupenyu hwavo.

Vanachiremba vako vachakutaurira kana uchida kuita chero chinhu kuti udzivirire musana wako, kana uchikwanisa kutamba mitambo ine simba guru, kana kuti kana uchida kuchinja mararamiro ako. Vachakurukurawo nezvekudiwa kwekuvhiyiwa.

Ndivanaani vane ruzivo rwehutano vanogona kundibatsira mukutarisira varwere vangu?

Kune mhando dzakasiyana dzevashandi vezvehutano vanogona kunge varipo mukutarisirwa kwako. Vanosanganisira:

• Mupi wako wenguva dzose.
• Nyanzvi yekurapa vana kana kuti yemukati memuviri.
• Chiremba wetsinga.
• Chiremba wepfungwa.
• Chiremba wemapfupa.
• Chiremba wemuromo uye wepamabvi.
• Chiremba wemwoyo.
• Chiremba wezvekudya (gastroenterologist) chiremba ane hunyanzvi mukugaya chikafu.
• Nyanzvi yeitsvo (Nephrologist).
• Nyanzvi yezvenzeve, mhuno, nehuro (Otolaryngologist).
• Nyanzvi yezvekunzwa.
• Nyanzvi yekurapa marwadzo.
• Murapi wemuviri.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Klippel-Feil Syndrome (KFS) chirwere chisingawanzoitiki chemusana apo mapfupa maviri kana anopfuura emutsipa anobatana.Dambudziko iri rinogona kukonzera mamwe matambudziko akawanda mumusana, uye rinogonawo kukanganisa dzimwe nhengo dzemuviri.

Zvisinei, havasi vese vakafanana. Ungave uine chirwere cheKFS chisina kunyanya kuipa, chisina zviratidzo zvikuru. Kana kuti, ungave uine matambudziko ehutano akakomba anoda kurapwa kwenguva refu. Usazvidya mwoyo, timu yako yenyanzvi ichave newe nhanho imwe neimwe.

Chinhu chinonyanya kukosha ndechekuongorora chirwere ichi nekukurumidza, kuwana kurapwa kwakakodzera, uye kutevedzera mirairo yachiremba wako. Zvadaro, kazhinji, unogona kurarama hupenyu hwakajairika, hunofadza. Kana uine mibvunzo kana kusava nechokwadi, usanyara kubvunza chiremba wako. Varipo kuti vakubatsire.

` Klippel-Feil syndrome, KFS, kurwadziwa kwemutsipa, zvirwere zvemusana, kunamatira kwemusana, chirwere chekuzvarwa nacho, kuomarara kwemutsipa, kusangana kwemusana