Ngaba umzimba wakho okanye womntwana wakho ulahlekelwe ngamafutha ngequbuliso, ingakumbi phantsi kolusu, kwaye ezo ndawo zibonakala zithambile? Okanye ngaba amafutha ebusweni nasezandleni zakho anyamalala ngequbuliso, nto leyo ekunika inkangeleko endala? Ukuba kuvela ezinye iingxaki zempilo emzimbeni kunye nolu tshintsho, kusenokwenzeka ukuba kungenxa yemeko esithetha ngayo namhlanje.
Ngamafutshane, yintoni iLipodystrophy?
I-Lipodystrophy yingxaki eyenzeka kwindlela umzimba wethu osebenzisa kwaye ugcina ngayo amafutha. Ukuba ayisiyonto ekhoyo ekuzalweni, siyibiza ngokuba yi-'Acquired Lipodystrophy'. Oku kuthetha ukuba le meko yenzeka ngesizathu esithile ebomini bethu. Oku kuchaphazela kakhulu umaleko wamafutha phantsi kolusu lwethu. Ke ngoko, inkangeleko yomntu inokutshintsha ngokupheleleyo. Kwakhona, oku akupheleli nje kwinkangeleko, kunokubangela neengxaki ezininzi zempilo ngaphakathi emzimbeni.
Abanye abantu abane-HIV nabo banokuba nale meko (i-LD-HIV). Isenokubangelwa ngamayeza abawasebenzisayo okanye sisifo ngokwaso.
Makhe sijonge ezinye iintlobo eziphambili.
| Uhlobo lwe-lipodystrophy | Ingcaciso elula |
|---|---|
| I-Acquired Generalized Lipodystrophy (AGL) | Oku kubangela ukuba umzimba wonke ulahlekelwe ngamafutha phantsi kolusu. Ikwabizwa ngokuba yiLawrence syndrome. |
| I-Acquired Partial Lipodystrophy (APL) | Ukulahleka kwamafutha kwenzeka kuphela emzimbeni ongaphezulu (ubuso, intamo, iingalo). Ikwaziwa ngokuba yiBarraquer-Simons syndrome. |
| I-Lipodystrophy yendawo | Ukulahleka kwamafutha kwenzeka kwindawo enye okanye ezimbalwa emzimbeni, kwenze amaqhuqhuva amancinci. |
Zombini i-AGL kunye ne-APL zihlala zixhaphake ngokuphindwe kathathu kumantombazana kunamakhwenkwe. Oku kunokubangela ukuba umntwana alahlekelwe ngamafutha ebusweni aze abonakale emdala kakhulu kuneminyaka yakhe yokwenyani . Oku kunokuba buhlungu kakhulu kumntwana nakubazali.
Into ebalulekileyo kukuba amafutha awabalulekanga kuphela kwinkangeleko yethu, kodwa nakwizinga leehomoni zomzimba. Izicubu zamafutha zivelisa ihomoni ebizwa ngokuba yi-leptin. Le homoni inika ubuchopho bethu uphawu lokuba sitye ngokwaneleyo.
Xa amafutha elahlekile, le hormone ye-leptin nayo iyancipha. Ayipheleli apho, amafutha aqala ukuqokelelana kwiindawo ezifana negazi, intliziyo, isibindi, kunye nezintso. Oku kunokukhokelela kwiingxaki ezinkulu ezifana nesifo seswekile, i-cholesterol ephezulu, isifo sesibindi, kunye nokungasebenzi kakuhle kwezintso .
Kutheni oku kusenzeka? (Izizathu)
Amaxesha amaninzi, noogqirha badla ngokufumanisa unobangela othile wale meko. Nangona kunjalo, kukho izinto ezininzi eziye zachongwa ezinokubangela ukuba ivele:
- Usulelo: Le meko inokwenzeka emva kosulelo olufana ne-masisi, i-pneumonia, i-infectious mononucleosis, okanye i-hepatitis.
- Isifo sokuzikhusela komzimba: Oku kunokwenzeka xa inkqubo yomzimba yokuzikhusela ihlasela iiseli zamafutha zomzimba.
- Ukujova rhoqo okanye ukufaka uxinzelelo kwindawo enye: Umzekelo ongcono ngabantu abasebenzisa i-insulin xa benesifo seswekile. Ukuba uzijova kwindawo enye yonke imihla, ngokuhamba kwexesha amafutha ajikeleze loo ndawo aya kunyibilika aze enze umngxuma omncinci. Yiyo loo nto oogqirha besoloko besithi tshintsha indawo apho ujova khona i-insulin yonke imihla.
- Ingozi okanye ukwenzakala okuthile.
Zithini iimpawu zoku?
Zonke ezi ntlobo zibangela ukwehla kwamafutha emzimbeni, kodwa ziyahluka ukusuka komnye umntu ukuya komnye. Ngokuxhomekeke kuhlobo lomntwana wakho, iimpawu ziya kwahluka.
I-AGL (Ukulahleka Kwamafutha Omzimba Wonke)
Aba bantwana abanamafutha amaninzi phantsi kolusu ebusweni, ezingalweni, emilenzeni, ezandleni, kwaye ngamanye amaxesha nasezinyaweni zabo. Oku kubanika inkangeleko yemisipha kwaye kwenza imithambo yabo ibonakale . Aba bantwana bahlala belambile, kwaye bakhula ngokukhawuleza.
I-APL (Ukunciphisa Amafutha Omzimba Ophezulu)
Kule meko, ukwehla kwamafutha kuqala ebusweni. Emva koko kusasazeka kancinci ukuya entanyeni, ezingalweni, nakwindawo yesifuba. Umzimba ongezantsi awusoloko uchaphazeleka.
Indawo (ukulahleka kwamafutha kwindawo enye)
Oku kubonakala ngathi ngumngxuma omncinci eluswini. Kusenokuba nemingxunya engaphezulu komnye. Ngamanye amaxesha ezi ndawo zinokuba buhlungu okanye zibe namaqhuma abuhlungu.
Ugqirha uyixilonga njani le nto?
Xa usiya kugqirha, uza kwenza uvavanyo olupheleleyo lomzimba aze akubuze imibuzo embalwa wena nomntwana wakho.
- Zeziphi iimpawu ozibonileyo?
- Uqale nini ukuqaphela ezi nguqu?
- Ingaba olu tshintsho kwinkangeleko lufumaneka kwiindawo ezimbalwa kuphela emzimbeni, okanye lufumaneka kuwo wonke umzimba?
- Ngaba ukhe wanamaqhuma avuvukileyo okanye amaqhuma abomvu phantsi kolusu (i-panniculitis)?
- Ngaba unesifo seswekile? Ngaba kutshanje ukhe wajongwa amanqanaba eswekile yegazi kunye ne-cholesterol yakho?
Ezi mvavanyo zilandelayo zingenziwa ukuqinisekisa ukuxilongwa:
- I-biopsy yolusu: Iqhekeza elincinci kakhulu lolusu liyathathwa lize lihlolwe phantsi kwe-microscope.
- Uvavanyo lokulinganisa amafutha omzimba: Uvavanyo lobukhulu besikhumba okanye i-X-ray kunye ne-MRI scans ezikhethekileyo zinokunceda ekumiseleni indlela asasazeka ngayo amafutha omzimba.
- Uvavanyo lwegazi: Iswekile yegazi, ukusebenza kwezintso, i-cholesterol, ii-enzymes zesibindi, kunye namanqanaba e-uric acid ayahlolwa.
- Uvavanyo lomchamo: Jonga ukuba akukho na iingxaki zezintso.
Iphathwa njani?
Ngelishwa, akukho ndlela yokubuyisela amafutha alahlekileyo. Ke ngoko, injongo ephambili yonyango kukuthintela iingxaki ezinokubangelwa sisifo. Ngenxa yoku, kubaluleke kakhulu ukulandela indlela yokuphila enempilo.
- Ukutya: Wonke umntu onesi sifo kufuneka alandele ukutya okunamafutha aphantsi . Nangona kunjalo, ukuba ngumntwana, kufuneka uqaphele ukuqinisekisa ukuba ufumana isixa esifanelekileyo seekhalori kunye nezondlo zokukhula kwakhe. Kungcono ukubonisana nengcali yesondlo ngale nto.
- Ukuzilolonga: Ukuzilolonga kunokunceda ekulawuleni amanqanaba eswekile egazini kunye nokuthintela ukugcinwa kwamafutha ayingozi emzimbeni.
- Amayeza: Abantu abane-AGL banokunikwa inaliti ebizwa ngokuba yi-metreleptin (Myalept) ukuze ithathe indawo ye-hormone ye-leptin engekhoyo. Ii-statins kunye ne-omega-3 fatty acids zinokunceda ukulawula i-cholesterol ephezulu. Ukuba unesifo seswekile, kunokufuneka uthathe i-insulin okanye amanye amayeza.
Kubalulekile: Ukuba ukhathazekile ngotshintsho olubonakalayo kwinkangeleko yakho, ungathetha nogqirha wakho malunga neendlela ezinje ngotyando lweplastiki. Ukujova ii-fillers okanye ukuthatha amafutha avela kwenye indawo yomzimba ukuze ugcwalise ubuso kunokubuyisela imbonakalo ethile.
Indlela yokuxhasa umntwana ngokwengqondo?
Ngenxa yokuba esi sifo sichaphazela ngqo inkangeleko, kubaluleke kakhulu ukunika umntwana uthando, ububele, kunye namandla engqondo ukongeza ekunikeni amayeza.
1. Yiba ngumzekelo: Soloko uhlala unethemba. Ukuba umntu ubuza ngomntwana wakho, mchazele imeko ngokuzolileyo nangokulula.
2. Yakha ukuzithemba komntwana wakho: Endaweni yokuthetha rhoqo ngenkangeleko yomntwana wakho, mncome ngeziphiwo zakhe, izakhono zakhe kunye neempawu zakhe ezintle.
3. Khuthaza abahlobo ukuba bancokole nabanye abantu:Nangona kunjalo, abantwana bahlukile. Ngamanye amaxesha banokuva amazwi amabi kwabanye abantwana baze bakhutshwe. Fundisa umntwana wakho kwangaphambili indlela yokujongana neemeko ezinjalo.
4. Funa uncedo lomcebisi oqeqeshiweyo: Umntwana kunye nosapho banokufuna uncedo lomcebisi ukulawula uxinzelelo oluza nokujongana nalo mceli mngeni.
Umyalezo Wokuya Ekhaya
- I-Acquired Lipodystrophy yingxaki yokugcina nokusebenzisa amafutha emzimbeni okwenzeka emva kokuzalwa.
- Oku kunokubangela utshintsho kwinkangeleko kwaye kukhokelele kwiingxaki ezinkulu ezifana nesifo seswekile, i-cholesterol ephezulu, isifo sesibindi kunye nezintso.
- Nangona kungekho nyango luthile loku, iingxaki zinokulawulwa ngendlela yokuphila enempilo kunye namayeza.
- Ukuba ubona ukwehla okungaqhelekanga kwamafutha omzimba wakho okanye omntwana wakho, bona ugqirha ngokukhawuleza ukuze akunike ingcebiso.
- Xa uphila nale meko, kubaluleke kakhulu ukunyamekela impilo yomzimba kunye nempilo yengqondo.
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