Kuthekani ukuba umntwana wakho ulahlekelwa yibhulorho ebalulekileyo engqondweni yakhe? (Ukuzalwa kweCorpus Callosum - ACC)

Ngaba wakha weva ukuba unxibelelwano phakathi kwamacandelo amabini engqondo yomntwana wakho lusenokungakheki kakuhle? Oku kusenokuvakala kuyoyikisa kancinci, kodwa ungakhathazeki. Makhe sithethe ngale nto ngokweenkcukacha, ngokulula. Le meko siyibiza ngokuba yi-'Agenesis of the Corpus Callosum', okanye (ACC) ngamafutshane.

Yintoni i-Agenesis yeCorpus Callosum (ACC)?

Ngamafutshane, `(Agenesis of the Corpus Callosum - ACC)` yimeko yokuzalwa apho ``Corpus Callosum``, ibhendi etyebileyo yemithambo-luvo enceda ukunxibelelana ngolwazi phakathi kwamacala asekunene nasekhohlo obuchopho bakho (okwabizwa ngokuba yi``hemispheres``), ingekho ngokupheleleyo okanye inxalenye yayo.

Cinga nje ngokuba amacala omabini engqondo yakho afana neebhanki ezimbini ezahlukeneyo zomlambo. Kufuneka kubekho ibhulorho phakathi kwezi bhanki zimbini ukuze ulwazi luhambe luye phambili nangasemva, akunjalo? Yiyo loo nto i-`(Corpus Callosum)` injalo. Le bhulorho yiyo enceda amacala omabini engqondo ukuba athethe kwaye atshintshiselane ngolwazi. Ngoko ke kwimeko ye-`(ACC)`, kuba ngathi amaplanga ale bhulorho mancinci kancinci, okanye ibhulorho ayisekho kwaphela. Ngamanye amaxesha, nokuba unganqumla le bhulorho, kunzima kakhulu.

Le "Corpus Callosum" inceda ukulawula iimvakalelo zethu, iintshukumo zethu, kunye nokucinga okuntsonkothileyo. Iimeko ze "ACC" zinokubangela iimpawu ezifana nokulibaziseka kokukhula, ukukhubazeka kokufunda, okanye ubunzima ngezakhono zomzimba ezicothayo. Nangona kunjalo, kukho unyango lokulawula ezi mpawu.

Ngaba kukho iintlobo eziphambili ze-`(ACC)`?

Ewe, kukho iintlobo ezimbini eziphambili ze-`(ACC)`:

• I-agenesis epheleleyo: Kule meko, i-corpus callosum ayikakhiwa ngokupheleleyo.
• I-agenesis engaphelelanga (ekwabizwa ngokuba yi-hypogenesis okanye i-dysgenesis): Kule meko, yinxalenye kuphela ye-corpus callosum engekhoyo.

Ezi ntlobo zinokwahlulwahlulwa ngakumbi ngolu hlobo lulandelayo:

• I-Isolated: Oku kuchaphazela kuphela iCorpus Callosum.
• Intsonkothileyo: Kule meko, ukongeza kwiCorpus Callosum, nezinye iindawo zobuchopho zinokuchaphazeleka.

Zithini iimpawu zomntwana one-`(ACC)`?

Iimpawu ze-ACC zinokwahluka ngokuxhomekeke ekubeni i-corpus callosum ichaphazeleke kangakanani na kunye nokuba ezinye iindawo zobuchopho zichaphazelekile na. Iimpawu eziqhelekileyo ziquka:

• Ukulibaziseka kokukhula: Umzekelo, izinto ezinje ngokuqengqeleka, ukuhlala phantsi, ukuhamba, nokuthetha zinokulibaziseka.
• Ukukhubazeka kwengqondo okanye ukukhubazeka kwengqondo.
• Ubunzima bokubona, ukuva, nokuthetha.
• Ukuxhuzula.
• Ubunzima bokuncancisa (iintsana).
• Ukuqinisa okanye ukukhulula izihlunu ngokungeyomfuneko.
• Intloko enkulu okanye encinci ngendlela engaqhelekanga.
• I-Hydrocephalus (oku kunqabile kancinci).

Njengomzali, unokubona ezinye zezi mpawu kwiminyaka emibini yokuqala yomntwana wakho. Nangona kunjalo, kwezinye iimeko ezincinci, iimpawu ezinkulu zisenokungabonakali de umntwana wakho afikelele kwiminyaka yokufunda. Umzekelo, ungabona kuqala ukuba umntwana wakho unengxaki ngezinto ezifana nezi:

• Ukuphatha ulwazi lwe-sensory-motor: Kufana nokubamba ibhola evela phezulu.
• Isantya sokucinga esinciphileyo: Kuthatha ixesha elide kunabanye abantwana ukusombulula iphazili.
• Ukuqiqa nokusombulula iingxaki: Ubunzima bokulandela imiyalelo enamanyathelo aliqela.

Zeziphi iingxaki zokuziphatha ezinokunxulunyaniswa ne-`(ACC)`?

Iingxaki zokuziphatha ezinje ngezi zinokubonakala kwimeko ethi `(ACC)`:

• Ukungakhathali: Ukukhubeka nokuwa rhoqo xa uhamba.
• Ubunzima bokulungelelanisa amacala omzimba asekhohlo nasekunene: xa usenza izinto ezifana nokukhwela ibhayisekile okanye ukudada.
• Ubunzima bokusebenzisana kwesandla neliso: njengokutsala inaliti okanye ukudlala isixhobo somculo.
• Iingxaki zokulala: Ubunzima bokulala, ukuvuka ngexesha lokulala, kunye nokuhambahamba ebuthongweni (parasomnias)

Abantwana abaninzi banokuba neengxaki zophuhliso lwe-neurodevelopmental ezifana ne-ADHD kunye ne-ACC.

Zithini izizathu ze-`(ACC)`?

Enyanisweni, oogqirha abakaqiniseki ukuba kutheni i-corpus callosum ingaphuhli njengoko bekulindelwe. Kodwa uphando lubonisa ukuba kwiimeko ezininzi, kukho unobangela wemfuza emva kwayo. Ezinye zazo ziquka:

• I-Aneuploidy: Ukubakho kwe-chromosome enye eyongezelelweyo okanye enye engaphantsi kwiiseli zomzimba.
• Ukulungiswa kwakhona kwechromosome: Ulwakhiwo lwechromosome luyatshintsha. Umzekelo, icandelo liyaqhekeka lize linamathele kwichromosome efanayo (inversion) okanye linamathele kwenye ichromosome (translocation).
• Iinguqu zemfuza: Utshintsho kwimfuza (DISC1) lunokubangela iimpawu.

Ngaba i-ACC inokwenzeka nakwezinye iimeko zonyango?

Ewe, ezinye iintlobo ze-`(ACC)` zinokwenzeka kunye nezinye iimeko zokuzalwa. Eminye imizekelo yile:

• `(Isifo se-Aicardi)`
• `(Isifo se-Apert)`
• `(Isifo sikaDandy-Walker)`
• `(Isifo sikaJoubert)`
• `(Isifo se-L1)`
• `(I-Schizencephaly)`
• `(ITrisomy 13)`
• `(ITrisomy 18)`

La ngamagama ezonyango anzima ngakumbi, kodwa ugqirha wakho uza kukuxelela okungakumbi ngale nto.

Ziziphi izinto ezibangela umngcipheko we-`(ACC)`?

Ezinye iingxaki ngexesha lokukhulelwa zinokuchaphazela uphuhliso lomntwana esibelekweni. Oku kunokunyusa umngcipheko wokukhula kwe-``(ACC)``. Ezinye zezi zinto zinobungozi zezi:

• Ukosuleleka okanye ukwenzakala komntwana ongekazalwa phakathi kweveki ye-12 neye-24 yokukhulelwa.
• Isifo sotywala esibangelwa kukusetyenziswa kotywala ngumama.
• Imeko ebizwa ngokuba yiPhenylketonuria.

Ungayichonga njani imeko ye-`(ACC)`?

Ugqirha unokurhanela ukuba une-ACC ngexesha lokuhlolwa kwe-ultrasound emva kweveki ye-16 yokukhulelwa. Nangona kunjalo, ukuxilongwa okuqinisekileyo kudla ngokwenziwa emva kokuba umntwana ezelwe.

Ugqirha uza kwenza uvavanyo lomzimba kunye nezinye iimvavanyo. Ngexesha lovavanyo lomzimba, ugqirha uza kubuza ngeempawu zakho kunye nembali yezonyango. Kubantwana, baza kubuza abazali ukuba umntwana ufikelele na kumanqanaba okukhula afanelekileyo ngokweminyaka yakhe (umz., ukuhlala phantsi, ukuhamba).

Ukuqinisekisa ukuxilongwa, ugqirha unokuyalela uvavanyo lwemifanekiso yobuchopho. I-computed tomography (CT) scan okanye i-magnetic resonance imaging (MRI) scan ingenziwa ukuze kubonwe ukuba i-corpus callosum ivalekile okanye ivalekile ngokupheleleyo.

Ukuba kukho ukurhaneleka kokuba le meko iyenzeka kunye nesinye isifo, kunokufuneka uvavanyo olongezelelweyo.

Ziziphi iindlela zonyango ze-`(ACC)`?

Unyango lwe-ACC lugxile kakhulu ekuncedeni ukulawula iimpawu. Oku kungabandakanya:

• Ukunika amayeza okuthintela ukuxhuzula ukulawula ukuxhuzula.
• Ukungenelela kwangethuba okanye ukuthatha inxaxheba kwiinkqubo zemfundo ekhethekileyo esikolweni.
• Ulungiso lwenyama.
• Unyango lomsebenzi.
• Unyango lokuthetha.
• Unyango olubonakalayo.
• Ukufakwa kwe-shunt ye-hydrocephalus.
• Unyango lokuziphatha kwengqondo.

Iindlela zonyango ziyahluka kumntu nomntu. Ugqirha wakho uza kukunika isicwangciso sonyango esilungiselelwe iimfuno zakho.

Buza kuba njani ubomi ngemeko ye-`(ACC)`?

Le meko ichaphazela abantu abahlukeneyo ngeendlela ezahlukeneyo. Ingachaphazela ukusebenza kwengqondo yakho, izakhono zokunyakaza, kunye nokuziphatha. Ubungakanani bomonakalo kwi-corpus callosum yakho bunokumisela ikamva lakho. Ingahluka ngobukhulu.

Kwabanye, i-ACC isenokuba nefuthe elincinci kwimisebenzi yemihla ngemihla. Kwabanye, inokufuna ulawulo lobomi bonke phantsi kweliso loogqirha abaninzi. Ugqirha wakho unokubonelela ngolwazi malunga nemeko yemeko yakho, njengoko ikhethekile kuwe.

Usenokuba nobunzima bokuthatha inxaxheba kwezemidlalo, kwimisebenzi, esikolweni, okanye kwimisebenzi yemihla ngemihla wedwa. Oku kunokuchaphazela impilo yakho yengqondo kunye nempilo-ntle yakho yeemvakalelo. Ingcali yezempilo yengqondo, kunye nabanye kwiqela lakho lokhathalelo, banokukunceda uhlengahlengise kwaye ulawule indlela ezi mpawu ezikuchaphazela ngayo.

Ngaba i-ACC inefuthe kubomi bemihla ngemihla?

I-ACC ehlukanisiweyo ayichaphazeli ngqo ubomi bakho. Nangona kunjalo, ukuba unezinye iimeko kunye ne-ACC, okanye ukuba iimpawu zichaphazela ezinye iindawo zobuchopho, ubomi bakho bunokutshintsha.

Ngaba `(ACC)` ingathintelwa?

Ngenxa yokuba unobangela ochanekileyo ungaziwa, akukho ndlela yokuthintela i-ACC. Nangona kunjalo, abazali abakhulelweyo banokunciphisa umngcipheko wokuba nomntwana one-ACC ngokuzinyamekela kakuhle ngexesha lokukhulelwa. Oku kuquka ukuphepha utywala, nokuzikhusela kwiintsholongwane kunye neengozi. Ugqirha unokukunceda ulawule impilo yakho kunye nempilo yosana lwakho olungekazalwa.

Ukuba uceba ukuqala usapho kwaye ufuna ukwazi umngcipheko wokuba nomntwana onesifo semfuza, ungenza uvavanyo lwemfuza.

Ngaba umntwana one-`(ACC)` angaphila ubomi obuqhelekileyo?

Ewe, inokwenzeka. Kodwa into "eqhelekileyo" kuwe isenokungafani nento omnye umntu acinga ukuba "iqhelekile." Umntwana wakho usenokudlala, athathe inxaxheba kwimisebenzi eyonwabisayo, aye esikolweni, aze ancokole nabanye abantu. Kunokubakho imingeni ethile, kodwa oogqirha bakho banokukunceda ukuba uqhelene nayo ukuba kuyimfuneko.

Ufanele uye nini kugqirha?

Ukuba umntwana wakho uphoswa ziindlela zokukhula, okanye ukuba ubona naluphi na utshintsho kwindlela aziphethe ngayo okanye asebenza ngayo, thetha nogqirha wakho. Nguwe omazi kakuhle umntwana wakho. Ngoko ke ukuba ubona iimpawu ze-ACC, thetha nogqirha womntwana wakho.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Ngenxa yokuba le meko ichaphazela wonke umntu ngokwahlukileyo, cinga ngokubuza ugqirha wakho imibuzo efana nale:

• Ingakanani into engekhoyo kwi-"Corpus Callosum"?
• Ngaba kukho ezinye iimeko zempilo ezibangela iimpawu ezifana ne-`(ACC)`?
• Luhlobo luni lonyango olucetyiswayo?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Ngaba `(ACC)` ithetha ukukhubazeka?

Ukukhubazeka kwengqondo kunokwenzeka ngenxa ye-ACC. Nangona kunjalo, ayingabo bonke abantwana abane-ACC abaya kuba nokukhubazeka kwengqondo. Oku kuxhomekeke kwinqanaba apho i-corpus callosum ichaphazeleka khona.

Ukufumanisa ukuba umntwana wakho ulahlekelwe yinxalenye yengqondo yakhe kunokuba ngumthombo woxinzelelo. Usenokuzibuza ukuba ikamva lakhe liza kuba njani, ingakumbi ukuba amacala engqondo asekhohlo nasekunene anobunzima bokunxibelelana.

Into ethile yabazali (ekugqibeleni)

Iqela lokhathalelo lomntwana wakho linokukunceda uqonde ngakumbi malunga ne-Agenesis yeCorpus Callosum (ACC) kunye nendlela onokumnceda ngayo umntwana wakho. Ityala ngalinye lahlukile ngobukhulu, ngoko umntwana wakho usenokungabi nazimpawu zininzi, okanye iimpawu zakhe zinokuba nzima. Nangona kunjalo, oogqirha baya kwenza isicwangciso sonyango somntwana wakho. Ukuba unemibuzo malunga nokuba ungalindela ntoni, thetha noogqirha bomntwana wakho. Khumbula, awuwedwa, kwaye uncedo luyafumaneka.

Ukuqala kweCorpus Callosum, i-ACC, uphuhliso lobuchopho, i-corpus callosum, ukulibaziseka kophuhliso, impilo yomntwana, izifo zemfuza