Ingaba umntwana wakho unesifo sethambo? Masifunde nge-Eosinophilic Granuloma!

Ngaba wakha woyika xa ubona into engaqhelekanga, njengeqhuma emzimbeni womntwana wakho omncinci? Ngamanye amaxesha xa sibona izinto ezinjalo, sicinga ngoko nangoko ukuba sisifo esibi. Namhlanje siza kuthetha ngemeko enokuvela kubantwana abancinci, kodwa idla ngokuba yingozi, kodwa kufuneka siyiqaphele loo nto.

Yintoni i-Eosinophilic Granuloma?

Ngamafutshane, eli lithumba lethambo elingenabungozi. Ukuchaneka, lolona hlobo lulula lwesifo esingaqhelekanga esibizwa ngokuba yi-`(Langerhans cell histiocytosis)`. Kule meko ebizwa ngokuba yi-`(Langerhans cell histiocytosis), umzimba wethu uvelisa iiseli zomzimba ezingaphezulu kunokuba kuyimfuneko. Kodwa khumbula, `(Eosinophilic Granuloma)` ayilomhlaza nangayiphi na indlela, kwaye ayilulo uphawu lomhlaza. Ezi zidla ngokubonakala kubantwana abangaphantsi kweminyaka eli-10 ubudala.

Ngubani ochaphazeleka kakhulu yile meko? Ixhaphake kangakanani?

Nangona le meko, ebizwa ngokuba yi-"Eosinophilic Granuloma," inokuvela nakubani na, idla ngokubonakala kubantwana abancinci abaphakathi kweminyaka emi-5 neli-10. Kuthiwa kwakhona ukuba abafana bathambekele kakhulu ekufumaneni le meko.

Le yimeko engaqhelekanga kakhulu. Ngaphantsi kwe-1% yazo zonke iithumba zamathambo ziyi-Eosinophilic Granuloma. Khawuthelekelele, bangaphantsi kwe-5 abantwana kwi-100,000 abafunyaniswa benale meko minyaka le.

Oku (i-Eosinophilic Granuloma) kuyichaphazela njani umzimba womntwana?

La maqhuqhuva, abizwa ngokuba yi-"Eosinophilic Granuloma``, anokwakheka nakweyiphi na ithambo elikhulu emzimbeni womntwana. Enyanisweni liqhuqhuva elivela phezu okanye kufutshane nethambo lomntwana xa iiseli zomzimba esizikhankanyileyo apha ngasentla ziqokelelana kwaye zijiyile.

Ezi zezona ndawo zixhaphakileyo apho zinokuvela khona:

• Ukhakhayi
• I-pelvis
• I-Femur
• Iimbambo
• Ithambo lengalo ephezulu `(iHumerus)`
• Umhlathi `(I-Mandible)`
• Umqolo

Ngokuxhomekeke kubukhulu beqhuma, umntwana unokufumana iimpawu ezifana neentlungu okanye iqhuma elingaphantsi kolusu .

Kodwa into emangalisayo kukuba, abantwana abaninzi abazi nokuba banale nto. Ngamanye amaxesha ifunyanwa ngengozi xa befumana into efana ne-X-ray ngesinye isizathu.

Zithini iimpawu ze-Eosinophilic Granuloma?

Nangona kungengabo bonke abantwana abaya kubonisa iimpawu, abanye banokufumana ezi zinto zilandelayo:

• Intlungu: Usenokuziva iintlungu kwindawo eqhuma kuyo. Khawuthelekelele, ngamanye amaxesha umntwana uthi, "Mama, umlenze wam ubuhlungu," okanye ubambe intloko yakhe.
• Ukudumba: Indawo echaphazelekayo ingadumba.
• Ukuthamba: Indawo ibuhlungu ukuyichukumisa .
• Intloko ebuhlungu, ukoma kakhulu, kunye nokuchama rhoqo:Xa ezi mpawu zidibana, zikwabizwa ngokuba yi-"Diabetes Insipidus". Oku kunokubonwa ngamanye amaxesha.
• Ukuqina kufutshane nelungu: Ukuba iqhuma likufutshane nelungu, kunokuba nzima ukugoba okanye ukolula elo lungu, kwaye usenokuziva uqinile.
• Ukutshintsha kombala wolusu: Ulusu olungaphezulu okanye olukufutshane neqhuma lunokutshintsha umbala. Lunokuba bomvu okanye lube mdaka.

Kutheni le nto (i-Eosinophilic Granuloma) isenzeka?

Njengoko besitshilo ngaphambili, le `(Eosinophilic Granuloma)` luhlobo lwemeko ebizwa ngokuba yi`(Langerhans cell histiocytosis)` (ekwabizwa ngokuba yi`(Histiocytosis X)`). Le `(Langerhans cell histiocytosis)` sisifo esibangelwa kukuzimela komzimba. Ngamafutshane, okwenzekayo kukuba umzimba womntwana uvelisa ngaphezu kwemfuneko `(iiLangerhans cells), uhlobo lweseli emhlophe yegazi edla ngokulwa nosulelo.

Ekuhambeni kwexesha, ezi seli zimhlophe zegazi zinokuhlangana ndawonye zenze amaqhuma kwiindawo ezahlukeneyo zomzimba womntwana (ingakumbi emathanjeni) . I-eosinophilic granuloma liqhuma elinye elenzeka ngolu hlobo.

Oogqirha bayixilonga njani le nto (i-Eosinophilic Granuloma)?

Ugqirha wakho uza kwenza uvavanyo oluninzi ukuqinisekisa ukuba le yi-Eosinophilic Granuloma. Ezona ziphambili zezi:

• Uvavanyo lwelebhu: Uvavanyo lwegazi lunokusetyenziswa ukufumanisa ukuba unezinye iimeko, ezifana nomhlaza.
• Uvavanyo lokufota: Ugqirha uza kusebenzisa indibaniselwano yovavanyo, olufana ne-X-ray, i-MRI scans, i-CT scans, i-ultrasounds, kunye ne-bone scans, ukuthatha imifanekiso yethumba elingaphakathi komntwana wakho. Uvavanyo olufunekayo ngumntwana wakho luya kuxhomekeka ekubeni ithumba likuphi emzimbeni.
• I-Biopsy: Ngamanye amaxesha ugqirha unokufuna ukuthatha iqhekeza elincinci leqhubu alijonge phantsi kwe-microscope. Oku kubizwa ngokuba yi-biopsy.

Eyona nto ibalulekileyo kukuba ugqirha kuya kufuneka enze uvavanyo oluninzi ukuqinisekisa ukuba umntwana une-Eosinophilic Granuloma, olunye uhlobo lwethumba, okanye imeko yomhlaza. Ngoko ke, ungoyiki ukuba bakucela ukuba wenze uvavanyo olongezelelweyo endaweni yovavanyo olunye okanye ezimbini.

Iphathwa njani i-Eosinophilic Granuloma?

Uhlobo lonyango umntwana wakho aludingayo luya kuxhomekeka kwizinto ezahlukeneyo, kuquka ukuba i-Eosinophilic Granuloma ifumaneka phi emzimbeni kunye nokuba umntwana uhlangabezana naziphi na iimpawu (umz., iintlungu).

Kukho iindlela ezahlukeneyo zonyango:

• Ukuqwalaselwa:Ixesha elininzi, la maqhuqhuva awabangeli zimpawu. Ekuhambeni kwexesha, umzimba womntwana uyawafunxa. Yiyo loo nto ugqirha eza kuqhubeka ejonga iqhuqhuva ukuze abone ukuba liyatshintsha okanye liyakhula.
• Iinaliti ze-steroid: Ugqirha angamfaka i-corticosteroid ngqo kwiqhuma. Oku kuya kunciphisa iqhuma kwaye kunciphise iimpawu zomntwana wakho.
• Unyango ngemitha okanye i-chemotherapy: Ngamanye amaxesha ugqirha wakho unokucebisa unyango ngemitha okanye i-chemotherapy. Ungakhathazeki, i-Eosinophilic Granuloma ayingomhlaza. Nangona kunjalo, olu nyango lunokubulala iiseli zomhlaza kunye nokukhula okungekho ngumhlaza.
• Ukususwa ngotyando: Ugqirha ohlinzayo ususa iqhuma. Uhlobo lotyando olufunekayo kumntwana wakho luxhomekeke ekubeni iqhuma likuphi emzimbeni.

Ziziphi iingxaki ezinokubakho ze-Eosinophilic Granuloma?

Nangona kungengomntu wonke, ngamanye amaxesha le meko inokubangela iingxaki ezifana nezi:

• Umngcipheko okhulayo wokufumana iintlobo ezithile zomhlaza kamva ebomini.
• Iingxaki zokuva okanye zokubona.
• Ubunzima bokuhambisa indawo yomzimba apho kwakukho khona iqhuma.
• Ukulibaziseka kokukhula.
• Iingxaki zempilo yengqondo, umzekelo, iimeko ezifana nokudakumba okanye ixhala.

Unyango kunye namathuba exesha elizayo

Ngoku makhe sijonge ixesha lonyango, ulawulo lweempawu, kunye nento onokuyilindela xa usiya phambili nale meko.

Ungazilawula njani iimpawu zomntwana wakho?

Ugqirha wakho uza kukunika iingcebiso malunga nendlela yokulawula iimpawu zomntwana wakho. Oku kuya kuxhomekeka ekubeni iimpawu zinzima kangakanani kwaye iqhuma likuphi. Ukuba kukho intlungu, ugqirha uza kukunika amayeza okudambisa iintlungu afanelekileyo aze amgcine ekhululekile umntwana wakho .

Kuza kuthatha ixesha elingakanani ukuba umntwana aphile emva konyango?

Ukuba umntwana wakho ufuna unyango olungaphaya kokubonwa, kungathatha ixesha ukuba aphile ngokupheleleyo. Ezinye iindlela zonyango, ezifana ne-chemotherapy, zingathatha ukuya kunyaka ukuze zisebenze ngokupheleleyo. Amaxesha okuchacha xa kutyandwa nawo ayahluka.

Ixesha elithatha umntwana wakho ukuba aphile lixhomekeke ekubeni iqhuma belikuphi emzimbeni kwaye loluphi unyango olusetyenzisiweyo ukulisusa. Ngoko ke, thetha nogqirha wakho malunga nexesha lomntwana wakho lokuphola ukuze ufumane ukuba kuza kuthatha ixesha elingakanani na.

Yintoni onokuyilindela ukuba umntwana wakho une-Eosinophilic Granuloma?

Ukuba umntwana wakho une-Eosinophilic Granuloma, lindela ukuba ahlolwe rhoqo ngugqirha. Nokuba umntwana wakho akanazo iimpawu, ugqirha kuya kufuneka ajonge iqhuma ukuze abone ukuba liyatshintsha, liyakhula, okanye liyasasazeka.

Ukuba umntwana akanazo iimpawu, akukho nyango lunokufuneka.

Ihlala ixesha elingakanani i-Eosinophilic Granuloma?

Uninzi lwee-Eosinophilic Granulomas ziyaphela zodwa kungekapheli nonyaka okanye emibini. Uninzi lwazo alubangeli zimpawu.

Ngaba umntwana akasayi kukwazi ukuya esikolweni ngexesha lonyango?

Kuxhomekeke kuhlobo lonyango umntwana aludingayo. Ukuba ugqirha ujonga nje i-`(Eosinophilic Granuloma)`, akuyi kubakho mfuneko yokwenza naluphi na utshintsho kwimisebenzi yemihla ngemihla yomntwana.

Buza ugqirha wakho okanye ugqirha wakho ukuba zeziphi izinto umntwana wakho angafanele azenze xa efumana naluphi na unyango.

Iyintoni imbonakalo ye-Eosinophilic Granuloma?

Abantwana abaneqhuma elinye kuphela banesimo sengqondo esihle kakhulu. Uninzi lwee-Eosinophilic Granulomas ziyaphela emva konyaka okanye emibini ngaphandle kokubangela naziphi na iimpawu ezibalulekileyo.

Ndifanele ndimbone nini ugqirha? Zeziphi imibuzo endifanele ndizibuze zona?

Bona ugqirha ngokukhawuleza.

Ukuba umntwana wakho ubonakalisa naziphi na iimpawu ezintsha, ingakumbi iintloko ezibuhlungu, iingxaki zokubona, okanye ubunzima bokushukuma komzimba wakhe, bonana nogqirha ngoko nangoko. Okukhona ubona utshintsho ngokukhawuleza emzimbeni womntwana wakho, kokukhona unokuthi ungabi namdla womhlaza nezinye izifo ngaphambi kokuba zibe ziingxaki ezinkulu.

Imibuzo yokubuza ugqirha

Nantsi eminye imibuzo onokuyibuza ugqirha wakho:

• Zeziphi iimvavanyo umntwana wam afanele azenze?
• Ihlala ixesha elingakanani le `(Eosinophilic Granuloma)`?
• Zingaphi ezinye iimvavanyo ekufuneka ndizenze?
• Luluphi unyango olufunekayo kumntwana wam?

Kuqhelekile ukuba uzive usoyika xa ufumanisa ukuba umntwana wakho uneqhuma emzimbeni wakhe. Kodwa khumbula, i-Eosinophilic Granuloma ayilomhlaza. Isenokungabangeli zimpawu, kwaye abantwana abaninzi abazi nokuba banalo. Ugqirha wakho uza kukubonisa onke amanyathelo afunekayo ukuze uxilonge kwaye ujonge imeko yomntwana wakho.

Umyalezo esifuna ukuwuthatha kweli nqaku ngulo

Kulungile, masizikhumbuze nje ngoko sikwaziyo nge-`(Eosinophilic Granuloma)`:

• I-Eosinophilic granuloma yithumba elingaqhelekanga, elingenamhlaza elivela emathanjeni. Lidla ngokuvela kubantwana abangaphantsi kweminyaka eli-10 ubudala.
• Olu luhlobo oluncinci lwemeko ebizwa ngokuba yiLangerhans cell histiocytosis, ebangelwa kukuveliswa kakhulu kweeseli zomzimba.
• Uninzi lwabantwana alubonisi zimpawu. Abanye basenokuba neentlungu kunye nokudumba.
• Esi sifo sinokuchongwa ngokuchanekileyo kuphela ngovavanyo olufana ne-X-ray, i-MRI, i-CT scan, mhlawumbi ne-biopsy.
• Unyango lunokwahluka ukusuka ekujongweni ukuya kwiinaliti ze-steroid, utyando, mhlawumbi kunye ne-radiation okanye i-chemotherapy (nokuba ayingomhlaza).
• Uninzi lwexesha, ezi zinto ziyaphela zodwa kungekapheli nonyaka okanye emibini, kwaye imeko intle kakhulu.
• Ukuba umntwana wakho ubonakalisa iimpawu ezintsha, ingakumbi iintloko ezibuhlungu, iingxaki zokubona okanye zokunyakaza, bonana nogqirha ngokukhawuleza.

Eyona nto ibalulekileyo kukuba ukuba ufumanisa ukuba umntwana wakho unale meko, ungoyiki, thetha nogqirha, ufumane ulwazi olufanelekileyo, kwaye ulandele imiyalelo yakhe. Yonke into iza kulunga!

I- Eosinophilic Granuloma, i-Eosinophilic Granuloma, iiBone Tumors, iiPediatrics, iLangerhans Cell Histiocytosis, Impilo yoMntwana, iiBone Tumors ezingezizo ezomhlaza