Ngaba wakha wacinga ngentlungu yethambo oyivayo nje? Sihlala singacingi kakhulu ngamandla amathambo ethu. Kodwa khawucinge nje, ithambo eliqinileyo emzimbeni wakho liyanyibilika kancinci ngaphakathi, endaweni yoko lizaliswe yinto efana nomsonto, izicubu ezibomvu. Leyo yimeko esithetha ngayo namhlanje, iFibrous Dysplasia. Esi sisifo esingaqhelekanga. Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula nangokucacileyo.
Ngamafutshane, yintoni iFibrous Dysplasia?
I-Fibrous Dysplasia kuxa izicubu zethu zamathambo eziphilileyo neziqinileyo zithathelwa indawo yizicubu ezingaqhelekanga, ezifana ne-fibrous (ezifana ne-scar). Ngamanye amazwi, apho kufanele kubekho ithambo lokwenyani, izicubu ezibuthathaka nezinentambo ziyathathelwa indawo. Kwenzeka ntoni? Ngenxa yokuba izicubu ezintsha azinamandla njengethambo lokwenyani, ithambo liba buthathaka kakhulu. Oku kwenza kube lula ukwaphuka (ukuqhekeka) ngokulula .
Nangona le meko inokwenzeka nakweyiphi na ithambo emzimbeni, ixhaphake kakhulu kwezi ndawo zilandelayo:
- I-Femur
- Ithambo lesifuba (tibia)
- Iimbambo
- Amathambo entloko kunye nobuso
- Ithambo lengalo ephezulu (ihumerus)
Kodwa nantsi into ebalulekileyo ekufuneka uyikhumbule. I-Fibrous Dysplasia yimeko engenamhlaza (engeyongozi). Oko kuthetha ukuba ayisasazeki ukusuka kwelinye ithambo ukuya kwelinye. Yinto enkulu leyo, akunjalo?
Kukho iintlobo ezimbini eziphambili ze-Fibrous Dysplasia:
Oogqirha bahlula esi sifo ngokwenani lamathambo emzimbeni achaphazelekileyo. Ngoko ke, kukho iintlobo ezimbini eziphambili.
| Uhlobo lwesifo | Ingcaciso elula |
|---|---|
| I-Monostotic Fibrous Dysplasia | Kolu hlobo, esi sifo sichaphazela ithambo elinye kuphela . Olu lolona hlobo luqhelekileyo. Iimpawu zihlala zincinci. |
| I-Polyostotic Fibrous Dysplasia | Kolu hlobo, esi sifo sichaphazela amathambo aliqela.Oku kunokuba nzima kancinci. Ngamanye amaxesha le meko ihamba nenye imeko engaqhelekanga ebizwa ngokuba yiMcCune-Albright syndrome, echaphazela amathambo, ulusu kunye nenkqubo yamahomoni. |
Zithini iimpawu zesi sifo? Uzibona njani?
Enye yezinto ezimangalisayo ngeFibrous Dysplasia kukuba abanye abantu banokuba nayo ngaphandle kweempawu . Khawuthelekelele ukuba wenza i-X-ray yento ethile kwaye ifunyanwe ngengozi.
Kodwa ukuba iimpawu ziyabonakala, zinokuba ngolu hlobo:
- Intlungu yamathambo: Olu luphawu oluphambili. Yintlungu nje ebuhlungu neyoyikekayo ehlala ivela kwindawo enye. Ngamanye amaxesha le ntlungu inokuba mandundu xa uhamba okanye uphakamisa iintsimbi.
- Ukuqhekeka kwamathambo: Njengoko bekutshiwo ngaphambili, ngenxa yokuba amathambo ebuthathaka, ngamanye amaxesha amathambo anokuqhekeka lula, nokuba awile kancinci okanye abetheke kakhulu.
- Imo yethambo iyatshintsha: Njengoko izicubu ezingaqhelekanga zikhula, ithambo lisenokubonakala lidumbile. Oku kunokubangela ukugoba okuncinci kwimeko yomlenze, okanye utshintsho oluncinci kwimo yobuso kwimeko yethambo lobuso.
- Kusenokubakho ukudumba okungebuhlungu kweembambo .
- Ukuba umqolo uchaphazelekile, ukugoba komqolo (i-scoliosis) kunokwenzeka.
- Ukuba amathambo ekhakhayi ayachaphazeleka, izinto ezinje ngokudumba kwamehlo, utshintsho kwindawo amathambo omhlathi kuyo, amazinyo ashukumayo, kunye nokuxinana kweempumlo kunokwenzeka.
Into ebalulekileyo kukuba umntu onesifo se-polyostotic unamathuba amaninzi okufumana iimpawu kunye neengxaki kunomntu onesifo se-monoostotic.
Kutheni oku kusenzeka?
Oku kubangelwa kukuguquka kwejini ebizwa ngokuba yi-GNAS1 emzimbeni wethu. Oku kwenzeka emva kokuba umntwana ekhulelwe esibelekweni. Ngenxa yolu tshintsho lwejini, umsebenzi weeseli ezibizwa ngokuba yi-osteoblasts, ezinceda ekukhuleni kwamathambo, uyaphazamiseka. Kulapho ke ezo zicubu zibuthathaka, ezine-fibrous ziqala ukwakheka endaweni yethambo eliphilileyo.
Oogqirha abakayazi kakuhle into ebangela olu tshintsho lwemfuza.
Kodwa khumbula oku: I-Fibrous Dysplasia ayisosifo esizuzwa njengelifa. Oku kuthetha ukuba ukuba umama okanye utata unesi sifo, asiyi kudluliselwa kubantwana bakhe. Lutshintsho nje oluzenzekelayo lwemfuza.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha onentlungu engapheliyo emathanjeni, uya kuqala akuhlole ngononophelo. Uya kukubuza imibuzo emininzi, njengokuthi intlungu iphi, ixesha elide kangakanani ikhona, kwaye ivakala njani. Emva koko, angenza iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
- Uvavanyo lwegazi okanye lomchamo: Olu vavanyo lujonga amanqanaba athile eeenzyme emzimbeni. Ngamanye amaxesha, amanqanaba aphezulu ezi enzymes anokuba luphawu lokukhula okungaqhelekanga kwezicubu emzimbeni.
- Uvavanyo lokufota: Olu lolona lubalulekileyo.
- I-X-reyi: I-X-reyi inokuzibona ngokulula iingxaki, ukwaphuka kwamathambo, kunye notshintsho kwimo yamathambo.
- I-CT scan okanye i-MRI scan: Ezi zinokubonelela ngomfanekiso ocacileyo noneenkcukacha ngakumbi ngethambo kunye nezicubu ezingqongileyo.
- I-Biopsy: Ukuba ugqirha usenamathandabuzo, uza kuthatha iqhekeza elincinci kakhulu lesicwili esingaqhelekanga phantsi kwe-anesthesia aze alihlole phantsi kwe-microscope. Oku kunokuqinisekisa isifo ngokuqiniseka okupheleleyo.
Zithini iindlela zonyango zoku?
Unyango lwe-Fibrous Dysplasia luxhomekeke kwiimpawu zakho, ubukhali bemeko, kunye nendlela echaphazela ngayo ubomi bakho. Akukho nyango lufanayo.
Iindlela eziphambili zonyango zezi:
1. Ukujonga: Ukuba awunazo iimpawu okanye iintlungu, ugqirha wakho usenokungakuniki mayeza, kodwa akucela nje ukuba ubuye uzokuhlolwa ngamanye amaxesha. Oku kuthetha ukujonga ukuze ubone ukuba kukho utshintsho na kwimeko yakho.
2. Amayeza: Amayeza athile (ingakumbi i-bisphosphonates) anokunikwa ukunceda ukuqinisa amathambo nokuthintela ukwaphuka. La mayeza anokunciphisa neentlungu zamathambo.
3. Ukuqinisa ithambo: Ukuba le meko iyenzeka kwithambo, ingakumbi emlenzeni womntwana okhulayo, kunokucetyiswa ukuba kusetyenziswe izixhobo ezikhethekileyo zokuqinisa ithambo ukunceda ithambo likhule kakuhle kwaye kuthintelwe ukugoba.
4. Utyando:
- Ukuba ithambo liphukile (liqhekekile), kuya kufuneka utyando ukuze lilungiswe.
- Ukuba ithambo libuthathaka kakhulu, limile kakubi, kwaye libangela iintlungu eziqatha, izicwili ezingaqhelekanga zingasuswa kwaye endaweni yazo kufakwe ithambo eliphilileyo okanye kufakwe iintonga zesinyithi ukuqinisa ithambo.
Ufanele uye nini kugqirha?
Ukuba unentlungu engapheliyo emathanjeni ngaphandle kwesizathu esicacileyo , musa ukuyityeshela. Ngokuqinisekileyo bonana nogqirha uze uthethe ngayo.
Ukuba sele uyazi ukuba une-Fibrous Dysplasia, thetha nogqirha wakho ngokukhawuleza ukuba:
- Ukuba uziva ngathi iimpawu zakho ziya zisiba mandundu.
- Ukuba uvakalelwa kukuba unyango lwakho lwangoku aluncedi.
Ingxamiseko!
Ngenxa yokuba iFibrous Dysplasia iwenza buthathaka amathambo, unamathuba amaninzi okuphuka ithambo kunamanye. Ngoko ke, ukuba uwa ngequbuliso, ubetheke kakhulu kwithambo, okanye ubandakanyeka kwingozi yemoto, yiya ngqo kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane ngaphandle kokulibazisa. Kuba nokuba ayibonakali ngathi injalo ngaphandle, kunokubakho ukwaphuka ngaphakathi.
Indlela yokuphila nesi sifo?
Akukho mpendulo inye kulo mbuzo, njengoko i-Fibrous Dysplasia ichaphazela umntu ngamnye ngokwahlukileyo. Kodwa into enye eqinisekileyo: yimeko engapheliyo, engapheliyo, engapheliyo .
Kodwa akukho mfuneko yokoyika okanye ukuba lusizi ngayo. Esi asisosifo sibulalayo. Ngonyango olufanelekileyo nolawulo, impembelelo esi sifo esinayo ebomini bakho inokulawulwa kakhulu. Usenokungadingi naluphi na unyango. Nokuba unyango luyadingeka, iindlela zonyango zanamhlanje zinokukunceda ukulawula iintlungu, ukuthintela ukwaphuka kwamathambo, kwaye uphile ubomi obuqhelekileyo nobonwabisayo.
Ukuba unesi sifo, thetha nogqirha wakho ngokukhululekileyo ukuze uqonde ukuba ulindele ntoni na kwixesha elizayo ngokusekelwe kwimeko yakho kunye nonyango olulungele wena.
Umyalezo Wokuya Ekhaya
- I-Fibrous Dysplasia sisifo esingaqhelekanga, esingengomhlaza apho izicubu ezibuthathaka nezine-fibrous zikhula endaweni yethambo eliphilileyo.
- Oku kwenza amathambo abe buthathaka, nto leyo eyonyusa umngcipheko weentlungu nokuqhekeka kwamathambo.
- Esi asisosifo esizuzwa njengelifa, kodwa sibangelwa kukuguquka kwezakhi zofuzo okwenzeka esibelekweni.
- Abanye abantu basenokungabi nazimpawu kwaye banokufunyanwa ngengozi.
- Ukuba unentlungu engapheliyo emathanjeni, kubaluleke kakhulu ukuba ungayityesheli kwaye ufune iingcebiso zonyango.
- Nangona ingenakunyangwa ngokupheleleyo, iimpawu zinokulawulwa kwaye ubomi obuqhelekileyo bunokuphilwa ngamayeza, utyando, kunye nolunye unyango.
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