Ngaba unyana wakho omncinci ekhaya uhlala ephuma igazi empumlweni? Ngaba ubonakala enempumlo evalekileyo kwelinye icala? Ngamanye amaxesha sicinga ukuba ezi zizinto eziqhelekileyo, kodwa kunokubakho imeko ekhethekileyo emva koku ekufuneka siyiqwalasele. Yiyo loo nto siza kuthetha ngesimila esingaqhelekanga esenzeka kuphela kubafana abancinci. Oku kubizwa ngokuba yi-'Juvenile Nasopharyngeal Angiofibroma' okanye `(JNA)` ngamafutshane.
Kalula nje, yintoni le JNA?
Musa ukoyika eli gama lide. Masilihlalutye size siliqonde.
- "Ulutsha" - Oku kuthetha "ulutsha." Oku kuthetha ukuba le meko ixhaphake kakhulu kubantu abancinci.
- "I-Nasopharyngeal" - Oku kubhekisa kwindawo engasemva kwempumlo yethu, edibanisa nenxalenye ephezulu yomphimbo wethu. Kulapho ithumba lenzeka khona.
- "I-Angiofibroma" - Oku kungahlulwahlulwa kube ziinxalenye ezimbini. Igama elithi "Angio" libhekisa kwimithambo yegazi (imithambo yegazi). Igama elithi "Fibroma" libhekisa kwithumba elingengomhlaza elenziwe ngezicubu ezidityanisiweyo.
Ngoko ke, ngokufutshane, i-JNA sisimila esingengomhlaza esenziwe ngemithambo yegazi emininzi eyakheka ngasemva kwempumlo esemncinci.
Kodwa eyona nto ibalulekileyo apha kukuba nangona lo ungengomhlaza, sisimila esinoburhalarhume obukhulu. Oko kuthetha ukuba, njengokhula, esi simila sinokusasazeka kwiindawo ezikufutshane. Singasasazeka siye kwimpumlo, kwiisinuses, ekhayeni, kwanasebuchotsheni. Ukuba asinyangwa, singasongela ubomi. Yiyo loo nto kubaluleke kakhulu ukuqaphela oku. Kodwa iindaba ezimnandi zezokuba, ngonyango olufanelekileyo, esi simila sinokunyangwa ngokupheleleyo.
Ngubani onokuthi abonakale kakhulu kule meko?
Le yimeko ethile. Kuba i-JNA idla ngokuvela kuphela kubafana abancinci abaphakathi kweminyaka eli-10 nengama-25. Ayifane yenzeke kumadoda angaphezu kwama-25 okanye kubantwana abaneminyaka esi-7 ubudala. Kuchanekile ukuthi amantombazana awabi naso esi sifo.
Kwaye le yimeko engaqhelekanga kakhulu. Mhlawumbi ichaphazela umntu omnye kuphela kwisigidi. Ngoko ke ungoyiki ukuba nguwe onezi mpawu, kodwa eyona nto ibalulekileyo kukwazi.
Zithini iimpawu ze-JNA?
Ithumba alibonisi zimpawu zinkulu xa lincinci. Iimpawu zibonakala kuphela xa likhula kancinci kwaye liqala ukuvala indlela yomoya empumlweni. Makhe sibone ukuba zeziphi iimpawu eziphambili.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukopha rhoqo kwempumlo | Olu lolona phawu luphambili noluqhelekileyo . Ngamanye amaxesha kunokubakho ukopha okukhulu okunokuba nzima ukukuphelisa. |
| Ubunzima bokuphefumla ngempumlo | Ixesha elininzi, icala elinye lempumlo lihlala livalekile. Kufana nokuba kukho i-mucus ebambeke kuyo, kodwa akukho mucus. |
| Ukudumba kobuso | Njengoko ithumba likhula, lisenokudumba, ingakumbi kwiindawo ezifana nesidlele. |
| Intloko ebuhlungu | Intloko ebuhlungu engapheliyo inokwenzeka kuba ithumba licinezela kwiindawo ezingqongileyo. |
| Utshintsho embonweni okanye ekuveni | Le yimeko enzulu ngakumbi. Ukuba ithumba licinezela imithambo-luvo edibanisa amehlo okanye iindlebe, linokubangela ukubona okufipheleyo, ukubona kabini, kunye nokulahlekelwa kukuva. |
Kutheni le JNA isenziwa? Sithini isizathu?
Enyanisweni, unobangela ochanekileyo woku awukafunyanwa. Kodwa ekubeni kwenzeka kubafana kuphela, oogqirha bacinga ukuba iihomoni zamadoda zinento yokwenza nako. Kodwa oko akukaqinisekiswa.
Esi asisosifo esizuzwa njengelifa. Oku kuthetha ukuba ngenxa yokuba utata wayenaso, unyana akayi kusifumana. Nangona kunjalo, abaphandi bafumanise into enye. Ukuba umntu kusapho unesinye isifo esibizwa ngokuba yi-``Familial Adenomatous Polyposis (FAP)``, kukho umngcipheko omncinci wokufumana i-JNA. Unxibelelwano phakathi kwezi meko zimbini lusaphandwa.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha oneempawu ezifana nezi, uza kukuxilonga ngolu hlobo.
1. Ukubuza ngeempawu:Okokuqala, ugqirha uza kukubuza wena nomntwana wakho ngeempawu, ezinje ngokuba ukopha impumlo kuthathe ixesha elingakanani kwaye kungakanani.
2. Uvavanyo lomzimba: Impumlo yakho iya kuhlolwa. Uya kuthunyelwa rhoqo kwingcali yendlebe, impumlo nomqala (ugqirha we-ENT) .
3. Uvavanyo olukhethekileyo: Olu vavanyo lunokwenziwa ukuqinisekisa isifo.
- Uvavanyo lwemifanekiso: Kuya kwenziwa i -CT scan okanye i-MRI ukuze kubonwe ukuba iphi kanye kanye ithumba, likhulu kangakanani, kwaye nokuba lisasazeke na. Oku kunokufumana umfanekiso ocacileyo wethumba.
- I-endoscopy yempumlo: Uvavanyo apho kufakwa khona ityhubhu encinci enekhamera encinci empumlweni ukuze ijonge ngqo ithumba. Oku kuvumela umbono ongcono wemeko yethumba.
Ziziphi iindlela zonyango ze-JNA?
Ukuba i-JNA iqinisekisiwe, kukho iindlela ezahlukeneyo zonyango. Ugqirha uya kumisela unyango olufanelekileyo ngokusekwe kubukhulu kunye nokusasazeka kwethumba.
| Indlela yonyango | Kwenzeka ntoni kuyo? |
|---|---|
| Utyando | Olu lolona nyango luphambili . Ugqirha uza kuzama ukususa ithumba ngokupheleleyo. Uninzi lwexesha, olu tyando lwenziwa ngaphandle kokwenza naluphi na utyando, kusetyenziswa i-endoscope ngeempumlo. Nangona kunjalo, ukuba ithumba likhulu, kunokufuneka inxeba elincinci. |
| Ukwakhiwa kwe-embolization | Oku kwenziwa ngaphambi kotyando. Ekubeni ithumba le-JNA lenziwe ngemithambo yegazi emininzi, kunokubakho ukopha okuninzi ngexesha lotyando. Ukuthintela oko, oku kuthetha ukuvala ngokungekho mthethweni imithambo yegazi ehambisa ithumba. Xa oku kwenziwe, kulula ukwenza utyando ngokukhuselekileyo. |
| Unyango ngemitha | Olu nyango lusetyenziswa ukuba kusele iziqwenga ezincinci zethumba emva kotyando, okanye ukuba ithumba libuya. Oku kuquka ukusebenzisa imisebe enamandla aphezulu ukutshabalalisa iiseli ezisele. |
Ngaba ithumba lingakhula kwakhona?
Ewe, ngamanye amaxesha ingabuya. Izifundo zibonise ukuba kukho amathuba angama-37% okuba ibuye. Yiyo loo nto ugqirha eza kuqhubeka ekujonga (ekulandeleni) nokuba sele etyandiwe. Uza kukuxilonga ngamaxesha athile kwaye, ukuba kuyimfuneko, enze i-MRI scan ukuze abone ukuba ithumba libuyile na. Ukuba libuya, akukho nto inokubangela ukukhathazeka ngayo kuba linokunyangeka ngokukhawuleza.
Ndifanele ndimbone nini ugqirha?
Ukuba umntwana wakho omncinci ngequbuliso uqala ukuba neempawu ezifana nokuvaleka kwempumlo, ingakumbi ukopha rhoqo okunzima ukukunqanda, musa ukuyithatha njengento eqhelekileyo loo nto.
Akukho mntu wazi umzimba wakho ngaphezu kwakho. Nguwe oqonda ngcono utshintsho emzimbeni womntwana wakho. Ukuba uziva ungaqinisekanga okanye utshintsho oluncinci, bona ugqirha ngokukhawuleza kwaye ucele ingcebiso. Oku kunokukunceda ukulawula imeko ngaphambi kokuba ibe yingxaki enkulu.
I-JNA ayingomhlaza, kodwa yimeko efuna unyango olukhawulezileyo. Ukuba ifunyenwe kwaye inyangwa kwangethuba, inokuphiliswa ngokupheleleyo kwaye iphile ubomi obuqhelekileyo.
Umyalezo Wokuya Ekhaya
- I-JNA yithumba elingelomhlaza, kodwa lisasazeka ngokukhawuleza elivela kubantwana abancinci abangamakhwenkwe.
- Iimpawu eziphambili kukuphuma kwegazi rhoqo kunye nokuxinana kwempumlo kwelinye icala.
- Ukuba ubona ezi mpawu, ungoyiki kwaye ubone ingcali yendlebe, impumlo, nomqala (ENT) ngoko nangoko.
- Iindlela zonyango ziquka utyando kunye nonyango ngemitha. Emva konyango, kunokwenzeka ukuba umntu aphile ngokupheleleyo.
- Ekubeni ithumba lisenokuphinda libuye, kubaluleke kakhulu ukuqhubeka nokwenza uvavanyo olulandelayo njengoko kucetyisiwe ngugqirha.
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