Ingaba unentlungu engapheliyo entanyeni nasemqolo? Isenokuba yiKlippel-Feil Syndrome (KFS)!

Ngaba ngamanye amaxesha ufumana kunzima ukujika intamo yakho? Okanye intamo yakho ibonakala imfutshane kancinci? Mhlawumbi uqaphele utshintsho olufanayo entanyeni yomntwana wakho. Nangona zininzi izizathu zoku, namhlanje siza kuthetha ngemeko engaqhelekanga kodwa ebalulekileyo ebizwa ngokuba yiKlippel-Feil Syndrome (KFS). Ungakhathazeki, siza kuyigcina ilula.

Ke, yintoni iKlippel-Feil Syndrome (KFS)?

Ngamafutshane, i-Klippel-Feil Syndrome (KFS) yimeko apho amathambo amabini okanye ngaphezulu entanyeni yethu, okanye amalungu omqolo, adityaniswe kunye, enze ithambo elinye. Le yimeko yokuzalwa. Ngokwesiqhelo, kukho isithuba esincinci phakathi kwamathambo entanyeni yethu (ekwabizwa ngokuba yi-`(cervical vertebrae)`), azaliswe ziindawo ezifana nejeli ezibizwa ngokuba yi-`(intervertebral discs)`. Ezi zezona zisivumela ukuba sijike intamo yethu ngokulula. Nangona kunjalo, kumntu one-KFS, la mathambo adityaniswe kunye, nto leyo enokunciphisa intshukumo yentamo.

Kukho amathambo angama-33 emgogodleni wethu. Amathambo aphezulu asi-7 asentanyeni (C1 ukuya kwi-C7). Kwi-KFS, amathambo amabini achaphazeleka kakhulu yi-C2 kunye ne-C3. Nangona kunjalo, ngamanye amaxesha le meko inokuchaphazela amanye amathambo emgogodleni angaphantsi kwentamo.

Le meko ibizwa ngokuba yiKlippel-Feil Syndrome emva koogqirha ababini abayifumana okokuqala.

Kukho iimpawu ezintathu eziphambili ze-KFS (ezi zisenokuba yinye, zimbini, okanye zonke, okanye mhlawumbi zingabikho kwaphela):

• Ubunzima bokujika intamo ngenxa yokuba amathambo entanyeni anamathelana.
• Inkangeleko emfutshane yentamo.
• Umgca weenwele, ngasemva kwentloko, ubekwe ngaphantsi kunesiqhelo.

Le meko ayipheleli nje entanyeni. Ngamanye amaxesha inokuchaphazela intliziyo, imiphunga, izintso, umlomo, amehlo, iindlebe, izihlunu, imithambo-luvo, umqolo, kunye namanye amathambo.

Ixhaphake kangakanani iKlippel-Feil Syndrome (KFS)?

I-KFS yimeko engaqhelekanga. Ichaphazela malunga nesinye kwiintsana ezisandul’ ukuzalwa ezingama-40,000 ukuya kuma-42,000 kwihlabathi liphela. Kuthiwa ixhaphake kancinci kumantombazana.

Ndingayazi njani ukuba umntwana wam uneKlippel-Feil Syndrome (KFS)?

Ngamanye amaxesha, kuxhomekeke kubunzima bemeko, inokubonwa ngexesha le-ultrasound scan kwi-trimester yokuqala yokukhulelwa. Okanye, ukuba akukho zimpawu zicacileyo ekuzalweni, ngexesha lobuntwana, okanye ebuntwaneni, inokubonwa xa umntu emdala okanye kamva. Nangona kunjalo, ngenxa yoluhlu lweempawu kunye nezinye iingxaki ezinokuhamba nale meko, kunqabile ukuba ibonwe kude kube kamva.

Zeziphi iimpawu zeKlippel-Feil Syndrome (KFS)?

Okumangalisayo kukuba, abanye abantu abane-KFS basenokungabi nazo iimpawu konke konke, okanye iimpawu ezingephi kakhulu. Nangona kunjalo, abantu abaninzi bayaba nazo iimpawu.Nangona ezi zinto zinokuchaphazela abanye abantu kancinci kakhulu, kodwa abanye banokuchaphazela kakhulu. Oku kuthetha ukuba iimpawu zinokuhluka kumntu nomntu.

Ezi ziimpawu eziqhelekileyo ezibonakala rhoqo:

• Ubunzima bokujika intamo: Olu lolona phawu luqhelekileyo lomzimba. Luvela kuba elinye okanye ngaphezulu kwamathambo entanyeni anamathelene.
• Umgca weenwele, ongasemva kwentloko, ngezantsi.
• Inkangeleko emfutshane yentamo.
• Umahluko ngobukhulu kunye nokuma kwamacala obuso.
• Ukungazinzi kwamathambo omqolo entanyeni engentla, adibana nentloko. Oku kunokuba yingozi kakhulu, ingakumbi ukuba wenzakele kwingozi, kwingozi yemoto, okanye kwimidlalo efana neragbi okanye ibhola ekhatywayo.
• I-Scoliosis: Oku kunokubonwa phakathi kwama-30 nama-50 ekhulwini amatyala.
• Intloko ebuhlungu.
• Ukungeva: Oku kunokuchaphazela malunga nama-30 ekhulwini abantu.
• Ubunzima bokujika umqolo ongasentla.
• Intlungu yemithambo-luvo ephuma kwiingalo okanye emilenzeni.
• Iintlungu zemisipha entanyeni nasemva.
• Ukonakala kwemithambo-luvo entanyeni okanye emqolo.
• I-Spine stenosis: Oku kunokubangela umonakalo kwi-spinal cord.
• Isifo sezintso: Oku kunokuchaphazela malunga nama-30 ekhulwini abantu.

Ukongeza, ezinye iingxaki zinokuvela:

• Ukungakwazi ukuva kakuhle okanye ukungeva kakuhle.
• Incakuba eqhekekileyo okanye imo engaqhelekanga yencakuba.
• Ukungaqheleki kwenkqubo yokuzala, inkqubo yomchamo, intliziyo, imiphunga, ukukhubazeka kwembambo, ukukhubazeka kwamalungu omzimba.
• Ukubuthathaka kwemisipha engentla kwentamo edibanisa ukhakhayi. Oku kunokubangela ukuba umqolo ucinezelwe kwaye konakalise imithambo-luvo xa intamo ishukuma.

Yintoni ebangela iKlippel-Feil Syndrome (KFS)?

Abaphandi abakayiqondi ngokupheleleyo imbangela ye-KFS. Ngokuqhelekileyo, ithathwa njengeyenzeka ngamaxesha athile. Oko kukuthi, inokwenzeka ngaphandle kwembali yosapho yale meko okanye ngaphandle kwesizathu esicacileyo semfuza.

Nangona kunjalo, kwezinye iimeko, le meko inokubangelwa lutshintsho (ukuguqulwa kwezakhi zofuzo) kwi-gene enye okanye ezingaphezulu ezibandakanyeka ekuphuhlisweni kwamathambo nomqolo.

I-KFS ngamanye amaxesha inokwenzeka kunye nezinye iimeko zonyango, okanye njengesiphumo esingeso sesinye isifo esizalwa naso. I-KFS yenzeka njengesiphumo esingeso sesinye isifo, ngenxa yotshintsho (`(utshintsho)`) kwiijini ezinxulumene nezo zifo.

Ezinye zeemeko zempilo ezinokuthi zinxulunyaniswe ne-KFS ziquka:

• Ukusela utywala ngexesha lokukhulelwa kunokubangela iingxaki zenkqubo yemithambo-luvo kunye nezinye iingxaki (`(i-fetal alcohol syndrome)`).
• Imeko enokukhula okungaqhelekanga kwamehlo, iindlebe, nomqolo (`(i-Goldenhar syndrome)`).
• Uphuhliso olungaqhelekanga lwethambo legxalaba (`(Sprengel deformity)`).
• Ukungahambi kakuhle kwentshukumo yamehlo (`(i-Duane syndrome)`).
• Ukungabikho kwentso enye okanye zombini (i-renal agenesis).
• Imeko enokukhula okungaqhelekanga kwamehlo, iindlebe, kunye namathambo entanyeni (`(i-Wildervanck syndrome)`).
• Ukungaqheleki kwenkqubo ye-nervous ephakathi (umzekelo, iimeko ezifana ne-Chiari malformation, i-spina bifida, kunye ne-syringomyelia).

Ngaba iKlippel-Feil Syndrome (KFS) ifuzo?

Kwiimeko ezininzi, i-KFS ayilolifa. Nangona kunjalo, njengoko bekutshiwo ngaphambili, kwezinye iimeko, le meko inokubangelwa lutshintsho (`(ukuguqulwa)`) kwijini enye okanye ezingaphezulu kwezithathu ezichongiweyo. Ukuba kukho unobangela wejini onjalo, i-KFS nayo inokufunyanwa njengelifa.

Ifunyaniswa njani iKlippel-Feil Syndrome (KFS)?

Ugqirha uza kuyixilonga i-KFS ngokusekelwe kwiimpawu zakho, uvavanyo lweklinikhi, kunye novavanyo oluhlukeneyo lwemifanekiso. Esi sifo sidla ngokuxilongwa ebuntwaneni. Ngamanye amaxesha, sinokuxilongwa kwasekuqaleni komntwana ongekazalwa.

Ugqirha wakho uza kukubuza ngembali yakho yezonyango kunye nembali yosapho. Emva koko baza kwenza uvavanyo lomzimba. Ngexesha lovavanyo:

• Ubuso bakho, intamo (ukuze ubone ukuba imfutshane na), umqolo wakho wonke, kunye nomgca weenwele zakho (ukuze ubone ukuba isezantsi na ngasemva kwentloko yakho).
• Bakhangela iimpawu zokucinezelwa komthambo wesibeleko (radiculopathy) okanye umonakalo kumthambo womqolo (myelopathy).
• Uvavanya ii-reflexes ezilawulwa yi-spinal cord kunye neminye imithambo-luvo.
• Baza kujonga indlela ohamba ngayo.
• Bayamamela esifubeni nasesiswini baze baziva ngezandla zabo.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?

Akukho vavanyo lukhethekileyo lwelabhoratri lokuxilonga i-KFS. Nangona kunjalo, ukuba uneempawu ezininzi, ugqirha wakho unokuyalela uvavanyo lwegazi ukuze aqinisekise ukuba akukho ezinye iimeko. Banokujonga nokungahambi kakuhle entliziyweni yakho, kwizintso, kwinkqubo yesisu, nakwinkqubo yomchamo. Usenokunikwa uvavanyo lokuva. Ugqirha wakho unokuthetha nawe malunga novavanyo lwemfuza.

Uvavanyo lweMifanekiso yoMgogodla

Ugqirha wakho kuya kufuneka athathe ii-X-ray . Basenokuyalela i -CT scan (i-Computed Tomography scan) okanye i -MRI scan (i-Magnetic Resonance Imaging) .

• Ii-X-reyi: Umqolo wonke ungahlolwa ukuze kubonwe ukuba amathambo omqolo adibene na, ukuba kukho idiski ene-herniated, ukuba umqolo uzinzile kangakanani, kwaye ukuba kukho ezinye iingxaki.
• Iskeni ye-CT (`(iskeni ye-CT)`):Ungajonga ngakumbi ulwakhiwo lwe-vertebrae edibeneyo kunye ne-spinal cord.
• I-MRI scan: Olu vavanyo lunceda ukubona ngokucacileyo izicubu ezithambileyo ezifana nomqolo, iidiski phakathi kwamathambo omqolo, iingcambu zemithambo-luvo, kunye nemisipha yomqolo, kunye nokufumanisa iingxaki kwezinye iindawo zomzimba.

Inyangwa njani iKlippel-Feil Syndrome (KFS)?

Unyango luxhomekeke kwiimpawu zakho. Ungadinga amayeza kunye/okanye unyango lomzimba. Kufuneka uqaphele iingozi zengozi kwaye uphephe imisebenzi eyingozi. Ayinguye wonke umntu one-KFS ofuna utyando.

Unyango oluqhelekileyo kunye namayeza

Abantu abaninzi abangadingi tyando baphumelela ngonyango olulula olufana neekhola zomlomo wesibeleko, iibraces, kunye nokutsalwa. Ugqirha wakho angakunika amayeza okunciphisa iintlungu kunye nokudumba.

Utyando (`(Utyando)`)

Kunokwenzeka ukuba udinge utyando ukuba:

• Ukuba kukho ingxaki kwinkqubo yakho yemithambo-luvo, oko kukuthi, ingqondo yakho, umqolo, kunye nemithambo-luvo.
• Ukuba unesiphene okanye ukungazinzi komqolo wakho.
• Ukuba unobuthathaka obutsha bemisipha, oku kungaba luphawu lwento enzulu enxulumene nomqolo wakho okanye umqolo wakho.
• Ukuba kukho izinto ezingaqhelekanga kwezinye izitho zomzimba.

Ukuba unethambo lomqolo elinye okanye ngaphezulu entanyeni yakho ngaphantsi kwethambo lomqolo le-C3 (oko kukuthi, ngaphantsi kwethambo lomqolo le-C1 kunye ne-C2 elikufutshane nokhakhayi), kunokwanela nje ukutyelela rhoqo nokujonga imeko. Ukuba wena okanye umntwana wakho udlala imidlalo efana ne-hockey okanye i-rugby, ugqirha wakho unokucebisa ukuba uqhubeke nokudlala loo midlalo emva kokuba ufunde indlela yokukhusela intamo yakho.

Nangona kunjalo, ukuba une-vertebrae edibeneyo ngaphezu kwe-C3 vertebra entanyeni yakho (oko kukuthi, kufutshane nekhakayi), ngokuqinisekileyo kufuneka uyiphephe imidlalo echaphazela kakhulu, njengoko usengozini enkulu yokwenzakala komqolo okuyingozi.

Ugqirha wakho uza kujonga rhoqo intliziyo yakho, imiphunga, inkqubo yokuzala, izintso, kunye nezinye izitho zomzimba ukuze bakwazi ukuchonga ngokukhawuleza naziphi na iingxaki baze balawule okanye banyange utshintsho, okanye bacebise naluphi na utyando olufunekayo.

Ngaba iKlippel-Feil Syndrome (KFS) iya iba mandundu ekuhambeni kwexesha?

Ewe, iKlippel-Feil Syndrome (KFS) inokuba mandundu ngokuhamba kwexesha. Ukuba unengxaki emqolo wakho, unokuba neengxaki njengoko ukhula. Umzekelo, iingxaki zediski eziwohlokayo zinokubangela ukucinezelwa kwemithambo-luvo, intlungu yomqolo kunye nomqolo, okanye ubuthathaka kwimilenze.

Kwakhona usengozini enkulu yokwenzakala ngenxa yokuwa nezinye iimpembelelo emzimbeni wakho. Ekuhambeni kwexesha, ezinye iingxaki zangaphakathi zinokuvela. Yiyo loo nto kubaluleke kakhulu ukudibana neqela lakho lezonyango rhoqo. Baza kukuhlola, benze naluphi na uvavanyo olufunekayo, baze bagqibe okanye batshintshe unyango lwakho.

Ngaba i-Klippel-Feil Syndrome (KFS) iyabuchaphazela ubomi bakho?

Ukufunyanwa kwangoko kwe-Klippel-Feil Syndrome (KFS) kubalulekile. Kulapho ke iingxaki zempilo zinokulawulwa khona ngotyando, iindlela ezingezizo zotyando, okanye ukujonga ngononophelo ngokuhamba kwexesha. Ukuba unyanga ezi ngxaki kwaye ulandele iingcebiso zikagqirha wakho zokukhusela umqolo wakho, unokuphila ubomi obuqhelekileyo.

Luhlobo luni lwekamva umntu oneKlippel-Feil Syndrome (KFS) anokulilindela?

Iziphumo zakho ziya kuxhomekeka kuhlobo lwesifo onaso (amalungu omzimba wakho achaphazelekileyo) kunye nazo naziphi na ezinye iimeko onokuba nazo. Wonke umntu wahlukile. Iqela lakho lezonyango liza kuthetha nawe ngemeko yakho xa undwendwela rhoqo. Abanye abantu basenokungabi nazimpawu kwaphela, ngelixa abanye banokuba neempawu ezibalulekileyo ezinciphisa umgangatho wobomi babo.

Oogqirha bakho baza kuthetha nawe malunga nokuba kufuneka wenze nantoni na ukukhusela umqolo wakho, nokuba ungadlala imidlalo echaphazela kakhulu, okanye nokuba kufuneka wenze ezinye iinguqu kwindlela ophila ngayo. Baza kuthetha nangesidingo sotyando.

Ngoobani iingcali zempilo ezinokubandakanyeka kukhathalelo lwam?

Kukho iintlobo ezahlukeneyo zeengcali zempilo ezinokuba negalelo ekunyamekeleni kwakho. Ziquka:

• Umboneleli wakho oqhelekileyo.
• Ingcali yabantwana okanye yezonyango zangaphakathi.
• Ingcali yezifo zengqondo.
• Ugqirha wezifo zengqondo.
• Ugqirha wamathambo.
• Ugqirha wotyando lomlomo nolwe-maxillofacial.
• Ingcali yentliziyo.
• Ingcali yezifo zesisu ngugqirha ogxile kwinkqubo yokugaya ukutya.
• Ingcali yezintso (i-Nephrologist).
• Ingcali yendlebe, impumlo, nomqala (i-Otolaryngologist).
• Ingcali ye-audiologist.
• Ingcali yokulawula iintlungu.
• Ingcali yonyango lomzimba.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Isifo seKlippel-Feil (KFS) sisifo esingaqhelekanga somqolo apho amathambo amabini okanye ngaphezulu entanyeni edibana khona.Le meko ingakhokelela kwezinye iingxaki ezininzi emgogodleni, kwaye ingachaphazela nezinye iindawo zomzimba.

Nangona kunjalo, ayinguye wonke umntu ofana naye. Usenokuba nohlobo oluncinci lwe-KFS, olungenazo iimpawu ezinkulu. Okanye, usenokuba neengxaki zempilo ezinzulu ezifuna ulawulo olude. Ungakhathazeki, iqela lakho leengcali liya kuba nawe kuyo yonke inyathelo.

Eyona nto ibalulekileyo kukufumanisa isifo kwangethuba, ufumane unyango olufanelekileyo, kwaye ulandele imiyalelo kagqirha wakho. Emva koko, kwiimeko ezininzi, ungaphila ubomi obuqhelekileyo nobonwabisayo. Ukuba unemibuzo okanye amathandabuzo, ungabi nazintloni zokubuza ugqirha wakho. Bakho ukukunceda.

Isifo seKlippel -Feil, i-KFS, iintlungu zentamo, izifo zomqolo, ukunamathelana kwethambo lomqolo, isifo sokuzalwa, ukuqina kwentamo, ukudibana komqolo