Ingaba nemilenze yomntwana wakho iyadumba? Oku kusenokuba sisifo sikaMilroy!

Ngaba wakha waphawula ukuba imilenze yomntwana wakho omncinci, ingakumbi phantsi kwamadolo, idumbile nje? Ngamanye amaxesha oku kunokubonakala emva nje kokuzalwa. Okanye kunokubonakala emva kweentsuku ezimbalwa. Kuqhelekile ukuba abazali abaninzi bakhathazeke kancinci ngale nto. Esinye sezizathu zolu hlobo lokudumba emilenzeni sibizwa ngokuba sisifo sikaMilroy. Namhlanje, siza kuthetha ngale nto ngokweenkcukacha, ngokulula.

Yintoni isifo sikaMilroy?

Ngamafutshane, isifo sikaMilroy sisifo esikwiqela leemeko ezibizwa ngokuba yi -primary lymphedema . Igama elithi "Primary" lithetha ukuba asibangelwa sisifo esinye, ukuba sizenzekela ngokwaso. Sisifo sokuzalwa , oko kuthetha ukuba esi sifo sinokubakho xa umntu ezalwa. Sisifo semfuza , oko kuthetha ukuba sizuzwe njengelifa.

Umzimba wethu unenkqubo ebizwa ngokuba yi-lymphatic system. Oku kufana nenkqubo yokukhupha amanzi esusa inkunkuma emzimbeni wethu. Xa imijelo ye-lymphatic kunye ne-lymph nodes kule nkqubo ye-lymphatic zingaphuhliswanga kakuhle, azikwazi ukusebenza kakuhle. Emva koko, ulwelo lwe-lymph aluhambi kakuhle kwaye luhlala kwindawo enye. Le yindlela ulwelo lwe-lymph oluqokelelana ngayo kwaye lubangele ukudumba kwimilenze yeentsana, ingakumbi imilenze esezantsi kunye neenyawo. Khawuthelekelele into efana naxa umbhobho wamanzi uvalekile, amanzi azaliswa kwindawo enye.

Elinye igama lesifo sikaMilroy yi -genetic lymphedema type I.

Ukufumanisa le meko ngamanye amaxesha kunokuba nzima kancinci, kuba oogqirha abasoloko bebona izigulana ezinje. Kodwa ukuba ubona ukudumba emilenzeni yomntwana wakho, kubaluleke kakhulu ukubuza ugqirha wakho ngayo. Kuba okukhona uyifumanisa ngokukhawuleza le meko, kokukhona unokuqala unyango ngokukhawuleza. Kubalulekile nokuba ungoyiki.

Isifo sikaMilroy sinqabile kangakanani?

Esi sisifo esingaqhelekanga ngokwenene. Sichaphazela malunga nomntwana omnye kwiintsana ezingama-6,000 ezizalwayo. Sixhaphake kakhulu kumantombazana kunamakhwenkwe. Kuthiwa kumfana ngamnye onesi sifo, kukho ubuncinane amantombazana amabini.

Zithini iimpawu zeSifo sikaMilroy?

Umntwana wakho usenokuba nezi mpawu kwasekuzalweni kwakhe. Ngamanye amaxesha zinokuvela kamva kancinci. Jonga ukuba umntwana wakho unazo na ezi mpawu:

• Ukudumba kwimilenze engezantsi (i-edema): Oku kudumba kudla ngokubonakala ngaphantsi kwamadolo. Ngamanye amaxesha kunokwenzeka kumlenze omnye kuphela, kodwa amaxesha amaninzi kwenzeka kuzo zombini.
• Imithambo evuvukileyo kwimilenze engezantsi: Ngamanye amaxesha, xa idumbile, imithambo ibonakala ngokucacileyo.
• Ukudumba kwamasende (hydrocele): Amasende abafana anokudumba aze azaliswe lulwelo. Oku kunokuba yinto eyoyikisayo kubazali, kodwa kunokuba luphawu lwesifo esithile.
• Iinzipho zeenyawo ezigobile phezulu:Imilo yezikhonkwane ingatshintsha kwaye ibonakale ngathi ijonge phezulu.
• Amaqhuqhuva amancinci eluswini (i-papillomatosis): Ezi azizo izifo zomhlaza, kodwa zinokubonakala njengamaqhuqhuva amancinci eluswini, ngamanye amaxesha afana nekholifulawa encinci.
• Iingxaki zesisu: Abanye abantwana banokuba neengxaki zesisu, ukuhlanza, kunye norhudo. Oku akwenzeki kubo bonke abantu, kodwa kunokwenzeka.

Zithini izizathu zeSifo sikaMilroy?

Eyona nto ibangela isifo sikaMilroy kukuguquka kwezakhi zofuzo (i-variant) kwi-gene ebizwa ngokuba yi-FLT4 . Ii-gene zifana neseti encinci yemiyalelo elawula yonke into emzimbeni wethu. Le gene ye-FLT4 inceda inkqubo ye-lymphatic ukuba yakheke ngokufanelekileyo. Ngoko ke xa kukho utshintsho oluncinci kule gene, oko kukuthi, utshintsho, inkqubo ye-lymphatic ayikheki ngokufanelekileyo.

Kwiimeko ezininzi, omnye wabazali babantwana abanesifo sikaMilroy unesifo. Sifunyanwa njengelifa kwi-autosomal dominant pattern . Oku kuthetha ukuba umntwana unokufumana esi sifo nokuba ngumzali omnye kuphela one-gene yesifo. Umzekelo, ukuba bobabini abazali banotshintsho lwe-gene, umntwana ngamnye unethuba elingama-50% lokufumana esi sifo. Kwanaphakathi kwabazalwana noodade abakusapho olunye, ubukhali beempawu, okanye ubudala apho iimpawu zibonakala khona, bunokwahluka. Omnye umntwana unokuba nokudumba okukhulu, ngelixa omnye esenokungabi nako oko.

Abantwana abalithoba kwabalishumi abane-FLT4 gene mutation babonisa iimpawu zokudumba kwemilenze xa beneminyaka emi-3 ubudala .

Sifunyaniswa njani esi sifo?

Isifo sikaMilroy sichongwa ngovavanyo lomzimba ngugqirha . Ugqirha uza kujonga imilenze yomntwana ngeliso elibukhali ukuze abone iimpawu zokudumba, utshintsho lolusu, kunye nokuma kweenzipho. Ukongeza, kunokwenziwa ezi mvavanyo zilandelayo:

• I-Ultrasound: Olu luvavanyo lwesisu sikamama ngexesha lokukhulelwa olunokubonisa ngamanye amaxesha ukuba kukho ukudumba emilenzeni yomntwana. Lungenziwa nasemilenzeni emva kokuba umntwana ezelwe.
• I-Lymphoscintigraphy: Olu luvavanyo olukhethekileyo kancinci. Kolu vavanyo, kufakwa inani elincinci lezinto ezinemisebe phantsi kolusu kwaye kusetyenziswa ikhamera ukuyibukela ihamba kwinkqubo ye-lymphatic. Oku kungabonisa indlela esebenza ngayo inkqubo ye-lymphatic kunye nokuba kukho na ukuvaleka.
• Uvavanyo lwemfuza: Oku kunceda ukuqinisekisa ukuba kukho utshintsho kwimfuza ye-FLT4. Oku kudla ngokubandakanya ukuthatha isampuli yegazi.

Ugqirha womntwana wakho unokukuthumela kwingcali ye-lymphedema eqinisekisiweyo yabantwana, egxile ekunyangeni ezi meko.

Iphathwa njani iMilroy's Disease?

Kukho unyango lwasekhaya lokudumba okubangelwa sesi sifo. Olu nyango lwenzelwe ukulawula ukudumba, ukunciphisa iingxaki, kunye nokuphucula umgangatho wobomi bomntwana. Unyango lwesifo sikaMilroy kwimilenze evuvukileyo luquka:

• Unyango lokucinezelwa: Ukusebenzisa iisokisi ezikhethekileyo zokucinezelwa okanye iibhandishi. Ezi zifaka uxinzelelo oluthambileyo emilenzeni ukunciphisa ukudumba kunye nokunceda ulwelo lwe-lymph lubuyele emzimbeni.
• Iteyiphu yeKinesiology (iteyiphu yeKT): Le yiteyiphu ekhethekileyo yokuncamathelisa esetyenziswa ngabadlali. Ikwanokunceda ngamanye amaxesha ukunciphisa ukudumba ngokuvuselela ukuphiliswa.
• Izihlangu ezixhasayo: Kubalulekile ukunxiba izihlangu ezilingana kakuhle, ezixhasayo, nezingaqiniyo.

Kwiimeko ezininzi, olu nyango lulula luya kukunika iziphumo ezilungileyo. Ukuba alusebenzi, ungazama i-lymphatic drainage massage . Le yindlela yokuphulula ethambileyo eyenziwa yingcali yezonyango eqeqeshwe ngokukodwa. Inceda ukususa ulwelo lwe-lymph kwiindawo ezivalekileyo kwaye ivumele ukuba lukhuphe amanzi ngokufanelekileyo. Ugqirha angakwenza oku, okanye ungafundiswa indlela yokukwenza ekhaya.

Ukuba ezi ndlela azisebenzi, ugqirha wakho unokucebisa utyando ukuze kuncedwe inkqubo ye-lymphatic yomntwana wakho isebenze ngcono. Nangona kunjalo, oku kudla ngokuthathwa njengesisombululo sokugqibela. Oku kunokuquka:

• Ukususa izicwili ezichaphazelekileyo.
• Ukusebenzisa inkqubo yokudlula ukuze uqondise ukuhamba kolwelo lwe-lymph kwiindawo ezingcono: Kufana nokudala indlela entsha ejikeleze indlela evaliweyo.
• Ukufakelwa ii-lymph nodes eziphilileyo ezivela kwenye indawo emzimbeni womntwana ukuya emilenzeni. Oku kubizwa ngokuba kukudluliselwa kwee-lymph nodes ezifakwe kwimithambo yegazi .

Ukuba umntwana wam unale meko, ndimele ndilindele ntoni?

Ngenxa yokuba isifo sikaMilroy sisifo esingaqhelekanga, unokufuna ukusichazela ootitshala bomntwana wakho okanye abanye abantu ebomini bomntwana wakho. Umzekelo, ukuba umntwana wakho uqhuma unyawo esikolweni, kunokuba nzima ngakumbi kunokuba bekuya kuba njalo komnye umntwana, kwaye kukho amathuba aphezulu okosuleleka. Ukuthetha ngale nto kunokunceda utitshala aqonde ukuba kutheni umntwana wakho ethatha ixesha elide ukutshintsha impahla kwiklasi yejimu, okanye kutheni kuyingozi ukungabi nazihlangu (ngenxa yomngcipheko wokwenzakala nokosuleleka). Kodwa ungakhathazeki, umntwana wakho unokwenza uninzi lwezinto ezenziwa ngabanye abantwana eklasini yakhe.

Isifo sikaMilroy sisifo esinganyangekiyo, oko kuthetha ukuba yimeko yexesha elide. Ukudumba kwemilenze kunokwanda kancinci kwabanye abantu, kwaye kunciphe kancinci kwabanye. Ukuba akunyangwa, oku kudumba kunokubangela ukuba indawo echaphazelekayo ibe nzima njengelitye. Kwakhona, abantu abanale meko banokufumana usulelo lolusu olubizwa ngokuba yi-cellulitis . Le yimeko ebangela ukuba ulusu lube bomvu, lushushu, kwaye lube buhlungu. Le yimeko eyingozi enokuthi ngamanye amaxesha isasazeke iye egazini. Ke ngoko, kubalulekile ukuxelela ugqirha nokuba ubona utshintsho oluncinci kulusu lwakho.

Ndingamnyamekela njani umntwana wam?

Nazi ezinye izinto onokuzenza ukuze unyamekele umntwana wakho onesifo sikaMilroy:

• Lukhathalele kakuhle ulusu lomntwana wakho. Gcina ulusu lwemilenze lucocekile yonke imihla, womise kakuhle, kwaye ufake i-moisturizer. Nyanga naziphi na iziqwenga ezincinci, imikrwelo, ukulunywa zizinambuzane, okanye usulelo ngokukhawuleza. Oku kunokunceda ukunciphisa umngcipheko wokukhula kwezifo ezifana ne-cellulitis.
• Zama ukunqanda ukwenzakala kweenyawo zakho. Nxiba iimpahla ezigubungela iinyawo zakho xa udlala, ubaleka, okanye utsiba. Musa ukubavumela ukuba bahambe ngaphandle bengenazihlangu. Abantwana abanesifo sikaMilroy basengozini enkulu yosulelo kunabanye.
• Musa ukuvumela imilenze yomntwana wakho ihlale kwindawo enye, yishukumise rhoqo. Ukuzilolonga okulula kunye nokuphakamisa nokuthoba imilenze kunokunceda ekunciphiseni ukudumba.
• Khuthaza umsebenzi womzimba, ingakumbi ukudada. Uxinzelelo lwamanzi lunceda ekudumbeni. Kwakhona, imithambo ethambileyo kumalungu, njengokuhamba ngeenyawo kunye nokukhwela ibhayisekile, ilungile.
• Buza ugqirha wakho ngaphambi kokuba unike umntwana wakho naluphi na iyeza. Amanye amayeza, umzekelo, amanye amayeza okudambisa iintlungu, anokunyusa ukudumba.
• Nciphisa ubungakanani betyuwa ekutyeni kwakho. Ityuwa inyusa ukugcinwa kwamanzi emzimbeni, nto leyo enokunyusa ukudumba.
• Yondla umntwana wakho ngokutya okunesondlo. Ukutya okunesondlo okunemifuno, iziqhamo kunye neproteni engenamafutha kunceda ukuqinisekisa ukuba umntwana wakho ufumana izondlo azidingayo.

Umntwana wam ufanele aye nini kugqirha?

Umntwana onesifo sikaMilroy uza kuhlolwa rhoqo . Oku kuvumela ugqirha ukuba abone ukuba umntwana unjani, ukuba ukudumba kunjani, nokuba unyango luyasebenza na, nokuba imeko ihlala ifana okanye iya isiba mandundu. Ukuba uvakalelwa kukuba unyango aluncedi, ukuba ukudumba emlenzeni womntwana wakho kuyanda, ukuba kubomvu, ukuba kushushu, okanye ukuba umntwana wakho unomkhuhlane, qiniseka ukuba uthetha nogqirha womntwana wakho. Ngamanye amaxesha umntwana wakho unokufuna ukubona ingcali yezonyango ukuze amncede asebenzise amalungu akhe ngokulula kwaye enze imisebenzi yemihla ngemihla.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha womntwana wam?

Nantsi eminye imibuzo onokuyibuza ugqirha womntwana wakho:

• "Ngaba kukho omnye umntu kusapho lwethu osengozini yokufumana esi sifo? Ngaba kufuneka sifumane iingcebiso ngemfuza?"
• "Ngaba uyazi amaqela enkxaso abantu abanesifo sikaMilroy? Ngaba kukho amaqela anjalo eSri Lanka?"
• "Ndingazikhetha njani iimpahla zokucinezela ezifanelekileyo kumntwana wam? Ndingazifumana phi?"
• "Ngokwamava akho, ingaba olu nyango lulula luphumelela kangakanani? Liliphi ixesha esifanele sicinge ngotyando?"
• "Zeziphi izinto ezikhethekileyo ekufuneka uzenze ukuze ukhusele ulusu lwemilenze yomntwana wakho?"

Ukuba nomntwana onesifo sikaMilroy akufani nokuba nomntwana onesifo esiqhelekileyo. Inyathelo lokuqala ekunyamekeleni umntwana wakho kukuzifundisa wena nabanye ngale meko. Funda kangangoko unako ngayo, kwaye ungoyiki ukubuza imibuzo yeqela lezonyango lomntwana wakho. Awuwedwa, kwaye baninzi abantu abanokukunceda.

Izinto ezibalulekileyo ekufuneka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, masiphinde sichaze amanqaku abalulekileyo koko sithethe ngako:

• Isifo sikaMilroy sisifo esinokubakho xa umntwana ezalwa kwaye sibangelwa zizinto ezibangela ufuzo eziphazamisa ukusebenza kwenkqubo ye-lymphatic, nto leyo ebangela ukudumba kwemilenze.
• Oku kunqabile , kodwa kubalulekile ukufumana ingcebiso kagqirha ukuba imilenze yomntwana wakho idumbile. Ukuxilongwa ngokukhawuleza kunye nonyango kubaluleke kakhulu.
• Iindlela zonyango ziquka iikawusi zokucinezela, iiteyiphu ezikhethekileyo, ukuphululwa kwe-lymphatic drainage massage, kwaye ngamanye amaxesha notyando.
• Ekubeni esi sisifo esinganyangekiyo , kubalulekile ukumnyamekela kakuhle umntwana, ukumnyamekela ulusu, ukumkhusela kwiintsholongwane, nokumgcina phantsi kweliso elifanelekileyo logqirha.
• Ungakhathazeki. Ngokuba nolwazi olupheleleyo ngale meko kunye nokusebenzisana noogqirha bakho, umntwana wakho unokwenza lukhulu ukuze aphile ubomi obuqhelekileyo.

Ukuba unemibuzo engaphezulu malunga noku, qiniseka ukuba uthetha nogqirha wakho wosapho okanye ugqirha wabantwana.

Isifo sikaMilroy , Inkqubo yeLymphatic, Ukudumba kwemilenze ebantwaneni, iLymphedema, Izifo zokuzalwa, Izifo zofuzo, Unyango