Owu, ngamanye amaxesha izinto zinokwenzeka emizimbeni yabantwana abancinci ongazicingiyo, akunjalo? Ngamanye amaxesha kunokubakho into engalunganga ngaphakathi ngaphandle kweempawu. Namhlanje siza kuthetha ngenye imeko enjalo, edla ngokungabonisi zimpawu, kodwa kubalulekile ukuba uyiqaphele. Olu luhlobo lwethumba oluvela emathanjeni olubizwa ngokuba yi-'Unicameral Bone Cyst' . Ungoyiki, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni le ntsholongwane yethambo (i-Unicameral Bone Cyst)?
Ngamafutshane, le (Unicameral Bone Cyst) yingxinano encinci, egcwele ulwelo eyakha ngaphakathi kwethambo. Igama elithi "unicameral" lithetha "igumbi elinye." Ngoko ke, le cyst inomngxunya omnye kuphela ozele ulwelo ngaphakathi.
Into ebalulekileyo kukuba ezi azingomhlaza (ezingenobungozi) . Oko kukuthi, azingomhlaza, ngoko ke aziyonto yokuxhalaba. Ezi thumba zixhaphake kakhulu ebantwaneni nakubantu abadala abancinci abangaphantsi kweminyaka engama-20 ubudala.
Nangona ezi thumba zinokwakheka nakweyiphi na ithambo, zifumaneka kakhulu kwezi:
- Kwithambo elide engalweni engasentla, kufutshane negxalaba (`humerus`)
- Kwinxalenye ephezulu yomlenze, kufutshane nesinqe (i-femur)
Uninzi lwexesha, ezi (Unicameral Bone Cysts) azibangeli ntlungu . Ngamanye amaxesha, zifunyanwa ngengozi ngexesha le-X-ray ngesizathu esinye. Nangona kunjalo, ukuba ithambo elijikeleze i-cyst liyabuthathaka kwaye kwaphuka , intlungu kunye nokudumba kunokwenzeka.
Ngaba kukho naziphi na iintlobo zezi nati?
Ewe, kukho iintlobo ezimbini eziphambili ze-Unicameral Bone Cysts. Ezi zikhula kufutshane neendawo apho amathambo abantwana akhula khona, ezibizwa ngokuba "zii-growth plates." Njengoko amathambo omntwana wakho ekhula kancinci kancinci, ezi cysts ziyasuka kwi-growth plates.
1. Ii-cysts ezisebenzayo: Ezi zikufutshane kakhulu ne-growth plate. Zinokuba nkulu kancinci ngokuhamba kwexesha. Njengoko zikhula, ithambo elijikelezileyo liba buthathaka kwaye liba sengozini yokuqhekeka.
2. Ii-cysts ezifihlakeleyo: Ezi zifumaneka kufutshane nje ne-growth plate. Azibi nkulu. Xa ukukhula kwamathambo omntwana wakho kuyeka, oko kukuthi, emva kokuba ekhule ngokupheleleyo, uninzi lwala ma-cysts luzaliswa ngamathambo aze anyamalale ngokwawo.
Cinga ngale ndlela, kanye njengesebe elisemthini likhula. Elo 'qonga lokukhula' lifana nendawo apho isebe liqala khona. 'Amaqhuqhuva asebenzayo' akheka khona apho, kwaye anokuchaphazela isebe njengoko likhula. 'Amaqhuqhuva angasebenziyo' afana nento ethi, emva kokuba isebe likhule kancinci, isuke apho liqale khona, kwaye akusekho ngxaki inkulu.
Ixhaphake kangakanani? Ngubani oyifumana rhoqo?
Ezi (ii-Unicameral Bone Cysts) zixhaphakile kakhulu.Uhlobo lwethumba lamathambo. Kodwa ngenxa yokuba abantu abaninzi abanazo iimpawu kwaye abafumani zimpawu, kunzima ukwazi ukuba bangaphi abantu abanalo ngokwenene. Kufunyaniswe ukuba abafana banamathuba amancinci okufumana esi sifo kunamantombazana.
Kutheni iithumba zifana nolu hlobo? Yintoni unobangela?
Enyanisweni, noogqirha abakakwazi ukufumanisa ukuba kutheni ezi (Unicameral Bone Cysts) zenzeka. Kukholelwa ukuba mhlawumbi ngenxa yesiphene esithile ethanjeni, okanye ngenxa yokuvaleka komthambo, ulwelo lunokuqokelelana luze lwenze ezo cysts. Kodwa isizathu esichanekileyo asikacaci .
Zithini iimpawu? Uzibona njani?
Abantwana abaninzi abane-Unicameral Bone Cysts ababonisi zimpawu . Ngaphandle koko, banokubonisa iimpawu ezincinci kakhulu, ezingabalulekanga kufutshane nendawo ye-cyst. Ezi mpawu ziquka:
- Intlungu nje encinci.
- Ukudumba okuncinci.
- Ukuthamba xa kuchukunyiswa.
Nangona kunjalo, njengoko benditshilo ngaphambili, ukuba le thumba yenza ithambo libe buthathaka kwaye ibangele ukwaphuka , iimpawu zingabonakala ngokucacileyo:
- Ukugruzuka.
- Ubunzima bokushukumisa amalungu omzimba.
- Intlungu ebuhlungu.
- Ukudumba.
- Utshintsho kwinkangeleko yesimo okanye indawo yethambo. (Umzekelo, ingalo ibonakala ngathi yoluliwe)
Khawuthelekelele umntwana wakho ewa ngelixa edlala aze athathwe i-X-ray ngenxa yentlungu engalweni yakhe. Kulapho ugqirha anokuthi ngempazamo abone iqhuma elinje.
Ugqirha uyifumana njani le nto?
Eyona ndlela iphambili yokufumanisa i-Unicameral Bone Cyst kukwenza i -X-ray . I-X-ray ingabonisa ngokucacileyo umahluko phakathi kwethambo kunye ne-cyst.
Nangona kunjalo, ngamanye amaxesha ugqirha unokucebisa ezinye iimvavanyo ezimbalwa:
- I-MRI (Magnetic Resonance Imaging): Oku kunokuvelisa umfanekiso ocacileyo womngxuma ongaphakathi kwethumba kunye nezicubu ezijikelezileyo. Oku kunceda ukubona ngokweenkcukacha ukuba yintoni ngaphakathi kwethumba kunye nokuba likhulu kangakanani.
- `I-CT scan (i-Computed Tomography scan)`: Oku kuluncedo kakhulu ekujongeni iithumba kwiindawo ezinzima ukuzibona nge-`X-ray`, umzekelo, emgogodleni nakwisinqe. Ithatha imifanekiso yamathambo enqamlezileyo kwaye inokumisela indawo echanekileyo kunye nobukhulu bethumba.
- I-Biopsy: Ngamanye amaxesha, iqhekeza elincinci lezicubu liyathathwa kwi-cyst lize lihlolwe phantsi kwe-microscope. Oku kwenziwa yingcali yezifo . Uza kuhlola isampuli yezicubu ukuze abone ukuba yi-unicameral bone cyst, olunye uhlobo lwe-bone cyst, njenge-aneurysmal bone cyst, okanye enye imeko yethambo, njenge-fibrous dysplasia.
Zonke ezi mvavanyo zenziwa ukuze kuchongwe ukuba umntwana wakho unesifo esinjani kanye kanye kwaye kubonelelwe ngonyango olufanelekileyo.
Ziziphi izinto ezibangela unyango?
Ugqirha uya kugqiba ukuba makanyange umntwana wakho okanye amjonge nje ngokusekelwe kwizinto ezininzi:
- Ubungakanani bethumba: Ingakanani ithumba?
- Amandla ethambo: Ithambo libuthathaka kangakanani ngenxa yesi sifo? Ingakanani ingozi yokuqhekeka kwamathambo?
- Iimpawu zomntwana: Ngaba umntwana unentlungu okanye ukudumba?
- Ubudala bomntwana kunye nenqanaba lomsebenzi wakhe: Uneminyaka emingaphi umntwana? Ngaba ungumntwana okhutheleyo obalekayo nodlalayo?
Ukuba sisimila esincinci kwaye akukho zimpawu, ugqirha usenokuthi , "Masilinde sibone." Baza kuqhubeka bethatha ii-X-reyi ukuze babone ukuba isimila siyakhula okanye kukho utshintsho na. Basenokukucela ukuba unciphise imisebenzi ethile (njengokubaleka okanye ukutsiba kakhulu) ukuze unciphise umngcipheko wokuphuka kwethambo.
Nangona kunjalo, ukuba ithumba likhulu, umntwana ubonakalisa iimpawu, okanye kukho umngcipheko omkhulu wokuqhekeka kwamathambo, ugqirha unokucebisa unyango.
Ziziphi iindlela zonyango?
Ungakhathazeki, kukho unyango olusebenzayo kwezi (ii-Unicameral Bone Cysts).
1. Unyango olusebenzisa iinaliti:
Le yindlela yokuqala nengangenisi mandla kangako ezanywayo. Ugqirha uvala indawo apho kukho khona i-cyst aze asebenzise inaliti encinci ukususa ulwelo olungaphakathi kwi-cyst. Emva koko, i-steroid ebizwa ngokuba yi -methylprednisolone ifakwa kwi-cavity. Eli yeza linceda i-cyst inciphe kancinci. Kusenokufuneka ufake ezi naliti amaxesha amaninzi, rhoqo emva kweeveki ezimbalwa.
2. Unyango ngotyando (iCurettage):
Kwezinye iimeko, ingakumbi ukuba ithumba likhulu okanye ukuba iinaliti azincedi, inkqubo ebizwa ngokuba yi- "curettage" inokwenziwa. Kule meko, ugqirha wenza umngxuma omncinci ethanjeni apho ithumba likhoyo, akhuphe okungaphakathi kwethumba kunye nolwelo lwethumba. Emva koko, ikhemikhali efana ne- "ethanol" inokufakwa emngxunyeni ukuze itshabalalise ngokupheleleyo naziphi na iiseli zethumba eziseleyo.
Emva koko, gcwalisa loo mngxuma ungenanto:
- `Ukufakelwa kwamathambo`: Oku kuthetha ukusebenzisa iqhekeza elincinci lethambo elithathwe kwenye inxalenye yomzimba womntwana (umz., ithambo lesinqe), okanye ithambo elinikelweyo.
- Uhlobo olukhethekileyo lwesamente yamathambo: Oku kungazalisa loo msantsa.
Kuthatha ixesha elingakanani ukuphola emva kotyando?
Emva kotyando, gcina ithambo elinyangiweyo lingashukumi de liphole.Kufakwa iplasta yeParis (cast) okanye i-sling. Uninzi lwabantwana luyakwazi ukuqhubeka nemisebenzi yabo yesiqhelo malunga neenyanga ezintathu ukuya kwezintandathu. Nangona kunjalo, oku kunokwahluka kumntwana ngamnye, kuxhomekeke kuhlobo lwethumba.
Ngexesha lokuchacha, ugqirha wakho uya kukhokela wena nomntwana wakho. Ungadinga nonyango lomzimba okanye unyango lomsebenzi . Oku kuthetha ukuzilolonga ukuze uqhelane neentshukumo kunye nokuqinisa amalungu akho omzimba.
Yintoni omawuyenze xa ithambo liphukile (liqhekeka)?
Ukuba ithambo liphukile ngelishwa, unyango oluqhelekileyo kukubeka iplasta yeParis (cast) kwithambo eliphukileyo ukuze lihlale linganyakazi . Ithambo liza kuphola lodwa.
Nangona kunjalo, ukuba ipleyiti yokukhula endikhankanyileyo ngaphambili yonakele , unyango olongezelelweyo lunokufuneka ngokuxhomekeke kubukhulu bemeko. Kwiimeko ezinjalo:
- Ukulungisa ithambo elaphukileyo nokufaka isamente.
- Ngamanye amaxesha, utyando lunokwenziwa ukulungisa ithambo ngeepini zesinyithi, izikrufu, okanye iipleyiti.
Cinga ngale nto, ngamanye amaxesha xa ithambo liphukile, ithumba liyaziphilisa lodwa njengoko liphola. Akwenzeki kubo bonke abantu, malunga nomntu omnye kwaba-4 kuphela. Ukuba ithumba alipholi, ugqirha wakho unokucebisa utyando lokususa ithumba ukuze kuthintelwe ukwaphuka kwakhona.
Ngaba ingakhula kwakhona emva konyango?
Ewe, le yinto ekufuneka ucinge ngayo. Emva konyango lwe-Unicameral Bone Cysts, amathuba okuphinda abuye angama-50% . Oko kuthetha ukuba ukuba abantwana ababini banyangwa, omnye unokubuya. Umngcipheko wokuphinda abuye uphezulu kakhulu kubantwana abancinci kakhulu .
Yiyo loo nto ugqirha ehlala ezisa umntwana ukuze ahlolwe aze athathe ii-X-ray ukuze abone ukuba ingaba ithumba liphinde lavela na.
Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?
Ngelishwa, ekubeni unobangela ochanekileyo we-Unicameral Bone Cysts ungaziwa, akukho ndlela ithile yokuthintela ukuba zingabikho .
Liza kuba njani ikamva ukuba umntwana unale meko? (Ingqikelelo)
Uninzi lwee-(Unicameral Bone Cysts) azibangeli zimpawu kwaye ziyanyamalala zodwa xa umntwana ekhulile ngokupheleleyo . Ezo ziindaba ezimnandi.
Ukuba umntwana wakho uneempawu, uphuke, okanye usemngciphekweni wokwaphuka, kukho unyango olusebenzayo . Eyona nto ibalulekileyo kukuhlala ujongwa rhoqo njengoko ugqirha wakho esitsho, kuba oku kuyenzeka kwakhona kubantwana abancinci.
Kunqabile kakhulu ukuba ukukhula kwamathambo kume ngenxa yokuphuka okanye emva kotyando. Ukuba oku kuyenzeka, ugqirha wakho uya kukunika lonke uncedo kunye neengcebiso ozifunayo wena nomntwana wakho.
Ndifanele ndimbone nini ugqirha?
Ukuba umntwana wakho ukhalaza ngentlungu kufutshane nethambo, okanye ukuba ubona into efana nokudumba kuloo ndawo, bona ugqirha ngokukhawuleza . Ukufunyanwa kwangoko kwe-Unicameral Bone Cyst kunokuthintela ukwaphuka okungenzeka kunye nokuphazamiseka kwamathambo.
Umyalezo Wokuya Ekhaya
Kulungile, ngoko ke, ngokwezinto esithethe ngazo, ezi zezona zinto zibalulekileyo ekufuneka uzikhumbule:
- Ii-Unicameral Bone Cysts luhlobo lwe- non-cancer , i-bone cyst egcwele ulwelo.
- Ezi zibonakala kakhulu kubantwana nakubantu abadala abancinci .
- Ixesha elininzi akukho zimpawu . Ifunyanwa ngengozi.
- Ihlala iphola ngokwayo xa umntwana ekhulile ngokupheleleyo.
- Ukuba kukho iimpawu okanye kukho umngcipheko wokuqhekeka, kukho unyango olusebenzayo (iinaliti, utyando) .
- Nokuba unyango lukhona, lunokuphinda lubuye, ngoko ke kubaluleke kakhulu ukuba uhlolwe rhoqo njengoko ugqirha wakho eyalele .
Khumbula, ukuba unamathandabuzo nokuba mancinci kangakanani ngempilo yomntwana wakho, akukabi lixesha lokuba uthethe nogqirha.
I- Unicameral Bone Cyst, i-simple bone cyst, i-solidated bone cyst, i-bone cyst, izifo zamathambo ebantwaneni, ukwaphuka kwamathambo, uphuhliso lwamathambo, impilo yomntwana











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