Uke wabona iqhubu elincane ngaphansi kwesikhumba sentamo yengane yakho, ikhwapha, noma ikhanda elikubangele ukukhathazeka? Noma ingabe udokotela wakho ukukhulumile ngesikhathi sokuhlolwa ngesikhathi sokukhulelwa kwakho? Lokhu kungaba yisimo esibizwa ngokuthi i-Cystic Hygroma . Kuvamile ukuzizwa wesaba kancane uma uzwa leli gama. Kodwa uma usukwazi ukuthi liyini, lokho kwesaba kuzonyamalala futhi uzoba nokuqonda okungcono kokuthi ungabhekana kanjani nakho.
Kalula nje, iyini i-Cystic Hygroma?
I-Cystic Hygroma iyi-cyst egcwele uketshezi, noma ama-cyst amaningi. Ibukeka njengebhaluni lamanzi. Lawa avame ukukhula ekhanda noma entanyeni yengane. Kodwa ngezinye izikhathi angakhula nasezindaweni ezifana namakhwapha nesifuba.
Isizathu salokhu ukuthi kukhona ukuvaleka ohlelweni lwe-lymphatic emzimbeni wethu. Cabanga ngalolu hlelo lwe-lymphatic njengohlelo olususa imfucuza emzimbeni wethu. Lolu hlelo yilona oluhlunga izinto eziyingozi njengamagciwane futhi lusize ukugcina umzimba uphilile. Ngakho-ke, uma kukhona ukuvaleka ndawana thize kulolu hlelo ngenkathi umntwana ekhula esibelethweni, uketshezi luyaqoqana lapho bese kwakheka i-cyst efana nale.
Lesi yisimo esingavamile kakhulu. Lokhu kusho ukuthi cishe ingane eyodwa kwezingu-8,000 ithintwa yilesi simo. Futhi, akuzona zonke izingane ezine- Cystic Hygroma ezinezinye izinkinga ezinkulu zempilo. Ezinye izingane zizalwa ziphilile ngokuphelele ngalesi simo.
Ngezinye izikhathi lezi zimila ziyaphola zodwa ngaphandle kokwelashwa. Kodwa-ke, uma zingapholi, ukuhlinzwa ukuze zisuswe kuyindlela engcono kakhulu, njengoba zingalimaza izitho ezizungezile, zibangele izifo, futhi zibangele ukungakhululeki njengoba umntwana ekhula.
Ziyini izimpawu zalokhu?
Izimpawu zincike endaweni kanye nosayizi wesimila. Ngezinye izikhathi, isimila singaphazamisa ukusebenza okuvamile kwezitho ezizungezile. Ake sibheke izimpawu eziyinhloko.
| Isibonakaliso | Incazelo |
|---|---|
| Ukuvuvukala ngaphansi kwesikhumba | Usana olusanda kuzalwa lungase lube nendawo ethambile nevuvukele ngaphansi kwesikhumba salo. Ngezinye izikhathi lokhu kungaba nombala oluhlaza okwesibhakabhaka kancane. |
| Ubunzima bokuphefumula nokugwinya | Uma isimila siseduze komphimbo noma umphimbo, umntwana angase abe nobunzima bokuphefumula nokugwinya ngesikhathi encelisa. |
| Ukukhula okubambezelekile | Ngenxa yobunzima bokudla, zingase zikhule kancane kancane kunezinye izingane. |
| Ukukhula kwesimila kanye nokutheleleka | I-cyst nayo izokhula njengoba umntwana ekhula. Futhi, uma i-cyst itheleleka noma iphuma igazi ngaphakathi kwe-cyst, ingakhula ngokuzumayo. |
| Imiphumela emathanjeni nasemazinyweni | Uma kungelashwa isikhathi eside, ithambo namazinyo azungeze isimila kungase kulimale. |
Yiziphi izimbangela ze-Cystic Hygroma?
Kokubili izakhi zofuzo zomntwana kanye nendawo esibelethweni kungathinta ukukhula kwalesi simiso se-lymphatic. Inkinga ngokuthuthukiswa kwalesi simiso yimbangela eyinhloko ye-Cystic Hygroma.
Ngezinye izikhathi kungazenzekela ngokwakho ngaphandle kwanoma yisiphi esinye isimo sezokwelapha. Kodwa-ke, kwezinye izimo kungahlotshaniswa nezimo zofuzo . Isibonelo:
- I-Turner syndrome
- I-Down syndrome
- I-Noonan syndrome
Odokotela benza izivivinyo ezikhethekile ukuze babone ukuthi kukhona yini ukuxhumana nezimo ezinjengalezi.
Uma lesi simo senzeka kubantu abadala, singase sibangelwe uhlobo oluthile lwengozi ( ukuhlukumezeka ) noma ukutheleleka kokuphefumula kwangaphambilini. Kodwa-ke, ezimweni eziningi, kunzima ukuthola imbangela ethile yalesi simo kubantu abadala.
Odokotela bakuthola kanjani lesi simo?
Ngesikhathi sokukhulelwa
Ngokuvamile, ukuhlolwa kwe-ultrasound okuvamile ngesikhathi sokukhulelwa kuzoveza:Yilapho udokotela eqala ukubona lesi simila. Ngokuvamile singatholakala cishe emavikini angama-20 okukhulelwa.
Uma ukuhlolwa kukhombisa into efana nale, udokotela uzosikisela ukuthi kwenziwe ezinye izivivinyo ukuqinisekisa ukuthi ingane ayinazo ezinye izinkinga zofuzo.
- I-CVS (Chorionic Villus Sampling) : Lokhu kuhilela ukuthatha ingxenye encane kakhulu yezicubu ku-placenta yengane bese uyihlola ukuze ithole izimo zofuzo.
- I-Amniocentesis: Lokhu kuhilela ukuthatha inani elincane loketshezi (i-amniotic fluid) ngaphakathi esibelethweni somntwana bese ulihlola.
Ungesabi ukubuza ngalezi zivivinyo. Udokotela wakho uzokuchazela konke kahle. Kuzodingeka futhi ukuthi uhlolwe njalo ukuze uhlole izinguquko esigaxeni kanye nezinye izinkinga.
Udokotela wakho uvame ukuhlela ukubeletha ingane yakho ngokuhlinzwa (C-section) cishe emavikini angu-38. Kufanele futhi ukhethe isibhedlela esine -Neonatal Intensive Care Unit (NICU) kanye nodokotela abahlinzayo bezingane . Lokhu kungenxa yokuthi isibhedlela kufanele sibe nazo zonke izinsiza ezidingekayo zokwelapha ingane yakho uma idinga ukwelashwa okuphuthumayo ngemva kokuzalwa. Udokotela wakho uzokusiza ukhethe isibhedlela esifanele lokhu.
Ngemva kokuzalwa
Ngezinye izikhathi lesi sigaxa sibonakala ngemva kokuzalwa komntwana. Uma lokhu kwenzeka, udokotela uzoyala ukuhlolwa okufana ne-X-ray yesifuba, i-ultrasound scan, noma i-MRI/CT scan ukuqinisekisa ukuthi ngabe yi-cystic hygroma.
Yiziphi izindlela zokwelapha?
Ukwelashwa okuyinhloko nokuphumelela kakhulu kwe-cystic hygroma ukususa ngokuphelele isimila ngokuhlinzwa.
Kodwa-ke, uma kusala ingxenye encane yesimila ngesikhathi sokuhlinzwa, cishe kunethuba elingu-15% lokubuya kwaso. Kunezinye izindlela zokwelapha eziningana, yize zingaphumeleli njengokuhlinzwa.
- Ukwelashwa ngamakhemikhali
- Ukwelashwa ngemisebe
- Ama-steroid
- Ukwelashwa nge-Sclerotherapy: Lokhu kuhilela ukufaka umuthi okhethekile esigaxeni, okubangela ukuthi sinciphe.
Yiziphi izinkinga ezingaba khona?
Kunobungozi bezinkinga esimweni esinjalo. Kodwa kubalulekile ukuzazi kusengaphambili. Odokotela bahlala bezazi lezi zingozi futhi bathatha izinyathelo ezidingekayo zokuzivimbela.
- Inani loketshezi lwe-amniotic esibelethweni linganda noma linciphe ngesikhathi sokukhulelwa.
- Kwezinye izimo, kungaba khona ingozi yokuphuphuma kwesisu.
- Uma isimila sikhulu, singase sivale indlela yokuphefumula yomntwana.
- Kungase kube nezinguquko ezithile esimweni sobuso.
- Isimila singadala ukutheleleka kwesikhumba njenge- cellulitis .
- Kungaba nezingozi ezifana nokulimala kwemizwa noma ukopha ngokweqile ngemva kokuhlinzwa.
- Ngisho nangemva kokuhlinzwa, kunethuba elincane lokuthi isimila sizophinde sikhule.
Ungesabi uma uzwa lezi zinto. Akuzona zonke lezi zinto ezizokwenzeka. Lezi yizinto "ezingenzeka" nje. Ithimba lakho lezokwelapha liyazazi zonke lezi zingozi futhi liqeqeshwe ukubhekana nazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Cystic Hygroma iyisigaxa esigcwele uketshezi esikhula ngenxa yenkinga ohlelweni lwe-lymphatic lomntwana. Akuyona umdlavuza.
- Lokhu kungabonakala kaningi ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa.
- Njengoba lesi simo singase sihlotshaniswe nezifo ezithile zofuzo, udokotela wakho uzoncoma ukuthi sihlolwe.
- Ukwelashwa okuyinhloko ukususa isimila ngokuhlinzwa. Ungakhathazeki, odokotela abahlinzayo bezingane bangochwepheshe kulokhu.
- Uma unemibuzo noma ukungabaza, khuluma nodokotela wakho ngokushesha. Ungenzi izinqumo ngokusekelwe olwazini olutholakala ku-inthanethi.
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