Ingabe ingane yakho encane ihlushwa yiqhubu lethambo? Ake sifunde nge-Eosinophilic Granuloma!

Wake wesaba yini uma ubona into engavamile, njengeqhubu emzimbeni wengane yakho encane? Ngezinye izikhathi uma sibona izinto ezinjalo, sicabanga ngokushesha ukuthi kuyisifo esibi kakhulu. Namuhla sizokhuluma ngesimo esingakhula ezinganeni ezincane, kodwa ngokuvamile asiyona ingozi, kodwa kufanele siqaphele.

Iyini i-Eosinophilic Granuloma?

Kalula nje, lesi isimila samathambo esingenabungozi. Uma sikhuluma iqiniso, siyindlela elula kakhulu yesimo esingavamile esibizwa ngokuthi `(Langerhans cell histiocytosis)`. Kulesi simo esibizwa ngokuthi `(Langerhans cell histiocytosis), umzimba wethu ukhiqiza amangqamuzana omzimba amaningi kunokudingekile. Kodwa khumbula, `(Eosinophilic Granuloma)` akuyona umdlavuza nganoma iyiphi indlela, futhi akuyona uphawu lomdlavuza. Lokhu kuvame ukubonakala ezinganeni ezingaphansi kweminyaka eyi-10.

Ubani othinteka kakhulu yilesi simo? Sivame kangakanani?

Nakuba lesi simo, esibizwa ngokuthi "i-Eosinophilic Granuloma," singakhula kunoma ubani, sivame ukubonakala ezinganeni ezincane eziphakathi kweminyaka emi-5 neyi-10. Kuthiwa futhi abafana bathambekele kakhulu ekutholeni lesi simo.

Lesi yisimo esingavamile kakhulu. Ngaphansi kwe-1% yazo zonke izimila zamathambo ziyi-Eosinophilic Granuloma. Cabanga nje, izingane ezingaphansi kwezi-5 kwabayi-100,000 zitholakala zinalesi simo minyaka yonke.

Lokhu (i-Eosinophilic Granuloma) kuthinta kanjani umzimba wengane?

Lezi zinhlayiya, ezibizwa ngokuthi ``Eosinophilic Granuloma``, zingakheka kunoma yiliphi ithambo elikhulu emzimbeni wengane. Empeleni ziyinhlayiya eyakheka phezu noma eduze kwethambo lengane lapho amangqamuzana omzimba esiwakhulume ngenhla eqoqana futhi eba makhulu.

Lezi yizindawo ezivame kakhulu lapho zingavela khona:

• Ugebhezi
• I-pelvis
• I-Femur
• Izimbambo
• Ithambo lengalo engenhla `(iHumerus)`
• Ithambo Lomhlathi `(I-Mandible)`
• Umgogodla

Kuye ngobukhulu beqhubu, ingane ingase ibhekane nezimpawu ezifana nobuhlungu noma iqhubu ngaphansi kwesikhumba .

Kodwa into emangalisayo ukuthi, izingane eziningi azazi nokuthi zinalokhu. Ngezinye izikhathi kutholakala ngengozi lapho zithola into efana ne-X-ray ngesinye isizathu.

Ziyini izimpawu ze-Eosinophilic Granuloma?

Nakuba kungebona bonke abantwana abazobonisa izimpawu, abanye bangase babe nezinto ezifana nalezi:

• Ubuhlungu: Ungase uzwe ubuhlungu endaweni lapho iqhubu likhona. Cabanga nje, ngezinye izikhathi ingane ithi, "Mama, umlenze wami ubuhlungu," noma ibambe ikhanda layo.
• Ukuvuvukala: Indawo ethintekile ingase ivuvuke.
• Ububele: Indawo ibuhlungu ukuyithinta .
• Ikhanda elibuhlungu, ukoma ngokweqile, kanye nokuchama njalo:Uma lezi zimpawu zihlangana, zibizwa nangokuthi "i-Diabetes Insipidus". Lokhu kungabonakala futhi ngezinye izikhathi.
• Ukuqina eduze kwelunga: Uma iqhubu liseduze kwelunga, kungaba nzima ukuligoba noma ukuliqondisa lelo lunga, futhi ungase uzizwe uqinile.
• Ukushintsha kombala wesikhumba: Isikhumba esingaphezulu noma eduze kweqhubu singashintsha umbala. Singase sibe bomvu noma sibe nsundu.

Kungani lokhu (i-Eosinophilic Granuloma) kwenzeka?

Njengoba sishilo ngaphambili, le `(i-Eosinophilic Granuloma)` uhlobo lwesimo esibizwa ngokuthi `(i-Langerhans cell histiocytosis)` (ebizwa nangokuthi `(i-Histiocytosis X)`). Le `(i-Langerhans cell histiocytosis)` isifo esibangelwa ukuzivikela komzimba. Kalula nje, okwenzekayo ukuthi umzimba wengane ukhiqiza okungaphezu kwalokho okudingekayo `(amangqamuzana e-Langerhans), uhlobo lweseli elimhlophe legazi elivame ukulwa nokutheleleka.

Ngokuhamba kwesikhathi, la maseli amhlophe egazi angahlangana ndawonye futhi akhe amaqhubu ezingxenyeni ezahlukene zomzimba wengane (ikakhulukazi emathanjeni) . I-granuloma ye-eosinophilic iyiqhubu elilodwa elakheka kanje.

Odokotela bakuthola kanjani lokhu (i-Eosinophilic Granuloma)?

Udokotela wakho uzokwenza izivivinyo eziningana ukuqinisekisa ukuthi lokhu kuyi-Eosinophilic Granuloma. Eziyinhloko yilezi:

• Ukuhlolwa kwelebhu: Ukuhlolwa kwegazi kungasetshenziswa ukuthola ukuthi unezinye izimo, njengomdlavuza.
• Ukuhlolwa kwezithombe: Udokotela uzosebenzisa inhlanganisela yezivivinyo, njenge-X-ray, i-MRI scans, i-CT scans, i-ultrasounds, kanye ne-bone scans, ukuze athathe izithombe zesimila esingaphakathi kwengane yakho. Ukuhlolwa ingane yakho ekudingayo kuzoncika ekutheni isimila sitholakala kuphi emzimbeni.
• Ukuhlolwa kwezicubu: Ngezinye izikhathi udokotela kungadingeka athathe ingxenye encane yesigaxa asibheke ngaphansi kwe-microscope. Lokhu kubizwa ngokuthi i-biopsy.

Into ebaluleke kakhulu ukuthi udokotela kuzodingeka enze izivivinyo eziningana ukuze aqinisekise ukuthi ingane ine-Eosinophilic Granuloma, olunye uhlobo lwesimila, noma isimo somdlavuza. Ngakho-ke, ungakhathazeki uma bekucela ukuthi wenze izivivinyo ezengeziwe esikhundleni sesinye noma ezimbili.

Iphathwa kanjani i-Eosinophilic Granuloma?

Uhlobo lokwelashwa ingane yakho oludingayo luzoncika ezintweni eziningana, okuhlanganisa ukuthi i-Eosinophilic Granuloma ikuphi emzimbeni nokuthi ingane ibhekene nanoma yiziphi izimpawu (isib. ubuhlungu).

Kunezinketho eziningana zokwelapha:

• Ukuqaphela:Esikhathini esiningi, la maqhubu awabangeli zimpawu. Ngokuhamba kwesikhathi, umzimba wengane uyawamunca. Yingakho udokotela ezoqhubeka nokuqapha iqhubu ukuze abone ukuthi liyashintsha noma liyakhula.
• Imijovo ye-steroid: Udokotela angase afake i-corticosteroid ngqo eqhumeni. Lokhu kuzonciphisa iqhubu futhi kunciphise izimpawu zengane yakho.
• Ukwelashwa ngemisebe noma ngamakhemikhali: Ngezinye izikhathi udokotela wakho angase akuncome ukwelashwa ngemisebe noma ngamakhemikhali. Ungakhathazeki, i-Eosinophilic Granuloma ayiwona umdlavuza. Kodwa-ke, lokhu kwelashwa kungabulala amangqamuzana omdlavuza kanye nokukhula okungenawo umdlavuza.
• Ukususwa ngokuhlinzwa: Udokotela ohlinzayo ususa iqhubu. Uhlobo lokuhlinzwa ingane yakho oludingayo luncike ekutheni iqhubu likuphi emzimbeni.

Yiziphi izinkinga ezingaba khona ze-Eosinophilic Granuloma?

Nakuba kungebona bonke abantu, ngezinye izikhathi lesi simo singadala izinkinga ezifana nalezi:

• Ingozi eyengeziwe yokuthola izinhlobo ezithile zomdlavuza kamuva ekuphileni.
• Izinkinga zokuzwa noma zokubona.
• Ubunzima bokuhambisa ingxenye yomzimba lapho kwakukhona khona iqhubu.
• Ukuncipha kokukhula.
• Izinkinga zempilo yengqondo, isibonelo, izimo ezifana nokucindezeleka noma ukukhathazeka.

Ukwelashwa kanye namathemba esikhathi esizayo

Manje ake sibheke isikhathi sokwelashwa, ukuphathwa kwezimpawu, nokuthi yini ongayilindela esikhathini esizayo ngalesi simo.

Ungazilawula kanjani izimpawu zengane yakho?

Udokotela wakho uzokweluleka ngendlela yokuphatha izimpawu zengane yakho. Lokhu kuzoncika ekutheni izimpawu zinzima kangakanani nokuthi iqhubu likuphi. Uma kukhona ubuhlungu, udokotela uzokunikeza imithi yokwelapha izinhlungu efanele futhi agcine ingane yakho ikhululekile .

Kuzothatha isikhathi esingakanani ukuthi ingane ilulame ngemva kokwelashwa?

Uma ingane yakho idinga ukwelashwa okungaphezu kokubonwa, kungathatha isikhathi ukuthi ilulame ngokugcwele. Ezinye izindlela zokwelapha, njenge-chemotherapy, zingathatha unyaka wonke ukuthi zisebenze ngokugcwele. Izikhathi zokululama zokuhlinzwa nazo ziyahlukahluka.

Ukuthi kuthatha isikhathi esingakanani ukuthi ingane yakho ilulame kuncike ekutheni iqhubu lalikuphi emzimbeni nokuthi yiluphi uhlobo lokwelashwa olusetshenzisiwe ukuze lisuswe. Ngakho-ke, khuluma nodokotela wakho ngesikhathi sokululama kwengane yakho ukuze uthole ukuthi kuzothatha isikhathi esingakanani ngempela.

Yini ongayilindela uma ingane yakho ine-Eosinophilic Granuloma?

Uma ingane yakho ine-Eosinophilic Granuloma, lindela ukuhlolwa nokuhlolwa njalo kwezokwelapha. Ngisho noma ingane yakho ingenazo izimpawu, udokotela kuzodingeka aqaphe iqhubu ukuze abone ukuthi liyashintsha, liyakhula, noma liyasakazeka.

Uma ingane ingenazo izimpawu, kungase kungadingeki ukwelashwa.

I-Granuloma ye-Eosinophilic ihlala isikhathi esingakanani?

Iningi lama-granuloma e-Eosinophilic aphela ngokwawo phakathi nonyaka noma emibili. Iningi lawo alibangeli zimpawu.

Ingabe ingane ngeke ikwazi ukuya esikoleni ngesikhathi sokwelashwa?

Kuncike ekutheni ingane idinga ukwelashwa okunjani. Uma udokotela ebheka nje i-`(Eosinophilic Granuloma)`, ngeke kube nesidingo sokwenza noma yiziphi izinguquko endleleni yayo yansuku zonke.

Buza udokotela wakho noma udokotela ohlinzayo ukuthi yimiphi imisebenzi okungafanele ingane yakho iyenze ngenkathi ithola ukwelashwa.

Iyini inhloso ye-Eosinophilic Granuloma?

Izingane ezineqhubu elilodwa kuphela zinombono omuhle kakhulu. Iningi lama-Granuloma e-Eosinophilic liyaphela ngonyaka noma emibili ngaphandle kokubangela izimpawu ezibalulekile.

Kufanele ngimbone nini udokotela? Yimiphi imibuzo okufanele ngiyibuze?

Bonana nodokotela ngokushesha.

Uma ingane yakho ibonisa izimpawu ezintsha, ikakhulukazi ikhanda elibuhlungu, izinkinga zokubona, noma ubunzima bokunyakaza komzimba wayo, bona udokotela ngokushesha. Uma ubona izinguquko ngokushesha emzimbeni wengane yakho, kulapho-ke amathuba okuba ungabi nomdlavuza nezinye izifo ngaphambi kokuba zibe izinkinga ezinkulu.

Imibuzo okufanele uyibuze udokotela

Nazi ezinye imibuzo ongayibuza udokotela wakho:

• Yiziphi izivivinyo okufanele ingane yami izithathe?
• Kuthatha isikhathi esingakanani lokhu `(i-Eosinophilic Granuloma)`?
• Zingaki ezinye izivivinyo engizodinga ukuzenza?
• Yikuphi ukwelashwa ingane yami edingayo?

Kuvamile ukuzizwa wesaba uma uthola ukuthi ingane yakho ineqhubu emzimbeni wayo. Kodwa khumbula, i-Eosinophilic Granuloma ayiwona umdlavuza. Ingase ingabangeli zimpawu, futhi izingane eziningi aziqapheli nokuthi zinawo. Udokotela wakho uzokuqondisa kuzo zonke izinyathelo ezidingekayo ukuze uxilonge futhi uqaphe isimo sengane yakho.

Umyalezo esifuna ukuwuthatha ekhaya kulesi sihloko uthi

Kulungile, ngakho ake sizikhumbuze nje ngalokho esikwaziyo nge-`(Eosinophilic Granuloma)`:

• I-granuloma ye-eosinophilic iyisimila esingavamile, esingesona umdlavuza esakheka emathanjeni. Sivame ukwenzeka ezinganeni ezingaphansi kweminyaka eyi-10.
• Lolu uhlobo oluncane lwesimo esibizwa ngokuthi i-Langerhans cell histiocytosis, esibangelwa ukukhiqizwa ngokweqile kwamaseli omzimba.
• Iningi lezingane alibonisi zimpawu. Ezinye zingase zizwe ubuhlungu nokuvuvukala.
• Lesi sifo singahlolwa ngokunembile kuphela ngokuhlolwa okufana ne-X-ray, i-MRI, i-CT scan, kanye ne-biopsy.
• Ukwelashwa kungasukela ekubhekweni kuya ekufakweni kwe-steroid, ukuhlinzwa, kanye nokwenzeka ngemisebe noma i-chemotherapy (ngisho noma kungewona umdlavuza).
• Esikhathini esiningi, lezi ziyaphela zodwa phakathi nonyaka noma emibili, futhi isimo singcono kakhulu.
• Uma ingane yakho iba nezimpawu ezintsha, ikakhulukazi ikhanda elibuhlungu, izinkinga zokubona noma zokunyakaza, bona udokotela ngokushesha.

Into ebaluleke kakhulu ukuthi uma uthola ukuthi ingane yakho inalesi simo, ungesabi, khuluma nodokotela, uthole ulwazi olufanele, bese ulandela imiyalelo yakhe. Konke kuzolunga!

I - Granuloma Engafihli, I-Granuloma Engafihli, Amathumba Amathambo, Ukwelashwa Kwezingane, I-Langerhans Cell Histiocytosis, Impilo Yengane, Amathumba Amathambo Angewona Umdlavuza