Ingabe uthola amaqhubu angajwayelekile ezindaweni ezahlukene emzimbeni wakho? Mhlawumbe unamazinyo amaningi kunalawo okufanele ube nawo lapho uvula amazinyo? Nakuba lokhu kungase kubonakale njengezinto ezivamile, ngezinye izikhathi kungaba nendaba engathi sína ngemuva kwawo. Namuhla sikhuluma ngesimo sezokwelapha esingavamile, kodwa esibaluleke kakhulu okufanele wonke umuntu asiqaphele. Leso yi-Gardner Syndrome.
Kalula nje, iyini i-Gardner Syndrome?
Kalula nje, lesi yisimo esingavamile esingasithola kubazali bethu ngokusebenzisa izakhi zofuzo. Yisifo esizuzwe njengefa. Umuntu onalesi sifo uqala ukuba nezimila ezingavamile ezingxenyeni ezahlukene zomzimba wakhe.
Okwenzekayo ukuthi amakhulu ezimila ezincane akhula ngaphakathi kwekholoni. Lokhu kukhula kubizwa ngokuthi ama-polyp ngokwezokwelapha. Into eyingozi kakhulu ukuthi uma kungelashwa, wonke la ma-polyp asengozini enkulu yokuba nomdlavuza wekholoni .
Ngaphezu kwekholoni, izimila ezingezona umdlavuza zingakhula nasemathanjeni, emathunjini, esikhumbeni nakwezinye izicubu ezithambile. Abantu abanalesi sifo nabo basengozini yokuthola ezinye izinhlobo eziningana zomdlavuza.
Sivame kangakanani lesi simo? Ngubani ositholayo?
Empeleni lesi yisimo esingavamile kakhulu. Isibonelo, ezweni elifana neMelika, umuntu oyedwa kuphela kwabayisigidi utholakala enalesi sifo.
Ngenxa yokuthi kuyisifo esizuzwa njengefa, abantu abaningi abane-Gardner syndrome banethuba elikhulu lokuba nomama noma ubaba onesifo. Lokhu kusho ukuthi sidluliselwa ngezakhi zofuzo kusukela esizukulwaneni kuya kwesinye.
Ziyini izimpawu zalokhu?
Izimpawu ze-Gardner syndrome ziyashintsha ngokuhamba kwesikhathi. Ezinye izimpawu zingase zivele ebuntwaneni.
| Isikhathi sokuqala kwezimpawu | Izici ezibonakalayo |
|---|---|
| Ngesikhathi sobuntwana |
|
| Ebusheni | Kunamakhulu ama-polyp amathumbu amakhulu. Kodwa-ke, lawa angase angakhombisi zimpawu ekuqaleni. Ngesikhathi izimpawu zivela, lesi sifo singase sibe sesithuthuke kakhulu. |
Into ebalulekile ukuthi ngesikhathi kuvela izimpawu zama-polyp ekholoni, lesi sifo singase sibe sesidlulele kakhulu. Ngakho-ke, uma othile emndenini wakho enalesi simo, kubaluleke kakhulu ukuhlolwa kusenesikhathi.
Yiziphi ezinye izimo ezihlotshaniswa ne-Gardner syndrome?
Umuntu one-Gardner syndrome usengozini enkulu yokuthola lezi zimo ezilandelayo:
- Amazinyo engeziwe
- Ama-osteoma (izimila zamathambo)
- Izimila ezithambile - Nakuba lezi zingewona umdlavuza, zingakhula ngokushesha futhi zilimaze izicubu ezizungezile.
- Izimila ezinamafutha (ama-Lipomas)
- Ama-fibroma
- Ama-Adenoma - Izimila ezingezona ezomdlavuza ezakheka ezindlala.
- Ama-cyst e-Epithelial
- Isimo esithinta i-retina yeso (i-CHRPE - i-congenital hypertrophy ye-retinal pigment epithelium)
- Umdlavuza wesisu
- Umdlavuza wesibindi
- Umdlavuza wamathumbu amakhulu
Kungani lokhu kwenzeka? Iyini imbangela?
Isizathu salokhu yiphutha kwelinye lamajini ethu. Uma sikhuluma iqiniso, kukhona ijini elibizwa ngokuthi i-APC gene . Umsebenzi walo oyinhloko ukulawula amaseli emzimbeni wethu ukuthi angahlukani futhi aphindaphindeke ngokushesha okukhulu. Njengamabhuleki emotweni. Amajini anjengalawa abizwa ngokuthi amajini okucindezela i-tumor , okusho ukuthi avimbela ukwakheka kwamajini.
Umuntu one-Gardner syndrome une-gene enephutha ye-APC. Lokhu kusho ukuthi ibhuleki elilawula ukuhlukaniswa kwamaseli alisebenzi. Ngenxa yalokho, amaseli ahlukana ngokungalawuleki bese eqala ukwakha izimila nama-polyp.
Udokotela usithola kanjani lesi sifo?
Ngenxa yokuthi lesi sifo sinezimpawu ezahlukene, udokotela usebenzisa izivivinyo eziningana ukuze asixilonge.
- Ukuhlolwa kofuzo: Lokhu kuhlolwa kwenziwa ukuze kubonakale ukuthi unesici yini ku-APC gene yakho. Udokotela wakho angase akuncome lokhu, ikakhulukazi uma othile emndenini wakho enalesi sifo.
- Ukuhlolwa kwekhamera: Lokhu kuhilela ukufaka ikhamera encane emzimbeni ukuze kuhlolwe ingaphakathi lamathumbu.
- I-Sigmoidoscopy
- I-Endoscopy
- I-Colonoscopy - Yilokhu okubona ngokucacile ama-polyp ku-colon.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ezimpawini zakho.
Ake sithi unezinyo ezengeziwe. Lokho kungaba uphawu lokuqala lwalesi sifo. Ngemuva kwalokho kufanele udokotela wamazinyo asuse lawo mazinyo bese elungisa amanye amazinyo akho. Uma unezimila ezithambile, ungathola ukwelashwa okufana ne-chemotherapy ukuze zinciphe.
Kodwa-ke, inkinga enkulu neyingozi kakhulu ngalesi sifo ama-polyp akheka emathunjini amakhulu. Kudingeka ukuhlinzwa ukuze kuvinjelwe ukuthi lawa angabe umdlavuza.
| Igama lokuhlinzwa | Kwenziwani |
|---|---|
| Ukuhlinzwa kwe-Colectomy | Ukususwa kwengxenye noma wonke umathumbu amakhulu. Lokhu kuhlinzwa kuvame ukunconywa uma kukhona ama-polyp angaba ngu-20-30. |
| Ukuhlinzwa kwe-Proctocolectomy | Ukususwa kwengxenye enkulu yamathumbu amakhulu kanye ne-rectum. |
Khumbula, lokhu kuhlinzwa kuyindlela kuphela yokuvimbela ukwakheka kwama-polyp ku-colon bese ephenduka umdlavuza.
Ingabe lesi sifo singalapheka ngokuphelele?
Ngeshwa, i-Gardner syndrome ayikwazi ukuphulukiswa ngokuphelele.
Kodwa-ke, lokhu kungaphathwa kahle. Ngokwelashwa okufanele kanye nokuhlolwa njalo, izimo ezibucayi njengomdlavuza zingatholakala futhi zelashwe kusenesikhathi. Ngakho-ke asikho isidingo sokwesaba.
Kungenzeka yini ukuphila impilo evamile ngalesi sifo?
Yebo, ungakwenza. Kodwa-ke, kungase kube nezinguquko ezithile endleleni yakho yokuphila ngemva kokuhlinzwa. Isibonelo, ukususwa kwekholoni lakho kuzoshintsha indlela okugaya ngayo ukudla nokuphuma kwendle. Kungase kudingeke futhi ukuthi ube nendlela ehlukile yokungena kanye nesikhwama se-ostomy esifakwe esiswini sakho ukuze indle idlule. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
Ukuhlinzwa ukuvimbela umdlavuza wamathumbu amakhulu ukuthi ungakhuli ngenxa yalesi sifo kungandisa isikhathi sokuphila. Ucwaningo olulodwa lubonise ukuthi abantu abayi-100% abahlinzwe i-proctocolectomy babesaphila ngemva kweminyaka emihlanu.
Uzinakekela kanjani?
Ukuphila ne-Gardner syndrome kusho ukuphila nengozi yokuba nomdlavuza usemncane. Akulula. Ukubhekana nalokho kungaqiniseki kungaba nzima ngokwengqondo.
Ngakho-ke, kubalulekile ukwenza izivivinyo zokuhlolwa komdlavuza ngesikhathi esifanele. Lokhu kusho ukuthi uma umdlavuza uvela, ungatholakala futhi welashwe kusenesikhathi.
Uma uzizwa ucindezelekile ngalokhu, khuluma nodokotela wakho ngakho. Uma kudingeka, funa izinsizakalo zokwelulekwa.
Kufanele ngimbone nini udokotela?
Uma ubona noma yiziphi izinguquko ezintsha emzimbeni wakho, isibonelo, iqhubu elisha, noma ushintsho ekuhambeni kwakho kwamathumbu, ikakhulukazi uma ubona igazi esitulweni sakho , bona udokotela ngokushesha.
Yimiphi imibuzo okufanele uyibuze udokotela wakho?
Uma ubona udokotela wakho, ungakhohlwa ukubuza le mibuzo.
- Yiziphi izindlela zokwelapha izimpawu zami zamanje?
- Ingabe ngizodinga ukuhlinzwa?
- Yiziphi izivivinyo okufanele ngizenze? Kufanele ngizenze kangaki?
- Yiziphi izinguquko emzimbeni wami okufanele ngiziqaphele ngokukhethekile?
- Ingabe kuwumqondo omuhle ukuthi wonke umndeni wami uthole ukuhlolwa kofuzo?
I-Gardner syndrome akuyona into okufanele uyesabe, kodwa yisimo okufanele sibhekane naso ngokuqapha nangokuphathwa ngendlela efanele. Ngeseluleko sezokwelapha esifanele kanye nokuhlolwa, ungaphila impilo enempilo nende.
Umlayezo Wokuya Nawe Ekhaya
- I-Gardner syndrome yisifo esingavamile esidluliselwa kubazali.
- Ingozi enkulu lapha ukuthi cishe wonke ama-polyp akheka emathunjini aphenduka umdlavuza.
- Izimpawu zokuqala zalokhu zingase zihlanganise amazinyo engeziwe avela ngesikhathi sobuntwana noma izimila ezingezona umdlavuza ezikhula emzimbeni.
- Nakuba lokhu kungelapheki ngokuphelele, kungaphathwa kahle ngokuhlolwa njalo kwezokwelapha nokuhlinzwa.
- Uma wena noma othile emndenini wakho enalezi zimpawu, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha. Khuluma ngokukhululekile nodokotela wakho mayelana nempilo yakho yomzimba neyengqondo.
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