Ingabe uhlangothi olulodwa lomzimba wengane yakho lukhulu kunolunye? (Hemihyperplasia) Ake sifunde ngakho!

Wake waphawula ukuthi uhlangothi olulodwa lomzimba womntwana wakho, kungaba ingalo noma umlenze, noma olunye uhlangothi lobuso bakhe, lubonakala lukhulu kancane kunolunye? Ngezinye izikhathi lo mehluko mncane kakhulu kangangokuthi ungase ungabonakali ekuqaleni. Kodwa njengoba ingane ikhula, lo mehluko uba sobala kakhulu. Namuhla sizokhuluma ngesimo esinjalo.

Kuyini i-Hemihyperplasia? Ake sithole kalula!

Kalula nje, i-hemihyperplasia yilapho uhlangothi olulodwa lomzimba wethu lukhula kakhulu kunolunye. Lokhu ngezinye izikhathi kubizwa ngokuthi i-overgrowth syndrome , futhi ngezinye izikhathi i-hemihypertrophy . Ngokuvamile kuthinta ubuso, izingalo, noma imilenze. Kodwa ngezinye izikhathi kungathinta nezitho zangaphakathi esiswini. Cabanga ngakho njengomlenze owodwa omude kancane kunomunye, noma ingalo eyodwa ikhuluphele kancane. Ekuqaleni, lo mehluko ungase ube mfushane kakhulu, kodwa njengoba ingane ikhula, uba sobala kakhulu.

Ubani othola lesi simo? Sivame kangakanani?

I-Hemihyperplasia yisimo esenzeka ezinganeni . Kusho ukuthi akukho mehluko phakathi kwabesilisa nabesifazane. Yisimo sokuzalwa , okusho ukuthi ingane izalwa inalesi simo. Ngezinye izikhathi odokotela bayasiqaphela lapho izalwa. Kodwa ngezinye izikhathi singase singabonwa kuze kube yilapho ingane isikhulile kancane, kuze kube yilapho umehluko phakathi kwezinhlangothi zombili zomzimba ubonakala ngokucacile.

Lesi yisimo esingavamile kakhulu . Ucwaningo lukhombisile ukuthi i-Beckwith-Wiedemann syndrome , uhlobo oluvame kakhulu lwe-hemihyperplasia, yenzeka cishe koyedwa kwabangu-11,000 abazalwa. Ngakho-ke ungacabanga ukuthi lokhu kungavamile kangakanani.

I-hemihyperplasia iyithinta kanjani ingane?

Indlela eyinhloko lesi simo esithinta ngayo ingane iwukubangela umehluko ngobukhulu obubonakalayo bezingxenye ezimbili zomzimba okufanele zifane ngokuvamile. Isibonelo, uhlangothi olulodwa lobuso lungase lubonakale lukhulu kunolunye, okusho ukuthi lungase lubonakale luthuthuke kakhulu.

Okubaluleke kakhulu, izingane ezine-hemihyperplasia zisengozini enkulu yokuba nomdlavuza . Le ngozi ihlanganisa ikakhulukazi i-Wilms tumor, uhlobo lomdlavuza wezinso, kanye ne-hepatoblastoma, uhlobo lomdlavuza wesibindi sengane. Ingozi ekhulayo yale mdlavuza ibangelwa indlela lokhu kungalingani ekukhuleni komzimba okuthinta ngayo izitho zangaphakathi zengane.

Uma ingane yakho ine-hemihyperplasia, cishe izodinga ukuhlolwa njalo komdlavuza okungenani iminyaka engu-7 . Lokhu kuhlolwa kuvame ukufaka:

• Ukuhlolwa kwe-ultrasound kwesisu: Lokhu kuhlola ukukhula okufana nezimila.
• Ukuhlolwa kwegazi: Lokhu kuhlola uphawu lwesimila olubizwa nge -alpha-fetoprotein . Lokhu kunganikeza inkomba yokuthi umdlavuza ukhona yini.

Ungase uzizwe wesaba uma uzwa ngalezi zivivinyo, kodwa ukwazi lezi zinto kusengaphambili nokwenza izivivinyo ngendlela efanele kuyinto ebaluleke kakhulu empilweni yengane yakho.

Ziyini izimpawu ze-Hemihyperplasia?

Uphawu oluyinhloko nolusobala kakhulu lwalesi simo ukuthi uhlangothi olulodwa lomzimba lukhula lube lukhulu kunolunye . Ngezinye izikhathi lo mehluko awubonakali kahle, kodwa ubonakala kakhulu ngokuhamba kwesikhathi.

Ezinye izimpawu (ezivame ukuhlotshaniswa ne -Beckwith-Wiedemann syndrome okukhulunywe ngayo ngaphambili) zifaka:

• Ukubukeka okushwabene ezindlebeni.
• Amaphutha athile odongeni lwesisu.
• Ukwanda kwezitho zangaphakathi (isibindi, ama-pancreas, izinso).
• Ulimi olukhulu.
• Amazinga kashukela aphansi egazini (hypoglycemia) .

Ukuthi nje kukhona uphawu olulodwa noma ezimbili zalezi akusho ukuthi kukhona lesi simo, kodwa uma ingane yakho inalezi zinto, kungcono ukubona udokotela.

Uyini umehluko phakathi kwe-Hemihyperplasia ne-Hemiatrophy?

Zombili lezi zimo zibangela ushintsho ngobukhulu bomzimba. Kodwa-ke, i-hemiatrophy yisimo lapho uhlangothi olulodwa lomzimba lungakhuli kahle . I-hemiatrophy ivame ukuthinta indawo eyodwa yomzimba, njengezingalo. I-Hemihyperplasia ingathinta izindawo eziningi zomzimba ngesikhathi esisodwa.

Yini ebangela i-hemihyperplasia?

Kwezinye izimo, i-hemihyperplasia ingabangelwa yi-genetic syndrome ebizwa ngokuthi i-Beckwith-Wiedemann syndrome . Kwezinye izimo, lesi simo singavela ngaphandle kwezinkinga zofuzo. Ezimweni ezinjalo, odokotela abazi kahle ukuthi yini ebangela lokhu. Uma kungahlobene nokungajwayelekile kwe-chromosome, kungenzeka ukuthi kuyisimo esingahleliwe, okusho ukuthi kwenzeka ngengozi.

I-hemihyperplasia itholakala kanjani?

Akukho ukuhlolwa okuqondile kokuxilonga i-hemihyperplasia. Uma udokotela wengane yakho ebona ukukhula okungalingani phakathi kwezingxenye ezimbili zomzimba, angenza ukuhlolwa ngokomzimba kanye nokuhlolwa kofuzo ukuze abone ukuthi une -Beckwith-Wiedemann syndrome . Lokhu kuhlolwa kofuzo kungasiza udokotela wakho ukuthi anqume ukuthi lesi simo sibangelwa yisimo sofuzo.

Futhi, udokotela wengane angenza ukuhlolwa kwe-ultrasound ukuhlola noma yikuphi ukukhubazeka noma izimila ezithweni zangaphakathi.

Ingabe ikhona ikhambi eliphelele lalokhu? Yiziphi izindlela zokwelapha?

Cha, ayikho ikhambi le-Hemihyperplasia. Kodwa ungakhathazeki. Ithimba lezokwelapha lengane yakho lizokwakha uhlelo lokwelashwa oluhambisana nezidingo zayo futhi olusekelwe ezimpawini zayo.

Ukwelashwa kwe-hemihyperplasia enganeni kuncike ekutheni umehluko ungakanani phakathi kwezinhlangothi zombili zomzimba. Ithimba lezokwelapha lengane yakho lingafaka ochwepheshe abanjengalaba:

• Isazi Sezifo Zesibindi: Ngezinkinga ezihlobene nesibindi.
• Udokotela Wamathambo: Ngezinto ezifana nobude bezitho.
• Udokotela Wezinso: Ngezinkinga ezihlobene nezinso.
• Udokotela wezinzwa: Okuphathelene nohlelo lwezinzwa.
• Udokotela Wezingane: Hlola impilo kanye nentuthuko yengane.
• Udokotela ohlinzayo wepulasitiki: Ngezinye izikhathi ukulungisa izinguquko ekubukekeni.

Bonke laba ochwepheshe basebenzisana ukuthuthukisa uhlelo lokwelapha ingane yakho nokuqapha izitho ezisesiswini sengane yakho. Njengoba i-hemihyperplasia ihlotshaniswa nengozi eyengeziwe yomdlavuza, odokotela bahlala bebheka izimo ezifana ne -hepatoblastoma .

Ingabe ingane izodinga ukuhlinzwa?

Ngezinye izikhathi ukuhlinzwa kungalungisa umehluko wobude bezitho . Kunezinhlobo ezahlukene zokuhlinzwa zalokhu. Uma ithimba lakho lezokwelapha lincoma ukuhlinzwa, khuluma nabo ngokuthi hlobo luni lokuhlinzwa olulungele ingane yakho. Ingane yakho ingase ibe nalokhu:

• Ukuhlinzwa kokwelula ingalo/umlenze omfushane.
• Ukuhlinzwa okulawula kancane ukukhula kozwane/ingalo enkulu.

Ingabe kukhona izinkinga noma imiphumela emibi yokwelashwa?

Uma ingane yakho ihlinzwa, ingase izizwe ikhathele amasonto ambalwa ngesikhathi ilulama. Ingase futhi izwe ubuhlungu lapho kuhlinzwe khona izimbobo. Buza udokotela wakho nganoma yimiphi eminye imiphumela emibi yokuhlinzwa kwengane yakho.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?

Isikhathi sokululama siyahlukahluka kuye ngohlobo lokuhlinzwa ingane yakho eye yakwenza. Ungase uvuvuke, ubuhlungu, futhi ube ndikindiki izinsuku ezimbalwa noma amasonto ngemva kokuhlinzwa. Uma ungaboni ntuthuko ngokuhamba kwesikhathi, khuluma nodokotela wengane yakho.

Ingabe lesi simo singavinjelwa?

I-Hemihyperplasia, isimo esenzeka cishe ngengozi ngesikhathi sokukhulelwa , asinakuvinjelwa . Kodwa-ke, ingane yakho ingase ibe ne-Beckwith-Wiedemann syndrome.Ngakho-ke uma une-hemihyperplasia futhi unethemba lokuba nomunye umntwana, khuluma nodokotela wakho mayelana nokuhlolwa kofuzo . Lokhu kuhlolwa kungasiza ekunqumeni ukuthi ezinye izingane zakho nazo zizoba nalezi zimo ezingavamile ze-chromosome.

Uma wena noma umlingani wakho ninomlando wezinkinga zofuzo futhi nicabanga ngokuba nomntwana, kuwumqondo omuhle ukukhuluma nodokotela. Ungase uthande nokucabangela ukwelulekwa ngaphambi kokukhulelwa .

Yini okufanele ngiyilindele uma ingane yami ine-hemihyperplasia?

Uma wena noma ingane yakho ninesifo se-hemihyperplasia, ukungalingani kobukhulu bezitho zomzimba kungabangela ubunzima . Isibonelo, kungaba nzima ukuthola izingubo ezilingana kahle. Umehluko wobude bezitho ngezinye izikhathi ungathinta izinto ezifana nokukhasa, ukuhamba, nokugijima.

Futhi, uma kutholakala ukuthi une-hemihyperplasia, kusho ukuthi ingane yakho izodinga ukuhlolwa njalo komdlavuza . Lindela ukuthi lokhu kuhlolwa kwenziwe njalo ezinyangeni ezimbalwa kuze kube yilapho ingane yakho ineminyaka engaba ngu-7 ubudala.

Iyini inhloso ye-hemihyperplasia?

I-Hemihyperplasia yisimo esihlala isikhathi eside . Kodwa-ke, izifundo zikhombisile ukuthi ukutholakala kusenesikhathi kanye nokuhlolwa njalo komdlavuza kungathuthukisa kakhulu umbono . Ngisho noma ingane ehlolwa njalo iba nomdlavuza, kungenzeka kakhulu ukuthi kube yisisu esincane kanye nesigaba sokuqala salesi sifo. Uma ukwelashwa kuqalwa kusenesikhathi, kulapho amathuba okuba iphumelele khona.

Kungenzeka yini ukuthi umuntu abe nokuphila okuvamile nge-Hemihyperplasia?

Iningi lezingane ezine-hemihyperplasia ziphila impilo enempilo futhi zinesikhathi sokuphila esijwayelekile . Nakuba kubalulekile ukuhlolwa umdlavuza ebuntwaneni, ingozi yalo mdlavuza iyancipha kancane kancane njengoba ingane ifinyelela ebusheni.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma ingane yakho ine-hemihyperplasia, ungase ube nemibuzo eminingi. Ukwazi izimpendulo zale mibuzo kuzokunikeza ukuthula kwengqondo futhi kukusize ulungiselele ikusasa. Buza udokotela noma umhlengikazi wengane yakho imibuzo efana nale:

• Ingabe isifo sengane yami sibangelwa ufuzo noma sibangelwa yi-hemihyperplasia?
• Kungani uncoma lokhu kwelashwa noma ukuhlinzwa?
• Yini okufanele ngiyenze ukuze ngenze ingane yami ikhululeke ngaphambi nangemva kokuhlinzwa?
• Ingane izohlala isikhathi esingakanani esibhedlela?
• Hlobo luni lokusika olukhona, uma lukhona?
• Ingabe ingane izoyidinga imithi?
• Ziyini izingozi zokuhlinzwa kanye nokubulala izinzwa enganeni?
• Kuzothatha isikhathi esingakanani ukuthi ingane ilulame ngemva kokuhlinzwa?
• Yini okufanele ngiyilindele ngempilo yengane yami yesikhathi eside?

Ngaphezu kwale mibuzo, ungesabi ukubuza udokotela wakho noma yini onayo engqondweni yakho.

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

I-Hemihyperplasia, eyaziwa nangokuthi i-hemihypertrophy noma i-overgrowth syndrome, yisimo sokuzalwa lapho uhlangothi olulodwa lomzimba lukhula khona kakhulu kunolunye. Lokhu kungafani kokukhula kungase kungabonakali lapho kuzalwa. Uma ingane yakho iba nokungalingani ngobude bezitho zayo noma usayizi womzimba, khuluma nodokotela wezingane. Njengoba lesi simo sandisa ingozi yomdlavuza, kubalulekile ukuqaphela lesi sifo kusenesikhathi . Ngokungathuki, nangokuthola iseluleko sezokwelapha kanye nokwelashwa okudingekayo, ungasiza ingane yakho iphile impilo enempilo.

I- Hemihyperplasia, i-Beckwith-Wiedemann syndrome, i-overgrowth syndrome, i-Wilms tumor, i-hepatoblastoma, isimo sokuzalwa, impilo yengane