Ingabe ingane yakho encane ngezinye izikhathi iqala ukuhleka ngokuzumayo ngaphandle kwesizathu? Ingabe lokho kuhleka akunakunqandeka, njengokushaywa yisifo sofuba? Noma ingabe indodakazi noma indodana yakho ibonisa izimpawu zokuthomba ngaphambi kwesikhathi? Kuvamile ngawe, njengomzali, ukuzizwa ukwesaba nokukhathazeka okukhulu uma ubona lezi zinto. Namuhla sikhuluma ngesimo sobuchopho esingavamile kakhulu, kodwa esibaluleke kakhulu ukusazi, esingadala lezi zimpawu.
Iyini ngempela i-Hypothalamic Hamartoma (HH)?
Kalula nje, kuyisimila esifana nesimila esingenawo umdlavuza esikhula sijule ebuchosheni bethu, engxenyeni ebaluleke kakhulu ebizwa ngokuthi i-hypothalamus, elingana nobukhulu be-alimondi.
Cabanga nge-hypothalamus njengesikhungo esiyinhloko sokulawula imizimba yethu. Idlala indima enkulu ekugcineni konke kulinganisela (i-homeostasis), ixhumanisa uhlelo lwama-hormone kanye nohlelo lwezinzwa emzimbeni wethu.
Ezinye zezinto ezilawulwa yi-hypothalamus yilezi:
- Ukushaya kwegazi
- Izinga lokushisa lomzimba
- Imizwa yokucindezeleka, ukukhathazeka
- Indlala nokoma
- Ukukhishwa kwama-hormone kusuka ku-pituitary gland
- Imijikelezo yokulala nokuvuka
Lesi simila se-HH siqala ukukhula ingane isesesibelethweni . Njengoba ubuchopho bomntwana bukhula, lesi simila sikhula kancane kancane. Kodwa ungakhathazeki, asisabalali kwezinye izingxenye zobuchopho noma ezinye izitho zomzimba. Ngokuvamile, kuba nesimila esisodwa kuphela, kodwa akuvamile ukuba kube neziningana.
Into engcono kakhulu ukuthi manje sekukhona izindlela zokwelapha ezinhle zokulawula izimpawu ezibangelwa yilesi simo.
Ziyini izimpawu zalesi simo?
Lezi zimpawu azifani kuzo zonke izingane futhi zingahluka kusuka komunye umntwana kuya komunye. Kodwa-ke, kunezinhlobo ezintathu eziyinhloko zezimpawu ezingabonakala.
1. Ukuthomba Kwangaphambi Kokukhulelwa
Lesi ngesinye sezimpawu eziyinhloko zalesi sifo. Kalula nje, umzimba wengane uqala ukuvuthwa ngokocansi kusenesikhathi kakhulu kunobudala obujwayelekile. Lokhu kubizwa ngokuthi "i-Central Precocious Puberty". Lokhu kwenzeka ngoba ubuchopho buthumela izimpawu zokukhiqiza ama-hormone ocansi kusenesikhathi kakhulu.
Ngokuvamile, uma intombazane ibonisa izimpawu zokuthomba ngaphambi kweminyaka engu-8 kanye nomfana ngaphambi kweminyaka engu-9, kufanele sikhathazeke.
| Izici ezibonakala emantombazaneni | Izici ezibonakala kubafana |
|---|---|
| Ukuthuthukiswa kwebele | Ukuhosha/ukujula kwezwi |
| Ukukhula kwezinwele emakhwapheni nasezindaweni zangasese | Ukukhula kwezinwele ebusweni, emakhwapheni nasezindaweni zangasese |
| Ukuya esikhathini (ukuya esikhathini) | Ukwandiswa kwamasende kanye nepenis |
| Induna | Induna |
2. Ukuquleka
Ukuquleka nakho kuvame kakhulu kulesi sifo. Kukhona nohlobo olukhethekile noluvamile lokuquleka kulesi sifo. Kubizwa ngokuthi ukuquleka kwe-Gelastic .
Ukuquleka kwe-gelastic kuwumsebenzi kagesi ongajwayelekile ebuchosheni obangela ukuhleka okungalawuleki ngaphandle kwesizathu esibonakalayo. Kufana nokuhleka okungajwayelekile.
Lokhu kuhleka akuyona into ejabulisayo. Kungase kuthathe imizuzwana embalwa kuphela, kodwa kungenzeka izikhathi eziningana ngosuku, futhi kwezinye izimo ezinzima, izikhathi eziningana ngehora. Esikhathini esiningi, lolu hlobo lokuxhuzula luqala ngaphambi kokuba ingane ibe nonyaka owodwa ubudala . Kodwa kancane kancane luyancipha ngemva kweminyaka eyi-10.
Ngaphezu kwalokho, ezinye izinhlobo zokuxhuzula nazo zingabonakala.
- Ukuwa kwe-Atonic (ukuhlaselwa kokuwa): Ukulahlekelwa ukulawula umzimba ngokuzumayo, ubuthakathaka bemisipha, kanye nokuwa phansi.
- Ukuquleka kwe-Dacrystal: Ukukhala okungalawuleki, okuqhubekayo ngaphandle kwesizathu, okufana nokuhleka.
- Ukuquleka kwe-Tonic-clonic: Njengoba sonke sazi, ukuquleka okukhulu okubangela ukulahlekelwa ukwazi kanye nokudlikizela komzimba.
3. Izimpawu Zezinzwa Nezinguquko Zokuziphatha
Njengoba i-hypothalamus iyingxenye yobuchopho esiza ekulawuleni imizwa nokuziphatha kwethu, i-HH ingathinta ukuziphatha kwengane, imizwa, kanye nekhono lokufunda. Izinkinga ezingaba khona zifaka:
- Ubunzima bokunaka kanye nokusebenza ngokweqile (Ukuntuleka kokunaka/ukuphazamiseka kokusebenza ngokweqile - i-ADHD)
- Ukuziphatha okubi, okunonya `(Ukuziphatha okungahlelekile)`
- Ukukhubazeka kwengqondo
- Ukuphazamiseka kwemizwa
- Isifo sokungavumelani nokuphikisa
- Ukuziphatha okusabelayo
- Izinkinga zenkumbulo yesikhashana
Ingabe kukhona izinhlobo ze-hematomas ze-hypothalamic?
Yebo, lesi simila singahlukaniswa sibe izinhlobo ezimbili eziyinhloko kuye ngokuthi sitholakala kuphi ku-hypothalamus kanye nezimpawu esizibangelayo.
1. I-Intrahypothalamic lesion: Kulolu hlobo, isimila sitholakala ngemuva kwe-hypothalamus. Lokhu kuphazamisa ukusebenza kukagesi kobuchopho, okuholela engcupheni enkulu yokuxhuzula nezinkinga zokuziphatha .
2. I-Parahypothalamic lesion (i-pedunculated lesion): Lapha isimila sitholakala phambi kwe-hypothalamus. Lesi yisibonakaliso esiyinhloko esibonakala ngenxa yokuthomba kwasekuqaleni .
Ezinye izingane zingaba nazo zombili izinhlobo ndawonye.
Iyini imbangela yalesi simo?
Akukho imbangela eqondile yalokhu okwamanje . Futhi ayikho indlela yokukuvimbela. Esikhathini esiningi, kwenzeka ngokungahleliwe. Lokho kusho ukuthi ngokuvamile akulona ifa. Amathuba okuba ingane yakho ibe nalo mancane kakhulu ngoba othile emndenini wakho unalo.
Kodwa ucwaningo lwamuva nje luthole ukuthi kunezinguquko ezithile ku-gene ebizwa ngokuthi `i-GLI3` ngaphakathi kwezicubu zalezi zimila. Ucwaningo lusaqhubeka ngalokhu.
Kutholakale nokuthi isimo sofuzo esibizwa ngokuthi "i-Pallister-Hall syndrome (PHS)" singase sibe nokuxhumana okuthile ne-HH.
Ungasithola kanjani lesi sifo ngqo?
Udokotela wakho cishe uzoyala ukuthi uhlolwe ubuchopho bakho nge -MRI (Magnetic Resonance Imaging) ukuqinisekisa ukuxilongwa. I-MRI ingaveza izithombe ezicacile nezinemininingwane zobuchopho.
Izingane ezincane zingadinga ukunikezwa umuthi wokudambisa ubuhlungu ukuze zinganyakazi ngesikhathi se-MRI, njengoba ukunyakaza kungabangela ukuthi izithombe eziku-scan zingacaci.
Uma ingane yakho inesithuthwane, kunconywa nokuhlolwa kwe-EEG (Electroencephalogram) . Lokhu kuhlola ukusebenza kukagesi kobuchopho.
Ngaphezu kwalokho, ukuhlolwa kwezinzwa kungenziwa ukuze kulinganiswe ukucabanga kwengane, ukufunda, kanye nekhono lokukhumbula, kanti ukuhlolwa kwegazi kungenziwa ukuze kuhlolwe amazinga ama-hormone. Ulwazi oluvela kulezi zivivinyo lungasiza kakhulu ekuhleleni ukwelashwa.
Iphathwa kanjani?
Kunemigomo emibili eyinhloko yokwelapha i-HH. Eyokuqala ukulawula ukuthomba ngaphambi kwesikhathi, kanti enye ukulawula ukuxhuzula.
- Kwabaqalayo ukuthomba: Kusetshenziswa imithi yalokhu. Ama-agonist e-gonadotropin-releasing hormone anikezwa njengomjovo wanyanga zonke. Lokhu kulawula ukukhishwa kwama-hormone futhi kulawula izimpawu zokuthomba. Lapho ingane ifinyelela eminyakeni lapho ukuthomba kufanele kwenzeke khona ngokuvamile, udokotela uzoyiyeka imithi.
- Ngokuquleka: 'Ukuquleka kwe-Gelastic' esikhulume ngakho ngaphambilini akwamukeli kahle imithi ejwayelekile yokulwa nokuquleka. Ngakho-ke , ukuhlinzwa noma ezinye izinqubo ezikhethekile zivame ukudingeka.
Ngezansi kunezinye zezindlela eziyinhloko ezisetshenziswa ukususa noma ukubhubhisa i-hematoma ukulawula ukuxhuzula.
| Indlela yokwelapha | Kuchazwe kalula |
|---|---|
| Ukuhlinzwa kommese weGamma | Lokhu akusikho ngempela ukuhlinzwa. Isikhumba asinqunywanga. Ukukhanya okunamandla (imisebe) kuqondiswe kuphela endaweni yesimila sobuchopho bese kusibhubhisa. |
| Ukuhlinzwa kokususa izicubu (ukuhlinzwa kokususa izicubu) | Udokotela ohlinzayo ususa isimila ngokuvula ugebhezi (craniotomy), noma ngokwenza imbobo encane egebhezini, bese efaka ithuluzi elinjenge-endoscope. |
| Ukususwa kwe-laser ye-stereotactic | Lena futhi indlela engangenisi kakhulu. Umsebe we-laser uthunyelwa ngekhebula le-fiber optic ukuze ubhubhise isimila. |
| Ukushisa kwe-Stereotactic | Le ndlela isebenzisa ukushisa ukubhubhisa isimila. Izinsimbi ezincane zifakwa ngesikhumba sekhanda bese zishiswa ngamaza omsakazo ukubhubhisa izicubu zesimila. |
Ngaphezu kwalokho, ukwesekwa okukhethekile kwezemfundo, ukwelashwa kokuziphatha, kanye nemithi kunganikezwa esikoleni ukuze kuxazululwe izinkinga zokuziphatha nokufunda kwengane.
Kufanele ubonane nini nodokotela?
Njengomama noma ubaba, umazi kangcono ingane yakho. Ngakho-ke, uma ubona noma yiziphi izinguquko noma izimpawu ezingavamile enganeni yakho, ungazinaki . Uma ingane yakho inezinye zezimpawu ezilandelayo, funa iseluleko sezokwelapha ngokushesha.
- Ukuquleka: Ikakhulukazi ukuhleka ngaphandle kwesizathu.
- Izimpawu zokuthomba kwasekuqaleni: Njengoba sikhulume ngakho ekuqaleni, izinto ezifana nokukhula kwezinwele kanye nezwi ziyashintsha.
- Izinkinga zokufunda: ukungakwazi ukugxilisa ingqondo, izinguquko enkumbulo.
- Izinguquko zokuziphatha: Ukuthukuthela ngezinto ezincane, ukuba nolaka.
- Ukungalingani kwama-hormone: ukoma ngokweqile, izinguquko endlaleni, ukushintshashintsha kwemizwa ngokuzumayo.
Ungase uzizwe wesaba kakhulu uma uthola ukuthi ingane yakho ine-HH. Kodwa khumbula, manje kunezindlela zokwelapha eziphumelela kakhulu kulokhu. Khuluma nodokotela wakho bese ukhetha ukwelashwa okungcono kakhulu enganeni yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Hypothalamic Hamartoma (HH) iyisimila esingavamile, esingesona umdlavuza esakheka ebuchosheni lapho umuntu ezalwa.
- Izimpawu ezimbili eziyinhloko zalokhu ukuquleka kwe-gelastic kanye nokuthomba ngaphambi kwesikhathi.
- Ukuhlolwa okuyinhloko okusetshenziselwa ukuxilongwa yi-MRI scan yobuchopho.
- Ukuthomba ngaphambi kwesikhathi kungalawulwa ngempumelelo ngemithi, ukuhlinzwa kwesifo sokuwa, noma ezinye izindlela ezikhethekile.
- Uma usola kancane ukuthi ingane yakho inalezi zimpawu, sicela uxhumane nodokotela wezingane noma udokotela wezinzwa ngokushesha.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment