Ingabe indodana yakho encane ekhaya ivame ukuphuma igazi ekhaleni? Ingabe ibonakala inekhala elicijile ohlangothini olulodwa? Ngezinye izikhathi sicabanga ukuthi lezi yizinto ezivamile, kodwa kungase kube nesimo esikhethekile ngemuva kwalokhu okudingeka sisinake. Yingakho sizokhuluma ngesimila esingavamile esenzeka kubafana abancane kuphela. Lokhu kubizwa ngokuthi 'i-Juvenile Nasopharyngeal Angiofibroma' noma '(JNA)' ngamafuphi.
Kalula nje, iyini le JNA?
Ungesabi leli gama elide. Ake silichaze kahle futhi siliqonde.
- "Intsha" - Lokhu kusho "abasha." Lokhu kusho ukuthi lesi simo sivame kakhulu kubantu abasha.
- "I-Nasopharyngeal" - Lokhu kubhekisela endaweni engemuva kwekhala lethu, exhuma engxenyeni engenhla yomphimbo wethu. Yilapho kwakheka khona isimila.
- "I-Angiofibroma" - Lokhu kungahlukaniswa kube izingxenye ezimbili. Igama elithi "Angio" libhekisela emithanjeni yegazi (imithambo yegazi). Igama elithi "Fibroma" libhekisela esimila esingenawo umdlavuza esenziwe ngezicubu ezixhumeneyo.
Ngakho-ke, kafushane nje, i-JNA iyisimila esingeyona umdlavuza esakhiwe yimithambo yegazi eminingi eyakheka ngemuva kwekhala isencane.
Kodwa into ebaluleke kakhulu lapha ukuthi nakuba lokhu kungewona umdlavuza, kuyisifo esibi kakhulu. Lokho kusho ukuthi, njengokhula, lesi sifo singasakazeka ezindaweni eziseduze. Singasakazeka ekhaleni, emathunjini, ekhanda, ngisho nasebuchosheni. Uma singelashwa, singaba yingozi empilweni. Yingakho kubaluleke kakhulu ukuqaphela lokhu. Kodwa izindaba ezinhle ukuthi, ngokwelashwa okufanele, lesi sifo singalapheka ngokuphelele.
Ubani okungenzeka kakhulu ukuthi abone lesi simo?
Lesi yisimo esithile kakhulu. Ngoba i-JNA ivame ukwenzeka kubafana abancane abaneminyaka ephakathi kweyi-10 neyi-25. Akuvamile kakhulu, ingenzeka kwabesilisa abaneminyaka engaphezu kweyi-25 noma ezinganeni ezineminyaka eyi-7. Kuyiqiniso ukusho ukuthi amantombazane awabi nalesi sifo.
Futhi lesi yisimo esingavamile kakhulu. Cishe sithinta umuntu oyedwa kwabayisigidi. Ngakho-ke ungesabi ukuba yilowo onalezi zimpawu, kodwa into ebaluleke kakhulu ukuqaphela.
Ziyini izimpawu ze-JNA?
Isimila asibonisi zimpawu ezinkulu uma sisincane. Izimpawu zivela kuphela uma sikhula kancane bese siqala ukuvimba indlela yokuphefumula yamakhala. Ake sibone ukuthi yiziphi izimpawu eziyinhloko.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukopha igazi njalo | Lolu uphawu oluyinhloko noluvame kakhulu . Ngezinye izikhathi kungaba nokopha okukhulu okunzima ukukuyeka. |
| Ubunzima bokuphefumula ngekhala | Esikhathini esiningi, uhlangothi olulodwa lwekhala luhlala luvalekile. Kufana nokuthi kukhona ulwelwesi olunamathele kulo, kodwa akukho lulwelwesi. |
| Ukuvuvukala kobuso | Njengoba isimila sikhula, singase sivuvuke, ikakhulukazi ezindaweni ezifana nesihlathi. |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu elingapheli lingase livele ngoba isimila sicindezela ezindaweni ezizungezile. |
| Izinguquko embonweni noma ekuzweni | Lesi yisimo esibi kakhulu. Uma isimila sicindezela imizwa exhumanisa amehlo noma izindlebe, singabangela ukubona okufiphele, ukubona okuphindwe kabili, kanye nokulahlekelwa ukuzwa. |
Kungani kwakhiwa le JNA? Iyini imbangela?
Empeleni, imbangela eqondile yalokhu ayikatholakali. Kodwa njengoba kwenzeka kubafana kuphela, odokotela bacabanga ukuthi ama-hormone wesilisa anento yokwenza nakho. Kodwa lokho akukafakazelwa.
Lesi akusona isifo esizuzwe njengefa. Lokhu kusho ukuthi ngenxa yokuthi ubaba wayenaso, indodana ngeke isithole. Kodwa-ke, abacwaningi bathole into eyodwa. Uma othile emndenini enesinye isimo esibizwa ngokuthi ``Familial Adenomatous Polyposis (FAP)``, kunengozi encane yokuthola i-JNA. Ukuxhumana phakathi kwalezi zimo ezimbili kusaphenywa.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela onezimpawu ezinjengalezi, uzokuxilonga kanje.
1. Ukubuza ngezimpawu:Okokuqala, udokotela uzokubuza wena nomntwana wakho ngezimpawu, njengokuthi sekuphele isikhathi esingakanani ukopha ekhaleni nokuthi kungakanani.
2. Ukuhlolwa komzimba: Ikhala lakho lizohlolwa. Uzovame ukuthunyelwa kudokotela ohlinzayo wezindlebe, impumulo nomphimbo (udokotela ohlinzayo we-ENT) .
3. Ukuhlolwa okukhethekile: Lokhu kuhlolwa kungenziwa ukuqinisekisa isifo.
- Ukuhlolwa kwezithombe: Kuzokwenziwa i -CT scan noma i-MRI ukuze kubonakale ukuthi isimila sikuphi, sikhulu kangakanani, nokuthi sisakazeke yini. Lokhu kungathola isithombe esicacile sesimila.
- I-endoscopy yekhala: Ukuhlolwa lapho kufakwa khona ipayipi elincane elinekhamera encane ekhaleni ukuze libheke ngqo isimila. Lokhu kuvumela umbono ongcono ngesimo sesimila.
Yiziphi izindlela zokwelapha i-JNA?
Uma i-JNA iqinisekiswa, kunezindlela eziningana zokwelapha. Udokotela uzonquma ukwelashwa okufanele kakhulu ngokusekelwe ngobukhulu kanye nokusabalala kwesimila.
| Indlela yokwelapha | Kwenzekani kuyo? |
|---|---|
| Ukuhlinzwa | Lokhu kuyindlela yokwelapha eyinhloko . Udokotela uzozama ukususa isimila ngokuphelele. Esikhathini esiningi, lokhu kuhlinzwa kwenziwa ngaphandle kokwenza noma yikuphi ukusikwa, kusetshenziswa i-endoscope ngamakhala. Kodwa-ke, uma isimila sikhulu, kungase kudingeke ukusikwa okuncane. |
| Ukufakwa kwe-Embolization | Lokhu kwenziwa ngaphambi kokuhlinzwa. Njengoba isimila se-JNA sakhiwe yimithambo yegazi eminingi, kungaba nokopha okuningi ngesikhathi sokuhlinzwa. Ukuze kumiswe lokho, lokhu kusho ukuvimba ngokwenziwa imithambo yegazi enikeza isimila. Uma lokhu sekwenziwe, kulula ukwenza ukuhlinzwa ngokuphephile. |
| Ukwelashwa ngemisebe | Lokhu kwelashwa kusetshenziswa uma izingcezu ezincane zesimila zisala ngemva kokuhlinzwa, noma uma isimila sibuya. Lokhu kuhilela ukusebenzisa imisebe enamandla aphezulu ukubhubhisa amangqamuzana asele. |
Ingabe isimila singaphinde sikhule?
Yebo, ngezinye izikhathi ingabuya. Ucwaningo lukhombisile ukuthi kunethuba elingu-37% lokuthi ibuye. Yingakho udokotela ezoqhubeka nokukuqapha (ukulandelela) ngisho nangemva kokuhlinzwa. Uzokuhlola ngezikhathi ezithile futhi, uma kudingeka, enze i-MRI scan ukuze abone ukuthi isimila sesibuyile yini. Uma sibuya, akukho okufanele ukhathazeke ngakho ngoba singelashwa ngokushesha.
Kufanele ngimbone nini udokotela?
Uma ingane yakho encane iqala ngokuzumayo ukuba nezimpawu ezifana nokuvaleka kwekhala, ikakhulukazi ukuphuma kwegazi njalo okunzima ukukuyeka, ungakuthathi njengento evamile.
Akekho owazi umzimba wakho kangcono kunawe. Nguwe oqonda kangcono izinguquko emzimbeni wengane yakho. Uma uzizwa ungabaza noma ushintsho oluncane, bona udokotela ngokushesha bese ucela iseluleko. Lokhu kungakusiza ukulawula isimo ngaphambi kokuba sibe inkinga enkulu.
I-JNA ayiyona umdlavuza, kodwa yisimo esidinga ukwelashwa okusheshayo. Uma sitholakala futhi selashwa kusenesikhathi, singalapheka ngokuphelele futhi siphile impilo evamile.
Umlayezo Wokuya Nawe Ekhaya
- I-JNA iyisimila esingeyona umdlavuza, kodwa esisakazeka ngokushesha esenzeka ezinganeni ezincane zabafana.
- Izimpawu eziyinhloko ukuphuma kwegazi njalo kanye nokuminyana kwamakhala ohlangothini olulodwa.
- Uma ubona lezi zimpawu, ungesabi futhi ubone udokotela wezindlebe, impumulo, nomphimbo (ENT) ngokushesha.
- Izindlela zokwelapha zifaka phakathi ukuhlinzwa kanye nokwelashwa ngemisebe. Ngemva kokwelashwa, kungenzeka ukululama ngokuphelele.
- Njengoba isimila singase siphinde sibuye, kubaluleke kakhulu ukuqhubeka nokuhlolwa okulandelayo njengoba kunconywe udokotela.
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