Ingabe unezinhlungu zentamo nomhlane ezingapheli? Kungaba yi-Klippel-Feil Syndrome (KFS)!

Ingabe ngezinye izikhathi ukuthola kunzima ukujika intamo yakho? Noma ingabe intamo yakho ibonakala imfushane kancane? Mhlawumbe uke waphawula ushintsho olufanayo entanyeni yengane yakho. Nakuba kunezizathu eziningi zalokhu, namuhla sizokhuluma ngesimo esingavamile kodwa esibalulekile esibizwa ngokuthi i-Klippel-Feil Syndrome (KFS). Ungakhathazeki, sizokugcina kulula.

Ngakho, yini i-Klippel-Feil Syndrome (KFS)?

Kalula nje, i-Klippel-Feil Syndrome (KFS) yisimo lapho amathambo amabili noma ngaphezulu entanyeni yethu, noma amalunga omgogodla, ehlanganiswa ndawonye, ​​​​kwakha ithambo elilodwa. Lesi yisimo sokuzalwa. Ngokuvamile, kunesikhala esincane phakathi kwamathambo entanyeni yethu (ebizwa nangokuthi `(amathambo omlomo wesibeletho)`), agcwele izingxenye ezifana nejeli ezibizwa ngokuthi `(ama-disc e-intervertebral)`. Lezi yizona ezisivumela ukuthi siphendule kalula intamo yethu emuva naphambili. Kodwa-ke, kumuntu one-KFS, la mathambo ahlanganiswa ndawonye, ​​​​okunganciphisa ukunyakaza kwentamo.

Kunamathambo angu-33 emgogodleni wethu. Amathambo angu-7 aphezulu asentanyeni (C1 kuya ku-C7). Ku-KFS, amathambo amabili avame ukuthinteka yi-C2 kanye ne-C3. Kodwa-ke, ngezinye izikhathi lesi simo singathinta amanye amathambo emgogodleni ngaphansi kwentamo.

Lesi simo sibizwa ngokuthi i-Klippel-Feil Syndrome ngemuva kodokotela ababili abasithola okokuqala.

Kunezici ezintathu eziyinhloko ze-KFS (lezi zingaba yinye, ezimbili, noma zonke, noma mhlawumbe azikho nhlobo):

• Ubunzima bokujika intamo ngenxa yokuthi amathambo entanyeni anamathelana.
• Ukubukeka kwentamo emfushane.
• Umugqa wezinwele, ngemuva kwekhanda, uphansi kunokuvamile.

Lesi simo asigcini nje entanyeni. Ngezinye izikhathi singathinta inhliziyo, amaphaphu, izinso, umlomo, amehlo, izindlebe, imisipha, imizwa, umgogodla, kanye namanye amathambo.

Ivame kangakanani i-Klippel-Feil Syndrome (KFS)?

I-KFS empeleni iyisimo esingavamile. Ithinta cishe ingane eyodwa kwezingu-40,000 kuya kwezingu-42,000 emhlabeni jikelele. Kuthiwa futhi ivame kakhulu emantombazaneni.

Ngingazi kanjani ukuthi ingane yami ine-Klippel-Feil Syndrome (KFS)?

Ngezinye izikhathi, kuye ngokuthi isimo sibucayi kangakanani, singatholakala ngesikhathi sokuhlolwa kwe-ultrasound ku-trimester yokuqala yokukhulelwa. Noma, uma kungekho zimpawu ezicacile ekuzalweni, ngesikhathi sobuntwana, noma ebuntwaneni, singatholakala lapho umuntu esemdala noma kamuva. Kodwa-ke, uma kucatshangelwa uhla lwezimpawu nezinye izinkinga ezingahambisana nalesi simo, akuvamile ukutholakala kuze kube kamuva.

Yiziphi izimpawu ze-Klippel-Feil Syndrome (KFS)?

Ngokumangalisayo, abanye abantu abane-KFS bangase bangabi nazimpawu nhlobo, noma babe nezimpawu ezincane kakhulu. Kodwa-ke, abantu abaningi baba nezimpawu.Nakuba lokhu kungathinta abanye abantu kancane kakhulu, kungathinta abanye kakhulu. Lokhu kusho ukuthi izimpawu zingahluka kumuntu nomuntu.

Lezi yizimpawu ezivamile ezivame ukubonakala:

• Ubunzima bokujika intamo: Lolu uphawu oluvame kakhulu emzimbeni. Luvela ngoba ithambo elilodwa noma ngaphezulu entanyeni linamathele ndawonye.
• Umugqa wezinwele, otholakala ngemuva kwekhanda, ngezansi.
• Ukubukeka kwentamo emfushane.
• Umehluko ngobukhulu kanye nesimo sezinhlangothi zobuso.
• Ukungazinzi kwamathambo omgogodla entanyeni engenhla, axhumene nogebhezi. Lokhu kungaba yingozi kakhulu, ikakhulukazi uma ulimele engozini, engozini yemoto, noma emidlalweni efana ne-rugby noma ibhola.
• I-Scoliosis: Lokhu kungabonakala phakathi kwamaphesenti angu-30 kuya kwangu-50 ezimo.
• Ikhanda elibuhlungu.
• Ukungezwa: Lokhu kungathinta abantu abangamaphesenti angama-30.
• Ubunzima bokujika umhlane ongaphezulu.
• Ubuhlungu bemizwa obuvela ezingalweni noma emilenzeni.
• Ubuhlungu bemisipha entanyeni kanye/noma emhlane.
• Ukulimala kwemizwa entanyeni noma emhlane.
• I-Spine stenosis: Lokhu kungabangela umonakalo emgogodleni.
• Isifo sezinso: Lokhu kungathinta abantu abangamaphesenti angama-30.

Ngaphezu kwalokho, kungase kuvele ezinye izinkinga:

• Ukukhubazeka kokuzwa noma ukungezwa.
• Ulwanga oluqhekekile noma isimo esingavamile solwanga.
• Ukukhubazeka kohlelo lokuzala, uhlelo lomchamo, inhliziyo, amaphaphu, ukukhubazeka kwezimbambo, ukukhubazeka kwezitho zomzimba.
• Ubuthakathaka bemisipha engenhla kwentamo exhumanisa ugebhezi. Lokhu kungabangela ukuthi umgogodla ucindezelwe futhi kulimaze imizwa lapho intamo inyakaza.

Yini ebangela i-Klippel-Feil Syndrome (KFS)?

Abacwaningi abakayiqondi ngokugcwele imbangela eqondile ye-KFS. Ngokuvamile, kubhekwa njengokungahleliwe. Okusho ukuthi, kungenzeka ngaphandle komlando womndeni walesi simo noma ngaphandle kwembangela ecacile yezakhi zofuzo.

Kodwa-ke, kwezinye izimo, lesi simo singabangelwa izinguquko (ukuguqulwa kwezakhi zofuzo) kwesinye noma ngaphezulu kwezakhi zofuzo ezihilelekile ekukhuleni kwamathambo nomgogodla.

I-KFS ngezinye izikhathi ingenzeka kanye nezinye izimo zezokwelapha, noma njengomphumela wesinye isifo esizalwa naso. I-KFS ivela njengomphumela wesinye isifo, ngenxa yezinguquko (`(ukuguqulwa kwezakhi zofuzo)`) ezakhiweni zofuzo ezihambisana nalezo zifo.

Ezinye zezimo zezokwelapha ezingase zihlotshaniswe ne-KFS zifaka:

• Ukuphuza utshwala ngesikhathi sokukhulelwa kungabangela izinkinga zesimiso sezinzwa esiyinhloko kanye nezinye izinkinga (`(i-fetal alcohol syndrome)`).
• Isimo esinokukhula okungavamile kwamehlo, izindlebe, nomgogodla (`(i-Goldenhar syndrome)`).
• Ukuthuthukiswa okungavamile kwethambo lehlombe (`(ukukhubazeka kwe-Sprengel)`).
• Ukungahambi kahle kokunyakaza kwamehlo (`(i-Duane syndrome)`).
• Ukungabikho kwenso eyodwa noma zombili (i-renal agenesis).
• Isimo esinokukhula okungavamile kwamehlo, izindlebe, kanye namathambo entanyeni (`(i-Wildervanck syndrome)`).
• Ukukhubazeka kwesistimu yezinzwa ephakathi (isibonelo, izimo ezifana nokukhubazeka kwe-Chiari, i-spina bifida, kanye ne-syringomyelia).

Ingabe i-Klippel-Feil Syndrome (KFS) iwufuzo?

Ezimweni eziningi, i-KFS ayilona ifa. Kodwa-ke, njengoba kushiwo ngaphambili, kwezinye izimo, lesi simo singabangelwa izinguquko (`(izinguquko)`) kwelinye noma ngaphezulu kwezakhi zofuzo ezintathu ezitholakele. Uma imbangela enjalo yezakhi zofuzo ikhona, i-KFS nayo ingazuzwa njengefa.

Itholakala kanjani i-Klippel-Feil Syndrome (KFS)?

Udokotela uzoxilonga i-KFS ngokusekelwe ezimpawini zakho, ukuhlolwa kwezokwelapha, kanye nokuhlolwa okuhlukahlukene kwezithombe. Lesi simo sivame ukuxilonga ebuntwaneni. Ngezinye izikhathi, singaxilonga kusenesikhathi kusukela ebuntwaneni.

Udokotela wakho uzobuza ngomlando wakho wezokwelapha kanye nomlando womndeni. Bese bezokwenza ukuhlolwa ngokomzimba. Phakathi nalokhu kuhlolwa:

• Ubuso bakho, intamo (ukuze kubonakale ukuthi imfushane yini), ingxenye esele yomgogodla wakho, kanye nomugqa wezinwele zakho (ukuze kubonakale ukuthi iphansi yini ngemuva kwekhanda lakho).
• Babheka izimpawu zokucindezelwa komthambo womlomo wesibeletho (radiculopathy) noma ukulimala komgogodla (myelopathy).
• Ihlola ukusabela okulawulwa umgogodla kanye neminye imizwa.
• Bazohlola indlela ohamba ngayo.
• Balalela isifuba nesisu futhi bazizwe ngezandla zabo.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi simo?

Azikho izivivinyo ezithile zelebhu zokuxilonga i-KFS. Kodwa-ke, uma unezimpawu eziningana, udokotela wakho angayala ukuhlolwa kwegazi ukuze akhiphe ezinye izimo. Bangase futhi bahlole ukukhubazeka enhliziyweni yakho, ezinso, ohlelweni lokugaya ukudla, kanye nohlelo lomchamo. Ungase futhi unikezwe ukuhlolwa kokuzwa. Udokotela wakho angakhuluma nawe mayelana nokuhlolwa kofuzo.

Ukuhlolwa Kokuthwebula Umgogodla

Udokotela wakho kuzodingeka athathe ama-X-ray . Angase futhi acele i -CT scan (i-Computed Tomography scan) noma i -MRI scan (i-Magnetic Resonance Imaging) .

• Ama-X-ray: Umgogodla wonke ungahlolwa ukuze kubonakale ukuthi amathambo omgogodla ahlanganiswe ndawonye yini, ukuthi kukhona yini i-herniated disc, ukuthi umgogodla uzinzile kangakanani, nokuthi kukhona yini okunye ukukhubazeka.
• Ukuskena kwe-CT (`(ukuskena kwe-CT)`):Ungabheka isakhiwo se-vertebrae ehlanganisiwe kanye nentambo yomgogodla ngokuningiliziwe.
• I-MRI scan: Lokhu kuskena kusiza ukubona kahle izicubu ezithambile ezifana nomgogodla, ama-disc phakathi kwamathambo omgogodla, izimpande zemizwa, kanye nemisipha emgogodleni, kanye nokuthola ukukhubazeka kwezinye izingxenye zomzimba.

Yelashwa kanjani i-Klippel-Feil Syndrome (KFS)?

Ukwelashwa kuncike ezimpawini zakho. Ungadinga imithi kanye/noma ukwelashwa ngokomzimba. Kufanele uqaphele izingozi zengozi futhi ugweme imisebenzi eyingozi. Akuwona wonke umuntu one-KFS odinga ukuhlinzwa.

Ukwelashwa okuvamile kanye nemithi

Abantu abaningi abangadingi ukuhlinzwa baphumelela ngokwelashwa okulula njengemikhono yomlomo wesibeletho, ama-braces, kanye nokubambelela. Udokotela wakho angase futhi akunike imithi yokunciphisa ubuhlungu nokuvuvukala.

Ukuhlinzwa (`(Ukuhlinzwa)`)

Kungenzeka kakhulu ukuthi udinge ukuhlinzwa uma:

• Uma kunenkinga ngesimiso sakho sezinzwa, okungukuthi, ubuchopho bakho, umgogodla, kanye nemizwa.
• Uma unokukhubazeka noma ukungazinzile emgogodleni wakho.
• Uma unobuthakathaka obusha bemisipha, lokhu kungaba uphawu lokuthile okungathi sína okuhlobene nomgogodla wakho noma intambo yomgogodla.
• Uma kukhona ukukhubazeka kwezinye izitho zomzimba.

Uma une-vertebrae eyodwa noma ngaphezulu entanyeni yakho ngaphansi kwe-C3 vertebrae (okungukuthi, ngaphansi kwe-C1 kanye ne-C2 vertebrae eseduze nogebhezi), kungase kwanele ukumane uhlolwe njalo futhi uqaphe isimo. Uma wena noma ingane yakho nidlala imidlalo yokuxhumana efana ne-hockey noma i-rugby, udokotela wakho angase akuncome ukuthi uqhubeke nokudlala leyo midlalo ngemva kokufunda ukuthi ungayivikela kanjani intamo yakho.

Kodwa-ke, uma une-vertebrae ehlanganisiwe ngaphezu kwe-C3 vertebra entanyeni yakho (okungukuthi eduze kogebhezi), kufanele nakanjani ugweme imidlalo enamandla kakhulu, njengoba usengozini enkulu yokuthola ukulimala komgogodla okuyingozi.

Udokotela wakho uzohlola njalo inhliziyo yakho, amaphaphu, uhlelo lokuzala, izinso, nezinye izitho zomzimba ukuze akwazi ukubona ngokushesha noma yiziphi izinkinga futhi aphathe noma elaphe izinguquko, noma ancome noma yikuphi ukuhlinzwa okudingekayo.

Ingabe i-Klippel-Feil Syndrome (KFS) ingaba yimbi ngokuhamba kwesikhathi?

Yebo, i-Klippel-Feil Syndrome (KFS) ingaba yimbi kakhulu ngokuhamba kwesikhathi. Uma unenkinga emgogodleni wakho, kungenzeka ukuthi ube nezinkinga njengoba ukhula. Isibonelo, izinkinga zediski eziwohlokayo zingabangela ukucindezelwa kwemizwa, ubuhlungu bomhlane nomgogodla, noma ubuthakathaka ezithweni zangasese.

Unamathuba amaningi okulimala ngenxa yokuwa kanye neminye imiphumela emzimbeni wakho. Ngokuhamba kwesikhathi, ezinye izinkinga zangaphakathi zingavela. Yingakho kubaluleke kakhulu ukuhlangana nethimba lakho lezokwelapha njalo. Bazokuhlola, benze noma yiziphi izivivinyo ezidingekayo, futhi banqume noma bashintshe ukwelashwa kwakho.

Ingabe i-Klippel-Feil Syndrome (KFS) ithinta ubude bempilo?

Ukutholwa kusenesikhathi kwe-Klippel-Feil Syndrome (KFS) kubalulekile. Yilapho izinkinga zempilo zingaphathwa khona ngokuhlinzwa, izindlela ezingezona ezokuhlinzwa, noma ukubhekisisa kahle ngokuhamba kwesikhathi. Uma welapha ukukhubazeka futhi ulandela iseluleko sikadokotela wakho sokuvikela umgogodla wakho, ungaphila impilo evamile.

Hlobo luni lwekusasa umuntu one-Klippel-Feil Syndrome (KFS) angalulindela?

Umphumela wakho uzoncika ohlotsheni lwesifo onaso (izingxenye zomzimba wakho ezithintekile) kanye nanoma yiziphi ezinye izimo ongase ube nazo. Wonke umuntu uhlukile. Ithimba lakho lezokwelapha lizokhuluma nawe ngesimo sakho lapho uvakashelwa njalo. Abanye abantu bangase bangabi nazimpawu nhlobo, kanti abanye bangase babe nezimpawu ezibalulekile ezinciphisa izinga lempilo yabo.

Odokotela bakho bazokhuluma nawe ngokuthi udinga ukwenza noma yini ukuvikela umgogodla wakho, ukuthi ungadlala imidlalo enomthelela omkhulu, noma ukuthi udinga ukwenza ezinye izinguquko endleleni yokuphila. Bazoxoxa nangesidingo sokuhlinzwa.

Obani ochwepheshe bezempilo abangabandakanyeka ekunakekelweni kwami?

Kunezinhlobo ezahlukene zochwepheshe bezempilo abangase babe nengxenye ekunakekelweni kwakho. Bahlanganisa:

• Umhlinzeki wakho ojwayelekile.
• Uchwepheshe wezokwelapha izingane noma wezokwelapha zangaphakathi.
• Udokotela wezinzwa.
• Udokotela wezinzwa.
• Udokotela ohlinza amathambo.
• Udokotela ohlinzayo womlomo kanye nowe-maxillofacial.
• Udokotela wenhliziyo.
• Udokotela wezifo zokugaya ukudla udokotela ogxile ohlelweni lokugaya ukudla.
• Uchwepheshe wezinso (i-Nephrologist).
• Uchwepheshe wezindlebe, impumulo, nomphimbo (i-Otolaryngologist).
• Udokotela wezindlebe.
• Uchwepheshe wokuphatha ubuhlungu.
• Uchwepheshe wezokwelapha ngokomzimba.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Klippel-Feil Syndrome (KFS) yisimo esingavamile somgogodla lapho amathambo amabili noma ngaphezulu entanyeni ehlangana khona.Lesi simo singadala ezinye izinkinga eziningi emgogodleni, futhi singathinta nezinye izingxenye zomzimba.

Kodwa-ke, akubona bonke abantu abafanayo. Ungase ube nohlobo oluncane lwe-KFS, olungenazo izimpawu ezinkulu. Noma, ungase ube nezinkinga zempilo ezingathi sína ezidinga ukuphathwa isikhathi eside. Ungakhathazeki, ithimba lakho lochwepheshe lizoba nawe kuzo zonke izinyathelo.

Into ebaluleke kakhulu ukuxilonga lesi sifo kusenesikhathi, uthole ukwelashwa okufanele, bese ulandela imiyalelo kadokotela wakho. Ngemuva kwalokho, ezimweni eziningi, ungaphila impilo evamile nejabulisayo. Uma unemibuzo noma ukungabaza, ungabi namahloni okubuza udokotela wakho. Bakhona ukukusiza.

Isifo se - Klippel-Feil, i-KFS, ubuhlungu bentamo, izifo zomgogodla, ukunamathela komgogodla, ukuphazamiseka kokuzalwa, ukuqina kwentamo, ukuhlangana komgogodla