Ingabe ulimi lomntwana wakho lukhulu kunomlomo wakhe? Ake sixoxe nge-'Macroglossia'!

Wake waqaphela noma wezwa ukuthi abanye abantu, ikakhulukazi izingane ezincane, banezilimi ezinkulu kunemilomo yazo? Ngezinye izikhathi ungabona ukuthi ulimi luphuma emlonyeni. Yilokhu esikubiza ngokuthi 'iMacroglossia' kwezesayensi yezokwelapha. Igama lingase lizwakale njengento enkulu, kodwa ungesabi. Namuhla sizokhuluma ngalokhu ngendlela elula ongayiqonda.

Ngakho-ke, iyini ngempela i-'Macroglossia'? Wazi kanjani?

Kalula nje, i-'Macroglossia' ulimi olukhulu ngokungavamile uma kuqhathaniswa nobukhulu bomlomo. Luvame kakhulu ezinganeni ezincane, kodwa lungenzeka nakubantu abadala. Ezimweni eziningi, luzalwa nalo. Okusho ukuthi, luhlotshaniswa nezimo ezithile zofuzo njenge-'Beckwith-Wiedemann syndrome' noma i-'Down syndrome'. Futhi, i-'Macroglossia' ingavela ngenxa yezinhlobo ezithile zomdlavuza, izifo ezinzima, noma ngisho nangemva kwalokho.

Ungase ucabange, 'Ulimi lwengane yami lubukeka lukhulu kancane, angazi ukuthi nayo inalo yini lolu.' Ngakho-ke, qaphela lezi zimpawu:

• Ulimi oluphuma emlonyeni ngaso sonke isikhathi: Lolu uphawu oluyinhloko nolusobala kakhulu. Kunjengokungathi asikho isikhala esanele sokugcina ulimi emlonyeni.
• Ubunzima bokuphefumula:
• Ngezinye izikhathi ungase uzwe umsindo omkhulu, ophakeme uma uphefumula. Kunjengokungathi othile ushaya ikhwela. Kwezokwelapha, lokhu sikubiza ngokuthi 'i-stridor'.
• Noma, ungase uphefumule ngomsindo wokuhona , ikakhulukazi ngenkathi ulele. Lokhu kubizwa ngokuthi `stertor`.
• Ubunzima bokugwinya (i-dysphagia): Ulimi olukhulu lungenza kube nzima ukubamba, ukuhlafuna, nokugwinya ukudla kahle. Izingane ezincane zingase zibe nobunzima bokuncela ubisi lwebele noma ngisho nokuphuza ebhodleleni. Zingase futhi zizwe sengathi ziyaklinywa ngenkathi zidla.
• Ukuvuza amathe: Uma ulimi lukhulu kakhulu ukuba luvale umlomo kahle, amathe angaphuma njalo. Ungase uqaphele ukuthi umcamelo umanzi ngamathe.
• Ubunzima bokukhuluma: Kungaba nzima ukuphimisela amagama nokukhuluma ngokucacile. Lokhu kungenxa yokuthi ulimi luyisitho esisiza kakhulu ekukhulumeni. Uma ungakwazi ukuphimisela izinhlamvu kahle, inkulumo yakho ingaba yinkimbinkimbi.

Into ebalulekile okufanele uyikhumbule ukuthi uma ingane yakho inesinye noma ngaphezulu salezi zimpawu, kungaba yi-Macroglossia. Kodwa-ke, kubalulekile ukukhumbula ukuthi lezi zimpawu zingaba yingxenye yesimo sezokwelapha esiyimfihlo .

Ungase uzibuze ukuthi lesi yisimo esivamile yini. Eqinisweni, i-'Macroglossia' iyisimo esingavamile kakhulu. Kunzima ukusho ukuthi bangaki abantu abanaso. Ngoba sivame ukubonakala njengophawu lwesinye isifo.

Kungani le 'Macroglossia' yenzeka? Ziyini izimbangela?

Kunezimbangela eziningana ze-macroglossia. Akuvamile kakhulu ukuthi abanye abantu bazalwa benolimi olukhulu ngaphandle kwezinye izinkinga zempilo. Kodwa-ke, kuvame kakhulu ukuthi kwenzeke njengophawu lwesimo sezokwelapha esiyimfihlo. Ezinye zalezi zimo zingaba ukuzalwa (ufuzo), kanti ezinye zingabangelwa yisimo sezokwelapha esikhula kamuva ekuphileni. Ezinye izindlela zokuhlinzwa kanye nokwelashwa kwezokwelapha nazo zingabangela i-macroglossia.

Ake sibone ukuthi lezi zizathu ziyini.

Ziyini izimo zokuzalwa (zofuzo)?

Lesi simo, esibizwa ngokuthi "iMacroglossia," sihlotshaniswa nezifo eziningana zofuzo. Nazi ezinye zazo:

• I-Beckwith-Wiedemann syndrome: Lesi yisimo esithinta ukukhula kwezingane. Kulokhu, ubukhulu bomzimba wengane kanye nezitho zangaphakathi ziba zinkulu kunokuvamile. Futhi, izingane ezinalesi simo zisengozini enkulu yokuthola umdlavuza othile wezingane. Okubaluleke kakhulu, cishe ama-90% ezingane ezine-Beckwith-Wiedemann syndrome zine-macroglossia, okusho ulimi olukhulu.
• I-Hurler/Hunter syndrome - mucopolysaccharidosis: Leli yiqembu lezifo ezithinta indlela umzimba wethu ophula ngayo ama-molecule kashukela. Kulesi simo, ulimi lungakhula futhi.
• I-Down syndrome: Kungenzeka ukuthi uke wezwa ngalokhu. Izingane ezine-Down syndrome zizalwa zine-chromosome eyengeziwe. Lokhu kungabangela izinguquko ekukhuleni kobuchopho nomzimba wazo, okuholela ezinseleleni zomzimba nezengqondo. I-Macroglossia nayo iyisici esivamile se-Down syndrome.

Yiziphi izimo ezitholwe?

Ngezinye izikhathi, ulimi lungakhula ngenxa yezimo ezithile zezokwelapha ezingekho lapho kuzalwa. Isibonelo, lungabangelwa izifo ze-metabolic noma ze-endocrine, izimo ezifana ne-hypothyroidism, noma izifo ezifana ne-diphtheria.

Nazi ezinye zezimo ezinjalo:

• I-Amyloidosis: Lesi yisifo esihlobene neprotheni. Kulokhu, le phrotheni ifakwa ezicutshini nasezithweni zomzimba, ivimbele ukusebenza kahle. Uphawu oluyinhloko lwe-Amyloidosis emlonyeni yi-Macroglossia.
• I-Hypothyroidism:Lesi yisimo esivame kakhulu. Okwenzekayo lapha ukuthi i-thyroid gland yakho ayikhiqizi i-hormone ye-thyroid eyanele futhi iyikhiphe egazini. Lokhu kunciphisa ijubane le-metabolism yakho. I-Hypothyroidism iyimbangela evamile ye-macroglossia, ikakhulukazi ezinganeni.
• I-Acromegaly: Lesi yisimo esingavamile. Okwenzekayo lapha ukuthi umzimba wakho ukhiqiza i-hormone yokukhula eningi kakhulu. Abantu abane-acromegaly banezilimi ezinkulu, imihlathi, izandla nezinyawo ezingavamile.
• I-Diphtheria: Lokhu kuyisifo esithathelwanayo. Lokhu kungabangela nolimi ukuthi luvuvuke.

Yiziphi izinhlobo zezimila ezibangela i-macroglossia?

I-Macroglossia ingaba uphawu lwezinye izimila ezingenabungozi nezinomdlavuza.

• I-Lymphangioma: Lesi isimila esingeyona umdlavuza esikhula ohlelweni lwe-lymphatic. Singabangela ukuthi kwakheke amaqhubu agcwele uketshezi ezingxenyeni zolwelwesi emlonyeni, okungabangela nokuthi ulimi lukhule.
• I-Hemangioma: Lezi futhi izimila ezingezona umdlavuza . Zakhiwa ngemithambo yegazi.
• I-Lymphoma: Lona umdlavuza othinta uhlelo lwe-lymphatic.

Odokotela basithola kanjani lesi simo ngokunembile?

Uma wena noma ingane yakho nibona udokotela, into yokuqala abazoyenza ukuhlolwa ngokomzimba . Lokhu kuzohlanganisa ukuhlolwa okuphelele kolimi, ikhanda, nentamo. Ngemva kwalokho, bangenza izivivinyo eziningana ukuze bathole i-macroglossia kanye nanoma yiziphi izimo ezingaphansi ezingase ziyibangele.

Ezinye zalezo zivivinyo yilezi:

• `I-CT Scan` (I-Computed Tomography - I-CT scan): Lokhu kuhilela ukusebenzisa ama-X-ray kanye nekhompyutha ukuthatha izithombe ezicacile zomlomo wakho, ikhanda, kanye nentamo yengane yakho noma yengane yakho. Lokhu kungakunikeza umbono ongcono walokho okungaphakathi.
• Ukuskena kwe-Magnetic Resonance Imaging (MRI): Lokhu kuhlolwa okungenabuhlungu okusebenzisa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukwenza izithombe ezicacile zezitho nezakhiwo ngaphakathi komzimba.

Kusekelwe olwazini olutholwe kulezi zivivinyo ukuthi odokotela banquma imbangela ye-macroglossia kanye nokwelashwa okufanele kakhulu kwayo.

Yini engenziwa ukwelapha lesi simo esibizwa ngokuthi 'iMacroglossia'?

Ngezinye izikhathi, ngokumangazayo, ezinye izingane ezine-macroglossia ebuntwaneni bazo, njengoba zikhula, amathambo azo obuso ayakhula, okuvumela indawo yolimi ukuthi lungene emlonyeni, futhi lesi simo siyathuthuka ngokwaso. Njengesudi elifanela umzimba, umlomo nawo uyakhula ukuze uvumelane nolimi.

Nokho, lokhu akwenzeki njalo. Lapho odokotela belapha i-macroglossia, baqala ngokubona futhi baphathe isimo esiyisisekelo esibangele lokhu. Kulapho-ke kuphela lapho belapha khona izimpawu ze-macroglossia.

Ukwelashwa kwe-macroglossia kungafaka:

• Imithi: Imithi efana ne-corticosteroids inganikezwa ukunciphisa ukuvuvukala kolimi.
• Ukwelashwa ngamazinyo: Uma ulimi olukhulu luthinte indawo yamazinyo, lokhu kwelashwa kungasiza ekulungiseni.
• Ukuhlinzwa: Kwezinye izimo, ikakhulukazi uma kunezinkinga ezinkulu njengobunzima bokuphefumula noma ukugwinya, ukuhlinzwa kungadingeka ukuze kuncishiswe ubukhulu bolimi. Kodwa-ke, cishe abantu abayi-10% kuphela abane-macroglossia abadinga ukuhlinzwa.

Ngingayinciphisa yini ingozi yengane yami yokuthola i-macroglossia?

Esikhathini esiningi, i-macroglossia izalwa nayo, okusho ukuthi ihlobene nezimo zofuzo, ngakho-ke akukho esingakwenza ukuyivimbela. Kodwa-ke, ngezinye izikhathi ingabangelwa nezifo ezithelelanayo, ngakho-ke ukuzivikela ezifweni ezinjalo kunganciphisa le ngozi ngezinga elithile. Isibonelo, kubalulekile ukugonyelwa izifo ezifana ne-diphtheria.

Uma ingane yami ine-Macroglossia, yini okufanele ngiyilindele?

Manje sesiyazi ukuthi i-macroglossia ivame ukuba uphawu lwenkinga eyisisekelo, kungakhathaliseki ukuthi yisimo sokuzalwa noma esinye isifo. Ngakho-ke, isihluthulelo ukuhlonza nokwelapha leso simo esiyisisekelo.

Uma ingane yakho ine-macroglossia, kungenzeka ukuthi isivele ithola ukwelashwa kwesimo esiyisisekelo esibangele lokhu. Okubaluleke kakhulu kuwe kufanele kube ukulandela lolo hlelo lokwelashwa. Khuluma nodokotela wakho ngalokhu. Uzokutshela ukuthi yini ongayilindela nokuthi uzophinde uyibone nini.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma ingane yakho ine-macroglossia, cishe unemibuzo eminingi. Kungani lokhu kwenzeke nokuthi yini ongayilindela ekwelashweni. Nansi eminye imibuzo ongayibuza udokotela wakho:

• Iyini ngempela i-'Macroglossia'?
• Lokhu kuzothinta kanjani ingane yami? Ingabe kuzothinta impilo yansuku zonke?
• Kungani ingane yami yaba ne-'Macroglossia'? Iyini imbangela eyinhloko?
• Yikuphi ukwelashwa okuncomayo? Kuphumelela kangakanani lokho kwelashwa?
• Kuzothatha isikhathi esingakanani ukwelashwa? Yimiphi imiphumela emibi engingayilindela?
• Ingabe ikhona indlela ekhethekile okufanele nginakekele ngayo ingane yami ekhaya? (isib. ukuyondla, ukuyoyilalisa)

Ungesabi ukubuza le mibuzo. Kubaluleke kakhulu ukususa konke ukungabaza kwakho. Udokotela uzokuchazela konke.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Macroglossia, noma ulimi olukhulu, ingase izwakale iyesabisa kancane. Kodwa-ke, ivame ukuba uphawu lwesimo sempilo esiyimfihlo. Into ebaluleke kakhulu ukungesabi bese ucela usizo lwezokwelapha ngokushesha.

• Uma ucabanga ukuthi ulimi lomntwana wakho lukhulu ngendlela engavamile, noma uma enezimpawu esixoxe ngazo, bona udokotela wezingane noma udokotela ohlinzayo wezindlebe, impumulo nomphimbo (ENT).
• I-Macroglossia ingalawulwa ngokuhlonza imbangela eyisisekelo nokuyiphatha ngendlela efanele.
• Kwabanye abantwana, lesi simo singase sithuthuke ngokwaso njengoba bekhula.
• Kubaluleke kakhulu ukulandela imiyalelo yodokotela ngokucophelela nokunikeza ingane ukwesekwa nothando eludingayo.

Khumbula, awuwedwa. Kukhona abanye abazali ababhekene nezimo ezifanayo. Ngesiqondiso esifanele sezokwelapha kanye nokuzinikela kwakho, ungafinyelela imiphumela emihle kakhulu enganeni yakho.

'I-Macroglossia, Ulimi olukhulu, Ulimi lwabantwana, Ubunzima bokuphefumula, Ubunzima bokugwinya, i-Macroglossia, i-Beckwith-Wiedemann syndrome, i-Down syndrome, Ulimi olukhulu, Izifo zolimi