Ingabe ingane yakho inesici sobuchopho? Ake sifunde nge-Schizencephaly!

Ingabe unokwesaba okuncane noma ukungabaza ngokukhula kwengane yakho? Ngezinye izikhathi sikhathazeka kakhulu uma sizwa amagama amasha kodokotela, akunjalo? Namuhla sizokhuluma ngesimo sobuchopho esingavamile okungenzeka ukuthi awukaze uzwe ngaso, kodwa esibaluleke kakhulu ukwazi ngaso. Lokhu kubizwa ngokuthi i-Schizencephaly.

Kuyini i-Schizencephaly?

Kalula nje, i-schizencephaly iwukungaziphathi kahle kobuchopho okwenzeka lapho kuzalwa, okungukuthi, lapho umntwana efika kuleli zwe. Ubuchopho bethu bunezingxenye ezimbili ezibizwa ngokuthi ama-cerebral hemispheres , uma sikhuluma ngqo, uhlangothi lwesokudla nohlangothi lwesobunxele. Lezi yizingxenye ezilawula amakhono ethu okunyakaza njengokukhuluma nokuhamba, indlela yethu yokucabanga, okungukuthi, ukusebenza kwengqondo , imizwa yethu, ukuzwa , nokubona , kanye nezinye izinto eziningi ezibalulekile. Ku-schizencephaly, kwakheka i-cleft noma imbobo (cleft) kulezi zingxenye zobuchopho, okungukuthi, kulezi zinhlangothi zobuchopho. Lokhu kuqhekeka kungaba sohlangothini olulodwa lobuchopho (`unilateral`), noma kungaba sezinhlangothini zombili (`bilateral`).

Cabanga nje, kukhona uketshezi olubizwa ngokuthi uketshezi lwe-cerebrospinal oluvikela futhi londle ubuchopho bethu. Futhi, kukhona uhlobo lwezicubu olubizwa ngokuthi udaba olumpunga . Lokhu kusiza ukulawula ukunyakaza kwethu, inkumbulo, kanye nemizwa. Manje, ngaphakathi kwalelo sikhala, lolu ketshezi lwe-cerebrospinal kanye nodaba olumpunga kuyagcwala. Kodwa-ke, uma lokhu kuqongelela kakhulu, kuvela izinkinga, okungukuthi, izimpawu ziqala ukuvela. Isibonelo, ukukhula komntwana kungase kubambezeleke , ukukhubazeka kungase kwenzeke, noma ubukhulu bekhanda bungaba buncane .

Yiziphi izinhlobo eziyinhloko ze-schizencephaly?

Kunezinhlobo ezimbili eziyinhloko zalesi simo, i-schizencephaly.

• I-Open-lip schizencephaly: Kulesi simo, i-cleft isuka ngaphandle kobuchopho iye kuma -ventricles , amakamelo angaphakathi kobuchopho agcwele uketshezi lwe-cerebrospinal. Lokhu kusho ukuthi i-cleft inkulu kancane futhi ijule kakhulu.
• I-Closed-lip schizencephaly: Kulolu hlobo, i-cleft imfushane kancane. Ayinwebi iye kuma-ventricles. Ngezinye izikhathi, lolu hlobo lungase lungabi nazimpawu.

Sivame kangakanani lesi simo?

I-Schizencephaly empeleni iyisimo esingavamile kakhulu . Akuyona into eyenzeka kubantu abaningi. Ngokwezibalo, ithinta cishe izingane eziyi-1.5 kweziyi-100,000 ezizalwa e-United States. E-United Kingdom, ithinta cishe izingane eziyi-1.48 kweziyi-100,000. Ngakho ungabona ukuthi lokhu kungavamile kangakanani.

Ziyini izimpawu ze-Schizencephaly?

Izimpawu zalesi simo zingahluka kumuntu nomuntu, kuye ngobukhulu nendawo lapho kukhona khona isilonda sobuchopho. Nazi ezinye zezimpawu ezivamile:

• Usayizi wekhanda mncane kunojwayelekile.
• Ubuthakathaka bemisipha noma ukulahlekelwa amandla (hemiparesis). Kuzwakala sengathi isitho sikhubazekile.
• Ukuqina kwemisipha noma ukuqina (`(ukuqaqamba)`).
• Ukukhubazeka : Lokhu kusho ukuthi ingxenye noma wonke umzimba ukhubazekile.
• Izimo zesifo sokuwa , okungukuthi, ukuxhuzula .
• Uketshezi oluningi lwe-cerebrospinal (CSF) ngaphakathi kobuchopho lubizwa ngokuthi i-hydrocephalus .
• Ushintsho endaweni yamehlo , njenge- strabismus .

Ngaphezu kwalokho, i-schizencephaly ingabangela ukubambezeleka kokukhula ezinganeni . Lokhu kusho ukuthi lezi zingane zithatha isikhathi eside ukufunda nokwenza izinto ingane evame ukuqala ukuzenza eminyakeni ethile.

• Hamba wedwa, thinta izinto (amakhono amakhulu okunyakaza komzimba).
• Khuluma futhi uxhumane nabanye (amakhono okukhuluma nolimi).
• Funda futhi ukhumbule izinto ezintsha (amakhono okuqonda).
• Dlala futhi uzwane nabanye (amakhono okuxhumana nabantu nangokomzwelo).

Kodwa khumbula, ezinye izingane ezine-closed-lip schizencephaly okukhulunywe ngayo ngaphambili zingase zingabonakali izimpawu .

Yiziphi izimbangela ze-Schizencephaly?

Uma ngikhuluma iqiniso, imbangela eqondile ye-Schizencephaly ayikaziwa . Kodwa-ke, ucwaningo lubonisa ukuthi kungenzeka ukuthi ibangelwa ukuchayeka ezintweni ezithile ngesikhathi sokukhula kwengane .

• Eminye imithi , isibonelo, imithi yokunciphisa igazi efana ne-Warfarin.
• Ezinye izidakamizwa , isibonelo `(i-cocaine)`.
• Ezinye izifo ezibangelwa amagciwane , isibonelo `(igciwane leZika)` noma `(igciwane le-Cytomegalovirus)`.
• Kungase futhi kubangelwe ezinye izinkinga ezenzeka ngesikhathi sokuhlolwa okubizwa ngokuthi "i-Amniocentesis" okwenziwa ngesikhathi sokukhulelwa.

Ngaphezu kwalokho, izinguquko zofuzo (ukuguqulwa kwezakhi zofuzo) zingathinta nendlela ubuchopho bombungu obukhula ngayo. Izinguquko zofuzo ziyizinguquko ku-DNA yethu. Lokhu kuvame ukwenzeka ngokungahleliwe, okusho ukuthi akekho emndenini oke waba nalesi simo ngaphambili, kodwa kungenzeka ngokuzumayo. Akuvamile kakhulu, lesi simo singadluliselwa kusuka esizukulwaneni kuya kwesinye.

Ubani osengozini enkulu yalesi simo?

Uma kwenzeka izinto ezithile ngesikhathi sokukhulelwa, ingozi yokuthola umntwana one-schizencephaly inganda kancane.

• Inkinga yokusebenzisa izidakamizwa.
• Ukutheleleka ngegciwane (isib. i-Cytomegalovirus noma i-Zika virus).
• Amazinga aphansi omoya-mpilo egazini (i-hypoxia).
• Ukuhlolwa kwe-Amniocentesis .
• Ukuzwa ukushaqeka noma ukulimala okuthile (i-Trauma) .
• Ukusebenzisa umuthi othi ``(Warfarin)`` onikezwe udokotela.

Kuthiwa futhi iminyaka kamama, njengoba ingaphansi kweminyaka engama-25 , yengeza ingozi ethile kulesi simo.

Ingabe ezinye izimo zingaba khona nge-schizencephaly?

Yebo, ngezinye izikhathi lapho odokotela bexilonga i-schizencephaly, babheka nezinye izimo. Nazi izibonelo ezimbalwa:

• Ukukhubazeka Kobuchopho (`(Ukukhubazeka Kobuchopho)`)
• Ukwakheka kwe-corpus callosum ( ingxenye yobuchopho efana nebhuloho exhumanisa izingxenye ezimbili zobuchopho)
• I-Septo-optic dysplasia ( isifo esibangela izinkinga zokubona kanye nama-hormone)
• Ama-cyst e-Arachnoid ( ama-cyst agcwele uketshezi phakathi kwama-membrane amboze ubuchopho)

Ungasithola kanjani lesi sifo?

Ngokuvamile, odokotela bangabona izimpawu ze-schizencephaly ngesikhathi sokuhlolwa kwe-ultrasound kwangaphambi kokubeletha ngemva kwamasonto angama-20 okukhulelwa. Kodwa-ke, ukuxilongwa okuqondile kwenziwa ngemva kokuzalwa komntwana . Lokhu kwenziwa ngokusebenzisa ukuhlolwa kwe-MRI (Magnetic Resonance Imaging) noma ukuhlolwa kwe-CT (Computed Tomography) . Lokhu kuhlolwa kungabonisa ngokucacile ubukhulu bokukhubazeka kobuchopho nokuthi luhlobo luni.

Ngaphezu kwalokho, udokotela wengane yakho angase acele ukuhlolwa kofuzo . Lokhu kuzobheka noma yiziphi izinguquko ku-DNA ezingase zibangele lesi simo.

Yiziphi izindlela zokwelapha i-Schizencephaly?

Umgomo oyinhloko wokwelashwa kwe-schizencephaly ukulawula nokunciphisa izimpawu , njengoba kungeyona inkinga engelapheki ngokuphelele. Izinketho zokwelapha zifaka:

• Ukunikeza imithi yokuvimbela ukuquleka kwesifo sokuwa .
• Isimo esibizwa ngokuthi i-hydrocephalus , okuyilapho uketshezi luqoqana ebuchosheni, sidinga ukuhlinzwa ukuze kufakwe i-shunt noma ipayipi . Lokhu kuguqula uketshezi oluningi.
• Ngezinye izikhathi kwenziwa ukuhlinzwa ukuze kuncishiswe ingcindezi ebangelwa uketshezi olwengeziwe ebuchosheni.
• Ukwelashwa okufana nokwelashwa ngokomzimba , ukwelashwa ngokomsebenzi, kanye/noma ukwelashwa ngokukhuluma kungaba usizo kakhulu ekuthuthukiseni amakhono engane.
• Bahlanganyela ezinhlelweni zemfundo ezisekelwa yisikole.

Ingabe ikhona imiphumela emibi yokwelashwa?

Kungcono ukukhuluma nodokotela wakho ngemiphumela emibi yokwelashwa nge-schizencephaly. Kunemiphumela emibi ehlukahlukene engenzeka ngokuhlinzwa kanye nemithi. Lokhu kuzohluka kuye ngohlobo lokwelashwa wena noma ingane yakho enikutholayo.

Uyini umbono womuntu one-schizencephaly?

Umbono womuntu one-schizencephaly uyahlukahluka kakhulu kuye ngobukhulu nendawo yezilonda zobuchopho . Abanye abantu bangase babe nezilonda ezincane kuphela, ezingabangela zimpawu futhi ziphile impilo evamile. Kodwa-ke, abanye bangase babe nezilonda ezinkulu, ezingabangela izimpawu eziningi futhi ezingadinga ukwesekwa impilo yonke .

Kuthiwani ngobude bokuphila?

I-Schizencephaly ayithinti ngqo isikhathi sakho sokuphila . Okusho ukuthi, ayifinyezi isikhathi sakho sokuphila. Kodwa-ke, ezinye izinkinga zalesi simo, njengokuquleka okungalawuleki noma i-hydrocephalus, zingaba yingozi empilweni .

Ingabe lesi simo singavinjelwa?

Eqinisweni, ayikho indlela yokuvimbela i-schizencephaly njalo. Ngoba ezinye izimbangela zingaphezu kwamandla ethu. Kodwa-ke, ngokuzinakekela kahle ngesikhathi sokukhulelwa , unganciphisa ingozi yokuba ingane yakho ithole lesi simo ngezinga elithile.

• Bonana nodokotela njalo bese uhlolwa.
• Thatha izinyathelo ezidingekayo ukuze uzivikele ezifweni .
• Khuluma nodokotela wakho ngemithi oyiphuzayo njengamanje. Eminye imithi ayifaneleki ngesikhathi sokukhulelwa.
• Gwema ngokuphelele izinto eziyingozi embungwini, njengezidakamizwa.
• Kungaba kuhle futhi uma ungahlangana nomeluleki wezakhi zofuzo ukuze ufunde ngengozi yokuba ingane ibe nesifo sofuzo.

Kufanele ubonane nini nodokotela?

Uma wena noma ingane yakho ninayo noma iyiphi yalezi zimpawu, bona udokotela ngokushesha:

• Ukushintsha kwethoni yemisipha (ukuqina noma ubuthakathaka).
• Uma ungakwazi ukuhambisa ingxenye yomzimba wakho (njengokukhubazeka).
• Uma ingane yephuza ukufinyelela izigaba zokukhula ezifanele iminyaka yayo.

Okubaluleke kakhulu: Uma wena noma ingane yakho ninesifo sokuwa, shayela ngokushesha i-Suwaseriya Ambulance Service ka-1990 noma uye esibhedlela esiseduze.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uthola ukuthi ingane yakho ine-Schizencephaly, ungase ube nemibuzo eminingi. Kungumqondo omuhle ukubuza udokotela wakho izinto ezifana nalezi:

• Uhlobo luni lwe-schizencephaly ingane yami enalo?
• Ngingayisekela kanjani ingane yami?
• Yiziphi izinkinga okufanele siziqaphele ngokukhethekile?
• Ingabe ingane yami idinga ukuhlinzwa?
• Yiziphi izindlela zokwelapha ozincomayo?
• Ingabe ikhona imiphumela emibi yokwelashwa?
• Ingabe zikhona izinhlangano zokusekela abazali abanakekela izingane ezinjengalezi?

Izinto okufanele uzikhumbule kafushane

Kuvamile ukuzizwa ukhungathekile uma ufunda ngalesi simo esingavamile sezinzwa, i-schizencephaly, nokuthi wena, ingane yakho, noma umuntu omthandayo unaso yini. I-Schizencephaly nendlela ekuthinta ngayo iyahlukahluka kuye ngobukhulu bobuchopho bobuchopho. Ungase ungabi nazimpawu nhlobo, noma ungase udinge ukwesekwa okuthile kukho konke ukuphila kwakho. Lesi simo asithinti ngqo impilo yakho, futhi asiphazamisi ikhono lakho lokufeza imigomo yakho yansuku zonke. Kodwa-ke, ezinye izinto zingaba nzima kakhulu kunezinye. Ithimba lakho lezokwelapha lingakusiza ufunde kabanzi ngalesi simo futhi uxoxe ngezinketho zokwelapha ezingakusiza uzizwe ungcono. Ungazizwa uwedwa, futhi uthole usizo oludingayo.

I- Schizencephaly, ukuqhekeka kobuchopho, ukukhubazeka kobuchopho, izifo zokuzalwa, izifo zobuntwana, ukubambezeleka kokukhula, isifo sokuwa, i-hydrocephalus, izifo zofuzo