Ingabe ngezinye izikhathi uzizwa sengathi ingane yakho imfushane kancane kunezinye izingane ezingontanga yayo? Mhlawumbe ukhathazekile kancane ngalokhu. Esikhathini esiningi lokhu kungaba yinto evamile, kodwa kwezinye izimo kungaba nesizathu sezokwelapha salokhu. Namuhla sikhuluma ngesimo esinjalo, esibizwa ngokuthi 'i-dwarfism' noma, ngokwezokwelapha, `(i-dwarfism)`.
Kalula nje, kuyini 'ukuzidla'?
I-dwarfism yigama lezokwelapha. Uma sikhuluma iqiniso, yisimo esiyingxenye yesigaba esibanzi esibizwa ngokuthi i-Skeletal Dysplasia. Lesi yisimo esithinta ukukhula kwamathambo ethu kanye ne-cartilage (izicubu ezithambile phakathi kwamathambo). Kunezimo eziningi zalezi. Ngenxa yalokho, ukuphakama komuntu kungaphansi kwesilinganiso. Ngokwesilinganiso, umuntu onalesi simo ungaphansi kwamamitha angu-1.47 ubude njengomuntu omdala.
Abanye abantu bathanda ukusebenzisa amagama anjengokuthi “abantu abancane” ukuchaza abantu abanalesi simo. Kodwa ukusebenzisa amagama anjengokuthi “abantu abancane” akufaneleki nhlobo. Kungabalimaza imizwa yabo.
Lokhu 'ku-dwarfism' kungaba ngezindlela ezahlukene. Kwabanye abantu, kuthinta ukukhula kwezingalo nemilenze, kwabanye, kuthinta ukukhula kwesisu noma kwekhanda.
Yiziphi izindlela eziyinhloko lapho kwenzeka khona 'ubu-dwarfism'?
Nakuba kunezinhlobo eziningi ze-"Skeletal Dysplasia" ezithinta ukukhula kwamathambo, kunezinhlobo ezimbalwa eziyinhloko esivame ukuzibona. Ake sizibheke kuleli thebula.
| Uhlobo | Incazelo Emfushane |
|---|---|
| Ukufiphala kwe-Achondroplastic | Lolu uhlobo oluvame kakhulu. Izici eziyinhloko izingalo nemilenze emifushane kanye nebunzi eliphumayo. |
| I-Hypochondroplasia dwarfism | Lolu futhi uhlobo lokufinyeza kwezitho, kodwa luthambile kancane. Lezi zici azibonakali kahle ngesikhathi sobuntwana. |
| Ukufiphala kwe-pituitary | Isimo esibangelwa ukuntuleka kwe-hormone yokukhula emzimbeni. |
| Ukufiphala kokuqala | Lokhu kungenxa yokuthi usayizi womzimba mncane ngisho nangaphambi kokuzalwa, okungukuthi, kusukela ngesikhathi ingane isesibelethweni sikanina. |
| I-Thanatophoric dysplasia | Lesi yisimo esingavamile, kodwa esibucayi kakhulu. Izitho zomzimba ziba zimfushane kakhulu, futhi isifuba siba sincane. Izingane zingafa cishe ngokushesha ngemva kokuzalwa ngenxa yobunzima bokuphefumula. |
Ingabe 'Isimo Esifushane' kanye 'noBuncane' kuyinto efanayo?
Lokhu kuyinto edida abantu abaningi. Ubude obufushane buyigama elivamile. Ngamanye amazwi, uma umuntu emfushane kunalokho obekulindelwe ngokweminyaka yakhe, sikubiza ngokuthi 'mfushane'. Endabeni yengane, uma ubude bayo bungaphansi kwezikhathi zokukhula ezijwayelekile noma uma imfushane kunobude obulindelekile ngokusekelwe ekuphakameni kwabazali bayo, ingaba 'mfushane'.
Kodwa-ke, ubufushane buyisifo esithile esibangela ukufiphala. Akubona bonke abantu abafushane abane-dwarfism.
Ubani ongaba nalesi simo? Futhi ingabe sivamile?
Ubudwayi bungathinta noma ubani. Izinhlobo eziningi ziwufuzo. Okusho ukuthi, zingazuzwa kubazali. Ezinye izinhlobo zibangelwa izinguquko ezingahleliwe ku-DNA. Ngokuvamile, kodwa hhayi njalo, izingane ezidwayi zizalwa abazali abade ngendlela evamile. Ungase umangale ukuzwa lokhu, kodwa kuyiqiniso.
I-dwarfism iyisimo esingavamile kakhulu. Ngisho nohlobo oluvame kakhulu, i-achondroplasia, luthinta cishe umuntu oyedwa kwabayi-15,000 kuya kwabayi-40,000.
Yiziphi izimpawu zomuntu onesifo 'sokungezwani komzimba'?
Uphawu oluyinhloko nolusobala kakhulu ubude obufushane. Umuntu onalesi simo ungaphansi kwamamitha angu-1.5 ubude njengomuntu omdala. Lo bude obufushane bubonakala kakhulu ngesikhathi sobuntwana, ubusha, kanye nesikhathi sobudala kunangesikhathi sobudala.
'Ubu-dwarfism' bungahlukaniswa ngezinhlobo ezimbili.
1. Ngokulingana: Kulokhu, umzimba wonke uncishiswa ngobukhulu ngesilinganiso esifanayo.
2.Ayilingani: Kulokhu, umzimba usayizi ojwayelekile, kuyilapho izingalo nemilenze kufushane.
Ezinye izimpawu ezivamile yilezi:
- Imilenze egobile
- Ibhuloho lamakhala eliyisicaba
- Ukuba nekhanda elikhulu kunelijwayelekile `(Ikhanda elikhulu)`
- Ibunzi elivelele
- Izingalo nemilenze emifushane
- Iminwe emifushane (izandla nezinyawo)
- Izingalo nemilenze ebanzi
Ezinye izinkinga zempilo ezingabangela lezi zimpawu
Ukukhula kwamathambo okungavamile ngezinye izikhathi kungabangela ezinye izinkinga zempilo.
- Ukunqwabelana koketshezi oluzungeze ubuchopho (i-Hydrocephalus)
- Izinzwa ezicindezelwe
- I-Scoliosis
- Ukutheleleka njalo kwendlebe noma izinkinga zokuzwa
- Ubuhlungu emadolweni nasemaqakaleni
- Ukuphefumula komoya ngesikhathi sokulala
Kungani lokhu kwenzeka? Yiziphi izimbangela 'zobuthulu'?
Kunezimbangela eziningana ezingaba khona zalesi simo. Ezimweni eziningi, kuba ushintsho ku-DNA. Kwezinye izinhlobo, imbangela eqondile ayaziwa.
| Imbangela | Incazelo Elula |
|---|---|
| Isizinda somndeni | Uma abazali namanye amalungu omndeni befushane, kungase kube yinto evamile ukuthi ingane nayo ibe mfushane. |
| Ukuguqulwa kwezakhi zofuzo | Lesi simo singabangelwa izinguquko ezingahleliwe ku-DNA yomuntu. |
| Ukuntuleka kwe-hormone yokukhula | Ubuchopho abukhiqizi i-hormone eyanele edingekayo ekukhuleni kwamathambo. |
| I-bloomer ephuzile | Ezinye izingane zikhula kamuva kunezinye, futhi kungenzeka ukuthi kukhona umlando womndeni walokhu. |
| Ukungondleki kahle | Ukuntuleka kokudla okufanele kwengane ukuze ikhule kuthinta ubude. |
| Isisindo esiphansi sokuzalwa (esincane uma kuqhathaniswa nesikhathi sokukhulelwa) | Iningi lezingane ezizalwa zinesisindo esiphansi zizokhula kahle zingakapheli iminyaka emi-2-3 yokuqala, kodwa cishe u-10% akakhuli kahle. |
Ingabe lokhu kuvela ezizakhini zofuzo? (Ingabe kuyizakhi zofuzo?)
Yebo, ezinye izinhlobo ze-dwarfism ziyizakhi zofuzo. Okusho ukuthi, zibangelwa izinguquko ku-DNA. Kodwa isikhathi esiningi, lezi zinguquko zezakhi zofuzo zivele zingahleliwe. Okusho ukuthi, abazali abanobude obujwayelekile banamathuba amaningi okuba nezingane ezine-dwarfism kunalabo abanabazali abafushane.
Kodwa-ke, uma omunye noma bobabili abazali benesifo sokufiphala, umntwana cishe uyosithola njengefa. Isibonelo, umama noma ubaba one-achondroplasia unethuba elingu-50% lokudlulisela lesi simo enganeni yakhe. Uma bobabili abazali bene-achondroplasia, ingane inethuba elingu-50% lokuthola i-achondroplasia. Kukhona futhi nethuba elingu-25% lokuthola isimo esibi kakhulu esibizwa ngokuthi i-homozygous achondroplasia. Lesi simo esibi singabangela ukuthi ingane ifele esibelethweni noma ngemva nje kokuzalwa.
Uma ukhulelwe umntwana futhi ufuna ukwazi ukuthi usengozini yalolu hlobo lwesimo sofuzo, kubaluleke kakhulu ukukhuluma nodokotela wakho mayelana nokuhlolwa kofuzo.
Udokotela usithola kanjani isimo 'sobu-dwarfism'?
Kwezinye izimo, lesi simo singatholakala ngaphambi kokuba umntwana azalwe, okungukuthi, ngesikhathi sokukhulelwa. Ukuhlolwa kokuhlolwa kwangaphambi kokubeletha kungabona ukukhubazeka ekukhuleni komntwana.
Ngemva kokuzalwa kwengane yakho, uma uyiyisa emtholampilo njalo ngenyanga, odokotela kanye nezisebenzi zezempilo zomndeni baqapha ukukhula kwengane. Balinganisa ukuphakama kwengane, isisindo, kanye nobubanzi bekhanda bese bekuphawula eshadini lokukhula. Uma ukukhula kwengane yakho kungaphansi kwezinga elilindelekile, kungaba uphawu lwalesi simo. Bese benza izinto ezifana ne -X-ray kanye nokuhlolwa kwegazi ukuze bathole ukuthi yini ngempela ebangela ukwehluleka kokukhula kwengane.
Yiziphi izindlela zokwelapha lokhu?
Akukho ukwelashwa kwalesi simo okwamanje. Kodwa-ke, kunezindlela eziningi zokwelapha ezingasiza ekulawuleni izimpawu futhi zenze impilo ibe lula. Ukwelashwa kunqunywa uhlobo lwe-dwarfism kanye nezimpawu umuntu ngamunye anazo.
Ukwelashwa Kokuhlinzwa
- Uma amathambo ekhula ngendlela engafanele noma emile ngendlela engavamile, angalungiswa ngokuhlinzwa .
- Uma kukhona uketshezi oluningi oluzungeze ubuchopho (i-hydrocephalus), lungasuswa ngokuhlinzwa.
- Ukunciphisa ingcindezi esiqwini sobuchopho.
- Ukususwa kwama-tonsils noma ama-adenoids ukuze kube lula ukuphefumula.
- Ukufaka amapayipi amancane endlebeni ukuvimbela izifo zendlebe.
Ukwelashwa Okungeyona Eyokuhlinzwa
- Uma une-sleep apnea , sebenzisa umshini we-CPAP.
- Ukusebenzisa izinsiza zokuzwa ngezinkinga zokuzwa.
- Ukuqondisa ingane ekudleni okunempilo kanye nokuzivocavoca ukuze kuvinjelwe ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile.
- Uma kukhona ukuntuleka kwe-hormone yokukhula , nikeza imijovo ye-hormone yokukhula (ukwelashwa ngama-hormone).
- Muva nje, umuthi obizwa ngokuthi i-vosoritide (i-Voxzogo®) uvunyelwe ezinganeni ezingaphezu kweminyaka emi-5 ubudala ezine-achondroplasia, ukukhula kwamathambo azo okungakami. Izivivinyo zemitholampilo zikhombisile ukuthi ungakhuphula izinga lokukhula kwezingane.
Lokhu kwelashwa kungadingeka impilo yonke, kodwa kungathuthukisa kakhulu izinga lempilo yabo.
Impilo izoba njani ngengane 'enesithulu'?
Nakuba kungekho ikhambi lalesi simo, uma izimpawu zelashwa kahle, abantu abaningi baphila impilo evamile nenempilo. Kodwa-ke, uma ingane yakho inezinkinga zokukhula kwamathambo futhi idinga ukuhlinzwa njalo, kungaba yinselele kokubili enganeni nasemndenini. Udokotela wakho uzonikeza ingane yakho ukwelashwa okudingekayo futhi anikeze isiqondiso ayidingayo ukuze iphile impilo egcwele nenempilo.
Into ebaluleke kakhulu ukuthi njengabazali, kufanele niphathe ingane yenu ngokweminyaka yayo, hhayi ngobude bayo. Lokhu kuzoyakha ukuzethemba kwayo futhi kuyisize izizwe ithandwa futhi yamukelekile.
Ingabe ingozi yengane yokuthola lesi simo ingancishiswa? Ingane inganakekelwa kanjani?
Ezinye izinhlobo ze-dwarfism ziwufuzo, ngakho-ke ayikho indlela yokuzivimbela. Kodwa-ke, ukuhlolwa kofuzo kungakusiza uqonde ingozi yakho. Khuluma nodokotela wakho ngakho.
Ukudla okunempilo kubaluleke kakhulu ekukhuleni komntwana. Uma ukhulelwe, yidla ukudla okunempilo. Ngemva kokuzalwa komntwana, mnike ukudla okunempilo okufana namaprotheni, izithelo, okusanhlamvu kanye nemifino.
Ngaphezu kokwelashwa kwezokwelapha, kunezinto eziningana ongazenza ukuze usekele ingane yakho:
- Ukusetha indawo yasekhaya: Hlela indawo yasekhaya ukuze ingane ikwazi ukusebenza yodwa. Isibonelo, ukuba nesihlalo sokuhamba noma ukwehlisa iswishi yokukhanyisa kancane.
- Nikeza ukwesekwa ngokwengqondo: Nikeza ukwesekwa kwezemfundo nangokwengqondo enganeni ukuze uvimbele futhi ubhekane nokuxhashazwa esikoleni.
- Xhumana nabantu abanokuhlangenwe nakho okufanayo: Xhumana nezinhlangano ezisekela izingane nemindeni enezimo ezifanayo.
Umlayezo Wokuya Nawe Ekhaya
- I-dwarfism yisifo sezokwelapha esithinta ukukhula kwamathambo. Singaba nezimbangela eziningi.
- Esikhathini esiningi, lokhu kubangelwa ufuzo, kodwa ngokuvamile abazali abanobude obujwayelekile abanabantwana abanalesi simo.
- Nakuba kungelapheki ngokuphelele, izimpawu zingelashwa futhi ungaphila impilo egcwele nenempilo.
- Uma unokungabaza ngokukhula kwengane yakho, bona udokotela wakho ngokushesha bese ukhuluma ngakho.
- Into ebaluleke kakhulu ukuphatha ingane ngokweminyaka yayo, hhayi ubude bayo. Lokho kubaluleke kakhulu empilweni yayo yengqondo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho