Ngezinye izikhathi, njengabazali, siyakhathazeka kancane uma sibona ubuso noma iminwe yosana olusanda kuzalwa ibekwe ngendlela ehlukile, akunjalo? Ngesikhathi esifanayo, odokotela bathi nezinye izingane "zinomgodi omncane enhliziyweni." Namuhla sikhuluma ngesimo sezakhi zofuzo esingavamile kakhulu esihlanganisa eziningana zalezi zici futhi esibikwe emindenini embalwa kakhulu emhlabeni. Lokhu kubizwa ngokuthi i-Char Syndrome kwisayensi yezokwelapha. Ungesabi, ake siqonde konke ngalokhu kalula.
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Kungani lokhu kwenzeka? Iyini imbangela yalokhu?
Kalula nje, yonke ingxenye yomzimba wethu, yonke ingxenye yomzimba, inemiyalelo emizimbeni yethu mayelana nokuthi kufanele ikhule kanjani. Sibiza lezi zinhlobo zofuzo ngokuthi. Ngakho-ke, lesi sifo se-Cha sibangelwa ushintsho, noma ukuguquka kwezakhi zofuzo ezithile ezibizwa ngokuthi 'TFAP2B'. Lesi sakhi sofuzo yisona esiyala ingane ukuba yenze iphrotheni edingekayo ukuze ubuso bayo, izitho zayo, kanye nenhliziyo yayo kukhule kahle lapho ikhula esibelethweni.
Kunezindlela ezimbili eziyinhloko lesi simo esingase senzeke ngazo:
1. Ufuzo: Ingane ezelwe ngumama noma ubaba one-Cha syndrome inethuba elingu-50% lokuthola lesi simo. Lokhu kusho ukuthi ingane ingazuza nefa lesi sici kuleyo gene.
2. De novo: Ngezinye izikhathi, noma kungekho muntu emndenini onalesi simo, ukuguquka okusha kwezakhi zofuzo ze-TFAP2B kungenzeka ngengozi lapho umntwana ekhulelwa esibelethweni. Ngisho nalapho, ingane ingaba ne-Cha syndrome.
Yiziphi izimpawu eziyinhloko zalokhu?
I-Cha syndrome ithinta kakhulu izingxenye ezintathu zomzimba: ubuso, izandla, nenhliziyo. Ake sibheke lokhu ngokwehlukana.
| Ingxenye yomzimba ethintekile | Izimpawu ezibonakalayo |
|---|---|
| Izici Zobuso |
|
| Izici Zesandla | Uphawu oluvame kakhulu olubonakala kubantu abaningi umunwe ophakathi omfushane kakhulu noma ongekho. Nakuba kuye kwabikwa ezinye izinguquko zemilenze, azivamile kakhulu. |
| Isimo Senhliziyo | Izinsana eziningi zinesifo senhliziyo esibizwa ngokuthi i-Patent Ductus Arteriosus (PDA) . Kalula nje, uma umntwana esesibelethweni, kunokuxhumana okuncane phakathi kwemithambo yegazi emibili eyinhloko ethwala igazi lisuka enhliziyweni. Lokhu kuzozivalela ngokwako zingakapheli izinsuku ezimbalwa zokuzalwa. Kodwa kulokhu, imbobo ihlala ivulekile. Siyibiza ngokuthi i-PDA. |
Uma ingelashwa, ezinye izingane ezine-PDA zingaba nezinkinga ezifana nokuphefumula ngokushesha, ubunzima bokudla, kanye nokukhuluphala okuncane. Ezimweni ezimbi kakhulu, lokhu kungaqhubekela phambili ekuhlulekeni kwenhliziyo.
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Uma udokotela wakho esola lokhu lapho ehlola ingane yakho, angakudlulisela kuchwepheshe wezakhi zofuzo noma umeluleki wezakhi zofuzo.
Lapho, ukuhlolwa kofuzo kungaqinisekisa ngokuqinisekile ukuthi kukhona yini iphutha ku-'TFAP2B' gene elibangela lesi simo. Ngenxa yalokhu, kuvame ukuthathwa isampula yegazi, isikhumba noma izicubu zezinwele.
Ngemva kokuxilonga lesi sifo, udokotela angase ancome ukuhlolwa okuningana ukuze aqinisekise impilo yengane:
- Ukuhlolwa kwamazinyo: Hlola noma yiziphi izinkinga ngokuthuthukiswa kwamazinyo ngemva kweminyaka emi-3.
- Ukuhlolwa kwamehlo: Hlola izinkinga ze-strabismus noma zokubona.
- Ukuhlolwa kokuzwa: Hlola ukuthi awuzwanga kahle yini.
- Ukuhlolwa kwenhliziyo: Hlola i-PDA noma ezinye izimo zenhliziyo.
- Ukuhlolwa komzimba: Hlola ezinye izinkinga ngezitho zomzimba.
- Ukuhlolwa kwezinkinga zokulala kanye nesimo sekhanda kanye nosayizi .
Uma ingane yakho inalesi simo, kubaluleke kakhulu ukukhuluma nodokotela wakho ngokuthi lezi zivivinyo kufanele zenziwe kangaki.
Yiziphi izindlela zokwelapha ezitholakalayo?
Okokuqala, laba bantwana abadingi ukwelashwa okukhethekile ngenxa yokushintsha kobuso noma iminwe yabo. Kodwa-ke, lapho ingane ikhula kancane, kunethuba lokuthi izogconwa futhi ihlukunyezwe abanye abantwana esikoleni noma emphakathini. Ngakho-ke, njengabazali, kubaluleke kakhulu kithi ukunaka lokhu futhi sisize ekwakheni amandla engqondo yengane.
Kodwa-ke, i-PDA enhliziyweni idinga ukwelashwa. Kunezindlela eziningana eziyinhloko odokotela abazisebenzisayo ukwenza kanjalo.
| Indlela yokwelapha | Incazelo elula |
|---|---|
| Imithi | Ama-NSAID asetshenziselwa ukuvala izimbobo ze-PDA ezinganeni ezizalwa ngaphambi kwesikhathi. Kodwa-ke, le ndlela ayisebenzi ezinganeni ezizalwa isikhathi esigcwele, ezinganeni ezindala, noma kubantu abadala. |
| Ukuhlinzwa | Udokotela wenza imbobo encane phakathi kwezimbambo ukuze afinyelele enhliziyweni bese evala imbobo evulekile ngezithungo noma ama-clip. |
| Inqubo ye-Catheter | Lena inqubo elula kunokuhlinzwa. I-catheter (ipayipi elincane neliguquguqukayo) idluliselwa ngemithambo yegazi engaphakathi kwesisu iye enhliziyweni, bese kufakwa ipulaki noma ikhoyili encane kuyo ukuze kuvalwe imbobo. |
| Ukulinda Okuqaphile | Ngezinye izikhathi, uma imbobo ye-PDA incane kakhulu futhi ingabangeli ezinye izinkinga zempilo, udokotela angase anqume ukwenza lutho ngaphandle kokuqapha isimo ngokwenza izivivinyo. |
Umlayezo Wokuya Nawe Ekhaya
- I-Cha syndrome iyisifo esingavamile kakhulu esibangelwa izakhi zofuzo. Ungesabi ukuzwa ngayo.
- Lokhu kuhilela kakhulu izinguquko ekubukekeni kobuso, izandla (ikakhulukazi umunwe omncane), kanye nenhliziyo (isimo se-PDA).
- Uma udokotela wakho enokungabaza, ukuhlolwa kofuzo kungakuthola ngokunembile lokhu.
- Nakuba izinguquko ebusweni nasezandleni zingase zingadingi ukwelashwa, isimo se-PDA enhliziyweni sivame ukuba nesidingo.
- Kubaluleke kakhulu ukuba nokuhlolwa kwezokwelapha okudingekayo kwengane yakho ngesikhathi futhi ulandele imiyalelo kadokotela.
- Njengabazali, kungumthwalo wethu ukunikeza izingane zethu impilo enhle yengqondo kanye nempilo yomzimba.
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