Wake wazizwa sengathi intamo yengane yakho imfushane kancane, noma ukuthi kunzima ukuyiphendula? Noma ingabe othile ukutshelile ukuthi izinwele ezingemuva kwentamo yakho ziphansi kakhulu? Lezi yizinto ngezinye izikhathi esingazinaki kakhulu, kodwa zingaba izimpawu zesimo sezokwelapha esingavamile esibizwa ngokuthi i-Klippel-Feil Syndrome (KFS). Ungakhathazeki, sizoxoxa ngakho konke ngendlela elula necacile.
Kalula nje, yini i-Klippel-Feil Syndrome (KFS)?
Lesi yisimo esingavamile esithinta amathambo omgogodla wethu. Kalula nje, yisimo lapho amathambo amabili noma ngaphezulu entanyeni yethu ehlangana khona lapho kuzalwa, kwakha ithambo elilodwa. Lokhu kubizwa ngokuthi i-Klippel-Feil Syndrome.
Cabanga ngakho, umgogodla wethu awulona ithambo elilodwa elide. Ufana nochungechunge lwamathambo amancane angu-33 axhunywe ndawonye. Sibiza lawa ma-vertebrae amalunga ngokuthi ama-vertebrae. Lawa ama-vertebrae okuqala angu-7 entanyeni avame ukuthintwa yi-KFS. Uma la ma-joints enamathelana, ukunyakaza kwentamo kuyancishiswa.
Lesi simo siyinto ekhona lapho umuntu ezalwa. Kodwa-ke, kwabanye abantu, sincane kakhulu kangangokuthi sitholakala kamuva empilweni lapho into efana ne-X-ray ithathwa ngesinye isizathu.
Kunezimpawu ezintathu eziyinhloko ezibonakala kubantu abanalesi simo:
- Intamo emfushane: Lokhu ngezinye izikhathi kungabangela ukungalingani okuncane ebusweni.
- Umugqa wezinwele ngemuva kwentamo uphansi kakhulu.
- Ikhono elincane lokunyakaza intamo kanye nomgogodla.
Yiziphi ezinye izimpawu ezingabonakala kulesi simo?
Imiphumela ye-KFS iyahlukahluka kakhulu kumuntu nomuntu. Njengoba inani lamathambo ahlanganisiwe landa, izimpawu zingase zande. Ngaphezu kobunzima bokujika intamo, ezinye izinto eziningi zingabonakala.
Into ebalulekile ukuthi akuzona zonke lezi zimpawu ezenzeka kuwo wonke umuntu, ngakho-ke uma unenkinga, kungcono ukukhuluma nodokotela wakho.
Ithebula elingezansi libala ezinye zezimpawu ezingase zihlotshaniswe nalesi simo.
| Isigaba sezimpawu | Izibonelo |
|---|---|
| Ubuhlungu obuvamile | Ikhanda elibuhlungu isikhathi eside, ubuhlungu bemisipha entanyeni nasemhlane. |
| Ezinye izinguquko ekhanda, ebusweni nasemzimbeni | Ukukhubazeka kokubona, ulwanga oluqhekekile, amahlombe angakhuli kahle, iminwe enezintambo. |
| Izinkinga ezihlobene nezitho zangaphakathi zomzimba | Ukukhubazeka kwezinso noma uhlelo lokuzala, isifo senhliziyo, ubuthakathaka bamaphaphu, kanye nobunzima bokuphefumula. |
| Izinkinga ezihlobene nohlelo lwezinzwa | Ubuthakathaka emilenzeni, ukungakwazi ukulawula umchamo, i-dimple encane noma umugqa wezinwele esikhumbeni endaweni ethintekile yomgogodla, kanye nokusonteka kwentamo ohlangothini olulodwa (i-Torticollis). |
| Ezinye izici ezingavamile | Ukunyakaza okwenziwa ngesandla esisodwa kwenzeka ngokuzenzakalelayo ngesinye isandla. (Synkinesia) |
Odokotela bakuthola kanjani lokhu?
Ngokuvamile, lezi zimpawu zingatholakala ngesikhathi sokuhlolwa komntwana ngaphambi kokubeletha. Ngemva kwalokho, udokotela uzoncoma ukuhlolwa okumbalwa ukuze anqume ubukhulu besimo nokuthi ngabe ezinye izitho zomzimba, njengamehlo, izindlebe, izinso, nenhliziyo, zithintekile yini.
Ezinye zezivivinyo ezisetshenziswe kulokhu yilezi:
- I-X-Ray: Lokhu kungathatha isithombe esicacile samathambo omgogodla, intamo, namahlombe.
- Ukuskena kwe-MRI: Lokhu kusiza ukubona ngokujulile ukuthi amathambo omgogodla ashintshe kangakanani, ukuthi ngabe kukhona yini izikhala phakathi kwawo, nokuthi intambo yomgogodla ibe namuphi umphumela.
- I-CT scan: Lokhu kuhlanganisa ubuchwepheshe be-X-ray kanye nobuchwepheshe bekhompyutha ukuthola izithombe zomzimba ezihlukaniswe ngezigaba.
- Ukuhlolwa kwezakhi zofuzo: Ngezinye izikhathi lokhu kuhlolwa kwenziwa ukuze kutholakale izimpawu zezakhi zofuzo ezibangela lesi simo.
- Ukuthwebula izithombe ze-EOS: Lokhu kungathatha izithombe zomzimba ezinezinhlangothi ezintathu (3-D).
Njengoba lesi simo sivame ukutholakala ezinganeni, ngezinye izikhathi kungenzeka ukuthola inkomba ngaso ngisho nangokuskena kwe-ultrasound okwenziwa ngesikhathi sokukhulelwa kukamama.
Kungani lokhu kwenzeka?
Kunzima ukusho ngqo ukuthi kungani lokhu kwenzeka. Ekuqaleni kokukhula komntwana, izicubu zombungu ezakha umgogodla kumele zihlukane kahle. Ngesizathu esithile, lokhu kuhlukana akwenzeki kahle, okubangela ukuba amathambo omgogodla anamathele ndawonye, okuholela ku-KFS.
Kwabaningi, kuyinto eyenzeka ngokungahleliwe, ngaphandle kwesizathu esibonakalayo. Kodwa-ke, kwezinye izimo, kungaba yisimo sofuzo esisebenza emindenini. Odokotela bakholelwa ukuthi i-KFS iyisimo esibangelwa yizinto eziningi . Lokhu kusho ukuthi ingabangelwa ukuhlanganiswa kwezimbangela zofuzo nezinye izici zemvelo.
Iphathwa kanjani?
Okwamanje akukho ukwelashwa kwe-Klippel-Feil Syndrome. Kodwa-ke, kunezindlela eziningi zokwelapha ezingasiza ukulawula izimpawu, ukunciphisa izinkinga, futhi zikusize uphile impilo evamile. Uhlobo lokwelashwa olutholayo luzoncika ohlotsheni lwezimpawu zakho kanye nobubanzi bokuhlangana komgogodla.
Ukwelashwa kuvame ukuhlelwa yithimba lochwepheshe emikhakheni eyahlukene. Lokhu kungafaka phakathi ochwepheshe bezingane, ukuhlinzwa, amathambo, i-neurology, kanye ne-cardiology.
- Ezimweni ezithambile: Uma isimo sakho singesibi kakhulu, udokotela wakho angase ancome ukugqoka ikhola noma i-brace yomlomo wesibeletho, kanye nemithi yobuhlungu kanye nama-NSAID.
- Ezimweni ezinzima: Uma kukhona isimo esibi kakhulu, njengokucindezelwa kwemizwa ngenxa ye-spinal stenosis, kungase kudingeke ukuhlinzwa ukuze kulungiswe. Futhi, uma kunezinye izinkinga ngenhliziyo, izinso, noma amehlo/izindlebe, lezo zizodinga ukwelashwa nazo.
Ngisho noma ukhula, kubalulekile ukuqhubeka nokuxhumana nodokotela wakho futhi ube nokuvakasha okulandela njalo. Ngokuhlala uqapha izimpawu ezintsha, ungakwazi ukubona nokuphatha izinkinga ezingaba khona kusenesikhathi.
Ukuphila ne-KFS kanye nezingozi
Umgogodla, ikakhulukazi intamo, womuntu onalesi simo uzwela kakhulu ekulimaleni. Ngakho-ke uma unalesi simo, kubaluleke kakhulu ukugwema imidlalo (isib. i-rugby, imidlalo yokuxhumana) noma eminye imisebenzi engabangela ukulimala kwentamo. Uma kwenzeka okuthile, njengengozi yemoto noma ukuwa, kungenza izinkinga ezikhona zibe zimbi kakhulu.
Ezinye izimo zezokwelapha zingase zenzeke uma kuhambisana ne-KFS.
- I-Scoliosis:I-stenosis yomgogodla ingenzeka ngenxa yokukhula okungavamile kwamathambo omgogodla.
- I-Spinal Stenosis: Ngokuhamba kwesikhathi, umsele womgogodla uyancipha, okwenza intambo yomgogodla icindezelwe. Lokhu kungabangela ukulimala kwemizwa.
- I-Osteoarthritis: Ngokuhamba kwesikhathi, ukuguguleka kwamalunga kungenzeka emalungeni lapho amathambo ehlangana khona.
Naphezu kwakho konke lokhu, uma i-KFS itholakala kusenesikhathi futhi iphathwa kahle, abantu abaningi bangaphila impilo ephumelelayo nejabulisayo. Into ebaluleke kakhulu ukulandela iseluleko sezokwelapha nokunakekela umzimba wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Klippel-Feil Syndrome (KFS) yisimo lapho amathambo amabili noma ngaphezulu entanyeni yomlomo wesibeletho ehlanganiswa khona lapho kuzalwa.
- Izimpawu eziyinhloko intamo emfushane, ubunzima bokujika intamo, kanye nezinwele ezikhula ziye ezansi ngemuva kwentamo.
- Nakuba kungekho ikhambi eliphelele lalesi simo, ungakwazi ukulawula izimpawu futhi unciphise izinkinga ezingaba khona futhi uphile impilo enempilo.
- Uma wena noma ingane yakho ninalezi zimpawu, ningesabi futhi nibone udokotela wakho ngokushesha ukuze nithole iseluleko.
- Kubalulekile ukugwema imisebenzi nemidlalo engabangela ukulimala kwentamo. Ukuhlolwa njalo kwezokwelapha kubalulekile ukuze kuqashwe isimo.
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