Okufanele Ukwazi Ngokuqashwa Kwangaphambili

-Delile

• Yini ebangela ukuphatha phambili?
• Kutholakala kanjani ukuthi umphathi wangaphambili?
• Yiziphi izinketho zokwelashwa zokuqashwa kwangaphambili?
• Ngingakuvimbela kanjani ukuqashwa kwangaphambili?

Ukubuka konke

Ukuqashwa kwangaphambili yigama lezokwelapha elisetshenziselwa ukuchaza esiphongweni esivelele, esivelayo esivame ukuhlotshaniswa nokhalo olusindayo lwebunzi.

Lesi sibonakaliso yisimpawu esikhulu sezimo eziningi, kufaka phakathi izingqinamba ezithinta ama-hormone, amathambo, noma isiqu somuntu. Udokotela ngokujwayelekile uyikhomba ebuntwaneni noma ebuntwaneni.

Ukwelashwa kungabhekana nesimo esidala ukuqashwa kwangaphambili. Kodwa-ke, abakwazi ukulungisa isiphongo esivelile ngoba ukuqashwa kwangaphambili kuguqula indlela ithambo nezicubu zobuso nogebhezi.

Ukuqashwa kwangaphambili kubangela ukuthi ingane yakho ibe nebunzi elikhulisiwe noma elivelile noma ibanga leshiya elikhulisiwe. Lesi sibonakaliso singaba mncane ezinyangeni zokuqala naseminyakeni yokuphila kwengane yakho, kodwa ingabonakala kakhulu njengoba ikhula.

Ukuqashwa kwangaphambili kungaba uphawu lokuphazamiseka kofuzo noma ukukhubazeka okuzelwe, okusho inkinga ekhona lapho kuzalwa. Imbangela yokuqashwa nayo ingadlala indima kwezinye izinkinga, njengokukhubazeka komzimba.

Yini ebangela ukuphatha phambili?

Ukuqashwa kwangaphambili kungaba ngenxa yezimo ezithile ezithinta ama-hormone okukhula engane yakho. Kungabonakala futhi kwezinye izinhlobo ze-anemia enamandla ebangela ukwanda, kepha kungasebenzi, ukukhiqizwa kwamaseli abomvu egazini ngomnkantsha.

Isizathu esisodwa esivamile esiyimbangela yi-acromegaly. Lesi yisifo esingelapheki esiholela ekukhiqizweni ngokweqile kwe-hormone yokukhula. Lezi zindawo zomzimba zinkulu kunokujwayelekile kubantu abane-acromegaly:

• izandla
• izinyawo
• imihlathi
• amathambo ogebhezi

Ezinye izimbangela zokuqashwa kwangaphambili zifaka phakathi:

• ukusetshenziswa kwemithi elwa namagciwane i-trimethadione ngesikhathi sokukhulelwa
• i-basal cell nevus syndrome
• ugcunsula azalwa naso
• i-dysidosis yesibindi
• I-Russell-Silver syndrome
• Isifo sikaRubinstein-Taybi
• I-Pfeiffer syndrome
• I-Hurler syndrome
• Isifo seCrouzon
• rickets
• ukukhula okungajwayelekile ebunzini noma kugebhezi
• izinhlobo ezithile ze-anemia, njenge-thalassemia enkulu (beta-thalassemia)

Ukungajwayelekile kwengane PEX1, PEX13, futhi PEX26 Izakhi zofuzo nazo zingadala ukuqashwa kwangaphambili.

Kutholakala kanjani ukuthi umphathi wangaphambili?

Udokotela angahlonza ukuqashwa kwangaphambili ngokuhlola ebunzini lengane yakho nasebunzini futhi alinganise ikhanda lengane yakho. Kodwa-ke, imbangela yalesi simo kungenzeka ingacaci kangako. Njengoba ukuphatha phambili kuvame ukukhombisa ukugula okungavamile, ezinye izimpawu noma ukukhubazeka kunganikeza izinkomba zesizathu saso esiyimbangela.

Udokotela wakho uzohlola ngokomzimba isiphongo sengane yakho bese ethatha umlando wazo wezokwelapha. Kufanele ukulungele ukuphendula imibuzo yokuthi uqale nini ukuqaphela ukuqashwa kwangaphambili kanye nanoma yiziphi ezinye izici ezingavamile noma izimpawu ingane yakho engaba nazo.

Udokotela wakho angalawula ukuhlolwa kwegazi ukuze abheke amazinga ama-hormone engane yakho futhi abheke ukungahleleki kofuzo. Bangabuye ba-ode ukuskena kwe-imaging ukusiza ukuthola imbangela yokuqashwa kwangaphambili. Ukufanekisa ukuskena okujwayele ukusetshenziselwa le nhloso kufaka ama-X-ray nama-MRI scan.

I-X-ray ingakudalula ukukhubazeka okhakhayini okungenzeka ukuthi kudala isiphongo noma isifunda esiphambili. Ukuskena okunemininingwane eminingi kwe-MRI kungakhombisa ukungajwayelekile emathanjeni nasezicutshini ezizungezile.

Ukukhula okungajwayelekile kungadala ukuphuma kwebunzi. Ukufanekisa ukuskena kuphela kwendlela yokunqanda le mbangela engaba khona.

Yiziphi izinketho zokwelashwa zokuqashwa kwangaphambili?

Akukho muthi wokubuyisela emuva ukuqashwa kwangaphambili. Ukuphathwa kugxile ekwelapheni isimo esingaphansi noma okungenani ekunciphiseni izimpawu. Ukuqashwa kwangaphambili akuvamisile ukuthuthuka ngobudala. Noma kunjalo, akubi kubi ezimweni eziningi.

Ukuhlinzwa kwezimonyo kungasiza ekwelapheni ukukhubazeka okuningi ebusweni. Kodwa-ke, azikho izinkombandlela zamanje ezincoma ukuhlinzekwa kwezimonyo ukwenza ngcono ukubukeka kokuqashwa kwangaphambili.

Ngingakuvimbela kanjani ukuqashwa kwangaphambili?

Azikho izindlela ezaziwayo zokuvimbela ingane yakho ukuthi ingakhuli ngokwengaphambili. Kodwa-ke, ukwelulekwa ngezakhi zofuzo kungakusiza ukuthi unqume ukuthi ngabe ingane yakho kungenzeka izalwe inesinye sezimo ezingavamile esidala lolu phawu.

Ukwelulekwa ngofuzo kungafaka ukuhlolwa kwegazi nomchamo kubo bobabili abazali. Uma ungumthwali owaziwayo wesifo sofuzo, udokotela wakho angancoma imithi ethile yokuzala noma izindlela zokwelapha. Udokotela wakho uzoxoxa ngokuthi iyiphi indlela yokwelashwa ekufanele.

Ngaso sonke isikhathi gwema imishanguzo yokuthithibalisa i-trimethadione ngesikhathi sokukhulelwa ukunciphisa ingozi yokuthi ingane yakho izalwe ngokuqashwa kwangaphambili.