Umdlavuza wezingane ngumkhuba ovamile phakathi kwabazali, ikakhulu uma izingane zabo zigula izinsuku ezingaphezu kuka-5-7 ngaphandle kwencazelo enhle.
Indodana yami inezinwele. Kungenzeka yini ukuba abe nesifo sobuchopho? Indodakazi yami ine-gland evuvukile. Kungenzeka yini ukuthi une-leukemia noma i-lymphoma? Ingabe ingane yami inomdlavuza?
Ngeshwa, ngokuvamile abavumi ukukhuluma ngokukhathazeka ngodokotela wezingane zabo, ngokuvamile abazokwazi ukuwaqinisekisa ngokushesha ukuthi kungenzeka ukuthi ingane yabo ayinayo uhlobo lomdlavuza.
Ngisho noma kunezinhlobo eziningi ezihlukene zomdlavuza wezingane, ingozi yokuba ingane eyodwa ibe nomdlavuza iphansi futhi umdlavuza ubhekwa njengengavamile ezinganeni. Konke, kunezinkinga ezingaba ngu-150 zomdlavuza wezingane kuzo zonke izingane eziyizigidi ezingu-1 e-United States. Noma kunjalo, umdlavuza ungenye yezimbangela zokufa ezinganeni, ngakho-ke kubalulekile ukuqaphela izimpawu nezimpawu zomdlavuza ezinganeni.
Izinhlobo ezijwayelekile ze-Cancer Cancer
Phakathi kwezinhlobo zomdlavuza izingane ezingase zifinyelele kuzo zihlanganisa:
- I-leukemia - uhlobo oluvame kakhulu lomdlavuza wengane
- I-Brain tumors - uhlobo lwesibili oluvame kakhulu lomdlavuza ezinganeni
- I-Lymphoma - njengeHodgkins kanye ne-non-Hodgkins lymphoma
- I-neuroblastoma - isisu esiqinile kakhulu esingaphandle kobuchopho ezinganeni
- Izidumbu ze-Bone - kuhlanganise ne-swing ne-osteosarcoma
- I-retinoblastoma - i-tumor yamehlo evame ukutholakala ngokuhlola i-reflex ebomvu esweni lomntwana
- I-Wilm's Tumor - isifo sezinso esithinta kakhulu izingane ezincane phakathi kweminyaka engama-2 no-4
Izimpawu zalezi zomshukela ngezinye izikhathi zilula ukubona, njenge-mass enkulu esiswini kumntwana no-Wilm's Tumor.
Ezinye izibonakaliso zomdlavuza ezinganeni zingase zibandakanye ukushisa, ukugula okuvamile, ubuhlungu besifuba, ukukhukhumeza ebusuku, ukuhlanza nokukhanda ikhanda, konke izingane ngokuvamile ziba nazo uma zinezifo ezithinta kakhulu noma ezingathí sina kakhulu noma ezinye izinkinga ezivamile zobuntwana.
Uyazi kanjani ukuthi ingane yakho inenye yalezi zomshukela?
Ngokuvamile, kufanele ucabange ngesilinganiso sezimpawu (ukuthi zibi kangakanani), zihlala isikhathi esingakanani, futhi ziqhubeka zimbi kakhulu ngokuhamba kwesikhathi. Isibonelo, kanti akufanele ucabange ukuthi ingane yakho inomdlavuza njalo lapho inomkhuhlane, uma umkhuhlane uhlala isikhathi esingaphezu kwezinsuku ezingu-14 kanti wena nodokotela bakho abazi ukuthi kungani inani eliphelele legazi (i-CBC ehlukile ) ukuhlola umdlavuza kanye nezinye izivivinyo kungaba umqondo omuhle.
Ezinye izibonelo zezimpawu ezingase zibonise umdlavuza wezingane zihlanganisa:
- Ukuncintisana okuphikelela isikhathi esingaphezu kwezinsuku ezingu-7 futhi kubi nakakhulu lapho ingane yakho ivuka ekuseni, ivusa ingane yakho ebusuku, noma ihlotshaniswa nekhanda. Kubantwana abanekhanda elivamile, ifulegi elibomvu elingase libe yinto engathí sina kunokuba i- migraine elula kungaba ukuthi uma ikhanda liqhubeka landa kakhulu ngokuhamba kwesikhathi, liba nzima nakakhulu noma ngaphezulu. Izicubu ze-Brain nazo zingabangela ezinye izimpawu zezinzwa, ezifana nokuhamba ngezinkinga, ukukhishwa noma ukushintsha okungazelelwe ebuntwini babo.
- Ubuhlungu be-Bone noma ubuhlungu be-muscle engalandeli ukulimala okuwaziwayo futhi akuthuthuki emavikini ambalwa. Lezi zinhlobo zobuhlungu zihlukile kunezinhlungu ezijwayelekile ezikhulayo ezingabantwana abazitholayo ebusuku, ngokuvamile okungabangeli ubuhlungu endaweni ethile, kusizwa ngokusikhipha, akuyikukhawulelisa imisebenzi yengane yakho, futhi ihlala ingapheli ( kuvela futhi kuvaliwe izinyanga noma iminyaka). Futhi, khumbula ukuthi ubuhlungu obungapheli obuya emuva abuyinto evamile ezinganeni ezincane futhi kungaba uphawu lwesisu somgogodla.
- Ukukhwehlela okuqhubekayo noma inkinga yokuphefumula engaphenduli emitholampilo evamile yezifo noma i-asthma.
- Ubuningi obukhulu, kungakhathaliseki ukuthi isisu, intamo, izingalo noma imilenze.
Ezinye izimpawu ezivamile ezingase zikuqaphele ukuthi ingane yakho ingase ibe nomdlavuza zibandakanya ukwenza umsebenzi owehla kakhulu, ukulahlekelwa ukudla, ukuphuma kwegazi okulula, ukulimaza noma ukuphuza okubomvu (petechiae), izinguquko ezibukwayo ngokushesha, isibindi esikhulu noma i-spleen, noma ukulahlekelwa isisindo. Ukulahlekelwa isisindo ifulegi elikhulu elibomvu okuthi kukhona okungathí sina okungenzeka ukuthi kwenzeke, njengoba izingane zingavamile ukulahlekelwa isisindo isikhathi eside. Izingane zingase zilahlekelwe isisindo noma ezimbili ezinezifo ezinzima, ezifana nesifo sofuba noma ngesifo sesisu, kodwa kufanele sithole ngokushesha.
Kuthiwani ngezigulane ezivuvukala (lymphadenopathy)? Lokhu kungenye yezinto ezitholakalayo ezikhathazeka abazali, i-lymph node noma igland engasayi. Kodwa-ke, ezinganeni ezincane, ukuba nezigulane ezivuvukala, ikakhulukazi entanyeni yabo, zivame kakhulu ukuba zibe zivamile.
I-gland evuvukalayo engapheli ngemva kwamasonto ambalwa ingaba uphawu lomdlavuza, kodwa ngokuvamile ubungalindela ezinye izimpawu, njengemfiva eqhubekayo noma ukulahlekelwa isisindo noma izigulane ezivuvukalayo ezingaphezu kweyodwa ingxenye yomzimba wazo (ezifana intamo yabo nokuphunga). Ngisho nangaphandle kwezinye izimpawu, ingulube evimbayo ingase ibe ukukhathazeka kwabasakhulile abadala, noma kunjalo, abasengozini ye-lymphoma .
Noma kunjalo, ukuvakashela kudokotela wezingane zakho uma ingane yakho inesifo sokuvuvukala esingahambi kuyoba umqondo omuhle. Udokotela wakho angaphenya ngezinye izimbangela, kufaka phakathi izifo ezifana ne-Cat Scratch Disease, futhi angenza ukuhlolelwa kwe-TB, inani eliphelele legazi nesifuba i-Xray ukulawula izimbangela ezinkulu kakhulu.
Ukukhuluma Nezingane Zakho Mayelana Nengculazi
Okubaluleke kakhulu, kungakhathaliseki ukuthi yiziphi izimpawu ingane yakho enayo, tshela udokotela wezingane uma ukhathazekile ukuthi ingane yakho ingaba nomdlavuza. Kungenzeka ukuthi unesizathu sokukhathazeka, noma udokotela wakho angase akwazi ukukuqinisekisa ukuthi ingane yakho ayengozini, kungaba nomlando omuhle nokuhlolwa ngokomzimba, noma ukuhlola okumbalwa kokuhlola.
> Imithombo:
Intsha G. Ukuqashelwa kwezingane ezivame ukulimaza izingane. Am Fam Physician - 1-Apr-2000; 61 (7): 2144-54.