Yintoni i-sclera eblue, oonobangela abanokubakho kunye nento ekufuneka yenziwe

Umxholo

• Izizathu ezinokubangela
• 1. Ukunqongophala kwe-anemia
• 2. I-Osteogenesis imperfecta
• 3. Isifo seMarfan
• 4. Isifo se-Ehlers-Danlos
• 5. Ukusetyenziswa kwamayeza

I-Blue sclera yimeko eyenzeka xa indawo emhlophe yamehlo iba luhlaza, into enokubonwa kwezinye iintsana ukuya kwiinyanga ezi-6 ubudala, kwaye inokubonwa nakubantu abadala ngaphezulu kweminyaka engama-80, umzekelo.

Nangona kunjalo, le meko inokunxulunyaniswa nokubonakala kwezinye izifo ezinje nge-iron anemia, i-osteogenesis imperfecta, ezinye ii-syndromes kunye nokusetyenziswa kwamayeza athile.

Ukuchongwa kwezifo ezikhokelela ekubonakaleni kwe-sclera eluhlaza okwesibhakabhaka kufuneka kwenziwe ngugqirha oqhelekileyo, ugqirha wabantwana okanye ugqirha wamathambo kwaye kwenziwa kwimbali yezonyango kunye nosapho lomntu, uvavanyo lwegazi kunye nemifanekiso. Unyango olubonakalisiweyo luxhomekeke kuhlobo kunye nokuba qatha kwesi sifo, esinokubandakanya utshintsho kwindlela otya ngayo, ukusetyenziswa kwamayeza okanye unyango lwasemzimbeni.

Izizathu ezinokubangela

I-Blue sclera inokuvela ngenxa yokuncitshiswa kwesinyithi egazini okanye iziphene kwimveliso ye-collagen, ekhokelela ekuveleni kwezifo ezinje:

1. Ukunqongophala kwe-anemia

Ukunqongophala kwe-iron anemia kuchazwa ngamaxabiso e-hemoglobin egazini, ibonwa kuvavanyo njenge-Hb, ngaphantsi kwesiqhelo njengaphantsi kwe-12 g / dL kwabasetyhini okanye kwi-13.5 g / dL emadodeni. Iimpawu zolu hlobo lwe-anemia zibandakanya ubuthathaka, intloko ebuhlungu, utshintsho ekuhambeni, ukudinwa okugqithisileyo kwaye kungakhokelela nakwimbonakalo ye-blue sclera.

Xa kuvela iimpawu, kuyacetyiswa ukuba ufune uncedo kugqirha oqhelekileyo okanye ugqirha wegazi, oya kuthi acele iimvavanyo ezinje ngokubala okupheleleyo kwegazi kunye nomthamo weferritin, ukujonga ukuba ngaba umntu une-anemia kunye nenqanaba lesi sifo. Funda ngakumbi malunga nendlela yokuchonga i-anemia yentswelo.

Kwenziwe ntoni: Emva kokuba ugqirha esenzile isifo, unyango luya kuboniswa, oluhlala luqukethe ukusebenzisa isulphate eyonyisayo kunye nokwandisa ukutya ukutya okune-iron okunokuba yinyama ebomvu, isibindi, inyama yenkukhu, intlanzi kunye nemifuno eluhlaza emnyama, phakathi kwabanye. Ukutya okunotye ivithamin C, okufana neorenji, iacerola kunye nemon, kusenokucetyiswa, nanjengoko ziphucule ukufunxwa kwentsimbi

2. I-Osteogenesis imperfecta

I-Osteogenesis imperfecta sisifo esibangela ukuqaqamba kwethambo ngenxa yokuphazamiseka kwemfuza okunxulunyaniswa nohlobo lwe-collagen 1. Iimpawu zesi sifo ziqala ukubonakala ebuntwaneni, olunye lweempawu eziphambili bubukho be-blue sclera. Funda ngakumbi ngeminye imiqondiso ye-osteogenesis imperfecta.

Olunye ukonakala kwamathambo kugebhezi nakumqolo, kunye nokukhululeka kwemithambo yethambo kuyabonakala kule meko, eyona ndlela ifanelekileyo ugqirha wabantwana okanye ugqirha wamathambo ayenzayo ukufumanisa i-osteogenesis engagqibelelanga kukuhlalutya le miqondiso. Ugqirha unokuyalela i-X-ray ye-panoramic ukuqonda ubungakanani besifo kwaye abonise unyango olufanelekileyo.

Kwenziwe ntoni: Xa ujonga ubukho be-sclera eluhlaza okwesibhakabhaka kunye nokukhubazeka kwethambo eyona ilungileyo kukujonga ugqirha wabantwana okanye ugqirha wamathambo ukuqinisekisa i-osteogenesis engagqibelelanga kunye nonyango olufanelekileyo oluya kuboniswa, olunokuba kukusetyenziswa kwe-bisphosphonates emthanjeni, angamayeza yomeleza amathambo. Ngokubanzi, kufuneka ukusebenzisa izixhobo zonyango ukuzinzisa umqolo kunye nokwenza iiseshoni zonyango.

3. Isifo seMarfan

Isifo seMarfan sisifo esifa ngokufa esibangelwa sisifo esilawulayo, esenza ukuba intliziyo, amehlo, izihlunu namathambo zingasebenzi kakuhle. Esi sifo sibangela ukubonakaliswa kwe-ocular, njenge-sclera eluhlaza okwesibhakabhaka kwaye kubangele i-arachnodactyly, apho iminwe ide kakhulu, iguquka kwisifuba sesifuba kwaye ishiya umqolo ujikeleze kwelinye icala.

Kwiintsapho ezinamatyala esi sifo kucetyiswa ukuba kwenziwe iingcebiso ngemfuzo, apho kuya kuhlolisiswa khona imfuza kunye neqela leengcali eliza kunika isikhokelo malunga nonyango. Fumana ulwazi oluthe vetshe malunga nokuba yintoni na le ngcebiso malunga nemfuza nokuba yenziwa njani.

Kwenziwe ntoni: ukuxilongwa kwesi sifo kunokwenziwa ngexesha lokukhulelwa, nangona kunjalo, ukuba kukho urhano emva kokuzalwa, ugqirha wabantwana unokucebisa uvavanyo lwe-genetic kunye novavanyo lwegazi okanye lwe-imaging ukujonga ukuba ngawaphi amalungu omzimba isifo esifikile kuwo. Kuba isifo sikaMarfan asinyangi, unyango lusekwe kulawulo lotshintsho kumalungu.

4. Isifo se-Ehlers-Danlos

Isifo se-Ehlers-Danlos siseti yezifo esizuze njengelifa ezibonakaliswa sisiphene kwimveliso ye-collagen, ekhokelela ekubeni luthambe kolusu kunye namalungu, kunye neengxaki ngenkxaso yeendonga zemithambo yegazi kunye nemithambo yegazi. Funda ngakumbi malunga ne-Ehlers-Danlos syndrome.

Iimpawu ziyahluka ukusuka komnye umntu ukuya komnye, kodwa utshintsho olwahlukileyo lunokwenzeka njengokuphazamiseka emzimbeni, ukugruzuka kwezihlunu kunye nabantu abanesi sifo banokuba nolusu olucekeceke kunesiqhelo empumlweni nasemilebeni, nto leyo ebangela ukuba ukwenzakala kwenzeke rhoqo. Ukuchongwa kwesifo kufuneka kwenziwe ngugqirha wabantwana okanye ugqirha jikelele ngembali yomntu yeklinikhi kunye nosapho.

Kwenziwe ntoni: emva kokuqinisekiswa kwesifo, landela oogqirha bezinto ezahlukeneyo, ezinje ngengcali yentliziyo, ugqirha wamehlo, ugqirha wesikhumba, ugqirha wamathambo, unokucetyiswa, ukuze kuthathwe amanyathelo okunciphisa iziphumo zesifo kumalungu ahlukeneyo, njengesifo ayinanyango kwaye ithande ukuba mandundu ngokuhamba kwexesha.

5. Ukusetyenziswa kwamayeza

Ukusetyenziswa kwezinye iintlobo zonyango kunokubangela ukubonakala kwe-blue sclera, njenge-minocycline kwiidosi eziphezulu nakubantu abayisebenzisileyo ngaphezulu kweminyaka emi-2. Amanye amachiza okunyanga ezinye iintlobo zomhlaza, ezinje nge-mitoxantrone, zinokubangela ukuba i-sclera ijike ibe luhlaza okwesibhakabhaka, ukongeza ekubangeleni iinzipho, zibashiye ngombala ongwevu.

Kwenziwe ntoni: ezi meko zinqabile kakhulu, nangona kunjalo, ukuba umntu uthatha naliphi na kula mayeza kwaye uqaphele ukuba indawo emhlophe yamehlo iluhlaza ngombala, kubalulekile ukwazisa ugqirha onike amayeza, ukuze ukumiswa, utshintsho lwethamo okanye utshintshe elinye iyeza.