Njengomthetho, kunokwenzeka ukuxilonga i-cystic fibrosis esemncinci, kuba ibonakaliswe ngumqondiso ophawulekayo. Kodwa ngohlobo oluthile okanye oluphuculweyo luhlobo oluthile, lesi sifo sibonakaliswa kakuhle. Ngoko ke kubalulekile ukwazi, ukuze kuhlukaniswe kwezinye izifo ezifanayo ngqo kwi-fibrosis ye-cystic - iimpawu kunye neempawu zayo zangaphandle.
Izifo ze-cystic fibrosis - yintoni na?
Isifo esikulo mbuzo, kunoko, sisifo. Kuvela ekutshintshisweni kwemfuza ekhoyo kwingalo ende ye-chromosome yesixhenxe. Ubunokwenzeka bokugula kuphela ukuba ngabazali bobabini bayithwala imfuyo eyonakalisiweyo, kwaye i-25%. Nangona le miqathango, isifo se-cystic fibrosis sichaphazela inani elaneleyo labantu, kuba i-chromosome eneentshukumo zikhoyo kubo bonke abahlali abangama-20 emhlabeni.
I-Cystic Fibrosis kuBantu abadala - Izibonakaliso
Njengoko sele kuphawuliwe, isifo sibonakaliswe ebuntwaneni, ngokuqhelekileyo ukuya kwiminyaka emi-2, kwaye kuphela i-10% yezigulane ezinezibonakaliso zokuqala zibonakala zikhulile kwaye zikhulile.
Impawu eziphambili ze-cystic fibrosis zi:
- ukulahla ekuphuhliseni komzimba, ngelixa ubuchule bengqondo buqhelekileyo okanye buphakamileyo kunoko;
- ukuqina kweminwe ngapha ubude;
- ii-polyps , iprotuberance kwimpumlo;
- izifo ezingapheliyo zenkqubo yokuphefumula ngokuphindaphindiweyo;
- ukungakwazi ukuphefumula;
- rhoqo i-bronchitis, i-sinusitis, i-sinusitis;
- pancreatitis;
- umkhuhlane oqinileyo, ngokuqhelekileyo ebusuku, ngokukhutshwa kwe-sputum ye-viscous or purulent;
- ukuphazamiseka kwesisu kunye namathumbu;
- cholecystitis engapheliyo;
- ukuphefumula okufutshane , ukuhlaselwa kwesifuba;
- izifo ze-genitourinary system, ukungabi namandla.
Izimpawu ezibhalwe kwi-cystic fibrosis zihambelana nokuba i-gene elimelekile ayivumeli ukuba umzimba uvelise iprotheni ejongene nekhosi eqhelekileyo yamanzi-electrolyte metabolism kwiiseli zamalungu angaphakathi. Oku kukhokelela ekunyuseni koxinano kunye ne-viscosity ye-fluid eveliswe ziintlanca ze-secretion yangaphakathi. I-Mucus igxuma, iibhaktheriya zanda kulo, kwaye utshintsho olungaphendukiyo luvela kwizitho, ngokukodwa kwimiphunga.
Ifomu le-intestinal ye-cystic fibrosis ibonakaliswa ngokuqhaqha, ukugubha, ukugcoba nokuhlanza. Lezi zimpawu zithinteka unyango ngokuthatha amachiza kunye ne-enzymes, kodwa ukubonakaliswa kwempompo yesifo kuyaqhubeka ukwandisa.
I-Cystic Fibrosis - I-Diagnosis
Okokuqala, ubukho beempawu eziphawulekayo zesifo zihlolwe - i-viscosity yemfihlelo yamalungu angenanto yangaphakathi, ukunyuka kwezifo ezingapheliyo zenkqubo yokuphefumula. Emva koko, kuyimfuneko ukuseka ubukho bemfuyo eguqulwayo kubazali kunye nokujonga iimeko zokuxhatshazwa kwintsapho.
Uhlalutyo oluchanekileyo lwe-cystic fibrosis yi-DNA. Olu vavanyo lulona lukhuni kakhulu, kwaye luyakwenziwa nangona ngexesha lokukhulelwa ngokuhlola i-amniotic fluid. Inani leempembelelo ezingamanga lidlulile kwi-3% kwaye likuvumela ukuba uhlolisise ngokukhawuleza ngaphandle kwemilinganiselo eyongezelelweyo.
Ukuchonga inani lamathambo e-fatty kunye ne-chymotrypsin kwisigulane sesigulane kuyindlela enye yokufumanisa esi sifo. Izikhombisi eziqhelekileyo ze-chymotrypsin ziphuhliswa ngabanye kwibhubhoratri nganye. Isixa sama-acids esenza ukuba ukusola kwe-cystic fibrosis ingaphezu kwe-20-25 mmol ngosuku.
Uvavanyo lwe-swestic fibrosis kunye ne-pilocarpine luhlolisiso lwe-chloride e-liquid efihliweyo. Uvavanyo kufuneka luvavanywe ubuncinane kathathu ukuze kusetyenziswe ukuxilongwa ngokuchanekileyo.