He manamana lima a manamana wāwae paha ko kāu keiki liʻiliʻi? E kamaʻilio kākou e pili ana i ka Polydactyly

I ka nānā ʻana i kahi pēpē hānau hou, i kekahi manawa ua pūʻiwa iki nā mākua a makaʻu iki i ka ʻike ʻana he hoʻokahi a ʻoi aku paha nā manamana lima a i ʻole nā ​​manamana wāwae o ka pēpē ma ka lima a i ʻole ka wāwae ma mua o ka helu maʻamau. He mea maʻamau loa ke hopohopo iki a me ke kaumaha ke ʻike ʻoe i kēia. Akā , mai makaʻu, ʻeā? ʻAʻole kēia he pilikia nui a koʻikoʻi i ka hapa nui o nā hihia. I kēia lā, ke kamaʻilio nei mākou e pili ana i ke kūlana o ka loaʻa ʻana o nā manamana lima keu ma kēia ʻano, kahi i kapa ʻia ma ke ʻano lapaʻau he polydactyly . Kapa pū kekahi poʻe i kēia he hyperdactyly.

He aha ka polydactyly? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka polydactyly ka wā e hānau ʻia ai kahi pēpē me hoʻokahi a ʻoi aku paha mau manamana lima a i ʻole nā ​​​​manamana wāwae ma ko lākou mau lima a i ʻole nā ​​​​wāwae, ma mua o nā ʻelima maʻamau. Ua manaʻo ʻia ʻo ia kekahi o nā kīnā hānau maʻamau (a i ʻole nā ​​​​kūlana i loaʻa i ka wā hānau) ma ka honua . Kuhikuhi nā kauka i ke alo o kahi manamana lima keu, ʻoiai, he kūlana e hāʻule ana ma lalo o ka māhele ākea o nā ʻokoʻa lima hānau. ʻO ia hoʻi, ua hānau ʻia kahi pēpē me kahi ʻokoʻa ma ka lima.

I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻAuē, ʻo kaʻu pēpē wale nō anei kēia e hana nei?" Mai manaʻo pēlā. ʻAʻole kēia he mea kupanaha e like me kou manaʻo.

Pehea e ʻike ai nā kauka i kēia?

I ka manawa pinepine, hiki i nā kauka ke ʻike i kēia mau manamana lima keu i ka wā o ka ultrasound scan ke hāpai ʻoe i kahi pēpē. ʻOiai inā ʻaʻole ʻoe i ʻike iā lākou ma mua, hiki i nā kauka ke ʻike iā lākou i ka wā e hānau ai ka pēpē no ka mea ua ʻike maopopo ʻia ka manamana lima keu.

Ke ʻike nā kauka i kahi manamana lima keu e like me kēia, nānā pono lākou i ka pēpē e ʻike inā he mea kēia a i ʻole he maʻi genetic ʻē aʻe e pili ana me ia. No ka mea, i kekahi manawa hiki ke hana hoʻokahi kēia ʻano i kapa ʻia ʻo polydactyly, a i ʻole hiki ke hana ʻia ma ke ʻano he hōʻailona o kahi maʻi genetic ʻē aʻe.

He mea maʻamau ke hopohopo iki a makaʻu paha ke ʻike ʻoe ua loaʻa i kāu pēpē ka polydactyly. Akā e hoʻomanaʻo, ʻo kēia manamana wāwae keu ʻaʻole ia e hōʻeha a ʻoluʻolu ʻole paha i ka pēpē.

Hiki i nā kauka ke wehe maʻalahi i kēia manamana wāwae keu me kahi ʻoki liʻiliʻi. Eia nō naʻe, inā ua ʻike ʻia ka pēpē me kahi maʻi genetic ʻē aʻe e pili ana me ia, pono paha ia i kahi lāʻau a me ka mālama ʻokoʻa.

He aha nā ʻano nui o ka polydactyly?

E nānā kākou i nā ʻano nui o kēia maʻi, ʻo ia hoʻi ka polydactyly. Hoʻokumu ʻia kēia hoʻokaʻawale ʻana ma ka manamana lima i hoʻopili ʻia ai ka manamana lima keu. ʻEkolu mau ʻano nui:

1. Preaxial polydactyly: Pili kēia i ka ʻaoʻao o ka manamana wāwae nui (inā ma ka lima) a i ʻole ka ʻaoʻao o ka manamana wāwae nui .(Inā ma ka wāwae) Aia kekahi manamana wāwae keu. I kekahi manawa kapa nā kauka i ka manamana wāwae keu ma ka ʻaoʻao manamana wāwae nui o ka lima he "radial polydactyly" a me ka manamana wāwae keu ma ka ʻaoʻao manamana wāwae nui o ka wāwae he "tibial polydactyly".

2. Polydactyly waena: ʻO kēia ka wā e ulu ai kahi hua keu ma waenakonu o nā manamana lima a i ʻole nā ​​manamana wāwae . ʻO ke ʻano kēia, hiki i ka hua keu ke noho ma waena o nā manamana lima kuhikuhi, waena, a me nā manamana lima apo, a i ʻole ma nā wahi āpau ma nā manamana wāwae koe wale nō ka manamana wāwae nui a me ka manamana wāwae liʻiliʻi. ʻAʻole maʻamau kēia ma mua o nā ʻano ʻelua ʻē aʻe.

3. Postaxial polydactyly: ʻO kēia ke alo o kahi hua keu ma ka ʻaoʻao o ka manamana lima liʻiliʻi (ma ka lima a i ʻole ka wāwae). Kāhea nā kauka i ka hua keu ma ka ʻaoʻao o ka manamana lima liʻiliʻi he "ulnar polydactyly" a ʻo ka mea ma ka ʻaoʻao o ka manamana lima liʻiliʻi he "fibular polydactyly". ʻO kēia ke ʻano maʻamau o ka polydactyly.

Ua maopopo? ʻAe, e nānā kākou i nā hōʻailona o kēia ma hope.

He aha nā hōʻailona o ka polydactyly?

ʻO ka ʻoiaʻiʻo, ʻo ka hōʻailona wale nō o ka polydactyly ʻo ia ka loaʻa ʻana o nā manamana lima a i ʻole nā ​​​​manamana wāwae ma mua o ʻelima ma ka lima a i ʻole ka wāwae o kahi pēpē. ʻIke maopopo ʻia kēia mau manamana lima keu i ka wā hānau.

Ma muli o ke ʻano o ka polydactyly i loaʻa i kahi pēpē, hiki ke ulu piha kēia mau manamana lima keu a like me nā manamana lima ʻē aʻe. Akā i ka hapa nui o ka manawa, ʻaʻole i ulu maikaʻi kēia mau manamana lima keu e like me nā manamana lima maʻamau. ʻO kekahi he mau puka liʻiliʻi wale nō o ka ʻili, a i ʻole e pili ana paha i ka ʻili a i ʻole nā ​​aʻalolo. Aia paha he ʻāpana iwi liʻiliʻi.

No ke aha e ʻike ʻia ai kēia mau manamana lima keu? He aha nā kumu?

I kēia manawa, he nīnau kāu, "No ke aha i hana ʻia ai kēia i kā mākou pēpē?" ʻO ke kumu nui o ka polydactyly, ʻo ia ka loli ʻana o nā genes o ke pēpē i kona wā e ulu ana i loko o ka ʻōpū. E noʻonoʻo iā ia e like me kahi palapala hoʻolālā nui e loaʻa ana nā ʻōlelo aʻoaʻo a pau no ke ʻano o ka ulu ʻana o ko mākou kino a pehea e hana ai kēlā me kēia cell. Ua hoʻoilina ʻia kēia mau genes mai nā mākua a i nā keiki.

No laila, inā he hoʻopilikia a loli paha i ke kaʻina hana o ka hoʻomohala ʻana i kēia mau genes i ka wā e noho ana ka pēpē i loko o ka ʻōpū, hiki iā ia ke hana i nā loli like ʻole i ke kino o ka pēpē. ʻAʻole paha e ʻike ʻia kekahi o nā loli. Akā i kekahi manawa hiki i kēia mau loli genetic ke hana i nā maʻi congenital e like me ka polydactyly.

Inā hoʻopilikia kekahi mea i nā genes e kāohi ana i ka ulu ʻana o nā lima a me nā wāwae o ka pēpē, ʻoi aku ka nui o kona hānau ʻia ʻana me ka polydactyly. Hiki ke hoʻopilikia ʻia kēia mau genes e nā maʻi genetic. Ua ʻōlelo ʻia hoʻi he hiki i kekahi mau mea pili i ke kaiapuni (nā mea e hoʻopilikia ai i ka makuahine a i ʻole ke kaiapuni i ka wā hāpai) ke kumu i kēia, akā ʻo nā mana genetic nā mea nui.

ʻO kekahi mau maʻi genetic e hiki ke ʻike ʻia me ka polydactyly:

• ʻO ka maʻi Carpenter
• ʻO ka maʻi Down
• ʻO ka maʻi anemia Fanconi

Ma waho aʻe o kēia mau mea, hiki ke ʻike ʻia ka polydactyly me kekahi mau kūlana genetic ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka polydactyly?

ʻOiai hiki ke loaʻa ka polydactyly i kekahi pēpē, ʻoi aku ka nui o ka loaʻa ʻana o ke kūlana i kekahi mau pēpē. Aia kekahi mau mea pilikia e hiki ke hoʻopilikia iā ia:

• Kāne: ʻOi aku ka maʻamau o ka Polydactyly i nā keikikāne ma mua o nā kaikamahine.
• Lāhui: ʻOi aku ka maʻamau o kēia ʻano ma kekahi mau hui lāhui a puni ka honua. No ka laʻana, ua hōʻike kekahi mau noiʻi he ʻumi manawa ka nui o ka maʻamau i nā keikikāne o ka hanauna ʻApelika ma mua o nā keikikāne o nā hui lāhui ʻē aʻe . Ua hōʻike ʻia hoʻi he iwakālua manawa ka nui o ka maʻamau i nā kaikamahine o ka hanauna ʻApelika ma mua o nā kaikamahine o nā hui lāhui ʻē aʻe. Pili paha kēia i nā mana genetic.
• Moʻolelo ʻohana: Inā ua hānau ʻia kekahi o kou ʻohana, ʻoiai he hoahānau pili loa (makuahine, makuakāne, kaikaina) me ka polydactyly, a inā he moʻolelo ʻohana o nā maʻi genetic, ʻoi aku ka nui o ka loaʻa ʻana o ka polydactyly i kāu pēpē.

Pehea e hōʻoia pololei ai nā kauka i kēia?

E like me kā mākou i kūkākūkā ai ma mua, hiki paha i kāu kauka ke ʻike i kēia i ka wā o ka ultrasound i ka wā hāpai. Inā ʻaʻole, e ʻike pono kāu kauka iā ia ke nānā ʻoe i kāu pēpē ma hope o ka hānau ʻana. E hiki iā ia ke ʻike i nā manamana lima a i ʻole nā ​​manamana wāwae keu ma nā lima a i ʻole nā ​​​​wāwae o kāu pēpē a haʻi iā ʻoe i ke ʻano o ka polydactyly.

I kekahi manawa, hiki i kāu kauka ke ʻōlelo aku i kahi X-ray lima a i ʻole X-ray wāwae ma mua o ka mālama ʻana, ʻoiai e ʻike pehea e kau ai nā iwi o ka manamana wāwae keu a pehea lākou e pili ai i nā manamana wāwae ʻē aʻe.

E aʻo pū kākou e pili ana i ka hoʻāʻo genetic?

Inā ua loaʻa i kekahi o kou ʻohana ka polydactyly, a inā kānalua ʻoe he loaʻa iā ʻoe, he mea kūpono ke kamaʻilio ʻana me kahi kākāʻōlelo genetic . Hiki iā lākou ke kōkua iā ʻoe e hoʻoholo inā pono ʻoe e hana i ka hoʻāʻo genetic. Hiki i kēia mau hoʻokolohua ke ʻike i nā loli genetic like ʻole, me nā ʻano gene like ʻole, hiki ke hana i ka polydactyly.

E hoʻomanaʻo, ʻoiai inā he mea lawe ʻoe i kahi ʻano gene like ʻole, ʻaʻole ia he manaʻo e loaʻa i kāu keiki kēlā maʻi genetic.

Hiki i ke kākā'ōlelo genetic ke wehewehe i kou mau pilikia, nā ala e pale ai i kou olakino, a me nā mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia o ka hoʻoili ʻana i nā pilikia genetic i kāu mau keiki.

Pehea e mālama ʻia ai ka Polydactyly?

Hiki ke ʻokoʻa iki ka lāʻau no ka polydactyly ma muli o ke ʻano o ke kūlana. Akā ʻo ka lāʻau maʻamau ka wehe ʻana i ka manamana keu mai ka lima a i ʻole ka wāwae o ka pēpē. Aia kekahi mau ala e wehe ai i kēia manamana keu. E nānā kākou i ko lākou ʻano:

1. Ligature ʻoki kino: Ma kēia, nakinaki ke kauka i kahi kaula paʻa (ligature) a puni ke kumu o ka manamana lima keu. Ua like ia me ke nakinaki ʻana i kahi puʻupuʻu liʻiliʻi. Ke nakinaki paʻa ʻia e like me kēia, ua pau ke kahe koko i ka manamana lima keu, a ma hope o kekahi mau lā (ma kahi o hoʻokahi a ʻelua paha pule), maloʻo a hāʻule ia ma kāna iho. Hana pinepine ʻia kēia no nā manamana lima liʻiliʻi, i ulu pono ʻole e kau wale ana mai ka ʻili.

2. ʻO ka ʻoki ʻana i loko o ke keʻena: Ma kēia kaʻina hana, e hāʻawi ke kauka i kahi inikini liʻiliʻi e hoʻomānoʻo i kahi o ka manamana wāwae keu o ka pēpē. A laila, me ka hoʻohana ʻana i kahi mea hana kūikawā (i kekahi manawa i kapa ʻia he mea hana cautery), ʻoki ʻia a wehe ʻia ka manamana wāwae keu. He kaʻina hana maʻalahi hoʻi kēia e hiki ke hana ʻia ma ke keʻena o ke kauka.

3. Wehe ʻoki kino (ʻoki kino Polydactyly): I kekahi manawa, inā ua ulu maikaʻi ka manamana wāwae keu a pili pono i nā manamana wāwae ʻē aʻe me nā iwi, a i ʻole no nā manamana wāwae keu ma ka wāwae, ʻaʻole hana nā ʻano hana maʻalahi i ʻōlelo ʻia ma mua. I kēlā hihia, pono kahi ʻoki kino liʻiliʻi e wehe i ka manamana wāwae keu. Hana pinepine ʻia kēia ma hope o ka nui iki ʻana o ka pēpē, ma lalo o ka anesthesia.

ʻOiai ke ʻano hana e hoʻohana ʻia, e koho ke kauka i ke ʻano hana kūpono loa a palekana loa no ka pēpē.

Ma hope o ka lāʻau lapaʻau, āhea wau e ʻike hou ai i ke kauka?

Ma hope o ka wehe ʻana i ka manamana wāwae keu, pono ʻoe e mālama pono i ka wahi a hiki i kona ho'ōla ʻana. Inā ʻike ʻoe i kekahi mau loli a ʻoluʻolu ʻole paha ma kahi i wehe ʻia ai ka manamana wāwae o kāu pēpē, pono ʻoe e kamaʻilio me kāu kauka. E ʻike koke i ke kauka, ʻoiai inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Inā he kahe koko
• Inā he wai a he pus paha e puka mai ana mai ka ʻeha
• Inā ua loli ke kala o ka ʻili ma ia wahi (e like me ka huli ʻana i ka ʻulaʻula a i ʻole ka uliuli)
• Inā he pehu
• Inā ʻike ʻia ka ʻeha o ke pēpē ma ia wahi

Inā ʻike ʻoe i kekahi mea e like me kēia, ʻaʻole anei ʻoe e haʻi koke aku i ke kauka ?

Inā loaʻa ka polydactyly i kaʻu pēpē, he aha kaʻu e manaʻo ai?

Inā ʻike ʻoe ua loaʻa i kāu pēpē ka polydactyly, mai hopohopo. Hiki iā ʻoe ke manaʻo e hoʻōla piha kāu pēpē ma hope o ka wehe ʻia ʻana o ka manamana wāwae keu. ʻAʻole e hoʻopilikia ka wehe ʻana i kēia manamana wāwae keu i kona ulu ʻana a i ʻole ka hoʻomohala ʻana i ka wā e hiki mai ana.

Eia nō naʻe, inā he kīnā hānau ʻē aʻe ko kāu keiki a i ʻole ke ʻano genetic e pili ana me ka polydactyly, pono paha iā ia nā lāʻau lapaʻau ʻokoʻa a i ʻole ka mālama kūikawā. E wehewehe kāu kauka i kēia iā ʻoe.

Hiki ke kahaha a weliweli hoʻi ke ʻike i kahi manamana lima a manamana wāwae paha keu i ka wā e hānau ai kāu pēpē. Akā , mai hopohopo. He maʻi hiki ke mālama ʻia ʻo Polydactyly ʻaʻohe ona hopena lōʻihi i ka ulu ʻana a me ka ulu ʻana o kāu pēpē. ʻO nā ʻano hana a pau o ka wehe ʻana i ka manamana lima a manamana wāwae paha keu e hopena i ka hoʻōla wikiwiki ʻana a ʻaʻole e hoʻopilikia i ka hiki o kāu pēpē ke hoʻohana i ko lākou lima a i ʻole ka wāwae i ka wā e hiki mai ana. Inā he mau nīnau kāu e pili ana i kēia a i ʻole nā ​​​​kūlana genetic ʻē aʻe, mai kānalua e kamaʻilio me kāu kauka.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, eia nā mea nui e noʻonoʻo ai mai nā mea a mākou i kamaʻilio ai:

• ʻO ka Polydactyly ka wā e hānau ʻia ai kahi pēpē me hoʻokahi a ʻoi aku paha mau manamana lima a manamana wāwae paha. ʻAʻole ia he mea koʻikoʻi e like me kāu e manaʻo ai, a he mea maʻamau loa ia.
• ʻO ka maʻamau, ʻaʻole kēia manamana wāwae keu e hōʻeha i ka pēpē.
• Hiki i nā kauka ke wehe i kēia manamana wāwae keu me nā lāʻau lapaʻau maʻalahi.
• Ma hope o ka wehe ʻia ʻana o ka manamana wāwae keu, hoʻōla koke ke pēpē a ʻaʻohe pilikia o ka hoʻohana ʻana i kona mau lālā.
• I kekahi manawa hiki ke pili ka polydactyly me kekahi maʻi genetic ʻē aʻe. Na kāu kauka e hoʻomaopopo iā ʻoe e pili ana i kēia.
• Inā he kānalua, makaʻu, a pilikia paha kāu, e kamaʻilio ākea me kāu kauka. Aia lākou ma laila e kōkua iā ʻoe.

No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. Ke makemake nei au i ke olakino maikaʻi o kāu keiki liʻiliʻi!

ʻO Polydactyly, nā manamana lima keu, nā kīnā hānau, nā genetics, ke olakino pēpē, ke ʻoki kino, pediatrics