Yu pikin gɛt ed we lɔng? Lɛ wi tɔk bɔt Scaphocephaly!

Yu dɔn ɛva notis se sɔm bebi dɛn ed nɔ kin rawnd, bɔt dɛn kin lɔng ɛn smɔl? Lɛk bot, ɔ di tap pan eg. Na nɔmal tin fɔ mek mama ɛn papa dɛn wɔri ɛn fred smɔl we dɛn si dis. "Sɔmtin de rɔng wit mi pikin?" Yu kin tink. I impɔtant fɔ no di tɛm dɛn lɛk dis. Tide wi go tok boht wan pan di men rizin we mek di ed shep kin chenj dis we. Insay mɛrɛsin, wi kin kɔl dis Scaphocephaly , ɔ Sagittal Craniosynostosis .

Wetin na Skafɔsɛfali? Lɛ wi ɔndastand am simpul wan!

Okay, naw mek wi si wetin dis bi fo simpul wod. di pikin in sכkul nכ de mek wit wan bon. Di skel gɛt bɔku bɔku bon dɛn. I tan lɛk se dɛn de put wan pazl pat togɛda. Smɔl smɔl gap dɛn ɔ sutura dɛn de bitwin dɛn bon dɛn ya. dis sutura dεm de mek di pikin in bren gro εn εkspεnd as i de gro. imajin, na dεn sut dεm ya na dεn we de gi di sכkul "fleksibiliti."

Scaphocephaly na wan kכndyushכn we di men sutura we de na di tכp pat pan di pikin in ed, spεshal wan di fכnt-to-bak sutura (sagittal suture) , de kכloz kwik kwik wan , bifo כ afta dεn bכn am. di sajital sutura kin bigin fכ klos kכmplit wan arawnd di ej 22, εn i nכ kin kכlos kכmplit wan te bitwin di ej dεm we i ol 30 εn 50. So imajin wetin kin apin we wan sutura we fכ opin fכ so lכng de klos we i yכng.

we dis sutura klos so kwik, di sכkul de lכs in abiliti fכ gro na di tu say dεm. Bɔt di bren de kɔntinyu fɔ gro. Dɔn di skel gɛt fɔ gro jɔs lɔng wan. Na dat mek di ed kin tek lɔng ɛn smɔl shep. I tan lɛk bot shep, ɔ lɛk eg we dɛn tɔn na in sayd. I kin wayd smɔl na di fɔs pat, ɛn i kin smɔl to di bak, lɛk wan rawnd tip.

Sɔntɛnde lɛk dis, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn insay di pikin in fɔs ia so dat di bren go gro fayn fayn wan.

Dis sik we dɛn kɔl scaphocephaly denja?

Yɛs, sɔntɛnde dis kin denja . As wi bin dɔn tɔk, we di bon dɛn na di pikin in skel kin jɔyn togɛda tumɔs kwik, di skel nɔ kin ebul fɔ gro big na di tu say dɛn. Bɔt di bren de kɔntinyu fɔ gro. Wetin kin apin da tɛm de? di prεshכn pan di bren de bigin fכ bכku insay di sכkul. if dis prεshכn de kכntinyu, i kin afekt di pikin in bren fכ gro εn di כl divεlכpmεnt. So, if dεn nכ trit dis in tεm, i kin bi se prכblεm de wit di pikin in growth εn divεlכpmεnt.

Aw dis sik kin kɔmɔn?

Wetin na skafɔsɛfali?Kraniosynostosis na wan kכndyushכn we de pan wan big grup we dεn kכl kraniosynostosis. Fɔ tɔk am simpul wan, kraniosynostosis na we dɛn kin lɔk wan ɔ mɔ pan di sutura dɛn na di skel bifo tɛm. Statistikin na Amɛrika sho se kraniosynostosis kin afɛkt lɛk wan pan ɛvri 2,500 pikin dɛn we dɛn bɔn layf layf wan.

pan dεn kayn kraniosynostosis ya, skafosεfali (Sagittal Craniosynostosis) na di kayn we we kכmכn pas כl . lεk 53% to 60% pan כl di pikin dεm we gεt kraniosynostosis de sכfa wit dis kכndyushכn. Dis min se i nɔ kɔmɔn so.

Wetin na di sayn dɛm fɔ dis sik wae de mek pɔrsin gɛt dis sik?

Di men sayn na dat di pikin in ed nɔ shep fayn . As di pikin de gro, dis chenj in shep de kam klia. yu kin notis wan rij na di pikin in ed tap usay dεn kכl di sutura dεm. Nɔmal wan, pikin in ed kin gɛt wan say we saf we dɛn kɔl fontanelle , bɔt insted ɔf dat, wan rij lɛk dis kin de.

Yu pikin in ed nɔ rawnd lɛk aw yu go ɛkspɛkt. Bifo dat, we yu si am frɔm ɔp, i smɔl ɛn lɔng . I tan lɛk di shep we eg gɛt. Bɔku tɛm, di pikin in fes kin rawnd, bɔt as di sayd dɛn na di ed de muf bak, i kin lɔng ɛn smɔl.

Imajin, sɔm mama dɛn kin notis dis difrɛns fɔs we dɛn de was dɛn pikin ɛn tɔch dɛn ed. Dɛn kin tink se, "O, yu nɔ tink se di tap pat pan mi pikin in ed de luk ay smɔl pas di ɔda pat na di bɔdi? I kin fil strenj we yu tɔch am bak."

Wetin mek skafɔsɛfali kin apin? Wetin na di tin dɛn we kin mek i apin?

skafosεfali de apin, lεk aw wi bin se, biכs di sajital sutura na di pikin in sכkul de kכloz tu ali. di pikin de kכntinyu fכ gro ivin afta dis sutura kכloz. Na dat mek di ed gɛt wan shep we nɔ kɔmɔn.

I stil nɔ klia ɔl wetin mek dis sim kin lɔk kwik kwik wan, bɔt risach dɔn sho se di tin dɛn we de apin na di envayrɔmɛnt ɛn di jɛnɛtiks kin ple wan pat.

sכm jεnεtik vεryushכn dεm de (Jεnεtik vεryכnt / Mכtεshכn) we dכkta dεn dכn no se dεn gεt fכ du wit di kכndyushכn we dεn kכl scaphocephaly. Fɔ ɛgzampul:

• `SMAD6`
• `TWIST1`
• `TCF12`
• `ERF`
• `MSX2`

Bɔt nɔto ɔl di kes dɛm we dɛn kin gɛt we dɛn kɔl scaphocephaly kin kɔmɔt frɔm pikin in mama ɛn papa. Sɔntɛnde, dɛn chenj ya we kin apin na di jɛnɛtiks kin apin bay wilful, ɛn dɛn nɔ kin gɛt ɛni rizin fɔ du dat. fכ tכk roughly, na כnli lεk 10% pan di pikin dεm we gεt skaphocephaly gεt klia jεnεtik kכz.

Dɔn bak, sɔmtɛm skafɔsɛfali kin apin as sayn fɔ ɔda ɔndalayn jɛnɛtik kɔndishɔn .

Wetin na di tin dɛm wae kin mek pɔrsin gɛt skaphocephaly?

Sɔntɛnde, pikin kin gɛt mɔ risk fɔ gɛt skafɔsɛfali. Na sɔm pan dɛn kayn tin ya we kin mek pɔsin gɛt prɔblɛm:

• Di mama kin dɔn tek sɔm mɛrɛsin dɛn we i gɛt bɛlɛ, lɛk valproic acid (wan mɛrɛsin we dɛn kin yuz fɔ mɛn sik dɛn lɛk ɛpilepshi).
• di mama in yus fɔ tabak prodakt we i gɛt bɛlɛ.
• Di pikin in papa dɔn pas 40 ia.

pan tap dat, dεn fכnshכn se man dεm kin gεt skaphocephaly pas uman dεm.

Wetin na di prɔblɛm dɛn we kin apin fɔ lɔng tɛm if dɛn nɔ trit am?

if di skafosefali bad כ dεn n כ trit am fayn , di prεshכn we de insay di pikin in sכkul (intrakranial prεshכn) kin bכku. Dis na bikɔs di bren de kɔntinyu fɔ gro pan ɔl we di skel dɔn lɔk. Dis prɛshɔn we de go ɔp kin pwɛl di pikin in bren. I kin mek bak tin dɛn lɛk:

• Divεlכpmεnt delay: Tin dεm lεk fכ tכk, waka, εn krawl kin delay.
• Sizhɔ: Wi kin kɔl dɛn bak " kɔnvulshɔn ".
• Prɔblɛm dɛn we pɔsin kin gɛt we i de si.

So, if yu gɛt ɛni dawt bɔt dis sik, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Aw dɔktɔ kin no bɔt dis?

Bɔku tɛm, dɔktɔ kin no se i gɛt skafɔsɛfali we dɛn bɔn am, ɔ we dɛn de chɛk am ɔltɛm na klinik usay dɛn de mɛn pikin dɛn . We di dɔktɔ de chɛk di pikin, i go du dɛn tin ya:

• Tek tɛm wach aw di pikin in fes ɛn in ed shep.
• Dɛn kin fil di tap pat pan di ed, usay di sagittal suture bin de bifo. Dɛn kin luk fɔ si if wan rayz lump de de, instead ɔf di nɔmal sɔftnɛs.
• Dɛn kin mɛzhɔ di pikin in ed. Dis kin ɛp fɔ no aw de sik tranga.

apat frכm dis fyzikal egzamin, dεn kin du imej tεst dεm bak fכ di sכkul f כ kכnfכm di diagnosis. Fɔ ɛgzampul:

• X-ray egzamin (X-ray) .
• MRI skan we dɛn kin du
• CT skan we dɛn kin du

Dɛn tɛst ya kin mek yu si klia wan bɔt di bon dɛn ɛn di sutura dɛn na di skel.

Aw a go no if mi pikin sɛf gɛt skafɔsɛfali?

Bɔku mama ɛn papa dɛn kin fɔs sɔspɛkt dis we dɛn si se, "O mi pikin in ed nɔ rawnd." Dat na de fɔs sayn fɔ dis sik. if yu fil yu pikin in ed εn notis se nכ sכft spat (fontanelle) de bכt na rayz bכmp insted, dat kin bi כda sayn.

Di tin we impɔtant pas ɔl na dat if yu gɛt smɔl dawt ɔ fil ɛnitin we strenj bɔt aw yu pikin in ed shep, tɔk to yu pikin in dɔktɔ bɔt am wantɛm wantɛm.Nɔ panik, aks fɔ advays frɔm yu dɔktɔ.

Aw dɛn kin trit skafɔsɛfali?

Di men tritmɛnt fɔ skafɔsɛfali na ɔpreshɔn . Dis ɔpreshɔn kin min fɔ pul di sutura dɛn we dɔn miks togɛda kwik kwik wan, ɔ sɔm tɛm dɛn de, dɛn kin shep di pikin in skel bak. Dis ɔpreshɔn kin rili fayn fɔ mek di pikin in ed shep bak ɛn mek di bren gro fayn fayn wan. Dɔktɔ kin se dɛn fɔ du dis ɔpreshɔn we di pikin ol bitwin 3 ɛn 6 mɔnt .

Yu dɔktɔ go ɛp yu fɔ disayd if yu pikin nid fɔ gɛt ɔpreshɔn. Dis disishun kin dipen pan tin dɛm lɛk:

• Di pikin in simptom ɔ di prɔblɛm dɛn we i kin gɛt.
• Di shep we di pikin in ed shep ɛn di tin dɛn we di mama ɛn papa de wɔri bɔt am.
• Di kayn bad bad tin we de apin to am (Mild to severe). Sɔntɛnde, dis kin bi smɔl ɔr kin tranga.

Di kayn ɔpreshɔn dɛn we dɛn kin du fɔ mek dɛn gɛt skafɔsɛfali

Tri men kayn ɔpreshɔn de fɔ skafɔsɛfali:

1. Strip craniectomy (ɔ ɛndoskopik ɔpreshɔn): Dis na ɔpreshɔn we nɔ de mek pɔsin in at pwɛl . Dat min se dɛn kin du am we dɛn nɔ kɔt big say, bɔt dɛn kin du am tru tu smɔl smɔl say dɛn, ɛn dɛn kin yuz wan tin we dɛn kɔl ɛndoskɔp wit kamɛra. tru dis, di sajin de pul wan strip pan bon we inklud di sajital suture we don klos kwik kwik wan. Sɔntɛnde, dɛn kin pul sɔm smɔl smɔl bon dɛn bak na di sayd dɛn na di skel fɔ ɛp di bren fɔ mek i go bifo.

2. Spring-assisted surgery: Dis kin fiba di strip craniectomy. Di dɔktɔ we de du di ɔpreshɔn kin pul wan bon we de na di pikin in skel ɛn put sɔm spɛshal mɛtal spring dɛn insay di gap. Dɛn spring ya kin mek di gap we de na di skel big smɔl smɔl as di bren de gro.

3. Cranial vault remodeling (open surgery): Dis na wan we we kɔmplikt smɔl . Insay dis prɔsidyu, di dɔktɔ we de du di ɔpreshɔn kin kɔt di pikin in skel ɛn pul di sutura dɛn we de na di skel. Dɔn, dɛn kin shep di skel bon dɛn bak ɛn tay dɛn bak bay we dɛn de yuz spɛshal plet dɛn, skru dɛn, sutura dɛn , ɛn sɔntɛnde bon graft dɛn . Dis kin kɔrɛkt di shep we di ed gɛt bad bad wan.

Di pikin kin nid fɔ wɛr spɛshal mɛdikal ɛlmɛt fɔ sɔm mɔnt ɔ ivin wan ia , i kin dipen pan di kayn ɔpreshɔn we dɛn du . Dis ɛlmɛt de ɛp fɔ gayd di skel fɔ mek i gɛt di rayt shep.

Wetin na di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn pan pɔsin we gɛt skafɔsɛfa?

Jɔs lɛk ɛni ɔpreshɔn, dɛn ɔpreshɔn ya kin gɛt sɔm prɔblɛm dɛn. Sɔm pan dɛn na:

• Air embolism (eya bכbul dεm we de go insay di pikin in bכdi) .
• Asimεtri, bon dεfεkt כ bon irεgulεriti na di sכkul
• Blɔd (wound dehiscence), blɔd we de kɔmɔt pasmak (i ​​kin nid fɔ tek blɔd) .
• di wata we de na di sεribrospεnal de lik
• Sik we de prɛd
• Blɔd we de klɔt `(Embolism)`
• Blɔd we dɛn kin gɛda `(Hematoma)`
• Nid fɔ mek dɛn du am sɛkɔn ɔpreshɔn
• Di sik dɛn we kin mek pɔsin sik

Pan ɔl we dɛn prɔblɛm ya nɔ kin apin so ɔltɛm , sɔntɛnde dɛn kin mek pɔsin in layf de pan denja ɛn i kin mek pɔsin day bifo tɛm . Di risk dɛn kin bɔku smɔl wit opin ɔpreshɔn pas wit ɛndoskopik ɔpreshɔn.

Bɔt nɔ wɔri. Yu pikin in dɔktɔ go ɛksplen to yu ɔl dɛn bad tin ya bifo dɛn du di ɔpreshɔn. Yu pikin in ɔspitul tim gɛt bɔku trenin ɛn dɛn gɛt ɛkspiriɛns pan dɛn kayn ɔpreshɔn ya. Dɛn go tek di bɛst kia fɔ mek dɛn nɔ gɛt dɛn prɔblɛm ya ɛn mek shɔ se yu pikin sef.

Ustɛm a fɔ go to dɔktɔ?

If yu tink se yu pikin in ed nɔ rawnd, tɛl yu pikin in dɔktɔ wantɛm wantɛm . Dɔn bak, if yu pikin nɔ de mit di divɛlɔpmɛnt maylston dɛm (fɔ ɛgzampul, if i let fɔ tɔk fɔs wɔd, kray, ɔ tinap), go to dɔktɔ.

If yu de op fɔ gɛt ɔda pikin, tɔk to yu dɔktɔ bɔt aw fɔ advays yu bɔt yu jɛnɛtiks . Wan pɔsin we de gi advays bɔt di jɛnɛtiks kin tɛst fɔ sɔm patikyula jin dɛn we gɛt fɔ du wit di sik. Dis kin ɛp yu fɔ ɔndastand yu risk fɔ gɛt ɔda pikin we gɛt skaphocephaly.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu pikin gɛt scaphocephaly, yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Yu tink se dɛn nid fɔ du ɔpreshɔn pan mi pikin?
• Wetin na di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn?
• Aw a fɔ kia fɔ mi pikin na os afta dɛn dɔn ɔpreshɔn mi?
• Us sayn dɛn a fɔ no mɔ bɔt?

Wetin na de lukin-grɔn fɔ skafɔsɛfali?

Scaphocephaly nɔ de impɔtant fɔ insɛf . Bɔku pikin dɛn we nid ɔpreshɔn kin du am insay di fɔs ia we dɛn de liv. Bɔku tɛm, ɔpreshɔn kin rili fayn fɔ mek di pikin in ed shep bak. Bɔt ivin we dɛn du ɔpreshɔn, sɔm pikin dɛn kin gɛt dilɛys fɔ divɛlɔp .

If yu no di sik kwik kwik wan ɛn bigin fɔ trit yu kwik, yu go ebul fɔ gɛt bɛtɛ tin fɔ yu pikin.

As di pikin de gro, dɔktɔ fɔ kɔntinyu fɔ wach di pikin in ed fɔ mek shɔ se i de divɛlɔp lɛk aw dɛn bin de tink.

Di savis dɛm fɔ ɛp yu pikin fɔ lan ɛn du tin dɛm ɛvride. Dɛn program ya na fɔ tɛrapi fɔ tɔk , fɔ mɛn pɔsin in bɔdi, ɛnYu kin gɛt difrɛn sɔpɔt savis dɛn lɛk.

Na tru se fɔ no se yu pikin in ed nɔ shep fayn, dat nɔ kin mek yu gladi. Na nɔmal tin fɔ gɛt tin dɛn lɛk, "Mi pikin go gɛt fɔ gɛt ɔpreshɔn? Aw in fiuja go tan lɛk?" Pan ɔl we pɔsin kin du ɔpreshɔn, bɔku tɛm di tin dɛn we kin apin kin fayn. I de ɛp di pikin in ed ɛn in bren fɔ divɛlɔp fayn fayn wan.

yu pikin in fכs ia kin nכ lεk כda pikin dεm. Fɔ ɛgzampul, i kin nid fɔ go to dɔktɔ bɔku tɛm, ɔ i kin nid fɔ wɛr spɛshal ɛlmɛt. Bɔt nɔ mek dat stɔp am fɔ laf ɛn ple. If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt yu pikin in kɔndishɔn, tɔk to yu dɔktɔ. Dɛn go de wit yu ɛvri step na di we fɔ mek shɔ se yu pikin gɛt wɛlbɔdi ɛn de divɛlɔp lɛk aw dɛn bin de ɛkspɛkt.

Faynal Mɛsej fɔ Tek-Hom

Okay, na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Nɔ panik if yu notis chenj na di shep na di ed, bɔt kip yu yay pan am: If yu pikin in ed tek wan lɔng, smɔl shep, ɔ if bɔmp de ɔp di ed, i kin bi sayn fɔ skafɔsɛfali.
• Go to dɔktɔ wantɛm wantɛm: If yu gɛt dawt, go to yu pikin in dɔktɔ fɔ mek dɛn chɛk am. Fɔ no di sik kwik kwik wan rili impɔtant.
• Tritmɛnt dɛn de: Di men tritmɛnt fɔ skafɔsɛfali na ɔpreshɔn. Dis kin mek ples fɔ di bren ɛn kɔrɛkt di shep we di ed gɛt.
• Di ɔpreshɔn kin wok fayn, bɔt dɛn nid fɔ wach di pikin fɔ lɔng tɛm: Pan ɔl we dɛn kin du di ɔpreshɔn fayn fayn wan, dɛn nid fɔ wach gud gud wan aw di pikin de gro. Sɔntɛm dɛn go nid fɔ gɛt ɔda tritmɛnt.
• Nɔto yu wan de: Dɔktɔ, nɔs, ɛn ɔda pipul dɛn we de kia fɔ yu pikin dɛn rɛdi fɔ ɛp yu ɛn yu pikin insay dis kayn tɛm.

Mɛmba se di tin we impɔtant pas ɔl na fɔ gi yu pikin lɔv, kia fɔ am, ɛn kia fɔ yu di rayt we.

` Scaphocephaly, Sagittal Craniosynostosis, Skul, Bebi Wɛlbɔdi, Bren Divɛlɔpmɛnt, Ɔpreshɔn, Kraniosynostosis