Ingaba ibunzi lomntwana wakho lifana nonxantathu? Masifunde ngeMetopic Craniosynostosis.

Ngaba kukho into eyahlukileyo oyibonileyo malunga nokuma kwentloko yomntwana wakho, ingakumbi ibunzi, mhlawumbi imilo engunxantathu? Kuqhelekile ukuba umama okanye utata azive ekhathazekile kancinci xa ebona into enjalo. Ukuphendula imibuzo ephakama engqondweni yakho ngamaxesha anjalo, namhlanje siza kuthetha ngemeko ebizwa ngokuba yiMetopic Craniosynostosis. Ngamanye amaxesha oku kukwabizwa ngokuba yiTrigonocephaly.

Yintoni iMetopic Craniosynostosis?

Ngamafutshane, i-metopic craniosynostosis sisifo sokuzalwa . Senzeka xa amathambo amabini angaphambili entloko yomntwana, okanye ukhakhayi, edibana ngaphambi kwexesha (ukuhlanganiswa kwangaphambi kwexesha), nokuba kusesibelekweni okanye ekuzalweni. Cinga ngayo, ukhakhayi lwethu alwenziwanga ngethambo elinye, kodwa luneziqwenga ezininzi zamathambo. Ezi ziqwenga zamathambo zidibene ngento ebizwa ngokuba yi "sutures." Ezi sutures zifana neendawo apho amathambo akhula khona. Njengoko ingqondo yomntwana ikhula, ezi sutures zinceda ukhakhayi lukhule ukuze lulungele.

Ngoku, kwimeko ye-metopic craniosynostosis, umthungo phakathi kwamathambo amabini angaphambili, obizwa ngokuba yi-"metopic suture," uvala ngaphambi kokuba ingqondo yomntwana ikhule ngokupheleleyo. Kulapho ibunzi lomntwana lithatha imo engunxantathu. Oku kukwabizwa ngokuba yi-trigonocephaly.

Ixhaphake kangakanani le meko?

Izifundo zakutshanje zibonisa ukuba i-metopic craniosynostosis isenokuba lolona hlobo lwesibini oluxhaphakileyo lwe-craniosynostosis. Nangona kunjalo, ukwenzeka kwayo kuyahluka ukusuka kwilizwe ukuya kwelinye. Kumazwe afana ne-United States, kuqikelelwa ukuba le meko ichaphazela naphi na ukusuka komnye kwi-700 ukuya komnye kwi-15,000 yeentsana ezisandul’ ukuzalwa.

Zithini iimpawu zoku?

Umntwana one-metopic craniosynostosis unokubonakalisa ezi mpawu zilandelayo:

• Ukukhula okungaqhelekanga kwentloko yomntwana kunye namathambo obuso .
• Ingqondo ityhalelwa ngaphakathi ekhayeni lomntwana, oko kuthetha ukuba uxinzelelo oluphezulu lwengqondo luyanda .
• Iingxaki zokubona .

Itshintsha njani inkangeleko yomntwana?

Le meko ichaphazela indlela ezikhula ngayo iimpawu zobuso bomntwana. Ingabonakala ngolu hlobo:

• Inebunzi elimxinwa, elitsolo, neliyinxantathu .
• Amehlo abonakala ngathi asondelelene .
• Kubonakala ngathi amashiya am aphakanyisiwe .
• Umva wentloko ubonakala ubanzi .

Khawuthelekelele, kubonakala ngathi ibunzi losana liphuma embindini.

Kutheni oku kusenzeka? Zithini izizathu?

Eyona nto ibangela i-metopic craniosynostosis kukudibana kwamathambo angaphambili ngaphambi kokuba ingqondo ikhule ngokupheleleyo .Oko kuthetha ukuba idibana kwangethuba. Kodwa oogqirha abakafumani sizathu sithile sokuba la mathambo adibana ngokukhawuleza kangaka. Nangona kunjalo, uphando lubonisa ukuba kukho izinto ezininzi ezinokudlala indima:

• Utshintsho kwimfuza (umzekelo, utshintsho kwimfuza kwimfuza ye-FREM1 kunye ne-SMAD6).
• Njengesiphumo esingesihle samayeza athile athathwa ngumama ngexesha lokukhulelwa (umz., amayeza anjenge-valproic acid kunye ne-clomiphene citrate).
• Umama unesifo se-thyroid .
• Indawo yemveku esibelekweni .
• Njengophawu lwesinye isifo semfuza, esifana ne-Williams syndrome.

Ngubani osengozini enkulu yoku?

Umngcipheko wakho wokuba nomntwana one-metopic craniosynostosis unokwanda ukuba:

• Ukuba ulindele amawele .
• Ukuba unesifo esingaziwayo esifana nesifo se-thyroid okanye isifo seswekile .
• Ukuba uthatha amayeza athile esifo esifana nesifo sokuwa.
• Ukuba usebenzisa iimveliso zecuba .

Ukuze ufunde okungakumbi ngomngcipheko wokuba nomntwana onesiphene sokuzalwa, bona ugqirha wakho ukuze akunike iingcebiso ngaphambi kokuba ukhulelwe. Ungafumana iingcebiso ezinokunciphisa umngcipheko wokuba nomntwana onesiphene sokuzalwa .

Zeziphi iingxaki ezinokubangela oku?

Iingxaki ze-metopic craniosynostosis zisenokungabonakali de umntwana akhule aze aqale isikolo. Ezona ngxaki zixhaphakileyo zezi:

• Ukulibaziseka kophuhliso (intetho kunye nolwimi okanye izakhono zokunyakaza).
• Iingxaki zophuhliso lwengqondo .
• Utshintsho kwindlela yokuziphatha (njengokucaphuka).
• Iimpawu zoxinzelelo oluphezulu lwengqondo ( kuquka iintloko ezibuhlungu kunye neengxaki zokubona).
• Intloko ikhula kancinci xa ithelekiswa nezinye iindawo zomzimba.

Oogqirha bayixilonga njani le nto?

Ngamanye amaxesha, ugqirha unokurhanela oku ngexesha lokuhlolwa kwe-ultrasound ngaphambi kokukhulelwa kwi-trimester yesibini neyesithathu yokukhulelwa. Nangona kunjalo, amaxesha amaninzi, le meko ifunyaniswa ngexesha lovavanyo lomzimba losana emva kokuba umntwana ezelwe .

Ugqirha uza kuyihlola ngononophelo intloko yomntwana ukusuka phezulu (i-vertex) ukuya kwicala lobuso. Ukuba, xa uyijonga ngamehlo entaka, intloko yomntwana iba nomfanekiso onxantathu okanye okhoni endaweni yokumila ongqukuva, inokufunyanwa njengemeko ebizwa ngokuba yi-trigonocephaly.

Uvavanyo olufana ne -X-ray okanye i-CT scans (i-Computed Tomography - i-CT scan) lwenziwa ukuze kufunyanwe ngakumbi ngesimo samathambo ekhanda lomntwana. Ulwazi olufunyenwe kwezi mvavanyo lunceda ekucwangciseni unyango.

Ingaba le meko inokuba nzulu kangakanani?

Ubunzima be-metopic craniosynostosis bunokwahluka kumntu nomntu. Ubunzima bumiselwa bubungakanani be-engile edalwa kukudibana ngokukhawuleza kwamathambo ekhanda. Umzekelo:

• Kwiimeko ezibuthathaka, kukho utshintsho oluncinci kuphela kwimo yebunzi.
• Kwiimeko ezinzima, ibunzi liba bukhali kakhulu, lithatha imo enxantathu okanye ekhonkrithi.
• Ithuba eliphakathi likhona phakathi kwezi zimbini.

Iphathwa njani le nto?

Ukuba i-metopic craniosynostosis incinci , okanye ukuba kukho i-metopic ridge evele ngaphandle kokukhubazeka okukhulu kwebunzi, unyango lusenokungabi yimfuneko .

Nangona kunjalo, ukuba i-trigonocephaly iphakathi okanye inzima, utyando lunokwenziwa ukuze kulungiswe intloko yomntwana kwaye kunikwe ingqondo indawo efunekayo ukuze ikhule . Ukuba kuyimfuneko, utyando lunokunciphisa uxinzelelo engqondweni.

Kukho iintlobo ezimbini eziphambili zotyando lokunyanga i-metopic craniosynostosis:

1. Utyando oluncediswa yi-endoskopu:

• Olu tyando lwenziwa kwiintsana ezincinci, ngesiqhelo ngaphambi kokuba zibe neenyanga ezi-4 ubudala, kwaye ubuninzi beenyanga ezi-6 .
• Ugqirha wenza umngxuma omncinci ebunzini lomntwana, apho uboya buqala khona.
• Emva koko, kusetyenziswa i -endoscope (ityhubhu encinci enekhamera), kususwa umcu wethambo ngaphezulu kwe-metopic suture. Le endoscope ivumela ugqirha ukuba abone ngaphakathi kwekhaka aze enze utyando ngaphandle kokwenza utyando olukhulu.

2. Utyando oluvulekileyo (Utyando oluvulekileyo - Ukulungiswa kweCranial Vault):

• Olu tyando ludla ngokwenziwa kwiintsana eziphakathi kweenyanga ezi-6 ukuya kwezili-12 ubudala .
• Ixesha elininzi, oku kwenziwa ngugqirha wezifo zengqondo kunye nogqirha wezinto ezincedisayo xa besenza utyando.
• Ugqirha wenza umsikelo omkhulu entlokweni yomntwana kunakwi-endoscopic surgery .
• Emva koko, iindawo zentloko ezingaqhelekanga ziyasuswa. Emva koko, amathambo ayasikwa, aphinde amile, aze adityaniswe kwakhona ukuze kuvele imo yentloko efanelekileyo.Oku kunika ingqondo yomntwana indawo engakumbi yokukhula.

Ngaba umntwana kufuneka anxibe isigcina-ntloko emva kotyando?

Emva kotyando lwe-endoscopic, umntwana wakho kuya kufuneka anxibe isigcina-ntloko esikhethekileyo ade abe neenyanga ezili-12 ubudala. Esi sigcina-ntloko sinceda ukhakhayi lomntwana ukuba lukhule lube yingqukuva. Isigcina-ntloko asisoloko sifuneka emva kotyando oluvulekileyo , kodwa ugqirha wakho uya kukunika iingcebiso ngaloo nto.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Njengakwezinye iindlela zotyando, kukho iingozi ezininzi kunye nemiphumo emibi enokwenzeka kuzo zombini ezi ndlela zotyando:

• Ukulahleka kwegazi .
• Usulelo .
• Ukopha kwegazi ebuchosheni (Hematoma) .

Ugqirha womntwana wakho uza kukuchazela ezi ziphumo bezingalindelekanga ngaphambi kotyando. Utyando oluvulekileyo lunemingcipheko ephezulu kunotyando lwe-endoscopic . Kwakhona, ixesha elithathayo utyando nokuchacha lide.

Ngamanye amaxesha, ukuba kukho ukopha emva kotyando, umntwana unokufuna utofelo-gazi . Oku kubonakala kakhulu kwiindlela zotyando ezivulekileyo.

Akuqhelekanga ukuba i-trigonocephaly ifune utyando olongezelelweyo ukulungisa imeko, kodwa kusenokufuneka.

Kuthatha ixesha elingakanani ukuphola emva kotyando?

Umntwana wakho angaziva ngcono kakhulu kwiiveki ezimbalwa emva kotyando. Nangona kunjalo, kungathatha iinyanga ezimbini ukuya kwezintathu ukuba aphile ngokupheleleyo . Ukuphiliswa kwamathambo nokukhula kwakhona kungathatha ukuya kuthi ga kunyaka. Ugqirha womntwana wakho uza kuthetha nawe malunga nexesha lokuphola kunye noko ukulindeleyo ngaphambi kotyando.

Ukuba umntwana wam une-metopic craniosynostosis, ndimele ndilindele ntoni?

Nangona i-metopic craniosynostosis yimeko engaqhelekanga, indlela echaphazela ngayo umntwana ngamnye inokwahluka. Abanye abantwana banokuba notshintsho oluncinci kakhulu kwimo yentloko kwaye basenokungadingi unyango . Abanye banokufuna utyando lokulungisa imo yentloko kunye nonyango lweengxaki ezifana nokulibaziseka kokukhula.

Unyango lotyando luyaphumelela, kwaye iziphumo ebezingalindelekanga zihlala zincinci. Emva kotyando lwe-endoscopic, umntwana ugcinwa esibhedlele ubusuku bonke aze ajongwe ngononophelo. Ngokwesiqhelo banokuya ekhaya kungekapheli usuku okanye ezimbini. Ngotyando oluvulekileyo, umntwana ugcinwa kwigumbi lokhathalelo olunzulu iiyure ezingama-24 aze ajongwe ngoogqirha imini nobusuku. Emva koko, badluliselwa kwelinye iwadi lesibhedlele iintsuku ezimbalwa okanye iveki ukuze bajonge ukuchacha kwabo.

Ngexesha lokuhlala esibhedlele, intloko nobuso bomntwana bunokudumba. Oku kuqhelekile. Amehlo asenokudumba aze avaleke iintsuku ezimbini ukuya kwezintathu. Emva koko, ukudumba kuya kwehla kancinci kancinci.

Abantwana abaye benza utyando lwe-endoscopic kufuneka banxibe isigcina-ntloko bade babe neenyanga ezili-12 ubudala, nto leyo enokuba ngumceli mngeni kubazali abatsha. Kuba umntwana wabo uya kubonakala eyahlukileyo kwabanye ade aphile. Abazali abaninzi bahombisa isigcina-ntloko ngezitikha ezintle ukuze zihambelane nobuntu bomntwana wabo.

Ngenxa yokuba umntwana wakho ebonakala eyahlukileyo, abantu banokubuza imibuzo ngayo. Usenokufumanisa kunzima ukwabelana ngezi nkcukacha nabo bonke abantu. Iintsapho ezininzi ziye zafumana intuthuzelo xa zithetha nogqirha wengqondo ngamaxesha anje.

Ngaba le meko ingathintelwa?

Okwangoku akukho ndlela yokuthintela i-metopic craniosynostosis. Nangona kunjalo, unganciphisa umngcipheko wakho ngokuthetha nogqirha wakho malunga nendlela yokuhlala usempilweni ngaphambi nangexesha lokukhulelwa kunye neendlela zokuthintela iziphene zokuzalwa.

Umntwana wam ufanele aye nini kugqirha?

Akuba umntwana wakho ephilile ngokupheleleyo, iqela leengcali (iqela le-craniofacial) liza kumjonga ade abe mdala.

Ukuba umntwana wakho ufike kade ekufikeleleni kwimigangatho yokukhula efanelekileyo ngokweminyaka yakhe , bona ugqirha ngoko nangoko. Umzekelo, ukuhamba okanye ukuthetha amazwi akhe okuqala. Nangona uninzi lwabantwana abane-metopic craniosynostosis lukhula ngokwesiqhelo, abanye abantwana banokuba nokulibaziseka kokukhula. Basenokufuna ixesha elingaphezulu kancinci kunabanye. Ugqirha angamnceda umntwana wakho afikelele kwiinjongo zakhe.

Emva kotyando, ugqirha wakho uza kukunika ulwazi malunga nezinto ekufuneka uziqaphele, ezinje ngosulelo. Ukuba ubona into engaqhelekanga, nxibelelana nogqirha wakho ngoko nangoko.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha womntwana wam?

• Ngaba umntwana wam udinga utyando?
• Luhlobo luni lotyando olucetywayo?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?
• Ndifanele ndibuye nini ukuze ndihlolwe emva kotyando?
• Ndenza ntoni ukuba umntwana wam ufika kade kwimiba yokukhula?

Kungothusa ukubona imo yentloko yosana lwakho olusandul’ ukuzalwa ibukeka yahlukile kunendlela ebekulindelwe ngayo. Kodwa ungakhathazeki. Kwakamsinya nje emva kokuba umntwana wakho ezelwe, iqela lakho lezonyango liza kuxilonga i-metopic craniosynostosis kwaye liyinyange ukuthintela iingxaki ezinokuchaphazela ukukhula nophuhliso lomntwana wakho. Utyando luya kunceda ingqondo kunye nokhakhayi lomntwana wakho zikhule kakuhle.

Isishwankathelo (Umyalezo Wokuya Ekhaya)

Ukuba ubona ibunzi lomntwana wakho lithatha imo engunxantathu, oko kungaba luphawu lokuba umthungo we-metopic uvalekile ngaphambi kwexesha. Oku kubizwa ngokuba yi -metopic craniosynostosis okanye i-trigonocephaly .

Musa ukoyika!Ukuba imeko incinci, unyango lusenokungabi yimfuneko. Ukuba inzima ngakumbi, utyando lunokwenziwa ukulungisa ukuma kwentloko nokuvumela ingqondo ukuba ikhule kakuhle. Utyando luphumelele, kwaye abantwana bayaphila ngokukhawuleza. Kusenokufuneka unxibe isigcina-ntloko esikhethekileyo okwethutyana emva kotyando.

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha ngononophelo nokuhlala unolwazi malunga nokukhula komntwana wakho . Ukuba unemibuzo okanye amathandabuzo, ungathandabuzi ukubuza ugqirha. Sonke sifuna umntwana wakho akhule esempilweni kwaye onwabile!

I- Metopic craniosynostosis, i-trigonocephaly, ukhakhayi losana, imo yebunzi, iziphene zokuzalwa, uphuhliso lobuchopho, utyando