Xa ujonge umntwana osandul’ ukuzalwa, ngamanye amaxesha abazali bayothuka kancinci baze boyike ukubona ukuba umntwana uneminwe okanye iinzwane ezininzi esandleni okanye ezinyaweni kunenani eliqhelekileyo. Kuqhelekile ukuba uzive ukhathazekile kwaye ulusizi xa ubona oku. Kodwa ungoyiki, akunjalo? Le ayisiyongxaki inkulu, inzima kwiimeko ezininzi. Namhlanje sithetha ngemeko yokuba neminwe eyongezelelweyo ngale ndlela, ebizwa ngokuba yi -polydactyly ngokwezonyango. Abanye abantu babiza oku ngokuba yi-hyperdactyly.

Yintoni i-polydactyly? Ngamafutshane...

Ngamafutshane, i-polydactyly kuxa umntwana ezalwa eneminwe okanye iinzwane ezinyaweni okanye ezandleni, kunokuba ibe yeyesihlanu esiqhelekileyo. Ithathwa njengenye yezona ziphene zixhaphakileyo zokuzalwa (okanye iimeko ezikhoyo xa ezalwa) emhlabeni . Oogqirha babhekisela ekubeni khona komnwe owongezelelweyo, ngakumbi, njengemeko ewela phantsi koluhlu olubanzi lokwahluka kwezandla zokuzalwa. Oku kuthetha ukuba umntwana uzalwa eneyantlukwano esandleni.

Ngoku usenokuba ucinga, "Owu, ingaba oku kwenzeka kumntwana wam kuphela?" Musa ukucinga njalo. Oku akuqhelekanga njengoko unokucinga.

Oogqirha bayibona njani le nto?

Rhoqo, oogqirha banokubona le minwe yongezelelweyo ngexesha lokuhlolwa kwe-ultrasound xa ulindele umntwana. Nokuba awuzange uyibone ngaphambili, oogqirha banokuyibona kwangoko emva kokuba umntwana ezelwe kuba umunwe owongezelelweyo ubonakala ngokucacileyo.

Xa oogqirha bebona umnwe owongezelelweyo onje, bahlola umntwana ngononophelo ukuze babone ukuba yilo kanye na okanye ukuba unesinye isifo semfuza esihambelana naso. Kuba ngamanye amaxesha esi simo esibizwa ngokuba yi-polydactyly sinokwenzeka sodwa, okanye sinokwenzeka njengophawu lwesinye isifo semfuza.

Kuqhelekile ukuba uzive usoyika kwaye ukhathazekile xa ufumanisa ukuba umntwana wakho une-polydactyly. Kodwa khumbula, olu nyawo lungaphezulu alubangeli ntlungu okanye ukungakhululeki kumntwana.

Oogqirha bangayisusa ngokulula le nzwane yongezelelweyo ngotyando oluncinci. Nangona kunjalo, ukuba umntwana ufunyaniswe enesinye isifo semfuza esinxulumene nayo, unokufuna unyango olwahlukileyo kunye nokhathalelo.

Ziziphi iintlobo eziphambili ze-polydactyly?

Ngoku makhe sijonge iintlobo eziphambili zale meko, i-polydactyly. Olu hlu lusekelwe ekubeni umnwe owongezelelweyo unamathele kuwuphi umnwe. Kukho iintlobo ezintathu eziphambili:

1. I-Preaxial polydactyly: Oku kubhekisa kwicala lonyawo olukhulu (ukuba lisesandleni) okanye ecaleni lonyawo olukhulu .(Ukuba usezinyaweni) Kukho uzwane olongezelelweyo. Oogqirha ngamanye amaxesha babiza uzwane olongezelelweyo olukwicala elikhulu lesandla ngokuthi ``radial polydactyly`` kunye nozwane olongezelelweyo olukwicala elikhulu lenyawo ngokuthi ``tibial polydactyly``.

2. I-Central polydactyly: Oku kuxa kuvela idijithi eyongezelelweyo phakathi kweminwe okanye iinzwane . Oku kuthetha ukuba idijithi eyongezelelweyo inokuba phakathi kweminwe yesalathisi, ephakathi, kunye neyasesandleni, okanye naphi na kwiinzwane ngaphandle konyawo olukhulu nonyawo oluncinci. Oku akuvamile kangako kunezinye iintlobo ezimbini.

3. I-Postaxial polydactyly: Oku kubukho benombolo eyongezelelweyo ecaleni komnwe omncinci (esandleni okanye elunyaweni). Oogqirha babiza i-extra digit ecaleni komnwe omncinci ngokuthi ``ulnar polydactyly`` kunye ne-``fibular polydactyly```. Olu lolona hlobo luqhelekileyo lwe-polydactyly.

Uyifumene? Kulungile, ngoko makhe sijonge iimpawu zale nto ngokulandelayo.

Zithini iimpawu ze-polydactyly?

Enyanisweni, uphawu olulodwa lwe-polydactyly kukubakho kweminwe okanye iinzwane ezingaphezulu kwemihlanu esandleni okanye onyaweni lomntwana. Le minwe eyongezelelweyo ibonakala ngokucacileyo xa ezalwa.

Ngokuxhomekeke kuhlobo lwe-polydactyly umntwana anayo, le minwe yongezelelweyo inokukhula ngokupheleleyo kwaye ifane neminye iminwe. Kodwa uninzi lwexesha, le minwe yongezelelweyo ayikhulanga kakuhle njengeminwe eqhelekileyo. Eminye isenokuba ziinxalenye ezincinci zesikhumba, okanye inokuba inamathele eluswini okanye kwimithambo-luvo. Kunokubakho neqhekeza elincinci lethambo.

Kutheni le nto kuvela le minwe ingaphezulu? Zithini izizathu?

Ngoku unombuzo othi, "Kutheni oku kwenzeke kumntwana wethu?" Isizathu esiphambili sokuba ne-polydactyly kukuba kukho utshintsho kwiijini zomntwana ngelixa esakhula esibelekweni. Cinga ngayo njengeplani enkulu equlethe yonke imiyalelo yendlela umzimba wethu omele ukhule ngayo kunye nendlela iseli nganye emele isebenze ngayo. Ezi jini zizuzwe ngabazali kubantwana.

Ngoko ke, ukuba kukho naluphi na ukuphazamiseka okanye utshintsho kwinkqubo yokuphuhlisa ezi jini ngelixa umntwana esesibelekweni, kunokubangela utshintsho olwahlukeneyo emzimbeni womntwana. Ezinye zezo tshintsho zisenokungabonwa. Kodwa ngamanye amaxesha olu tshintsho lwejini lunokubangela iimeko zokuzalwa ezifana ne-polydactyly.

Ukuba kukho into ephazamisana neejini ezilawula uphuhliso lwezandla neenyawo zomntwana, kunokwenzeka ukuba azalwe ene-polydactyly. Ezi jini zinokuchaphazeleka ziingxaki zejini. Kuthiwa nezinye izinto ezichaphazela umama okanye imeko-bume ngexesha lokukhulelwa nazo zinokubangela oku, kodwa iimpembelelo zejini zezona ziphambili.

Ezinye iimeko zemfuza ezinokubonwa nge-polydactyly ziquka:

• Isifo seCarpenter
• I-Down syndrome
• I-Fanconi anemia

Ngaphandle kwezi, i-polydactyly inokubonwa kunye nezinye iimeko ezininzi zemfuza.

Ngubani osengozini enkulu yokuba ne-polydactyly?

Nangona i-polydactyly inokwenzeka nakuwuphi na umntwana, abanye abantwana banamathuba amaninzi okufumana le meko. Kukho izinto ezininzi ezinokubangela umngcipheko:

• Isini: I-Polydactyly ixhaphake kakhulu kubafana kunakumantombazana.
• Ubuzwe: Le meko ixhaphake kakhulu kwamanye amaqela eentlanga kwihlabathi liphela. Umzekelo, ezinye izifundo zibonise ukuba ixhaphake ngokuphindwe kalishumi kubafana bemvelaphi yaseAfrika kunamakhwenkwe ezizwe ezahlukeneyo . Kukwaxelwa ukuba ixhaphake ngokuphindwe kamashumi amabini kumantombazana emvelaphi yaseAfrika kunamantombazana ezizwe ezahlukeneyo. Oku kusenokunxulunyaniswa nefuthe lemfuza.
• Imbali yosapho: Ukuba umntu kusapho lwakho, ingakumbi isalamane esisondeleyo (umama, utata, abantakwenu noodadewabo) wazalwa ene-polydactyly, okanye ukuba kukho imbali yosapho enezifo zemfuza, umntwana wakho unamathuba amaninzi okuba ne-polydactyly.

Oogqirha bakuqinisekisa njani oku kanye kanye?

Njengoko besitshilo ngaphambili, ugqirha wakho unokukwazi ukukubona oku ngexesha le-ultrasound ngexesha lokukhulelwa. Ukuba akunjalo, ugqirha wakho ngokuqinisekileyo uya kukubona oku xa uhlola umntwana wakho emva kokuzalwa. Uya kukwazi ukubona iminwe okanye iinzwane ezingaphezulu ezandleni okanye ezinyaweni zomntwana wakho aze akuxelele ukuba loluphi uhlobo lwe-polydactyly.

Ngamanye amaxesha, ugqirha wakho unokucebisa ukuba uthathwe i-X-ray yesandla okanye i-X-ray yeenyawo ngaphambi konyango, ingakumbi ukuze abone ukuba amathambo onyawo olongezelelweyo abekwe njani kwaye adibana njani nezinye iinzwane.

Ngaba singafunda nangovavanyo lwemfuza?

Ukuba kukho umntu kusapho lwakho oye waba ne-polydactyly, okanye ukuba ukrokrela ukuba unayo, kuyafaneleka ukuthetha nomcebisi wezemfuza . Banokukunceda ukuba uthathe isigqibo sokuba kufuneka wenze uvavanyo lwemfuza na. Olu vavanyo lunokuchonga utshintsho olwahlukeneyo lwemfuza, kuquka notshintsho lwemfuza, olunokubangela i-polydactyly.

Khumbula, nokuba ungumthwali we-gene variant ethile, akuthethi ukuba umntwana wakho uza kuba neso sifo se-genetic.

Umcebisi ngezemfuza unokukuchazela iingozi zakho, iindlela zokukhusela impilo yakho, kunye nezinto onokuzenza ukunciphisa umngcipheko wokudlulisela iingxaki zezemfuza kubantwana bakho.

Iphathwa njani iPolydactyly?

Unyango lwe-polydactyly lunokwahluka kancinci ngokuxhomekeke kuhlobo lwesi sifo. Kodwa unyango oluqhelekileyo kukususa i-extra pin esandleni okanye elunyaweni lomntwana. Kukho iindlela ezahlukeneyo zokususa le extra pin. Makhe sijonge ukuba zithini:

1. I-ligature yotyando: Kule nto, ugqirha ubopha intambo eqinileyo (i-ligature) ejikeleze isiseko somnwe owongezelelweyo. Kufana nokubopha iqhina elincinci. Xa ibotshelelwe ngokuqinileyo ngolu hlobo, igazi liyayeka ukusasazeka kumnwe owongezelelweyo, kwaye emva kweentsuku ezimbalwa (malunga neveki okanye ezimbini), iyoma ize iwele yodwa. Oku kudla ngokwenziwa kwiminwe emincinci, engakhulanga kakuhle exhonywe nje eluswini.

2. Ukususwa kwesikhumba eofisini: Kule nkqubo, ugqirha uza kunika inaliti encinci ukuze avale indawo apho kukho uzwane olongezelelweyo lomntwana. Emva koko, esebenzisa isixhobo esikhethekileyo (ngamanye amaxesha esibizwa ngokuba sisixhobo sokucoca), uzwane olongezelelweyo luyanqunyulwa luze lususwe. Le yinkqubo elula enokwenziwa eofisini kagqirha.

3. Ukususwa ngotyando (utyando lwePolydactyly): Ngamanye amaxesha, ukuba uzwane olongezelelweyo luphuhlisiwe kakuhle kwaye ludibene kakuhle nezinye iinzwane ezinamathambo, okanye kwiinzwane ezongezelelweyo ezinyaweni, iindlela ezilula ezikhankanyiweyo ngaphambili azisebenzi. Kwimeko enjalo, kufuneka utyando oluncinci ukuze kususwe uzwane olongezelelweyo. Oku kudla ngokwenziwa emva kokuba umntwana ekhulile kancinci, phantsi kwe-anesthesia.

Kungakhathaliseki ukuba yeyiphi indlela esetyenzisiweyo, ugqirha uya kukhetha indlela efanelekileyo nekhuselekileyo kumntwana.

Emva konyango, ndifanele ndiphinde ndimbone nini ugqirha?

Emva kokususa uzwane olongezelelweyo, kufuneka uyinyamekele kakuhle loo ndawo ide iphole. Ukuba ubona naluphi na utshintsho okanye ukungakhululeki kwindawo apho uzwane lomntwana wakho lususiwe khona, ngokuqinisekileyo kufuneka uthethe nogqirha wakho. Bona ugqirha ngoko nangoko, ingakumbi ukuba unezinye zezi mpawu zilandelayo:

• Ukuba kukho ukopha
• Ukuba kukho ulwelo okanye ubomvu obuphuma enxebeni
• Ukuba umbala wolusu kuloo ndawo ubonakala ngathi utshintshile (njengokuba bomvu okanye luhlaza okwesibhakabhaka)
• Ukuba kukho ukudumba
• Ukuba umntwana ubonakala ebuhlungu kuloo ndawo

Ukuba ubona into efana nale, akufanele uxelele ugqirha ngokukhawuleza?

Ukuba umntwana wam une-polydactyly, ndimele ndilindele ntoni?

Ukuba ufumanisa ukuba umntwana wakho une-polydactyly, musa ukoyika. Ungalindela ukuba umntwana wakho aphile ngokupheleleyo emva kokuba kususwe uzwane olongezelelweyo. Ukususa olu zwane longezelelweyo akuyi kuchaphazela ukukhula okanye uphuhliso lwakhe kwixesha elizayo.

Nangona kunjalo, ukuba umntwana wakho unesinye isiphene sokuzalwa okanye imeko yemfuza enxulunyaniswa ne-polydactyly, unokufuna unyango olwahlukileyo okanye unyango olukhethekileyo. Ugqirha wakho uza kukuchazela oku.

Kungamangalisa kwaye koyike ukubona umnwe okanye uzwane olongezelelweyo xa umntwana wakho ezalwa. Kodwa ungakhathazeki. I-Polydactyly yimeko enyangekayo engenamiphumo yexesha elide ekukhuleni nasekuphuhliseni komntwana wakho. Zonke iindlela zokususa umnwe okanye uzwane olongezelelweyo ziya kubangela ukuba umntwana wakho aphile ngokukhawuleza kwaye aziyi kuchaphazela amandla omntwana wakho okusebenzisa isandla okanye umlenze wakhe kwixesha elizayo. Ukuba unemibuzo malunga nale meko okanye ezinye izifo zemfuza, ungathandabuzi ukuthetha nogqirha wakho.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ke, nazi ezona zinto zibalulekileyo ekufuneka siziqwalasele kwizinto esithethe ngazo:

• I-Polydactyly iyenzeka xa umntwana ezalwa eneminwe okanye iinzwane ezingaphezulu. Ayisiyonto imbi njengoko unokucinga, kwaye iqhelekile.
• Olu nyawo lungaphezulu aludli ngokubangela intlungu kumntwana.
• Oogqirha banokususa olu nyawo lungaphezulu ngonyango olulula.
• Emva kokuba unyawo olongezelelweyo lususiwe, umntwana uphila ngokukhawuleza kwaye akanangxaki yokusebenzisa amalungu akhe.
• Ngamanye amaxesha i-polydactyly inokunxulunyaniswa nenye imeko yemfuza. Ugqirha wakho uza kukwazisa ngale nto.
• Ukuba unamathandabuzo, uloyiko, okanye iingxaki, qiniseka ukuba uthetha ngokukhululekileyo nogqirha wakho. Bakho ukukunceda.

Ngoko ke, ndiyathemba ukuba olu lwazi luza kuba luncedo kuwe. Ndinqwenela umntwana wakho omncinci impilo entle!

` I-Polydactyly, iminwe eyongezelelweyo, iziphene zokuzalwa, i-genetics, impilo yomntwana, utyando, unyango lwabantwana