Into yokuqala eyenziwa ngumama okanye ngutata xa ejonga usana olusandul’ ukuzalwa kukubala iminwe neenzwane ezandleni nasezinyaweni zabo ezincinci. Kodwa khawucinge ukuba ubunokubona ezimbini okanye ngaphezulu kwezo minwe zincinci zinamathelene, ngokungathi zidibene nenwebu yolusu? Njengomama, usenokuba nexhala elincinci. Kodwa ungakhathazeki, namhlanje sithetha ngale meko isenokuba ibonwe ngoomama abaninzi.
Yintoni i-syndactyly?
Ngamafutshane, le meko ibizwa ngokuba yi-syndactyly ngokwezonyango. Oku kwenzeka xa iminwe emibini okanye ngaphezulu okanye iinzwane zesandla okanye unyawo lomntwana zidibene ngesikhumba, njengokungathi kukho ulwelwesi phakathi kweenzwane zedada. Ngamanye amaxesha olu nxibelelwano lukhawulelwe eluswini. Ngamanye amaxesha, amathambo angaphantsi (i-spinals) kunye nezinye izicubu ezithambileyo nazo zinokudityaniswa.
Esi sisiphene sokuzalwa esinokufunyanwa xa umntwana ezalwa. Kwezinye iimeko, sinokubonwa nakwixesha lokuhlolwa kwe-ultrasound ngaphambi kokuzalwa umntwana esesesibelekweni.
Kutheni oku kusenzeka kwiintsana? Yintoni isizathu?
Ukuze sikuqonde oku, kufuneka sazi kancinci ngendlela umntwana akhula ngayo esibelekweni. Xa umntwana ekhulelwe aze akhulele esibelekweni, izandla neenyawo zakhe ziqala zimile njengeepaddles ezifana neflippers. Iminwe ayihlukaniswanga.
Malunga neeveki ezili-10 zokukhulelwa, le minwe idla ngokwahlukana, ide, kwaye ilahlekelwe bubume obuphakathi kwayo. I-Syndactyly yenzeka xa, ngesizathu esithile, le minwe ingahlukani kakuhle ngelo xesha.
Uninzi lwexesha, kwenzeka njengesiphene sokuzalwa esikhethekileyo , ngaphandle kwesinye isifo esibalulekileyo. Kodwa ngamanye amaxesha sinokuba nefuthe kwimfuza. Oku kuthetha ukuba ukuba umntu kusapho, umzekelo wena, iqabane lakho, okanye abazali bakho, ukhe waba nale meko, kukho ithuba lokuba nomntwana wakho naye abe nayo. Izifundo zibonise ukuba phakathi kwe-10% kunye ne-40% yabantu abane-syndactyly banembali yosapho .
Kunqabile kakhulu, oku kudibana kweminwe kunokuba luphawu lwezinye izifo ezinkulu zemfuza. Umzekelo, le meko ibonakala kwi-Apert, Chotzen, kunye nePoland syndromes. Kodwa ezi zinqabile kakhulu.
Ngaba kukho iintlobo ezahlukeneyo zale meko ebizwa ngokuba yiSyndactyly?
Ewe, ayichaphazeli umntwana ngamnye ngendlela efanayo. Ingohlulwa ibe ziintlobo ezahlukeneyo ngokuxhomekeke kubukhali bemeko kunye nezicubu ezichaphazelekileyo. Makhe sibone ukuba zeziphi iintlobo eziphambili.
| Uhlobo lwe-syndactyly | Ingcaciso elula |
|---|---|
| I-syndactyly elula (uhlobo olulula) | Iminwe iqhagamshelwe lusu kuphela kunye nezicubu ezithambileyo ezingaphantsi. Akukho mathambo aqhagamshelweyo. |
| I-syndactyly eyinkimbinkimbi (uhlobo oluyinkimbinkimbi) | Kwanamanye amathambo (i-spinae) angaphantsi kolusu adibene aze adibane. |
| I-syndactyly eyinkimbinkimbi (uhlobo oluyinkimbinkimbi kakhulu) | Oku kunokubandakanya ithambo elongezelelweyo, ithambo elingekhoyo, okanye amathambo angakhulanga kakuhle, kunye nemisipha kunye nemisipha engaqhelekanga. |
| I-syndactyly engaphelelanga (uhlobo olungaphelelanga) | Iminwe ayidibani ngokupheleleyo. Yinxalenye nje yesikhumba esiphakathi kweminwe edityaniswe njenge-membrane. |
Ukongeza, yahlulwe yaba ziintlobo ezininzi ngokuxhomekeke ekubeni zeziphi iminwe ezidityanisiweyo.
- Uhlobo 1: Olu lolona hlobo luxhaphakileyo. Ludla ngokuchaphazela iminwe yesithathu neyesine okanye iinzwane zesibini nezesithathu. Lunokubonwa rhoqo ezandleni zombini okanye ezinyaweni zombini.
- Uhlobo 2: Oku kuchaphazela iminwe yesithathu neyesine kunye nozwane lwesihlanu. Abanye abantwana abanolu hlobo banokuba neminwe eyongezelelweyo.
- Uhlobo 3: Oku kuchaphazela izandla kuphela. Iminwe yesine neyesihlanu zihlala zichaphazeleka.
Kukho nezinye iintlobo zale meko. Ugqirha wakho uza kumhlola umntwana wakho ngokwasemzimbeni, enze ii-X-ray, kwaye ukuba kuyimfuneko, enze uvavanyo lwemfuza ukuze afumanise ukuba loluphi uhlobo kwaye lunzima kangakanani.
Zithini iindlela zonyango zoku?
Umbuzo wokuqala ofika engqondweni xa usiva oku ngulo, "Ndenze ntoni ngoku? Ngaba kufuneka ndityandwe ngenxa yoku?"
Eyona nto ilungileyo kukuba uninzi lwezi meko zinokunyangwa ngempumelelo.
- Akukho mfuneko yonyango: Ukuba ilungu lezinzwane lincinci kakhulu, oko kuthetha ukuba yimeko engephi engachaphazeli ukukhula komntwana okanye indlela asebenzisa ngayo isandla sakhe, ngoko unyango lusenokungabi yimfuneko. Ingakumbi kuba iinzwane zihlala zinamathele kwaye azichaphazeli ukuhamba okanye imisebenzi yomntwana, zihlala zinganyangwa.
- Utyando: Njengakwezinye iintlobo, unyango lukwahlulwa kweminwe ngotyando. Olu tyando ludla ngokwenziwa xa umntwana ephakathi kweminyaka eli-1 neli-2 ubudala . Oku kungenxa yokuba umngcipheko we-anesthesia uphantsi kuloo minyaka. Kwakhona, okukhona iminwe ihlukaniswa ngokukhawuleza, kokukhona isandla somntwana siya kusebenza kwaye sikhule ngendlela eqhelekileyo.
Indlela oluqhutywa ngayo utyando
Ngexesha lotyando, ugqirha usika ulusu oluphakathi kweenzwane ezidityanisiweyo ngononophelo ngendlela ethi "zig-zag". Oku kwenzelwa ukunciphisa amanxeba nokuthintela iinzwane ukuba zingaphindi zihlangane kamva. Ngamanye amaxesha, ukuba akukho sikhumba saneleyo emva kokwahlukanisa iinzwane, kuthathwa iqhekeza elincinci lesikhumba kwenye inxalenye yomzimba womntwana, njengesandla okanye ingqiniba, kwaye lisetyenziswe njenge-graft yesikhumba .
Emva kotyando, isandla somntwana wakho siya kuba kwisamente kangangeeveki ezimbalwa. Kamva, kusenokufuneka usebenzise i-raber spacers ukuze iminwe ingaphindi ihlangane. Kuya kufuneka ubone ugqirha wakho rhoqo ukuze ujonge inkqubela yomntwana wakho kwaye ubuze imibuzo. Abanye abantwana banokufuna unyango lomzimba ukuphucula intshukumo yezandla neminwe yabo.
Eyona nto ibalulekileyo kukungaxhalabi ngale nto, kodwa kukuthetha nogqirha kwangoko nje ukuba umntwana azelwe. Uza kukunika lonke ulwalathiso oludingayo.
Umyalezo Wokuya Ekhaya
- I-Syndactyly yimeko apho iminwe yomntwana idibana khona xa ezalwa. Esi sisifo esiqhelekileyo sokuzalwa.
- Oku kwenzeka kuba iinzwane azihlukani kakuhle ngelixa umntwana esakhula esibelekweni.
- Ixesha elininzi, ayinxulunyaniswanga nayo nayiphi na enye imeko yezonyango, kodwa kunokubakho imbali yosapho okanye impembelelo yemfuza.
- Ukubandakanyeka okuncinci kakhulu kweminwe okanye iinzwane kusenokungafuneki unyango.
- Kwiimeko ezininzi, utyando lunokuyilungisa ngokupheleleyo nangokuphumelelayo le meko.
- Ukuba umntwana wakho unale meko, musa ukoyika kwaye udibane nogqirha wabantwana okanye ugqirha wotyando lweplastiki ukuze akunike ingcebiso.
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