Ukhathazekile ngesimo sobuso bomntwana wakho? Ake sixoxe nge-Binder Syndrome!

Ngesikhathi ingane yakho encane izalwa, ingabe uphawule noma yiziphi izinguquko ezincane esimweni sobuso bayo? Ngezinye izikhathi ikhala labo lingase libukeke liyisicaba kancane, noma udebe lwabo olungaphezulu lungase lungabi sendaweni efanele. Kuvamile ukuthi umama noma ubaba azizwe esaba kancane uma bebona into efana nale. Kodwa ungakhathazeki, namuhla sizokhuluma ngesimo esibonisa izimpawu ezifanayo, kodwa esingavamile kakhulu, esibizwa ngokuthi i-Binder Syndrome.

Iyini i-Binder Syndrome? Kalula nje...

I-Binder syndrome yisimo esingavamile , esizalwa naso esenzeka lapho kuzalwa. Sibonakala ngamathambo aphakathi kobuso, ikakhulukazi ikhala kanye nomhlathi ongaphezulu, angakhuli kahle. Sifana nendlela ezinye izindonga zendlu ezingakhiwanga kahle ngayo. Lokhu kungabangela ukuthi ubuso bomntwana bubukeke buhlukile kancane.

Cabanga ngakho, ikhala lethu kanye nodebe olungaphezulu kwakheke ngenxa yamathambo angaphansi. Ngakho-ke lapho lawo mathambo eyeka ukukhula, ukubukeka kwawo kuyashintsha. Ezinye izingane zingaba nobunzima bokuphefumula ngenxa yalesi simo, futhi zingase zibe nezinkinga zokudla, ikakhulukazi lapho zincelisa . Kodwa izindaba ezinhle ukuthi, kukhona ukwelashwa kwalokhu. Ngokuvamile, lapho ingane isikhulile kancane, okungukuthi, lapho ifika ebudaleni (ngokuvamile phakathi kweminyaka eyi-15-19), la mathambo angahlelwa kabusha futhi ukubukeka kobuso kungabuyiselwa ngokuhlinzwa kobuso kanye nomhlathi (`ukuhlinzwa kwe-maxillofacial`) .

Ingabe akhona amanye amagama e-Binder Syndrome?

Yebo, odokotela ngezinye izikhathi basebenzisa amanye amagama kulesi simo. Kuhle ukwazi ngoba ungase uzwe nalawa magama:

• I-Binder phenotype - Leli elinye igama le-Binder syndrome.
• I-dysplasia ye-nasomaxillary yohlobo lwe-binder
• I-Maxillonasal dysplasia
• I-Nasomaxillary hypoplasia

Nakuba la magama engase abonakale eyinkimbinkimbi kancane, wonke asho into efanayo.

Sivame kangakanani lesi simo esibizwa ngokuthi i-Binder Syndrome?

Empeleni lesi yisimo esingavamile kakhulu . Ngokusho kweminye imibiko, lesi simo senzeka ezinganeni ezingaphansi kweyodwa kweziyi-10,000 ezisanda kuzalwa. Ngakho-ke ungakhathazeki ngalokhu. Kodwa, yize kungavamile, kubalulekile ukukuqaphela.

Ziyini izimpawu ze-Binder Syndrome?

Isici esiyinhloko salesi simo ukuntuleka kokukhula phakathi kobuso . Ngenxa yalokho, ubuso bomntwana bungabonisa izinguquko ezilandelayo:

• Impumulo iba yithafa, kanti udebe olungaphezulu luba yithafa . Kungabonakala sengathi imphumulo ishone ngaphakathi.
• Umhlathi ongezansi uphuma phambili.Kubukeka kanje. Lokhu kubonakala kwenzeka ngoba umhlathi ongaphezulu ungena ngaphakathi kanti umhlathi ongezansi uvela phambili.
• Amazinyo angaphezulu nangaphansi awahlangani kahle (i-malocclusion) . Lokhu kungabangela ubunzima lapho udla futhi ukhuluma.
• Amakhala athatha isimo esingunxantathu noma esiyindilinga .

Lezi yizimpawu ezivame kakhulu. Kodwa-ke, ngaphezu kwalokho, ungase ubone lezi zimpawu ezilandelayo ezimweni ezingavamile :

• Umlomo oqhekekile .
• Ukukhubazeka kwenhliziyo okubangelwa ukuzalwa .
• Ukukhubazeka kokuzwa .
• Ukukhubazeka kwengqondo .
• Ukukhubazeka komgogodla .
• I-Strabismus noma amehlo ahlanganisiwe .

Akuzona zonke izingane ezizoba nazo zonke lezi zimpawu. Ezinye izingane zingase zibe nezimpawu eziyisisekelo kuphela.

Kungani i-Binder Syndrome yenzeka? Ziyini izimbangela?

Uma ngikhuluma iqiniso, ochwepheshe abakakatholi ukuthi yini ngempela ebangela lokhu . Esikhathini esiningi, izingane ziba nalesi simo ngaphandle kwesizathu esibonakalayo.

Kodwa-ke, njengoba izingane eziningana kweminye imindeni zinalesi simo, kusolwa ukuthi kungase kube nezici zofuzo, okungukuthi, ithonya lofuzo . Kodwa-ke, lokhu akukafakazelwa ngokuqinisekile.

Ngaphezu kwalokho, abacwaningi bakholelwa ukuthi izici eziningana zemvelo nazo zingadlala indima. Lezi zinto zifaka:

• Ukusetshenziswa kotshwala komama ngesikhathi sokukhulelwa.
• Ukuchayeka emithini ethile ngesikhathi sokukhulelwa. Izibonelo zifaka phakathi i-phenytoin yokulwa nesifo sokuwa (i-Dilantin®, i-Phenytek®) kanye ne-warfarin encipha igazi (i-Coumadin®, i-Jantoven®). (Le mithi kufanele ithathwe ngaphansi kokuqondisa kukadokotela uma kudingeka, kodwa kufanele kuthathwe ukunakekelwa okukhethekile ngesikhathi sokukhulelwa.)
• Ukuntuleka kwe-Vitamin K ngesikhathi sokukhulelwa.
• Ukulimala ekhanda noma ebusweni ngesikhathi sokuzalwa.

Lezi yizinto eziyingozi ezitholakalayo njengamanje.

Odokotela bahlonza kanjani i-Binder Syndrome?

Odokotela baqale basole lesi simo ngokubheka ukubukeka kobuso bomntwana . Bese, ukuze baqinisekise noma basuse lokho kusola, benza izivivinyo ezikhethekile ezingabona ngokucacile isakhiwo samathambo ebusweni . Lokhu kubizwa ngokuthi:

• Ukuskena kwe-CT
• Ama-MRI Scan (`i-MRI`)
• Izikena ze-Ultrasound (`i-ultrasound`)

Ngalezi ziskeni, singabona ngokunembile ukuntuleka kokukhula kwamathambo ebusweni.

Yiziphi izindlela zokwelapha i-Binder Syndrome?

Ukwelashwa kwalokhu kuyahlukahluka kuye ngengane, futhi kuncike ebunzimeni bezimpawu.Kuyahlukahluka. Kunezindlela ezimbili eziyinhloko zokwelapha:

1. Ukunakekelwa kwe-Orthodontic:

• Lokhu kuhilela ukubeka izintambo (`ama-brace`) emlonyeni ukuze umhlathi namazinyo aqondaniswe kahle .
• Ngezinye izikhathi, uma izimpawu zingezimbi kakhulu, lokhu kwelashwa kwamazinyo kuphela kunganele.
• Kwezinye izimo, lokhu kwelashwa kungadingeka kwenziwe ngaphambi noma ngemva kokuhlinzwa.

2. Ukuhlinzwa:

• Lena yindlela eyinhloko yokwelapha. Udokotela ohlinzayo we-craniofacial (udokotela ochwepheshe bekhanda nobuso) wenza lokhu kuhlinzwa.
• Kulokhu, isimo sekhala sishintshwa kusetshenziswa ithambo, i-cartilage, noma izinto zokwenziwa ezithathwe emzimbeni wengane . Lokhu kubizwa nangokuthi i-rhinoplasty .
• Futhi, uhlobo lokuhlinzwa olubizwa ngokuthi i-Le Fort I noma i-II osteotomy lungenziwa ukuze kubekwe umhlathi ongaphezulu endaweni efanele. Lokhu kuwukuhlinzwa okuyinkimbinkimbi, kodwa odokotela abanolwazi bangakwenza ngempumelelo.
• Odokotela bavame ukuncoma ukulinda kuze kube yilapho amathambo obuso bomntwana eyeka ukukhula ngokuphelele ngaphambi kokwenza lokhu kuhlinzwa, okuvame ukuba phakathi kweminyaka eyi-15 neyi-19. Lokhu kungenxa yokuthi uma kwenziwa ngaphambi kwalokho, izinkinga zingaphinde zivele njengoba amathambo eqhubeka nokukhula.

Okubalulekile: Akuzona zonke izingane ezizodinga ukwelashwa kokubili. Ezinye izingane zingadinga ukwelashwa okukodwa kuphela. Lokhu kuzonqunywa yithimba lezokwelapha ngemva kokuhlola ingane.

Ingabe lesi simo esibizwa ngokuthi i-Binder Syndrome singavinjelwa?

Njengoba imbangela eqondile yalokhu ingaziwa, akunakwenzeka ukuqinisekisa ukuthi kungavinjelwa ngokuphelele .

Kodwa-ke, uma ukhulelwe, unganciphisa ingozi yakho yokuthola lesi simo ngezinga elithile ngokunciphisa ukuchayeka kwakho kwezinye zezici zemvelo esixoxe ngazo ngaphambili. Ungakhuluma nodokotela wakho ngalokhu:

• Ukuphepha kwemithi ngesikhathi sokukhulelwa , ikakhulukazi i-phenytoin ne-warfarin (ungasebenzisi noma yimuphi umuthi ngaphandle kokuthi unikezwe udokotela, futhi uma unikezwe udokotela, khuluma nodokotela wakho ngakho).
• Mayelana nokuntuleka kwamavithamini, ikakhulukazi ukuntuleka kwevithamini K. Kubaluleke kakhulu ukuthola ukudla okufanele ngesikhathi sokukhulelwa.

Iyini inhloso yengane ene-Binder Syndrome?

Lezi yizindaba ezinhle kakhulu. Ngokuvamile kukhona umbono omuhle ngalesi simo .

Iningi lezingane alidingi ukwelashwa okwengeziwe ngemva kokuhlinzwa kwe-rhinoplasty. Zingaphefumula kahle, zidle kahle, futhi ukubukeka kobuso bazo kuyathuthuka ngemva kokuhlinzwa.Kungenzeka. Ngakho-ke akukho okufanele ukhathazeke ngakho, kodwa into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha okukhulu.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uthola ukuthi wena noma ingane yakho ine-Binder Syndrome, ungabuza udokotela wakho imibuzo efana nale. Lokhu kuzokusiza ukuqonda isimo:

• "Dokotela, yini engaba imbangela enkulu yesimo somntwana wami? "
• " Yiziphi izivivinyo ezenziwayo ukuze kutholakale ngokunembile lesi simo se-Binder Syndrome? "
• " Yiziphi izindlela zokwelapha lokhu? Yini engcono kakhulu kumntanami?"
• " Yimaphi amathuba okudinga ukwelashwa futhi kamuva ekuphileni? "
• "Uma nginenye ingane, mangakanani amathuba okuthi nayo izoba nalesi simo? "

Ngaphezu kwale mibuzo, buza udokotela wakho noma yini onayo engqondweni yakho.

Yiziphi ezinye izimo ezinezimpawu ezifana nezeBinder Syndrome?

Kunezinye izimo eziningana ezithinta ukukhula kwamathambo ebusweni futhi zibukeka zifana ne-Binder syndrome. Odokotela nabo bakhathazekile ngalezi. Ezinye izibonelo yilezi:

• I-Acrodysostosis
• I-Apert syndrome
• I-Chondrodysplasia punctata, uhlobo lwe-rhizomelic (CDPR)
• I-Fetal warfarin syndrome (isimo esibangelwa ukuchayeka ku-warfarin ngesikhathi sokukhulelwa)
• I-Keutel syndrome
• I-Stickler syndrome

Qaphela la magama. Odokotela bazonquma ukuthi ingane yakho inasiphi isimo.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake sifingqe lokho esikhulume ngakho:

• I-Binder Syndrome iyisimo esingavamile kakhulu, esizalwa naso .
• Lokhu kubangela ukwehla kokukhula kwamathambo phakathi kobuso, ikakhulukazi ikhala kanye nomhlathi ongaphezulu . Lokhu kuphumela ezicini ezifana nekhala eliyisicaba kanye nomhlathi ongezansi ophumayo.
• Imbangela eqondile yalokhu ayaziwa , kodwa izici zofuzo kanye nezemvelo zingadlala indima.
• Lesi simo singelashwa ngempumelelo ngokwelashwa ngamazinyo kanye/noma ngokuhlinzwa .
• Izingane eziningi zithola imiphumela emihle kakhulu ngemva kokwelashwa futhi zingaphila impilo evamile.

Uma unenkinga noma ukukhathazeka ngokubukeka kobuso bengane yakho, sicela ubonane nodokotela ofanelekayo ngokushesha okukhulu . Into ebaluleke kakhulu ukungesabi, kodwa ukuthola ulwazi olufanele kanye nesiqondiso. Odokotela bakhona ukukusiza.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Ngikufisela impilo enhle wena nomndeni wakho!

I- Binder Syndrome, i-Binder Syndrome, ukukhubazeka kobuso, izifo zokuzalwa, impilo yabantwana, ukuhlinzwa kwe-maxillofacial, ukuhlinzwa kwe-craniofacial