Ingabe ingane yakho inomunwe noma izinzwane ezengeziwe? Ake sixoxe nge-Polydactyly

Uma ubheka umntwana osanda kuzalwa, ngezinye izikhathi abazali bayashaqeka kancane futhi besaba kancane ukubona ukuthi umntwana uneminwe noma izinzwane eyodwa noma ngaphezulu esandleni noma onyaweni kunenombolo evamile. Kuvamile kakhulu ukuzizwa ukhathazekile futhi udabuke kancane uma ubona lokhu. Kodwa ungesabi, akunjalo? Lena akuyona inkinga enkulu, engathí sina ezimweni eziningi. Namuhla sikhuluma ngesimo sokuba neminwe eyengeziwe ngale ndlela, ebizwa ngokuthi i-polydactyly ngokwezokwelapha. Abanye abantu bakubiza nangokuthi lokhu yi-hyperdactyly.

Kuyini i-polydactyly? Kalula nje...

Kalula nje, i-polydactyly yilapho umntwana ezalwa eneminwe noma izinzwane ezinyaweni noma ezinyaweni, kunokuba kube yiminwe emihlanu evamile. Kubhekwa njengenye yeziphambeko zokuzalwa ezivame kakhulu (noma izimo ezikhona lapho ezalwa) emhlabeni . Odokotela babhekisela ekubeni khona komunwe owengeziwe, ikakhulukazi, njengesimo esiwela ngaphansi kwesigaba esibanzi sokwehluka kwezandla zokuzalwa. Lokhu kusho ukuthi umntwana uzalwa enemehluko esandleni.

Manje ungase ucabange, "O, ingabe lokhu kwenzeka enganeni yami kuphela?" Ungacabangi kanjalo. Lokhu akuyona into engavamile njengoba ungase ucabange.

Odokotela bakubona kanjani lokhu?

Ngokuvamile, odokotela bangathola le minwe eyengeziwe ngesikhathi sokuhlolwa kwe-ultrasound uma ulindele umntwana. Ngisho noma ungazange uyibone ngaphambili, odokotela bayakwazi ukuyibona ngokushesha nje lapho umntwana ezalwa ngoba umunwe owengeziwe ubonakala kahle.

Uma odokotela bebona umunwe owengeziwe onjengalona, ​​bahlola umntwana ngokucophelela ukuze babone ukuthi ngabe yilokhu nje noma unesinye isifo sofuzo esihambisana nakho. Ngoba ngezinye izikhathi lesi simo esibizwa ngokuthi i-polydactyly singavela sodwa, noma singavela njengophawu lwesinye isifo sofuzo.

Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uthola ukuthi ingane yakho ine-polydactyly. Kodwa khumbula, lolu zwane olwengeziwe ngokuvamile alubangeli ubuhlungu noma ukungakhululeki enganeni.

Odokotela bangasusa kalula lolu nyawo olwengeziwe ngokuhlinzwa okuncane. Kodwa-ke, uma umntwana etholakala enesinye isifo sofuzo esihambisana naso, kungadingeka ukwelashwa nokunakekelwa okuhlukile.

Yiziphi izinhlobo eziyinhloko ze-polydactyly?

Manje ake sibheke izinhlobo eziyinhloko zalesi simo, i-polydactyly. Lokhu kuhlukaniswa kusekelwe ekutheni umunwe owengeziwe unamathele kuluphi umunwe. Kunezinhlobo ezintathu eziyinhloko:

1. I-Preaxial polydactyly: Lokhu kubhekisela ohlangothini lozwane olukhulu (uma lusesandleni) noma ohlangothini lozwane olukhulu .(Uma unyaweni) Kukhona uzwane olwengeziwe. Odokotela ngezinye izikhathi babiza uzwane olwengeziwe ohlangothini olukhulu lwesandla ngokuthi ``radial polydactyly`` kanye nozwane olwengeziwe ohlangothini olukhulu lwenyawo ngokuthi ``tibial polydactyly``.

2. I-Central polydactyly: Lokhu kwenzeka lapho kuvela inombolo eyengeziwe phakathi kweminwe noma izinzwane . Lokhu kusho ukuthi inombolo eyengeziwe ingaba phakathi kweminwe yokukhomba, ephakathi, kanye nendandatho, noma noma yikuphi ezinzwaneni ngaphandle kozwane olukhulu nozwane oluncane. Lokhu akuvamile kakhulu kunezinye izinhlobo ezimbili.

3. I-Postaxial polydactyly: Lokhu ukuba khona kwenombolo eyengeziwe ohlangothini lomunwe omncane (esandleni noma onyaweni). Odokotela babiza inombolo eyengeziwe ohlangothini lomunwe omncane ngokuthi ``ulnar polydactyly`` kanye nenombolo eseceleni komunwe omncane ngokuthi ``fibular polydactyly``. Lolu uhlobo oluvame kakhulu lwe-polydactyly.

Uyitholile? Kulungile, ngakho ake sibheke izimpawu zalokhu ngokulandelayo.

Ziyini izimpawu ze-polydactyly?

Eqinisweni, uphawu olulodwa kuphela lwe-polydactyly ukuba khona kweminwe noma izinzwane ezingaphezu kwemihlanu esandleni noma onyaweni lomntwana. Le minwe eyengeziwe ibonakala kahle lapho ezalwa.

Kuye ngohlobo lwe-polydactyly umntwana anayo, le minwe eyengeziwe ingase ikhule ngokugcwele futhi ibukeke njengeminye iminwe. Kodwa isikhathi esiningi, le minwe eyengeziwe ayikhuli kahle njengeminwe evamile. Eminye ingaba nje yizinhlayiya ezincane zesikhumba, noma ingase inamathele esikhumbeni noma emithanjeni. Kungase kube khona nengxenye encane yethambo.

Kungani kuvela le minwe eyengeziwe? Ziyini izimbangela?

Manje unombuzo othi, "Kungani lokhu kwenzeke enganeni yethu?" Isizathu esiyinhloko sokuzalwa kwengane eneminyaka eminingi ukuthi kukhona ushintsho ezizakhini zofuzo zengane ngesikhathi ikhula esibelethweni. Cabanga ngakho njengohlelo olukhulu oluqukethe yonke imiyalelo yokuthi umzimba wethu kufanele ukhule kanjani nokuthi wonke amaseli kufanele asebenze kanjani. Lezi zakhi zofuzo zizuzwe njengefa kubazali ezinganeni.

Ngakho-ke, uma kukhona ukuphazamiseka noma ushintsho enkambisweni yokuthuthukisa la ma-gene ngesikhathi umntwana esesibelethweni, kungabangela izinguquko ezahlukahlukene emzimbeni womntwana. Ezinye zezinguquko zingase zingabonwa. Kodwa ngezinye izikhathi lezi zinguquko zezakhi zofuzo zingabangela izimo zokuzalwa ezifana ne-polydactyly.

Uma kukhona okuphazamisa izakhi zofuzo ezilawula ukukhula kwezandla nezinyawo zomntwana, kungenzeka kakhulu ukuthi azalwe ene-polydactyly. Lezi zakhi zofuzo zingathinteka yizifo zofuzo. Kuthiwa futhi ezinye izici zemvelo (izinto ezithinta umama noma indawo ezungezile ngesikhathi sokukhulelwa) nazo zingabangela lokhu, kodwa amathonya ezakhi zofuzo yiwona ayinhloko.

Ezinye izimo zofuzo ezingabonakala nge-polydactyly zifaka:

• I-Carpenter syndrome
• I-Down syndrome
• I-Fanconi anemia

Ngaphandle kwalokhu, i-polydactyly ingabonakala nakwezinye izimo eziningana zezakhi zofuzo.

Ubani osengozini enkulu yokuthola i-polydactyly?

Nakuba i-polydactyly ingenzeka kunoma yimuphi umntwana, ezinye izingane zinamathuba amaningi okuthuthukisa lesi simo. Kunezici eziningana eziyingozi ezingasithinta:

• Ubulili: I-Polydactyly ivame kakhulu kubafana kunamantombazane.
• Ubuzwe: Lesi simo sivame kakhulu kwamanye amaqembu ezinhlanga emhlabeni jikelele. Isibonelo, ezinye izifundo zikhombisile ukuthi sivame kakhulu ngokuphindwe kayishumi kubafana bozalo lwase-Afrika kunakubafana bezinye izizwe . Kubikwa nokuthi sivame kakhulu ngokuphindwe kamashumi amabili emantombazaneni abozalo lwase-Afrika kunamantombazane ezinye izizwe. Lokhu kungase kuhlobane nethonya lezakhi zofuzo.
• Umlando womndeni: Uma othile emndenini wakho, ikakhulukazi isihlobo esiseduze (umama, ubaba, izingane zakubo) wazalwa ene-polydactyly, noma uma kunomlando womndeni wezifo zofuzo, ingane yakho inamathuba amaningi okuba ne-polydactyly.

Odokotela bakuqinisekisa kanjani lokhu ngqo?

Njengoba sesixoxile ngaphambili, udokotela wakho angase akwazi ukukubona lokhu ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa. Uma kungenjalo, udokotela wakho uzokubona nakanjani lapho uhlola ingane yakho ngemva kokuzalwa. Uzokwazi ukubona iminwe noma izinzwane ezengeziwe ezandleni noma ezinyaweni zengane yakho bese ekutshela ukuthi hlobo luni lwe-polydactyly.

Ngezinye izikhathi, udokotela wakho angase ancome i-X-ray yesandla noma i-X-ray yonyawo ngaphambi kokwelashwa, ikakhulukazi ukuze abone ukuthi amathambo onyawo olwengeziwe abekwe kanjani nokuthi axhumana kanjani nezinye izinzwane.

Ingabe kufanele sifunde nangokuhlolwa kwezakhi zofuzo?

Uma othile emndenini wakho eke waba ne-polydactyly, noma uma usola ukuthi unayo, kufanelekile ukukhuluma nomeluleki wezakhi zofuzo . Bangakusiza ukuthi unqume ukuthi kufanele yini wenze ukuhlolwa kwezakhi zofuzo. Lokhu kuhlolwa kungakhomba izinguquko ezahlukahlukene zezakhi zofuzo, okuhlanganisa nokuhlukahluka kwezakhi zofuzo, okungabangela i-polydactyly.

Khumbula, noma ngabe ungumthwali wezakhi zofuzo ezithile, akusho ukuthi ingane yakho izoba nalesi sifo sofuzo.

Umeluleki wezakhi zofuzo angachaza izingozi zakho, izindlela zokuvikela impilo yakho, kanye nezinto ongazenza ukunciphisa ingozi yokudlulisela izinkinga zofuzo ezinganeni zakho.

Iphathwa kanjani i-Polydactyly?

Ukwelashwa kwe-polydactyly kungahluka kancane kuye ngohlobo lwesifo. Kodwa ukwelashwa okuvame kakhulu ukususa inombolo eyengeziwe esandleni noma onyaweni lomntwana. Kunezindlela eziningana zokususa le nombolo eyengeziwe. Ake sibheke ukuthi ziyini:

1. I-ligature yokuhlinzwa: Kulokhu, udokotela ubopha intambo eqinile (i-ligature) eduze kwesisekelo somunwe owengeziwe. Kufana nokubopha ifindo elincane. Uma iboshwe ngokuqinile kanje, ukugeleza kwegazi emunwe owengeziwe kuyama, futhi ngemva kwezinsuku ezimbalwa (cishe isonto noma amabili), iyoma bese iwela yodwa. Lokhu kuvame ukwenziwa ngeminwe emincane, engakhulanga kahle elenga nje esikhumbeni.

2. Ukususwa ehhovisi: Kule nqubo, udokotela uzofaka umjovo omncane ukuze aqede indawo lapho kukhona khona uzwane lwengane olwengeziwe. Ngemuva kwalokho, esebenzisa idivayisi ekhethekile (ngezinye izikhathi ebizwa ngokuthi idivayisi yokushisa), uzwane olwengeziwe luyanqunywa bese lususwa. Lena futhi inqubo elula engenziwa ehhovisi likadokotela.

3. Ukususwa ngokuhlinzwa (Ukuhlinzwa kwe-Polydactyly): Ngezinye izikhathi, uma uzwane olwengeziwe lukhule kahle futhi luxhumene kahle nezinye izinzwane ezinamathambo, noma izinzwane ezengeziwe onyaweni, izindlela ezilula okukhulunywe ngazo ekuqaleni azisebenzi. Kuleso simo, kudingeka ukuhlinzwa okuncane ukuze kususwe uzwane olwengeziwe. Lokhu kuvame ukwenziwa ngemva kokuba ingane isikhulile kancane, ngaphansi kwe-anesthesia.

Kungakhathaliseki ukuthi iyiphi indlela esetshenziswayo, udokotela uzokhetha indlela efaneleka kakhulu futhi ephephile kakhulu enganeni.

Ngemva kokwelashwa, kufanele ngiphinde ngimbone nini udokotela?

Ngemva kokususa uzwane olwengeziwe, udinga ukunakekela kahle indawo kuze kube yilapho iphola. Uma ubona noma yiziphi izinguquko noma ukungakhululeki endaweni lapho uzwane lwengane yakho lukhishwe khona, kufanele ukhulume nodokotela wakho. Bona udokotela ngokushesha, ikakhulukazi uma unezinye zezimpawu ezilandelayo:

• Uma kukhona ukopha
• Uma kukhona uketshezi noma ubomvu obuvela esilondeni
• Uma umbala wesikhumba kuleyo ndawo ubonakala ushintshile (njengokuba bomvu noma luhlaza okwesibhakabhaka)
• Uma kukhona ukuvuvukala
• Uma ingane ibonakala ibuhlungu kuleyo ndawo

Uma ubona into efana nale, akufanele yini utshele udokotela ngokushesha?

Uma ingane yami ine-polydactyly, yini okufanele ngiyilindele?

Uma uthola ukuthi ingane yakho ine-polydactyly, ungesabi. Ungalindela ukuthi ingane yakho ilulame ngokugcwele ngemva kokususwa kozwane olwengeziwe. Ukususa lozwane olwengeziwe ngeke kuthinte ukukhula noma intuthuko yayo yesikhathi esizayo.

Kodwa-ke, uma ingane yakho inesinye isici sokuzalwa noma isimo sofuzo esihlotshaniswa ne-polydactyly, ingadinga ukwelashwa okuhlukile noma ukunakekelwa okukhethekile. Udokotela wakho uzokuchazela lokhu.

Kungamangaza futhi kwesabise ukubona umunwe noma uzwane olwengeziwe lapho ingane yakho izalwa. Kodwa ungakhathazeki. I-Polydactyly yisimo esingelapheka esingenamiphumela yesikhathi eside ekukhuleni nasekuthuthukisweni kwengane yakho. Zonke izindlela zokususa umunwe noma uzwane olwengeziwe zizoholela ekululameni okusheshayo futhi ngeke zithinte ikhono lengane yakho lokusebenzisa isandla noma umlenze wayo esikhathini esizayo. Uma unemibuzo mayelana nalokhu noma ezinye izimo zofuzo, ungangabazi ukukhuluma nodokotela wakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, nazi izinto ezibaluleke kakhulu okufanele uzicabangele kulokho esikhulume ngakho:

• I-Polydactyly yilapho umntwana ezalwa enomunwe noma izinzwane ezengeziwe. Akukubi kangako njengoba ungase ucabange, futhi kuvamile impela.
• Lo nyawo olwengeziwe ngokuvamile alubangeli ubuhlungu enganeni.
• Odokotela bangasusa lolu nyawo olwengeziwe ngokwelashwa okulula.
• Ngemva kokususwa kozwane olwengeziwe, umntwana uyalulama ngokushesha futhi akanankinga yokusebenzisa izitho zakhe.
• Ngezinye izikhathi i-polydactyly ingahlotshaniswa nesinye isimo sofuzo. Udokotela wakho uzokwazisa ngalokhu.
• Uma unokungabaza, ukwesaba, noma izinkinga, qiniseka ukuthi ukhuluma ngokukhululekile nodokotela wakho. Bakhona ukuzokusiza.

Ngakho-ke, ngithemba ukuthi lolu lwazi luwusizo kuwe. Ngifisela ingane yakho impilo enhle!

` I-Polydactyly, iminwe eyengeziwe, ukukhubazeka kokuzalwa, izakhi zofuzo, impilo yengane, ukuhlinzwa, udokotela wezingane