Into yokuqala umama noma ubaba ayenzayo uma ebheka umntwana osanda kuzalwa ukubala iminwe nezinzwane ezandleni nasezinyaweni zabo ezincane. Kodwa cabanga uma ubona iminwe emibili noma ngaphezulu yaleyo enamathele ndawonye, njengokungathi ixhunywe ulwelwesi lwesikhumba? Njengomama, ungase ukhathazeke kancane. Kodwa ungakhathazeki, namuhla sikhuluma ngalesi simo okungenzeka ukuthi omama abaningi babhekane naso.
Kuyini i-syndactyly?
Kalula nje, lesi simo sibizwa ngokuthi i-syndactyly ngokwezokwelapha. Lokhu kwenzeka lapho iminwe emibili noma ngaphezulu noma izinzwane zesandla noma unyawo lomntwana zixhunywa ngesikhumba, njengokungathi ulwelwesi phakathi kwezinzwane zedada. Ngezinye izikhathi lokhu kuxhumana kukhawulelwe esikhumbeni. Ngezinye izikhathi, amathambo angaphansi (umgogodla) kanye nezinye izicubu ezithambile nazo zingaxhunywa.
Lesi yisici sokuzalwa esingatholakala lapho kuzalwa. Kwezinye izimo, singatholakala ngisho nangesikhathi sokuhlolwa kwe-ultrasound ngaphambi kokubeletha ngesikhathi umntwana esesesibelethweni.
Kungani lokhu kwenzeka ezinganeni? Iyini imbangela?
Ukuze siqonde lokhu, sidinga ukwazi okuncane ngendlela umntwana akhula ngayo esibelethweni. Lapho umntwana ekhulelwa futhi ekhula esibelethweni, izandla nezinyawo zakhe ziqala zimile njengemichilo efana nephiko. Iminwe ayihlukanisiwe.
Cishe emavikini ayi-10 okukhulelwa, le minwe ivame ukuhlukana, inwebe, futhi ilahlekelwe yisakhiwo esinolwembu phakathi kwayo. I-Syndactyly yenzeka lapho, ngesizathu esithile, le minwe ingahlukani kahle ngaleso sikhathi.
Esikhathini esiningi, kwenzeka njengesici sokuzalwa esihlukile , ngaphandle kwesinye isimo esikhulu sezokwelapha. Kodwa ngezinye izikhathi kungaba nomthelela wezakhi zofuzo. Lokhu kusho ukuthi uma othile emndenini, isibonelo wena, oshade naye, noma abazali bakho, eke waba nalesi simo, kunethuba lokuthi nengane yakho nayo izoba naso. Izifundo zikhombisile ukuthi phakathi kuka-10% no-40% wabantu abane-syndactyly banomlando womndeni .
Akuvamile kakhulu, lokhu kuhlangana kweminwe kungaba yisici sezinye izifo ezinkulu zofuzo. Isibonelo, lesi simo sibonakala ngezifo ze-Apert, Chotzen, kanye nePoland. Kodwa lezi azivamile kakhulu.
Ingabe kunezinhlobo ezahlukene zalesi simo esibizwa ngokuthi i-Syndactyly?
Yebo, ayithinti ingane ngayinye ngendlela efanayo. Ingahlukaniswa ngezinhlobo eziningana kuye ngokuthi isimo sibucayi kangakanani kanye nezicubu ezithintekile. Ake sibone ukuthi yiziphi izinhlobo eziyinhloko.
| Uhlobo lwe-syndactyly | Incazelo elula |
|---|---|
| I-syndactyly elula (uhlobo olulula) | Iminwe ixhunywe yisikhumba kanye nezicubu ezithambile ezingaphansi kuphela. Awekho amathambo axhunyiwe. |
| I-syndactyly eyinkimbinkimbi (uhlobo oluyinkimbinkimbi) | Ngisho namanye amathambo (i-spinae) ngaphansi kwesikhumba ayahlanganiswa futhi axhumene. |
| I-syndactyly eyinkimbinkimbi (uhlobo oluyinkimbinkimbi kakhulu) | Lokhu kungase kuhilele ithambo elengeziwe, ithambo elingekho, noma amathambo angakhulanga kahle, kanye nemisipha nemisipha engavamile. |
| I-syndactyly engaphelele (uhlobo olungaphelele) | Iminwe ayihlangene ngokuphelele. Ingxenye yesikhumba esiphakathi kweminwe kuphela exhunywe njenge-membrane. |
Ngaphezu kwalokho, ihlukaniswe ngezinhlobo eziningana kuye ngokuthi imiphi iminwe exhunywe ndawonye.
- Uhlobo 1: Lolu uhlobo oluvame kakhulu. Ngokuvamile luthinta iminwe yesithathu neyesine noma izinzwane zesibili nezesithathu. Luvame ukubonakala kuzo zombili izandla noma ezinyaweni zombili.
- Uhlobo 2: Lokhu kuthinta iminwe yesithathu neyesine kanye nozwane lwesihlanu. Ezinye izingane ezinalolu hlobo zingase zibe neminwe eyengeziwe.
- Uhlobo 3: Lokhu kuthinta izandla kuphela. Iminwe yesine neyesihlanu ivame ukuba nomthelela.
Kunezinye izinhlobo zalokhu. Udokotela wakho uzohlola ingane yakho ngokomzimba, enze i-X-ray, futhi uma kudingeka, enze ukuhlolwa kofuzo ukuze anqume ukuthi yiluphi uhlobo lwayo nokuthi inzima kangakanani.
Yiziphi izindlela zokwelapha lokhu?
Umbuzo wokuqala ofika engqondweni uma uzwa lokhu uthi, "Ngenzenjani manje? Ingabe ngidinga ukuhlinzwa ngenxa yalokhu?"
Into engcono kakhulu ukuthi eziningi zalezi zimo zingelashwa ngempumelelo.
- Akukho ukwelashwa okudingekayo: Uma ijoyinti lezinzwane lincane kakhulu, okusho ukuthi kuyisimo esincane esingathinti ukukhula kwengane noma ukusetshenziswa kwesandla, khona-ke ukwelashwa kungase kungadingeki. Ikakhulukazi njengoba izinzwane zivame ukunamathelana futhi zingathinti ukuhamba noma imisebenzi yengane, ngokuvamile zingashiywa zingalashwa.
- Ukuhlinzwa: Njengazo zonke ezinye izinhlobo, ukwelashwa kuwukuhlukaniswa kweminwe ngokuhlinzwa. Lokhu kuhlinzwa kuvame ukwenziwa lapho umntwana ephakathi kweminyaka eyi-1 neyi-2 ubudala . Lokhu kungenxa yokuthi ingozi yokuthola i-anesthesia iphansi kuleyo minyaka. Futhi, lapho iminwe ihlukaniswa ngokushesha, kulapho kungenzeka khona ukuthi isandla somntwana sisebenze futhi sikhule ngendlela evamile.
Indlela ukuhlinzwa okwenziwa ngayo
Ngesikhathi sokuhlinzwa, udokotela usika ngokucophelela isikhumba esiphakathi kwezinzwane ezihlanganisiwe ngendlela "efana ne-zig-zag". Lokhu kwenzelwa ukunciphisa izibazi nokuvimbela izinzwane ukuthi zingaphinde zihlangane kamuva. Ngezinye izikhathi, uma kungekho isikhumba esanele ngemva kokuhlukanisa izinzwane, kuthathwa isikhumba esincane kwenye ingxenye yomzimba womntwana, njengesihlakala noma indololwane, bese sisetshenziswa njenge-graft yesikhumba .
Ngemva kokuhlinzwa, isandla somntwana wakho sizoba sesamente amasonto ambalwa. Kamuva, kungase kudingeke usebenzise izihlukanisi zerabha ukuze iminwe ingaphinde ihlangane. Kuzodingeka ubone udokotela wakho njalo ukuze uhlole intuthuko yomntwana wakho futhi ubuze imibuzo. Ezinye izingane zingadinga ukwelashwa ngokomzimba ukuze kuthuthukiswe ukunyakaza kwezandla neminwe yazo.
Into ebaluleke kakhulu ukungakhathazeki ngalokhu, kodwa ukukhuluma nodokotela ngokushesha nje lapho umntwana ezalwa. Uzokunikeza sonke isiqondiso osidingayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Syndactyly yisimo lapho iminwe yengane ihlangana khona lapho izalwa. Lesi yisifo esivame kakhulu sokuzalwa.
- Lokhu kwenzeka ngoba izinzwane azihlukani kahle ngesikhathi umntwana esakhula esibelethweni.
- Esikhathini esiningi, akuhlotshaniswa nanoma yisiphi esinye isimo sezokwelapha, kodwa kungase kube nomlando womndeni noma ithonya lezakhi zofuzo.
- Ukubandakanyeka okuncane kakhulu kwezinzwane noma iminwe kungase kungadingi ukwelashwa.
- Ezimweni eziningi, ukuhlinzwa kungalungisa lesi simo ngokuphelele nangokuphumelelayo.
- Uma ingane yakho inalesi simo, ungesabi futhi uthintane nodokotela wezingane noma udokotela ohlinzayo we-plastic ukuze uthole iseluleko.
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