I-Potter syndrome

I-Potter syndrome ne-Potter phenotype kubhekisa eqenjini lokutholakele okuhambisana nokushoda kwe-amniotic fluid nokwehluleka kwezinso enganeni engakazalwa.

Ku-Potter syndrome, inkinga eyinhloko ukwehluleka kwezinso. Izinso zehluleka ukukhula kahle njengoba ingane ikhula esibelethweni. Izinso zivame ukukhiqiza i-amniotic fluid (njengomchamo).

IPotter phenotype ibhekisa ekubukekeni kobuso okujwayelekile okwenzeka enganeni esanda kuzalwa lapho kungekho uketshezi lwe-amniotic. Ukuntuleka kwe-amniotic fluid kubizwa ngama-oligohydramnios. Ngaphandle kwe-amniotic fluid, usana alukhishwa ezindongeni zesibeletho. Ingcindezi yodonga lwesibeletho iholela ekubukekeni kobuso okungajwayelekile, kufaka phakathi amehlo ahlukaniswe kabanzi.

IPotter phenotype nayo ingaholela ezithweni ezingejwayelekile, noma emilenzeni ebanjwe ezikhundleni noma ezinkontilekeni ezingajwayelekile.

Ama-Oligohydramnios nawo ayamisa ukukhula kwamaphaphu, ngakho-ke amaphaphu awasebenzi kahle lapho ezalwa.

Izimpawu zifaka:

• Amehlo ahlukaniswe kabanzi anemihlwenga ye-epicanthal, ibhuloho elibanzi lamakhala, izindlebe eziphansi, nesilevu esixegayo
• Ukungabikho kokukhishwa komchamo
• Kunzima ukuphefumula

I-ultrasound yokukhulelwa ingakhombisa ukungabi khona kwe-amniotic fluid, ukungabikho kwezinso zombungu, noma izinso ezingajwayelekile emntwaneni ongakazalwa.

Ukuhlolwa okulandelayo kungasetshenziselwa ukusiza ukuxilonga isimo enganeni esanda kuzalwa:

• I-X-ray yesisu
• I-X-ray yamaphaphu

Ukuvuselelwa kokulethwa kungazanywa kusalindwe ukuxilongwa. Ukwelashwa kuzohlinzekwa nganoma yikuphi ukuvinjelwa kwendawo yokuchama.

Lesi yisimo esibi kakhulu. Isikhathi esiningi kuyabulala. Umphumela wesikhathi esifushane uncike ebucayi bokubandakanyeka kwamaphaphu. Umphumela wesikhathi eside uncike ebucayi bokubandakanyeka kwezinso.

Akukho ukuvimbela okwaziwayo.

Umbumbi phenotype

• Amniotic uketshezi
• Ibhuloho lasekhaleni elibanzi

UJoyce E, u-Ellis D, uMiyashita Y. I-Nephrology. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 14.

UMarcdante KJ, uKliegman RM. Ukungajwayelekile kokuzalwa nokuthuthuka kwepheshana lomchamo. Ku: UMarcdante KJ, uKliegman RM, ama-eds. UNelson Essentials Pediatrics. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 168.

UMitchell AL. Okuzenzakalelayo kokuzalwa. Ku: Martin RJ, Fanaroff AA, Walsh MC, ama-eds. UFanaroff kanye neMithi kaMartin's Neonatal-Perinatal Medicine. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 30.