I-Polydactyly

I-Polydactyly yisimo lapho umuntu eneminwe engaphezu kwengu-5 ngesandla noma izinzwane ezi-5 ngonyawo ngalunye.

Ukuba neminwe noma izinzwane ezingeziwe (6 noma ngaphezulu) kungenzeka kukodwa. Kungase kungabi khona ezinye izimpawu noma izifo ezikhona. I-Polydactyly ingadluliselwa emindenini.Lesi sici sibandakanya isakhi esisodwa kuphela esingadala ukwehluka okuningana.

Abantu base-Afrika baseMelika, ngaphezu kwezinye izinhlanga, bangathola ifa lomunwe wesi-6. Ezimweni eziningi, lokhu akubangelwa yisifo sofuzo.

I-Polydactyly nayo ingenzeka ngezifo ezithile zofuzo.

Izinombolo ezingeziwe zingathuthukiswa kahle futhi zinamathiselwe ngesiqu esincane. Lokhu kuvame ukwenzeka ohlangothini oluncane lwesandla. Izinombolo ezakhiwe kabi zivame ukususwa. Ukubophela nje intambo eqinile esiqwini kungadala ukuthi iwe ngesikhathi uma engekho amathambo kwidijithi.

Kwezinye izimo, amadijithi angeziwe angakhiwa kahle futhi angasebenza.

Amadijithi amakhulu angadinga ukuhlinzwa ukuze asuswe.

Izimbangela zingafaka:

• Ukucindezela i-dystrophy ye-thoracic
• I-Carpenter syndrome
• I-Ellis-van Creveld syndrome (i-chondroectodermal dysplasia)
• I-polydactyly ejwayelekile
• Isifo se-Laurence-Moon-Biedl
• Isifo sikaRubinstein-Taybi
• Isifo sikaSmith-Lemli-Opitz
• I-Trisomy 13

Ungahle udinge ukuthatha izinyathelo ekhaya ngemuva kokuhlinzwa ukususa idijithi eyengeziwe. Lezi zinyathelo zingabandakanya ukubheka indawo ukuqinisekisa ukuthi indawo iyaphola nokushintsha ukugqoka.

Isikhathi esiningi, lesi simo sitholakala ngesikhathi sokuzalwa lapho ingane isesibhedlela.

Umhlinzeki wezokunakekelwa kwempilo uzoxilonga lesi simo ngokuya ngomlando womndeni, umlando wezokwelapha, kanye nokuhlolwa komzimba.

Imibuzo yomlando wezokwelapha ingafaka:

• Ngabe kukhona amanye amalungu omndeni azalwe eneminwe eyengeziwe noma izinzwane?
• Ingabe ukhona umlando womndeni owaziwayo wanoma yikuphi ukuphazamiseka okuxhunyaniswe ne-polydactyly?
• Ingabe zikhona ezinye izimpawu noma izinkinga?

Ukuhlolwa okusetshenziselwa ukuxilonga lesi simo:

• Izifundo ze-Chromosome
• Ukuhlolwa kwe-enzyme
• Ama-X-ray
• Izifundo zeMetabolic

Ungahle uthande ukwenza inothi yalesi simo kwirekhodi lakho lezokwelapha.

Amadijithi angeziwe angatholakala ezinyangeni ezintathu zokuqala zokukhulelwa nge-ultrasound noma isivivinyo esithuthuke kakhulu esibizwa nge-embryofetoscopy.

Amadijithi angeziwe; Amadijithi angaphezu kwezibalo

• I-Polydactyly - isandla sengane

ICarrigan RB. Umlenze ongaphezulu. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 701.

UMauck BM, uJobe MT. Okuzenzakalelayo kokuzalwa kwesandla. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 79.

Indodana-Hing JP, Thompson GH. Ukungajwayelekile kokuzalwa kwemikhawulo ephezulu nangaphansi nomgogodla. 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 99.