Izindlebe ezibekwe phansi kanye nokungajwayelekile kwe-pinna

Izindlebe ezisezingeni eliphansi kanye nokuphazamiseka kwe-pinna kubhekisa esimweni esingajwayelekile noma endaweni yendlebe yangaphandle (i-pinna noma i-auricle).

Indlebe yangaphandle noma i- "pinna" yakha lapho ingane ikhula esibelethweni sikanina. Ukukhula kwale ngxenye yendlebe kwenzeka ngesikhathi lapho ezinye izitho eziningi zikhula (njengezinso). Izinguquko ezingavamile ekubunjweni noma endaweni yephina kungaba uphawu lokuthi ingane nayo inezinye izinkinga ezihlobene nayo.

Ukutholakala okungajwayelekile okuvamile kufaka ama-cysts ku-pinna noma kumathegi esikhumba.

Izingane eziningi zizalwa zinezindlebe ezinamathele ngaphandle. Yize abantu bengaphawula ngokuma kwendlebe, lesi simo ukwehluka kokujwayelekile futhi asixhunyanisiwe nezinye izifo.

Noma kunjalo, lezi zinkinga ezilandelayo zingahle zihlobene nezimo zezokwelapha:

• Amafolda angajwayelekile noma indawo yephina
• Izindlebe eziphansi
• Akukho kuvulwa komsele wezindlebe
• Ayikho iphina
• Ayikho i-pinna ne-ear canal (anotia)

Izimo ezijwayelekile ezingadala izindlebe ezisezingeni eliphansi nezakhiwe ngokungavamile zifaka:

• I-Down syndrome
• I-Turner syndrome

Izimo ezijwayelekile ezingadala izindlebe ezisezingeni eliphansi nezingalungile zifaka:

• Isifo se-Beckwith-Wiedemann
• I-Potter syndrome
• Isifo sikaRubinstein-Taybi
• Isifo sikaSmith-Lemli-Opitz
• I-Treacher Collins syndrome
• I-Trisomy 13
• I-Trisomy 18

Ezimweni eziningi, umhlinzeki wezokunakekelwa kwempilo uthola okungajwayelekile kwe-pinna ngesikhathi sokuhlolwa kwengane yokuqala. Lokhu kuhlolwa kuvame ukwenziwa esibhedlela ngesikhathi sokubeletha.

Umhlinzeki uzo:

• Hlola futhi uhlole ingane ngokunye ukungahleleki ngokomzimba kwezinso, amathambo obuso, ugebhezi, nemizwa yobuso
• Buza ukuthi ngabe unomlando womndeni wezindlebe ezimise okwejwayelekile

Ukunquma ukuthi i-pinna ayijwayelekile yini, umhlinzeki uzothatha izilinganiso nge-tape measure. Ezinye izingxenye zomzimba nazo zizolinganiswa, kufaka phakathi amehlo, izandla nezinyawo.

Zonke izingane ezisanda kuzalwa kufanele zihlolwe ukuzwa. Izivivinyo zanoma yiziphi izinguquko ekukhuleni kwengqondo zingenziwa njengoba ingane ikhula. Ukuhlolwa kofuzo nakho kungenziwa.

UKWELASHWA

Isikhathi esiningi, akukho ukwelashwa okudingekayo kokungajwayelekile kwe-pinna ngoba akukuthinti ukuzwa. Kodwa-ke, kwesinye isikhathi kunconywa ukuhlinzwa kwezimonyo.

• Amathegi esikhumba angahle aboshwe, ngaphandle uma kukhona uqwanga kuwo. Uma kunjalo, kudingeka ukuhlinzwa ukuze kususwe.
• Izindlebe ezinamathele ngaphandle zingaphathwa ngezizathu zezimonyo. Ngesikhathi esisanda kuzalwa, uhlaka oluncane lunganamathiselwa kusetshenziswa i-tape noma iSteri-Strips. Ingane ifaka lolu hlaka izinyanga ezimbalwa. Ukuhlinzwa ukulungisa izindlebe akukwazi ukwenziwa kuze kube yilapho ingane ineminyaka engu-5 ubudala.

Ukungajwayelekile okunzima kakhulu kungadinga ukuhlinzwa ngezizathu zezimonyo kanye nokusebenza. Ukuhlinzwa ukudala nokunamathisela indlebe entsha kuvame ukwenziwa ngezigaba.

Izindlebe eziphansi; Microtia; "Lop" indlebe; Ukungajwayelekile kwePinna; Isici sofuzo - i-pinna; Isici sokuzalwa - i-pinna

• Ukungajwayelekile kwendlebe
• I-pinna yendlebe esanda kuzalwa

UHaddad J, uDodhia SN. Ukukhubazeka okuzalwa kwendlebe. 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 656.

IMadan-Khetarpal S, i-Arnold G.Izinkinga zofuzo nezimo ze-dysmorphic. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 1.

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.