Ama-Suture - ahlukaniswe

Ama-suture ahlukanisiwe ayizikhala ezibanzi ngokungajwayelekile emalungeni emathambo ogebhezi enganeni.

Ugebhezi lwengane noma lwengane encane lwakhiwa amapuleti amathambo avumela ukukhula. Imingcele lapho la macwecwe ahlangana khona ibizwa ngama-suture noma imigqa yomsizi.

Kusana olunemizuzu embalwa nje ubudala, ingcindezi evela ekulethweni ingacindezela ikhanda. Lokhu kwenza ukuthi amapuleti amathambo agqamane kuma-suture futhi kwakheke umqolo omncane. Lokhu kuvamile ezinganeni ezisanda kuzalwa. Ezinsukwini ezimbalwa ezilandelayo, ikhanda lengane liyakhula. Ukuhlangana kuyanyamalala futhi imiphetho yamapuleti amathambo ahlangana onqenqemeni. Lesi yisikhundla esijwayelekile.

Izifo noma izimo ezibangela ukwanda okungavamile kwengcindezi ngaphakathi kwekhanda kungadala ukuthi ama-suture asabalale ahlukane. La ma-suture ahlukanisiwe angaba wuphawu lwengcindezi ngaphakathi kogebhezi (ukukhuphuka kwengcindezi engenayo).

Ama-suture ahlukanisiwe angahlotshaniswa nama-fontanelles aqhamukayo. Uma ingcindezi ye-intracranial yanda kakhulu, kungahle kube nemithambo emikhulu ngaphezulu kwesikhumba.

Inkinga ingabangelwa:

• Ukungalungi kuka-Arnold-Chiari
• Isifo sengane esishaywayo
• Ukopha ngaphakathi ebuchosheni (ukopha ngaphakathi)
• Isigaxa sobuchopho
• Ukushoda okuthile kwamavithamini
• Ukungalungi kwe-Dandy-Walker
• I-Down syndrome
• IHydrocephalus
• Izifo ezikhona lapho kuzalwa (izifo ezalwa naso)
• Ubuthi bomthofu
• I-Meningitis
• I-hematoma engaphansi noma i-subdural effusion
• Indlala yegilo engasebenzi kahle (hypothyroidism)

Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo uma ingane yakho ine:

• Ama-suture ahlukanisiwe, ama-fontanelles aqhamukayo, noma imithambo ye-scalp ebonakalayo
• Ububomvu, ukuvuvukala, noma ukuphuma endaweni yama-suture

Umhlinzeki uzokwenza ukuhlolwa ngokomzimba. Lokhu kuzobandakanya ukuhlola ama-fontanelles kanye nemithambo ye-scalp nemizwa (ukushaya) imisipha ukuthola ukuthi bahlukaniswe kude kangakanani.

Umhlinzeki uzobuza imibuzo ngomlando wezokwelapha nezimpawu zomntwana, kufaka phakathi:

• Ingabe ingane inazo ezinye izimpawu (njengokuzungezwa kwekhanda okungavamile)?
• Uqale nini ukuqaphela ama-suture ahlukanisiwe?
• Ngabe kubonakala ngathi kuya ngokuya kuba kubi?
• Ingabe ingane iphilile ngenye indlela? (Isibonelo, ingabe izindlela zokudla nezomsebenzi zijwayelekile?)

Ukuhlolwa okulandelayo kungenziwa:

• I-MRI yekhanda
• I-CT scan yekhanda
• I-Ultrasound yekhanda
• Ukusebenza kwezifo ezithathelwanayo, kufaka phakathi amasiko egazi kanye nompompi womgogodla ongaba khona
• Ukusebenza komzimba, njengokuhlolwa kwegazi ukubheka amazinga e-electrolyte
• Ukuhlolwa kwamehlo okujwayelekile

Yize umhlinzeki wakho egcina amarekhodi kusuka ekuhlolweni okujwayelekile, ungakuthola kuwusizo ukugcina amarekhodi akho okukhula kwengane yakho. Letha lawa marekhodi kumhlinzeki wakho uma ubona noma yini engajwayelekile.

Ukwehlukaniswa kwama-sutures

• Ukhakhayi losana olusanda kuzalwa

I-Ball JW, i-Dains JE, i-Flynn JA, i-Solomon BS, i-Stewart RW. Ikhanda nentamo. Ku: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, ama-eds. Umhlahlandlela kaSeidel Wokuhlolwa Komzimba. Umhlaka 9. ISt Louis, MO: Elsevier; 2019: isahluko 11.

IGoyal NK. Usana olusanda kuzalwa. 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 113.

IRosenberg GA. I-edema yobuchopho nokuphazamiseka kokujikeleza kwe-cerebrospinal fluid. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 88.