Ama-Fontanelles - acwile

Ama-fontanelles adakiwe ayigobongo elisobala "lendawo ethambile" ekhanda losana.

Ukhakhayi lwakhiwe ngamathambo amaningi. Kunamathambo ayi-8 kugebhezi uqobo namathambo ayi-14 ebusweni. Ziyahlangana zenze umgodi oqinile, wamathambo ovikela futhi osekele ubuchopho. Izindawo lapho amathambo ahlangana khona zibizwa ngokuthi ama-sutures.

Amathambo awahlanganisiwe ngokuqinile lapho ezalwa. Lokhu kuvumela ikhanda ukuthi lishintshe ukwakheka ukuze lisize lidlule emseleni wokuzalwa. Ama-suture kancane kancane athola amaminerali futhi aqinise, ahlanganise ngokuqinile amathambo ogebhezi ndawonye. Le nqubo ibizwa ngokuthi i-ossification.

Enganeni, isikhala lapho ama-suture amabili ajoyina khona senza "indawo ethambile" embozwe ulwelwesi ebizwa nge-fontanelle (fontanel). Ama-fontanelles avumela ubuchopho nogebhezi ukuba lukhule phakathi nonyaka wokuqala wosana.

Ngokuvamile kunama-fontanel amaningi amaningana kugebhezi lomntwana osanda kuzalwa. Zitholakala ikakhulukazi phezulu, emuva, nasezinhlangothini zekhanda. Njengama-suture, ama-fontanelles aqina ngokuhamba kwesikhathi futhi avaleke, aqine, izindawo ezinamathambo.

• I-fontanelle engemuva kwekhanda (posterior fontanelle) imvamisa ivalwa lapho usana lunenyanga eyodwa noma ezimbili ubudala.
• I-fontanelle phezulu ekhanda (anterior fontanelle) imvamisa ivalwa kungakapheli izinyanga eziyi-7 kuye kwayi-19.

Ama-fontanelles kufanele azizwe eqinile futhi kufanele ajike ngaphakathi angene ekuthinteni. I-fontanelle ecwiliswe ngokusobala iwuphawu lokuthi ingane ayinalo uketshezi olwanele emzimbeni wayo.

Izizathu ingane engaba nama-fontanelles acwile zifaka:

• Ukwehla emzimbeni (uketshezi olwanele emzimbeni)
• Ukungondleki

I-fontanelle eshonile ingaba yisimo esiphuthumayo sezokwelapha. Umhlinzeki wezokunakekelwa kwempilo kufanele ahlole usana ngokushesha.

Umhlinzeki uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo mayelana nezimpawu zengane nomlando wezokwelapha, njenge:

• Uqaphele nini okokuqala ukuthi i-fontanelle ibukeka ishonile?
• Kunzima kangakanani? Ungayichaza kanjani?
• Yimaphi "amabala athambile" athintekayo?
• Yiziphi ezinye izimpawu ezikhona?
• Ingabe ingane ibigula, ikakhulukazi ngokuhlanza, isifo sohudo, noma ukujuluka ngokweqile?
• Ingabe umthungi wesikhumba umpofu?
• Ingane yomile?
• Ingabe ingane iqaphile?
• Amehlo engane omile?
• Ingabe umlomo wengane unomswakama?

Ukuhlolwa kungafaka:

• Amakhemikhali egazi
• I-CBC
• Ukuhlolwa komchamo
• Ukuhlolwa kokubheka isimo somsoco wengane

Ungathunyelwa endaweni enganikeza uketshezi lwe-intravenous (IV) uma i-fontanelle eshonile ibangelwa ukoma.

Amafonti we-Sunken; Indawo ethambile - icwile

• Ukhakhayi losana olusanda kuzalwa
• I-Sunken fontanelles (ukubuka okuphakeme)

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.

UWright CJ, uPosencheg MA, uSeri I, u-Evans JR. Fluid, electrolyte, kanye acid-base ibhalansi. Ku: Gleason CA, Juul SE, ama-eds. Izifo zika-Avery Zomntwana osanda kuzalwa. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2018: isahluko 30.