Ilungisa Iminwe Yezinzwane Nezinzwane

-Delile

• Izimbangela zeminwe nezinzwane ezinewebhu
• Ukulungisa iminwe noma izinzwane ezine-webbed ngokuhlinzwa
• Ukululama ekuhlinzweni
• Ziyini izingozi ezihambisana nokuhlinzwa kwezinzwane ezine-webbed?
• Uyini umbono wokulungiswa kokuhlinzwa kweminwe noma izinzwane ezinewebhu?

Kuyini ukusebenzisana?

I-Syndactyly ubukhona beminwe enezintambo noma izinzwane. Yisimo esenzeka lapho isikhumba seminwe emibili noma ngaphezulu noma izinzwane sihlanganiswa ndawonye.

Ezimweni ezingavamile, iminwe noma izinzwane zengane yakho zingahlanganiswa ngakunye noma ngaphezulu kokulandelayo:

• ithambo
• imithambo yegazi
• imisipha
• izinzwa

U-Syndactyly ukhona lapho ezalwa. Lesi simo sithinta cishe oyedwa ezinganeni ezingama-2 500. Kwenzeka kakhulu ezinganeni zaseCaucasus nezesilisa. I-Webbing yenzeka kaningi phakathi kweminwe yengane ephakathi nendawo nezindandatho.

I-Syndactyly ingaphazamisa umsebenzi ojwayelekile wesandla noma unyawo lwengane yakho.

Ngaphandle kokuthi i-webbing incane, udokotela wabo mhlawumbe uzoncoma ukuhlinzwa ukulungisa isimo. Izinzwani ze-Webbed kungenzeka zingadingi ukwelashwa uma le webbing ingaphazamisi ukusebenza konyawo lwengane yakho.

Iminwe nezinzwane ezine-webbed ngezinye izikhathi kungatholakala ngaphambi kokuba ingane yakho izalwe ngokuhlolwa kwe-ultrasound. Kodwa-ke, izinkomba zangaphambi kokubeletha ze-syndactyly kungenzeka zinganembi ngokuphelele.

Izimbangela zeminwe nezinzwane ezinewebhu

Cishe amaphesenti ayi-10 kuye kwangama-40 wamacala ezivumelwano abangelwa isici esizuzwe njengefa.

Iminwe nezinzwane ze-Webbed kungenzeka njengengxenye yesimo esingaphansi, njenge:

• Isifo sePoland
• IHolt-Oram syndrome
• I-Apert syndrome

Kwezinye izimo, amadijithi wewebhu azenzela wona ngaphandle kwesizathu.

Ukulungisa iminwe noma izinzwane ezine-webbed ngokuhlinzwa

Imibono yokuhlinza iyahluka mayelana nokuthi kungcono nini ukuthi ingane ihlinzwe ngokuhlangana. Kodwa-ke, ochwepheshe abaningi bayavuma ukuthi ingane yakho kufanele okungenani ibe nezinyanga ezimbalwa ubudala ngaphambi kokuhlinzwa.

Khetha udokotela ohlinzayo omethembayo ozokuhlinza bese ubabuza ngesikhathi esifanele sokuhlelela inqubo yengane yakho.

Kubalulekile ukuthi ukwelashwa kwengane yakho kwelashwe ngaphambi kokuba iqale ukuphuthelwa izigaba zokukhula ezibandakanya iminwe yazo, njengokuqonda izinto.

Ingane yakho cishe izothola i-anesthesia ejwayelekile, ukuze ilele ngesikhathi sokuhlinzwa. Kuzokwenziwa uchungechunge lokuqhekezwa kwe-zigzag ukwehlukanisa iminwe noma izinzwane ezihlangene. Kuyinqubo ebizwa nge-Z-plasty.

Ngesikhathi se-Z-plasty, ukusikeka kuzohlukanisa ukubamba ngokweqile phakathi kweminwe noma izinzwane zengane yakho. Udokotela wabo ohlinzayo cishe uzosebenzisa izingcezu zesikhumba esinempilo kusuka kwenye ingxenye yomzimba wengane yakho ukumboza indawo ehlukanisiwe. Lokhu kubizwa ngokuxhunyelelwa kwesikhumba.

Ukwehlukanisa iminwe noma izinzwane ezifakwe i-webbed noma okuxubile kuzovumela idijithi ngayinye ukuthi ihambe ngokuzimela. Le nqubo ihloselwe ukubuyisela ukusebenza okugcwele esandleni noma ezinyaweni zengane yakho.

Uma ingane yakho inendawo engaphezu kweyodwa ye-webbing, udokotela wayo ohlinzayo angancoma ukuhlinzwa okuningi ukuze kuncishiswe izingozi.

Ukululama ekuhlinzweni

Ngemuva kokuhlinzwa ukulungisa iminwe noma izinzwane ezine-webbed, isandla noma unyawo lwengane yakho kuzobekwa kubalingisi cishe amasonto amathathu. Abalingisi bazosiza ekugcineni isandla noma unyawo lwabo lungasebenzi. Kubalulekile ukuthi abalingisi babo bagcinwe bomile futhi bapholile. Izodinga ukumbozwa lapho uhlamba ingane yakho.

Lapho ukhonkolo esuswa, ingane yakho ingahle igqoke isembozo amasonto ambalwa. I-splint izoqhubeka nokuvikela indawo elungisiwe ngesikhathi sokululama kwabo.

Udokotela ohlinzayo wengane yakho futhi angancoma ukwelashwa ngokomzimba noma komsebenzi ukuze athuthukise amathuba abo okusebenza okugcwele eminweni noma ezinzwaneni. Udokotela wabo futhi uzophakamisa uchungechunge lokuvakashelwa okulandelwayo ukuqapha ukuphulukiswa kwengane yakho.

Ziyini izingozi ezihambisana nokuhlinzwa kwezinzwane ezine-webbed?

Kungenzeka ukuthi ingane yakho ingahle ibhekane nemiphumela emincane kuya kokumaphakathi yokuhlinzwa kokulungiswa kokusebenzisana, kepha lokhu akuvamile.

Imiphumela emibi engaba khona yokuhlinzwa ingafaka:

• ukukhula kwesikhumba esikhulayo emuva, okubizwa nge- “web creep” futhi okumele kulungiswe futhi
• ukuqina kwezicubu ezibomvu
• izinkinga ngokuxhunyelelwa kwesikhumba okusetshenziswe ekuhlinzeni
• izinguquko ekubukeni kozipho oluthintekile noma uzipho
• ukungabi khona kwegazi elanele emunweni noma ozwaneni, okwaziwa njenge-ischemia
• ukutheleleka

Bona umhlinzeki wakho wezokunakekelwa kwempilo ngokushesha uma ubona noma ikuphi ukungajwayelekile noma izinguquko zombala eminweni noma ezinzwaneni zengane yakho.

Uyini umbono wokulungiswa kokuhlinzwa kweminwe noma izinzwane ezinewebhu?

Ngemuva kokulungiswa kokuhlinzwa komunwe noma kozwane, ingane yakho cishe izothola umsebenzi ojwayelekile womunwe noma ozwane. Isandla noma unyawo lwabo kuzokhombisa nomehluko ekubukekeni manje njengoba ngamadijithi ahamba ngokuzimela.

Uma ingane yakho ihlangabezana nezinkinga, ukuhlinzwa okwengeziwe kungadingeka ukuze kuzisize zithole ukusebenza okugcwele kweminwe noma izinzwane. Ukuhlinzwa okungeziwe ukwenza ngcono ukubonakala kwesandla noma izinzwane zabo nakho kungahlelelwa usuku oluzayo.

Isandla noma unyawo lwengane yakho luzoqhubeka lukhula ngokujwayelekile ngemuva kokuhlinzwa. Ezinye izingane zingadinga ukuhlinzwa okwengeziwe lapho zifinyelela ebusheni, ngemuva kokuba izandla nezinyawo sezikhulile futhi zakhula ngokugcwele.