Kuyini syndactyly, izimbangela ezingaba khona nokwelashwa

-Delile

• Izimbangela ezingaba khona
• Izinhlobo syndactyly
• Ukuxilongwa kwenziwa kanjani
• Izinketho zokwelashwa

ISyndactyly igama elisetshenziselwa ukuchaza isimo, esivame kakhulu, esenzeka lapho umunwe owodwa noma ngaphezulu, wezandla noma wezinyawo, uzalwa unamathele ndawonye. Lokhu kuguqulwa kungabangelwa ukuguqulwa kwezakhi zofuzo kanye nefa, okwenzeka ngesikhathi sokukhula kwengane ngesikhathi sokukhulelwa futhi kuvame ukuhlotshaniswa nokubonakala kwama-syndromes.

Ukuxilongwa kungenziwa nge-ultrasound ngesikhathi sokukhulelwa noma kungabonakala kuphela ngemuva kokuzalwa kwengane. Uma ukuxilongwa kwenziwa ngesikhathi sokukhulelwa, udokotela obelethisayo angancoma ukwenza izivivinyo zofuzo ukuze ahlaziye ukuthi ngabe ingane inayo yini i-syndrome.

I-Syndactyly ihlukaniswa ngokwenani leminwe enamathiselwe, isikhundla sokuhlangana komunwe nokuthi kukhona yini amathambo noma izingxenye ezithambile nje phakathi kweminwe ethintekayo. Ukwelashwa okufanelekile kakhulu ukuhlinzwa, okuchazwa ngokwalokhu kuhlukaniswa nangokweminyaka yengane.

Izimbangela ezingaba khona

I-Syndactyly ibangelwa ikakhulu ukuguqulwa kofuzo, okudluliswa kusuka kubazali kuye ezinganeni, okwenza ushintsho ekukhuleni kwezandla, noma izinyawo, phakathi kwesonto lesithupha nelesikhombisa lokukhulelwa.

Kwezinye izimo, lolu shintsho lungahle lube uphawu lwesifo sofuzo, njengePoland's syndrome, i-Apert's syndrome noma iHolt-Oram's syndrome, engatholwa futhi ngesikhathi sokukhulelwa. Thola okuningi mayelana nokuthi yini iHolt-Oram syndrome nokuthi ilashwa kanjani.

Ngaphezu kwalokho, i-syndactyly ingavela ngaphandle kwencazelo, noma kunjalo, kuyaziwa ukuthi abantu abanesikhumba esikhanyayo banamathuba amaningi okuba nezingane ezinalesi sifo, njengoba nabafana besethubeni lokuthuthukisa lokhu kuguquka kunamantombazane.

Izinhlobo syndactyly

I-Syndactyly ingahlukaniswa ngezinhlobo eziningana, kuya ngokuthi yimiphi iminwe enamathiselwe nobukhulu bokuhlanganiswa kwale minwe. Lokhu kuguqulwa kungavela ezandleni zombili noma ezinyaweni futhi, enganeni, kungavela ngezimpawu ezahlukahlukene kulokho okwenzeka kubaba noma kumama. Ngakho-ke, izinhlobo ze-syndactyly yilezi:

• Akuphelele: kwenzeka lapho ukujoyina kungadluli ezandleni zomunwe;
• Qedela: ivela lapho ukujoyina kufinyelela ezandleni zakho;
• Okulula: kulapho iminwe ihlanganiswe kuphela yisikhumba;
• Okuyinkimbinkimbi: kwenzeka lapho amathambo eminwe nawo ehlanganisiwe;
• Okuyinkimbinkimbi: kuvela ngenxa yama-syndromes ezakhi zofuzo futhi lapho une-bone deform.

Kukhona nohlobo olungajwayelekile kakhulu lwe-syndactyly olubizwa ngokuthi yi-crossindactyly noma i-fenestrated syndactyly, eyenzeka lapho kunembobo esikhunjeni ebhajwe phakathi kweminwe. Njengoba isandla siyingxenye ebalulekile yokwenza imisebenzi yansuku zonke, kuya ngohlobo lwezinguquko, ukuhamba kweminwe kungakhubazeka.

Ukuxilongwa kwenziwa kanjani

Isikhathi esiningi, ukuxilongwa kwenziwa lapho kuzalwa ingane, kepha kungenziwa ngesikhathi sokunakekelwa kokubeletha, ngemuva kwenyanga yesibili yokukhulelwa, ngokuhlolwa kwe-ultrasound. Uma ngemuva kokwenza i-ultrasound, udokotela obelethisayo ebona ukuthi ingane inesivumelwano, angacela ukuhlolwa kofuzo ukuhlola ukuthi akhona yini ama-syndromes.

Uma kutholakala ukuthi kunesifo ngemuva kokuzalwa kwengane, udokotela wezingane angancoma ukwenza i-X-ray ukuhlola inani leminwe elihlanganisiwe nokuthi amathambo eminwe ahlangane yini noma cha. Uma kutholakele isifo sofuzo, udokotela uzophinda futhi ahlole ngokuningiliziwe ngokomzimba ukubona ukuthi kukhona yini okunye ukukhubazeka emzimbeni wengane.

Izinketho zokwelashwa

Ukwelashwa kwe-syndactyly kuboniswa ngudokotela wezingane, kanye nodokotela wamathambo, ngokuya ngohlobo nobukhulu benguquko. Ngokuvamile, ukwelashwa kuqukethe ukuhlinza ukuhlukanisa iminwe, okufanele kwenziwe ngemuva kokuba ingane inezinyanga eziyisithupha ubudala, njengoba kuyiminyaka ephephe kunazo zonke ukufaka i-anesthesia. Kodwa-ke, uma ukuhlangana kweminwe kunzima futhi kuthinta amathambo, udokotela angancoma ukuhlinzwa ngaphambi kwenyanga yesithupha yokuphila.

Ngemuva kokuhlinzwa, udokotela uzoncoma ukusetshenziswa kwesihlwathi ukunciphisa ukunyakaza kwesandla noma unyawo lapho besisebenza khona, kusiza ekwelapheni nasekuvimbeleni imithungo ukuthi ingaxegi. Ngemuva kwenyanga, udokotela futhi angakweluleka ukuthi wenze izivivinyo zokwelapha ngokomzimba ukusiza ukuqinisa ukuqina nokuvuvukala komunwe osebenzayo.

Ngaphezu kwalokho, kuzodingeka ukulandelela udokotela ngemuva kwesikhathi esithile ukuze kuhlolwe imiphumela yokuhlinzwa. Kodwa-ke, uma kuvela izimpawu ezinjengokulunywa, ububomvu, ukopha noma umkhuhlane, kubalulekile ukufuna usizo lwezokwelashwa ngokushesha, ngoba lokhu kungakhombisa ukutheleleka endaweni okuhlinzwa kuyo.