Sutures - olekanitsidwa

Ma suture olekanitsidwa ndi malo osazolowereka m'malo olumikizana ndi chigaza mwa khanda.

Chigaza cha khanda kapena mwana wamng'ono chimapangidwa ndi mbale zamfupa zomwe zimalola kukula. Malire omwe mbale izi zimasonkhana amatchedwa sutures kapena suture lines.

Khanda lili ndi mphindi zochepa chabe, kukakamizidwa kubereka kumatha kupondereza mutu. Izi zimapangitsa kuti mbale zamafupa zizungulirane pamasenje ndikupanga kakhonde kakang'ono. Izi sizachilendo kwa ana obadwa kumene. M'masiku angapo otsatira, mutu wa mwana ukutambasula. Kuphatikizana kumatha ndipo m'mbali mwa mbale zamfupa zimakumana moyandikira. Awa ndi malo abwinobwino.

Matenda kapena mikhalidwe yomwe imayambitsa kuwonjezeka kwapanikizika mumutu imatha kupangitsa kuti ma suture afalikire. Suture yolekanitsidwayi imatha kukhala chizindikiro cha kupanikizika mkati mwa chigaza.

Ma suture olekanitsidwa atha kuphatikizidwa ndi ma bulging fontanelles. Ngati kupanikizika kosakwanira kumawonjezeka kwambiri, pakhoza kukhala mitsempha yayikulu pamutu.

Vutoli lingayambidwe ndi:

• Arnold-Chiari malformation
• Matenda a ana omenyedwa
• Kuthira magazi mkati mwa ubongo (kukha magazi m'mitsempha yam'mimba)
• Chotupa chaubongo
• Zofooka zina za mavitamini
• Zowonongeka za Dandy-Walker
• Matenda a Down
• Hydrocephalus
• Matenda omwe amapezeka pakubadwa (matenda obadwa nawo)
• Kupha poizoni
• Meningitis
• Subdural hematoma kapena subdural effusion
• Chithokomiro chosagwira ntchito (hypothyroidism)

Lumikizanani ndi omwe amakuthandizani ngati mwana wanu ali:

• Osiyanasiyana suture, bulging fontanelles, kapena mitsempha yodziwika bwino ya khungu
• Kufiira, kutupa, kapena kutuluka kuchokera mdera la sutures

Woperekayo ayesa mayeso. Izi zikuphatikiza kuwunika ma fontanelles ndi mitsempha ya scalp ndikumverera (kugwedeza) ma suture kuti mudziwe komwe apatukana.

Wothandizirayo afunsa mafunso okhudzana ndi mbiri ya zamankhwala ndi zidziwitso za mwana, kuphatikiza:

• Kodi mwanayo ali ndi zisonyezo zina (monga kuzungulira kwa mutu)?
• Ndi liti pomwe mudazindikira masuteti opatukana?
• Kodi zikuwoneka kuti zikuipiraipira?
• Kodi mwanayo ali bwino? (Mwachitsanzo, kodi kudya ndi zochitika zachilendo?)

Mayesero otsatirawa akhoza kuchitidwa:

• MRI ya mutu
• Kujambula kwa CT pamutu
• Ultrasound pamutu
• Matenda opatsirana amalimbikira, kuphatikiza zikhalidwe zamagazi komanso kuthekera kwa msana
• Kulimbitsa thupi, monga kuyesa magazi kuti muwone milingo yama electrolyte
• Kuyesedwa koyenera kwamaso

Ngakhale wothandizira wanu amasunga zolemba kuchokera pakuwunika kozolowereka, mutha kuwona kuti ndizothandiza kusunga zolemba zanu zakukula kwa mwana wanu. Bweretsani zolembazi kwa omwe amakupatsani mwayi mukawona chilichonse chachilendo.

Kupatukana kwa ma suture

• Chibade cha mwana wakhanda

Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Mutu ndi khosi. Mu: Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Upangiri wa Seidel ku Kuyesa Thupi. 9th ed. St Louis, MO: Elsevier; 2019: mutu 11.

Wokhulupirika NK. Khanda lobadwa kumene. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 113.

Rosenberg GA. Edema wamaubongo ndi zovuta zamayendedwe amadzimadzi a cerebrospinal. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 88.