Fontanelles - kukulitsidwa

Zowonjezera zazikuluzikulu ndizokulirapo kuposa mabala ofewa omwe amayembekezeka a msinkhu wa mwana.

Chigaza cha khanda kapena mwana wamng'ono chimapangidwa ndi ma bony mbale omwe amalola kukula kwa chigaza. Malire omwe mbale izi zimadutsamo amatchedwa suture kapena mizere ya suture. Malo omwe amalumikizana, koma osalumikizana kwathunthu, amatchedwa malo ofewa kapena fontanelles (fontanel kapena fonticulus).

Fontanelles amalola kukula kwa chigaza mchaka choyamba cha khanda. Kutseka pang'ono kapena kosakwanira kwa mafupa a chigaza nthawi zambiri kumayambitsa fontanelle.

Zazikulu kuposa ma fontanelles abwinobwino zimayambitsidwa ndi:

• Matenda a Down
• Hydrocephalus
• Kuchepetsa kukula kwa intrauterine (IUGR)
• Kubadwa msanga

Zoyambitsa zambiri:

• Achondroplasia
• Matenda a Apert
• Cleidocranial dysostosis
• Kubadwa rubella
• Neonatal hypothyroidism
• Osteogenesis chosakwanira
• Zolemba

Ngati mukuganiza kuti zomwe zili pamutu pamwana wanu ndizazikulu kuposa momwe zimayenera kukhalira, lankhulani ndi omwe amakuthandizani. Nthawi zambiri, chikwangwani ichi chimawoneka panthawi yoyesedwa koyambirira kwamankhwala.

Fontanelle yayikulu yokulirapo imapezeka nthawi zonse ndi woperekayo poyesa thupi.

• Woperekayo adzawunika mwanayo ndikuyesa mutu wa mwanayo kuzungulira dera lalikulu kwambiri.
• Dotolo amathanso kuzimitsa magetsi ndikuwalitsa nyali pamutu pa mwanayo.
• Malo ofewa a mwana wanu amayang'aniridwa pafupipafupi paulendo uliwonse woyendera mwana wabwino.

Mayeso amwazi ndi kuyerekezera kwa mutu kumatha kuchitika.

Malo ofewa - akulu; Kusamalira akhanda - kukulitsa fontanelle; Chisamaliro cha Neonatal - fontanelle yowonjezera

• Chibade cha mwana wakhanda
• Zolemba
• Zithunzi zazikulu (zowonera)
• Zithunzi zazikulu

Wachibale SL, Johnston MV. Kobadwa nako anomalies chapakati mantha dongosolo. 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 609.

Piña-Garza JE, James KC. Kusokonezeka kwa kuchuluka kwa mawonekedwe ndi mawonekedwe. Mu: Piña-Garza JE, James KC, olemba. Fenichel's Clinical Pediatric Neurology. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 18.