Kodi polydactyly, zomwe zingayambitse komanso chithandizo

Zamkati

• Zomwe zingayambitse
• Mitundu ya polydactyly
• Momwe matendawa amapangidwira
• Njira zothandizira

Polydactyly ndi chilema chomwe chimachitika pamene chala chimodzi kapena zingapo zowonjezera zibadwa m'manja kapena m'mapazi ndipo zimatha kuyambitsidwa ndi kusintha kwa majini obadwa nawo, ndiye kuti, majini omwe amachititsa kusinthaku atha kufalikira kuchokera kwa makolo kupita kwa ana.

Kusintha kumeneku kumatha kukhala kwamitundu ingapo, monga syndromic polydactyly yomwe imapezeka mwa anthu omwe ali ndi ma syndromes amtundu wina, komanso polydactyly yokhayokha yomwe ndipamene kusintha kwa majini kumachitika kokhudzana kokha ndi kuwonekera kwa zala zina. Kutsekedwa kwapadera kumatha kusankhidwa kukhala pre-axial, central kapena post-axial.

Ikhoza kupezeka kale ali ndi pakati, kudzera pakuyesa kwa ultrasound ndi majini, chifukwa chake panthawi yomwe ali ndi pakati ndikofunikira kuti azisamalira asanabadwe ndikumutsata ndi azamba, ndipo chithandizocho chimadalira komwe kuli polydactyly ndipo, nthawi zina, opaleshoni kuchotsa chala chowonjezera.

Zomwe zingayambitse

Pakukula kwa mwana m'mimba mwa mayi, mapangidwe a manja amapezeka mpaka sabata lachisanu ndi chimodzi kapena lachisanu ndi chiwiri la mimba ndipo ngati, mgawoli, kusintha kulikonse kungachitike, mapangidwe awa amatha kukhala osokonekera, zomwe zimapangitsa kuti zala zambiri ziwonekere mu dzanja kapena phazi, ndiye kuti, polydactyly.

Nthawi zambiri, polydactyly imachitika popanda chifukwa chilichonse, komabe, zopindika zina m'matenda opatsirana kuchokera kwa makolo kupita kwa ana kapena kupezeka kwa majini syndromes kumatha kukhala kokhudzana ndi mawonekedwe a zala zina.

M'malo mwake, zoyambitsa zokhudzana ndi mawonekedwe a polydactyly sizidziwika bwino, koma kafukufuku wina akuwonetsa kuti ana a Afro-mbadwa, amayi omwe ali ndi matenda ashuga kapena omwe adagwiritsa ntchito thalidomide panthawi yapakati atha kukhala pachiwopsezo chokhala ndi zala zina m'manja kapena m'mapazi. .

Mitundu ya polydactyly

Pali mitundu iwiri ya polydactyly, monga yokhayokha, yomwe imachitika kusintha kwa majini kumangosintha kuchuluka kwa zala m'manja kapena m'mapazi, komanso syndromic polydactyly yomwe imapezeka mwa anthu omwe ali ndi ma syndromes amtundu, monga Greig's syndrome kapena Down's syndrome Mwachitsanzo. Dziwani zambiri za Down syndrome ndi mawonekedwe ena.

Kutsekedwa kwapadera kumagawidwa m'magulu atatu:

• Pre-ofananira: zimachitika pamene chala chimodzi kapena zingapo zibadwa mbali ya chala chachikulu cha phazi kapena dzanja;
• Pakatikati: imakhala ndi kukula kwa zala zowonjezera pakati pa dzanja kapena phazi, koma ndi mtundu wosowa kwambiri;
• Post-ofananira: ndi mtundu wofala kwambiri, umachitika pamene chala chowonjezera chimabadwa pafupi ndi chala chaching'ono, dzanja kapena phazi.

Kuphatikiza apo, pakatikati polydactyly, mtundu wina wamasinthidwe amtundu, monga syndactyly, umachitika nthawi zambiri, pamene zala zowonjezera zimabadwa zimamatira palimodzi.

Momwe matendawa amapangidwira

Kuzindikira kwa polydactyly kumatha kupangidwa panthawi yoyembekezera kudzera pa ultrasound m'zaka zitatu zoyambirira za mimba, chifukwa chake ndikofunikira kuti mukhale ndi azamba komanso muzisamalira ana asanabadwe.

Nthawi zina, dokotala akakayikira kuti mwana ali ndi matenda, kuyezetsa majini ndi kusonkhanitsa mbiri ya banja kungalimbikitsidwe kwa makolo.

Mwana atabadwa, mayesero sakhala oyenera kuti apeze polydactyly, popeza ndikusintha kooneka, komabe, dokotala wa ana kapena wopanga mafupa atha kufunsa X-ray kuti awone ngati zala zina zolumikizidwa ndi zala zina zabwinobwino ndi mafupa kapena misempha. Kuphatikiza apo, ngati opaleshoni yowonjezerapo chala ikuwonetsedwa, adokotala amatha kuyitanitsa kujambula kwina ndi kuyesa magazi.

Njira zothandizira

Chithandizo cha polydactyly chikuwonetsedwa ndi dokotala wa mafupa ndipo zimadalira malo ndi momwe chala chowonjezera chimalumikizirana ndi zala zina, chifukwa zimatha kugawana mitsempha, minyewa ndi mafupa zomwe ndizofunikira pakuyenda kwa manja ndi mapazi.

Chala chowonjezera chikakhala pa pinky ndipo chimapangidwa ndi khungu ndi mafuta okha, chithandizo choyenera kwambiri ndi opaleshoni ndipo nthawi zambiri chimachitidwa kwa ana mpaka zaka ziwiri. Komabe, chala chowonjezeracho chikayikidwa mu chala chachikulu, opareshoni amathanso kuwonetsedwa, komabe, nthawi zambiri zimakhala zovuta kwambiri, chifukwa zimafunikira chisamaliro chochuluka kuti zisasokoneze chidwi cha kapangidwe ka chala.

Nthawi zina, achikulire omwe sanachotse chala china ali mwana, amatha kusankha kuti asamachite opaleshoniyi, chifukwa kukhala ndi chala chimodzi chowonjezera sikubweretsa mavuto aliwonse azaumoyo.