Kungani tho lezinzwani? izinzwane tho ewusana olusanda kuzalwa: Izimbangela

Fine, uma umntwana wakhe esezelwe siphilile! Kodwa ngezinye izikhathi abazali bayamangala cosha it ngajwayelekile kanye zamehlo. Ngokwesibonelo, cabangela izinkondlo, izinzwane tho ewusana olusanda kuzalwa. Izimbangela lesi sifo ngezinye izikhathi zingachazwa ngezinqubo yokuthi emndenini yabo ngokuthi uphawu ekhethekile idluliselwa ezizukulwaneni ngezizukulwane, kodwa ngezinye izikhathi ukuba siqonde lokho kwabangela ukuthuthukiswa yokungafaneleki, kunzima ngempela. Lokho syndactyly (Fusion iminwe engenhla noma emikhawulweni ephansi), futhi kungani sibangelwa, futhi sizobe ukukhuluma ku-athikili yethu.

Syndactyly akuyona ovamile

Itholakala ingane tho izinzwane nezandla awashintsheki ayeyivelakancane - kwelinye simo, izinsana ayizinkulungwane 2-3. Futhi amantombazane itholakala izikhathi ezingu-2 kancane kaningi kunentsha. Tho lingama 2 no-3 izinzwane noma iminwe ephakathi nendawo kanye ring kwi isandla. Ngokuvamile, nalokhu kuxutshwa akusho ubuhlungu emalungeni imisipha, okwenza inkinga kuphela yezimonyo.

Futhi uma iminwe kuvame ngaphansi ngokwahlukana kuhlinzwa, izinyawo ngokuvamile ningathinti ngaphandle kokubona isici ukuba sibe izithiyo ngokukhethekile ekukhuleni kwengane (a ukwephulwa esinjalo asisho ukuthi akudingeki ngokuvamile iphazamise ukuhamba evamile). Nokho, ukuba khona syndactyly e-60% kulezi zingane avame etholakala kwezinye kwezinso azalwa naso ilungu - unyawo deformity, pseudarthrosis, kokukhubazeka, njll ...

izinzwane tho ewusana olusanda kuzalwa: Ubangela Pathology

Yini ekwenza uphelelwe ukubukeka syndactyly? Iqiniso liwukuthi i-iminwe yakhe nezinzwani zakhe ingane wabeka 4-5 ngesonto yokukhulelwa, lapho umama ngokuvamile alazi ngayo, kodwa ngenxa lutho alisho yena. Kusuka lapha kukhona awokuthi-fetus kungathinta izingozi - .. X-ray, imithi elwa namagciwane, utshwala, ukubhema, njll Asikwazi ukubeka eceleni ingozi nemiphumela emibi kakhulu owesifazane okhulelweyo sombungu ezifweni ezinjengomkhuhlane, mumps noma ugcunsula.

Futhi izizathu ezijwayeleke kakhulu ukuthi usana olusanda kuzalwa tho izinzwane libhekisela ufuzo ukuthi sidlulile kusukela abazali izingane.

Phela, uma kutholakala syndactyly ingane ngisho oluncane, kumelwe nakanjani kube lwahlolwa ukuze khona zofuzo chromosomal syndromes (syndrome Apert, Poland noma Edwards), lapho Fusion neminwe kuwuphawu we zinokukhubazeka okungathi sína umntwana.

By endleleni, endaweni zokwelapha yaphawula amacala atholwe ukuvuvukala iminwe ngenxa yamakhemikhali noma ezishisayo ezishile ibhulashi noma unyawo.

Mayelana yini okumele uyenze uma ingane tho izinzwane nezandla, kuzoxoxwa ngakho kamuva, kodwa manje kancane theory.

Njengoba zokugula oluthathwa

Kwezokwelapha, zokugula aphathwe yithi ihlukaniswa kuye nesimo amathambo kanye nezinga coalescence. Ngakho, ngo-ngendlela ethambile izicubu ukuvuvukala kuyinto syndactyly bone, futhi Fusion ngobukhulu - ephelele futhi akuphelele.

Kuye izinzwane nendlela tho noma isandla syndactyly yilesi:

• isikhumba membranous - phakathi kweminwe babe ulwelwesi zesikhumba (lolu hlobo zokugula iyona elula kunazo);
• isikhumba - phakathi kweminwe babe isikhumba obukhulu ezicutshini ezithambile eziyimbangela, ngokuvamile ubude lonke neminwe;
• ithambo - Fusion kwenzeka ezingeni we phalanges, iyakwazi ampofu noma sikhubazekile;
• ukuhlanganisa - kukhona izinhlobo eziningana syndactyly (leli fomu kubhekwa nzima kakhulu aphathe).

Imiphumela yaloku kuhlola okungenhla syndactyly

Ngokuvamile, bonisa syndactyly emahoreni yokuqala yokuphila kuzalwa, lapho libhekwa neonatologist yayo. Uma ingane uye tho izinzwane ke umbuzo isidingo ukuhlinzwa ngokuvamile awubalulekile ke kakhulu, futhi abazali nethuba bakale izinzuzo nezingozi ukuhlinzwa.

Ukuze ube ophelele zokugula, ingane kumele sibonise udokotela ohlinzayo yezingane futhi wenze-X-ray of the ngezinyawo ezenziwa ezimbili. Lokhu kuzokwenza ukucacisa izici yokuphambana nesimo amathambo namalunga umntwana.

Kangakanani syndactyly

Nokho, kungakhathaliseki ukuthi kungani izinzwane tho, okuwukuphela kwendlela yokwelapha lesi sifo kuyinto ukuhlinzwa.

Umnyaka eliphezulu lelizinyane - iminyaka 4-5. Nokho, esimweni esinjalo, uma ixhunywe esibulalayo phalanges, ukuhlinzwa arcade kwenziwa ngaphambi kweminyaka engu-unyaka owodwa, ukuze kuvinjelwe ukukhula engalingani kweminwe kanye ukusonteka yabo.

Sokulungisa syndactyly imisebenzi zihlukaniswe amaqembu 5:

1. usike Kalula nge umphetho membranous.
2. Asike izidumbu zabantu abanesikhumba plasty nge kwezicubu wendawo.
3. Asike izidumbu zabantu zesikhumba nge amapulasitiki usebenzisa polnosloynogo noma ukuhlukaniswa isikhumba milisa.
4. Asike izidumbu zabantu zesikhumba usebenzisa amapulasitiki kuhlanganiswe (usebenzisa autotransplantanty khulula noma izicubu sendawo).
5. Ukusebenza ngezigaba eziningana, kuhlanganise bone, umsipha, imisipha, futhi isikhumba ngokuxhunyelelwa.

Yikuphi imisebenzi elandelayo kuyoba elilungile kakhulu, udokotela ozonquma, ikhumbula nemvelo futhi izinhlobo zokugula.

Isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa: njengoba uzwane tho?

Ngemva kwesikhathi ukuhlinzwa yokutakula sivame ukwenzeka ekhaya. Zokwenziwa ngalesi sikhathi udinga ukuphumula (enyangeni). Kuyadingeka ukuba nizifeze zonke imiyalelo kadokotela, ukuqinisekisa ukunakekelwa efanele amanxeba post-op.

Kubo ukunciphisa ukuvuvukala ukuqeda izibazi, zenkolo "Dermazin" noma ijeli "Kontraktubeks", futhi ngemva kwemi- nyaka 7 amasonto, ngokuvumelana likadokotela, usezoqala ukuya Physiotherapy. By endleleni, thatha isikhathi nale ngeke kunomvuzo - ake amanxeba kuhlinzwa ukuphulukisa kahle, ngakho abangele ubuhlungu ingane ngesikhathi nezinqubo ezintsha.

Kwezinye izimo, futhi wamisa futhi okokugqoka besokunxele turbokasta ukuthi esebenze iminwe tho amalunga omzimba. Ekuqaleni (enyangeni) sizigqoke njalo, bese ukubeka ngesikhathi sokulala kuphela.

Kufanele kuqashelwe ukuthi kuhambisana nazo zonke izimfuneko zohlelo maduze ukhohlwe ngenkinga esiwuhlolayo (izinzwane ingane tho). Isiguli uzolulama angabacwasi ngokushesha futhi ngaphandle izinkinga.

ukuba nombono ongafani ngeke

Naphezu kweqiniso lokuthi amacala syndactyly esikhathini sethu yanda, ukuze abacwaningi abatholi incazelo eyanele, onalesi sifo yalesi sifo ngokuyinhloko evumayo. izindlela zesimanje zokwelapha kungase ukuqeda yokungafaneleki, abuyisele zonke nemisebenzi isandla noma unyawo nokulungisa sengozini neminwe.

Uma ingane uye tho iminwe umlenze noma ingalo, ukusebenza kwenza kube nokwenzeka akha izikhala evamile interdigital ngenkathi sigcina ukuhamba ngokuhlanganyela kanye nozwela iminwe lesiguli. Okungukuthi, ukususa ke noma ibuphi ubunzima eyayigujwa syndactyly.

Ingabe kufanele ngingene ahlinzwe ngaso izinzwane syndactyly

Cishe njalo, abazali kufanele uthole izinkinga ingane yakhe ngeminwe yakhe uqale ukugcizelela ahlinzwe ngokushesha. Kodwa uma tho iminwe futhi ngempela angabakhulula cha, kodwa futhi izinkinga kuphela yobuhle ngokomzimba, esimweni lapho kunesici emilenzeni, ikakhulukazi uma iminwe yakho kungukuthi zikhubazekile futhi goba evamile, ungenza ngaphandle ukuhlinzwa.

Uma owesifazane eke tho izinzwane kungabangela eziningi yokuthonywa imizwelo engakhi kuze zokungazimiseli ukugqoka izicathulo evulekile noma ukuhamba eshaya ngoCetshwayo ogwini, kusenzima khona futhi ngeke ku ingane, njengoba umthetho, inkinga enjalo, yebo, ngesimo sengqondo esifanele kuso. Baningi abantu abahlala ngaphandle uhlangabezana nanoma yiziphi ukungakhululeki kusukela iminwe tho ezinyaweni zakhe. Futhi kwabanye kuba ngisho uphawu akhethekile twist yasekuqaleni. Njengoba ubona, konke kuncike ekutheni wamukela wena njengawe.