Craniosynostosis

Craniosynostosis kuremara kwekuberekwa uko imwe kana yakawanda suture pamusoro wemwana inovhara pakutanga kupfuura zvakajairwa.

Dehenya remucheche kana mwana mudiki rakagadzirwa nemapfupa emabhonzo achiri kukura. Iyo miganhu panopindirana mahwendefa aya inonzi suture kana suture mitsetse. Masuture anotendera kukura kwehenya. Ivo vanowanzo vhara ("fuse") panguva iyo mwana anenge 2 kana matatu ezera.

Kuvhara kwekutanga kwesuture kunokonzeresa kuti mwana ave nemusoro wakaumbwa zvisina kujairika. Izvi zvinogona kudzora kukura kwehuropi.

Chikonzero che craniosynostosis hachizivikanwe. Majini anogona kutora chinzvimbo, asi kazhinji hapana mhuri nhoroondo yemamiriro acho. Kazhinji kazhinji, zvinogona kukonzerwa nekumanikidza kwekunze pamusoro wemwana asati azvarwa. Kukura kusingaenzanisike kwechigadziko chedehenya uye membrane yakakomberedza mapfupa edehenya zvinotendwa kukanganisa kufamba uye chinzvimbo chemapfupa sezvavanokura

Mune zviitiko apo izvi zvichipfuudzwa kuburikidza nemhuri, zvinogona kuitika nemamwe matambudziko ehutano, sekubatwa, kudzikira kwehungwaru, uye kupofomara. Matambudziko eGenetic anowanzo batanidzwa ne craniosynostosis anosanganisira Crouzon, Apert, Carpenter, Saethre-Chotzen, uye Pfeiffer syndromes.

Nekudaro, vana vazhinji vane craniosynostosis vane hutano hwakanaka uye vane njere dzakanaka.

Zviratidzo zvinoenderana nerudzi rweganiosynostosis. Zvinogona kusanganisira:

• Kwete "nyoro nzvimbo" (fontanelle) pane dehenya remucheche
• Yakasimudzwa yakaoma ridge padhuze nemabatiro akashata
• Yakajairika musoro chimiro
• Inononoka kana kuti kwete kuwedzera mukukura kwemusoro nekufamba kwenguva apo mwana anokura

Mhando dze craniosynostosis ndidzo:

• Sagittal synostosis (scaphocephaly) ndiyo yakajairika mhando. Inobata suture huru pamusoro chaipo pemusoro. Kuvhara kwekutanga kunomanikidza musoro kuti ukure murefu uye wakamanikana, panzvimbo yeupamhi. Vacheche vane mhando iyi vanowanzove nehupamhi huma. Zvakajairika muvakomana kupfuura vasikana.
• Pamberi pebipiocephaly ndiyo inotevera mhando. Inokanganisa suture inomhanya kubva panzeve kusvika panzeve kumusoro kwemusoro. Inowanzoitika kudivi rimwe chete, zvichikonzera pahuma yakatetepa, yakasimudza tsiye, uye nzeve yakakurumbira kudivi iro. Mhino yemwana inogona zvakare kuratidzika seinodhonzwa ichienda kudivi iro. Izvi zvinowanzoitika kuvasikana kupfuura kuvakomana.
• Metopic synostosis fomu isingawanzo inobata suture padhuze nehuma. Musoro wemusoro wemwana unogona kurondedzerwa se trigonocephaly, nekuti kumusoro kwemusoro kunoonekwa kunge katatu, iine huma yakatetepa kana yakatwasuka. Inogona kubva pane yakapfava kusvika kune yakaoma.

Anopa hutano anonzwa musoro wemucheche oita bvunzo dzepanyama.

Iyi bvunzo inotevera inogona kuitwa:

• Kuyera kutenderera kwemusoro wemucheche
• X-ray yehenya
• CT scan yemusoro

Zvakanaka-mwana kushanya chikamu chakakosha chehutano hwemwana wako. Vanobvumira mupi kuti agare achitarisa kukura kwemusoro wemwana wako nekufamba kwenguva. Izvi zvinobatsira kuona chero matambudziko pakutanga.

Kuvhiya kunowanzodiwa. Izvo zvinoitwa mwana achiri mucheche. Zvinangwa zvekuvhiya ndezvi:

• Bvisa chero kumanikidza pauropi.
• Ita shuwa kuti mune nzvimbo yakakwana mudehenya kubvumira iyo uropi kukura zvakanaka.
• Kuvandudza kutaridzika kwemusoro wemwana.

Kunyatsoita mwana zvinoenderana ne:

• Mangani masuture anobatanidzwa
• Hutano hwemwana hwese

Vana vane chirwere ichi vanovhiyiwa vanoita zvakanaka muzviitiko zvakawanda, kunyanya kana mamiriro acho asingabatanidzwe nejenetic syndrome.

Craniosynostosis inoguma nekuremara kwemusoro kunogona kuomarara uye kusingaperi kana isina kugadziriswa. Zvinetso zvinogona kusanganisira:

• Kuwedzera kwekumanikidza kushushikana
• Kufenda
• Kubudirira kunonoka

Fonera mupi wemwana wako kana mwana wako aine:

• Yakajairika musoro chimiro
• Matambudziko nekukura
• Zvisina kujairika zvakasimudzwa zvikanda padehenya

Kuvhara kwepamberi kwemasuture; Synostosis; Plagiocephaly; Scaphocephaly; Fontanelle - craniosynostosis; Nzvimbo nyoro - craniosynostosis

• Craniosynostosis kugadzirisa - kubuda

• Dehenya remucheche

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Chokwadi nezve craniosynostosis. www.cdc.gov/ncbddd/birthdefects/craniosynostosis.html. Yakagadziridzwa Mbudzi 1, 2018. Yakasvika Gumiguru 24, 2019.

Graham JM, Sanchez-Lara PA. Craniosynostosis: zvakajairika. Mune: Graham JM, Sanchez-Lara PA, eds. Maitiro aSmith Anozivikanwa Ekuchinja Kwevanhu. 4th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 29.

Kinsman SL, Johnston MV. Congenital anomalies epakati etsinga system. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 609.

Mandela R, Bellew M, Chumas P, Nash H. Mhedzisiro yekuvhiya nguva ye craniosynostosis pamhedzisiro yeurodevelopmental mhedzisiro: kurongeka kwakarongeka. J Neurosurg Pediatr. 2019; 23 (4): 442-454. PMID: 30684935 pubmed.ncbi.nlm.nih.gov/30684935/.