Kubata minwe kana zvigunwe

Kubata minwe kana zvigunwe kunonzi syndactyly. Icho chinoreva kubatana kwe2 kana kupfuura zvigunwe kana zvigunwe. Kazhinji yenguva, nzvimbo dzakabatana chete neganda. Muzviitiko zvisingawanzo, mapfupa anogona kusangana pamwechete.

Syndactyly inowanzo kuwanikwa panguva yekuongororwa kwehutano hwemwana. Mune fomu yayo yakajairika, webhu inoitika pakati pechipiri uye chechitatu zvigunwe. Iyi fomu inowanzo garwa nhaka uye haina kujairika. Syndactyly inogona zvakare kuitika pamwe chete nezvimwe zvinokanganisa kuberekwa zvinosanganisira dehenya, kumeso, uye mapfupa.

Iyo yewebhu yekubatanidza kazhinji inokwira kune yekutanga kubatana kwechigunwe kana chigunwe. Nekudaro, ivo vanogona kumhanya kureba kwemunwe kana chigunwe.

"Polysyndactyly" inotsanangura zvese kuruka uye kuvapo kweimwe yakawedzera minwe kana zvigunwe.

Zvimwe zvinowanzoitika zvikonzero zvinosanganisira:

• Down chirwere
• Nhaka syndactyly

Zvikonzero zvisingawanzo zvinosanganisira:

• Apert chirwere
• Carpenter chirwere
• Cornelia de Lange chirwere
• Pfeiffer chirwere
• Smith-Lemli-Opitz chirwere
• Kushandiswa kwemushonga hydantoin panguva yepamuviri (fetal hydantoin athari)

Aya mamiriro anowanzo kuwanikwa pakuzvarwa apo mwana ari muchipatara.

Anopa hutano anozoongorora muviri uye obvunza nezve nhoroondo yemwana yekurapa. Mibvunzo inogona kusanganisira:

• Ndeapi zvigunwe (zvigunwe) zvinobatanidzwa?
• Pane dzimwe nhengo dzemhuri dzakave nedambudziko iri?
• Ndezvipi zvimwe zviratidzo kana zvisizvo zviripo?

Mwana mucheche anogona kuve nezvimwe zviratidzo izvo pamwe zvinogona kuve zviratidzo zveimwe chirwere kana mamiriro. Mamiriro ezvinhu aya anoonekwa zvichienderana nenhoroondo yemhuri, nhoroondo yezvokurapa, uye bvunzo dzepanyama.

Iyi bvunzo inotevera inogona kuitwa:

• Chromosome zvidzidzo
• Lab kuyedza kutarisa mamwe mapuroteni (enzymes) uye metabolic matambudziko
• X-ray

Kuvhiya kunogona kuitwa kupatsanura minwe kana zvigunwe.

Syndactyly; Polysyndactyly

Carrigan RB. Nhengo yekumusoro. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 701.

Mauck BM, Jobe MT. Kuberekwa kusakanganiswa kwemaoko. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 79.

Mwanakomana-Hing JP, Thompson GH. Congenital kusagadzikana kwekumusoro uye kwakadzika magumo uye musana. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA: Elsevier; 2020: chits. 99.