Masuture - akapatsanurwa

Akaparadzaniswa masuture ane akaenzana nzvimbo dzakapamhamha mumabhonzo majoini edehenya mumucheche.

Dehenya remucheche kana mwana mudiki rinoumbwa nemabhonzo mahwendefa anotendera kukura. Miganhu panoungana mahwendefa aya inonzi suture kana suture mitsetse.

Mucheche ane maminetsi mashoma ekuzvarwa, kumanikidzwa kubva pakusununguka kunogona kutsimbirira musoro. Izvi zvinoita kuti mahwendefa emabhonzo apindike pamasuturu uye inogadzira diki diki. Izvi zvakajairika muvacheche. Mumazuva mashoma anotevera, musoro wemwana unowedzera. Kubatana kunonyangarika uye mativi emahwendefa emabhonzo anosangana kumucheto-kumucheto. Aya ndiwo mamiriro akajairwa.

Zvirwere kana mamiriro ezvinhu anokonzera kuwedzera kusinganzwisisike mukumanikidza mukati memusoro kunogona kukonzera kuti masuture apararire. Aya masuture akapatsanurwa anogona kunge ari chiratidzo chekumanikidza mukati mehenya (kuwedzera kusagadzikana).

Yakaparadzaniswa suture inogona kuve nehukama neabhuru fontanelles. Kana iko kusagadzikana kwekumanikidza kuchiwedzerwa zvakanyanya, panogona kunge paine tsinga hombe pamusoro peganda.

Dambudziko rinogona kukonzerwa ne:

• Arnold-Chiari kusagadzikana
• Yakarohwa mwana chirwere
• Kubuda ropa mukati mehuropi (intraventricular hemorrhage)
• Bundu rebongo
• Zvimwe zvinoshaya mavitamini
• Dandy-Walker kusarongeka
• Down chirwere
• Hydrocephalus
• Zvirwere zviripo pakuzvarwa (kuberekwa hutachiona)
• Kutungamira muchetura
• Meningitis
• Subdural hematoma kana subdural effusion
• Underactive thyroid gland (hypothyroidism)

Bata wako mupi wezvehutano kana mwana wako aine:

• Yakaparadzaniswa suture, bulging fontanelles, kana yakajeka mitsipa yemusoro
• Kutsvuka, kuzvimba, kana kubuda kubva munzvimbo yemasuture

Iye mupi achaita bvunzo dzepanyama. Izvi zvinosanganisira kuongorora fontanelles uye scalp veins uye kunzwa (palpating) iyo sutures kuti uone kuti ivo vakaparadzaniswa kusvika papi.

Iye mupi achabvunza mibvunzo nezve nhoroondo yemwana yekurapa uye zviratidzo, zvinosanganisira:

• Iye mwana ane zvimwe zviratidzo (senge zvisina kujairika musoro wedenderedzwa)?
• Wakatanga rini kucherekedza masuture akapatsanurwa?
• Zvinoita kunge zviri kuramba zvichitowedzera here?
• Mwana wacho akasara zvakanaka here? (Semuenzaniso, kudya uye kuita maitiro kwakajairika here?)

Iyi bvunzo inotevera inogona kuitwa:

• MRI yemusoro
• CT scan yemusoro
• Ultrasound yemusoro
• Zvirwere zvinotapukira zvinoshanda, kusanganisira tsika dzeropa uye zvinogona kuita musana wepombi
• Metabolic kushanda-kumusoro, senge kuongororwa kweropa kutarisa pamatanho eelectrolite
• Yese bvunzo bvunzo

Kunyangwe iwe mupi wako achichengeta zvinyorwa kubva pakuongorora kwese, unogona kuona zvichibatsira kuchengeta zvinyorwa zvako zvekukura kwemwana wako. Uya nezvinyorwa izvi kumutarisiri wako kana iwe ukaona chero chinhu chisina kujairika.

Kuparadzaniswa kwemasuture

• Dehenya remucheche

Bhora JW, Dhayi JE, Flynn JA, Solomon BS, Stewart RW. Musoro nemutsipa. Mune: Bhora JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Nhungamiro yaSeidel kuPhysical Examination. 9th ed. St Louis, MO: Elsevier; 2019: chits. 11.

Akatendeka NK. Mucheche achangoberekwa. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits. 113.

Rosenberg GA. Brain edema uye kusagadzikana kwecerebrospinal fluid kutenderera. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 88.