Fontanelles - yakanyura

Sunken fontanelles iri pachena kutenderera mukati me "nyoro nzvimbo" mumusoro wemucheche.

Dehenya rakagadzirwa nemapfupa mazhinji. Pane mapfupa masere mudehenya pacharo uye gumi nemapfumbamwe munzvimbo yechiso. Vanobatana pamwechete kuti vagadzire rakasimba, bhonzo mhango inodzivirira uye inotsigira uropi. Nzvimbo dzinobatana mabhonzo dzinodaidzwa kunzi suture.

Mapfupa haana kusunganidzwa pamwechete paakasununguka. Izvi zvinobvumira musoro kuti uchinje chimiro kuti ubatsire kupfuura nemumugwagwa wekuzvarwa. Iyo suture inowana zvishoma nezvishoma zvicherwa uye kuomesa, ichinyatsobatanidza mapfupa ehenya pamwechete. Izvi zvinonzi ossification.

Mucheche, iyo nzvimbo iyo suture mbiri dzinobatana inogadzira membrane-yakafukidzwa "nyoro nzvimbo" inonzi fontanelle (fontanel). Iyo fontanelles inobvumira iyo uropi uye dehenya kukura mukati megore rekutanga remucheche.

Iko kune anowanzo kuve akawanda fontanelles pane dehenya remucheche. Iwo ari anowanikwa kunyanya kumusoro, kumashure, uye mativi emusoro. Kufanana nemasuture, fontanelles anoomesa nekufamba kwenguva uye anozovharwa, akasimba, nzvimbo dzemabhonzo.

• Iyo fontanelle iri kumashure kwemusoro (posterior fontanelle) inowanzo vharwa nenguva iyo mucheche anenge ane mwedzi mumwe kana miviri yekuberekwa.
• Iyo fontanelle iri kumusoro kwemusoro (anterior fontanelle) inowanzovhara mukati memwedzi minomwe kusvika gumi nenomwe.

Iyo fontanelles inofanirwa kunzwa yakasimba uye inofanira kukombamira mukati zvishoma kusvika pakubata. Fontanelle inoonekwa yakanyura chiratidzo chekuti mucheche haana mvura yakakwana mumuviri wavo.

Zvikonzero izvo mwana anogona kunge akanyura fontanelles anosanganisira:

• Kushaya mvura mumuviri (isina kukwana mvura mumuviri)
• Kushaya zvokudya zvinovaka muviri

Fontanelle yakanyura inogona kunge iri yekukurumidzira kwekurapa. Anopa hutano anofanirwa kutarisa mucheche ipapo ipapo.

Iye mupi achaita bvunzo dzepanyama uye obvunza mibvunzo nezve zviratidzo zvemwana uye nhoroondo yekurapa, senge:

• Wakatanga rini iwe kuona kuti fontanelle yakatarisa yakanyura?
• Zvakanyanya sei? Ungazvitsanangura sei?
• Ndeapi "akapfava mavara" anokanganiswa?
• Ndezvipi zvimwe zviratidzo zviripo?
• Mwana anga achirwara here, kunyanya nekurutsa, manyoka, kana kudikitira zvakanyanya?
• Ko ganda rinosvuuka here?
• Mwana ane nyota here?
• Mwana akangwarira here?
• Maziso emucheche akaoma here?
• Muromo wemwana wakanyorova here?

Miedzo inogona kusanganisira:

• Ropa makemikari
• CBC
• Kuongorora urinal
• Kuyedza kutarisa chimiro chemwana chekudya

Iwe unogona kuendeswa kunzvimbo inogona kupa intravenous (IV) zvinwiwa kana iyo yakanyura fontanelle ichikonzerwa nekushaiwa mvura.

Sunken fontanelles; Nzvimbo nyoro - yakanyura

• Dehenya remucheche
• Sunken fontanelles (yepamusoro maonero)

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.

Wright CJ, Posencheg MA, Seri I, Evans JR. Fluid, electrolyte, uye acid-base chiyero. Mune: Gleason CA, Juul SE, eds. Zvirwere zveAvery zveMucheche. 10th ed. Philadelphia, PA: Elsevier; 2018: chits.