Fontanelles - kubhururuka

Fontanelle inobhururuka ndiko kupindika kwekunze kwenzvimbo yakapfava yemucheche (fontanelle).

Dehenya iri rinoumbwa nemapfupa mazhinji, 8 muhenya iri uye gumi nemana munzvimbo yekumeso. 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. Iwo masuture anowana zvicherwa zvakawedzerwa kwavari nekufamba kwenguva uye kuomarara, zvichinyatsobatanidza mapfupa ehenya pamwechete.

Mucheche, iyo nzvimbo iyo suture mbiri dzinobatana inogadzira membrane-yakafukidzwa "nyoro nzvimbo" inonzi fontanelle (fontanel). Iyo fontanelles inobvumidza kukura kwehuropi uye dehenya 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, solid bony nzvimbo.

• Iyo fontanelle iri kumashure kwemusoro (posterior fontanelle) inowanzo vharwa nenguva iyo mucheche anenge ane mwedzi mumwe kusvika maviri ekuberekwa.
• Iyo fontanelle iri kumusoro kwemusoro (anterior fontanelle) inowanzovhara pakati pemwedzi manomwe kusvika 19.

Iyo fontanelles inofanirwa kunzwa yakasimba uye yakanyatso kupindika mukati kupinda kune iyo bata. Iyo tense kana bulging fontanelle inoitika kana hura hunowanda muhuropi kana huropi hwazvimba, zvichikonzera kuwedzerwa kumanikidza mukati mehenya.

Kana mwana achichema, akarara pasi, kana kurutsa, iwo mafonti anogona kutaridzika kunge ari kuputika. Nekudaro, ivo vanofanirwa kudzokera kune zvakajairwa kana mucheche ari munzvimbo yakadzikama, yepamusoro-kumusoro.

Zvikonzero izvo mwana angave aine bulging fontanelles anosanganisira:

• Encephalitis. Kuzvimba (kuzvimba) kwehuropi, kazhinji kazhinji nekuda kwezvirwere.
• Hydrocephalus. Kuvaka kwemvura mukati mehenya.
• Kuwedzera kwekumanikidza kushushikana.
• Meningitis. Kubatira hutachiona hunofukidza huropi.

Kana iyo fontanelle inodzokera kune yakajairika chitarisiko kana mwana akadzikama uye akasimudza musoro, haisi chaiyo inoputika fontanelle.

Pakarepo, kuchengetedzwa kwekukurumidzira kunodiwa kune chero mucheche ane yakanyanyisa fontanelle, kunyanya kana ikaitika pamwe nefivha kana kukotsira kwakanyanya.

Anopa hutano anoita bvunzo dzepanyama uye obvunza mibvunzo nezve nhoroondo yemwana yekurapa, senge:

• "Nzvimbo nyoro" inodzokera pakuonekwa chaiko kana mucheche akadzikama kana kusimuka musoro?
• Inobhururuka nguva dzese here kana inouya ichienda?
• Wakazviona riini izvi?
• Ndeapi fontanelles bulge (kumusoro kwemusoro, kumashure kwemusoro, kana zvimwe)?
• Izvo zvese fontanelles inoputika?
• Ndezvipi zvimwe zviratidzo zviripo (zvakadai sefivha, kutsamwa, kana kuneta)?

Kuongororwa kuongororwa kunogona kuitwa ndekwe:

• CT scan yemusoro
• MRI scan yemusoro
• Musana pombi (lumbar puncture)

Nzvimbo nyoro - bulging; Kubhururuka fontanelles

• Dehenya remucheche
• Kubhururuka fontanelles

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.

Somand DM, Meurer WJ. Central nervous system hutachiona. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 99.