Chii chinonzi polydactyly, zvinogona kukonzera uye kurapwa

Zvemukati

• Zvinogona kukonzerwa
• Mhando polydactyly
• Maitiro ekuongororwa kunoitwa
• Kurapa nzira

Polydactyly kukanganisika kunoitika kana mumwe kana anopfuura mimwe zvigunwe zvaberekwa muruoko kana mutsoka uye zvinogona kukonzerwa nekuzvarwa kwakagadziriswa, ndiko kuti, magene anokonzeresa shanduko iyi anogona kutapurirwa kubva kuvabereki kuenda kuvana.

Shanduko iyi inogona kuve yemhando dzinoverengeka, senge syndromic polydactyly inoitika muvanhu vane mamwe mageneti syndromes, uye polydactyly yakasarudzika ndiyo nguva iyo kuchinja kwemajini kunoitika kwakanangana nekuonekwa kwemimwe minwe. Isolated polydactyly inogona kusarudzwa se pre-axial, yepakati kana post-axial.

Inogona kuwanikwa yatove nepamuviri, kuburikidza ne ultrasound uye magene ekuyedza, saka panguva yekuzvitakura zvakakosha kuita prenatal care uye kuteedzera nachiremba wekubereka, uye kurapwa kunoenderana nenzvimbo yepolydactyly uye, mune dzimwe nguva, kuvhiyiwa kubvisa mumwe munwe.

Zvinogona kukonzerwa

Munguva yekuvandudzwa kwemwana mudumbu raamai, kuumbwa kwemaoko kunoitika kusvika pavhiki rechitanhatu kana rechinomwe rekuzvitakura uye kana, panguva ino, chero shanduko ikaitika, maitiro ekuumba aya anogona kukanganisika, zvichitungamira pakuonekwa kwemimwe minwe. muruoko kana rutsoka, ndiko kuti, polydactyly.

Kazhinji yenguva, polydactyly inoitika pasina chero chikonzero chiri pachena, zvisinei, kumwe kukanganisa mune majeni anotapurirana kubva kuvabereki kuenda kuvana kana kuvapo kwemajini syndromes kunogona kuenderana nekuonekwa kwemimwe minwe.

Muchokwadi, izvo zvikonzero zvine chekuita nekuonekwa kwepolydactyly hazvizivikanwe zvizere, asi zvimwe zvidzidzo zvinoratidza kuti vana veAfro-vazukuru, vanaamai vane chirwere cheshuga kana avo vakashandisa thalidomide panguva yekuzvitakura vanogona kuve panjodzi yekuwedzera mimwe minwe pamaoko kana tsoka. .

Mhando polydactyly

Kune mhando mbiri dze polydactyly, senge yakasarudzika, inoitika kana kugadziriswa kwemajini kungochinja huwandu hweminwe pamaoko kana tsoka, uye syndromic polydactyly inoitika kune vanhu vane mageneti syndromes, akadai seGreig's syndrome kana Down's syndrome. , semuenzaniso. Dzidza zvakawanda nezve Down syndrome uye mamwe maitiro.

Isolated polydactyly inorongwa mumhando nhatu:

• Pre-axial: zvinoitika kana mumwe kana yakawanda minwe ichizvarwa parutivi rwechigunwe chetsoka kana ruoko;
• Pakati: inosanganisira kukura kwemimwe minwe pakati pechanza kana tsoka, asi iri mhando isingawanzoitika;
• Post-axial: ndiyo mhando yakajairika, inoitika kana mumwe munwe uchinge wazvarwa padhuze nekamunwe, ruoko kana tsoka.

Uye zvakare, pakati polydactyly, imwe mhando yekuchinja kwemajini, senge syndactyly, inowanzoitika, apo mimwe minwe inoberekwa yakanamirwa pamwe chete.

Maitiro ekuongororwa kunoitwa

Kuongororwa kwepolydactyly kunogona kuitwa panguva yekuzvitakura kuburikidza ne ultrasound mune yekutanga trimester yepamuviri, saka zvakakosha kuramba uchiita nachiremba uye uchiita prenatal care.

Mune zvimwe zviitiko, apo chiremba anofungidzira chirwere mumucheche, kuongororwa kwemajini uye kuunganidzwa kwehutano hwemhuri kunogona kukurudzirwa kuvabereki.

Mushure mekunge mwana azvarwa, bvunzo kazhinji hadzina kudikanwa kuti uongorore polydactyly, sezvo iri shanduko inoonekwa, zvisinei, chiremba wevana kana chiremba wemazino anogona kukumbira X-ray kuti aone kana mimwe minwe yakabatana kune mimwe zvigunwe zvakajairika nemapfupa. kana tsinga. Uye zvakare, kana kuwedzerwa kwekubvisa chigunwe kuchiratidzwa, chiremba anogona kuraira kumwe kufungidzira uye kuongororwa kweropa.

Kurapa nzira

Kurapa kwepolydactyly kunoratidzwa nachiremba wemapfupa uye zvinoenderana nenzvimbo uye nzira iyo munwe wekuwedzera wakabatanidzwa kune mimwe minwe, sezvo vachigona kugovana tsinga, tendon uye mapfupa ayo ari akakosha masisitimu ekufambisa kwemaoko netsoka.

Kana mumwe munwe uri pane pinky uye unongoumbwa chete neganda nemafuta, kurapwa kwakanyanya kuvhiya uye kunowanzoitwa kuvana vanosvika makore maviri. Nekudaro, kana mumwe munwe ukaiswa muchigunwe, kuvhiyiwa kunogona kuratidzwa, zvisinei, kunowanzo kuve kwakaomarara, sezvo kuchida kutarisirwa kwakanyanya kuti kusakanganisa kunzwisisika uye kumira kwechigunwe.

Dzimwe nguva, vanhu vakuru vasina kubvisa mumwe munwe semwana, vanogona kusarudza kusavhiyiwa, sezvo kuva nemumwe chigunwe hakukonzere matambudziko ehutano.