Ka pūnaewele ʻana o nā manamana a me nā manamana wāwae

Kāhea ʻia ʻo webbing o nā manamana lima a me nā manamana wāwae paha he syndactyly. Pili ia i ka pilina o 2 a ʻoi paha manamana a ʻekio paha. ʻO ka hapanui o ka manawa, pili wale nā ​​wahi i ka ʻili. I nā hihia maʻamau, hui pū nā iwi pū kekahi.

ʻIke pinepine ʻo Syndactyly i ka hōʻike olakino olakino keiki. I kona ʻano maʻamau, loaʻa ka pūnaewele ma waena o nā manamana wāwae 2 a me 3. Hoʻoilina pinepine kēia ʻano a ʻaʻole ʻokoʻa. Hiki i Syndactyly ke hana pū me nā kīnā hānau ʻē aʻe e pili ana i ka iwi poʻo, ka maka, a me nā iwi.

Piʻi pinepine nā pūnaewele i ka hui mua o ka manamana lima a i ʻole ka manamana wāwae. Eia nō naʻe, hiki iā lākou ke holo i ka lōʻihi o ka manamana lima a i ʻole ka manamana wāwae.

"Polysyndactyly" wehewehe i ka pūnaewele pūnaewele a me ka loaʻa ʻana o kahi helu keu o nā manamana lima a me nā manamana wāwae paha.

ʻO nā kumu maʻamau hou aʻe:

• Down syndrome
• ʻO syndactyly hoʻoilina

ʻO nā kumu maʻamau loa e komo pū me:

• Apert Syndrome
• Maʻi maʻi kamana
• ʻO Cornelia de Lange maʻi
• Pfeiffer maʻi maʻi
• ʻO Smith-Lemli-Opitz Syndrome
• Hoʻohana o ka lāʻau Hydantoinin i ka wā hāpai (hopena o fetal hydantoin)

ʻIke ʻia kēia ʻano ma ka wā hānau ʻoiai ka pēpē i ka haukapila.

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i ka mōʻaukala o ke keiki. Hiki i nā nīnau ke komo pū me:

• ʻO nā manamana lima (manamana wāwae) e pili ana?
• Ua loaʻa paha i kekahi ʻohana ʻē aʻe kēia pilikia?
• He aha nā ʻōuli ʻē aʻe a i ʻole nā ​​mea ʻē aʻe e kū nei?

Loaʻa paha i kahi pēpē me ka pūnaewele pūnaewele nā ​​ʻōuli ʻē aʻe i hōʻailona pū ʻia o hoʻokahi maʻi a kūlana paha. Kuhi ʻia kēlā ʻano ma muli o ka moʻolelo ʻohana, ka mōʻaukala, a me ka hoʻāʻo kino.

E hana ʻia paha kēia mau hoʻāʻo:

• Nā aʻo Chromosome
• Nā hoʻokolohua lab e nānā ai no kekahi mau protein (nā enzyme) a me nā pilikia metabolic
• Nā kukuna X

Hiki ke hana ʻoki e hoʻokaʻawale i nā manamana a i ʻole nā ​​manamana wāwae.

Syndactyly; Kahului

ʻO Carrigan RB. ʻO ka lālā luna. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 701.

Mauck BM, Jobe MT. ʻO nā anomalies congenital o ka lima. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 79.

ʻO Son-Hing JP, Thompson GH. ʻO nā mea kūpono ʻole o ka ʻaoʻao kiʻekiʻe a me lalo a me ka iwi kuamoʻo. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 99.