Nā pepeiao hoʻohaʻahaʻa haʻahaʻa a me nā ʻano pinna
Kuhi nā pepeiao hoʻohaʻahaʻa haʻahaʻa a me nā ʻano pinna i kahi ʻano kūpono ʻole a i ʻole ke kūlana o ka pepeiao o waho (pinna a auricle paha).
Hoʻokumu ka pepeiao o waho a i ʻole "pinna" ke ulu nei ka pēpē i loko o ka ʻōpū o ka makuahine. ʻO ka ulu ʻana o kēia ʻaoʻao pepeiao i kahi manawa e ulu ana nā mea ʻē aʻe (e like me nā puʻupaʻa). ʻO nā loli maʻamau i ke kinona a i ʻole ke kūlana o ka pinna he hōʻailona paha ia e pili pū kekahi pilikia ʻē aʻe e pili ana i ka pēpē.
Loaʻa nā hopena maʻamau i nā cist i nā pinna a i ʻole nā ʻili ʻili.
Hānau ʻia nā keiki he nui me nā pepeiao e pili ana. ʻOiai paha e ʻōlelo ka poʻe e pili ana i ke ʻano o ka pepeiao, ʻokoʻa kēia ʻano o ka maʻamau a ʻaʻole pili ʻia me nā maʻi ʻē aʻe.
Eia nō naʻe, pili paha nā pilikia aʻe i nā kūlana olakino:
- Nā pelu kūpono ʻole a i ʻole kahi o ka pinna
- Nā pepeiao hoʻohaʻahaʻa
- ʻAʻohe wehe i ka puka pepeiao
- ʻAʻohe pinna
- ʻAʻohe pinna a me ka canal pepeiao (anotia)
ʻO nā kūlana maʻamau i hiki ke hana i nā pepeiao hoʻohaʻahaʻa haʻahaʻa a ʻano ʻē i loko o:
- Down syndrome
- Turner maʻi maʻi
ʻO nā kūlana maʻamau i hiki ke hoʻohaʻahaʻa i nā pepeiao hoʻohaʻahaʻa haʻahaʻa a malformed pū me:
- Beckwith-Wiedemann maʻi
- Potter maʻi maʻi
- ʻO Rubinstein-Taybi maʻi
- ʻO Smith-Lemli-Opitz Syndrome
- ʻO Treacher Collins maʻi
- Trisomy 13
- Trisomy 18
I ka hapanui o nā hihia, loaʻa i kahi mea mālama ola nā pinna abnormalities i ka wā o ka hōʻike pēpē maikaʻi mua. Hana pinepine ʻia kēia hōʻike ma ka haukapila i ka manawa o ka hānau.
E hāʻawi ka mea hoʻolako i:
- Nānā a hoʻāʻo i ke keiki no nā ʻano ʻino ʻē aʻe o nā puʻupaʻa, nā iwi o ka maka, iwi poʻo, a me nā ʻalolo helehelena
- E nīnau inā he moʻolelo ʻohana kāu o nā pepeiao ʻokoʻa ke ʻano
No ka hoʻoholo ʻana inā ʻaʻole maʻamau ka pinna, e ana nā mea hāʻawi me nā ana o ka lepe. E ana ʻia nā ʻāpana ʻē aʻe o ke kino, me nā maka, nā lima, a me nā wāwae.
Pono nā keiki hānau hou a pau e hoʻolohe i ka hoʻolohe ʻana. Hōʻike ʻia nā hoʻokolohua no nā loli i ka ulu ʻana o ka noʻonoʻo ke ulu a keiki. Hiki ke hana ʻia ka hoʻāʻo genetic.
LAWAIA
ʻO ka hapa nui o ka manawa, ʻaʻohe pono e mālama ʻia no nā abnormalities o ka pinna no ka mea ʻaʻole lākou e hoʻopili i ka hoʻolohe ʻana. Eia nō naʻe, paipai ʻia kahi ʻoki cosmetic.
- E nakinaki ʻia nā ʻili o ka ʻili, ke ʻole ka cartilage i loko o lākou. I kēlā hihia, pono ke ʻoki e wehe iā lākou.
- E mālama ʻia nā pepeiao pepeiao e pili ana no nā kumu hoʻonani. I loko o ka wā hānau hou, hoʻopili ʻia paha kahi kaha liʻiliʻi e hoʻohana ana i ka lipine a i ʻole Steri-Strips. Hōʻaʻahu ke keiki i kēia kumumanaʻo no mau mahina. ʻAʻole hiki ke hana i ke kaha no ka hoʻoponopono ʻana i nā pepeiao a hiki i ka piha ʻana o ke keiki 5 mau makahiki.
ʻOi aku paha nā mea ʻino koʻikoʻi ʻoi aku ke ʻoki ʻana no nā kumu cosmetic a no ka hana. Hana pinepine ʻia ke ʻoki kino e hana a hoʻopili i kahi pepeiao hou i nā pae.
Nā pepeiao hoʻohaʻahaʻa; Microtia; Pepeiao "Lop"; Pinna nā mea kūpono ʻole; Hewa genetic - pinna; Hewa hānau - pinna
- Nā mea kūpono ʻole o ka pepeiao
- Pinna o ka pepeiao hānau hou
Haddad J, Dodhia SN. Nā hanaʻino o ka pepeiao. 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 656.
ʻO Madan-Khetarpal S, ʻo Arnold G. Nā maʻi genetic a me nā kūlana dysmorphic. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 1.
Mitchell AL. ʻO nā anomalies kūpona. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 30.