Sutures - hoʻokaʻawale ʻia

ʻO nā sutures i hoʻokaʻawale ʻia he mau ākea ākea ʻole ma nā hono iwi o ka iwi poʻo o kahi pēpē.

ʻO ka iwi poʻo o kahi pēpē a ʻōpio paha i hana ʻia i nā pā iwi e hiki ai ke ulu. ʻO nā palena kahi e hui pū ai kēia mau pā, ua kapa ʻia he mau suture a ʻo nā laina kuʻina.

I kahi pēpē he mau minuke wale nō ka lōʻihi, kaomi kaomi ʻana mai ka lawe ʻana i ka poʻo. Hoʻopili kēia i nā pā iwi i nā sutures a hana i kahi pali liʻiliʻi. He mea maʻamau kēia i nā keiki hānau hou. I nā lā e hiki mai ana, hoʻonui ke poʻo o ka pēpē. Nalo ka ʻōpili a hui nā kihi o nā pā iwi i ka lihi. ʻO kēia ke kūlana maʻamau.

ʻO nā maʻi a i ʻole nā ​​kumu e hoʻonui ai i ka kaomi ma loko o ke poʻo e hiki ai ke pālahalaha i nā sutures. Hiki i kēia mau sutures hoʻokaʻawale ke hōʻailona o ke kaomi i loko o ka iwi poʻo (hoʻonui ʻia ka pēpē intracranial).

Hiki ke hoʻopili ʻia nā sutures i hoʻokaʻawale ʻia me nā fontanelles ʻōhū. Inā hoʻonui nui ʻia ke kaomi intracranial, nui paha nā uaua ma luna o ka ʻili.

Hoʻokumu ʻia ka pilikia e:

• Hana hewa ʻo Arnold-Chiari
• Maʻi maʻi keiki hahau ʻia
• Kahe i loko o ka lolo (intraventricular hemorrhage)
• Tumo lolo
• Kekahi mau wikamina hemahema
• Hana hewa ʻo Dandy-Walker
• Down syndrome
• ʻO Hydrocephalus
• Nā maʻi i loaʻa i ka wā hānau (maʻi kōnā)
• Lāʻau make kēpau
• Meningitis
• ʻO ka hematoma Subdural a i ʻole ka effusion subdural
• Pahu thyroid underactive (hypothyroidism)

Kāhea aku i kāu kahu mālama ola inā loaʻa i kāu keiki:

• Nā sutures i hoʻokaʻawale ʻia, nā fontanelles ʻōhū, a i ʻole nā ​​veins scalp maopopo loa
• ʻO ka ʻulaʻula, ka pehu ʻana, a me ka hoʻokuʻu ʻana paha mai kahi o nā sutures

E hana ka mea hāʻawi i kahi hoʻokolohua kino. E hoʻopili kēia i ka nānā ʻana i nā fontanelles a me nā ʻāʻī poʻo poʻo a me ka manaʻo (palpating) i nā sutures e ʻike ai i ka mamao o kā lākou kaʻawale ʻana.

E nīnau ka mea hāʻawi e pili ana i ka mōʻaukala o ke keiki a me nā ʻōuli, e like me:

• Loaʻa i kekahi keiki nā ʻōuli ʻē aʻe (e like me ke kaapuni poʻo poʻo ʻokoʻa)?
• I ka manawa hea ʻoe i ʻike ai i nā sutures i hoʻokaʻawale ʻia?
• ʻIke paha e lilo i mea ʻino loa?
• Maikaʻi paha ke keiki? (ʻO kahi laʻana, maʻamau ka ʻai ʻana a me nā ʻano hana?)

E hana ʻia paha kēia mau hoʻāʻo:

• MRI o ke poʻo
• CT scan o ke poʻo
• Ultrasound o ke poʻo
• Hana ʻia nā maʻi maʻi, e like me nā moʻomeheu koko a hiki i ke kaʻe o ke kuamoʻo
• ʻO ka hana Metabolic, e like me nā hoʻokolohua koko e nānā i nā pae electrolyte
• Hōʻike maka maʻamau

ʻOiai mālama kāu mea hāʻawi i nā moʻolelo mai nā loiloi maʻamau, ʻike paha ʻoe he mea kōkua ke mālama i kāu mau moʻolelo ponoʻī no ka ulu ʻana o kāu keiki. Lawe mai i kēia mau moʻolelo i ka nānā ʻana o kāu mea hāʻawi inā ʻike ʻoe i kahi mea ʻokoʻa.

Ka hoʻokaʻawale ʻana i nā sutures

• Iwi poʻo o ka hānau hou

ʻO Ball JW, Nā maʻi JE, Flynn JA, Solomon BS, Stewart RW. ʻO ke poʻo a me ka ʻāʻī. I: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, hua. Ke alakaʻi a Seidel i ka hoʻokolokolo kino. 9th ed. St Louis, MO: Elsevier; 2019: chap 11.

ʻO Goyal NK. Ke keiki hānau hou. 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 113.

ʻO Rosenberg GA. ʻO ka edema lolo a me nā maʻi o ka holo ʻana o ka wai cerebrospinal. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 88.