He aha ka polydactyly, nā kumu kūpono a me ka mālama ʻana
Anter
ʻO Polydactyly kahi deformity e hana ʻia i ka wā e hānau ʻia ai hoʻokahi a ʻoi aku mau manamana keu i ka lima a i ʻole ka wāwae a hiki ke kumu ʻia e nā loli moʻomeheu hoʻoilina, ʻo ia hoʻi, hiki i nā genes ke kuleana no kēia hoʻololi i lawe ʻia mai nā mākua i nā keiki.
Hiki ke hoʻololi i kēia loli i kekahi mau ʻano, e like me ka syndromic polydactyly e hana ʻia i loko o ka poʻe me kekahi syndrome aʻa, a ʻo ka polydactyly hoʻokaʻawale ʻo ia ka manawa e pili ana kahi hoʻololi pilikino e pili wale ana i ka helehelena o nā manamana keu. Hiki ke hoʻohālikelike ʻia i polydactyly i hoʻokaʻawale ʻia e like me pre-axial, kikowaena a i hope paha axial.
Hiki ke ʻike ʻia i ka wā hāpai, ma o nā ultrasound a me nā hoʻokolohua kūlohelohe, no laila i ka wā o ka hāpai ʻana he mea nui ia e mālama i ka mālama prenatal a me ka ukali ʻana me ka mea hānau hānau, a pili ka lāʻau i ka wahi o ka polydactyly a, i kekahi mau hihia, ʻoki kino. e hemo i ka manamana hou.
Nā kumu kūpono
I ka ulu ʻana o ke pēpē i loko o ka ʻōpū o ka makuahine, hana ʻia nā lima a hiki i ke ono a ʻehiku pule o ka hāpai ʻana a inā, i kēia manawa, hoʻololi ʻia kekahi hanana, hiki ke hōʻino ʻia kēia kaʻina hana, alakaʻi i ke ʻano o nā manamana hou aʻe. i ka lima a i ʻole ka wāwae, ʻo ia hoʻi, polydactyly.
ʻO ka hapanui o ka manawa, polydactyly ka hana me ka ʻole o kekahi kumu, akā naʻe, ʻo kekahi mau kīnā ʻole i nā ʻāpana i lawe ʻia mai nā mākua a i nā keiki a i ʻole ke kū ʻana o nā gendrome genetika hiki ke pili i ka helehelena o nā manamana keu.
ʻO ka ʻoiaʻiʻo, ʻaʻole ʻike maopopo ʻia nā kumu e pili ana i ka helehelena o polydactyly, akā hōʻike kekahi mau noiʻi e hōʻike ana i nā keiki o nā hanauna Afro, nā makuahine diabetic a i ʻole hoʻohana i ka thalidomide i ka wā o ka hāpai ʻana e ʻoi aku ka makaʻu o ka loaʻa ʻana o nā manamana keu ma ko lākou mau lima a me nā wāwae. .
Nā ʻano o polydactyly
ʻElua mau ʻano polydactyly, e like me ka mea kaʻawale, kahi e hoʻololi ai ke hoʻololi wale ka helu o nā manamana lima i nā lima a me nā wāwae, a me ka polydracty syndromic e kū nei i ka poʻe i loaʻa nā gendrome gendrome, e like me Greig's Syndrome a Down Down Syndrome , ʻo kahi laʻana. E aʻo hou aʻe e pili ana i Down Syndrome a me nā ʻano ʻē aʻe.
Hoʻokaʻawale ʻia ka polydactyly hoʻokaʻawale ʻia i ʻekolu mau ʻano:
- Pre-axial: hana ke hānau ʻia hoʻokahi a ʻoi paha mau manamana lima ma ka ʻaoʻao o ka manamana nui o ka wāwae a lima paha;
- Kuwaena: ka ulu ʻana o nā manamana keu i ka waena o ka lima a me ka wāwae, akā he ʻano laha ʻole ia;
- Paʻi-axial: ʻo ia ka maʻa maʻamau, ke hana ʻia ka manamana keu ma hope o ka manamana liʻiliʻi, ka lima a me ka wāwae.
Eia hou, i ka polydactyly waena, kekahi ʻano o ka hoʻololi kūʻē, e like me syndactyly, pinepine ʻia, ke hānau ʻia nā manamana keu i hoʻopili ʻia.
Pehea e hana ʻia ai ke kuhi
ʻO ke kuhi o ka polydactyly hiki ke hana ʻia i ka wā o ka hāpai ʻana ma o ka ultrasound i ka ʻekahi mua o ka hāpai ʻana, no laila he mea nui e hoʻomau me kahi mea hānau hānau a mālama i ka mālama prenatal.
I kekahi mau hihia, ke kānalua ke kauka he maʻi maʻi i loko o ka pēpē, e koi ʻia paha ka hoʻāʻo ʻana a me ka hōʻiliʻili o ka moʻolelo olakino o ka ʻohana no nā mākua.
Ma hope o ka hānau ʻia ʻana o ka pēpē, ʻaʻole pono nā hōʻike e hōʻike pono i ka polydactyly, no ka mea he loli ʻike ʻia ia, akā naʻe, e noi paha ka pediatrician a i ʻole orthopedist i kahi X-ray e nānā inā pili nā manamana keu i nā manamana lima ʻokoʻa e nā iwi. aiʻole nā aʻalolo. Hoʻohui ʻia, inā hōʻike ʻia kahi ʻoki hōʻoki manamana hou aʻe, hiki i ke kauka ke kauoha i nā kiʻi ʻē aʻe a me nā hoʻokolohua koko.
Nā koho lapaʻau
Hōʻike ʻia ka mālama ʻana i polydactyly e ke kauka orthopedic a pili i ka wahi a me ke ʻano o ka hoʻohui ʻana o ka manamana keu i nā manamana lima ʻē aʻe, no ka mea hiki iā lākou ke kaʻana like i nā aʻa, nā aʻa a me nā iwi i mea nui no ka neʻe ʻana o nā lima a me nā wāwae.
Ke waiho ʻia ka manamana hou ma ka pinky a haku ʻia o ka ʻili a me ka momona wale nō, ʻo ka lāʻau lapaʻau kūpono loa ka hana ʻana a hana ʻia i nā keiki a hiki i 2 mau makahiki. Eia nō naʻe, ke hoʻokomo ʻia ka manamana keu i ka manamana nui, hiki ke hōʻike ʻia ke kahakaha ʻana, akā naʻe, ʻoi aku ka paʻakikī o kēia, no ka mea, he nui ka mālama ʻana i mea e hōʻino ʻole ai i ka noʻonoʻo a me ke kūlana o ka manamana lima.
I kekahi manawa, ʻo nā mākua i wehe ʻole i ka manamana keu e like me ke kamaliʻi, koho paha lākou ʻaʻole e ʻoki poepoe, no ka mea, ʻaʻohe mea e pilikia ai ke olakino.