He aha ka syndactyly, hiki i nā kumu a me ka mālama ʻana
Anter
ʻO Syndactyly kahi manawa i hoʻohana ʻia e wehewehe i kahi kūlana, maʻamau loa, i hana ʻia i ka wā e hānau ʻia ai hoʻokahi a ʻoi paha mau manamana lima, a ʻo nā wāwae paha. Hiki ke kumu ʻia kēia hoʻololi e nā hoʻololi kūpuna a me nā hoʻoilina hoʻoilina, i hana ʻia i ka wā o ka ulu ʻana o ka pēpē i ka wā o ka hāpai ʻana a pili pinepine ʻia me ke ʻano o nā syndrome.
Hiki ke hana ʻia ke kuhi e ultrasound i ka wā hāpai a i ʻole hiki ke ʻike ʻia ma hope wale nō o ka hānau ʻana o ka pēpē. Inā hoʻoholo ʻia ka maʻi i ka wā o ka hāpai ʻana, hiki i ka mea hānau ke koi aku i ka lawe ʻana i nā hoʻokolohua kūʻauhau e nānā inā loaʻa i kahi pēpē kekahi maʻi maʻi.
Hoʻohālikelike ʻia ʻo Syndactyly e like me ka helu o nā manamana lima i hoʻopili ʻia, ke kūlana o ka hui manamana a inā he iwi a i ʻole nā ʻāpana palupalu ma waena o nā manamana lima i pili. ʻO ka lapaʻau kūpono loa ke kaha ʻana, i wehewehe ʻia e like me kēia hoʻokaʻina a e like me ka makahiki o ke keiki.
Nā kumu kūpono
Hoʻokumu nui ʻia Syndactyly e nā hoʻololi genetic, lawe ʻia mai nā mākua a i nā keiki, kahi e hoʻololi ai i ka hoʻomohala ʻana o nā lima, a i ʻole nā wāwae, ma waena o ka pule ʻeono a me ka hiku o ka hānau ʻana.
I kekahi mau hihia, he hōʻailona paha kēia loli o kekahi maʻi maʻi kūʻē, e like me ka maʻi o Polani, ka maʻi o Apert a i ʻole ka maʻi ʻo Holt-Oram, i hiki ke ʻike ʻia i ka wā hāpai. E ʻike hou aʻe e pili ana i ke ʻano o ka maʻi Holt-Oram a me ke ʻano o ka lapaʻau e hōʻike ai.
Eia hou, hiki ke hōʻike syndactyly me ka ʻole o ka wehewehe ʻana, eia nō naʻe, ʻike ʻia ʻo ka poʻe me ka ʻili māmā e loaʻa nā keiki me kēia maʻi, e like me ka ulu ʻana o nā keikikāne i kēia hoʻololi ma mua o nā kaikamahine.
Nā ʻano o syndactyly
Hiki ke hoʻokaʻawale ʻia Syndactyly i loko o kekahi mau ʻano, kaukaʻi ʻia i nā manamana lima i hoʻopili ʻia a me ke koʻikoʻi o ka hoʻopili ʻana o kēia mau manamana lima. Hiki ke hōʻike i kēia hoʻololi i nā lima a me nā wāwae ʻelua a, i ke keiki, hiki ke ʻike ʻia me nā ʻano like ʻole i ka mea i loaʻa i ka makuakāne a i ʻole ka makuahine. No laila, nā ʻano syndactyly:
- Pau ʻole: kū i ka wā ʻaʻole e hoʻonui ka ami i nā manamana lima;
- Piha: ʻike ʻia ke kīloi ka hui i kou manamana lima;
- Simple: aia a hoʻopili ʻia nā manamana lima me ka ʻili wale nō;
- Pākuʻi: hana ʻia ke pili pū nā iwi o nā manamana lima;
- Komo: ala aʻe ma muli o nā genetona a me nā deformities o ka iwi.
Aia kekahi ʻano syndactyly kākaʻikahi loa i kapa ʻia ʻo syndactyly a i ʻole fenestrated syndactyly, i ka wā e puka ana kahi ʻili i ka ʻili i paʻa ma waena o nā manamana lima. ʻOiai he mea nui ka lima i ka lawe ʻana i nā hana o kēlā me kēia lā, e like me ka ʻano o ka loli, e hōʻino ʻia ka neʻe ʻana o nā manamana lima.
Pehea e hana ʻia ai ke kuhi
ʻO ka hapanui o ka manawa, hana ʻia ke kuhi ke hānau ka pēpē, akā hiki ke hana ʻia i ka wā o ka mālama prenatal, ma hope o ka lua o ka malama o ka hāpai keiki, ma o ka hōʻike ultrasound. Inā ma hope o ka hana ʻana i ka ultrasound, ʻike ka mea hānau i ka syndactyly o ka pēpē, hiki iā ia ke noi i nā hoʻokolohua kūʻē e nānā i ke kū ʻana o nā syndrome.
Inā ʻike ʻia syndactyly ma hope o ka hānau ʻana o ka pēpē, hiki i ka pediatrician ke ʻōlelo e hana i kahi X-ray e nānā i ka helu o nā manamana lima i hui ʻia a inā hui pū ʻia nā iwi o nā manamana lima ʻaʻole paha. Inā ʻike ʻia kahi maʻi kūpuna, e hana pū ke kauka i kahi hoʻokolokolo kino kikoʻī e ʻike inā aia kekahi mau ʻano ʻē ʻē aʻe i ke kino o ka pēpē.
Nā koho lapaʻau
Hōʻike ʻia ka mālama ʻana i syndactyly e ka pediatrician, me kahi orthopedist, kaukaʻi ʻia i ke ʻano a me ke koʻikoʻi o ka loli. ʻO ka maʻamau, ʻo ka mālama ʻana i ka hana ʻoki ʻana e hoʻokaʻawale i nā manamana lima, a pono e hana ʻia ma hope o ka piha ʻana o ʻeono mahina o ka pēpē, ʻoiai ʻo ia ka makahiki palekana e hoʻopili ai i ka anesthesia. Eia nō naʻe, inā koʻikoʻi ka ami o nā manamana lima a pili i nā iwi, hiki i ke kauka ke koi aku i ke ʻoki ʻana ma mua o ke ono o ka malama o ke ola.
Ma hope o ke kahakaha ʻana, e paipai ka kauka i ka hoʻohana ʻana i kahi splint e hoʻoliʻiliʻi i ka neʻe ʻana o ka lima a me ka wāwae paha e lawelawe ʻia ai, e kōkua ana me ka hoʻōla a me ka pale ʻana i nā humuhumu mai ka hoʻokuʻu. Ma hope o hoʻokahi mahina, hiki i ke kauka ke ʻōlelo aku iā ʻoe e hana i nā hoʻoikaika kino hoʻoikaika kino e kōkua ai i ka hoʻomaikaʻi ʻana i ka ʻoʻoleʻa a me ka pehu ʻana o ka manamana lima.
Eia hou, pono e ukali me ke kauka ma hope o kekahi manawa no ka hopena o ke kaha e loiloi ai. Eia nō naʻe, inā ʻike ʻia nā hōʻailona e like me ka ʻili, ʻulaʻula, kahe a kahe paha, he mea nui ia e ʻimi koke i ka lāʻau, no ka mea he hōʻailona paha kēia i kahi maʻi ma ke kahua ʻoki.