No ke aha la fused nā manamana wāwae? Fused manamana keiki: 'ehaʻeha ka

Ke olonā, ina o ka bebe ua hanau mea ola! Akā, i kekahi manawa, na makua e kāhāhā i ka mea malihini a me ka mā loaʻa. E lawe, no ka laʻana, fused manamana keiki. Nā kumu o kēia maʻi kekahi manawa ka mea, hiki ke wehewehe ia e ka mea i loko o kā lākou mauʻohana i kapaʻia ua ho'īli i kūikawā hōʻailona, mai ia hanauna aku ia hanauna aku, akā, i kekahi manawa mea triggered i ke kūpono 'ana o ke kina, e hoomaopopo, Ua pilikia. I mea syndactyly (kuʻi nukeliu o ka manamana lima keena a malaloʻaoʻao), a me ke kumu ia e hoʻomōhala ai, a mākou e'ōlelo i loko o kā mākou 'atikala.

Syndactyly mea i pono ole

Available i loko o ke keiki fused nā manamana wāwae a me nā lima i paa kŘpa a pohihihi - i loko o kekahi hihia, i ka 2-3 tausani nā pēpē. A me na kaikamahine ua loaʻa i loko o 2 manawa emi pinepine ma mua o nā keikikāne. Fused i ka hapanui 2 a 3 he pāono a waena a me ke komo lima manamana lima ma ka lima. Loa pinepine, keia kuʻi nukeliu 'aʻole e hana ino i na ami a me tendons, wale i ka mea hoʻonani pilikia ana.

A ina e ana ma lalo manamana iʻoki lāʻau lapaʻau kaawale ana, na wawae pinepine mai i hoopa me ka ike ana i ke kina i pau nā pilikia a hiki i ka ulu ana o ke keiki (e like me ka hahau 'aʻole i IeAUPIIe, IAa IO ālai ia' aʻe me ka maʻamau hele). Naʻe, i loko o ke alo o ka syndactyly i loko o 60% o kēia mau keiki loa pinepine i loaʻa ma nā congenital abnormalities lala - wāwae deformity, pseudarthrosis, clubfoot, a pela aku ...

Fused manamana keiki: mea, lalau mai Pathology

He aha triggers keʻano o ka syndactyly? Ka mea o ia ka manamana a me nā manamana wāwae pēpē kau ma luna o ka 4-5 hebedoma o ka hāpai keiki, i ka wa a ka makuahine ana mai aole lakou i ike e pili ana ia, akā, no ka mea 'aʻole e kaupalena ia ia iho. Maiʻaneʻi ka mea, he pahiki kiʻekiʻe i ka fetus ke loli ÷ - .. X-kukuna, antibiotics, ka waiʻona, pūnuku puhi, etc. mākou hiki ole hookaawale ia i ka pilikia o ka mea hopena no ka hapai wahine a me kona fetus mai maʻi e like me maʻi palū, mumps a syphilis.

A me ka loa, he pono ole kumu i kekahi keiki fused manamana pili nā kūpuna mai i ua hele mai na makua i na keiki.

Incidentally, ka wā e huai ae i ke keiki syndactyly i mehana, ka mea pono pono e ikea no ke alo o ka aaiaoe a me ka chromosomal syndromes (maʻi pale Apert, Poland ka a Edwards), ma i ke kuʻi nukeliu o na manamana mea he symptom o na mā mea o ke keiki.

Ma ke alanui, i loko o ka 'inikua hana i malama hihia o ka lilo ana adhesions manamana like me ka hopena o Nine Inch a thermal kuni i ka palaki a me ka wāwae.

About mea e hana ina ke kamaiki fused nā manamana wāwae a me nā lima, e ke kūkākūkā hope, akā, no ka manawa i kekahi wahi o ke kumumanaʻo.

Like hoʻolaha pathology

I ka lapaau, pathology hanaʻia e mākou i hoʻolaha ke kaumaha ma muli o ka ano o ka iwi, a me ka degere o ka coalescence. No laila, ma ka palapala o ka pahee'aʻaʻa adhesions mea syndactyly a me ka iwi, a me ka nui kuʻi nukeliu - piha, a kāpili.

Ke kaumaha ma muli lima syndactyly Pehea ka mea, ua fused manamana paha mea:

• membranousʻili - ma waena o ka manamana iʻili lahilahi o ka ili (i kēia 'ano o ka pathology o ka loa oluolu);
• ʻili - ma waena o ka manamana i mānoanoa ili i ka nń ku pahee nā'aʻaʻa, ka hapanui olelo ka holoʻokoʻa loa o na manamanalima;
• iwi - kuʻi nukeliu ia lŘlŘ i ka pae ana o na phalanges, a me ka mea lawelawe i ka underdeveloped paha ino;
• hui pu iho - loaʻa nō kekahi mau 'ano o ka syndactyly (keia palapala ua noʻonoʻo i ka loa hiki ole i ka pono).

ʻike, syndactyly

Nō kāu, syndactyly hōʻike ma na hora mua o ke ola keiki, i ka wa a nana aku la au, mai kona neonatologist. Inā kekahi kamaiki i fused manamana, laila, i ka ninau o ka pono no kaʻoki kino, IeAUPIIe, IAa ke kumukuai o ia desperately, a me nā mākua i ka manawa e kaupaona i nā pros a me ka hooluolu ana oʻoki kino.

I mea e loaa i ka piha kiʻi o ka pathology, ke kamaiki e hōʻike i nā keiki a ka surgeon a e X-na kukuna o ka wāwae i loko o nā nā wānana waiwai. Kēia e hoʻoholo i nā 'ano o ke kina a me ke ano o na iwi a me ami o ke keiki.

Pehea ka syndactyly

A me ka manawa, i mea no ke aha la fused na manamana wawae, ka mea wale iapaau ana no keia maʻi meaʻoki kino.

Ka mea e pono ai kona mau makahiki i keia kao keiki - 4-5 makahiki. Eia naʻe, i loko o ia hihia, ina o ka pili maʻi phalanges, ka hana ua maikaʻi loa i hana ai ma mua o ka makahiki o hoʻokahi makahiki, ma ka mea eʻole haoʻa ulu o ka manamana lima, a me ko lakou deformation.

Corrective syndactyly hana e māheleʻia i loko o 5 pūʻulu:

1. Hoopuni oki me ka membranous ulana.
2. Dissection me ka ili plasty me kūloko nā'aʻaʻa.
3. Dissection o ka ili me ka lula ea Ke hoʻohana polnosloynogo a mahae ili pakuiia auanei lakou.
4. Dissection o ka ili ka hoʻohana 'ana i kekahi hui Ka lula ea Ke (hoʻohana noa autotransplantanty a kūloko nā'aʻaʻa).
5. Ana i loko o kekahi mau kahua o ka hoʻonaʻauao, a me ka iwi, tendon, Muscle, a me ka ili pakuiia auanei lakou.

A no ka mea kēia mau hana e ia i ka loa e pono ai, i ke kauka, e hooholo, e lawe i loko no o ka 'ano a me ka ano o ka pathology.

Ke postoperative wā: like fused manamananui?

Ma hope oʻoki kino ola au ana i wahi ma ka hale. Lala i keia manawa nele koena (i loko o ka mahina). He pono, e lawe mai i ke kauka i ka'ōlelo aʻo a pau, kaulike kupono malama no kia-operative eha.

Ia e ho'ēmi i li nui, a pakele o scars, salve "Dermazin" a tuko pīlali "Kontraktubeks", a ma hope e pili ana i 7 pule, e like me ke kauka i ka, hoʻomaka e hele physiotherapy. Ma ke ala, lawe i ka manawa a me keia i ke kumukuai o ia - e kaʻoki lāʻau lapaʻau eha hoola pono, no laila, i ole e i kekahi keiki eha ma ka hou kaʻina hana.

Ma kekahi he nui, e hoonoho no hoi, a me ka komo o koo aku turbokasta e hoʻohana ana ma nā manamana fused ami. I ka hoʻomaka (i ka mahina) lei ia mau, a laila, kau ma luna wale nō i ka hiamoe.

It E e kaulana ia i loko o kaʻaeʻana me nā mea a pau i nā koi 'oe e koke hoʻopoina e pili ana i ka pilikia a mākou e nana (i ke keiki fused nā manamana wāwae). Ka hoomanawanui, e ola 'ano koke mai, a me ka complications.

Outlook

I loko nō o ka nui, e hoike i na hihia o ka syndactyly i loko o mākou manawa māhuahua, no laila, i ka noiʻi mai i loaʻa lawa wehewehe, prognosis o keia maʻi meaʻano nui maikaʻi. Hoikehonua, ano o ka hana ke pakele o ke kina, hoihoi a pau i ka mana o ka lima a me kona wawae, a? Ee deformities o ka manamanalima.

Inā kekahi kamaiki i fused manamana ma ka uha mua a me ka lima, i ka hana i ka mea e hiki ai e hana i ka maʻamau interdigital hakahaka ana ka malama ana hui ka hoʻoneʻe a me ka pā lonoaʻili o ka hoʻomanawanui i ka manamanalima. Oia hoi, e hoopakele ia ia mai o kekahi pilikia i pili i syndactyly.

Aole anei au i ke iʻoki kino ma syndactyly nā manamana wāwae

Kokoke manawa, na makua i kona kamaiki pilikia e loaʻa ai me kona mau manamana lima hoʻomaka e koi i kokeʻoki kino. Akā, inā fused manamana, a maoli hiki ke hoopakele ole wale aesthetic, akā, i physical pilikia, i loko o ke kahua ma kahi mea he kina ma nā wāwae, ka oi aku ina e ole ino ko oukou mau manamanalima a me ka maʻamau hoʻohei, e hiki ke hana me kaʻoki kino.

Inā he wahine ua fused manamana hiki i kekahi wahi lihi iki o ka io Emotions a hiki i ka unwillingness e komo hamama kamaa a hele kāmaʻaʻole ia ma ke kahakai, ia mea nō ma laila, aʻaʻole e ia i loko o ke keiki, e like me ka rula, e like me ka pilikia, o ka papa, a me ke heluia, e pono ia ia. A hailona ana o kanaka e noho me kaʻike piʻi i kekahi discomfort mai ka fused manamana lima ma luna o kona mau wāwae. A no kekahi mea, mea, a hiki i kūikawā hōʻailona a me ka palapala Kai. E like me 'oe ke ike, ia a pau hilinaʻi nui ma luna paha ia oe ia oe iho e like me oe i.