Chifukwa zinaphatikizidwa zala? Zinaphatikizidwa zala atabadwa: Zoyambitsa

Chabwino, ngati mwana wabadwa ndi wathanzi! Koma nthawi zina makolo amadabwa kupeza zachirendo ndi zilema. Mwachitsanzo, zinaphatikizidwa zala atabadwa. Zimayambitsa matenda nthawizina iwo akhoza kuzifotokoza chifukwa chakuti m'banja lawo lotchedwa cikhali imafalikira ku mibadwomibadwo, koma nthawi zina kumvetsa zimene zinayambitsa chitukuko cha chilema, ndi kovuta. Kuti ndi syndactyly (maphatikizidwe chala chapamwamba kapena m'munsi malekezero), ndipo n'chifukwa akufotokozera, ndipo tidzakambirana chiyani m'nkhani yathu.

Syndactyly si wamba

Zimapezeka mwana zinaphatikizidwa zala ndi manja ndi kuliika n'chosoŵa - Ngati munthu, ndi 2-3 zikwi akhanda. Ndipo atsikana chipezeka mu nthawi 2 zochepa zambiri kuposa anyamata. Zinaphatikizidwa ndi achipembedzo 2 ndi 3 zala kapena pakati ndi mphete zala pa dzanja. Nthawi zambiri, maphatikizidwe izi sakuwupweteka zimfundo ndi tendons, kupanga yekha vuto zodzikongoletsera.

Ndipo ngati zala zambiri pansi kulekana opaleshoni, mapazi zambiri musakhudze mbakonda chilema mavuto makamaka kwa kukula kwa mwanayo (monga kuswa si kawirikawiri kusokoneza kuyenda zachilendo). Komabe, pamaso pa syndactyly 60% wa ana awa zambiri pa kuvutika ena obadwa nawo nthambi - phazi chilema, pseudarthrosis, clubfoot, etc ...

Zinaphatikizidwa zala atabadwa: Amachititsa Zamatenda ndi Zoyambitsa

Kodi akapsa maonekedwe a syndactyly? mfundo ndi yakuti zala ndi zala mwana anaika pa sabata 4-5 mimba, pamene mayi zambiri sadziwa za izo, koma chifukwa chilichonse siisonyeza yekha. Pano pali Mwina mkulu kuti mwana wosabadwayo zingakhudze zowopseza - .. X-ray, mankhwala, mowa, kusuta, etc. Sitingathe kukusalani chiopsezo mavuto aakulu kwa mayi oyembekezerayo ndi mwana wake wosabadwa matenda monga fuluwenza, mumps kapena chindoko.

Ndi zifukwa ambiri kuti wakhanda zinaphatikizidwa zala amatanthauza chibadwa kuti wadutsa kuchokera ku makolo ndi ana.

Zodabwitsa ndizakuti, pamene detects ndi syndactyly mwana ngakhale wofatsa, izo ayenera kuyezedwa pamaso pa majini ndi chromosomal syndromes (syndrome Apert, Poland kapena Edwards), imene maphatikizidwe wa zala ndi chizindikiro ziwonongeke kwambiri kwa mwana.

Mwa njira, mu zochiritsira anatinso milandu anapeza adhesions zala chifukwa cha mankhwala kapena matenthedwe lamoto burashi kapena phazi.

Chochita ngati mwana zinaphatikizidwa zala ndi manja, nkhani zotsatirazi, koma tsopano pang'ono chiphunzitso.

Monga wachinsinsi kudwala

Mu mankhwala, kudwala kuchizidwa ife anawagawira malingana ndi chikhalidwe cha mafupa ndi digiri ya coalescence. Choncho, mwa mawonekedwe a adhesions minofu zofewa ali syndactyly ndi fupa, ndi maphatikizidwe yaikulu - wathunthu ndi chosakwanira.

Malinga zala mmene zinaphatikizidwa kapena dzanja syndactyly ndi:

• membranous khungu - pakati pa zala ndi nembanemba wa khungu (mtundu uwu wa kudwala ndi zosavuta kwambiri);
• khungu - pakati pa zala ndi khungu lakuda kuti amabweretsera zimakhala zofewa, ambiri amangoti utali wonse wa zala;
• fupa - maphatikizidwe limapezeka pa mlingo wa phalanges, ndipo iwo amakhala underdeveloped kapena opunduka;
• kuphatikiza - pali mitundu ingapo ya syndactyly (fomu iyi imatengedwa ovuta kwambiri kuchiza).

matenda syndactyly

Childs, syndactyly zimasonyeza mu maola choyamba cha moyo wakhanda, pamene kuonera neonatologist ake. Ngati mwana ali zinaphatikizidwa zala, ndiye funso kufunika opaleshoni zambiri sikuthandiza amasowa, ndipo makolo ndi mwayi kufufuza ubwino ndi kuipa kwa opaleshoni.

Pofuna kukhala ndi chithunzi thunzi chokwanira cha kudwala, mwana ayenera kusonyeza dokotala wa ana, ndi kupanga X-ray phazi mu zolosera awiri. Izi kudziwa makhalidwe a chilema ndi chikhalidwe cha mafupa ndi mafupa a mwana.

Kodi syndactyly

Ndipo komabe, ziribe kanthu chifukwa zinaphatikizidwa zala mankhwala okha matenda ndi opaleshoni.

The zaka mulingo woyenera mwana uyu - zaka 4-5. Komabe, mu Zikatero, ngati zogwiritsidwa osachiritsika phalanges, opaleshoni bwino isanayambe zaka chaka chimodzi, pofuna kupewa kukula m'goli zala ndi mapindikidwe awo.

Kukonza ntchito syndactyly anawagawa m'magulu 5:

1. Mosavuta kudula ndi msoko membranous.
2. Kung'ambika ndi khungu plasty ndi zimakhala m'deralo.
3. Kung'ambika wa khungu ndi mapulasitiki ntchito polnosloynogo kapena kugawanika khungu kumezanitsa.
4. Kung'ambika wa khungu ntchito mapulasitiki ophatikizana (ntchito ufulu autotransplantanty kapena zimakhala wamba).
5. Opaleshoni mu magawo angapo, kuphatikizapo fupa, tendon, minofu, ndi khungu kumezetsanitsa.

Amene ntchito zotsatirazi kukhala mulingo woyenera kwambiri, adokotala kusankha kutenga nkhani chikhalidwe ndi mawonekedwe a kudwala.

Nthawi postoperative: monga zinaphatikizidwa chala?

Pambuyo nthawi opaleshoni kuchira amatenga malo kunyumba. Ziwalo pa nthawi ino limafuna kupumula (pa mwezi). M'pofunika kutsatira malangizo onse dokotala, kuonetsetsa kuisamalira mabala pambuyo ntchito.

Iwo kuchepetsa kutupa ndi kuchotsa mabala, wamwalira "Dermazin" kapena gel osakaniza "Kontraktubeks" ndipo pambuyo pa 7 masabata, malinga ndi dokotala, ayamba kumasonkhana physiotherapy. Mwa njira, kutenga nthawi ndi izi sikuthandiza - tiyeni mabala opaleshoni kuchiritsa bwino, kuti chifukwa ululu mwana pa njira yatsopano.

Nthawi zina, nawonso oikidwa ndi kuvala braces turbokasta kuti unathandizira pa zala zinaphatikizidwa mafupa. Kumayambiriro (pa mwezi) amavala nthawi zonse, n'kukaziika pa yekha akagona.

Tikumbukenso kuti zoletsedwa ndi malamulo onse mudzapeza kuyiwala za vuto ife mumasanthula (zala mwana zinaphatikizidwa). Wodwala adzachira mwachilungamo mwamsanga ndipo popanda matendawo.

kaonedwe

Ngakhale kuti milandu syndactyly mu nthawi yathu wautali kotero kuti akatswiri a samapeza kufotokoza mokwanira, madokotala ananena zawo za matenda zimagwiritsa yabwino. njira yamakono ya mankhwala kuchotsa chilema, kubwezeretsa ntchito zonse za dzanja kapena phazi ndi kukonza deformities ya zala.

Ngati mwana ali zinaphatikizidwa zala pa mwendo kapena mkono, ntchito limachititsa kupanga munthu wabwinobwino malo interdigital pokhalabe olowa sayenda ndi tilinazo zala wodwalayo. Kutanthauza kuti chotsani mavuto alionse tikusonkhana syndactyly.

Kodi ndiyenera opaleshoni pa zala syndactyly

Pafupifupi nthawi zonse, makolo ayenera kupeza mavuto mwana wake ndi zala zake anayamba kunena pa opaleshoni mwamsanga. Koma ngati zinaphatikizidwa zala ndi kwenikweni akhoza kupulumutsa osati zokongoletsa, komanso matenda m'njira imeneyi pali chilema miyendo, makamaka ngati zala zanu si olumala ndi unakhota wabwinobwino, mungachite popanda opaleshoni.

Ngati mkazi zinaphatikizidwa zala zingachititse kwambiri za maganizo mpaka kusafuna ndi kuvala nsapato lotseguka kapena kuyenda wosavala nsapato pa gombe, icho chiri kumeneko ndipo sadzakhala mwana, monga ulamuliro, ndi vuto limeneli, ndithudi, ndi maganizo oyenera izo. Anthu ambiri amakhala opanda akukumana kusapeza chilichonse zala zinaphatikizidwa pa mapazi ake. Ndipo ena ngakhale chizindikiro chapadera ndi kupindika pachiyambi. Monga mukuonera, izo zonse zikudalira kuti kuvomereza nokha ngati muli.