Ingxaki yePotter

I-Potter syndrome kunye nePotter phenotype ibhekisa kwiqela leziphumo ezinxulunyaniswa nokusilela kwe-amniotic fluid kunye nokusilela kwezintso kusana olungekazalwa.

Kwi-Potter syndrome, ingxaki ephambili kukusilela kwezintso. Izintso ziyasilela ukukhula kakuhle njengoko umntwana ekhula esibelekweni. Izintso zihlala zivelisa i-amniotic fluid (njengomchamo).

I-Potter phenotype ibhekisa kwinkangeleko yobuso eqhelekileyo eyenzeka kusana olusandul 'ukuzalwa xa kungekho lulwelo lwe-amniotic. Ukungabikho kwe-amniotic fluid kubizwa ngokuba yi-oligohydramnios. Ngaphandle kwe-amniotic fluid, usana alukhuselwanga kwiindonga zesibeleko. Uxinzelelo lodonga lwesibeleko lukhokelela kwinkangeleko yobuso engaqhelekanga, kubandakanya namehlo ahlukeneyo.

Umbumbi phenotype unokukhokelela kwimilenze engaqhelekanga, okanye imilenze ebanjwe kwindawo engaqhelekanga okanye iikhontrakthi.

I-Oligohydramnios iyayeka ukukhula kwemiphunga, ke loo nto imiphunga ayisebenzi kakuhle xa kuzalwa.

Iimpawu zibandakanya:

• Amehlo ahlukaniswe ngokubanzi aneepicanthal folds, ibhulorho ebanzi yempumlo, iindlebe ezibekiweyo ezisezantsi, kunye nesilevu esibuyayo
• Ukungabikho kwemveliso yomchamo
• Kunzima ukuphefumla

Ukukhulelwa kwe-ultrasound kunokubonisa ukungabikho kwe-amniotic fluid, ukungabikho kwezintso zomntwana, okanye izintso ezingaqhelekanga kumntwana ongekazalwa.

Ezi mvavanyo zilandelayo zingasetyenziselwa ukunceda ukufumanisa imeko kusana olusanda kuzalwa:

• X-reyi yesisu
• X-reyi yemiphunga

Ukuvuselelwa kwakhona ekuhanjisweni kunokuzama ukulinda ukuxilongwa. Unyango luya kubonelelwa nakuphi na ukuphazamiseka kwendawo yokuphuma kumchamo.

Le yimeko embi kakhulu. Amaxesha amaninzi iyabulala. Iziphumo zexesha elifutshane zixhomekeke kubukrakra bokubandakanyeka kwemiphunga. Iziphumo zexesha elide zixhomekeke kubukrakra bokubandakanyeka kwezintso.

Akukho sithintelo saziwayo.

Umbumbi phenotype

• Amniotic fluid
• Ibhulorho ebanzi ngeempumlo

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UMarcdante KJ, uKliegman RM. Ukuzalwa okungaqhelekanga kunye nokukhula gwenxa kwendlela yokuchama. Ku: UMarcdante KJ, uKliegman RM, ii-eds. UNelson oBalulekileyo kwiPediatrics. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 168.

UMitchell AL. Ukungafani okuzalwa. Ku: UMartin RJ, uFanaroff AA, uWalsh MC, ii-eds. UFanaroff kunye noMartin's Neonatal-Perinatal Medicine. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 30.