Ukudibanisa iminwe okanye iinzwane

Ukubamba iminwe okanye iinzwane kuthiwa yi-syndactyly. Ibhekisa kunxibelelwano lweminwe emi-2 okanye nangaphezulu okanye iinzwane. Uninzi lwexesha, ezi ndawo zixhunyiwe kuphela ngesikhumba. Kwiimeko ezinqabileyo, amathambo anokuhlangana kunye.

I-Syndactyly ihlala ifunyanwa ngexesha lovavanyo lwempilo yomntwana. Ngeyona ndlela ixhaphakileyo, i-webbing yenzeka phakathi kweenzwane ze-2 neye-3. Le fomu ihlala izuza njengelifa kwaye ayiqhelekanga. I-Syndactyly inokwenzeka kunye nezinye iziphene zokuzalwa ezibandakanya ukakayi, ubuso, kunye namathambo.

Unxibelelwano lwewebhu luhlala lunyuka ukuya kwindibaniselwano yokuqala yomnwe okanye uzwane. Nangona kunjalo, banokuqhuba ubude bomnwe okanye uzwane.

"I-Polysyndactyly" ichaza zombini ukubamba kunye nobukho benani elongezelelweyo leminwe okanye iinzwane.

Izizathu eziqhelekileyo ziquka:

• Isifo esiphantsi
• Ilifa lemveli

Izizathu ezinqabileyo kakhulu zibandakanya:

• Isifo se-Apert
• Isifo somchweli
• Isifo seCornelia de Lange
• Isifo sePfeiffer
• Isifo sikaSmith-Lemli-Opitz
• Ukusetyenziswa kweyeza le-hydantoin ngexesha lokukhulelwa (ukusebenza kwe-fetal hydantoin effect)

Le meko ihlala ifunyanwa xa kuzalwa umntwana esesibhedlele.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga nembali yonyango yomntwana. Imibuzo inokubandakanya:

• Yeyiphi iminwe (iinzwane) ebandakanyekayo?
• Ngaba akho amanye amalungu osapho anale ngxaki?
• Zeziphi ezinye iimpawu okanye ukungaqheleki okukhoyo?

Umntwana onobumba unokufumana ezinye iimpawu ezidibeneyo zingabonakalisa iimpawu zesifo okanye imeko. Leyo meko ichongwa ngokusekwe kwimbali yosapho, kwimbali yezonyango, nakuvavanyo lomzimba.

Olu vavanyo lulandelayo lunokwenziwa:

• Izifundo zeChromosome
• Uvavanyo lweLebhu ukujonga iiproteni ezithile (ii-enzymes) kunye neengxaki zemetabolic
• X-reyi

Utyando lunokwenziwa ukwahlula iminwe okanye iinzwane.

Ngokudibeneyo; Ipolysyndactyly

ICarrigan RB. Ilungu eliphezulu. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 701.

Mauck BM, Jobe MT. Iziphene esizalwa nazo zesandla. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 79.

Unyana-Hing JP, Thompson GH. Ukungaqheleki kwento yokuzalwa kwindawo ephezulu kunye nezantsi kunye nomqolo. Ku: UMartin RJ, uFanaroff AA, uWalsh MC, ii-eds. UFanaroff kunye noMartin's Neonatal-Perinatal Medicine. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 99.