Sutures - ezahlulwe

Ukwahlulahlula iisuture zizithuba ezibanzi ngokungaqhelekanga kumalungu ebony ekhakhayi kusana.

Ukhakhayi losana okanye lomntwana omncinci lwenziwe ngamacwecwe emathambo avumela ukukhula. Imida apho la macwecwe ahlangana khona ibizwa ngokuba yimigca yesuture okanye imigca yesuti.

Kwimveku enemizuzwana nje embalwa ubudala, uxinzelelo ekuzisweni lunokucinezela intloko. Oku kwenza ukuba iipleyiti zebony zidibane kwimisonto kwaye zenze umqolo omncinci. Oku kuqhelekileyo kwiintsana. Kwiintsuku ezimbalwa ezizayo, intloko yomntwana iyanda. Ukugqabhuka kuyanyamalala kwaye imiphetho yamacwecwe emathambo ahlangana ngohlangothi. Esi sisikhundla esiqhelekileyo.

Izifo okanye iimeko ezibangela ukwanda okungaqhelekanga koxinzelelo ngaphakathi kwentloko kunokubangela ukuba ii-suture zisasazeke ngaphandle. Ezi suture zahluliweyo zinokuba luphawu loxinzelelo ngaphakathi kolukakayi (ukunyuka koxinzelelo lwangaphakathi).

Ukwahlulahlula ii-suture kunokunxulunyaniswa neebhanile ezinobungakanani. Ukuba uxinzelelo lwe-intracranial lwandisiwe kakhulu, kunokubakho imithambo emikhulu entlonzeni.

Ingxaki inokubangelwa:

• UArnold-Chiari malformation
• Isifo sengqondo somntwana
• Ukopha ngaphakathi kwengqondo (ukuphuma kwegazi ngaphakathi)
• Ithumba lobuchopho
• Ukungabikho kweevithamini ezithile
• Idandy-Walker ingalunganga
• Isifo esiphantsi
• IHydrocephalus
• Usulelo olukhoyo ekuzalweni (usulelo lokuzalwa)
• Ityhefu yelothe
• Ukudumba kwenwebu yengqondo
• I-hematoma yangaphantsi kwendalo okanye i-subdural effusion
• Ukungasebenzi kwe-thyroid gland (hypothyroidism)

Nxibelelana nomboneleli wakho wezempilo ukuba umntwana wakho:

• Ukwahlulahlula i-suture, i-fontanelles, okanye imithambo ye-scalp ebonakalayo
• Ububomvu, ukudumba, okanye ukukhupha kwindawo yesuture

Umboneleli uya kwenza uvavanyo lomzimba. Oku kuyakubandakanya ukuvavanya i-fontanelles kunye ne-scalp veins kunye nemvakalelo (ukubetha) imigudu yokufumanisa ukuba bohlukaniswe kude kangakanani.

Umboneleli uya kubuza imibuzo malunga nembali yonyango yomntwana kunye neempawu, kubandakanya:

• Ngaba umntwana unazo ezinye iimpawu (ezinje ngesijikelezo sentloko esingaqhelekanga)?
• Uqale nini ukuqaphela iisuthu ezahluliweyo?
• Ngaba kubonakala ngathi kuya kusiba mandundu?
• Ngaba umntwana uphilile? (Umzekelo, ngaba ukutya kunye neepateni zomsebenzi ziqhelekileyo?)

Olu vavanyo lulandelayo lunokwenziwa:

• I-MRI yentloko
• Ukuvavanywa kwentloko kwe-CT
• I-Ultrasound yentloko
• Ukusebenza kwesifo esosulelayo, kubandakanya neenkcubeko zegazi kunye nokubakho kwempompo yomqolo
• Ukusebenza komzimba, njengokuvavanywa kwegazi ukujonga amanqanaba e-electrolyte
• Uvavanyo lwamehlo oluqhelekileyo

Nangona umboneleli wakho egcina iirekhodi ezivela kuvavanyo oluqhelekileyo, unokukufumanisa kuluncedo ukugcina iirekhodi zakho zophuhliso lomntwana wakho. Zisa ezi ngxelo kumboneleli wakho ukuba ubona nantoni na engaqhelekanga.

Ukwahlulahlula iisuture

• Ukhakhayi losana olusandul 'ukuzalwa

Ibhola i-JW, iDain JE, uFlynn JA, uSolomon BS, uStewart RW. Intloko nentamo. Ku: Ibhola i-JW, iDain JE, uFlynn JA, uSolomon BS, uStewart RW, ii-eds. Isikhokelo sikaSeidel kuViwo loMzimba. Umhla we-9. ISt Louis, MO: Elsevier; I-2019: isahluko 11.

Ukunyaniseka NK. Usana olusandul 'ukuzalwa. 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: isahl 113.

IRosenberg GA. I-edema yobuchopho kunye nokuphazamiseka kokujikeleza kolwelo lwe-cerebrospinal. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahl 88.