Sei fused nezvigunwe? Fused zvigunwe vachangoberekwa: Zvinokonzera

Fine, kana mwana akaberekwa akanaka! Asi dzimwe nguva vabereki vanoshamisika vanouwana kujairika uye zvikanganiso. Somuenzaniso, fused zvigunwe vachangoberekwa. The zvinokonzera chirwere ichi dzimwe nguva vanogona kutsanangura chokwadi kuti mhuri dzavo inonzi chiratidzo akakosha chakasvitswa kubva kumarudzi namarudzi, asi dzimwe nguva kunzwisisa chii akaparirwa kukura kuremara, ndizvo zvakaoma. Ndizvo syndactyly (Fusion munwe yokumusoro kana kudzikisa migumo), uye nei inokudziridza, uye tichataura mu nyaya yedu.

Syndactyly hakusi chakasviba

Available ari mwana fused zvigunwe uye maoko vari wakaiswa dererei - mune imwe nyaya, asi 2-3 zviuru vachangoberekwa. Uye vasikana unowanikwa 2 nguva shoma kazhinji pane vakomana. Fused vari kunyanya 2 uye 3 nezvigunwe kana pakati uye mhete minwe pamusoro ruoko. Kakawanda, Fusion ichi hazvirevi vatadzire nemafundo nemarunda, zvichiita chete dambudziko zvizorwa.

Uye kana minwe zvinowa- pasi kuvhiya Kuparadzana, tsoka vasingawanzotauri kubata asingaoni akaremara zvikuru vhiringidza kukura mwana (yakadaro aparadza hakuiti Kazhinji kuvhiringidza kwomuzvarirwo kufamba). Zvisinei, pamberi syndactyly muna 60% vana ava vanowanzobatwa kuwanikwa vamwe vachiberekwa abnormalities nhengo - rutsoka wakarebesa, pseudarthrosis, clubfoot, etc ...

Fused zvigunwe achangobva: Inoita zvokurwara

Chii zvinokonzera kuonekwa syndactyly? Chokwadi ndechokuti minwe nezvigunwe mwana akaisa pamusoro 4-5 vhiki pamuviri, kana mai kazhinji haana pfungwa nezvazvo, asi nekuti hapana haiiti pachake. Kubva pano pane mukuru mukana kuti mudumbu anogona kukanganisa njodzi - .. maekisirei, nemishonga, doro, kusvuta, etc. Hatigoni haabatanidzi ngozi mutsekwende mukadzi ane pamuviri uye wake mudumbu nezvirwere zvakadai yokuSpain, mumps kana njovhera.

Uye rakajairika zvikonzero kuti achangoberekwa fused zvigunwe anoreva nhodzera wakapfuurira kubva vabereki vana.

Sezvineiwo, kana anoona mwana syndactyly kunyange munyoro, zvinofanira hazvo kuongororwa kuvapo kuvabereki uye chromosomal syndromes (chirwere Apert, Poland kana Edwards), apo Fusion ari minwe iri chiratidzo dzakakomba urema ari mwana.

By panzira, muitiro wezvokurapa vakacherechedzawo zviitiko vawana adhesions minwe zvichikonzerwa nemakemikari kana chafariz pisa mumakwenzi kana rutsoka.

About zvokuita kana mwana fused nezvigumwe uye maoko, ichakurukurwa kwapera asi kuti ikozvino vachitova dzidziso.

Sezvo Classified zvokurwara

In mushonga, zvokurwara kurapwa nesu dzinoiswa zvichienderana nemamiriro mapfupa uye mwero coalescence. Saka, nokuda chimiro nyoro zvinyama adhesions ndiyo syndactyly uye pfupa, uye zvikuru Fusion - kwakakwana uye kukwana.

Zvichienderana sei fused zvigunwe kana ruoko syndactyly ndiko:

• membranous ganda - pakati minwe vane Kamudzira ganda (kwakadai zvokurwara ndiyo nyore);
• ganda - pakati minwe vane gobvu ganda kuti runotikurudzira zvinyoronyoro munyama, anowanzodanwa yose pakureba nemimwe;
• mapfupa - Fusion ndepana ufanane phalanges, uye ivo muitiro underdeveloped kana akaremara;
• sangana - kunongova wandei syndactyly (chimiro ichi anonzi chinonetsa kurapa).

kuongorora chirwere syndactyly

Kazhinji, syndactyly dzinoratidza ari mumaawa okutanga oupenyu achangoberekwa kana ukatarira ayo neonatologist. Kana mwana achinge fused nezvigunwe, ipapo mubvunzo kudiwa kuvhiyiwa rinowanzova kufanira zvakaperera, uye vabereki mukana nokuyera zvayakanakira nezvayakaipira Kuvhiya.

Kuti kuva mufananidzo yakazara zvokurwara, mwana anofanira kuratidza vana chiremba uye kuti maekisirei norutsoka iri pamaberere maviri. Izvi zvichaita kuona zvechadenga kuremara uye mamiriro ezvinhu mapfupa uye pezvisungo zvenguvo mwana.

Sei syndactyly

Asi, hazvinei nei fused nezvigunwe, chete pakurapa chirwere ichi ndicho kuvhiyiwa.

The Zvakanyanya Kunaka Panguva Yepamuviri zera kuti mbudzana iyi - makore 4-5. Zvisinei, pane kuti nyaya, kana kubata chinouraya phalanges, kuvhiyiwa yakanakisisa kuitwa pamberi zera gore rimwe, kuitira kudzivisa gogonera kukura neminwe yavo deformation.

Kwokururamisa syndactyly akavhiyiwa vakakamurwa muzvikwata 5:

1. Nyore kucheka pamwe membranous musono.
2. Kwetsinga aneganda plasty dzomuungano munyama.
3. Kwetsinga ganda pamwe mapurasitiki vachishandisa polnosloynogo kana mahwanda ganda batanidza.
4. Kwetsinga ganda kushandisa mapurasitiki rakabatanidzwa (kushandisa rusununguko autotransplantanty kana dzemunharaunda munyama).
5. Operation mumatanho dzinoverengeka, kusanganisira pfupa, mudzira, tsandanyama, uye ganda kusonanidzwa.

Pazvirevo zvinotevera remapazi zvichava zvikuru Zvakanyanya Kunaka Panguva Yepamuviri, chiremba achasarudza, kufungisisa hunhu uye siyana zvokurwara.

The postoperative kumwedzi: sezvo fused pechigunwe?

Pashure pokuvhiyiwa kupora nguva kunowanzoitwa kumba. Mutezo panguva ino inoda zororo (mumwedzi). Zvakakosha kuita zvose mirayiridzo chiremba, kuona kuchengetwa zvakanaka maronda post-kushanda.

Kuti kuderedza kuzvimba uye kurasa mavanga, salve "Dermazin" kana gel "Kontraktubeks", uye pashure pevhiki dzinenge 7, maererano yachiremba, kutanga kupinda physiotherapy. Nenzira, tora nguva iyi kufanira - regai maronda zvomusejari kuporesa zvakanaka, kuti arege kuti marwadzo mwana panguva nzira itsva.

Mune zvimwe zviitiko, uyewo ngaagadzwe uye kwokupfeka kufamba ndakaisa simbi mumakumbo turbokasta kuti kuvhiyiwa minwe fused mapfundo. Pakutanga (mumwedzi) kudzipfeka nguva dzose, uye ipapo kupfeka chete panguva hope.

Zvinofanira kucherechedzwa kuti zvaidiwa zvose zvinodiwa uchava kukanganwa pamusoro dambudziko tiri kuongorora (mwana fused zvigunwe). Murwere achapora zvakarurama nokukurumidza uye pasina matambudziko.

mataridzikiro

Pasinei chokwadi kuti nyaya syndactyly munguva yedu yakawedzera, saka kuti vatsvakurudzi havana kuwana tsananguro yakakwana, fungidziro chirwere ichi chiri kunyanya zvakanaka. Modern nzira kunokwanisa kubvisa ndiko kuremara, kudzorera zvose mashandiro anoita ruoko kana rutsoka uye kugadzirisa deformities ose nemimwe.

Kana mwana achinge fused minwe pamusoro gumbo kana ruoko, kuvhiyiwa runoita kuti pave hwandaiva interdigital dzezvimwe apo kuramba kwemajoini mufambo uye aikanganiswa murwere wacho minwe. Kureva, akaubvisa chero matambudziko akanga nechokuita syndactyly.

Ndine kuvhiyiwa pa syndactyly zvigunwe

Anenge nguva dzose, vabereki vanofanira kuwana matambudziko aro mwana neminwe yake akatanga kuomerera pakarepo kuvhiyiwa. Asi kana fused minwe uye zvechokwadi anogona kununura kwete, asi zvinetso mumuviri aesthetic chete, mumamiriro ezvinhu apo pane akaremara makumbo, kunyanya kana minwe yako hadzina akaremara uye kuipa vanobwembura, unogona kuita pasina kuvhiyiwa.

Kana mukadzi ane fused zvigunwe kunogona kukonzera yakawanda rekusuwa kusvikira kusada kupfeka akazaruka shangu kana achifamba asina shangu pamhenderekedzo, richirimo uye hauzovi ari mwana, sezvo ushe, dambudziko rakadai, Chokwadi, pamwe nekodzero mafungire pazviri. Vanhu vazhinji vanorarama vasina kuwana chero kusagadzikana kubva fused zvigunwe mutsoka dzake. Uye vamwe zviri kunyange chiratidzo chinokosha uye yepakutanga monyorora. Sezvaunogona kuona, izvozvo zvose zvinoenderana here kubvuma pachako sewe.