Suture - e arohane

Li-suture tse arohaneng ke libaka tse pharalletseng ka mokhoa o sa tloaelehang manonyellong a lehata a lesea.

Lehata la lesea kapa la ngoana le entsoe ka lipoleiti tsa masapo tse lumellang kholo. Meeli moo lipoleiti tsena li kopanang e bitsoa sutures kapa suture lines.

Ho lesea le nang le metsotso e 'maloa feela, khatello ea pelehi e ka hatella hlooho. Sena se etsa hore lipoleiti tsa masapo li koahele sutures mme li thehe mokokotlo o monyane. Sena se tloaelehile ho masea a sa tsoa tsoaloa. Matsatsing a 'maloa a latelang, hlooho ea lesea ea hola. Ho kopana hoa nyamela 'me mathoko a lipoleiti tsa masapo a kopana. Ena ke boemo bo tloaelehileng.

Maloetse kapa maemo a bakang keketseho e sa tloaelehang ea khatello kahare ho hlooho a ka baka hore suture e hasane. Li-suture tsena tse arohaneng e ka ba sesupo sa khatello ka har'a lehata (khatello e eketsehileng ea khatello ea kelello).

Li-suture tse arohaneng li ka amahanngoa le li-fontanelles tse bulging. Haeba khatello ea maiketsetso e eketseha haholo, ho ka ba le methapo e meholo hloohong.

Bothata bo ka bakoa ke:

• Tlokotsi ea Arnold-Chiari
• Lefu la bana le hlasetsoeng
• Ho tsoa mali ka hare ho boko (tšollo ea mali ea intraventricular)
• Hlahala ea boko
• Mathata a itseng a vithamine
• Phoso ea Dandy-Walker
• Down syndrome
• Hydrocephalus
• Matšoao a teng nakong ea tsoalo (tšoaetso ea congenital)
• Chefo ea lead
• Meningitis
• Subdural hematoma kapa subdural effusion
• Tšoelesa ea qoqotho e sa sebetseng (hypothyroidism)

Ikopanye le mofani oa tlhokomelo ea bophelo haeba ngoana oa hau a na le:

• Li-suture tse arohaneng, li-fontanelles tse bulang, kapa methapong e hlakileng ea letlalo
• Bofubelu, ho ruruha, kapa ho tsoa ho tsoa sebakeng sa li-suture

Mofani oa thepa o tla etsa tlhahlobo ea 'mele. Sena se tla kenyelletsa ho hlahloba li-fontanelles le methapo ea hlooho le maikutlo (palpating) suture ho fumana hore na ba arohane hakae.

Mofani o tla botsa lipotso ka nalane ea bongaka le matšoao a ngoana, ho kenyeletsoa:

• Na ngoana o na le matšoao a mang (joalo ka bokahohle bo sa tloaelehang ba hlooho)?
• U qalile ho bona li-suture tse arohaneng neng?
• Na ho bonahala e ntse e mpefala?
• Na ngoana o phela hantle ka tsela e ngoe? (Mohlala, na ho ja le ho etsa lintho tse tloaelehileng ho tloaelehile?)

Liteko tse latelang li ka etsoa:

• MRI ea hlooho
• Tlhatlhobo ea hlooho ea CT
• Ultrasound ea hlooho
• Ho sebetsa ka mafu a tšoaetsanoang, ho kenyeletsoa litso tsa mali le pompong ea mokokotlo e ka bang teng
• Mosebetsi oa metabolism, joalo ka liteko tsa mali ho sheba maemo a electrolyte
• Tekolo e tloaelehileng ea mahlo

Le ha mofani oa hau a boloka lirekoto ho tsoa tlhahlobisong e tloaelehileng, o kanna oa fumana ho le molemo ho boloka litlaleho tsa hau tsa kholo ea ngoana oa hau. Tlisa litlaleho tsena ho mofani oa mofani oa hau haeba u hlokomela ntho efe kapa efe e sa tloaelehang.

Karohano ea li-suture

• Lehata la lesea le sa tsoa tsoaloa

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Hlooho le molala. Ka: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, li-eds. Tataiso ea Seidel ea Tlhahlobo ea 'Mele. La 9th. St Louis, MO: Elsevier; 2019: khaolo ea 11.

Tšepahala NK. Lesea le sa tsoa tsoaloa. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 113.

Rosenberg GA. Edema ea boko le mathata a tsamaiso ea mokelikeli oa cerebrospinal. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 88.