Funda kabanzi mayelana ne-AMC, i-Defect Congenital of the Joints
I-arthrogryposis noma i-arthrogryposis multiplex congenita (AMC) yigama elinikezwe iqembu lezinkinga ezibhekiswe ekuthuthukiseni izivumelwano eziningi ezihlangene kuwo wonke umzimba. Isivumelwano siyisimo lapho ukuhlanganiswa kuyaqina futhi kugxile endaweni egobile noma eqondile, okwenza kube nemingcele ekuhambeni kwalowo ohlangene.
Isimo siqala ngaphambi kokuzalwa (kuyisici esingazalwa ) nase-US, kwenzeka cishe kanye ngonyaka ngamunye kuzalwa okungu-3 000, okuthinta kokubili abesilisa nabesifazane bazo zonke izinhlanga.
Okungaphezu kwesigamu esisodwa somzimba kufanele sithinteke ngenxa yesifo esizobhekwa njenge-arthrogryposis. Uma isivumelwano sokubeletha senzeke endaweni eyodwa yomzimba (njengezinyawo, isimo esibizwa ngokuthi i- clubfoot ), ngakho-ke kuyisivumelwano esingasodwa sokuzalwa futhi hhayi i-arthrogryposis.
Uma izindawo ezimbili noma ngaphezulu zomzimba zithinteka yi-arthrogryposis, isimo singase sibhekiswe njenge-arthrogryposis multiplex congenita (AMC) futhi ngezinye izikhathi amagama amabili asetshenziselwa ngokungafani. Kunezinhlobo ezingaphezu kwezingu-150 ze-AMC, kanti i-amyoplasia yiyona ejwayelekile kakhulu futhi iphethwe ngamacala angaphezu kuka-40% kuwo wonke amacala we-AMC.
Izimbangela ezivamile ze-Arthrogryposis Multiplex Congenita (AMC)
I-arthrogryposis ivame ukubangelwa ukunyakaza kokubeletha kwesisu esiswini. I-fetus idinga ukunyakaza emlenzeni ukuthuthukisa imisipha namalungu. Uma amalunga engagudluki, izicubu ezixhumeneyo ziqala ukuzungeza bese zilungisa.
Ezinye zezimbangela zokunyakaza kwe-fetal wehlile yizi:
- Amaphutha noma iziphazamiso zesistimu ye-central central (imbangela ejwayelekile kunazo zonke), njenge- spina bifida , ukukhubazeka kwengqondo, noma i-atrophy yomgogodla
- Ingxube ye-neuromuscular izuzwe njenge-myotonic dystrophy, i-myasthenia gravis, noma i- multiple sclerosis
- Izifo zomama ngesikhathi sokukhulelwa ezifana nesimungumane saseJalimane (rubella) noma i-rubeola
- Umkhuhlane womama ongaphezu kuka 39C (102.2F) isikhathi eside, noma izinga lokushisa lomzimba olwengeziwe elibangelwa ukufudumala isikhathi eside emathunjini ashisayo
- Ukuvezwa komama kubungozi ezingalimaza ingane, njengezidakamizwa, utshwala, noma imishanguzo yokulwa ne-anti-seizure ebizwa ngokuthi i-phenytoin (i-Dilantin)
- Amanzi amniotic amancane kakhulu, noma ukuvuza okungahleliwe kwe-amniotic fluid, kungabangela isikhala esinciphile sokuba umntwana ahambe
Izimpawu ze-AMC
Izinkontileka ezihlangene ezitholakala kusana olune-arthrogryposis ziyahlukahluka kusukela komntwana kuya komntwana, kodwa kunezici eziningana ezivamile:
- Imilenze nezingalo ziyathinteka, izinwele nezikhwama zihamba kahle kakhulu (cabanga ukuthi ingane ihlolwe ngaphakathi kwesibeletho, bese ivalelwe kuleso sikhundla)
- Amalunga emilenzeni nasezingalweni angeke akwazi ukuhamba nhlobo
- Imisipha emilenzeni nasezingalweni zincane futhi zibuthakathaka noma zingekho
- Izisindo zingasuswa
Ezinye izinsana ezine-arthrogryposis zinokukhubazeka komzimba, ukuvinjelwa komgogodla, ukukhubazeka ngokobulili, izinkinga zenhliziyo kanye nokuphefumula, nokukhubazeka kwesikhumba.
Ukwelashwa kwe-Arthrogryposis Multiplex Congenita
Ayikho ikhambi ye-arthrogryposis, futhi ukwelashwa kuqondiswa kumpawu ezithile umuntu angase abe nakho.
Isibonelo, ukwelashwa okusemandleni okuqala okusemandleni kungasiza ekutheni welule izingxenyana ezihlanganisiwe bese uthuthukisa imisipha ebuthakathaka. Ama-splints angasiza futhi ukwelula amalunga, ikakhulukazi ebusuku. Ukuhlinzeka nge-Orthopedic kungase futhi kukwazi ukukhulula noma ukulungisa izinkinga ezihlangene.
I-ultrasound noma i-computed tomography (CT) ingahlola noma yikuphi ukungahleleki kwesistimu enkulu. Lezi zingase zidinge noma zingadingi ukuhlinzwa ukuze zilashwe. Ukukhubazeka kwenhliziyo okungapheli kungadinga ukulungiswa.
Isibikezelo se-AMC
Ukuphila komuntu one-arthrogryposis ngokuvamile kuvamile kodwa kungashintshwa yiziphambeko zenhliziyo noma izinkinga zesistimu eziphakathi.
Ngokuvamile, ukubikezelwa kwezingane ezine-amyoplasia kuhle, nakuba izingane eziningi zidinga ukwelashwa okunamandla iminyaka eminingi. Cishe ingxenye emibili kwezintathu ekugcineni iyakwazi ukuhamba (noma ngaphandle kwe-braces) futhi iya esikoleni.
Imithombo:
Inhlangano Kazwelonke Yezifo Ezinzima. Arthrogryposis Multiplex Congenita. Kufinyelelwe ngo-Feb 13, 2016.