Ama-idiosyncrasies amancane asenza sibe ngabantu. Kungakhathaliseki ukuthi isandla sakho sokungakwesokunxele silinganisa ububanzi obungaphezu kwamamentimitha, noma i-earlobe yakho yesokudla ibonakala sengathi ihle kancane kancane esibukweni, ukuhluka okuncane kwe-asymmetric ezingxenyeni zomzimba ezimbili kuyajwayelekile ... akukho okumele ukhathazeke ngakho.
Ngezinye izikhathi, noma kunjalo, ukugcizelela ukungafani ngokomzimba, ngisho noma kungabonakali, kungabalulekile.
Abanye besifazane abanezibilini ezingalingani bathola ukuhlinzekwa kweplastiki ukwenza izinto zibe zihambelana kakhulu. Ngaphezu kwalokho, ukungavumelani ngobukhulu bezinye izingxenye zomzimba, njengezandla noma izitho (izingalo nemilenze), kungaba kakhulu kangangokuthi kubonisa ukugula okubi kakhulu.
Ukunciphisa ukukhula kwe-Intrauterine nokuPhuthuka kokuPhepha
Umkhawulo wokukhula kwe-intrauterine (IUGR) uthinta cishe amaphesenti amahlanu omuntu obangelwa yi-obstetric nokulandelayo-okulandelayo okubangelwa ukuguqulwa kwemvelo-iyimbangela yesibili yokuholela kokufa kanye nezifo ezinganeni ezingakazalwa. Igama elithi IUGR yigama le-pathological for small for age gestational (SGA) futhi lingaba lilinganisane noma lilingane . Sicela uqaphele ukuthi izingane eziningi ze-SGA zijwayelekile kodwa ziyingcosana ngokomthethosisekelo; I-IUGR ibhekisela ku-SGA emele ukugula noma isifo.
IUGR engapheli ngokuvamile ikwazi ukungenwa kahle kwamaphakezi, lapho umntwana engatholi oksijini okwanele nokudla okunomsoco nge-placenta. Lokhu kugeleza kwegazi okuphazamisekile kungabangelwa izinto eziningi, kuhlanganise ukubhema, utshwala, izidakamizwa, imithi, ukucindezelwa kwegazi eliphezulu kanye nezifo zofuzo.
I-fetus ene-IUGR engenamaphesenti yenza okuhle kakhulu ngegazi elihlinzekwayo. Ukugeleza kwegazi kuqondiswa ezingxenyeni ezibalulekile, futhi insimu yekhanda igcinwa. Kodwa-ke, isisindo somzimba sesinciphisa ngenxa yobukhulu besibindi esincane, izitho zitholakala futhi isikhumba sincane ngenxa yokuthi kunamafutha angaphansi. Ekuzalweni, izitho zomzimba ezinomzimba kanye nokuncipha kwesisindo somzimba zingabonakala njenge-asymmetric.
IUGR ye-Asymmetric ayisho ukuthi izingxenye zomzimba ezibukeka njengezitho zingavamile ngosayizi, nakuba lokhu kungaba umphumela. Kunalokho, kusho ukuthi iphethini lokukhula lilinganiselwe, futhi amandla amaningi aqondiswa ezitho ezibalulekile ezifana nobuchopho nenhliziyo.
Uma ukugeleza kwegazi okuphahlazeka kungabonakali kakhulu kangangokuthi i-fetus ayikwazi ukukhokhela, i-IUGR ehambisanayo ingabangela umkhawulo wokukhula okufanayo, ngokuthuthukiswa okunamandla kuvele ngisho nasezigumbini ezibalulekile njengehliziyo nobuchopho. Lokhu kuthuthukiswa kuboniswa ukunciphisa ikhanda-into ejulile.
Kungenzeka ukuthi i-IUGR ingase imele iphuzu lokuphelelwa yisikhathi ekuthuthukiseni ukuthuthuka . Kucatshangelwa ukuthi ukungahleleki kokuthuthukiswa, noma ukuphazamiseka emvelweni we-intrauterine obangelwa ukuguqulwa komzimba, ukushisa imisebe, noma ukucindezeleka ngokomzimba, kungashintsha i-genetic fetus noma ukubukeka ngezindlela ezicashile, futhi ngaleyo ndlela kubangele ukushintsha okuncane, kodwa okwenzekayo, ngobukhulu izitho ezimbili ezinjengezindlebe, izandla, namabele. Lokhu kuhluka okuncane kungase kungabangeli ukukhubazeka kodwa kungabonakala noma kuqondene nalabo bantu abazalwa nabo.
Ngamanye amazwi, uma isimo semvelo sivaliwe ngisho ncanyana, kungenzeka ukuthi lokhu kuphazanyiswa, noma ukungazinzi kwentuthuko, kungabangela ukungqubuzana okuncane esandleni, ngezinyawo nangesayizi sebele.
Izibeletho ezingenalutho: Kungani Kukhona Omunye Umzimba Omkhulu Kunomunye?
I-asymmetry yebele isenzeka kubesifazane abaningi. Kuvamile ukuthi amabele ngamunye abe neminingi ehlukene noma ubuhlobo obuhlukile. Ngaphezu kwalokho, isifuba esisodwa singase sibe nesisindo esingaphezu kwesisindo sebele (isifuba esingaphezu kokuvamile).
Nakuba amabele asymmetric ngokuvamile avame ukutholakala okuvamile - ikakhulukazi kwabesifazane abasebasha lapho ukulimala kungavamile-kunezinketho zokwelashwa zokuhleleka. Nakuba kukhona ucwaningo olwenziwe mayelana nokusetshenziselwa ukuhlinzwa kwebele ukulungisa isisu somzimba emantombazaneni asebasha, kungcono ukuthi owesifazane aqedele ukuthuthukiswa kwakhe futhi avele ebusheni aze abe umuntu omdala ngaphambi kokuthola ukuhlinzwa kwebele okhethweni.
Phela, ukukhula kuyisikhathi soshintsho, futhi ama-asymmetries webele angasuswa ngokuthuthukiswa okuqhubekayo. Ngamanye amazwi, asikho isizathu sokufaka ingozi yokuhlinzwa uma inkinga ixazululwa yedwa.
Izinketho zokuhlinzekwa ukulungisa isifo se-asymmetry sesifuba zihlanganisa ukuphakama kwebele, ukunciphisa amabele, nokwandiswa kwebele. Ukwengeza, eminyakeni yamuva, i-lipofilling ibuyele emuva njengendlela yokuhleleka nokuhlelwa kabusha. Njengoba i-lipofilling, amafutha athathwa emzimbeni wesifazane, noma amafutha e-autologous, avunwa, aqhutshwe futhi ahlanganiswe esifubeni.
Umlando we-lipofilling unelukuluku. Ngo-1987, i-American Society of Plastic and Reconstructive (manje eyaziwa ngokuthi i-American Society of Plastic Surgeons) yakhipha isitatimende esikhuthaza ngalomkhuba. Kwaphakanyiswa ukukhathazeka ukuthi le nqubo ingabangela ukuhluleka nokuphazamisa ukuhlolwa kwebele.
Ngokuhamba kwesikhathi, ochwepheshe baqaphela ukuthi ukukhathazeka okunjalo mayelana nokwehla kwesibili kuya ku-lipofilling kwakungenasisekelo nokuthi le nqubo ayiphumeleli (nakakhulu kakhulu) ukwedlula ukuhlinzwa okufana nokunciphisa kwebele. Ngaphezu kwalokho, noma yiziphi izilonda ezitholakala kule nqubo aziphazamisi ukuhlolwa kwebele. Ngonyaka ka-2009, i-American Society of Plastic Surgeons yashintsha isikhundla sayo ku-lipofilling.
Nakuba izibeletho ezingalingani ziyinto evamile futhi evamile, kubuye kube nocwaningo oluthile oluthile oluxhumanisa amavomu angenasici kanye nomdlavuza webele. Noma kunjalo, izinhlangano ezinjalo zidinga ukusekelwa ngokuqhubekayo.
I-hemihypertrophy: Kungani Omunye Omunye Ekhudlwana Kunomunye?
Abanye abantu banezandla ezihlukahlukene, ngesandla esisodwa sibe sikhulu kunomunye. Ngamunye, isandla ngasinye singase sibonakale sivame ukulingana. Nakuba kungavamile, izimbangela ezingase zibe khona zalesi simo zihlanganisa i-hemihypertrophy (hemihyperplasia) noma i-gigantism yendawo. I-hemihypertrophy ingathinteki nje kuphela isandla kodwa nayo yonke ingalo (ingalo noma umlenze). I-gigantism yasendaweni ivame ukuvela ngenxa ye-fistula evulekile yokuzalwa engxenyeni engenhla.
I-hemihypertrophy iphinda inikeze njengezinkanyezi zezibonakaliso ezinhlobonhlobo ezingavamile zofuzo, noma amaqembu ezimo, njenge-Beckwith-Wiedemman syndrome kanye ne-Proteus syndrome. I-hemihypertrophy nayo ingenzeka nge-neurofibromatosis uhlobo 1. Lawa ma-syndromes ayinkimbinkimbi futhi ephethwe odokotela bezingane, izakhi zofuzo, kanye nodokotela bamazinyo. Okubalulekile, ukutholakala kwezicubu ezihlobene kufanele kukhishwe.
Umehluko ngobukhulu bezingamaphesenti amahlanu angasiza ekuhloleni i-hemihypertrophy. Nokho, ngokuvamile, abazali bafuna ukwelashwa uma ukungezwani kukhulu.
Kule ncazelo ehlobene, ukungalingani kwemisipha kungabangela nokuqina kwezimpawu zomzimba. Isibonelo, uma uvame ukusebenza ohlangothini olulodwa lomzimba wakho kunomunye, lokhu kungabangela ukungalingani kwamasipha kubonakala engxenyeni yakho noma emaceleni amaqembu omzimba. Ukungalingani kwe-muscle akulona ukwelapha ngokwemvelo kodwa kunomqondo wokuphila emvelweni.
Ngaphansi
Abantu abaningi banezandla ezihlukahlukene, izinyawo, izingalo namabele. Izimbangela ze-asymmetries encane ngokuvamile ziyi-benign ngokuphelele kanye noveli ngaphezulu kunokuphathelene. Ngokungajwayelekile, ukungqubuzana okukhulu kwezingxenye ezithile zomzimba kungase kubhekise kumibandela ebonakalayo ebonakalayo eqinisekisa ukuxilongwa nokuphathwa ngudokotela.
> Imithombo
> Bruant-Rodier C et al. [Isibeletho Sengane Entsha]. Annales de Chirurgie Plastique et Esthetique. 2016; 61: 629-639.
> Kayar R noCilengiroglu OV. I-Breast Volume Asymmetry Value, Isilinganiso, ne-Cancer Risk. Umdlavuza Webele (Auckl). 2015; 9: 87-92.
> Kasem A, Wazir U, Headon H, noMokbel K. Breast Lipofilling: Ukubukezwa Kwezenzo Zamanje. Archives of Surgery Plastic. 2015; 42: 126-130.
> LeBlond RF, Brown DD, Suneja M, Szot JF. I-Spine, i-Pelvis, ne-Extremities. Ku: LeBlond RF, Brown DD, Suneja M, Szot JF. ama-eds. Ukuhlolwa kweDiagnostic Diagnostic, 10e . ENew York, NY: McGraw-Hill; 2015.