Adiosyncrasies aang'ono amatipanga ife umunthu. Kaya dzanja lanu lakumanzere likuyendera mentimita imodzi, kapena khutu lanu lamanja likuoneka kuti limakhala pansi pang'onopang'ono pagalasi, kusiyana kwakukulu kwa magawo awiri a thupi kumakhala kovuta ... palibe chodetsa nkhawa.
Nthawi zina, zowonjezereka, zosiyana za thupi, ngakhale zowonongeka, zingakhale zofunikira.
Amayi ena omwe ali ndi mabere osalandila amalandira opaleshoni ya pulasitiki kuti apange zinthu zosiyana kwambiri. Komanso, kusiyana kwa kukula kwa ziwalo zina za thupi, monga manja kapena miyendo (mikono ndi miyendo), kungakhale kochuluka kwambiri kotero kuti zikutanthauza matenda aakulu kwambiri.
Kutaya Kwambiri Kukula ndi Kukula Mwachangu
Kuletsa kwachitsulo (IUGR) kumakhudza pafupifupi zisanu mwa magawo asanu mwa anthu omwe ali ndi vuto loyambitsa matendawa, ndilo lachiwiri lomwe limayambitsa imfa ndi matenda mwa ana omwe sanabadwa. Liwu lakuti IUGR ndilo vuto laling'onong'o laling'ono kwa zaka zapakatikati (SGA) ndipo lingakhale lopangidwa kapena losakanikirana . Chonde dziwani kuti ana ambiri a SGA ndi achilendo koma ali ochepa; IUGR imatanthauza SGA yomwe imaimira matenda kapena matenda.
Kuperewera kwa magazi IUGR kawirikawiri imakhala chifukwa cholephera kudya, kumene mwana sakulandira mpweya wokwanira ndi zakudya zopyolera mu pulasitiki. Kuthamanga kwa magazi kotereku kungakhale chifukwa cha zinthu zambiri, kuphatikizapo kusuta, mowa, mankhwala osokoneza bongo, mankhwala, kuthamanga kwambiri kwa magazi, ndi matenda a chibadwa.
Mwana wosabadwa ndi IUGR wosakanikirana amachita bwino ndi magazi omwe amaperekedwa. Kuthamanga kwa magazi kumayendetsedwa ku ziwalo zofunika, ndipo mutu wautali umasungidwa. Komabe, mimba ya m'mimba imachepa chifukwa cha kukula kwake kwa chiwindi, miyendo ndi yopera ndipo khungu ndi loonda chifukwa pali mafuta ochepa. Pa kubadwa, miyendo yowopsya ndi kuchepa kwa minofu imatha kuoneka ngati yosakanikirana.
Kupaka magazi IUGR sizitanthawuza kuti ziwalo za thupi zokhala ngati miyendo ndizosiyana ndi kukula, ngakhale izi zingakhale zotsatira. M'malo mwake, zikutanthauza kuti kukula kwake kumakhala kochepa, ndipo mphamvu zambiri zimatumizidwa ku ziwalo zofunika monga ubongo ndi mtima.
Pamene magazi a m'magazi amatha kufooka kwambiri moti mwanayo sangathe kubwezeretsa, IUGR ikhoza kusokoneza chiwerengero chokwanira chowonjezeka, ndipo chitukuko chokhazikika chikuchitika ngakhale mu ziwalo zofunika monga mtima ndi ubongo. Izi zikuwonetseredwa ndi kuchepa kwa mutu wa mdulidwe-vuto lalikulu.
N'zotheka kuti IUGR ikhoza kuimira mapeto a chipatala cha kusakhazikika kwa chitukuko . Zakhala zikudodometsedwa kuti kusakhazikika kwa chitukuko, kapena chisokonezo m'thupi la intrauterine chifukwa cha kusintha kwa thupi, kutentha kwa dzuwa, kapena kupanikizika kwa thupi, kungasinthe maonekedwe a fetus kapena maonekedwe mwa njira zowonongeka, nawonso, motero zimakhala zosiyana, zosaoneka, zosiyana ziwalo ziwiri monga makutu, manja, ndi mabere. Kusiyana kwakukuluku sikungayambitse kulumala kulikonse koma kungakhale kotheka kapena kwa anthu omwe anabadwira nawo.
Mwa kuyankhula kwina, ngati chilengedwe cha uterine chimatha ngakhale pang'ono, ndizotheka kuti chisokonezo ichi, kapena kusakhazikika kwa chitukuko, chingayambitse kusagwirizana pang'ono pamanja, phazi, ndi kukula kwa mawere.
Mafupa Osagwirizana: Chifukwa Chiyani Chifuwa Chimodzi Chiposa Chimake?
Matenda a asymmetry amapezeka m'mayi ambiri. Ndizofala kuti mabere anu akhale osiyana kapena maonekedwe osiyana. Komanso, mfupa imakhala ndi mawere ambiri (pachifuwa chachikulu).
Ngakhale mafupa osakanikirana amapezeka kawirikawiri pakati pa atsikana omwe ali ndi vuto lachilendo-pali njira zabwino zothandizira. Ngakhale pali kafukufuku wokhudzana ndi kugwiritsidwa ntchito kwa opaleshoni ya m'mawere kukonzekeretsa mawere a m'mawere a atsikana omwe ali achichepere, ndi bwino kuti mkazi amalize ndi kukula kwake ndikukakula kuyambira ali mwana mpaka atakula opaleshoni.
Ndipotu, unyamata ndi nthawi yosintha, ndipo mawere a m'mawere amatha kupitanso patsogolo. Mwa kuyankhula kwina, palibe chifukwa chokhalira ndi chiopsezo cha opaleshoni ngati vuto lidzathetsedwa palokha.
Njira zopangira opaleshoni zowononga mawere a asymmetry zimaphatikizapo kutsitsa, kuchepetsa mawere, ndi kuwonjezeka kwa m'mawere. Kuwonjezera pamenepo, m'zaka zaposachedwapa, lipofilling yabwereranso kukondweretsa monga njira yokongoletsa ndi yokonzanso. Ndi mafuta, mafuta amachotsedwa mumtambo wa mkazi, kapena mafuta a autologous, amakololedwa, kusinthidwa, ndi kumtengedwera pamtanda.
Mbiri ya lipofilling ndi chidwi. Mu 1987, American Society of Plastic ndi Reconstructive (yomwe panopa imadziwika kuti American Society of Plastic Surgeons) inatulutsa ndemanga yotsimikiza motsutsana ndi chizoloŵezi ichi. Ankadandaula kuti njirayi ingayambitse kusokoneza ndi kuyang'ana mawere.
Patapita nthaŵi, akatswiri adazindikira kuti zodetsa nkhaŵa zokhudzana ndi kupweteka kwachilendo kuti zisamalire sizidziwika ndipo njirayi imabweretsa chisangalalo kuposa ma opaleshoni ena monga kuchepa kwa bere. Komanso, zilonda zilizonse zomwe zimachitika chifukwa cha njirayi sizimasokoneza mawere a m'mawere. Mu 2009, American Society of Plastic Surgeons inasintha malo ake pa lipofilling.
Ngakhale mawere osagwirizanitsa ndiwowoneka bwino komanso wamba, pali kafukufuku wina amene amawoneka bwino omwe amachititsa kuti chifuwa chachikulu cha khansa chisakwane komanso khansa ya m'mawere. Komabe, mayanjano oterowo amayenera kuthandizidwa ndi kuphunzira kwina.
Hemhypertrophy: Chifukwa Chiyani Mmodzi Ali Wamphamvu Kwambiri Kuposa Wina?
Anthu ena ali ndi manja osiyana-siyana, ndi dzanja limodzi likukula kuposa lina. Aliyense payekha, dzanja lirilonse likhoza kuwonekera mwachizolowezi. Ngakhale kuti ndizosawerengeka, zingakhale zovuta zomwe zimayambitsa zochitikazi zikuphatikizapo hemihypertrophy (hemihyperplasia) kapena gigantism. Hemihypertrophy ingakhudze osati dzanja lokha komanso liwalo lonse (mkono kapena mwendo). Gigantism ya m'deralo kawirikawiri imapezeka chifukwa cha fistula yomwe imatuluka m'mimba.
Hemihypertrophy imaperekanso ngati magulu a zizindikiro m'mabuku ochepa omwe ali ndi ma genetic syndromes, kapena magulu a mikhalidwe, monga Beckwith-Wiedemman syndrome ndi Proteus syndrome. Hemihypertrophy ingakhalenso ndi neurofibromatosis mtundu 1. Ma syndromes ameneŵa ndi ovuta ndipo amatsogoleredwa ndi madokotala a ana, majeremusi, ndi opaleshoni ya mafupa. Chofunika kwambiri, kukhalapo kwa zotupa zogwirizana kumayenera kuwonetsedwa.
Kusiyanitsa kwa kukula kwazing'ono zisanu zokha kungakhale kothandiza pozindikira kuti munthuyo ali ndi kachilomboka. Kawirikawiri, makolo amawathandiza kuchipatala pamene kusiyana kuli kwakukulu.
Pa zochitika zina, kusamvana kwa mitsempha kungapangitse kuti asamapangidwe ndi miyendo. Mwachitsanzo, ngati mumagwiritsa ntchito mbali imodzi ya thupi lanu kuposa mzake, izi zingayambitse kusamvana kwa minofu mu dzanja lanu kapena m'magulu a miyendo. Kusiyanitsa kwa mitsempha sizomwe zimachititsa kuti thupi likhale lopweteka koma m'malo mwake zimakhala zogwirizana ndi chilengedwe.
Pansi
Anthu ambiri ali ndi manja osiyana-siyana, mapazi, mikono, ndi mabere. Zomwe zimayambitsa asymmetries zochepa zimakhala zowonongeka kwambiri komanso zowonjezera. Kawirikawiri, kusiyana kwakukulu kwa ziwalo zina za thupi kungathe kuwona zinthu zomwe zimadziwika kuti zimadalira kuti adziwe ndi kuchiritsidwa ndi dokotala.
> Zosowa
Bruant-Rodier C et al. [Chifuwa cha Msungwana Wachinyamata]. Annales de Chirurgie Plastique et Esthetique. 2016; 61: 629-639.
> Kayar R ndi Cilengiroglu OV. Matumbo a Asymmetry Chofunika, Chiwerengero, ndi Ngozi ya Khansa. Khansa ya m'mawere (Auckl). 2015; 9: 87-92.
> Kasem A, Wazir U, Mutu H, ndi Mokbel K. Chifuwa Lipofilling: Kubwereza kwa Zipangizo Zamakono. Archives of Surgery Plastic. 2015; 42: 126-130.
> LeBlond RF, Brown DD, Suneja M, Szot JF. Mphepete, Pelvis, ndi Zoopsa. Mu: LeBlond RF, Brown DD, Suneja M, Szot JF. eds. Kufufuza kwa DeGowin's Diagnostic Examination, 10e . New York, NY: Hill ya McGraw; 2015.