Sutures - iche

Ekewapụrụ iche bụ oghere sara mbara na nkwonkwo okpokoro isi nke nwa ọhụrụ.

Okpokoro isi nke nwa ọhụrụ ma ọ bụ nke obere nwere obere efere nke na-enye ohere itolite. A na-akpọ ókè ala ebe efere ndị a na-agbakọta ọnụ sutures ma ọ bụ ahịrị akwa.

N’ime nwata a mụrụ naanị nkeji ole na ole, nrụgide sitere na nnyefe ya nwere ike ịpịpu ya isi. Nke a na-eme ka efere ndị ahụ jikọta ọnụ na sutures ma mepụta obere riiji. Nke a bụ ihe kwesiri ụmụ amụrụ ọhụrụ. Na ụbọchị ole na ole sochirinụ, isi nwa ọhụrụ ahụ na-agbasawanye. The overlap kpamkpam na n'ọnụ nke bony efere ezute ihu na-onu. Nke a bụ ọnọdụ nkịtị.

Ọrịa ma ọ bụ ọnọdụ ndị na-eme ka nrụgide na-adịghị mma na nrụgide dị n'ime isi nwere ike ime ka sutures gbasaa. Sutụ ndị a kewara ekewa nwere ike bụrụ ihe akaebe nke nrụgide n'ime okpokoro isi (mgbatị intracranial na-abawanye).

Enwere ike ijikọta sutures dị iche na fontanelles na-ebuwanye ibu. Ọ bụrụ na nrụgide intracranial mụbara nke ukwuu, enwere ike ịnwe veins buru ibu n'isi.

Nsogbu nwere ike ịbụ:

• Arnold-Chiari adịghị mma
• Nsogbu ụmụaka na-arịa ọrịa
• Ọbara ọgbụgba n'ime ụbụrụ (ọbara ọgbụgba intraventricular)
• Ọrịa ụbụrụ
• Vitaminfọdụ ụkọ vitamin
• Dandy-Walker ezighi ezi
• Ọrịa Down
• Hydrocephalus
• Ọrịa ndị dị n'oge ọmụmụ (ọrịa na-efe efe)
• Ndu ndu
• Meningitis
• Subdural hematoma ma ọ bụ subdural effusion
• Underactive thyroid gland (hypothyroidism)

Kpọtụrụ onye na-elekọta ahụike gị ma ọ bụrụ na nwa gị nwere:

• Ekewapụ iche, mpempe akwụkwọ ma ọ bụ veins
• Na-acha ọbara ọbara, ọzịza, ma ọ bụ oruru site na mpaghara sutures

Onye na-eweta ọrụ ahụ ga-eme nyocha ahụ. Nke a ga-agụnye inyocha mkpụrụedemede akpịrị na akwara na inwe mmetụta (imetụ aka) sutures ahụ iji chọpụta etu esi kewapụ.

Onye na-enye ọrụ ga-ajụ ajụjụ gbasara akụkọ gbasara ahụike nwa na mgbaàmà ya, gụnyere:

• Nwatakịrị ahụ enwere mgbaàmà ndị ọzọ (dị ka isi isi adịghị mma)?
• Kedu mgbe mbụ ị hụrụ ọkwa dị iche?
• O dika o na-akawanye njọ?
• Ndi nwa ya no nke oma? (Dịka ọmụmaatụ, nri na usoro mmemme ọ dị mma?)

Enwere ike ịme ule ndị a:

• MRI nke isi
• CT scan nke isi
• Ultrasound nke isi
• Ọrụ ọrịa na-efe efe, gụnyere ọdịbendị ọbara na ọkpọkọ azụ
• Ọkpụkpụ ọrụ metabolic, dịka nyocha ọbara iji lelee ogo electrolyte
• Nlele anya anya

Ọ bụ ezie na onye na-eweta gị na-edebe ihe ndekọ site na nyocha oge niile, ị nwere ike ịhụ ya na-enye aka ịdebe ndekọ nke onwe gị banyere mmepe nwa gị. Weta ihe ndekọ ndị a na onye nyere gị ntị ma ọ bụrụ na ị hụ ihe ọ bụla na-adịghị ahụkebe.

Nkewa nke sutures

• Okpokoro isi nke nwa amụrụ ọhụrụ

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Isi na olu. Na: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Nduzi Seidel maka Nnyocha Ahụhụ. Agba nke 9. St Louis, MO: Elsevier; 2019: isi 11.

Goyal NK. Nwa amụrụ ọhụrụ. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 113.

Rosenberg GA. Brain edema na nsogbu nke cerebrospinal ọmụmụ mgbasa. Na: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Ọkpụkpụ Bradley na Clinical Practice. Nke 7. Philadelphia, PA: Elsevier; 2016: isi 88.