Fontanelles - bulging

Bulging fontanelle bu ihe na-achogharia uche nke ebe nwa di nro (fontanelle).

Okpokoro isi nwere ọtụtụ ọkpụkpụ, 8 na okpokoro isi n'onwe ya na 14 na mpaghara ihu. Ha na-esonye aka wee nwee oghere siri ike, nke na-echebe ma na-akwado ụbụrụ. A na-akpọ ebe ọkpụkpụ ndị ahụ jikọtara ọnụ.

Ọkpụkpụ adịghị ejikọta ọnụ mgbe amụrụ nwa. Nke a na-eme ka isi gbanwee ọdịdị ya iji nyere ya aka ịgafe ọwa ọmụmụ. A na-etinye sutures ahụ na mineral ruo oge ụfọdụ ma sie ike, na-ejikọ ọkpụkpụ okpokoro isi ọnụ.

N’ime nwa ọhụrụ, oghere ebe suti abụọ sonyere na-etolite “ebe dị nro” nke kpuchiri akpụkpọ ahụ nke ana-akpọ fontanelle (fontanel). Akara fontanelles na-enye ohere maka uto nke ụbụrụ na okpokoro isi n'afọ mbụ nke nwa ọhụrụ.

Enwerekarị mpempe akwụkwọ dị iche iche na okpokoro isi nke nwa amụrụ ọhụrụ. Ha dị n’elu, n’azụ, na akụkụ isi. Dị ka sutures, fontanelles na-esikwu ike oge wee mechie, ebe ọkpụkpụ siri ike.

• Isi mkpụrụ akwụkwọ dị n’azụ isi (posterior fontanelle) na-emechikarị ka nwa ọhụrụ dị ọnwa 1 ruo 2.
• Mpempe akwụkwọ nke dị n’elu isi (fon fon) na-emechikarị n’agbata ọnwa asaa na iri na itoolu.

Okpomoku a kwesiri inwe nkwenye siri ike ma metu ime ka emetu ya aka. A na-eme ka akpịrị na-ada ụda ma ọ bụ na-eme ka ụbụrụ na-ada ụda mgbe ụbụrụ na-apụta na ụbụrụ ma ọ bụ ụbụrụ na-aza, na-eme ka nrụgide dịkwuo n'ime okpokoro isi.

Mgbe nwatakịrị ahụ na-ebe ákwá, na-edina ala, ma ọ bụ na-agbọ agbọ, a ga-eme ka mkpụrụ aka ya na-ama jijiji. Agbanyeghị, ha kwesiri ịlaghachi na nwatakịrị mgbe nwa ahụ nọ n'ọnọdụ dị jụụ, isi-ya.

Ihe kpatara nwatakiri nwere ike iji kọwaa mkpụrụ akwụkwọ gụnyere:

• Encephalitis. Ọzịza (mbufụt) nke ụbụrụ, ọtụtụ mgbe n'ihi ọrịa.
• Hydrocephalus. Mkpoko mmiri nke okpokoro isi.
• Mụbara intracranial nrụgide.
• Meningitis. Ofufe Ọrịa nke membranes ekpuchi ụbụrụ.

Ọ bụrụ na mkpụrụedemede ahụ na-alọghachikwute ọdịdị ya mgbe nwatakịrị ahụ dị jụụ ma na-ebuli isi elu, ọ bụghị ezigbo mkparịta ụka.

Ozugbo, nlekọta mberede dị mkpa maka nwatakịrị ọ bụla nwere ezigbo fontanelle, ọkachasị ma ọ bụrụ na ọ mere yana ahụ ọkụ ma ọ bụ ụra buru oke.

Onye nlekọta ahụike ga-eme nyocha anụ ahụ ma jụọ ajụjụ gbasara akụkọ ahụike nwa ahụ, dị ka:

• “Ebe dị nro” ọ ga-alọta ọdịdị ya mgbe nwa ahụ dị jụụ ma ọ bụ buru ya isi?
• Ọ na-ebu ya oge niile ka ọ na-abịa ma na-aga?
• Kedu oge mbụ ị hụrụ nke a?
• Kedu fontanelles ntopute (n'elu isi, azụ isi, ma ọ bụ nke ọzọ)?
• Ihe odide a niile na-eme?
• Kedu ihe mgbaàmà ndị ọzọ dị (dị ka ahụ ọkụ, mgbakasị, ma ọ bụ ike ọgwụgwụ)?

Nyocha nyocha nke a ga - eme bụ:

• CT scan nke isi
• MRI nyochaa isi
• Ọkpụkpụ azụ (mgbapụta lumbar)

Ebe dị nro - bulging; Bulging fontanelles

• Okpokoro isi nke nwa amụrụ ọhụrụ
• Bulging fontanelles

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.

Somand DM, Meurer WJ. Usoro nhụjuanya nke Central. Na: Mgbidi RM, Hockberger RS, Gausche-Hill M, eds. Ngwọta Mberede nke Rosen: Echiche na usoro ọgwụgwọ. Agba nke 9. Philadelphia, PA: Elsevier; 2018: isi nke 99.