I-aplasia cutis congenita yintlupheko yesikhumba ebangela ukuba abantwana bazalwe ngesikhumba esingekho. I-aplasia cutis congenita ingenzeka ngokwayo okanye njengempawu yezinye izifo ezifana ne-Johanson-Blizzard syndrome kunye ne-Adams-Oliver syndrome. I-aplasia cutis congenita ingafumana ilifa okanye ivele ngaphandle kwimbali yentsapho yalo mqathango. Ingxaki ichaphazelekayo kwindoda kunye nabesifazane bazo zonke iintlobo zeentlanga kwaye kwenzeka ngo-1 kwabantwana abayi-10 000.
Abaphandi abaqinisekanga ukuba yiyiphi i- genes eyenza i-aplasia cutis congenita, kodwa bayayikrokrela ukuba izakhi zofuzo ezichaphazela ukukhula kwesikhumba zingatshintshwa. Kwezinye iimeko, imeko ingahle ibangelwe kukungena kwi-methimazole, isilwanyana esisetyenziselwa ukuphatha i- hyperthyroidism . Ezinye iziganeko nazo zingabangelwa yi-virus okanye nayiphi na ingozi kumntwana ngexesha lokukhulelwa. Ukuba le meko izuze ilifa , idla ngokugqithiswa ngumzali omnye.
Izimpawu kunye neMpawu
Umntwana ozelwe nge-aplasia cutis congenita uya kulahleka iqela lekhumba, ngokuqhelekileyo kwisikhonda (abantu abangama-70 ekhulwini). Iipatches ezingekhoyo nazo ziyakwenzeka kwi-trunk, iingalo, okanye imilenze. Uninzi lwabantwana luba nekhanda elilodwa elilahlekileyo; Nangona kunjalo, iipatches ezininzi zingekho. Ummandla ochaphazelekayo uvame ukugqithiswa ngesigxina esincinci esicacileyo, sichazwe kakuhle, kwaye asinakuvutha. Indawo evulekileyo ibonakala ngathi isilonda okanye isilonda esivulekile. Ngamanye amaxesha isikhumba esingekho esiluphilisayo ngaphambi kokuba umntwana azalwe.
Ikhonkco ekhoyo ehlala ijikeleze kodwa ingaba yinqaba, ixande, okanye ifakwe ngeenkwenkwezi. Inkulu kangakanani isiqendu, iyahluka.
Ukuba i-aplasia cutis congenita ivela kwi-scalp, kunokuba ne siphene skull phantsi kwepaki ekhoyo. Kule meko, kukho ukukhula kweenwele eziphazamisayo ngokujikeleza kwipaki, eyaziwa ngokuba ngumqondiso wekhola.
Ukuba ithambo lichaphazelekayo, kukho ukhuseleko olwandisiweyo lwezonyango. Ukuba ithambo liye lahleka kakhulu, isigqubuthelo sengqondo singabonakaliswa kwaye ingozi yokuphuma kwamanzi iyanda.
Ukufumana iSifo
I-aplasia cutis congenita ifunyaniswa ngokusekelwe kwintsholongwane yesikhumba sentsana. Iintsilelo zingabonwa ngokukhawuleza emva kokuzalwa. Ukuba iqela eliphiliswe ngaphambi kokuba umntwana azalwe, iinwele ziya kuba zingekho kwindawo echaphazelekayo. Akukho mvavanyo ekhethekileyo yebhubhoratri efunekayo ukuxilonga imeko. Iimpazamo ezinkulu ze-scalp, ikakhulukazi ezo zineenwele zeenwele zeenwele, kufuneka ziphandwe ngenxa yentsholongwane yesithambo okanye iziphoso ezincinci.
Unyango
Uninzi lwamaxesha amaninzi, unyango oluphela kuphela olufunekayo kwi-aplasia cutis congenital yindawo yokucocwa kwendawo echaphazelekayo kunye nesicelo sesilivere sulfadiazine ukukhusela i-patch ekumiseni. Iindawo ezininzi ezichaphazelekayo ziya kuphulukisa ngokwabo kwiiveki ezimbalwa, ezibangele ukuphuculwa kwebala elingenaswele. Iintsilelo ezincinci zethambo nazo zihlala zivalela ngokwawo phakathi konyaka wokuqala wokuphila. Ukuvuthwa kunokuthi kugwenywe ngaphandle kokuba indawo elahlekileyo yesikhumba inkulu, okanye iindawo ezininzi ze-scalp zichaphazelekayo.
Imithombo:
Crowe, M. (2005). Aplasia cutis congenita. eMedicine
I-National Organisation for Distress Disorders. Aplasia Cutis Congenita