I-idiosyncrasies encinci isenza sibe ngabantu. Kungakhathaliseki ukuba isandla sakho sokunxele silinganisa ubuninzi bentimitha enye, okanye i-earlobe yakho yekunene ibonakala ixhomekeke encinane kwisibuko, ukuhluka okuncinane kwimizimba yomzimba ngokuqhelekileyo ... akukho nto inokukhathazeka ngayo.
Ngamanye amaxesha, nangona kunjalo, ukunyanisekisa ukungafani ngokomzimba, nokuba kungakhathaliseki ukuba kunobungozi, kunokubaluleka.
Abanye abasetyhini abanamabele angalingani bafumana uphando lweplastiki ukwenzela ukuba izinto zihambelane. Ngaphezu koko, ukungqinelani kobuninzi bezinye izixhobo zomzimba, njengezandla okanye izitho (iingalo nemilenze), kunokubaninzi kangangokuba zibonisa ukugula okungakumbi.
Ukuphuculwa koKhuseleko lokuKhula kunye nokuPhuhliswa koPhuhliso
Isithintelo sokukhula kwe-intrauterine (IUGR) sichaphazela malunga neepesenti ezintlanu zentsholongwane yabantu kunye nokulandelelana kwangaphambili-sesibini esibangela ukufa kunye nezifo ezingabantwana abangakazalwa. Igama IUGR lixesha elidlulileyo lokunciphisa ubudala be-gestation (SGA) kwaye linokulinganiswa okanye ukulinganisa . Nceda uqaphele ukuba ezininzi iintsana ze-SGA ziqhelekileyo kodwa zincinci ngokusemthethweni; I-IUGR ibhekisela kwi-SGA emele isifo okanye isifo.
IUGR i-Asymmetric ixhomekeke ekungeneni kwe-placental, apho umntwana engayifumani oksijini kunye nesondlo okwenziwe nge-placenta. Ukuphuma kwegazi okuphambanisekile kungenxa yezinto ezininzi, kuquka ukutshaya, utswala, utywala, imichiza, uxinzelelo lwegazi oluphezulu kunye neengxaki ze-genetic.
I-fetus ene-IUGR engaphelelanga yenza okusemandleni ngegazi elinikezelwayo. Ukuhamba kwegazi kugxininiswe kwiimpawu ezibalulekileyo, kwaye umgca wekhanda ugcinwa. Nangona kunjalo, isithintelo sesisu sisinciphile ngenxa yesayizi esincinci yesibindi, izitho zitshatyathwa kwaye ulusu luyancipha ngenxa yokuba kunamafutha amaninzi. Ekuzalweni, imilenze ye-scrawny kunye nokunciphisa ubunzima be-muscle ingavela njenge-asymmetric.
IUGR ye-Asymmetric ayithethi ukuba izitho zomzimba ezinjengeemilenze ziyahlukileyo ngobukhulu, nangona oku kungaba ngumphumo. Kunoko, kuthetha ukuba umzekelo wokukhula ulinganiselwe, kwaye amandla amaninzi aqondiswa kwizitho ezibalulekileyo ezifana nengqondo kunye nentliziyo.
Xa ukuphuma kwegazi e-placental kungenakonakala kangangokuba umntwana akakwazi ukuhlawula imali, i-IUGR ehambelana nayo inokubangela ukukhutshwa komlinganiselo wokukhula okufanayo, kunye nokuphuhliswa okunamandla okuqhubekayo nakwizitho ezibalulekileyo ezifana nentliziyo nengqondo. Olu phuhliso lubonakaliswe ngokuncipha kwentloko-inkxalabo enzulu.
Kungenzeka ukuba i-IUGR ibhekiselele ekupheleni kweklinikhi yokungazinzi kokuphuhlisa . Kucatshulwa ukuba ukungazinzi kokuphuhliswa, okanye ukuphazamiseka kwimeko engaphakathi kwe-intrauterine ebangelwa ukuguqulwa komzimba, ukukhanya kwemitha, okanye ukunyamezeleka komzimba, kunokutshintsha i-genetic fetus okanye ukubukeka ngendlela efihlakeleyo, ngokunjalo kubangele ukutshintsha okuncane, kodwa kubonakale, ngohlobo lobukhulu izitho ezimbini ezifana nezindlebe, izandla kunye namabele. Ezi zintlukwano ezincinane zingaze zenzeke nakuphi ukukhubazeka kodwa zingabonakala okanye zenzelwe abo bantu abazalelwe nabo.
Ngamanye amazwi, ukuba indawo yendalo ikhulile yinto encinci, kungenzeka ukuba le ntshukumo, okanye ukungazinzi kwintuthuko, kunokubangela ukungqinelani okuncane, esandleni seenyawo, nangobunzima besifuba.
Izibilini ezingavumelekanga: Kutheni Kukhona Omnye Ubisi Okukhulu Kunomnye?
I-asymmetry yesisu ivela kubasetyhini abaninzi. Kuqhelekile ukuba amabele ngamnye abe nemilinganiselo eyahlukileyo okanye imilo eyahlukeneyo. Ukongezelela, esinye isifuba sinokuvelisa inani elincinci leengxube zesifuba (isifuba esiphezulu).
Nangona amabele asymmetry aqhelekileyo ukufumana okuqhelekileyo-ngakumbi kubasetyhini abasetyhini apho ukungonakali kuyinto engabonakaliyo-kukho iindlela zokwenza unyango lweendlela zobugcisa. Nangona kukho uphando malunga nokusetyenziswa kobungqina bebele, ukulungelelanisa i-asymmetry yamantombazana asetsheni, kukulungele ukuba ibhinqa ligqibe kunye nophuhliso lwakhe kwaye luvela ekubeni selula ukuya ekubeni ngumntu omdala ngaphambi kokufumana unyango lwebele.
Emva kwakho konke, ubuntwaba lixesha lotshintsho, kwaye i-asymmetries zebele ziyahamba kunye nophuhliso oluqhubekayo. Ngamanye amagama, akukho sizathu sokungena engozini yokuhlinzwa xa ingxaki ixazululwa yedwa.
Izinketho zokuphanda ukulungisa i-asymmetry yebele ziquka ukuphakama kwebele, ukunciphisa isisu kunye nokunyuka kwebele. Ukongezelela, kwiminyaka yamuva nje, i-lipofilling ibuyele ekuthandweni njengendlela yokwenza ubuchule kunye nokuvuselela inkqubo. Nge-lipofilling, amafutha athatyathwa emzimbeni womfazi, okanye ioli e-autologous, ivunwa, iqhutywe, kwaye ifakwe kwi-breast.
Imbali ye-lipofilling iyinomdla. Ngowe-1987, i-American Society yePlastiki kunye neZakhiwo zokuQala kabusha (ngoku eyaziwa ngokuba yi-American Society of Plastic Surgeons) yakhulula isitatimende esincoma ngolu hlobo. Ukukhathazeka kwaphakanyiswa ukuba le nkqubo inokubangela ukutshatyalaliswa nokuphazamisa ukuhlolwa kwebele.
Ekuhambeni kwexesha, iingcali zazifumanisa ukuba iinkxalabo ezinjalo malunga nokuqhekeza isisondeza ukuya kwi-lipofilling zazingenasisiseko kwaye le nkqubo ayiphumeleli (kwaye mhlawumbi ingaphantsi kakhulu) kunobungqina obugqithisileyo kunabanye ukuhlinzwa okunjengokuncitshiswa kwebele. Ngaphezu koko, naziphi na izilonda ezibangelwa kule nkqubo aziphazamisi ukuhlolwa kwebele. Ngo-2009, i-American Society of Plastic Surgeons yatshintsha isikhundla sayo kwi-lipofilling.
Nangona izifuba ezingalinganiyo ziqhelekileyo kunye nokuqhelekileyo kufumaneka, kukho uphando oluthile olwenzayo oludibanisa ubungakanani bebele kunye nesifo somhlaza wesifuba. Nangona kunjalo, loo mibutho kufuneka ixhaswe ngokuqhutyelwa phambili.
I-Hemihypertrophy: Kutheni Enye Eyona Eyona Nkulu Kunayo?
Abanye abantu banezandla ezihlukeneyo, kunye nesandla esinye sikhulu kunomnye. Ngamanye, isandla ngasinye sasingabonakala siqhelekile. Nangona kungabalulekanga, izizathu ezinokubangela izifo ziquka i-hemihypertrophy (hemihyperplasia) okanye i-gigantism yendawo. I-Hemihypertrophy ayinakuchaphazela kuphela isandla kodwa nayo inxalenye yonke (ingalo okanye umlenze). I-gigantism yendawo ihlala ivela ngenxa ye-fistula yokuzalwa ebantwini.
I-Hemihypertrophy ikwazisa njengento yeenkwenkwezi kwiimpawu ezinqabileyo zohlobo lwe-genetic, okanye iindidi zeemeko, ezifana ne-Beckwith-Wiedemman syndrome kunye neProteus syndrome. I-Hemhypertrophy inokuthi ivele ne-neurofibromatosis hlobo 1. Ezi zi-syndromes ziyanzima kwaye zilawulwa ngabadokotela bezilwanyana, ababelethi bezityalo kunye nabagqirha bamazinyo. Kubaluleke kakhulu, ubukho bee-tumors ezihambelanayo kufuneka zikhishwe ngaphandle.
Ukwahlukana ngobukhulu beepesenti ezincinane kunokuba luncedo ekufumaneni i-hemihypertrophy. Kodwa, ngokuqhelekileyo, abazali bafuna unyango xa unyango lukhulu.
Kwinqaku ehambelanayo, ukungalingani kwemisipha kungakhokelela ekuhambeni kwamalungu. Ngokomzekelo, ukuba uthetha ukusebenza kwelinye icala lomzimba wakho ngaphezu kwelinye, oku kunokubangela ukungalingani kwemisipha kubonakala kwingalo yakho okanye kumagxala omlenze. Ukungalingani kwemisipha akusiyo i-pathological per se se kodwa kunokuba uphendule ngokusingqongileyo kwimvelo.
Okukwintsusa
Abantu abaninzi banamandla ahlukeneyo, amanyathelo, iingalo kunye namabele. Iimbangela ze-asymmetries ezincinci zidla ngokuthe tye kunye neveli ngaphezulu kunezinto. Okungaqhelekanga, ukungafani okukhulu kwamalungu athile omzimba kunokubhekisela kwiimeko ezibonakalayo ezichanekileyo eziqinisekisa ukuxilongwa kunye nonyango ngugqirha.
> Imithombo
> Bruant-Rodier C et al. [Ubisi lweNtombazana engumntwana]. Annales de Chirurgie Plastique et Esthetique. 2016; 61: 629-639.
> Kayar R noCilengiroglu OV. Ixabiso le-Breast Volume Asymmetry, i-Ratio, kunye neengozi zeCarcer. Umhlaza webele (uAuckl). 2015; 9: 87-92.
> Kasem A, Wazir U, iNhloko yeH, kunye neKebbel K. I-Lipofilling yobisi: Ukuhlaziywa kweNkqubo yangoku. IiNqoloba zokuPhepha kwePlastiki. 2015; 42: 126-130.
> LeBlond RF, Brown DD, Suneja M, Szot JF. I-Spine, i-Pelvis, kunye ne-Extremities. Ku: LeBlond RF, Brown DD, Suneja M, Szot JF. eds. I-DiGogin Diagnostic Examination, 10e . New York, NY: McGraw-Hill; 2015.