Sunnar Goldenhar ta sami sunansa ta sunan likitancin Amurka wanda ya fara bayyana shi a tsakiyar karni na karshe. Tun lokacin da aka kara bayani game da wannan ilimin ta kara dan kadan saboda wahalarsa da ƙwarewar binciken, amma godiya ga fasaha na zamani ba wai kawai za'a iya gano shi ba a utero, amma kuma ya dace.
Ƙungiyar Goldenhar - mece ce?
An yi la'akari da ciwon daji, wanda a cikin magungunan kiwon lafiya ake kira "dysplasia oculo-auriculo-vertebral", "ciwon ƙwayar cututtuka na nakasassu", wani cututtuka ne da ke da alaƙa mai yawa. Kwayar cututtuka tana haɗuwa da lalacewa a lokacin yaduwar hawan tarin gill - tsarin gyaran motsi na cartilaginous, wanda daga bisani aka kafa kashin da ke ƙasa, da haɗin gwiwa na zamani da kuma tsari na taimakon sauraro.
Binciken ƙarin bayani game da rashin lafiya na Goldenhar, wane irin rashin lafiya ne, menene dalili na bayyanarsa, masana kimiyya sun gano cewa mata basu da karfin cutar zuwa wannan cuta, kuma ta hanyar lalacewar da ta zama na uku a cikin lahani na ci gaba ta hanyar cranio-maxillofacial bayan wadannan raguwa kamar " " Kuma" kerciyar baki ". Tabbatar da cutar a cikin tayin zai yiwu a 20-24 makon gestation ta hanyar duban dan tayi ganewar asali tare da dubawa a cikin uku girma.
Ƙungiyar Goldenhar - sa
Ba a tabbatar da ainihin irin rashin lafiya na Goldenhar ba, amma mafi yawan masana kimiyya suna da ra'ayi game da yanayin kwayar cutar. Hukuncin cututtuka na yanayi ne, amma sau da yawa bayan bincike game da dangi na marasa lafiya an haɓaka batun haɗin kai. Wasu tunanin sunyi la'akari da dangantaka da ci gaba da ilimin cututtuka tare da tasiri a farkon matakai na ciki na wasu sunadarai, bidiyo mai zagaya yanar gizo da sauri pathogens.
Bugu da ƙari, gaskiyar abubuwan da ke tattare da wata mace mai ciki ta dauki nauyin haɗari don ci gaba da rashin lafiya:
- yin auren jini;
- baya abortions ;
- matsanancin nauyin jiki;
- ciwon sukari mellitus.
Syndrome Goldenhar - bayyanar cututtuka
An gano cutar cutar Goldengen a cikin jarirai a lokacin jarrabawar gani, yawancin halin da ke tattare da irin wannan bayyanar:
- underdevelopment na ƙananan muƙamuƙi;
- Daidaitawar samuwar ido (cin zarafin matsayi na kamannin da girmansa);
- lalatawar da aka yi;
- ci gaba da ci gaba na ciwon ƙwayar mahaifa.
A mafi yawancin lokuta, ana nuna alamun bayyanar a gefe ɗaya na fuska da ɓangaren ƙwayoyin cuta, raunin da ke cikin ƙasa ba su da yawa. Matsayin tsananin da haɗuwa da bayyanar mutum ne. Bugu da ƙari ga waɗannan, akwai alamun da ke cikin alaƙa na rashin lafiya na Goldenhar:
1. Siffofin tsarin tsarin fuska da baki:
- farfadowa na fuska;
- underdevelopment na yankin zygomatic;
- Fashin goshi;
- Alamar bude baki;
- karin bridles;
- harshe na harshe;
- sutura ko laka.
2. Lahani na kwayoyin ji da gani:
- babu wani abu;
- aplasia na canal auditive;
- kurari;
- strabismus;
- lahani na oculomotor musculature;
- kallon ido;
- atrophy na Iris;
- gwaninta.
3. Tsarin kwayoyin halitta da skeletal:
- lahani na bango na bango na tsakiya;
- raguwa da aorta;
- Fallot ;
- Abubuwa na tsarin tsarin masara;
- hydrocephalus;
- deformation na ƙananan ƙwallon ƙafa;
- malformation na hakarkarinsa;
- kwancen kafa;
- haɗuwa da tsohuwar ƙwaƙwalwar ƙwayar mahaifa da ɓangaren occipital;
- scoliosis;
- rashin fahimtar tunanin mutum.
Hadin Goldenhar - magani
Dangane da bayyanar da abubuwa masu yawa, marasa lafiya tare da Goldenhar syndrome suna ƙarƙashin magani daban-daban, wanda aka yi sau da yawa a wasu matakai, yayin da yaron ya girma. A wasu lokuta, yana yiwuwa a lura da wasu masu kwarewa har sai yaro ya kai shekaru uku, bayan haka an ba da shawarar matakan kiwon lafiya, ciki har da aikin daji, kothodontic farfesa. A lokuta masu tsanani, yawancin ayyukan da aka yi har zuwa shekara daya ko biyu.
Jiyya ga kothodontics an aiwatar da shi a cikin matakai uku, wanda ya dace da ci gaban tsarin dodo-dodo (lokaci madara madara, lokacin motsa jiki, lokacin ciwon ciyawa). Ana bayar da marasa lafiya da na'urori marasa cirewa don gyara jawo da lahani, kuma an bayar da shawarwari game da ka'idoji na kulawa ta baka. Sau da yawa tun daga shekaru 16-18, dukkanin matakan kiwon lafiya da gyaran suna kammala.
Ƙungiyar Goldenhar - aiki
An yi amfani da microemomia gemifacial tare da halayen da ya dace na tsoma baki, nau'in, ƙarar da yawanta ya bambanta dangane da ƙimar cutar. Sau da yawa, waɗannan nau'in ayyukan suna sanyawa:
- ƙarancin haɗin gwiwa na haɗin gwiwa, jaws (ƙananan, babba);
- matsin lamba-distraction osteosynthesis;
- osteotomy na hanci;
- osteotomy na jaws;
- genioplasty;
- rhinoplasty;
- filastik na kayan aiki;
- kwandon kwalliya na ƙananan muƙamuƙi, da dai sauransu.
Mutane tare da ciwon Goldenhar
Marasa lafiya waɗanda aka gano tare da ciwon Goldenhar kafin da kuma bayan tiyata zai iya kama sosai. Idan har lokacin yaro za a yi aiki, ciki har da filastik, to, alamun alamun cutar na iya kusan bazuwa. Akwai misalai da yawa inda mutanen da ke ɗauke da ciwon Goldenhar sun samu nasarar ci gaba da karatu, sami kyakkyawan aiki, jagorancin iyalai da haifuwar yara.
Ƙungiyar Goldenhar - prognosis
Ga marasa lafiya da rashin lafiya na Goldenhar, maganin ya fi dacewa a mafi yawan lokuta, kuma yana da yawa ya dogara da irin lalacewar gabobin ciki. Tare da ganewar dukkanin ƙwayoyin cuta, aikace-aikacen duk hanyoyin da za a iya gyarawa, abin da ya dace da mai haƙuri, goyon baya na zuciya, akwai damar samun cikakken farfadowa.