Circumara kewaye da kai

Circumarin kewayon kai shine lokacin da nisan da aka auna a kusa da mafi ɓangaren ɓangaren kwanyar ya fi girma fiye da yadda ake tsammani don shekarun yaro da asalinsa.

Kan jariri yakan fi girman 2 cm fiye da girman kirji. Tsakanin watanni 6 da shekaru 2, duk ma'aunin kusan daidai yake. Bayan shekaru 2, girman kirjin ya zama ya fi girman kai.

Ma'aunai akan lokaci wanda ke nuna karuwar haɓakar kai sau da yawa yana ba da ƙarin bayani mai mahimmanci fiye da ma'auni ɗaya wanda ya fi girma fiye da yadda ake tsammani.

Pressureara matsin lamba a cikin kai (ƙaruwa cikin intracranial) sau da yawa yakan faru ne tare da ƙarin kewayon kai. Kwayar cututtukan wannan yanayin sun hada da:

• Idanuwa suna motsi zuwa ƙasa
• Rashin fushi
• Amai

Sizeara girman kai na iya zama daga ɗayan masu zuwa:

• Macrocephaly na dangi mara kyau (halin dangi zuwa girman kai)
• Canavan cuta (yanayin da ke shafar yadda jiki ke lalacewa da amfani da furotin da ake kira aspartic acid)
• Hydrocephalus (tara ruwa a cikin kokon kai wanda ke haifar da kumburin kwakwalwa)
• Zuban jini a cikin kwanyar
• Cutar da jiki baya iya ragargaza sarƙoƙin ƙwayoyin sukari (Hurler ko Morquio syndrome)

Mai ba da sabis na kiwon lafiya yawanci yakan sami ƙara girman kai a cikin jariri yayin gwajin lafiya mai kyau na yau da kullun.

Za a yi gwajin jiki sosai. Sauran abubuwan ci gaba da ci gaba za a bincika.

A wasu yanayi, ma'auni guda daya ya isa ya tabbatar da cewa akwai karuwar girma wanda yake bukatar a kara gwada shi. Mafi sau da yawa, ana buƙatar maimaita ma'auni na kewayewar kai tsawon lokaci don tabbatar da cewa kewayewar kai yana ƙaruwa kuma matsalar na taɓarɓarewa.

Gwajin gwajin da za a iya yin oda sun hada da:

• Shugaban CT scan
• MRI na kai

Jiyya ya dogara da dalilin ƙaruwar girman kai. Misali, ga hydrocephalus, ana iya yin tiyata don taimakawa samar da ruwa a cikin kwanyar.

Macrocephaly

• Kwanyar sabuwar haihuwa

Bamba V, Kelly A. Bincike na ci gaba. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 27.

Robinson S, Cohen AR. Rikici a cikin siffar kai da girma. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 10 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 64.