Isreebreebka Pierre Robin (ama cilladda) waa xaalad dhalan oo keenta isku darka soo socda kuwaas oo ku jira xilliga dhalashada:
- oo ah qallal hoose oo aan qallafsanayn (tan waxaa loo yaqaan micrognathia)
- gogol-gogol-xajin leh maqnaashaha kala-duwan ee diida faraha, inta badan faras-cagaarka ama U-qaabeeya
- dhirta sare ee dunta
- carrabka lagu dhejiyay dhabarka dambe ee hunguriga wuxuuna xakameyn karaa marin-haweedka si uu u neefsado neefsashada (glossoptosis)
- qiyaastii 10-15 boqolkiiba kiisaska macroglossia (carrab aan caadi ahayn), ama ankyloglossia (khudbadda afka) ayaa laga yaabaa inay joogaan
- ilko joogta ah waqtiga dhalashada iyo cilladaha ilkaha
- Cudurada dhegta badanaa
- anomalii anomalies (boqolkiiba 75 kiisaska)
- maqal la'aan (60 boqolkiiba kiisaska - sida caadiga ah)
- kantaroolka maqalka ee maqalka dibadda (naadir)
- Dhibaatooyin kale oo dhegaha ah oo ay ku jiraan cillado aan caadi ahayn oo lafaha gudaha ah, kanalka jilicsan , iyo biyaha duubista
- sanka deformities (naadir)
Dhibaatooyinkaas oo kale waqtiga dhalashada waxay badanaa keenaan dhibaatooyinka hadalka ee carruurta leh calaamadaha Pierre Robin. 10-85 boqolkiiba kiisaska kale ee calaamadaha nidaamka ayaa dhici kara oo ay ku jiraan:
- Dhibaatooyinka indhaha (hypermetropia, myopia, astigmatism, xiniinyaha nabarada, xuubka nasolacrimal)
- Dhibaatooyinka wadnaha iyo xididada waxaa lagu diiwaan geliyay 5-58 boqolkiiba kiisaska (murugada wadnaha, ductus arteriosis, shaambada foramen ovale, cilladda septal atrial and hypertension)
- Dhibaatooyinka Musqulaha waxaa si joogta ah loo xusaa (70-80 boqolkiiba kiisaska) waxaana ka mid noqon kara cudurrada, polydactyly, clinodactyly, iyo oligodactyly, naadiqaadka, isdhexgalka dheecaanka, sambabada, suuxdinta jilicsanaanta, scoliosis, kephosis, lordosis, iyo waxyaabo kale oo aan caadi ahayn ee lafdhabarta
- Noocyada aan caadiga ahayn ee habka dhexe ee dareenka ayaa lagu qiyaasay qiyaastii 50% kiisaska waxaana ka mid noqon kara: dib u dhac xagga kobcinta, dibudhinta hadalka, hypotonia, iyo hydrocephalus.
- Cilladaha Genitourinary waa kuwo aad u yar laakiin waxaa ku jiri kara tijaabooyin aan loo baahnayn, hidronephrosis ama hydrocele.
Dhacdooyinka isbarbardhigga Pierre Robin waa qiyaastii 1 ee 8500 dhalasho, oo saameeya labka iyo dheddigga. Isku xirka Pierre Robin wuxuu ku dhici karaa oo kaliya, laakiin wuxuu la xiriiraa dhowr xaaladood oo kale oo hidde ah sida: Stickler syndrome, Calaamadaha 'CHARGE', 'Shprintzen syndrom', Mobius syndrome, Trisomy 18 syndrome, Trisomy 11q syndrome, ciribtirka 4q syndrome, iyo kuwa kale.
Waxaa jira saddex aragti oo ku saabsan sababta sababa Pierre Robin. Marka ugu horeysa waa in hypoplasia mandibular ay dhacdaa inta lagu jiro toddobaadka 7-aad ee uurka. Tani waxay keenaysaa in carrabka ka maqan yahay xaydhka afka oo ka hortagaya xiritaanka qalabka isgoysyada cagaarka ah oo keenaya lakabka taranka ee U-qaabeeya. Qadar yar oo dheecaan amniotic ah ayaa noqon kara arrin.
Fikradda labaad waxay tahay in dib u dhac ku yimaado horumarinta dareemayaasha ee jilicsanaanta carrabka, tiirarka barbaarinta, iyo faleemada oo ay weheliso daahitaan ku saabsan wareegga dareemaha ee dareemayaasha. Sheekadani waxay sharraxaysaa sababta calaamado badani u xaliyaan qiyaastii 6 sano.
Qodobka seddexaad ayaa ah in dhibaatada ugu weyn ay dhacdaa inta lagu jiro horumarka taas oo keenta xinjirta rhombencephalus (hindbrain - qaybta maskaxda ee ku jirta maskaxda iyo cerebellum).
Ma jiraan wax daawo ah oo loo yaqaan 'Pierre Robin'. Maareynta xaaladda waxay ku lug leedahay daaweynta calaamadaha shakhsiga. Kiisaska intooda badan daanka hoose ayaa si dhaqso ah u koraaya inta lagu jiro sanad-nololeedka ugu horreeya ee nolosha waxayna badanaa u muuqdaan kuwo caadi ah xannaanada. Korniinka dabiiciga ah wuxuu sidoo kale daaweeyaa dhibaatooyinka hawo-mareenka (airway) ee laga yaabo inuu joogo. Mararka qaarkood hawo-mareenka (sida nasophargyngeal ama airway airway) wuxuu u baahan yahay in la isticmaalo muddo wakhti ah. Dhallaanka haweenta waa inuu hagaajiyaa qalliinka maxaa yeelay wuxuu sababi karaa dhibaatooyin quudinta ama neefsashada. Carruur badan oo leh isugeyn Pierre Robin waxay u baahan tahay daaweynta hadalka.
Xiisadda Pierre Robin ee aadka u kala duwan ayaa u dhexeeysa shakhsiyaadka qaarkood maadaama ay dadku leeyihiin kaliya dhowr calaamadood oo la xariira xaaladan, halka kuwa kalena ay yeelan karaan astaamo badan.
Calaamadaha wadnaha iyo xididada ayaa sidoo kale adkaan karta in la maareeyo marka la barbar dhigo qaar ka mid ah cilladaha muruqa ah ee la xidhiidha isdaba-marinta Pierre Robin. Daraasaduhu waxay muujiyeen in isxilqaamiye Pierre Robin, (marka xaaladdu ay dhacdo iyada oo aan jirin cillad kale oo la xidhiidha), had iyo jeer ma kordhiso khatarta dhimashada, gaar ahaan marka dhibaatooyinka nidaamka dareen-wadeyaasha aan la joogin.
> Ilo:
> Xirmada Palat Foundation. Pierre Robin Sequence. http://www.cleftline.org/parents-individuals/publications/pierre-robin-sequence/
> Medline Plus. Tirada Pierre Robin. https://www.nlm.nih.gov/medlineplus/ency/article/001607.htm
> Daaweynta Caawinta. Pierre Robin Syndrome. http://emedicine.medscape.com/article/844143-overview#a4