Hyperechoic nezvemabatiro rworuboshwe ventricle zviri fetus mwoyo: nechirwere, zvinokonzera

Panguva dzose Ultrasound wechipiri rinowanzoshandiswa dzakaonekwa hyperechoic nezvemabatiro rworuboshwe ventricle zviri fetus mwoyo. Ichi usanganidzo duku pfungwa - wokuwedzera nevaya usingabereki kutakura zvakaipa kuti mwana, asi ndokunge warambidzwa kuvapo chromosomal abnormalities.

Description kuongorora chirwere

Panzvimbo localization pfungwa iri dzakaonekwa chisimbiso mwoyo rinenge rinogona kukonzerwa:

• munyu deposition;
• kuvapo chirwere muna chromosome yakatarwa;
• kuvapo dzimwe chords or the chisingazivi kukanganisa zvizere kushanda mwoyo.

Kana chikonzero kuti akakonzera pakuonekwa chena pfungwa mumwoyo mhango, yakawanda munyu, zvadaro trimester rechitatu haarambi uye haabati chero yakaipa kuti azvarwa. Izvi zvinoshandawo kune Chord, zvinogona kukonzera mwoyo kutsutsumwa kuna rimwe zera (kazhinji rakaitwa makore 2-3) kana haarambi asati aberekwa. Chero zvazvingava, kana ichiwanika, unofanira kugara kuzoongorora mwana cardiologist.

The ngozi ndiyo chirwere kuwanikwa akabatana chromosomal abnormalities chete. Panyaya iyi, chisimbiso infarction kutakura ngozi upenyu hwomwana.

Hyperechoic nezvemabatiro rworuboshwe ventricle zviri fetus mwoyo unogona kuratidza pamberi Down kuti urwere kana pamuviri zvemamiriro chromosomal zvezvinangwa vaizivikanwa panguva Kuongororwa kweropa.

At nguva chii ari fetus kwemwoyo vangateererawo

Heart Bookmark weveta vhiki rechina pamuviri. Muvhiki imwe zvinokwanisika kuona myocardial marwadzo nokuda transvaginal Ultrasound. Ultrassom kuongorora abdominal Switch vangarega vhiki rechisere. Kana iri izwi pasina contractile pezvakaitwa pamusoro myocardium, zvinokwanisika kuti titi rinooma akazvitakura.

Mushure akaita mwoyo anorova ane kakawanda 110-130 anorova, ipapo nhamba iri yekudyidzana chakawedzera kusvika 170-190 (nhamba pa kwemavhiki masere) uye pashure mwoyo anorova ari mudumbu zvakare wakaderedzwa kusvika 120-160 paminiti uye haana kushanduka kushanda pamberi pakukurukura.

Inzwai kwemwoyo achishandisa stethoscope kushandiswa zvinogoneka chete pamwe maviri vhiki, ichiwanika chete kuvarapi ruzivo. Pachako uchiteerera kurova mwoyo womwana, unogona kuva panguva ramakumi matatu vhiki.

kuongorora chirwere GEFa

Yawanikwa urwere pakati "gorofu bhora" iri kuitwa Ultrasound. Pashure paizvozvo, zviri chinodiwa kushanyira mimwe 3D Ultrasound, uye chiremba anogona kureva munhu pamuviri fetus echocardiography. Kudzidza uku anowanzodanwa ushandiswe:

• Vakadzi vane pamuviri vane makore anopfuura makore 35;
• kana ari mangwanani pamuviri amai vaiva zvirwere;
• pamberi mukadzi pamuviri (kana hama), mwoyo chirwere kana chirwere cheshuga;
• pashure audza yakarongwa Ultrasound abnormalities mumwoyo;
• lagging fetus uye ukuru hwaro;
• kuziva miedzo zvezvinangwa anoratidza chromosomal zvirwere.

Hyperechoic nezvemabatiro rworuboshwe ventricle zviri fetus mwoyo zvinogona iongororwe pachishandiswa echocardiography munguva vhiki 18-28, ipapo kuitisa kuongorora zvizere havazokwanisi, sezvinoita mwana hukuru zvokuti guru kuongorora qualitatively kukura uye mwoyo wake.

Norm pamwe echocardiography

Munguva bvunzo, nokuyerwa zvose in nomwoyo. Kazhinji, prices izvi zvinofanira kuva siyana:

• Right ventricular kureba - 0,5-1,75 cm;
• upamhi rworudyi ventricle - 0.4-1.1 cm;
• rworuboshwe ventricular kureba - 0.9-1.8 cm;
• upamhi rworuboshwe ventricle - 0,44-0,89 cm;
• nhamba rworuboshwe ventricle kurudyi upamhi - 0,45-0,9 cm;
• muromo yeropa - 0,3-0,52 cm;
• muromo pulmonary tsinga - 0.3-0.5 cm;
• mitral orifice - 0,35-0,6 cm;
• tricuspid orifice - 0,3-0,63 cm;
• Nhamba heartbeats - 140-160 anorova / miniti.

Ukuru fetus mwoyo ine parameters ayo uye yakasiyana imwe saizi mukuru, sezvo vose nhengo dzomuviri dzinoenderana kukura. Zvokurwara mwoyo ne ongororo iyi inoratidza nguva dzose, saka musafunganya pamusoro kushaya professionalism uzist kana nechirwere haina yasimbiswa uye chiremba anoti hazvina vangangokukuvadza mwana.

Chii chinofanira kuitwa panoongororwa GEFa

GEF mumwoyo fetus zvinoda chiremba agadzwa yakarongwa dzokuwedzera kuongorora. Idzi dzinosanganisira:

• Ultrassom pamwe Doppler mwana mwoyo;
• CTG (cardiotocography);
• 3D kana 4D Ultrasound.

Kana akaita chirwere nzira nekusaramba kuvapo abnormalities kwomwoyo (kureva, kana paine kanganisika zvezvinangwa ropa uye Ultrasound akasimbisa zviratidzo izvi), Zvinokurudzirwa kuzoshanyira geneticist.

Kudzidza uku Idanho rinokosha zvikuru, nokuti anotakura mukuru pangozi nokupfupfudzika kana pamuviri wasvava. Naizvozvo, kuti tiite zvakabudiswa pakati tambo ropa kana Líquido mvura kunokosha chete muzviitiko.

Zvokurwara mwoyo ungava diki, ipapo chiremba-geneticist haisi yakanangana chirwere kwakadaro ngozi. Zvisinei, kana nechirwere kunosimbiswa iri vhoriyamu Ultrasound zvakanakisisa kubvunza nyanzvi nokuti njodzi iri GEF upenyu mwana.

Hyperechoic nezvemabatiro rworuboshwe ventricle zviri fetus mwoyo: zvinokonzera

The kwaita echogenic pfungwa mumwoyo womwana kungava mugumisiro mineralization rwengarava kwomwoyo tsandanyama, mwoyo nomunhu chinhu (nokuti izvo zvimwe partition yakawanikwa mumwoyo ari muchimiro Chord duku) kana chromosomal abnormalities, akadai Down kuti syndrome.

Chibereko vhiki iri kukura tichitsanya chaizvo, uye kunyange zvakawanda ndarama muviri wake uye zvinokosha muviri enyika. Ndokusaka unofanira kugara kuongorora mamiriro ezvinhu mudumbu, izvo zvichaita kuti nguva kuziva matambudziko zvinogoneka kukura kana kwakavatadzisa kutangira zviratidzo.

In pamberi pathological chromosomal zvezvinangwa muropa amai kuti mwana ane zvokukura abnormalities zvakajeka nekusimbiswa. Muchiitiko chino, vabereki vanofanira kuita chisarudzo pamusoro kudiwa mamwe inspections kana pamuviri.

Migumisiro nokuti mwana wacho zvokuongorora

Kazhinji mamwe nevaya pakati ventricle kuruboshwe ari mwana haazombotaurwi pakuguma wechitatu trimester, asi rinogonawo riri mumwoyo hwose pasina kumutsa utano pangozi. Izvi vanoda kuziva uye, kana zvakakodzera, udza vana chiremba, nekuti Kuteera kazhinji misdiagnosis nokuda kuvapo mwoyo kutsutsumwa.

Zvinonzi Dzakamukurudzirawo inyoreswe panguva chiremba cardiologist uye aigara amutsvaka kuvapo chirwere. Kazhinji, makore matatu ari mwana kunyangarika chero chiratidzo unyorwe mwoyo tsandanyama, apo chiremba anoita mhedziso pamusoro utano nemhedziso mwana.

Ndinofanira kunetseka kuongorora chirwere ichi

Kazhinji, hyperechoic nezvemabatiro rworuboshwe ventricle zviri fetus mwoyo haabati ngozi nokuda mwana. Aberekwa uye purogiramu kuongororwa nachiremba haagoni kuonekwa mune vana havasi zvarakasiya kubva ndozvakajairwa zvinobvira chete zviduku ruzha pamberi zvimwe nevaya.

Apo mwana anotanga makore 2-3 mwedzi, nokuti mukuru rugare rwepfungwa vabereki vanogona kuita Ultrasound mumwoyo, umo vose kukura in uye maburi vharafu vanoonekwa zvizere, uwandu zvimwe chords or the uye uchitikurudzira kumwoyo. Mukupedzisira, nechirwere achanyorwa pamusoro mwoyo utano uye zera zvizere abvume zvinhu (kazhinji kusvika gore rimwe vana vakawana rakazaruka denderedzwa hwindo).

Chete chikamu chiduku zviitiko, mamwe nevaya vane ventricle kuruboshwe ari mwana kungaita kuti mwoyo zvirwere kana zvimwe pathologies. Asi ichi hachisi kukwana chokuziva chirwere kuti "golfnogo Ball", unofanira kusimbisa chaiyo ngozi kuburikidza zvakabudiswa Líquido mvura kana ropa kubva achiine rukuvhute tambo pashure nechirwere uye kuvapo zvemamiriro ropa zvezvinangwa zvichiratidza chromosomal abnormalities ari mudumbu.