Ventriculomegaly fetus - chii?

Ventriculomegaly fetus - ndiwo zvokurwara kuti rikaitika ventricular ino, nokudaro vachiwedzera ukuru lateral ventricles uropi, asi uropi asingadi kuwedzera. In chirwere ichi kukura ari lateral ventricles, asi avo upamhi kungava kusvika 15 mm.

Ventriculomegaly ari mudumbu kwakafanana zvachose yoga kuremara, uye dzinogona kubatanidzwa nezvimwe kuvazivisa anomalies. Zvingavawo varimowo muboka revaya chromosomal anomalies uye vakawanda malformations.

Panguva tsvakurudzo zvakanzi vakawana kuti kana pane yoga ventriculomegaly fetus, ipapo ndingangokuvara chromosomal anomalies zviri kuvatumwa kana kunoitika pachiimbwa nemamwe kuchinja. Uyewo, kakawanda kuti chromosomal abnormality vanoratidza kunotsamira upamhi lateral ventricles, pamwe rutapudzo vavo ndingangokuvara vasabatwa kunova yepamusorosoro.

Paaiita zvidzidzo zvesayenzi yakasimbiswa kuti kuitika chirwere ichi anenge 0,6%. Ventriculomegaly mwana asati azvarwa chirwere kazhinji pane mavhiki 17-34 akazvitakura. Uyewo, kuti nedoro kuti chromosomal abnormalities nokuda makore murwere, rimwe jaya pamuviri, vaanosangana katatu kashoma kupfuura avo pamusoro 35 okuberekwa.

Saka, zvino vakawana kuti nokuda diagnosing ventriculomegaly ari mudumbu hakuna kukwana chete Ultrasound, pane kudiwa karyotyping azvarwa.

Kana rinovharidzira ultrasonograph ukoshi lateral ventricles uropi umo hosha iri kwatemwa, chinofanira kuva 10 mm. Muzviitiko zvakawanda, ventriculomegaly haana kuona ari tanga pamuviri, uye ayo chirwere zvinogoneka kumativi mugumo 2 - mangwanani 3rd trimester. Kazhinji, paavhareji nguva apo zvinokwanisika zvakarurama rokuongorora anomaly uyu mukati memasvondo 26 akazvitakura.

In kuitisa zvakarurama Ultrasound pamuviri chirwere ventriculomegaly anenge 80%. Chenhema-nemigumisiro yakanaka ndivo vanenge 9% vose kuongorora.

Kazhinji, chiremba uyo anoita pamuviri nechirwere, pane nematambudziko vachifanotaura kukura mwana, akanga antepartum ezvinhu yoga ventriculomegaly. vari nyaya dzakadaro kurehwa nomwero voga ventriculomegaly. The chakaipa kukura vana vane anomaly uyu anenge 80%.

Rufu kubva chirwere ichi ndicho avhareji vanenge 14%. About 80% vana vane vakakwana pakuzadzisa, uye 8% aiva nomwero zvarakasiya uye vanenge 10% dzokushungurudzwa kwevana kwakakomba chetsinga zvirwere.

Ventriculomegaly vachangoberekwa haabvumiri kupa chaizvo akanaka for the pakuzadzisa mwana. kufungidzira kwakadaro kunofanira kuitwa nokungwarira zvikuru, uye maitiro kudzidza uye kuongorora nemigumisiro. Ventriculomegaly achangoberekwa unokubvumira kupa zvakanaka fungidziro chete kana pasina malformations yaisanganisa ari mwana, pane zvinoitika karyotype, uye simba haasi kuchengetwa kuwedzera upamhi lateral ventricles vavo upamhi hazvirevi pfuura 15 mm. Dzimwe nyanzvi dzinodavira kuti chinhu chimwe-nzira muitiro unogona kukonzera zvikuru chetsinga nepfungwa iri kwomwana.

Zvichida kurapa ventriculomegaly pamuviri maitiro zvokurapa chaiko tsika. Voitakura kunze mumatanho maviri, kutanga kwemazuva 20 vaiita maekisesaizi kurapa uye akagamuchira antihypoxants, uye nguva mishonga wechipiri rinoitwa chete kuratidza kurapa, riine simbisa simba uye kunofambira mberi mutoro kune pelvic pauriri tsandanyama pamwe yokupindira. In pamberi fetus ventriculomegaly, kurapwa kunogona kutanga kana ukuru lateral ventricles ari Unorudzi 12 mm.