I-edema engeyona-fetus yimbangela yokugcina yezifo ezithile ze-intrauterine fetal, ngenxa yalokho umthamo uqoqa emithanjeni yomzimba, ukuvuvukala kwezicubu kuyenzeka, futhi ukungakwazi ukuphefumula okukhulu ukuphefumula kushesha kakhulu.
Ngesikhathi esifanayo yonke into iphela kabi kakhulu - ngamacala angu-60-80%, umphumela obulalayo kwenzeka, naphezu kwentuthuko yemithi yesimanje kanye nezindlela zokwelashwa zanamuhla.
Ukusinda kuncike esikhathini lapho umntwana ezalwa khona futhi ubukhulu bezo zifo ezandulela ukuthuthukiswa kwehla. Uma ukubeletha kuqala ekuqaleni, amathuba okuphila kwengane ancipha. Umphumela omuhle wokwelashwa kwe-fetal dropsy ongenawo umzimba kungenzeka kuphela uma ingane ihlolelwa ukuthi ingenangaphambili futhi ihlolisise isici se-fetus, esizovumela ukulinganisa ukubikezela nokuthola amathuba okutholakala kanye namasu okuphatha lesi sifo.
Izimbangela ze-fetal dropsy
Kunezimbangela ezinjalo ze-immune fetal dropsy:
- izifo zesimiso senhliziyo, ezifana nesifo senhliziyo esiswini, ukuphazamiseka kwengqondo yomzimba, izimpikiswano ze-arterio-venous, i-thrombosis engavamile;
- ukukhubazeka kwe-chromosomal: I-Down syndrome, i-triploidy, i-monosomy X (i-Shereshevsky-Turner syndrome);
- ukungajwayelekile emgodini wesifuba: umlando wesifo sofuba, isifo se-congenital lung, i-dysplasia ye-thorax;
- izifo zofuzo: i-syndromes i-Noonan, i-Pena-Choqueta, i-tanatophoric dwarfism, i-pterygium syndrome eminingi, i-achondroplasia, i-achondrogenesis, njll;
- ukutheleleka: i-syphilis yokuzalwa, i-toxoplasmosis, i-cytomegaly, i-pancarditis yegciwane
- isifo sokumpontshelwa ngamapayipi;
- i-chorioangioma ye-placenta;
- isifo se-nephrotic congenital, ukungalungi kwezinso, urethra.
I-dropsy yobuchopho ebusweni
Ama-hydrops angama-congenital yobuchopho nawo abizwa nangokuthi i-hydrocephalus. Lesi simo sibonakala ngokuqongelela ngokweqile uketshezi lwe-cerebrospinal ebuchosheni. Umkhuhlane ubeka ingcindezi ebuchosheni bomntwana, okungabangela ukuphuza kwengqondo nokukhubazeka ngokomzimba. Ngokwezibalo, cishe ingane eyodwa kwabangu-1 000 izalwa nalesi sifo. Ukulwa nesifo okudingayo ukuqala ngangokunokwenzeka. Khona-ke kukhona nethemba lokunciphisa izinkinga ezinkulu futhi zesikhathi eside.
Isimpawu esiyinhloko sokudonsa kwengqondo kuyinhloko enkulu. Ukungaboni kahle kwayo kubonakala ngemva kokuzalwa noma phakathi nezinyanga ezingu-9 zokuqala. Ukuqinisekisa ukuxilongwa, ukuskena kobuchopho, i-MRI, i-ultrasound noma i-tomography ehlanganisiwe yenziwa. Kubaluleke kakhulu ukuhlolisisa lesi sifo kuqala bese uqala ukwelashwa ekuqaleni kwesigaba sokuthuthukiswa kwayo - ezinyangeni ezintathu kuya kwezine zokuqala komntwana. Ukwelashwa kufaka ukungenelela okuhlinzekwa ukuvula i-shunt (tube) ukususa uketshezi lwe-cerebrospinal.
Izingane ezine-hydrocephalus ezibelethwe zisengozini yokuhlukumeza okuhlukahlukene. Ngokuvamile badinga izinhlobo ezikhethekile zokwelapha, njenge-physio- or therapy.