I-Ventriculomegaly ebusweni

Ekuhlolweni kwe-ultrasound yekhanda le-fetal, ekuhloleni kwesibili nokwesithathu kokuhlola, ukunakekelwa njalo kukhokhwa kwisakhiwo sobuchopho nobukhulu be-ventricles yobuchopho.

I-ventriculomegaly ye-ventricles lateral ebusweni - kuyini?

Esikhathini evamile kukhona ama-ventricles angu-4 obuchopho. Ebumnyameni bezinto ezimhlophe zobuchopho kukhona ezimbili zazo - izingxenyana zokucubungula zobuchopho, okuzo zonke izimpondo ezingemuva, eziphambene nokuphansi. Ngosizo lwama-orifice angenelela, axhuma kwi-ventricle yesithathu, futhi uxhuma ipayipi yamanzi ebuchosheni kuya kwe-ventricle yesine etholakala ngaphansi kwe-rhomboid fossa. Okwesine, futhi, ixhunywe emgodini ongaphakathi womgogodla. Lena uhlelo lwezinto ezixhunyiwe ezinotshwala. Ngokuvamile, ubukhulu bezingqimba zangasese zobuchopho bulinganiswa, ubukhulu bawo abufanele bude ngaphezu kwe-10 mm ezingeni lezintambo. Ukwandiswa kwe-ventricles yobuchopho kubizwa ngokuthi i-ventriculomegaly.

I-Ventriculomegaly ebusweni - izimbangela

Ukwandiswa kwe-ventricles yobuchopho, okokuqala, kungabangela ukungajwayelekile kokuthuthukiswa kwesimiso sezinzwa zomphakathi (CNS). I-vice ingaba yodwa (isimiso sezinzwa kuphela), noma ihlanganiswe nezinye izinkinga zezinhlelo nezinhlelo, njengoba kuvame ukubhekana nezifo ze-chromosomal.

Esinye imbangela evamile ye-ventriculomegaly yizifo ezibangelwa amagciwane kanye nezifo ezincane ze-mother. Okuyingozi kakhulu ukutheleleka kwe-cytomegalovirus kanye ne- toxoplasmosis , nakuba noma yiliphi igciwane noma i-microbe lingabangela ukukhubazeka kokuthuthukiswa kobuchopho, i-ventriculomegaly ne-hydrocephalus. Izimbangela ezikhona ze-ventriculomegaly zihlanganisa ukuhlukunyezwa kumama kanye nesisu.

Ukuxilongwa kwe-ventriculomegaly yesisu

Ngokungafani ne-fetus hydrocephalus, i-ventriculomegaly iyancipha ama-ventricles ebuchosheni angaphezu kuka-10 mm, kepha ingaphansi kwe-15 mm, kanti ubukhulu bekhanda le-fetal alukhuphuki. Ukubona i-ventriculomegaly nge-ultrasound, kusukela ekuqaleni kwamasonto angu-17. Ingaba yodwa engavamile (ukwanda kwe-ventricle eyodwa noma enye yezimpondo zayo), ihlukaniswe ngokulinganayo ngaphandle kwamanye amaphutha, noma ihlanganiswe nezinye izinkinga zobuchopho nezinye izitho. Nge-ventriculomegaly eyingqayizivele, ukungahleleki kwe-chromosomal, okufana ne-Down's syndrome, kwenzeka ngo-15-20%.

I-ventriculomegaly emndenini - imiphumela

I-ventriculomegaly ejwayelekile emntwaneni ophethe ubukhulu bama-lateral ventricles afinyelela ku-15 mm, ikakhulukazi ngokuphathwa ngendlela efanele, kungenzeka ukuthi abe nemiphumela emibi. Kodwa uma usayizi we-ventricular udlula u-15 mm, i-hydrocephalus yesisu iqala ukukhula, khona-ke imiphumela ingase ihluke kakhulu - kusukela ezigungwini ze-CNS ezifakwe esibhedlela kuze kube sekufeni.

Ukukhula kokuqala kwe-ventriculomegaly kanye nokusheshisa ngokushintshelwa kwe-hydrocephalus, kubi kakhulu ukubikezela. Futhi lapho kukhona izinto ezimbi kwezinye izitho, ingozi yokuba nengane engavamile (i-Down syndrome, i-Patau noma i-Edwards syndrome) iyanda. Ukufa kwe-fetus noma ukufa ngesikhathi sokubeletha nge-ventriculomegaly kufinyelela ku-14%. Intuthuko evamile ngemuva kokubeletha ngaphandle kokuphazamisa i-CNS kungenzeka kuphela kuma-82% wabantwana abasinda, ku-8% wezingane kukhona ukuphazamiseka okuncane kusuka ohlelweni lwezinzwa, futhi ukuhlukunyezwa okukhulu ngokukhubazeka okukhulu kwengane kutholakala ku-10% wezingane ezine-ventriculomegaly.

I-ventriculomegaly emntwaneni - ukwelashwa

Ukwelashwa ngokwemithi ye-ventriculomegaly kuhloswe ukunciphisa i-edema ye-cerebral kanye nenani lamanzi ema-ventricles (i-diuretics). Ukuthuthukisa umsoco we-brain fetal, ama-antihypoxants namavithamini amisiwe, ikakhulukazi iqembu le-B.

Ngaphandle kokwelashwa okwelashwa, omama batuswa ukuba bachithe isikhathi esiningi emoyeni omusha, ukuqeqesha ngokomzimba okuhloswe ukuqinisa imisipha yegumbi lomzimba.