Hyperechoic pulakaumaka i loko o ka ventricle hema o ka fetal naau:ʻike,,, lalau mai

I loko o ka lua o ka oaeouee? Ultrasound ua pinepine 'akomi i hyperechoic pulakaumaka i loko o ka ventricle hema o ka fetal naau. Kēia inclusion He He uuku wahi - he hou chord a aole e hapai i kekahi 'ino i ke keiki, akā, ma luna o ke kūlana i luna mai ka alo o ka chromosomal abnormalities.

hō'ikeʻanoʻike,

I wahi o ka IIeEeAIEUAA wahi ua 'akomi i sila naʻau'aʻaʻa, ka mea hiki ke kena ae la ia e:

• paʻakai palapala moʻopane;
• i ke alo o ka maʻi i loko o ka chromosome 'ia paha;
• i ke alo o nā chords, a 'aʻole i pili i ka piha functioning o ka naau.

Inā ke kumu e kena ae i ka helehelena o ke keʻokeʻo wahi i loko o ka naʻau lua, he nui ka nui o ka paʻakai, laila, ma ke kolu o ka trimester ia nalo, a aole e hapai i kekahi hopena no ka fetus. ʻO ia pili i ka chord, ka mea hiki i ka'ōhumu aku i ka kekahi elemakule (ana e paa ana ia i ka 2-3 makahiki) naau a nalo mua hanau. Ma kekahi hihia, ina ia mea loaʻa, oe e mau nānā i ke keiki ka cardiologist.

Ka pilikia mea wale nō i kaʻike, i loaʻa i loko o ka hui pu ana me ka chromosomal abnormalities. Ma keia hihia, o ka hoailona infarction hāpai i ka pilikia no ke keiki ka ola.

Hyperechoic pulakaumaka i loko o ka ventricle hema o ka fetal naʻau ke hōʻike i ke alo o ko Down ka maʻi pale ina i hōʻike 'i ka hapai'āno'ē chromosomal hōʻailona i ke Ka Ikepili o ke koko.

I ka manawa o ka fetal Kal hiki ke hoolohe

Heart Bookmark e kau mai maluna o ka hebedoma ha o ka hāpai keiki. I loko o ka pule ia mea hiki ke huai ae myocardial contraction ma transvaginal ultrasound. Ultrasound keia hookolokolo ana o abdominal mīkiniʻimi i paa i ka walu o ka hebedoma. Inā keia makahiki i contractile keʻano o ka hanaʻana o ka myocardium, e mea hiki ke manao nei makou, o ka mae wale ana o hāpai keiki.

Ma hope o ho okumu i ka Pauma me ke alapine (frequency) o 110-130 kui iho oe a, alaila, i ka heluʻia me ka nui loa mahuahua i 170-190 (piko i ewalu pule), a ma hope o ka naau kui iho oe a o ka fetus hou hoemi i 120-160 no minuke, a i ole hoʻololi kokoke mua haawi.

Listen e Kal ma ka stethoscope hoʻohana mea hiki i ka hebedoma iwakalua wale, ia mea loaʻa wale nō ma ka hoao ana i kahuna lapaau. Iho e hoolohe i ka pepehi ana naʻau o ke keiki, e hiki i i ka hebedoma kanakolukumamaiwa.

ʻike, GEFa

I ka loaʻa mai o ka maʻi pale o "kolepa poepoe" ua lawe mai ma ka ultrasound. Ma hope o ia, ia mea i makemake loa ia e kipa i nā 3D ultrasound, a me ke kahuna lapaau e hoʻohuli i ka hapai fetal echocardiography. keia like loa mau hoakaka:

• hapai na wahine kahiko, ma 35 makahiki;
• ina i kakahiaka hāpai keiki i ka makuahine, ua infectious mai;
• ma ke alo o ka hapai wahine (a hanauna), naau maʻi paha mimikō;
• ma hope o ka hōʻike ana i ka pae 'ultrasound abnormalities i loko o ka naʻau;
• lagging fetal kūpono 'ana a me kona nui;
• ka loaʻaʻana o nā hōʻailona hōʻike o ke chromosomal kāna hana.

Hyperechoic pulakaumaka i loko o ka ventricle hema o ka fetal naau hiki ke nānā 'ia ai ma ka mea o ka echocardiography i loko o ke au o 18-28 pule, a laila, hoʻomaka i ka piha keia hookolokolo ana e ole e hiki, me he keiki nui like' ole, uaʻoi aku ko lākou nui, e qualitatively ninaninau i ka nui a me ke ano o kona naau.

Kūmau me ka echocardiography

Iloko o ka hōʻike, ka mea ana mea a pau i ka cavities o ka naau. Maʻamau, i kēia mau kumu e ia i loko o ka laulā:

• Pono ventricular lōʻihi - 0,5-1,75 knm;
• ka laula o ka akau ventricle - 0.4-1.1 knm;
• hema ventricular lōʻihi - 0.9-1.8 knm;
• ka laula o ka hema ventricle - 0,44-0,89 knm;
• ka lākiō o ka hema ventricle ma ka akau laula - 0,45-0,9 knm;
• i ka waha o ka aorta - 0,3-0,52 knm;
• i ka waha o ka pulmonary artery - 0.3-0.5 knm;
• mitral orifice - 0,35-0,6 knm;
• tricuspid orifice - 0,3-0,63 knm;
• helu o Kal - 140-160 mokomoko ana i / minuke.

I ka nui o ka fetal naau i kona mau mea kiko'î a me ka mea me ka nui loa okoa mai ka makua nui, e like me na nā loko a pau o ke kino hoʻopili like i ka nui. Pathology o ka naau a me keia anamanaʻo hōʻike ka manawa, no laila, mai hopohopo e pili ana i ka nele o ka professionalism uzist ina ole i kaʻike, i hoopaa, a me ka kauka i olelo mai ia ia, aole ia e ho oweliweli i ka hoʻoweliweli 'ana i ke keiki.

He aha e e hana i loko o nä GEFa

GEF i loko o ka naʻau o ka fetus koi ke kauka o ka manawa i oleloia ai hoʻopaʻa 'hou ana. Mau nā:

• Ultrasound me Doppler kamaiki naau;
• CTG (cardiotocography);
• 3D a 4D ultrasound.

Inā lawe mai PalekanaEND_LINK ki ina hana like i ole hōʻole i ke alo o abnormalities o ka naau ( 'o ia hoʻi, ka wā he mea'āno'ē koko hōʻailona a me ultrasound hoʻopaʻa kēia mau symptoms), ka mea, ua waiho, e kipa i ka geneticist.

Kēia like He He loa ka hoʻokahuli, no ka mea, hāpai i ka nui pilikia o miscarriage a hāpai keiki mae wale. No laila, e lawe mai mea hōʻikeʻikeʻuʻuku o ka paila koko a amniotic loli mea e pono ai wale nō i loko o loa hihia.

Pathology o ka naau i e liʻiliʻi, alaila, ua i kuhikuhi ia ia i kekahi mea pepehi weliweliʻike, ke kauka-geneticist. Naʻe, ina o kaʻike, ua hookupaa iho la ia ma ka buke ultrasound mea pono e kukakuka me ka 'oihana no ka p ÷ ino o ka GEF no ke ola o ke keiki.

Hyperechoic pulakaumaka i loko o ka ventricle hema o ka fetal naau: mea, lalau mai

Ka muli o echogenic pulakaumaka i loko o ka naʻau o ke keiki i ia i ka hopena o ka mineralization o na moku o ka naau Muscle, o ka naau o kanaka hiʻona (no ka i nā paku i loaʻa i loko o ka naʻau i loko o ka palapala o ka liʻiliʻi chord) a chromosomal abnormalities, e like me Down ka maʻi pale.

I ka hua o ka pule ua ulu loa e hoʻokēʻai ai, a me ka hiki hou maemae kona kino a me ka nui kino nenoai. no ke aha la oe i pono, e mau kanaka hoʻoponopono i ke ano o ka fetus, a e ae manawa e huai ae hiki pilikia a me ka hooulu ana a me ka pale ia ma mua o nā symptoms mua ia mea.

Ma ke alo o pathological chromosomal hōʻailona i loko o ke koko o ka makuahine i ke keiki i developmental abnormalities definitively hookupaa iho la ia. Ma kēia hihia, na makua pono e hana i ka hoʻoholo 'ana ma luna o ka pono no nā ka nānā' ana a me abortion.

Nā hopena no kaʻike, ke keiki ka

Maʻamau, ka mea hou chord o ka ventricle hema i loko o ke keiki nalo ma ka pau ana o ke kolu o ka trimester, akā, ka mea hiki ke kai piha no hoi ia ma ka naau o ka wa e ola ana me ka incurring ola ka pilikia. Ua nele i ka ike, a, ina he pono, hai aku i nā keiki i ka pediatrician, no ka Papa Hana hoʻoneʻe 'ia paha i ka misdiagnosis ku i ke alo o ka ohumu naau.

Ua Ua hoi pono ia e kakau ma ka pediatric cardiologist a mau hookolokolo aku la ia no ke alo o ka maʻi. E like me ka mau rula, i ka makahiki ekolu i loko o ke keiki nalo i kekahi hoailona o ka inclusion i loko o ka naʻau Muscle, oiai ke kauka i ka hopena e pili ana i ka kāpae ola o ke keiki.

E au hopohopo e pili ana i kēiaʻike,

E like me ka rula, hyperechoic pulakaumaka i loko o ka ventricle hema o ka fetal naau aole e hapai i pilikia no ke keiki. Ma hope iho o ka hanau ana, a oaeouee? Ninaninau ma kekahi kauka,ʻaʻole hiki ke 'akomi i loko o na keiki i ole deviations mai ke kūmau e hiki nīnūnē liʻiliʻi wale nō kani i loko o ke alo o ka hou chord.

A hiki i ke keiki kīnā i ka makahiki o ka 2-3 mahina, no ka maluhia nui o ka manao na makua e hana i ultrasound o ka naau, ma ka mea a na Ana a pau o cavities a me ka nohona kiwikā lua i hōʻike 'ia i loko o au mamuli, o ka helu o nā chords a me ka nohona ma mea'ōnaehana mānowai koko kahua. Ma ka hopena, i kaʻike, e ke kākau ma luna o ka naʻau ola a me ka makahiki piha kaʻaeʻana hiʻona (IeAUPIIe, IAa IO mai i kekahi makahiki i loko o nā keiki i loaʻa i ka hamama ka'ololaha window).

Wale nō i loko o ka uuku pakeneka o ka hihia, me ka hou chord o ka ventricle hema i loko o ke keiki ke alakai i ka naau maʻi 'ole' ē aʻe pathologies. Akā, i kēia mea,ʻaʻole lawa no ka i ka maʻi pale o "golfnogo Ball", e pono e hoomaopopo aku i ka kiko'ī pilikia ma mea hōʻikeʻikeʻuʻuku o amniotic loli a me ke koko, mai ka piko ma hope o kaʻike, a me ke alo o'āno'ē koko hōʻailona e hoike ana i ke alo o ka chromosomal abnormalities i loko o ka fetus.