Ventriculomegaly ka fetus - He aha ka mea?

Ventriculomegaly ka fetus - mea he pathology e ia lŘlŘ ma ka ventricular'ōnaehana, pela mahuahua ai ka nui o ka kīloi paʻewa ventricles o ka lolo, akā, i ka lolo, aole ia e hoʻonui. Ma keia mai i ka nui o ke kīloi paʻewa ventricles, aka, i ko lakou laula i e mai i ka 15 mm.

Ventriculomegaly ka fetus mea e like loa kaʻawale kina, a me ka hiki ke hui me nā ike anomalies. Ua hiki no hoi ia i ke keʻena o ka chromosomal anomalies a mau malformations.

I loko o ka noiʻi ka mea i loaʻa ia ina he mea ka noho kaʻawaleʻana ventriculomegaly ka fetus, alaila, i ka pahiki o chromosomal anomalies mea me ka nui loa haʻahaʻa ma mua o ina mea ia lŘlŘ i loko o ka huipūʻana me nā loli. Nō hoʻi, i ke alapine (frequency) o ka chromosomal abnormality make hilinaʻi nui ma luna o ka laula o ke kīloi paʻewa ventricles, a me kā lākou ka ho'ēmiʻana i loko o ka pahiki o ka loaʻaʻana i kiekie ae.

Ma ka hooko ana mai akeakamai haʻawina i hookupaa i ka mea hiki wale mai o keia maʻi mea e pili ana i 0,6%. Ventriculomegaly ka fetus ua diagnosed IeAUPIIe, IAa IO ma 17-34 pule o ka hāpai keiki. Nō hoʻi, i ke kaukaʻi o chromosomal abnormalities aie a hiki i ka makahiki o ka hoomanawanui, he keiki hapai,ʻo ia me ekolu mau manawa emi paha ma mua o ka poʻe ma luna o ka 35 o kona mau makahiki.

Pela, e ka mea i loaʻa ia no ka diagnosing ventriculomegaly mea,ʻaʻole lawa ka fetus wale i ka ultrasound, he mea i pono ai no ka karyotyping ka fetus.

I Ina o ka loiloi ultrasonograph waiwai kīloi paʻewa ventricles o ka lolo ma i ka maʻi me ka nānā ', ka mea, e ia 10 mm o. Ma na hihia, ventriculomegaly ole ia akulla 'ia ma nā kahua o ka hoʻonaʻauao kakahiaka o ka hāpai keiki, a me konaʻike, Ua hiki puni ka hopena 2 - i kakahiaka nui 3rd trimester. Nō kāu, o ka awelika wā manawa i ia mea hiki i ka pololei diagnose keia anomaly mea i loko o 26 pule o ka hāpai keiki.

Ma ka hoʻokō 'miomio ultrasound prenatalʻike, ventriculomegaly mea ma kahi o 80%. Wahahee-maikaʻi hualoaʻa e pili ana i 9% o nā mea a pau i nā ana.

IeAUPIIe, IAa IO, he kauka e hāpai mai prenatalʻike, he mea hihia i loko o ka luaÿi ÿana i ke kūpono 'ana o ke keiki, ka mea i antepartum kulana kaʻawale ventriculomegaly. Na hihia i haawiia e ka'ika kaʻawale ventriculomegaly. Ka maʻamau 'ana o nā keiki i kēia anomaly mea ma kahi o 80%.

Make nei mai i kēia maʻi o ka awelika o ka ma kahi o 14%. About 80% o nā keiki i maʻamau hou 'ana, a me ka 8% he lōpū deviations, a ma kahi o 10% o ka hihia o ka loa neurological kāna hana.

Ventriculomegaly i loko o nā pēpē i, aole ia e ae, e haawi like i ka maikaʻi paha kēla o ka hou 'ana o ke keiki. O ia forecasting pono e hana loa pono, a me ka hana ana o ke ao a me Ka Ikepili o ka hopena. Ventriculomegaly keiki apono 'oe, e haawi aku i ka maikaʻi prognosis wale nō inā he mea ole, ua hui malformations i loko o ka pēpē, aia no he maʻamau karyotype, a me nāʻano ua i mālama i ka hua i loko o ka laula o ke kīloi paʻewa ventricles a me kā lākou laula aole e oi aku mamua o 15 mm. Kekahi poe akamai i manaoio ia ia mea he hoʻokahi-ala kaʻina hana hiki i oi nui neurological kāna hana i loko o? Acaeoey ke keiki ka.

Paha i ka iapaau ana ventriculomegaly prenatal hana o ka 'inikua physical moʻomeheu. Ua ua lawe mai i loko o nā kahua o ka hoʻonaʻauao, mua no 20 lā hoʻokō me ka Inc, a loaa antihypoxants, a ua laweia aku la oia i ka lua o ka wā o ka lapaʻau mai hana Inc wale nō, a me ka pulakaumaka ma ka hōʻeuʻeu, a kūpaʻa haawe ana i ka pelvic papahele nāʻiʻo i komo. Ma ke alo o fetal ventriculomegaly, lapaʻau ke hoʻomaka ka wā o ka nui o ke kīloi paʻewa ventricles o ka mea o ka 12 mm o.