Ventriculomegaly-fetus - kuyini?

Ventriculomegaly-fetus - kuyinto zokugula ukuthi kwenzeka ohlelweni ventricular, ngokwenza kanjalo wandise usayizi lateral ventricles zobuchopho, kodwa ingqondo ayikhuphuki. Kulesi isifo usayizi we ventricles lateral, kunalokho ububanzi yabo kungaba kufika ku-15 mm.

Ventriculomegaly-fetus kufana isici awavikelekile neze, futhi kungenziwa kuhlangene nezinye anomalies aziwayo. Ingase futhi kube ingxenye anomalies chromosomal futhi kombungu amaningi.

Phakathi nocwaningo kwatholakala ukuthi uma kukhona ventriculomegaly angawodwa ezingenzeka embungwini, ke ematfuba anomalies chromosomal kakhulu ngaphansana uma kwenzeka ngokuhlanganyela nezinye izinguquko. Futhi, ukuvama chromosomal angahlangani isibonisi kuxhomeke ububanzi ventricles lateral, nge ukunciphisa yabo ematfuba ukuthola iba ephakeme.

Lapho efeza izifundo zesayensi batholé ukuthi izigameko lesi sifo imayelana 0.6%. Ventriculomegaly-fetus sitholakale ngokuvamile uma sebehlanganisa amasonto angu 17-34 yokukhulelwa. Futhi, ukwencika chromosomal kwezinso ngenxa yobudala isiguli, abakhulelwe abasha, ahlangana kathathu mancane amathuba kunalawo engaphezu kwengu-35 ubudala.

Ngakho, manje-ke yathola ukuthi ekuxilongeni ventriculomegaly-fetus akwanele kuphela ultrasound, kukhona isidingo karyotyping umbungu.

Endabeni ka Ukuhlolwa ultrasonograph ukubaluleka ventricles lateral zobuchopho lapho lesi sifo kunqunywa, kufanele kube 10 mm. Ezimweni eziningi, ventriculomegaly ayitholiwe kusaqalwa yokukhulelwa, futhi uphethwe yayo kungenzeka emhlabeni ekupheleni 2 - ekuqaleni senyanga 3rd. Ngokuvamile, isikhathi isilinganiso phakathi nalapho kungenzeka ukuxilonga ngokunembile lokhu anomaly luphakathi amasonto 26 okukhulelwa.

Ekuqhubeni ngokunemba ultrasound ukuxilongwa kokubeletha ventriculomegaly imayelana 80%. Imiphumela Amanga-HIV amayelana 9% kubo bonke survey.

Ngokuvamile, udokotela ubani okhipha ukuxilongwa okufanele kwangaphambi kokubeletha, zikhona nobunzima e ukubikezela ekukhuleni kwengane, okwadingeka isimo antepartum ventriculomegaly angawodwa. Ezimweni ezinjalo zibizwa ungamele ventriculomegaly angawodwa. Ukuthuthukiswa evamile izingane nale anomaly imayelana 80%.

Nokufa kusukela lesi sifo yisilinganiso sesifundo mayelana 14%. Mayelana 80% izingane evamile ukuqhubeka, u-8% kwadingeka ngeziphambeko nokulinganisela mayelana 10% of the amacala iziyaluyalu okwedlulele zezinzwa.

Ventriculomegaly e izinsana ayikuvumeli ukunikeza ncamashi isibikezelo evumayo of the ukuqhubeka ingane. ukubikezela ezinjalo kumele kwenziwe ngokucophelela, futhi ukuziphatha cwaningo kanye nokuhlaziywa imiphumela. osanda kuzalwa Ventriculomegaly ikuvumela ukunikeza Izibikezelo omuhle kuphela uma kungekho kombungu elihlangene e ingane, kukhona karyotype evamile, futhi Dynamics akuyona baphawula ukwanda e ububanzi ventricles ezilingene ebubanzini nasekujuleni kwazo ingeqi 15 mm. Abanye ochwepheshe bakholelwa ukuthi kuyinqubo eyodwa kungabangela iziyaluyalu ezinkulu nakakhulu zezinzwa e ekukhuleni kwengane.

Mhlawumbe ukwelashwa ventriculomegaly ukuziphatha kokubeletha zesiko ngokomzimba wezokwelapha. It wenziwa ngezigaba ezimbili, okokuqala izinsuku ezingu-20 kwenziwa yokwelapha umsebenzi futhi wathola antihypoxants, kanye inkathi sesibili sokwelashwa Kwenziwa kuphela umzimba, okugxile umthwalo ashukumisayo futhi static ukuze imisipha floor kwezitho zangasese kanye ukuzibandakanya. Ephambi kwezinduna ventriculomegaly fetus, impatho usungaqala lapho ubukhulu ventricles lateral komyalelo wokungabi 12 mm.