Muchiwero che ultrasound kuongorora musoro we fetal, muchikwata chechipiri uye chechitatu chekuongorora, kucherechedza kunogara kuchibhadharwa nehutano hwehuropi uye ukuru hwezvinyorwa zveuropi.
Ventriculomegaly ye lateral ventricles mu fetus - chii ichocho?
Muchidimbu pane 4 ventricles yeuropi. Muhupamhi hwechichena chemhepo yehuropi kune maviri acho - inonzi lateral ventricles yeuropi, imwe neimwe iyo ine anterior, posterior uye pasi penyanga. Nekubatsira kwemaodzanyemba orifice, vanobatanidza kune chechitatu chinonzi ventricle, uye inobatanidza pipe yemvura yeuropi kusvika kuchina ventricle iri pasi pe rhomboid fossa. Chechina, uyewo, inosangana nechepakati remugero wepelinha. Iyi ihurongwa hwezvinhu zvakabatanidzwa nemidziyo ine doro. Kazhinji, uwandu hweshure huripo hweuropi hunofungidzirwa, hukuru hwahwo hunofanirwa kupfuudza 10 mm pahuwandu hwenyika. Kuwedzerwa kwevhirikiri yeuropi inonzi ventriculomegaly.
Ventriculomegaly mu fetus - zvinokonzera
Kuwedzerwa kwezvinyorwa zveuropi, kutanga kwezvose, zvinogona kuva mugumisiro wekusimudzira kusakanganiswa kwenheyo yenheyo yepamusoro (CNS). Iyo nyanzvi inogona kunge iri yoga (iyo chete inotyisa), kana kubatanidzwa nedzimwe nhengo dzenhengo dzenhengo uye zvirongwa, sezvinowanzoitika kune zvirwere zvechromosomal.
Chimwe chikonzero chinokonzerwa ne ventriculomegaly kune utachiona uye hutachiona hwehutachiona hweamai. Zvinonyanya kuipa zvirwere zve cytomegalovirus uye toxoplasmosis , kunyange zvazvo hutachiwana kana hutachiona hunoita kuti zvive nekukanganisa kwehuropi, ventriculomegaly uye hydrocephalus. Zvimwe zvikonzero zvinokonzerwa ne ventriculomegaly zvinosanganisira kushungurudzwa kune amai uye fetus.
Kuongororwa kwe fetal ventriculomegaly
Kusiyana ne fetal hydrocephalus, ventriculomegaly inoderedza mhepo yeuropiki yeuropi kupfuura 10 mm, asi pasi pemamiriyoni gumi nemashanu, nepo ukuru hwemusoro wekuberekwa hauna kuwedzera. Kuongorora chirwere chinonzi ventriculomegaly ne ultrasound, kutanga pamasvondo 17. Inogona kunge isina kuenzaniswa (kupararira kwemhepo imwe chete kana imwe yenyanga dzayo), yakasiyana-siyana isina yezvimwe zvikanganiso, kana kusanganiswa nemamwe maitiro europi nedzimwe nhengo. Nechirongwa chekutengeserana, chinokonzera chromosomal zvisiri izvo, zvakadai seA Down's syndrome, zvinowanikwa muna 15-20%.
Ventriculomegaly mu fetus - migumisiro
Kushandiswa kwemaitiro ekudzivirira mumwana muchechi ane uwandu hwemakumbo ekuzora kusvika kusvika pamamiriyoni 15, kunyanya nekurapa kwakakodzera, hazvingave nemigumisiro yakaipa. Asi kana kukura kwechiremera kunopfuura 15 mm, iyo hydrocephalus yemucheche inotanga kukura, zvino migumisiro inogona kunge yakasiyana-siyana - kubva pamagunun'una eCN congenital kusvika pakufa.
Ikare uye nokukurumidza kuwedzera kwe ventriculomegaly nekushandura kune hydrocephalus, yakaipisisa zviporofita. Uye pamberi pezvakaipa mune dzimwe nhengo, pangozi yekuva nemwana ane chromosomal isina kuchena (Down syndrome, Patau kana Edwards syndrome) inowedzera. Intrauterine fetal rufu kana kufa panguva yebasa ne ventriculomegaly inosvika 14%. Kuvandudza kwemazuva ose mushure mekusununguka pasina kushungurudza CNS zvinokwanisika chete muna 82% yevana varipo, mu8% yevana
Ventriculomegaly mu fetus - kurapa
Kurapwa kwemishonga ye ventriculomegaly inotarirwa kuderedza cerebral edema uye chiyero chemvura mu ventricles (diuretics). Kuvandudza kusadya kwehuropi hwe fetal, antihypoxants uye mavitamini zvakatemerwa, kunyanya boka B.
Mukuwedzera kumishonga yekurapa, vanaamai vanokurudzirwa kuti vapedze nguva yakawanda mumhepo itsva, kudzidziswa kwepanyama mumuviri kunoshandiswa pakusimbisa mitsipa yepasi.