Amathumbu angama-hyperechogenous fetus: yintoni na?

Ukulinda umntwana ngenye yezona zihlandlo ezivuyisayo kwaye zinandiphayo ebomini bomfazi, okhe, ngelishwa, ihlala ihamba kunye neengxaki zesimo somzimba womama okanye i-fetus. Enye yezilwanyana ezinjalo ziyi-gutera e-hyperechoic ebusweni.

Ukwenyuka kwe-echogenicity kubonisa ukuqokelela kwama-fecal masses, oku kubonakala kuphela ngovavanyo lwe-ultrasound. Ukuba ufumene umqondiso, ugqirha okanye yena ngokwakhe uqhuba uviwo olunzulu lwe-fetus okanye, ngokubhetele nangaphezulu, uqondisa isigulane kwimfuza. Yaye ukuba "intlungu yesifo" ifunyanwe kwi-fetus, izizathu ziya kucaciswa kwizinga le-chromosome.

Iinkqubo zokufumana isifo

Usuku emva kwemini, ixesha ngaphambi kokuba intlanganiso kunye nosana iyancitshiswa, kwaye ekukhulelweni konke, unina uphatha ngokucophelela umntwana wakhe. Xa kuqeshwe oogqirha kunye nokuzinzisa kwabo, i-ultrasound kunye nezinye iimviwo zenziwa ukuba zichonge naziphi na iziphene ekuphuhlisweni komntwana ngexesha lomhla wokuqala kunye nokuthatha amanyathelo okulungisa isimo. Sekudlulileyo kwiiveki ezingama-6 ukuya ku-8 ukuya kwintsholongwane yomntwana kubonakala, kodwa ngelixa lingaphandle kwesigumbi esiswini. Uphuhliso olusebenzayo lomzimba luqala emva kweveki ye-12 yokukhulelwa.

Oomama abaninzi, ngenxa yokungabi nonyango kwezemfundo, abazi ukuba yintoni intombazana engumntwana, kwaye baqala ukuxhalabisa kakhulu uphuhliso kunye nobomi bomntwana ongakazalwa. Izizathu zela mava zininzi, ukuba ukuxilongwa kuqinisekiswa. Kodwa ukuze ubeke, kufuneka uviwo olubanzi, enye i-ultrasound ayanele. Kungenzeka ukuba le ntsholongwane iya kugqitywa yodwa.

Ubani umathumbu we-hyperechoic?

Ngokuqhelekileyo ukuxilongwa okunjalo kunokuhanjiswa kubantwana abaphilileyo, kwaye ukuqinisekisa ukuchaswa okanye ukuphikisa, kufuneka uhambe ngeenkqubo ezininzi:

• Uvavanyo oluphindwe kabini / kathathu;
• Ukuphindaphinda kwe-ultrasound ngenyanga;
• Uviwo malunga nobukho be-antibodies.

Ngethuba elincinci lokugula, kuyimfuneko ukuhamba kuzo zonke iimviwo ukuba ugqirha uya kuqesha. Umathumbu we-hyperechoic we-fetus ngowona Ummakishi oqhelekileyo wezobuchwephesha obusemva kokuzalwa komntwana okanye obunzima bokuzalwa, ohamba kunye neqondo eliphezulu lokulingana nesithambo.

Ngokwezibalo, kwi-trimester yesibini yokukhulelwa, le ntlupheko ibonakaliswe kwi-0.5% yamabele. Isizathu sokubonakala kwento asiyiqondi kakuhle, njengamathumbu angathi ngamanye amaxesha kuthathwa njengesiqhelo okanye kuqatshelwa xa igazi ligonywa isiqhamo esingagciniwe kwi-lumen.

Uvavanyo lokuxilonga

Okokuqala kwaye ngokuphambili, kufuneka usebenzise ngokukhawuleza kwi-geneticist ejolise kwiimeko ze-chromosomal. Uya kuqhuba uphononongo, ujonge kwaye ahlole iziphumo zolu vavanyo lwe-biochemical, uhlolisise ukuxilongwa kwe-ultrasound, okuqinisekisile ukuxilongwa, intlupheko ye-hyperechoic ebantwini indlela yokunyanga, ukukhawuleza nokugcina ukuziphatha kokukhulelwa.

Ukuba kukho izibonakaliso zokungaqhelekanga nge-ultrasound, akusona isizathu sokuthi kukho i-chromosomal pathology, kwaye oku akusikho isibonakaliso sokukhupha isisu. Kule meko, ukuxilongwa kwangaphambi kokubeletha kubangelwa. Iiseli ze-Fetal zithathwa ukuze zihlalutye. Le nkqubo ibizwa ngokuba yi-aspirating chorionic villi.

Ukuba ukuxilongwa "kwegulane ye-hyperechoic" ebusweni kuqinisekisiwe, uvavanyo lolandelelwano luya kucwangciswa. Kwi-ultrasound, isisu esinjalo sivelele kakhulu, sibukeka njengendawo eqaqambileyo.

Zonke iimvavanyo zithathwa ukufumana le ntsholongwane ngaphambi kweveki le-16. Ngaphambi kwesi sihlandlo, isisu somntwana ongumntwana onomsoco unempilo ephezulu. Kwiimeko apho ukubonakaliswa kwamalungu omzimba wesisu kwi-ultrasound kunzima ngenxa yokukhuluphala komama okanye ukungabikho kwamanzi, ukuchithwa kwemifanekiso esetyenziswayo kusetshenziselwa ukubona i-anomaly.

Izizathu zokubonakala kweziphene

Ukuba akukho nanyuka kwi-echogenicity kwizifundo ezongezelelweyo, ngoko unako ukuzola. Esi sitho samathumbu singabonwa kwiimbrusi ezinempilo kwaye ekugqibeleni sihlasele.

Nangona kunjalo, ukuphambuka okunjalo kunokuba ngumqondiso obonakalayo obunzulu bokungabikho kwemvelo okanye ukuphuhliswa kwefestile, umzekelo, ufunyanwe kwi-Down's syndrome. Ngako oko, oogqirha baqala ukuvakala i-alamu ngokuphulwa kancinci kwi-intanethi ye-intestine. Kubalulekile ukudala umfanekiso opheleleyo weklinikhi kunye nokwenza uvavanyo olucacileyo lwezinto zonke ze-anatomical ze-fetus. Ezi zizathu ezilandelayo zeempazamo zikwaqwalaselwa kwakhona:

• Ukusuleleka kwintsholongwane ye-fetus;
• Ukulahla ekuphuhlisweni.

Xa isizathu sokulibaziseka kuphuhliso

Kule meko, kuya kubakho iimpawu:

• Ubukhulu bomntwana obuthathaka obungahambisani nexesha lokuphuhlisa;
• Ukunqongophala kwamanzi;
• Ukunyuka kwegazi lwe-uterine;
• Ukuhamba kwegazi ephahleni.

Ekubeni kwezi zimpawu ezihamba kunye, umntu unokuthetha ngokukhawuleza kokukhula kwe-intrauterine. Ukuba azinjalo, oku kungabandakanywa.

Ngokuqhelekileyo, ukwanda kwe-echogenicity kuhambelana nokuncipha kwinxalenye yamanzi ye-meconium okanye i-peristalsis, kuba ukusetyenziswa kokunciphisa ama-enzyme amniotic fluid kwenzeka ngokuchanekileyo ngokungaqhelekanga kwe-chromosomal.

Kunzima ukuphendula ngokungaqinisekanga ngexesha lokukhulelwa kumbuzo wento ebangele ukuphambuka. Phakathi kweempawu zokubhala ezongezelelweyo, i-trisomy 13 yodwa:

• Tachycardia;
• Holoproencephaly;
• Omphalocele.

Ngokuqhelekileyo, ngesiseko salezi zikhombisi akunakwenzeka ukugqiba ukuba kunesiphako, kodwa idatha enjalo isele isisigxina kwiqela elijongene nobungozi.

Iziphumo zokungaqhelekanga emathunjini

Inqabile kakhulu eqinisweni, ukufunyanwa - intlupheko ye-hyperechoic emntwaneni. Izibangela, iziphumo zokugula okunjalo, njengombandela, ziyahambelana. Nangona oku kungabonakali kumakishi obalulekileyo kwaye obalulekileyo obonisa ukungaqhelekanga ekuphuhlisweni komntwana, kwiimeko ezininzi, abantwana bazalwa bephilile, kungekho naluphi na ukuphulwa kweDNA. Ngolwazi olushukumisayo, le ntsholongwane ininzi iphela, kwaye emva kweeveki ezimbalwa isisu sibe sesigqirha.

Ukufunyanwa kwezilwanyana kwizigaba ezilandelayo zokukhulelwa (emva kwe-trimester yesibili) kunokuba ngumqondiso wophuhliso lwe-meconium peritonitis okanye i-ileus ye-meconium, kunye nobungqina bentsholongwane yenkukhu. Ukufunyanwa kwezinto eziphambukayo kubangelwa ukuhlolwa okwaneleyo kokuphambuka. Kwakhona kuyimfuneko ukuqwalasela ukuba izixhobo ezahlukeneyo zobugcisa zingabonisa ukungafani okukhulu kwimifanekiso.

Kufuneka uphando nini?

Kwezinye iimeko, ingozi ayinayo intlupheko ye-hyperechoic ebusweni, imiphumo kwezinye iimeko ingaba yingozi. Xa i-meconium peritonitis ifunyenwe, kusetyenziswe ukusebenza, kodwa kungekho rhoqo. Ugqirha lufunekayo ngeempawu zesisu esisisigxina kunye nemiqondiso yokukhutshwa. Ukuba akukho zibonakaliso malunga nokusebenza, ukubonelelwa ngentsholongwane yowutsha olunikezelweyo. Ngokuqhelekileyo, imisebenzi enjalo ihamba kunye nokulahleka okukhulu kwegazi, oku kunokukhokelela kwisifo sesisu esisinyana.

Ukufa kwe-intrauterine kwenzeka kule nkalo kwi-8% yamatyala, ukulahleka kwe-neonatal - 0.8%. Iimvama eziqhelekileyo zeziphumo ezingasemva kokuzalwa kwangama-48.4%. Xa kwenzeka into ebonakalayo ngexesha lokubeleka, umntwana oza kusana kufuneka ahlolwe ngokunyanisekileyo kunye nokonyango oluchanekileyo.

Okunye kwi-Down's Syndrome

Le yintsholongwane yokuzalwa yesifo sokuzalwa, eyabangelwa ubukho bechromosome eyongezelelweyo kwi-pairs 21. Kuzo zonke iziphulo ezifundwayo, ezihambelana nokuphulwa kuma-chromosomes, oku kuqhelekileyo kwaye kufundwe. Phantse isiqingatha sabantwana abanesi sifo:

• Isifo senhliziyo;
• Ukholo lwe-septum ye-interventricular;
• Isifo seHirschsprung.

Ngethuba lokukhulelwa, ukuhlolwa kweemvavanyo kwenziwa kwi-Down syndrome. Ukuxilongwa kwangaphambili komngcipheko wokuphuhliswa kwesifo kuncedwa yi-diagnosis:

• Uvavanyo lwe-Ultrasound;
• Chordocentesis;
• Amniocentesis;
• Isampuli se-Chorionic villus.

Ubungakanani bokufumana i-vice kwi- trimester yesibini ngu-60-90%. Kuxhomekeke ekukhethweni kwendlela yokuphanda.

Amathumbu angama-hyperechogenous fetus emva kweveki ezingama-20

Igciwane le-Hyperechoic emntwaneni kwisithuba seveki ezingama-20 linokuhamba kunye nemimiselo yokuvuthwa kwangaphambi kwepentecenta. Ugqirha lwabagqirha kulo mzekelo luya kuqala lujoliswe ekukhutsheni izifo kwizinga le-chromosomal. Kule meko, akukho mngcipheko, kwaye utshintsho olunjalo emathunjini lunokuthi luvele kwintsapho ephilileyo.

Kwimeko nayiphi na imeko, isigulane siya kuthunyelwa kwi-genetics ukuqinisekisa okanye ukuphika ukuxilongwa ngesiseko soviwo kunye neziphumo zeemvavanyo.

Iingcali ziya kunika ezinye iingcebiso malunga nesenzo malunga nezigqibo zakhe. Ekubeni ezi zibonakaliso ziya kuhamba nosuleleko, uphando lubelwe:

• Urearlazma;
• Mycoplasma;
• Streptoccus g. B.

Ukuba ukuxilongwa "kweengqondo zamathumbu" kusungulwe kumntwana, oko kuthetha ukuthini kwaye luphi uviwo olubelwe? Ibhinqa lijongene novavanyo olubanzi, olubandakanya:

• Ukuvavanywa kwe-ultrasound fetal anatomy;
• Lawula phezu kwayo;
• Ukusebenza kweemvavanyo zentsholongwane.

Amathumbu e-Hyperechoic kwonyango lwe-fetus ebonisa ukuxakeka. Njengomthetho, umphumo wonyango kwiimeko ezininzi ezintle.