ʻO Ventriculomegaly i ka'ōpiopio

I ka nānāʻana o ke poʻo o ka pēpē ma keʻano ultrasound, i kaʻelua a me ke kolu o ka nānāʻana, e uku mauʻia ka nānāʻana i ka hanana o ka lolo a me ka nui o nā ventricles o ka lolo.

Ke kūʻaiʻiaʻana o ventricles ākea i ka'ōpiopio - he aha ia?

I ka maʻamau, aia 4 mau ventricles o ka lolo. Ma ka mānoanoa o ka mea keʻokeʻo o ka lolo, aiaʻelua o lākou - ka ventricles o ka lolo, nā mea he poʻohiwi, hope, a me lalo. Me ke kōkuaʻana o ka pūʻali o waena, pili lākou i kaʻekolu ventricle, a hoʻohui i ka paipa wai o ka lolo i ka hāhā ventricle ma ka lalo o ke kīhāhā rhomboid. ʻO ka hā, e pili ana i ka pūpū waena o ke āpau. ʻO kēia keʻano o nā moku e pili ana me ka waiʻona. Ma keʻano maʻamau, ua hoʻohālikelikeʻia ka nui o nā ventricles ākea o ka lolo,ʻo ka nuiʻaʻole eʻoi aku ma mua o 10 mm ma ka kiʻekiʻe o nā piko. ʻO ka hoʻonuiʻiaʻana o nā ventricles o ka lolo, ua kapaʻiaʻo ventriculomegaly.

ʻO Ventriculomegaly i ka'ōpiopio - kumu

ʻO ka hoʻonuiʻana o ka ventricles o ka lolo,ʻo ka mea mua, he hopena ia o ka mea kūponoʻole o ke kikowaena pūnaewele (CNS). Hiki i ke kaʻawale ke hoʻokaʻawaleʻia (ʻo ia wale nō keʻano o ka pūnaewele), aiʻole e hui pūʻia me nā hewaʻole o nā'ōpuni a me nā pūnaewele, e like me keʻano me nā maʻi chromosomal.

ʻO kekahi kumu maʻamau o ka ventriculomegaly he maʻi viral a me ka microbial o ka makuahine. ʻO ka pilikia loa i ka maʻi cytomegalovirus a me ka toxoplasmosis ,ʻoiai he huakō a microbe paha ke kumu e hōʻeha ai i nāʻino o ka lolo, ventriculomegaly a me hydrocephalus. ʻO nā kumu o ventriculomegaly e komo ai ka trauma i ka makuahine a me ka'ōpiopio.

ʻImiʻia o ka ventriculomegaly fetal

I ka hoʻohālikeʻana i ka hydrocephalus fetal, hāpai ka ventriculomegaly i nā ventricles o ka lolo ma mua o 10 mm, akā i emiʻole ma 15 mm, ke piʻiʻole ka nui o ke poʻo hānal. Ka diagnose ventriculomegaly ma o ultrasound, e hoʻomaka ana i nā hebedoma he 17. Hiki ke hoʻohālikelikeʻia (hoʻonuiʻia kekahi ventricle a iʻole kekahi o kona mau pepeiaohao), me ke kikowaenaʻoleʻia me kahiʻole o nā kīnā, aiʻole e hui pū me nā hewaʻole o ka lolo a me nā mea'ē aʻe. Me ka makani ventriculomegaly ke kaʻawale, nā meaʻino likeʻole chromosomal, e like me Down's Syndrome, e hanaʻia ma 15-20%.

Ventriculomegaly i ka'ōpū - hopena

Hiki i ka ventriculomegaly maʻamau i loko o ka'ōpiopio me ka nui o nā ventricles o nāʻaoʻao i hiki i ka 15 mm, iʻole me kahi kūpono kūpono,ʻaʻole paha he hopena maikaʻiʻole. Akā inā he 15 mm ka lōʻihi o ka nuiʻana, hoʻomaka ke kāpena o ka'ōpiopio e ulu, hiki i ka hopena keʻano likeʻole - mai ka maʻi CNS i ka makeʻana o ka hānal.

ʻO ka mua a me ka wikiwiki i ka piʻiʻana o ventriculomegaly me ka hoʻololiʻana i hydrocephalus,ʻoi aku kaʻino i nā wanana. A ma ke alo o nā hewa i loko o nā mea'ē aʻe, e piʻi aʻe ka pilikia o ka loaʻaʻana o kahi keiki me kahi kinoʻole o ka chromosomal (Down syndrome, Patau, a Edwards syndrome). ʻO ka make a me ka make i loko o ka hana me ventriculomegaly he 14%. ʻO ka hoʻolālā mauʻana ma hope o ka hānauʻana me kaʻole e hōʻino i ka CNS hiki i ka 82% o nā keiki ola, ma 8% o nā keiki aia nā maʻi liʻiliʻi mai ke kino o ka pūnaewele, a me nā hana hewa nui me ke kīnā koʻikoʻi o ke keiki ma ka 10% o nā keiki me ka ventriculomegaly.

Ventriculomegaly i loko o ka'ōpiopio - ka lāʻau

ʻO ka lāʻau lapaʻau o ventriculomegaly kahi i manaʻoʻia e hōʻemi i ka edema kahe a me ka nui o ka wai i ka ventricles (diuretics). No ka hoʻomaikaʻiʻana i ka meaʻai o ka lolo o ka hānai, ua hoʻonohonohoʻia nā antihypoxants a me nā hua hua, i ka hui B paha.

Ma waho aʻe o nā lāʻau lapaʻau, ua'ōleloʻia nā makuahine e hoʻonui i ka manawa i ka ea hou, hoʻonaʻauao kūikawā e pili ana i ka hoʻoikaikaʻana i nā io o ka papa pelvic.