If yu na mama we go bi mama ɔ sɔmbɔdi na yu famili de wet fɔ bɔn pikin, i rili impɔtant fɔ no ɔltin bɔt yu pikin in wɛlbɔdi, nɔto so? sכmtεm, kes dεm de we di pikin in ed, bren, כ spεnal kכd nכ de divεlכp fayn fayn wan na di bεlε. Dis na tin dɛm wae wi kin kɔl Sɛfalik Disɔda . No fred wen yu hie dis nem, no mata se i komplikayt likl, wi go tok abaut am simpul, fo we we yu go andastan.
Wetin na dɛn Sɛfalik Disɔda ya?
fכ simpul wan, sεfalik dizכrd na kכndyushכn dεm we de apin di tεm we di εmbrayo de, dat na we di pikin de divεlכp na di bεlε, we di bren εn di spεnal kכd nכ de divεlכp fayn fayn wan. Dis na di malfɔmeshɔn dɛm na di pat dɛm na di nervɔs sistɛm. Sɔntɛnde, dɛn tin ya kin mek ɔda pat dɛn, ɔgan dɛn, ɛn sistɛm dɛn na di bɔdi nɔ de wok fayn.
Di wɔd "cephalic" kɔmɔt frɔm wan ol Grik wɔd we min "ed." pan ɔl we dɛn tin ya kin apin mɔ na di bren, dɛn kin afɛkt di spɛshal kɔd bak, as di bren ɛn di spɛnal kɔd de divɛlɔp togɛda. Tugeda, dεn de fכm wi Sεntral Nεv Sistem (CNS) .
Dɛn kayn tin ya kin kɔmɔt frɔm wae nɔr kin pasmak to wae kin rili bad. insay sכm siriכs kes dεm, di pikin we de insay di pikin nכ kin ebul fכ liv dεn kכndyushכn dεm ya. dis kin mek di pikin bכn insay di fכs 20 wik dεm we di bεlε de, כ di pikin we dεn bכn we i day afta 20 wik.
Sɔm kayn sik dɛn de we gɛt fɔ du wit di sik we dɛn kɔl sɛfalik?
Yɛs, di wan dɛn we sabi bɔt mɛrɛsin kin put dɛn sik ya bay tri men tin dɛn:
1. Sayt we di impak de apin: Us pat dεm na di sεntri nεv sεstem (CNS) de afekt? Yu tink se ɔda pat, ɔgan, ɔ sistɛm na di bɔdi kin afɛkt?
2. Nature of the effect: Aw di pat dεm we afekt na di sεntri nεv sεstem dεn dכn divεlכp difrεn frכm aw dεn bin de εkspεkt? Dat min se dɛn big, dɛn smɔl, ɔ dɛn dɔn chenj ɔda we?
3. Kכz: Wetin na di kכz fכ dis divεlכpmεnt delay? Na bikɔs ɔf sɔntin we apin ɔ di tin we apin we mek di mama we gɛt bɛlɛ, ɔ na in jɛnɛtiks?
Aw kɔmɔn tin dɛn ya kin apin?
Sεfalik dizכrd na rili kכndyushכn dεm we nכ kin apin. Dɛn kin afɛkt bitwin 0.14% ɛn 0.16% pan di pikin dɛn we dɛn jɔs bɔn. Risach sho se dεn kכndyushכn ya de mek bitwin 3% εn 6% pan di pikin dεm we dεn bכn we dεn day.
Wetin na di men kayn sik wae de kam pan yu sεfa?
Dɛn kin sheb dɛn tin ya mɔ to tri kayn:
- Nyural tiub difrɛns dɛn
- Difrɛns bitwin di sayz ( na di ed ɔ di bren) .
- Difrɛns bitwin shep ( na di skel ɔ di bren) .
Nyural Tiub Difɛkt dɛn
di nyural tכb na spεshal strכkchכ we de divεlכp insay di pikin insay di fכs mכnt we di bεlε de. Na frɔm dis we di bren, di spaynal kɔd, ɛn di spɛshal kɔd de divɛlɔp leta. In ɔda wɔd, na di fawndeshɔn fɔ di pikin in nervɔs sistɛm. fכ dat, dεn kכndishכn dεm ya we riliyt to di nyural tכb de afekt di divεlכpmεnt fכ di sεntri nεv sεstem (CNS) dεn wan dεm.
dis kכndyushכn kin mek sכm stεp dεm na di divεlכpmεnt fכ di bren כ spεnal kכd go rכng, כ nכ de apin atכl. Na sɔm ɛgzampul dɛn ya:
- Anencephaly: Dis na wan sik we rili siriɔs we bɔku pat pan di bren ɛn di skel nɔ de divɛlɔp ɔ nɔ de divɛlɔp atɔl.
- εnsefalosεl: Na ol na di sכkul we de mek di bren tisu εn di sεribrospεnal fכluid kכmכt frכm di sכkul lεk sak.
- Spina bifida: di spεnal kכd nכ de fεl fכ divεlכp ful wan. כda kayn dεm de fכ dis, lεk mεningosεl εn maylomεningכsεl.
- Chiari malformation: na kכndyushכn we pat pan di bren de kכmכt tru di opin we de na di bכtכm pat pan di sכkul. (Tayp II kin mek yu gɛt wan sik we dɛn kɔl myelomeningocele we dɛn kɔl spina bifida).
Difrɛns dɛn we de bitwin di sayz dɛn
dis na chenj dεm we de afekt di sayz fכ di ed כ di sεntri nεv sεstem. Tink bɔt am, sɔntɛnde di ed kin rili big, sɔntɛnde i kin rili smɔl.
- Difrɛns pan di skel saiz:
- Makrosɛfali: Fɔ gɛt big ed we nɔrmal.
- Maykrosɛfali: Fɔ gɛt smɔl ed we nɔrmal.
- Bren saiz kin chenj:
- Megalencephaly: Fɔ gɛt big bren we nɔrmal.
- Maykro ɛnsɛfali: Fɔ gɛt smɔl bren we nɔrmal.
Difrɛns dɛn we De bitwin di Shep dɛn
Dis na chenj dεm na di shep we di sכkul כ di bren de chenj.
- Di chenj dɛn we de apin na di skel shep:
- Akrosɛfali: Na ed we ay ɔ we tan lɛk sfɛri.
- Brachycephaly: di ed brayt εn flat na di bak, insted fכ rawnd.
- Di chenj dɛn we de apin na di bren shep:
- Holoprosencephaly: di εmisfya (sayd dεm) na di bren nכ de separet frכm wan an.
- Lissencephaly: Na smol bren we nɔ gɛt wrinkles ɔ bɔmp dɛn we tan lɛk finga prɛnt na di bren.
- Hydranencephaly: na k כndyushכn we di sεribra εmispεri dεm nכ de divεlכp fayn biכs fכ di sεribra spεnal fכluid we pasmak na di sכkul. (Dis difrɛn frɔm wan sik we dɛn kɔl haydrosɛfalɔs.)
Wetin na di sayn dɛm fɔ dɛn kayn sik ya?
Di simptom dɛm fɔ di sɛfalik disɔda kin difrɛn bad bad wan dipen pan di kɔndishɔn. Bikɔs bɔrku pan dɛn sik ya de, de sayn dɛm kin difrɛn bak.
Sɔm kɔmɔn sayn dɛm wae dɛn kin si bɔrku tɛm na:
- Disabiliti dɛn we gɛt fɔ du wit intɛlektual.
- Sizhɔ ɔ ɛpilepsi.
- Prɔblɛm fɔ kɔntrol di mɔsul ɛn di prɔblɛm dɛn we kin mek pɔsin muv.
- pat ɔ kɔmplit lɔs pan di sɛns abiliti dɛm (we yu de si, yɛri, smɛl, test, tɔch).
- Wik ɔ paralayz we kin kam bikɔs ɔf prɔblɛm wit di spayna ɔ di spɛshal nɛv dɛm.
- disturbans in otomatik bodi prכsεs lεk fכ digεst εn brith.
- Pen (dis kin kam bikɔs ɔf difrɛn rizin ɛn kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin).
Apat frɔm dɛn nyurolɔjik dizayd ya, ɔda sistɛm dɛn na di bɔdi kin afɛkt ɔ gɛt prɔblɛm bak. Dɛn tin ya kin difrɛn bad bad wan dipen pan di ɔndalayn kɔz ɛn di kɔndishɔn. Yu dɔktɔ kin ɛksplen di sayn dɛm wae kin apun fayn fayn wan dipen pan yu patikyula sik.
Wetin na de tin wae kin mek pɔrsin gɛt Sεfalik Disɔda?
Ɛnitin we afɛkt di we aw di bren ɔ di nervɔs sistɛm de divɛlɔp kin mek pɔsin gɛt sik we de na di bɔdi. Dɛn tin ya we kin mek pɔsin gɛt dis sik kin fɔdɔm insay sɔm men kategori dɛn:
- Jɛnɛtiks: Bɔrku sɛfalik disɔda kin kam bikɔs ɔf di DNA muteshon we dɛn kin gɛt frɔm di mama ɛn papa ɔ we dɛn jɔs kam.
- di mεdikal kכndishכn dεm we di mama de gεt we i bεlε: difrεn mεdikal kכndyushכn dεm kin afekt di divεlכpmεnt fכ di pikin. fכ egzampl, mεtabolik sik dεm εn di nyutrishכn dεm we dεn nכ de it (sεf di minral dεm lεk kכpa, zink εn fכlet (fכlik asid - vaytam in B9) כlso, sכm infεkshכn dεm lεk toxoplasmosis, cytomegalovirus כ rubella kin mek dεn kכndyushכn ya.
- we yu de pan sכm tin dεm: sכm tin dεm, mεdikeshכn dεm, כ tin dεm we de na di envayroment kin afekt di divεlכpmεnt fכ di pikin in divεlכpmεnt. masta sabi pipul dεm kin kכl dεn tin ya bak "teratogens." Ɛgzampul dɛn: pɔyzin mɛtal dɛn lɛk lid ɛn mɛkuri, sɔm antibayɔtiks, ɔ tin dɛn we de mek blɔd tan.
- di tin dεm we de apin na di envayroment: If yu de pan raytin, lεk we yu de kכmכt frכm εks-ray mashin, כ we i de spεnd tεm na hot tub כ sawna, i kin afekt di pikin bak. di injuri na di bכdi we uman bεlε kin mek bak di risk fכ damej di pikin εn afekt di divεlכpmεnt fכ di nεv sεstem.
Wetin na de risk factor fɔ dɛn kayn tin ya?
Bɔrku tin kin de wae kin mek pɔrsin gɛt sik wae de mɛk pɔrsin fil fayn. Sɔm tin dɛn lɛk yu jin ɛn yu famili istri, wi nɔ ebul fɔ kɔntrol. Sɔm, lɛk fɔ avɔyd sɔm tin dɛn ɔ wok dɛn we yu gɛt bɛlɛ, ɔ fɔ stɔp fɔ it sɔm kayn fish (fish we de it ɔda fish gɛt bɔku mɛkuri) we yu gɛt bɛlɛ, dɛn kin ebul fɔ manej am.
Yu dɔktɔ kin ɛp yu fɔ no di tin dɛn we kin mek yu gɛt prɔblɛm ɛn wetin yu kin du bɔt dɛn. If pɔsin na yu famili gɛt sik we de ambɔg yu bɔdi, dɛn kin tɛl yu bak fɔ go to ɔda spɛshal dɔktɔ, lɛk pɔsin we de advays yu bɔt yu jɛnɛtiks.
Wetin na di kɔmplikɛshɔn dɛm wae de kam wit Sɛfalik Disɔda?
Lɛk dɛn kayn tin ya, di prɔblɛm dɛn we dɛn kin gɛt bak kin difrɛn bad bad wan. Sɔm kɔndishɔn dɛn kin gɛt smɔl smɔl prɔblɛm dɛn nɔmɔ, ɔ dɛn nɔ kin gɛt ɛni prɔblɛm atɔl. Ɔda wan dɛn kin gɛt siriɔs prɔblɛm dɛn lɛk we dɛn nɔ de blo fayn, dɛn kin gɛt sik we dɛn kɔl at sik. Na di kayn tin wae kin tranga pasmak, di sik wae de kam pan yu sεfa kin mek di bren εn di nervous sistεm nכ de divεlכp fayn fayn wan. Dis na di rizin we mek bɔku tɛm, bad bad tin dɛn kin mek pɔsin in layf de pan denja.
Yu dɔktɔ na di bɛst pɔsin fɔ tɛl yu us prɔblɛm dɛn we yu pikin kin gɛt ɛn wetin yu kin du bɔt dɛn.
Aw dɛn kin no se pɔsin gɛt di sik we de na di bɔdi?
bכku sεfalik dizכrd dεm kin bi bifo dεn bכn yu yuz imej tεknכlכji lεk sonografi. Dɛn kin no sɔm pan dɛn afta dɛn bɔn dɛn bay we dɛn de chɛk dɛn bɔdi. Ɔda kes dɛm, dɛn kin nid fɔ du mɔ diagnostik, imej, ɛn lab tɛst fɔ no di ɔndalayn kɔndishɔn kɔrɛkt wan.
Na sɔm tɛst dɛn we dɛn kin du bifo ɛn afta dɛn bɔn di pikin:
- X-ray ɔ Kɔmpyuta Tomografi (CT) skan.
- Magnɛtik Rizɔnans Imej (MRI) skan.
- Lab test pan blɔd ɔ ɔda bɔdi wata.
- jεnεtik tεst (bifo כ afta dεn bכn am).
Dipen pan di sik we dɛn tink se gɛt, di sayn dɛn, ɛn ɔda tin dɛn, dɛn kin du ɔda tɛst dɛn afta dɛn bɔn di pikin. Yu dɔktɔ na di bɛst pɔsin fɔ tɛl yu mɔ bɔt di tɛst dɛn we dɛn kin advays.
Aw dɛn kin trit dɛn sik ya? Yu tink se dɛn go ebul fɔ mɛn dɛn?
Di tritmɛnt fɔ di sik dɛn we de na di sεfalik kin difrɛn bad bad wan. Sɔm sik dɛn nɔ kin trit, ɛn dɛn kin so bad dat i nɔ kin izi fɔ liv wit dɛn.
Dɛn kin trit sɔm sik dɛn wit ɔpreshɔn ɔ ɔda we dɛn. Bɔt dɛn nɔ kin ebul fɔ trit bɔku pan di sik dɛn we de na di bɔdi dairekt wan, ɛn di wangren tin we dɛn kin du na fɔ tray fɔ kɔntrol di sik dɛn. Dis kin min fɔ yuz mɛrɛsin, ɔpreshɔn, tin fɔ ɛp, ɛn fɔ kɔrɛkt bres.
Bikɔs dis kin difrɛn bad bad wan, yu dɔktɔ na di bɛst pɔsin fɔ ɛksplen wetin yu ɔ pɔsin we yu lɛk kin ebul fɔ du. Dɛn kin tɛl yu us tritmɛnt ɛn opshɔn dɛn de, wetin dɛn kin advays, ɛn wetin yu kin du fɔ yu pikin fɔ gɛt di bɛst pan di tritmɛnt ɔ fɔ mek i wok fayn.
Wetin a kin ɛkspɛkt if mi pikin gɛt sik we dɛn kɔl sɛfalik disɔda?
Bɔku tɛm, yu, di mama ɔ papa, di pɔsin we de kia fɔ yu pikin, ɔ ɔda pɔsin we de kia fɔ yu pikin, na dɛn fɔs fɔ no se yu pikin gɛt sik we de mek i nɔ gɛt bɛlɛ. Dis na bikɔs dɛn kin no bɔku pan di sik dɛn we de na di bɔdi we dɛn bɔn dɛn ɔ insay di fɔs sɔm ia dɛn we dɛn de liv. Dis kin difrɛn bad bad wan, so yu dɔktɔ na di bɛst pɔsin fɔ tɛl yu wetin fɔ ɛkspɛkt.
Sɔm sɛfalik disɔda kin gɛt smɔl impak nɔmɔ pan pikin in layf ɛn dɛn kin ebul fɔ mɛn am wit smɔl ɛp ɔ chenj. Sɔm dɛn kin ivin kɔrɛkt we dɛn smɔl wit ɔpreshɔn ɔ ɔda mɛrɛsin.
Bɔt bɔku tɛm, di prɔblɛm dɛn we kin apin na di bɔdi kin rili bad. Dɛn kin mek pikin nɔ ebul fɔ kia fɔ insɛf, disayd fɔ insɛf, ɔ liv fɔ insɛf. Bɔrku tɛm, pikin dɛm wae gɛt dis sik kin gɛt bɔrku bren pwɛl hat. Sɔntɛm dɛn nɔ go ebul fɔ kia fɔ dɛnsɛf ɔ ɔndastand dɛn sik.
Aw lɔng dɛn tin ya kin las?
Sεfalik dizכrd na tin dεm we dεn bכn wit, we min se dεn de de we dεn bכn am. Pan ɔl we sɔm kin kɔrɛkt sɔm pat ɔ kɔmplit wan afta dɛn bɔn dɛn, bɔku pan dɛn nɔ kin ebul fɔ kɔrɛkt dɛn. If dɛn nɔ ebul fɔ kɔrɛkt ɔ trit dɛn, na tin dɛn we kin apin to pɔsin fɔ ɔl in layf.
Wetin na di lukin-grɔn fɔ dɛn tin ya?
Di we aw pipul dɛn kin si di sik we dɛn kɔl sɛfalik kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin, ivin pan pipul dɛn we gɛt di sem sik. Dis na bikɔs dɛn kayn tin ya kin apin difrɛn we fɔ ɛnibɔdi. Yu pikin in dɔktɔ na di bɛst pɔsin fɔ tɛl yu bɔt aw yu go si am ɛn wetin yu go du fɔ mek i bɛtɛ.
Dɛn kin ebul fɔ avɔyd Sɛfalik Disɔda?
Dɛn kayn tin ya kin apin we yu nɔ bin de ɛkspɛkt, so dɛn nɔ kin ebul fɔ stɔp dɛn wit 100% shɔ. Pan ɔl we di jenɛtik kɔndishɔn dɛn we kin mek dɛn gɛt dɛn kin kɔmɔt frɔm dɛn mama ɛn papa, dɛn kin kam bak bikɔs ɔf di chenj dɛn we kin apin bay dɛnsɛf, we min se dɛn nɔ kin pas frɔm yu to yu pikin.
pan ɔl we i nɔ pɔsibul fɔ mek yu nɔ gɛt am kpatakpata, tin dɛn de we yu kin du fɔ mek yu nɔ gɛt prɔblɛm wit di pikin we de na di bɛlɛ we yu gɛt bɛlɛ.
Wetin a go du fɔ ridyus di prɔblɛm?
difrεn we dεm de fכ ridyus di risk fכ prכblεm wit di pikin in divεlכpmεnt:
- Nɔ it di teratogens:Nɔ yuz ebi ebi mɛtal, kemikal, ɛn mɛrɛsin dɛn we de pan big risk fɔ ambɔg di pikin in divɛlɔpmɛnt. Dɔn bak nɔ fɔ drink rɔm, fɔ yuz drɔgs we yu nɔ gɛt prɛskrishɔn, ɛn tin dɛn we yu kin yuz fɔ smok (inklud fɔ vayp).
- Protekt yusɛf frɔm denja: Nɔ du tin dɛn we go ambɔg di pikin we gɛt bɛlɛ. Dɔn bak, nɔ du tin dɛn we gɛt fɔ du wit ay tɛmpracha, lɛk ɔt tub ɛn sawna.
- No di risk fɔ yu famili: If sɔmbɔdi na yu famili gɛt histri fɔ gɛt sik we de mek yu gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt if yu fɔ du yu jenɛtik tɛst bifo yu gɛt bɛlɛ ɔ ali we yu gɛt bɛlɛ. If dɛn nɔ no di risk fɔ yu famili, yu dɔktɔ go advays yu if yu fɔ du tɛst.
- Yu fɔ put it fɔs: If yu gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ jisnɔ, yu fɔ put it fɔs we yu gɛt bɛlɛ. Mek shɔ se yu gɛt di rɛkɛmɔnded fɔ it ɛvride fɔ di men tin dɛn lɛk fɔlet (dɛn kin kɔl am bak fɔlik asid ɔ vaytamɛn B9). Insay Sri Lanka, dɛn kin gi fɔlik asid to mama dɛn we gɛt bɛlɛ ɔltɛm. Yu dɔktɔ go advays yu bɔt aw yu nid ɛn ɔda tin dɛn we yu fɔ tek. Yu kin aks fɔ advays bak frɔm yu lokal Famili Ɛlth Wokman (PHM).
Aw a go kia fɔ mi pikin?
If ɛn aw dɛn kin kia fɔ pikin we gɛt sik we dɛn kɔl sɛfalik, i kin dipen pan bɔku tin dɛn. Dis kin inklud di pikin in sik ɛn aw i kin tranga. Bɔrku pikin dɛm wae gɛt dis maynia sik kin so bad dat dɛn kin nid fɔ gɛt mɛrɛsin fɔ ɔl dɛn layf. Sɔm kin jɔs nid fɔ go to dɔktɔ ɔltɛm. Ɔda pipul dɛn kin nid fɔ gɛt skilful kia 24/7 we dɛn kin jɔs gi dɛn na say usay dɛn de mɛn pipul dɛn.
Bikɔs dis ansa kin difrɛn bad bad wan, yu dɔktɔ na di bɛst pɔsin fɔ tɛl yu if yu pikin, ɔ di pɔsin we yu lɛk we gɛt dis sik, kin kia fɔ dɛnsɛf. Yu dɔktɔ kin gayd yu bak fɔ no aw fɔ kia fɔ yu pikin di bɛst we.
Mama ɛn papa dɛn we de bɔn pikin nɔ de ɛva want fɔ yɛri se sɔntin nɔ de apin to di pikin we de na di bɛlɛ ɔ se dɛn pikin we dɛn jɔs bɔn gɛt siriɔs sik. Sɔm sɛfalik disɔda na smɔl smɔl tin, we min se dɛn nɔ kin gɛt bɛtɛ impak pan di pikin in layf ɔ nɔ kin gɛt ɛni impak pan di pikin in layf. Dɛn kin trit ɔda pipul dɛn. Bɔt i sɔri fɔ no se sɔm pan dɛn kin rili bad ɛn dɛn kin kil dɛn ɔ kin mek dɛn gɛt prɔblɛm dɛn we dɛn kin gɛt fɔ ɔl dɛn layf.
Na nɔmal tin fɔ mek yu fred, wɔri, ɔr vɛks we tin lɛk dis afɛkt yu layf sɔm kayn we. Insay ɔl dis, i impɔtant fɔ pe atɛnshɔn fɔ kia fɔ yusɛf ɛn di wan dɛn we yu lɛk. Yu dɔktɔ dɛn kin gayd yu fɔ du dis ɛn ansa kwɛstyɔn dɛn bɔt wetin fɔ ɛkspɛkt. Dɛn kin ɛp yu bak fɔ fɛn di tin dɛn ɛn sɔpɔt we yu nid fɔ ɔndastand wetin de apin ɛn wetin yu kin du. I nɔ mata di ɛnd rizulyt, tin dɛn de we yu kin du fɔ bia, manej, ɔ wɛl frɔm ɛnitin we apin, ɛn nɔto prɔses we yu fɔ go tru yu wan.
Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
- sεfalik dizכrd na di kכndyushכn dεm we de apin we di pikin in bren εn spεnal kכd nכ de divεlכp fayn fayn wan na di bεlε.
- Dɛn tin ya nɔ kin bɔku, bɔt dɛn kin kɔmɔt frɔm smɔl to rili bad.
- di rizin dεm difrεn: di jεnεtiks, di mכtalman in kכndishכn dεm we i bεlε, we i de εkspos to sכm tin dεm, εn כda tin dεm.
- Di sayn dɛm, tritmɛnt, ɛn aw fɔ si am kin difrɛn bad bad wan fɔ di sik. I rili impɔtant fɔ go to dɔktɔ fɔ advays.
- Pan ɔl we dɛn nɔ kin ebul fɔ stɔp am ɔltogɛda, di risk kin ridyus to sɔm mak bay we yu fala di wɛlbɔdi layf we yu gɛt bɛlɛ (espɛshali we yu tek fɔlik asid) ɛn avɔyd di tin dɛn we kin mek yu gɛt prɔblɛm.
- Na nɔmal tin fɔ fil fɔ fred pan tin lɛk dis. Nɔto yu wan, gɛt ɛp frɔm dɔktɔ ɛn sɔpɔt grup.
` Sεfalik dizכrd, Bren Difכmiti, Nyural Tכb Dεfεkt, Maykrosεfali, Haydrosεfalus, Bεlε Hεlth, Fetal Divεlכpmεnt











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