Ko uropi hwemwana wako hwakakura here? Ngatidzidzei nezve ventriculomegaly

Kana uri amai vane pamuviri, ungangodaro wakanzwa izwi rekuti 'Ventriculomegaly' panguva yekuongorora kwako. Unofanira kunge wakanzwa kutya kukuru uye kushamisika pawakanzwa izvozvo, handiti? Unofanira kunge wakafunga kuti, 'Oh, pane chimwe chinhu chakakanganisika nemwana wangu here?' Zvakajairika kuti vanaamai vazhinji vanzwe saizvozvo panguva dzakadai. Saka, pasina kunonoka, ngatitaurei nezvechirwere ichi chinonzi 'Ventriculomegaly' nhasi nenzira iri nyore uye inonzwisisika.

Chii chinonzi Ventriculomegaly?

Muchidimbu, Ventriculomegaly inguva apo maburi azere nemvura ari muuropi hwemwana wako (atinoti aya 'maventricles') akakura kupfuura zvakajairika. Funga nezvazvo seizvi: uropi hwedu hune makamuri madiki aya mukati mawo. Mukati memakamuri aya mune mvura yakakosha inonzi 'cerebrospinal fluid' kana `(Cerebrospinal fluid - CSF)'.

Mvura iyi ye`(CSF)` inokosha zvikuru. Yakaita sechidziviriro chepfungwa dzedu nemusana. Kureva kuti, inodzivirira nhengo idzi kubva mukukuvadzwa, inodzipa chikafu, uye inobvisa tsvina. Kazhinji, mvura iyi ye`(CSF)` inogadzirwa, inofamba ichipinda nekutenderera uropi, uye yozodzoserwa mumuviri. Ichi chinhu chinoitika nguva dzose, sedenderedzwa.

Zvisinei, dzimwe nguva kana paine chipingamupinyi munzira dzinofamba nadzo mvura iyi ye`(CSF)`, kana paine kusawirirana pakati pekugadzirwa nekutorwa kwemvura, mvura iyi inobatwa mukati memakomba anonzi maventricles uye inotanga kuungana. Ndipo apo makomba iwayo anokura zvishoma nezvishoma, sebharumu rinozadzwa nemvura. Izvi ndizvo zvatinodaidza kuti 'Ventriculomegaly' panguva yemwana ari mudumbu, ndiko kuti, mwana ari mudumbu.

Ungave wakambonzwawo izwi rekuti 'hydrocephalus'. Iri idambudziko apo maventricle anokura nekuda kwekuunganidzwa kwe cerebrospinal fluid (CSF), izvo zvinowedzerawo kumanikidzwa kweuropi. Vanachiremba vanowanzoongorora chirwere che 'hydrocephalus' mushure mekunge mwana aberekwa. Kana maventricle emwana akakura mudumbu, anonzi ventriculomegaly.

Izvi zvinowanzoitika here?

Sekureva kwedata kubva kuUnited States, chirwere ichi chinogona kukanganisa vanhu vaviri pavana 1,000 vanozvarwa vari vapenyu. Asi chinhu chakakosha ndechekuti kazhinji, ichi chirwere chisina kunyanya kuipa, uye hachikonzeri matambudziko kana mwana azvarwa. Kazhinji , maventricle aya anomira kukura, kana kudzokera kuhukuru hwakajairika. Saka hapana chikonzero chekutya zvakanyanya paunonzwa zita iri.

Ndezvipi zviratidzo zveVentriculomegaly?

Kazhinji, hapana zviratidzo zvinooneka zve ventriculomegaly mumwana ari mudumbu.Chiremba wako anowanzoona kuti ventricles yemwana wako inokura panguva yekuongorora ultrasound panguva yekuzvitakura. Vana vane ventriculomegaly isina kusimba kazhinji havaratidzi zviratidzo mushure mekuzvarwa.

Zvisinei, kana chirwere chacho chakanyanya kuipa, mwana anogona kuratidza zviratidzo zve hydrocephalus mazuva mashoma mushure mekuzvarwa. Zviratidzo izvi zvinosanganisira:

• Musoro wemwana wakakura zvisingawanzoitiki kana kuti saizi yemusoro inongoerekana yawedzera.
• Nzvimbo yakapfava iri pamusoro pemusoro wemwana (fontanel) inoita seyakazvimba uye yakazvimba.
• Maziso haakwanise kutarisa kumusoro, uye anoita seakatariswa pasi (kutarisa pasi).
• Kuneta zvakanyanya kana kusagadzikana nguva dzose uye kuchema.
• Kurutsa kakawanda.
• Kuomerwa kana kusada kunwa mukaka.

Chii chinokonzera izvi?

Ventriculomegaly inogona kuva nezvikonzero zvakasiyana-siyana. Dzimwe nguva , hapana chikonzero chakajeka chingawanikwa. Chinhu chakakosha kurangarira ndechekuti chirwere ichi chinowanzoitika netsaona, kwete chimwe chinhu chinogarwa nhaka kubva kumajini evabereki kana kuti chinokonzerwa nezvinhu zvakatikomberedza .

Zvikonzero zviviri zvinonyanya kuzivikanwa ndeizvi:

• Pane imwe mhando yekuvharika kana kusarongeka kwekufamba kwakasununguka kwemvura ye "CSF" yatakataura nezvayo uye kupinza kwayo mumuviri.
• Kukuvara kana rimwe dambudziko rinogona kukanganisa kukura kwehuropi hwemwana.

Izvi zvine chekuita nemajini here?

Kwete. Ventriculomegaly haisi nyaya yekuzvarwa nayo. Izvi zvinoreva kuti inyaya inongoitikawo uye kwete chinhu chinopfuudzwa kubva kuna amai kuenda kumwana.

Ndezvipi zvinhu zvinokonzera njodzi?

Kuvhiyiwa kwetsinga (Ventriculomegaly) kunowanzoitika netsaona. Kunogona kuitika kwega kana pamwe chete nemamwe matambudziko panguva yekuzvitakura. Dzimwe ongororo dzakaratidza kuti zvirwere zvinotevera zvinogona kuwedzera njodzi yekuti mwana aite ventriculomegaly:

• Spina bifida (chirwere chekuzvarwa nacho chinosanganisira musana).
• Kuumbwa kwecorpus callosum (ACC) (kukundikana kukura zvakanaka kwechimiro chinobatanidza zvikamu zviviri zveuropi).
• Utachiona mumadzimai ane pamuviri, semuenzaniso, syphilis kana cytomegalovirus (CMV).
• Kusarongeka kwemakromosomu, semuenzaniso, Down syndrome.

Ndezvipi zvinetso zvinogona kuitika?

Remangwana remwana ane ventriculomegaly rinoenderana nekuoma kwechirwere uye chikonzero chacho. Kazhinji, kana ventricles dzakakura zvishoma uye ultrasound isingaratidze zvimwe zvirwere, mhedzisiro yacho inowanzova yakanaka.

Zvisinei, mwana ane maventricle akakura zvikuru, kana mwana ane mamwe matambudziko ehutano aripo pakuzvarwa pamwe chete nemaventricle akakura, ari panjodzi huru yematambudziko. Kunyangwe zvisingawanzoitiki, vana vanozvarwa vane ventriclemegaly yakanyanya vanogona kuva nematambudziko etsinga kana kunonoka kukura.

Mwana ane ventriculomegaly anogona kurarama here?

Ehe, zvechokwadi. Ventriculomegaly chirwere chinorapika.

Ventriculomegaly inoonekwa sei?

Vanachiremba vanowanzoona chirwere ichi panguva yekuongorora mwana ari mudumbu, uko kunoitwa pakati pemavhiki gumi nemasere kusvika makumi maviri nemaviri ekuzvitakura. Dzimwe nguva chinogona kuonekwa gare gare panguva yekuzvitakura. Munguva iyi yeultrasound, chiremba anoyera zvimwe zvikamu zveuropi hwemwana. Kana chiyero chacho chakakura zvisingawanzoitiki, zvinogona kureva kuti mwana ane ventriculomegaly.

Zvadaro, chiremba wako anogona kuraira mimwe miedzo yekufungidzira, senge fetal MRI (fetal Magnetic Resonance Imaging - MRI). Izvi zvinogona kutora mifananidzo yakajeka yehuropi hwemwana, kuitira kuti chiremba agone kuona ventricles yemwana zvakadzama. MRI yakachengeteka zvachose.

Chiremba wako angangoda kuti upinzwe ma ultrasound akawanda mukati menguva yasara yekuzvitakura kwako kuti aongorore huwandu hwemvura muuropi hwemwana.

Muzvimwe zviitiko, bvunzo inonzi amniocentesis inogona kuitwa. Izvi zvinosanganisira chiremba achishandisa tsono diki kutora sampuli diki yemvura yeamniotic yakakomberedza mwana. Mvura iyi inogona kuongororwa kuti ione kana paine hutachiona, hwakadai se cytomegalovirus.

Mushure mekunge mwana azvarwa, imwe ultrasound kana MRI yeuropi hwemwana inozoitwa kuti ione kana mwana wacho aine hydrocephalus uye kana zvichidikanwa kuvhiyiwa.

Maitiro ekuongorora ventriculomegaly

Kuoma kwe ventriculomegaly yemwana ari mudumbu kunoyerwa nehupamhi hwe ventricle. Mumwana ari mudumbu akajairwa, ventricle dzeuropi dzine upamhi husingasviki mamirimita gumi (mm) - hunenge upamhi hwepizi.

• Zvinyoro: Maventricle ari pakati pe10 ne12 mm.
• Pakati nepakati: Maventricle ari pakati pe13 ne15 mm.
• Zvakanyanya: Maventricle akafara kupfuura 15 mm.

Inorapwa sei?

Ventriculomegaly inorapwa mushure mekunge mwana wako aberekwa, uye inowanzodiwa chete kana mwana wako achiratidza zviratidzo zvehydrocephalus.

Chiremba achaita ultrasound kana MRI yemwana. Kana paine huwandu husina kuchengetedzeka hwemvura mu ventricles yemwana, kuvhiyiwa kweuropi kungadiwa kuderedza huwandu hwemvura uye kumanikidzwa kweuropi.

Kuvhiyiwa kwakajairika ndekwekuisa shunt muuropi hwemwana kubvisa mvura (ventriculoperitoneal shunt surgery). Shunt ichubhu inochinjika inobvumira mvura yemusana (CSF) kuti iyerere ichienda kune imwe nhengo yemuviri (yakadai sedumbu).

Mune zvimwe zviitiko, imwe mhando yekuvhiya inonzi endoscopic third ventriculostomy (ETV) ingangodiwa. Mukuita uku, chiremba anoisa endoscope nepamusoro pemusoro wemwana (fontanel). Izvi zvinogadzira imwe nzira yekuti cerebrospinal fluid (CSF) ipinde uye itenderere muuropi.

Ko ventriculomegaly inogona kuva nani yoga here?

Ehe, dzimwe nguva ventriculomegaly inogona kunaya pasina kurapwa. Kana kuti inogona kuramba yakadaro yobva yanyangarika yoga mwana asati aberekwa. Chiremba wako achaongorora saizi ye ventricles yeuropi yemwana panguva yese yekuzvitakura kwako.

Chii chinoitika kana mwana wangu aine ventriculomegaly?

Kana ukaonekwa uine chirwere ichi panguva yekuzvitakura, chiremba wako anonyatsoongorora uropi hwemwana wako. Mushure mekunge mwana wako azvarwa, vachaongorora kana ventricles yemwana yakakurisa. Kana pasina zviratidzo zveventricles yakakura kana kumanikidzwa kweuropi, mwana wako angasada kuvhiyiwa mushure mekuzvarwa. Vana vazhinji vane zvirwere zvishoma havana migumisiro yehutano kwenguva refu.

Vana vanozvarwa vaine ventriculomegaly vanogona kuzopedzisira vabatwa ne hydrocephalus. Muzviitiko zvakadaro, kuvhiyiwa kunogona kudiwa. Mwana anofanirawo kutariswa kwemakore akati wandei mushure mekuvhiyiwa kuitira kuti pressure muuropi hwemwana irambe yakajairika.

Unofanira kunetseka nezve ventriculomegaly here?

Kana mwana ari mudumbu aine ventriculomegaly isina kusimba uye asina mamwe matambudziko ehutano, pane mukana we90% wekuti ventriculomegaly haizokonzere matambudziko kwenguva refu.

Zvakajairika kuti unzwe kunetseka paunonzwa kuti mwana wako anogona kuzvarwa aine chirwere. Bvunza chiremba wako chero mibvunzo yauinayo. Vachakubatsira kuderedza kutya kwako kana mwana wako achava neutano hwakanaka. Vachaita zvese zvavanogona kuti vakutsigire.

Izvi zvinokanganisa here kubereka mwana?

Kazhinji hazviiti. Kana musoro wemwana wakakura zvakanyanya, zvinokwanisika kuti mwana asununguke zvakanaka.Kana paine mamwe matambudziko ehutano kana musoro wemwana wakakura, kuvhiyiwa kwemwana (C-section) kungadiwa. Chiremba wako anogonawo kukurudzira kuti usununguke mwana wako kuchipatara chine hunyanzvi hwekurapa vana vane matambudziko akasiyana. Izvi zvinodaro nekuti kune vanachiremba vane hunyanzvi uye nzvimbo dzakadai seNeonatal Intensive Care Unit (NICU).

Ko ventriculomegaly inogona kudzivirirwa here?

Kwete. Hapana chaunogona kuita kudzivirira Ventriculomegaly. Haisi mhosva yako.

Ko ventriculomegaly inoreva here kuti mwana ane Down syndrome?

Izvi hazvisi zvechokwadi. Pane hukama huripo pakati pe ventriculomegaly neDown syndrome. Mwana ari mudumbu ane ma ventricles akakura anogona kunge ari panjodzi yakawedzera yekubatwa nezvirwere zve chromosome zvakaita seDown syndrome. Zvisinei, kuva ne ventriculomegaly hazvirevi kuti mwana wako achava neDown syndrome.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Zvakajairika kuva nemibvunzo nezvekuonekwa kweVentriculomegaly. Unogona kubvunza chiremba wako mibvunzo iyi:

• Ndinofanira kuita mimwe miedzo here?
• Pane chimwe chinhu chandinofanira kuita zvakasiyana nekuda kwechirwere ichi here?
• Pane mushonga weVentriculomegaly here?
• Mwana wangu achanonoka here kuziva kana kukura kwepfungwa dzake?
• Ndichazoda kuvhiyiwa here mushure mekunge mwana wangu azvarwa?

Muchidimbu (Mharidzo Yekuenda Kumba)

Kuongororwa kweVentriculomegaly panguva yekuzvitakura kunogona kushamisa kamwe kamwe. Ungangove uchishamisika kuti, "Pane chakaipa here nepamuviri pangu?" kana kuti "Pane chakaipa here chandakaita?" Ndapota yeuka, hapana chakaipa chawakaita, uye kazhinji mwana wako achazvarwa aine hutano. Taura nachiremba wako wezvekubereka nezvezvinorehwa nekuongororwa uku uye kutarisirwa kwauchazoda mushure mekusununguka. Iye aripo kuti apindure mibvunzo yako uye atore matanho ese anodiwa kuti pamuviri pako nepamuviri pako zvive neutano. Usatya, uye tevera zano rachiremba wako.

Ventriculomegaly, uropi hwemwana asati aberekwa, CSF, hydrocephalus, scan yekuzvitakura, hutano hwemwana , maburi europi