Hyperechoic matumbo mwa mwana wosabadwayo: Ndi chiyani icho?

Kudikira mwanayo - ichi ndi chimodzi mwa mphindi kwambiri osangalala ndiponso zosangalatsa moyo wa mkazi, amene, mwatsoka, nthawi zambiri limodzi ndi mavuto a thanzi kwambiri mayi woyembekezera kapena mwana wosabadwayo. Mmodzi wa awa ndi hyperechoic matumbo pathologies mu mwana wosabadwayo.

Kuchuluka echogenicity limasonyeza kudzikundikira ndowe, izo Tingaone kokha pamene ultrasound. Pa kudziwika Mbali chotero, kapena dokotala yekha achititsa tinafotokoza mwatsatanetsatane mwana wosabadwayo, kapena bwino ndi mwachibadwa kwambiri, akutumiza wodwalayo zachibadwa a. Ndipo ngati amawapeza ndi "hyperechoic matumbo" mu mwana wosabadwayo, zifukwa idzawonetsedwa pa mlingo chromosomal.

Njira kudziwa matenda

Tsiku ndi tsiku, nthawi kukumana ndi mwana yafupika ndipo pa mimba amayi amanena mosamala kuti mwana wanu. Malinga atasankhidwa dokotala komanso kumutsimikizira awo anagwira ultrasound ndi mayesero ena kudziwa pa zotheka nthawi oyambirira kuvutika aliyense mu chitukuko yoopsa ndi kutenga zinthu zina kuthetsa vutolo. Kale pa 6-8 sabata mwana matumbo, koma ali kunja zonse m'mimba. Yogwira thupi chitukuko lidzayamba pambuyo pa sabata la 12 la mimba.

Amayi ambiri chifukwa cha umbuli wawo mankhwala sindikudziwa chomwe hyperechoic matumbo mwa mwana wosabadwayo, ndi kuyamba kudandaula kwambiri pa chitukuko ndi moyo wa mwana osabadwa. The zifukwa zinachitikira kwenikweni kwambiri, ngati matenda zikutsimikiziridwa. Koma kuziyika izo, inu ndidzadutsa kufufuza mabuku, wina ultrasound zokwanira. N'zotheka kuti kudwala ichi pa nthawi kupita palokha.

Kodi hyperechoic matumbo?

Nthawi zambiri, monga matenda akhoza kupulumutsa ana mwangwiro wathanzi, ndi kutsimikiza kapena kutsutsa kuchoka kwake, m'pofunika kudutsa njira zingapo:

• awiri / patatu amuzolengedwa mayeso;
• kubwereza ultrasound pambuyo pa mwezi;
• Kupenda pamaso pa chitetezo.

Pa kukayikitsa pang'ono kudwala m'pofunika mayesero onse, amene adzamuika dokotala. Hyperechoic matumbo mwa mwana wosabadwayo - ndi ambiri wamba akalandire chithandizo echographic chikhomo cholowa kapena anomalies kobadwa nako, omwe limodzi ndi digiri yapamwamba ya echogenicity, mofanana ndi fupa.

Malinga ndi kafukufuku, mu trimester lachiwiri la mimba, 0.5% ya fetuses chizindikiritso cha kudwala zimenezi. Chifukwa cha chodabwitsa alibe afufuza mpaka mapeto, ndi intestine, zina, tinganene kuti linalake, kapena mwambowu ingesting magazi yoopsa kuti si digested mu lumen wa matumbo.

kuyezetsa matenda

Sitepe yoyamba ndi kuti mwamsanga kwa chibadwa, amene imakhazikika mu zochitika chromosomal. Iye adzachita mayeso ndi, kuyang'ana ndi kuunikira deta zopezera mayeso amuzolengedwa, kuphunzira ultrasound matenda, omwe anatsimikizira matenda, hyperechoic matumbo mwa mwana wosabadwayo ngati azichitira, mwamsanga ndipo amayang'anira kasamalidwe ka mimba.

Ngati ultrasound zizindikiro za kupatuka, palibe chifukwa ngakhale kuti ndiyankhule wapezeka kuti pali chromosomal chosayenerera, ndipo si umboni kwa kuchotsa mimbayo. Zikatero amagwira ntchito ndi olanda matenda akalandire chithandizo. maselo yoopsa akutengedwa pa woonda kusanthula tosaoneka. Zimenezi zimatchedwa chiyembekezo cha villi chorionic.

Ngati matenda "hyperechoic matumbo," ndi mwana wosabadwayo zikutsimikiziridwa, izo ndi nkhani yotsatira kafukufuku. Pa ultrasound m'matumbo chionekera, izo zikuwoneka ngati malo owala.

Ntchito zonse akutsatiridwa kudziwa kudwala izi pamaso pa isanayambike milungu 16. Isanafike nthawi imeneyi, matumbo ngakhale wathanzi ndithu mwana wosabadwayo akhoza kukhala echogenicity mkulu. Nthawi kumene zowonera kovuta ziwalo yoopsa mu US chifukwa kunenepa kwa wosaperewera mayi kapena madzi, kudziwa anomalies ntchito transvaginal sonography.

Zimayambitsa zolakwika

Ngati palibe kuwonjezeka wapezeka mu echogenicity ndi mudziwe zambiri, tikhoza kukhadzikika. Mbali imeneyi ya intestine pa kumachitika mu Ndisanaumbidwe wathanzi kwathunthu ndipo pambuyo pake kulumphira.

Komabe, zopatuka otere akhale owala chizindikiro cha matenda aakulu majini kapena chosakhwima wa mwana wosabadwayo Mwachitsanzo, iwo anapezeka ndi matenda Down. Choncho, madokotala ayamba kuwomba Alamu pa zipolowe pang'ono mu matumbo echogenicity. M'pofunika kulenga wathunthu matenda chithunzi ndi kupanga ziyenera bwino mbali zonse anatomical wa mwana wosabadwayo. Taganizirani zimene zimayambitsa zotsatirazi anomalies:

• intrauterine matenda a mwana wosabadwayo;
• kakulidwe kuchedwa.

Pamene chifukwa cha Kuchedwa kukula

Pankhaniyi, zizindikiro m'munsili adzakhala anati:

• wochepa kukula kwa chipatso, osati chogwirizana chitukuko akuti;
• oligohydramnios;
• ndichepe mu uterine magazi;
• kuchepetsa otaya placental magazi.

Pamaso pa mbali mtumiki tingalankhule za Kuchedwa kukula yoopsa. Ngati iwo sali, iwo mulibe.

kuwonjezeka echogenicity amaganizira ndi kuchepa mu chigawo kapena meconium amadzimadzi peristalsis chifukwa kuchepetsa kutsegula michere amniotic madzimadzi amapezeka ndendende matenda chromosomal.

A yankho lomveka pa mimba kwa funso la chimene chapangitsa kupatuka, ndi kovuta. Mwa zina zolembera sonographic wa trisomy 13 kumasulidwa:

• tachycardia;
• goloprozentsefaliyu;
• omphalocele.

Kumene wachokera pa zolozerazi sangathe kujambula nkhani pamaso pa wachiwiri, koma deta amenewa analowa kale wodwala pangozi.

Zotsatira za zolakwika m'matumbo

N'kovuta kwambiri adzapeze - hyperechoic matumbo mwa mwana wosabadwayo. Zoyambitsa, zotsatira za matenda amenewa zambiri zogwirizana. Ngakhale anomaly izi lalikulu ndi zofunika chikhomo kusonyeza kuvutika mu chitukuko yoopsa, ana ambiri amabadwa wathanzi, popanda disruptions aliyense mu DNA lapansi. Mphamvu kuonerera ngati kudwala nthawi zambiri Mwamsanga, ndipo patapita masabata angapo a intestine amakhala bwinobwino.

Chizindikiritso cha kudwala mu magawo ina ya mimba (pambuyo trimester wachiwiri) kungakhale chizindikiro cha meconium peritonitis ndi meconium ileus, ndipo amasonyeza matenda ndi katsabola. Kudziwika zolakwika chifukwa kupanda kuwunika. M'pofunikanso kuganizira kuti osiyana zipangizo luso angasonyeze kusiyana kwambiri mafano.

Pamene opaleshoni chofunika?

Nthawi zina vuto sakhoza unachitikira hyperechoic matumbo zotsatira yoopsa pa zochitika zikhoza kukhala zoopsa. Pa kudziwika meconium peritonitis amagwira ntchito opareshoni, koma osati nthawi zonse. Opaleshoni chofunika kwa zizindikiro ndi zizindikiro cha kutsekeka pachimake m'mimba. Ngati palibe zizindikiro opaleshoni, anatumizidwa zazikulu kuwunika akhanda. Nthawi zambiri ntchito awa anatsagana ndi imfa yaikulu ya magazi, yomwe kungachititse kuti syndrome lalifupi matumbo.

Yoopsa imfa kumachitika pamene kudwala milandu la 8%, neonatal zomvetsa - 0,8%. Kuchuluka wonse wa zakambidwa chokhwima kuti akalandire chithandizo ukufika 48,4%. Pa kudziwika chodabwitsa khanda akalandire chithandizo amafuna zazikulu polojekiti ndi mankhwala mwadongosolo.

Werengani zambiri za matenda Down

Izi ndi ndi wamba kobadwa nako chosayenerera, amene amayamba ndi pamaso pa khromozomu lowonjezera aŵiri 21. Wa anomalies onse anaphunzira kugwirizana ndi kuphwanya DNA, ichi ndi ambiri ndi kuphunzira. Pafupifupi theka la ana ndi matendawa kuwawa;

• matenda a mtima;
• yamitsempha yamagazi septal chilema;
• matenda Hirschsprung a.

Pa mimba mayeso kuphimba imachitika kudziwa ozerezeka. Akuganiza chiopsezo kukhala ndi matenda mimba oyambirira amathandiza diagnostics olanda:

• Ultrasound Kupenda;
• hordotsentez;
• amniocentesis;
• chorionic villus zitsanzo zosankhidwazi.

Mwina kudziwika chilema trimester chachiwiri ndi 60-90%. Izo zimatengera kusankha njira kafukufuku.

Hyperechoic matumbo mwa mwana wosabadwayo pambuyo masabata 20

Hyperechoic matumbo mu wosabadwa pa masabata 20 akhoza limodzi ndi zizindikiro za kusasitsa msanga wa latuluka lapansi. Chidwi madokotala Pankhaniyi adzakhala kwenikweni kwa kuwonongedwa kwa matenda pa mlingo chromosomal. Pankhaniyi, palibe chiopsezo si monga kusintha kumeneku mu intestine ndipo angayambe ana mwinamwake wathanzi.

Mulimonsemo, mtima wa adzatumizidwa ovomerezeka kwa zachibadwa kapena kutsutsa matenda zochokera mayeso zinkapita komanso nkhani.

The katswiri adzakupatsani maganizo ake pa maziko a ayamikira chinanso kanthu. Popeza zizindikiro chingabwere limodzi matenda, woikidwa anayendera:

• urearlazma;
• mycoplasma;
• Streptococcus GR. V.

Ngati matenda a "matumbo hyperechoic," ndi mwana wosabadwayo, ungatipatsire ndi zimene amagwira ntchito kafukufuku? Mkazi akapitirira matenda mabuku, womwenso:

• Mphambu akupanga yoopsa thunthu;
• kulamulira m'malo mwake;
• Kuphedwa kwa mayesero matenda.

Hyperechoic matumbo matenda a mwana wosabadwayo kumafuna zovuta. Monga ulamuliro, zotsatira za mankhwala nthawi zambiri zabwino.