Wamathumbu Hyperechoic ku-fetus: Kuyini lokhu?

Ilinde ingane - lokhu ingenye izikhathi ujabule kakhulu futhi okuthakazelisayo ekuphileni sowesifazane, okuyinto, ngeshwa, uvame ukuhambisana izinkinga kwesimiso somzimba umama okhulelwe kakhulu noma i-fetus. Omunye walena uwukuba a hyperechoic wamathumbu pathologies ku-fetus.

echogenicity Ukwandiswa kubonisa ekuqongeleleni endleni, kungabonwa kuphela uma ultrasound. Phezu ukuthola isici okufana, noma udokotela yena uqhuba uthole ukucwaningwa okuningiliziwe kokulandisa ezingenzeka embungwini, noma kangcono futhi more ngokwemvelo, ithumela isiguli isazi sezakhi zofuzo. Futhi uma okwatholakala "wamathumbu hyperechoic" ku-fetus, izizathu kuyokhanya ezingeni chromosomal.

Izinqubo ukuhlonza isifo

Usuku nosuku, isikhathi ukuhlangabezana nengane kuyehla, futhi phakathi nokukhulelwa umama libhekisela ngokucophelela enganeni yakho. Ngokusho kudokotela nesiqinisekiso yabo eyenziwa ultrasound kanye nolunye uvivinyo ukuhlonza at isikhathi bokuqala okunokwenzeka kwanoma iyiphi kwezinso e kwengane esiswini futhi athathe ezinye izinyathelo zokuthola ukuxazulula lesi simo. Kakade kubonakala phezu 6-8 ngesonto ingane amathumbu, kodwa ngenkathi he is ngaphandle komgodi ongaphakathi kwamathumbu. ukuthuthukiswa umzimba Active luqala ngemva kwesonto 12 okukhulelwa.

Omama abaningi ngenxa yokungazi lwabo lwezokwelapha Angazi ukuthi wamathumbu hyperechoic ku-fetus, futhi aqale bakhathazeke kakhulu sokuthuthukisa kanye nokuphila kwengane engakazalwa. Izizathu isipiliyoni empeleni eziningi, uma inkinga itholakala lapho baqinisekisa. Kodwa ukubeka ke, kumelwe kudlule luhlolo olunzulu, omunye ultrasound ngokwanele. Kungenzeka ukuthi lokhu zokugula ngokuhamba kwesikhathi ngizoya ngokwalo.

Kuyini hyperechoic wamathumbu?

Ngokuvamile, kokutshelwa ngokukhubazeka kwengane angabakhulula izingane ephelele, futhi ukuqinisekisa noma ukuphikisa bakhe ukuhamba kwakhe, kubalulekile ukuba zidlule izinqubo eziningana:

• double / kathathu test kwamakhemikhali;
• ukuphinda ultrasound emva kwenyanga;
• neluhlolo khona kwamasosha omzimba.

Ngesikhathi izinsolo kancane zokugula kubalulekile ukuba kudlule bonke ukuhlolwa, okuyinto uzoqoka udokotela. wamathumbu Hyperechoic ku-fetus - lokhu kuphazanyiswa kakhulu ezivamile kokubeletha echographic umaka lezinceku noma anomalies azalwa naso, okuyinto kuhambisana ngezinga eliphezulu echogenicity, okungafaniswa ithambo.

Ngokwezibalo, engxenyeni yezinyanga ezintathu zokukhulelwa yesibili, 0.5% we-fetus ukuhlonza zokugula ezinjalo. Imbangela lomkhuba engakaze wafunda kuze kube sekupheleni, ukuze izibilini, kwezinye izimo, kungaba kubhekwe kuyinsakavukela khona, noma kugujwa ngokudla amakhemikhali abulala igazi fetus esingavunyelwe kugaywe e mafutha anciphisa isikhala esingaphakathi emathunjini.

ukuhlolwa zokuxilonga

Isinyathelo sokuqala ukuba uthole ukuthi siphendukele ngokushesha zofuzo, okuyinto ngokukhethekile chromosomal imihlola. Uyokwenza ekuhlolweni, bheka futhi ukuhlola idatha etholwe ekuhlolweni kwamakhemikhali, ukufunda uphethwe ultrasound, eyaqinisekisa uphethwe, wamathumbu hyperechoic ku-fetus njengoba uswidi, ngokushesha futhi ezobhekela ukwenganyelwa yokukhulelwa.

Uma izimpawu ultrasound ukuphambuka, lokhu akusona isizathu ngisho ukukhuluma kuye kwatholakala ukuthi kukhona okungavamile chromosomal, futhi akuyona inkomba ukukhipha izisu. Esimweni esinjalo sabelwe sokutholakala ukuthi une-koda kokubeletha. amaseli kwengane bathathwa ukuhlaziya mncane encanyana. Lokhu kubizwa ngokuthi yi nenshisekelo ka villi chorionic.

Uma uphethwe "wamathumbu hyperechoic," i-fetus kuqinisekisiwe, ke bayonikezwa ozolandela inhlolovo. On ultrasound a esiswini ivelele, kubukeka sengathi ibala elikhanyayo.

Yonke imisebenzi abazenzi ukuthola le zokugula ngaphambi ukuqala 16 amasonto. Ngaphambi kwalesi sikhathi, amathumbu ngisho umbungu ngempela ophile kahle angase abe echogenicity okusezingeni eliphezulu. Ezimweni lapho ngeso nzima kwezitho fetus e-US ngenxa ukukhuluphala kukamama noma nokuntuleka kwamanzi, ukuthola anomalies usebenzisa i-sonography transvaginal.

Izimbangela ngeziphambeko

Uma kungekho ukwanda ezitholakele echogenicity nge ucwaninge ngokwengeziwe, singakwazi ukuzola. Lesi sici emathunjini kungenzeka umbungu engumqemane futhi ekugcineni precipice.

Nokho, ukuphambuka ezinjalo bangaba uphawu eliqhakazile iziyaluyalu sina yofuzo noma yokungavuthwa umbungu, isibonelo, sekutholakele ukuthi sine--Down syndrome. Ngakho-ke, odokotela sebeqala ikhale alamu ngesikhathi thuthuva kancane e wamathumbu echogenicity. Kuyadingeka ukwakha ephelele isithombe emitholampilo ukwenza ukuhlolwa ngokucacile zonke izici yokwakheka umbungu. Cabanga izimbangela ezilandelayo anomalies:

• ukutheleleka intrauterine umbungu;
• ukulibaziseka kwamabanga okukhula.

Lapho imbangela ukubambezeleka ukuthuthukiswa

Kulokhu, izimpawu ohambisana sizoba:

• ubukhulu encane izithelo, hhayi ukuthuthukiswa okuhambisanayo eside;
• oligohydramnios;
• ehle lesizalo ukugeleza kwegazi;
• nokuncipha esinomhlapho ukugeleza kwegazi.

Ephambi kwezinduna izici isikhonzi sikwazi ukukhuluma ukubambezeleka kwengane esiswini. Uma bengekho, ke ayifakiwe.

echogenicity okwandisa ivame ukuhlotshaniswa ukwehla ngo aqueous ingxenye noma meconium peristalsis ngoba kusebenze ukunciphisa enzyme amniotic fluid kwenzeka ngokunembile chromosomal iziyaluyalu.

Impendulo ecacile ngesikhathi sokukhulelwa umbuzo yini eyabangela ukuphambuka, kunzima. Phakathi izimpawu ezengeziwe sonographic ka trisomy 13 Ukukhululwa:

• tachycardia;
• goloprozentsefaliyu;
• omphalocele.

Yiqiniso, ngokusekelwe ngalezi zinkomba ayikwazi bafinyelele esiphethweni mayelana nokuba khona okuphambene, kodwa idatha efana afakiwe kakade isiguli engozini.

Imiphumela ngeziphambeko esiswini

Akuvamile kakhulu empeleni ukuthola - wamathumbu hyperechoic ku-fetus. Izimbangela, imiphumela izifo ezifana ngokuvamile kuhlobene. Nakuba lokhu anomaly uphawu sína futhi ebalulekile esibonisa kwezinso ekuthuthukisweni kwe-fetus, izingane eziningi zizalwa enempilo, ngaphandle ukuphazamiseka kuyi-DNA. observation Dynamic zokugula enjalo ezimweni eziningi ubalekela, futhi ngemva kwamasonto ambalwa emathunjini iba evamile.

Ukukhomba zokugula emabangeni kamuva yokukhulelwa (ngemva senyanga yesibili) kungaba uphawu meconium peritonitis futhi meconium ileus, futhi abonisa ukutheleleka nge upokisi. Ukuthola zokuhluka kungenxa ukuntula kokuhlaziywa. Kuyadingeka ukuba acabangele ukuthi ezahlukene imishini yezobuchwepheshe ingase ibonise umehluko omkhulu e-altare empepho.

Lapho ukuhlinzwa iyadingeka?

Kwezinye izimo, ingozi azinakugcinwa hyperechoic wamathumbu imiphumela fetus nakwezinye izimo kungaba yingozi. Phezu ukuthola meconium peritonitis wabelwa ukusebenza, kodwa ngaso sonke isikhathi. Ukuhlinzwa iyadingeka ukuze izimpawu nezimpawu acute isimiso besisu. Uma kungekho izinkomba ukuhlinzwa, kunikezelwe ukuqapha ashukumisayo ngayo lapho usana. Ngokuvamile le misebenzi ahambisana ukulahlekelwa emikhulu yegazi, okuyinto kungaholela syndrome wamathumbu iDemo.

ukufa kwengane kwenzeka lapho zokugula ku amacala 8%, ukulahlekelwa nezinsana - 0.8%. Kuvamisile jikelele kwemiphumela enqabayo kokubeletha ifinyelela 48,4%. Phezu ukuthola lo mkhuba usana kokubeletha kudinga ukuqapha ashukumisayo kanye therapy ehlelekile.

Funda kabanzi mayelana Down syndrome

Lena angahlangani ezijwayelekile azalwa naso, okuyinto kubangelwa khona-chromosome eyengeziwe umbhangqwana 21. Kuzo zonke anomalies ifundelwe elihlobene ne-ukwephulwa wama-chromosomes, lena ezivamile futhi wafundelwa. Mayelana isigamu sezingane sifo ahlupheke:

• isifo senhliziyo,
• ventricular isici septal;
• isifo Hirschsprung sika.

Phakathi nenkathi yokukhulelwa ukuhlolwa ukuhlolwa ziqhutshwa ukucacisa-Down syndrome. Usola ingozi yokuba lesi sifo ekukhulelweni ekuseni kusiza ukuhlola koda:

• Ultrasound luhlolo;
• hordotsentez;
• amniocentesis;
• chorionic villus izibonelo zalokho.

Amathuba ukuthola isici esithile senyanga yesibili kuyinto 60-90%. It kuncike ukukhetha indlela ucwaningo.

wamathumbu Hyperechoic ku-fetus ngemva kwamasonto 20

wamathumbu Hyperechoic e umbungu uma sebehlanganisa amasonto angu-20 kungenziwa ephelezelwa izimpawu nokuvuthwa kwanoma placenta. Ukunakwa odokotela kuleli cala uzobe ngokuyinhloko zibhekiswe nokuqedwa izifo ezingeni chromosomal. Kulokhu, akukho ingozi akuyona, njengoba ushintsho olunjalo emathunjini bese kungavuka izingane empeleni abaphile saka.

Kunoma ikuphi, isiguli izothunyelwa ukuvunywa ukuba isazi sezakhi zofuzo noma ukuphikisa uphethwe esekelwe Luhlolo sasiqhubeka cwaningo.

Lo chwepheshe uyonika umbono walo ngesisekelo okwengeziwe izincomo senzo. Njengoba lezi zimpawu ungase uhambisane ukutheleleka, esimisiwe ukuhlolwa:

• urearlazma;
• mycoplasma;
• Streptococcus gr. V

Uma ukuxilongwa "wamathumbu hyperechoic," i-fetus, kungasho futhi yini inikezwa ahlolisise? A intombi idlula uphethwe esibanzi, okubandakanya:

• Score ultrasonic anatomy fetus;
• ukulawula isimo yayo;
• ukukhishwa ukuhlolwa ekungenweni.

Hyperechoic ukwelashwa wamathumbu umbungu kuhilela eziyinkimbinkimbi. Njengomthetho, umphumela wokwelashwa ezimweni eziningi ezinhle.