Ke neural Tube i loko o ka fetus - ka mea, ua, a pehea ia i hana?

I ka wā e hiki mai makuahine loaa mai ia ia ka hapai, kona ola i ka okoa loa manaʻo. Ano, e pono e lawe mālama i wale ana iho, akā, i ka mea uuku popo, a ua ola ma lalo o ka naau. Ka mua mea mea e hana i kekahi wahine - mea e aaeno i ka hoʻomalu maikaʻi, nā mea āna i hilinaʻi i e paulele ma ka maʻamau papa o ka hāpai keiki.

O ka holo ana, na makua opiopio uuku makemake i ka manaʻo i kā lākou keiki i ole hoʻomōhala. Akā, inā iʻikeʻia nā pilikia a pau, hana ole o ka manao. Ua a pau o ko kou makemake i loko o ka lima a me ka hana a pau e hiki ai i ke keiki i hanau ola.

Ke neural Tube i loko o ka fetus - He aha ka mea?

expectant makuwahine He nui ka poe i aʻo wale i ka maikai lono e pili ana i ka hāpai keiki, mai oukou, mailoko e noiʻi i nā mea a pau i ka loaʻa moʻokalaleo ma luna o ka mai ana mai ka hanau ana. A i ka wa a ko lakou mau maka i loaʻa ai ka 'ike ia i ka 19-22 lā o ka hapai ana e hoomaka ana i ka hana i ka neural Tube i loko o ka fetus. He aha ka mea? Ma hope o nā mea a pau, he kanaka makua o ia i ke kino nei,ʻaʻole ma laila. Ke pane Ua puni hoʻi: neural Tube - o ka iniiaiie ano o ka ulu ana o ke ko mākou hopohopo oihana, me lolo a me ka spinal kaula. E wehe i ko mākou hopohopo akua aku la - he pola no ke kahua o ka anterior, waena a me ka posterior bladder.

Weliweli maʻi i mea e hana maʻalahi i ke ola

E ike i kekahi o na kahua o ka hoʻonaʻauaoʻano nui i loko o ke kumu o ke ola i ia lŘlŘ i hāpai keiki - o ke kahua o ka neural Tube mai a e koke hoʻomōhala i ka lolo a me ka spinal kaula o ke keiki. Akā, i kekahi manawa e hana i ke kaʻina hana o ka panina o ka luna o ka uhaʻi, kūpono i ka ulu anencephaly (ʻaʻohe lolo ma ka fetus). Inā he mea i ka hoʻohuikau 'ia ma ka panina o ka lalo o ka neural Tube, aia no he spinal hernia. Eia naʻe, nā o kēia mau maʻi i ole hana maʻalahi i ke ola, akā, e ana loa kākaʻikahi. 'Ikepili helu hōʻike i kēia maʻi hahau kekahi mai o ke tausani hua.

I kekahi manawa, he mau wahi, i hiki ia ia i hoʻomaka ai i pono hoʻomōhala i ka neural Tube i loko o ka fetus. He aha ka mea, 'o ia hoʻi, a ina paha he mea pono e hopohopo e pili ana ia?

He aha e neural Tube mā?

Mā o neural Tube - he okoa moʻo o ka hoʻokaʻawale mā i i hoʻomōhala i loko o ka fetus. Mea pōmaikaʻi, mau deviations i kŘpa a pohihihi keia.

He nui no ka maopopo i ka pathology o ka neural Tube o ka fetus - mea,ʻaʻole he laekahi maʻi i ua kena ae la e ka papa olelo o ke kanaka ola. E like me hoʻopaʻa ma ka hoʻopaʻa 'ana o paleontologists, ka poe i lawe mai i ka pili haʻawina, Ua loaʻa mā o ka spinal kaula a me ka lolo (keia keʻae i ka'āno'ē kūpono' ana o ka puniu wale no, a spine) i loko o ka i koe iho o ke kanaka e noho ana 7,000 makahiki aku nei.

Ka mea mua i maopopo nä haumäna i ka 'epekema a me ka' inikua hana, ma ke kumu o ka a mākou ke olelo, hoomaka ae la e hoʻoikaika i neurosurgery, ka mea i kaulana i loko o nā hana o Hippocrates. Italian anatomist Morgagni Batista, paha, kekahi o ka mua He kokekau wale hōʻike haawi neural Tube mā. Iapaau ana i ia manawa, o ka papa, i kēia mau maʻi i ole paha, no ka mea, o ka lapaʻau ua nō ma ka loa haahaa nui o ka? Acaeoey.

Nā kumu o kēia mau pilikia

Eia naʻe, i kekahi manawa, he mea he hemahema neural Tube i loko o ka fetus. He aha ke ano o ka pathology, a me ka aha, kena ae la ia? E ka loaʻa mai i nā kumu no ka haiahū kūmau, mai ke kūmau.

No laila, ma 19-20 lā ma hope o ka hapai ana i ka fetus ua hanaʻia i loko o kēlā mau 'papa - ka palapala mua o ke kūpono' ana o ke kanaka ua'emi ko kahua. 20-22 lāʻo ia e hoʻomaka interlock, ma ia ho okumu i ka neural Tube i loko o ka fetus. Ka mea e hele ana a pau ua like me ka manao, keʻae i ka wa e kaawale aku o pathologies o ka'emi ko oihana o ke keiki nana e e hanau. Inā ka 23 lā mai ka hapai ana neural papa ua ole loa paʻa i loko o ka Tube, ke fetus e hoʻomōhala hoʻi pilikia. Ma keia, a mahuahua nui puʻe ke alakai cerebrospinal larkspur i ike ia ma ka trimester mua o ka hāpai keiki.

Kekahi o ka loa e like me ka kumu o ia mau pathologies i manaoia mea hoʻomaʻi nā mea palahēhē, pāhawewe, kūpono wā e hiki mai makuwahine, i mea maʻi me ka maʻi 'aʻai, e like me? Aneie aʻe. Akā, ka hapanui o kēia mau deviations ana ma ka hapai wahine i ua hookauiaʻe la i neural Tube kina. High kamepiula hana aaiaoe hooilina.

Mawaho aʻe i lilo i ke kumu kumu o ke kina

Ae, he aaiaoe predisposition i na mā me ka nui loa maoli ka pilikia o kona hanana. Akā, i kēia mea he nui loa, he pono ole ke kumu o ka maʻi kauka manaoio pāhawewe (ka expectant makuahine ke kiʻi i ka pāhawewe waiū,ʻaʻole wale nō i loko o ka iapaau ana, akā, pono iho ko lākou noho i loko o ka ua hoʻohaumiaʻia wahi). Pesticides,ʻaila kā nā huahana a me nāʻano likeʻole o kemikala fertilizers mea no hoi ke kumu i hoʻomaka ai i pono hoʻomōhala i ka neural Tube i loko o ka fetus.

I ka lā, i ikeia e na mea he nui, ia mea pilikia loa i ka kanaka ola ai genetically Hoʻololi 'ai. Eia naʻe,ʻaʻole mea ike ia ina ka expectant makuahine hoʻohana pākela i like huahana, ka mea maoli i ka pilikia o ka ulu make ka maʻi i loko o kona bebe. ʻO ka wela pahu, a lawe i ka wahine i loko o kakahiaka hāpai keiki ke hoʻonāukiuki ia he kina.

'ōpaha maternal kino kauka i haawiia i like i ke kumu kumu o neural Tube mā. A wahine E e ia me ka nānā 'ana i ia i loko o ka pau wā o ka hāpai keiki. Ma ka hihia ma kekahi o na luna aʻe i loaʻa i loko o ke ola o ka expectant makuahine, ka mea e e makaukau ai no ka mea i ka hapai, e komo i loko o ke kiʻekiʻe-kamepiula hanau ana, i mea he neural Tube kina.

Ka mea oiaio e makuwahine me kiʻekiʻe kaumaha ka pilikia o neural Tube mā ala?

'Aʻole no laila, lōʻihi aku nei, hele mai ia eʻike i nā hualoaʻa o nā haʻawina i hoopaa i ka mea i na wahine, ka poe i overweight i hāpai keiki, o ka pilikia o ka neural Tube mā ma ka fetus ma kiʻekiʻe nā manawa ma mua o ia o ka elele o ka uuku kaumaha. Interestingly, i ka wā e hiki mai makuwahine nona ka kaumaha mea,ʻaʻole lawa, keia au ia i malama.

Kēia i hana ma ke kumu o ka hihia moʻolelo o Kaleponi na wahine, ka poe i ike ai i ka neural şarkı hewa i loko o ka fetus. Ka mea i laweʻia i loko o noonoo i ka hihia i loko o ka manawa mai ka 1989 a hiki i ka makahiki 1991. Nā hopena o keia ao hoike i na wahine me ka loa kino kaumaha maoli i ka pilikia o ka ulu i ka maʻi ma ka 2.1 manawa. Akā, interestingly, keiaʻikepili aʻole e pili mai hoʻonui folicʻakika hokii, o ka nele o ka i ua manaoia kekahi o na kumu o neural Tube abnormalities i loko o ka fetus.

He aha ka hana i ka hua o ia i ia i ka hahau?

I mea pehea ka neural şarkı hewa i loko o ka fetus e hoʻomōhala ai e ike, he mea e pono ai ma ka liʻiliʻi loa i loko o mau hua'ōlelo, e maopopo mea i ke kaʻina hana o ka embryogenesis.

No laila, i ka hebedoma mua o ka hāpai keiki ua pau i ke kahua o embryonic wahi. Lua - keia mea i ka wā o ke kahua o ka iho nā loko ma ka fetus, ka wā 'Imi ulu extraembryonic hapa. E like me ua oleloia, ke kolu o ka pule - kekahi manawa i ka wa a ka neural Tube ua hana mai ke kupaianaha una. Ka muaʻekolu hebedoma i ka wā o ka iniiaiie neurulation. Secondary e kau mai maluna o ka hookahi wā o 4-7 pule mai ka nui o ka hapai ana.

Mua i loko o kēia wā o ka manawa e ia i ka 'aʻe', oa spinal dizrafii. Pathology o ka neural Tube, i ae i loko o nā hewa lumbosacral spine wā e hiki mai ana, e hana wale ma haumāna neurulation. Ano, ka mea i ike i ka'āno'ē kūpono 'ana o ka neural Tube i loko o ka fetus hoʻomaka me ka mua pule o ka hāpai keiki, i mea ke kumu o ka iapaau ana o kēia mau maʻi ana i loko o ka palapala o ka pale i ka hooulu ana o ka hoʻoponopono ulia pōpilikia' mā. Penei, Inc e hoʻomaka mua hāpai keiki, a hoomau i ka mua pule o ka gestation.

Ma ka hooulu ana o neural Tube mā i kona symptoms

Like kekahi maʻi 'ole kāna hana kupono e ulu ai, i ke kahua o ka neural şarkı hewa i loko o ka fetus i kona mau symptoms.

Na hoailona o spinal dizrafii kēia lāʻau E hoomanao i ka mea kēia mau manaÿo.

• Hūnāʻia mauae spine: e like me ke kina ua loa pinepine aia i loko o ka lumbosacral wahi. He mea no ka mea, o ka lapaʻau symptoms ia mea,ʻaʻole ma laila. Kēia pathology ua loaʻa loa ma ka paha, no kekahi laʻana, ma hope o ka spine radiography. Aia i kekahi mea hou o ka ili, i kekahi manawa, ua pouli mau kiko a me talc. Ua huna mauae mea, aohe mea like ino me ka paʻa ke kakaka o kekahi o ka vertebrae. A like maʻi, heʻoliʻoli hopena, i nā pō incontinence, he nui kue o ka pololei kulou, nawaliwali o na nāʻiʻo o nā wāwae,ʻeha ma ka lumbar'āina, a hiki deformation o na wawae. Ia mea ke kumu ia mea nui e ike ina paha he nui ka pololei kahua o ka neural Tube i loko o ka fetus.
• Cystic splitting hamama: ka mea, i kekahi kapa i ka oiaio spinal hernias. Lakou e lawe i ka palapala o ka hapa protrusion o ka dura mater. Kahi o ia mau hernias mea he waiona i mea cerebrospinal loli. Kēia mea maʻi kaʻina hana hiki e hoopomaikai io ia elua a ekolu paha vertebrae. Nui na kanaka i i hanau ia me ia he kina, hoʻi mai kēlā wahi i noho ai i ka lōʻihi a me ka hauʻoli ola. ʻoki kino i loko o ia hihia, nā loea waiho aku e hoʻohana wale ia he mea maoli ulu o spinal hernia. Inā ia kekahi iwi kina ka hopuʻia 3-5 vertebrae, ke hoʻomanawanui, e i ka hoao ana Muscle nawaliwali, a me ka incontinence. Akā, Eia naʻe, i ka loa, he pono ole kāna hana i ka hopuʻia 6-8 vertebrae. Ka ili ma ka hernia mea, he wiwi, a me ka mea, ua hoomalamalamaia mai la ma ka Pia pepa membranes. He He, ua hanahana loa ano o ke kina, a pinepine welau a me kaʻoluʻolu o hernia sac a me ka outflow o cerebrospinal loli.
• Ma ka lōʻihi pupuka, noonoo iho la mauae spine a me ka pahee nā'aʻaʻa, i ua pu ma kekahi hemahema ho okumu ana o ka spinal kaula. Oia he kina me ke ola kokoke i hana maʻalahi.

Mea o ka mea i ka wahi o ia mau hernias i loko o 90% o ka hihia e kau mai maluna o ka lumbar'āina, a me ka mea, ua nui kākaʻikahi ike i loko o ka thoracic a cervical māhele 'āina. Kēia kahua wehewehe ia ina he kina ia lŘlŘ i loko o ka fetus, ka hāpai keiki pinepine EII ni noho'na makaainana i ulu abortion (miscarriage). Oia embryos i pepehi wale, no ko lakou hou ho okumu mea aneane hiki ole i.

Pehea e diagnose i kina ole neural Tube abnormalities?

E nānā i ka neural şarkı hewa i loko o ka US wale i loko o ke kolu o ka trimester o ka hāpai keiki. Akā, ma mua ia, he mea nui o ka manawa, e 'imi i ka like pathology.

I hoʻomaka me, like ua oleloia, he mea pono ke hana i ka muaʻike, a ua paipaiʻia i loko o ke au o ka wā e hiki mai hāpai keiki hoʻolālā. Oe E hoi kipa kekahi obstetrician-gynecologist, urologist a me aaiaoe?. Inā hiki, e e kekahi e ho'āʻo ai i ka hōʻike i ka nui o ka pilikia o ka ke keiki me ka hewa o ka neural Tube. Eia hou kekahi, ia mea kupono i ka heluhelu i ka hailona o ka moʻokalaleo. Kēia, e kōkua i ka ka neural Tube o ka fetus, e like me hiki e noiʻi i nā mea a pau i nā koi o ka poe akamai, a e e pono iā 'oe i loko o ka wā e hiki mai, e ike.

Ma hope o ka hapai ana, hiki ole ke hana me ka malama nana o ka obstetrician. I ka lua o ka trimester o ka hāpai keiki E mau e ukali ma kekahi mau koko hoao no ka wā e hiki mai makuahine. He ua hiki ke lawe mai i ka ultrasound hookolokolo ana o ka fetus. Mai e hilahila ke noi i ka hoʻomalu ma luna o ke kūlana o ke keiki, o ka oi aku ina oe i loko o ka pae ana o na wahine a me ka hoonuiia pilikia o neural Tube abnormalities.

I ke kolu o ka trimester, ia mea, ua hiki ke ike ma ultrasound congenital malformation o ka fetus, i i kaua kipi i ka hopena o ka mea i ka neural Tube ua PilikiaʻAʻole i hoʻonohonoho pono. Photos o ka embryo i loko o ka opu, e hōʻoia i kaʻike,, e hiki no hoi hōʻike kekahi hoʻomalu.

Inā kekahi o nā kuʻina o ke kahua o ka neural şarkı kina, ua hookupaa iho la ia, ia mea he kumu pono e hoala mai i ka kahe ana o abortion. Eia naʻe, 'oe mua pono e ike i ka degere o ka' aʻe ', no ka mea, kekahi o kona' ano apau loa ke e hala loa ka maʻamau ola. I kēia mau lā malformation ka neural Tube, i ua kaheaia ma ka ulu fetal malformation hiki e? Ee eʻoki lāʻau lapaʻau 'uao. Additional lapaʻau 'ua koi' ia ma hope o kou ua waiho ia i kaʻike,, no ka abortion - ka mea, o ka hope OAAIeOO.

Lapaʻau o neural Tube mā

Iapaau ana o ka pilikia i i kaua kipi ma muli o ia ka mea i ke kahua o ka neural Tube i wawahiia, e hiki hoʻomaka koke ma hope o ka hanau ana. A hiki i na kumu, e wehe i olelo hooweliweli a hiki i ke ola ana o ke keiki,ʻo ia hoʻi, e hoihoi noho'na makaainana i ulu ka hanu a me ka kino mahana e kaha i kekahi keiki, hernia ili honua koke E e ia me disinfectants, a hoʻouhi me ka sterile pepa. Ma hope o ke kamailio ana me na makua, ina eʻae i kaʻoki kino, i ka hanau ua hoololiia no ka neurosurgical Oihana, ma nā mea a pau i ka pono noiʻi, no ka mea, me ia, i ka hana e,ʻaʻole e holomua.

Inā he mea i hoʻoweliweli 'ana o ka hernia rupture, dissection ua lawe mai koke. I ole ia, e hiki ke kali a ke keiki ulu mai. Oia ka olelo hooholo, ua hoaponoia ma ka mea ana i nā wahi i wāhiʻia - ka "hamama ipuka" no kekahi 'ano o nā mea palahēhē. Pinepine, ma hope o ka wehe 'ana i hernias ana suppurative li nui. Wahi a ka 'ikepili helu, ka hola 78% o ka opiopio nā mea maʻi iʻikeʻia like complications. It E e kaulana i loko lā ma hope oʻoki kino ola i loko o nā keiki ua normalized. Eia naʻe, 5% o nā keiki nō koe ma kamepiula.

I nui ka mea, o ka mea ia ina e hoopaa i ka like ana i loko o ke keiki, hiki loa ana e hoihoi aku i ka pono o ka dura mater. Oia hoi, e kūkulu i ke keiki ma hope o kaʻoki kino nō hoʻi ia moʻolelo maʻamau, a me ka mea, e kakali no ka maʻamau piha ola. E hoʻomaopopo i ka ka mua hoʻokolokolo 'lawe mai ma mua o ka hana loa koke. Hana wale no ka mea e ho'āʻo ai i ka mea e hoola i ke keiki, a malama ole ae aku ia ia e noho i ka wa e ola kino kīnā. He nui ke lawe seriously, a me ka postoperative wā. I ka hoʻopulapula i wahi oluolu, a me ka complications, E e hahai ikaika na koi a pau o ka hana maikaʻi kauka.