Hyperechoic bowel ari mudumbu: Chii?

Tichimirira mwana - ichi ndechimwe chezvinhu anofara uye zvinofadza nguva ari mukadzi upenyu, izvo, zvinosuruvarisa kunowanzoguma nezvinetso muviri mamiriro mai kupfuura pamuviri kana azvarwa. Chimwe chaizvozvi chinhu hyperechoic bowel pathologies ari mudumbu.

Inosimudzira echogenicity chinoratidza kuunganidza mutsvina yadzo, unogona kuonekwa chete kana Ultrasound. Pamusoro kuziva miedzo yakadaro rutivi, kana chiremba pachake achiitisa tsanangudzo kuzviongorora mudumbu, kana rakapfuura sezvingatarisirwa, anotumira murwere kuti geneticist. Uye kana akanzi "hyperechoic bowel" iri mudumbu, zvikonzero zvichava zvakajeka panguva chromosomal pamwero.

Dzokuvhiyiwa kuziva chirwere

Zuva nezuva, nguva kusangana mwana ipfupi, uye kusvikira pamuviri amai kunoreva nokungwarira kuti mwana wako. Maererano chiremba agadzwa uye nokuda kurudziro yavo akatakura Ultrasound uye nemimwe miedzo kuziva Pandakangowana zvaibvira nguva ipi abnormalities mune fetus uye kutora mamwe matanho kugadzirisa mamiriro ezvinhu. Atoona pamusoro 6-8 muura vhiki mwana, asi achiri kunze abdominal mhango. Active muviri kukura rinotanga pashure yechi12 vhiki pamuviri.

Vanaamai vakawanda nekuda kwekusaziva kwavo vezvokurapa havazivi bowel chii hyperechoic ari mudumbu, uye vanotanga kunetseka zvakawanda kuti kukura uye upenyu hwomwana asati aberekwa. Zvikonzero chiitiko zvamazvirokwazvo yakawanda, kana nechirwere kunosimbiswa. Asi kuti ndokuisa, unofanira kupfuura misoro kuongororwa, mumwe Ultrasound zvakakwana. Zvinogoneka kuti zvokurwara ichi pamusoro nguva achaenda woga.

Chii hyperechoic bowel?

Kazhinji, zvakadai chirwere anogona kununura vana gwindiri, uye kuti asimbise kana kuramba kwake, zvakakodzera kuenda kuburikidza akawanda ezvinhu:

• kaviri / nekatatu nokukanganisika bvunzo;
• kudzokorora Ultrasound pashure mwedzi;
• Kuongorora kuti kuvapo antibodies.

Kuchangotanga nokufungirana pamusoro zvokurwara zvakafanira kupfuura zvose miedzo, izvo achagadza chiremba. Hyperechoic bowel ari mudumbu - ndiwo zvikuru zvakafanana pamuviri echographic zvechinguvana enhaka kana vachiberekwa anomalies, izvo pamwe refu mwero echogenicity vakafanana pfupa.

Maererano nenhamba, ari trimester pamuviri rechipiri 0.5% kubva fetuses kuziva zvokurwara kwakadaro. The mhaka Chiitiko haina kudzidza kusvikira pakuguma, saka ura, mune zvimwe zviitiko, anogona kunzi ndozvakajairwa, kana Kunoitwa ingesting ropa fetus isina ozeyewa mune intestinal lumen.

chirwere yokuedzwa

Danho rokutanga pakarepo kuna genetics, izvo unyanzvi mune chromosomal zvakavapo. Achaita pabvunzo, tarisa uye nezvemabatiro Data vakawana muna nokukanganisika bvunzo, kudzidza Ultrasound nechirwere, izvo akasimbisa chirwere, hyperechoic bowel ari mudumbu somunhu vaitire, chiriporipocho uye achaita atungamirire basa akazvitakura.

Kana Ultrasound zviratidzo kutsauka, kuti hachisi chikonzero kunyange kutaura zvave kuwanikwa kuti pane chromosomal abnormality, uye haisi chiratidzo nokuda kugumiswa pamuviri. Pakadaro riri basa kuti invasive pamuviri kuongorora chirwere. Masero Fetal vanobviswa pamusoro mutete nemaziso kuongorora. Izvi zvinonzi chido pamusoro chorionic villi.

Kana nechirwere "hyperechoic bowel," fetus akatsinhira, zvichava basa kutevera-up ongororo. On Ultrasound ane dumbu inomira panze, zvinoita sokunge chivara.

mabasa ose vari kunze kuziva zvokurwara ichi pamberi kutanga kwevhiki 16. Vasati iyi, ura kunyange mudumbu zvikuru utano angava mukuru echogenicity. Muzviitiko apo yakaoma Visualization fetus nhengo iri US nokuda kufutisa amai kana mvura chishoma, kuziva anomalies vachishandisa transvaginal sonography.

The zvinokonzera zvarakasiya

Kana pasina dzakaonekwa kuwedzera echogenicity mimwe tsvakurudzo, tinogona richanyarara. Ichi chinowanikwa ura kunogona kuitika munguva mudumbu zvachose utano uye pakupedzisira mumwe pamawere.

Zvisinei, kwakadaro kutsaudzira anogona kuva yakajeka chiratidzo chakakura nemagene zvirwere kana umbishi ari mudumbu Somuenzaniso, zvinonzi chirwere Down syndrome. Naizvozvo, vanachiremba vari kutanga kuridza aramu kuchangotanga kuvhiringidzika bowel echogenicity. Zvakakosha kuumba wakakwana kunotoda mufananidzo uye kuti kuongorora pachena zvose anatomical zviri azvarwa. Funga zvinotevera zvinokonzera anomalies:

• intrauterine chirwere of mudumbu;
• zvokukura sokunonoka.

Kana chinokonzera kunonoka kukura

Panyaya iyi, rinotevera zviratidzo chichachengetwa:

• duku kukura muchero, kwete runoenzanirana rokuti kukura;
• oligohydramnios;
• kuderera mune uterine ropa riyerere;
• zvinoderedza ropa riyerere placental.

In kuvapo mushandi zvinhu tinogona kutaura nokunonoka fetus. Kana vasiri, izvozvo Kwabviswa.

kuwedzera echogenicity runowanzotaurwa nezvarwo vasanyanye iri aqueous zvinoriumba kana meconium peristalsis nokuti activation rutapudzo makemikari Líquido mvura kunoitika chaiyo panguva chromosomal zvirwere.

A mhinduro yakajeka panguva yepamuviri mubvunzo chii chaita kutsaudzira, zvakaoma. Pakati mamwe sonographic zvezvinangwa ose Trisomy 13 kusunungurwa:

• tachycardia;
• goloprozentsefaliyu;
• omphalocele.

Chokwadi, yakavakirwa zviratidzo izvi hazvigoni tigumise pamusoro kuvapo mutevedzeri, asi mashoko akadaro akapinda kare murwere pangozi.

Migumisiro zvarakasiya vari dumbu

Kashoma chaizvo kuti chaizvoizvo kuwana - hyperechoic bowel ari mudumbu. Zvinokonzera, mibairo nezvirwere zvakadai anowanzoshandurwa zvinodyidzana. Kunyange zvazvo anomaly ichi haisi uye anokosha zvechinguvana kuzozvidzorerwa abnormalities mu fetus, vana vakawanda vanoberekwa utano, pasina disruptions ari DNA. Dynamic akataura zvokurwara yakadaro kakawanda anonyangarika, uye pashure pemavhiki mashomanana ari ura anova chakaipa.

Kuziva zvokurwara mu akazotevera nzendo pamuviri (pashure rechipiri trimester) angava chiratidzo meconium peritonitis uye meconium ileus, uye anoratidzawo chirwere pamwe chibhokisi. Kuziva miedzo zvarakasiya imhaka kushayikwa wayo. Zvinokoshawo kufunga kuti akasiyana hwokugadzira midziyo anogona kuratidza Misiyano iri mifananidzo.

Kana Kuvhiya kunodiwa?

Mune zvimwe zviitiko, njodzi haagoni kunzi hyperechoic bowel fetus migumisiro mumamiriro ezvinhu anogona kuva nengozi. Pamusoro kuziva miedzo meconium peritonitis riri basa nokushanda, asi kwete nguva dzose. Kuvhiya inodiwa zviratidzo uye zviratidzo chakasimba abdominal mhingaidzo. Kana pasina zviratidzo kunorapwa, basa guru richiona nezvezvabuda achangozvarwa. Kazhinji akavhiyiwa aya pamwe neboka guru nokurasikirwa neropa, izvo zvingaita kuti chirwere pfupi bowel.

Fetus rufu kunoitika apo zvokurwara iri panyaya 8%, neonatal nezvinhu - 0,8%. Zvinonyatsorehwa kuitika yaivhuvhuta pamuviri zvaitika rinosvika 48,4%. Pamusoro kuonekwa pamusoro Chiitiko pakati pamuviri mucheche zvinoda simba zvichiongororwa uye hurongwa kurapa.

Verenga zvimwe pamusoro syndrome

Iri hwakanaka zvakajairika vachiberekwa abnormality, izvo zviri kukonzerwa kuvapo imwe chromosome mune rechi21 vaviri. Vose aidzidza anomalies chokuita zvinopesana okutodza, ichi ndicho uye kudzidza. About hafu yevana vane urwere vanotambura:

• mwoyo chirwere;
• ventricular septal urema;
• chirwere Hirschsprung vake.

Panguva pamuviri achivhara nemiedzo zvinoitiswa kuziva Down syndrome. Chifungidziro ngozi kuva chirwere mukutanga pamuviri kunobatsira invasive Diagnostics:

• Ultrassom ongororo;
• hordotsentez;
• amniocentesis;
• chorionic villus zvakabudiswa.

The ndingangokuvara kuziva miedzo akaremara rechipiri trimester ndiyo 60-90%. It zvinoenderana nesarudzo kutsvakurudza nzira.

Hyperechoic bowel ari mudumbu pashure pemavhiki 20

Hyperechoic bowel ari mudumbu pa vhiki 20 inogona pamwe zviratidzo vakurumidze kuibvisa of placenta. Pfungwa vanachiremba muchiitiko ichi chichaitwa zvikurukuru kutungamirirwa kuchaitwa nezvirwere panguva chromosomal pamwero. Muchiitiko chino, hapana ngozi hakusi, sezvo kuchinja kwakadaro mune ura uye munogona vana zvimwe utano.

Chero zvazvingava, murwere achatumirwa tendero kuti geneticist kana agodzivisa nechirwere inobva akapfuura bvunzo uye Analyses.

Mazvikokota achapa mafungiro ayo pahwaro kwohumwe kurumbidza kuti chiito. Sezvo zviratidzo izvi vanogona kuenda utachiona, akagadza rokuongorora:

• urearlazma;
• mycoplasma;
• Streptococcus Gr. V.

Kana nechirwere kuti "hyperechoic bowel," fetus, rinogona kureva uye chii basa kundorondedzera? Mukadzi rinopfuura misoro nechirwere, izvo zvinosanganisira:

• Chibozwa ultrasonic fetus anatomi;
• kudzora ayo ezvinhu;
• Achipa nemiedzo kuti chirwere.

Hyperechoic bowel pakurapa mudumbu hunosanganisira kunzwisisa. Kazhinji, mugumisiro kurapwa kakawanda akanaka.