Te ngongo neural i roto i te kukune - reira te a pehea i hanga ai?

A, no te kitea e mama heke mai i roto i taua he hapu ia, e te tikanga katoa rerekē tona ora. Na e hiahia ana koe ki te tango i te tiaki e pā ana ki a ratou ano e kore e anake, engari ano hoki he puranga iti, e ora kua raro i te ngakau. Ko te mea tuatahi, ko te ki te hanga i te wahine - ko te ki te rēhita i te mātanga pai, nei whakawhirinaki ia ki te kia māia i roto i te akoranga noa o te hapūtanga.

O te akoranga, te iti rawa i rite ki ngā mātua taitamariki ki te whakaaro e kore ai whakawhanake rātou tamaiti. Otiia ki te kitea nga raruraru katoa i, e kore te mahi hepohepo. A ani i te katoa o to koutou e pai i te ringa, me te mahi i taea kia whanau te tamaiti i hauora katoa.

Te ngongo neural i roto i te kukune - he aha te mea te reira?

He maha whaea expectant nei ako i te rongo pai e pā ana ki te hapūtanga anake, rere ki te ako i te tuhinga katoa e wātea ana i runga i te whanautanga ū mai. Ko e taimi ia whiwhi ratou kanohi i te mōhiohio e te timata kē i te ra 19-22 o te haputanga ki te hanga i te ngongo neural i roto i te kukune. He aha te mea te reira? I muri i te katoa, e kore te mea i reira te pakeke o te tinana taua. Ko ohie te whakahoki: ngongo neural - ko te ahua tuatahi o te whanaketanga o te pūnaha io, tae atu roro me te ua. Whakatūwhera tope manavasii - he tūāpapa mo te hanganga o te mārōrō, waenganui, me te posterior tōngāmimi.

mate whakamataku e kore e e hototahi ki te ora

mahino tatou e tetahi o nga wāhanga tino nui i roto i te take o te ora e puta i roto i te hapū - Ko te hanganga o te ngongo neural e hohoro i ai whakawhanake i te roro, me te ua o te tamaiti. Otiia ētahi wā tupu te reira e te tukanga o te kati i te wahi o runga o te whati, hua i roto i te whakawhanake anencephaly (kahore roro i roto i te kukune). Ki te kahore he he tauwhatinga i te katinga o te raro o te ngongo neural, i reira te mea he whaturama tuaiwi. Kia aroha mai, e kore e hototahi ki te ora e rua o enei mate, engari puta ratou rawa uaua. whakaatu tatauranga e patu tenei mate kotahi i roto i o te mano hua.

I te tahi taime i reira he āhuatanga ina haamata te reira ki te whakawhanake tika te ngongo neural i roto i te kukune. He aha te tikanga o taua mea, a ahakoa ko reira tika ki te manukanuka reira?

He aha e hē ngongo neural?

Hē o te ngongo neural - he raupapa katoa o hē motuhake e kia whakawhanake i roto i te kukune. Aua'e, he āhua onge enei ine.

He mea nui ki te mahino e te māuiuitanga o te ngongo neural o te kukune - e kore te mea he mate hou meinga e te e te tikanga o te ora tangata o nāianei. Ka rite ki whakapumautia e te tuhi o mokoroa, nei kawea atu nga akoranga e hāngai ana, i kitea hē o te ua roro ranei (fakapapau'i tenei te whanaketanga rerekē o te angaanga me te tuarā) i roto i te toenga o te tangata e ora 7,000 tau ki muri.

Ko te tohutoro tuatahi ki te mahi pūtaiao, me te hauora, i runga i te pūtake o e taea tatou te mea, ka anga ki te whakawhanake i te tapuraa uaua, i tuhia te reira i roto i te mahi o Hipokeletisí. anatomist Italian Morgagni Batista, pea, homai tetahi o te whakaahuatanga āwhiwhiwhi tuatahi hē ngongo neural. Treatment i taua wa, o te akoranga, e kore e ngohengohe enei mate, no te mea ko tonu te rongoā i te taumata tino iti o te whanaketanga.

Ko te take o enei raruraru

Kia aroha mai, i ētahi wā i reira he he ngongo neural hapa i roto i te kukune. He aha te momo o te māuiuitanga, a he aha meinga ana e ia? Kia kitea e te i roto i nga take mo te ine i te täkupu.

Na, i 19-20 ra i muri i haputanga i hanga te kukune te i roto i ia paraharaha motuhake - te puka tuatahi o te whanaketanga o te pūnaha io tangata. 20-22 ra kia tīmata ia interlock, reira hanga te ngongo neural i roto i te kukune. Ko te meka e te haere nga mea katoa kia rite ki te mahere, haapapu te ngaro o pathologies o te pūnaha io o te tamaiti ka whanau nei. Ki te kore te nga ra 23 i pereti haputanga neural tino katia i roto i te ngongo, ka hoki whakawhanake i te kukune raruraru. E tenei pēhanga nui haere taea arahi larkspur cerebrospinal e kitea i roto i te huatū tuatahi o te hapūtanga.

Ko tētahi o nga take tino noa o taua pathologies e whakaaro mate viral, radiation, hua whaea heke mai, ko wai te mea mate ki te mate pukupuku, me te āhuatanga taiao. Ko te nuinga o enei ine puta i roto i nga wahine hapu nei hoki i te koha ngongo neural. hangaia e mōrea High kainga ira.

āhuatanga o waho e kia riro te take pakiaka o te koha

Ae, he predisposition ira ki taua hē tino whakanuia ana te mōrea o tona tupu. Ko tenei ra ko te take tino noa o taua tākuta mate whakapono radiation (ka taea te whaea expectant tiki i te rongo radiation i roto i te maimoatanga e kore anake, engari i roto i tika o ratou noho i roto i te wāhi poke). He hoki patukīrea, hua hinu, me te ngā momo o maniua waihanga te take e haamata ki te whakawhanake tika te ngongo neural i roto i te kukune.

Ki te rā, mohiotia ki he tokomaha, he mea tino kino ki te ora kai te kai kaiao tangata. Heoi, e mohio e kore katoa e ki te taahoa whaea expectant hua rite, faarahi te reira i te mōrea o te whakawhanake i mate whakamate i roto i tona tamaiti. Ahakoa te tāpu wera, e tango te wahine i roto i te hapū wawe taea whakapataritari he koha taua.

tuku hoki porangi tākuta kai tōtika whaea ki rite nga take pakiaka o kohakore ngongo neural. kia tukinotia te wahine ki te tokanga makehe ki a ia i roto i te wā katoa o te hapūtanga. I roto i te take i reira e kitea etahi o nga āhuatanga i runga i roto i te ora o te whaea expectant, kia waiho reira rite mo te meka e ka ngā te hapu he whanau nui-mōrea, i te mea he koha ngongo neural.

He pono e te putanga mai whaea ki taimaha tiketike te mōrea o hē ngongo neural?

E kore e pera i mua ka haere ki te kia mohiotia hua o rangahau e whakapumautia te meka e wahine e e taumaha i roto i te hapū, te mōrea o hē ngongo neural i roto i te kukune i te rua nga wa ki runga ake i taua o nga māngai o te taimaha iti. Te mea faahiahia, te mau metua vahine heke mai nei te taimaha he kore e ranea, kihai i kitea tenei au.

i hanga e enei i runga i te pūtake o ngā kōrero take o wahine California nei i kitea he koha ngongo neural i roto i te kukune. I tangohia e ratou ki te whakaaro te take i roto i te wā i 1989 ki te 1991. Ko nga hua o tenei ako whakakitea e te wahine ki te taimaha tinana te taikaha faarahi te mōrea o te whakawhanake i te mate i te 2.1 wā. Ko, taa, tenei raraunga e kore pā ake i kohi waikawa folic, te kore o nei whakaaro ko tetahi o nga take o abnormalities ngongo neural i roto i te kukune.

Eaha te tupu ki te hua ina kua reira he pakaru taua?

I roto i te tikanga ki te mārama me pēhea te he koha ngongo neural i roto i te kukune te whanake, he tika te reira i te iti rawa i roto i ngā whānui, ki te matau ki ta te tukanga o te embryogenesis.

Na, oti te wiki tuatahi o te hapūtanga te te hanganga o te kōpuku embryonic. Tuarua - Ko te wā o te hanganga o whekau axial i te kukune, ka whakawhanake kaha wahi extraembryonic tenei. Ka rite ki kua whakahuatia, ko te toru o wiki - he wa ka hanga e te te ngongo neural i te paraharaha motuhake. Ko te wiki tuatahi e toru Ko te wā o te neurulation tuatahi. taka Tuarua i runga i te wā kotahi o 4-7 wiki i te kau o te haputanga.

Kua i roto i tenei wā o te wā kia he ofatiraa, arā tuaiwi dizrafii. Māuiuitanga o te ngongo neural, e haere ki nga naia lumbosacral tuarā whanaketanga ake nei, kia puta anake i roto i neurulation tuarua. Na riro te reira mārama e haamata te whanaketanga rerekē o te ngongo neural i roto i te kukune ki te wiki tuatahi o te hapūtanga, i te mea he aha te maimoatanga o enei mate puta i roto i te puka o te ārai i te whanaketanga o hē nui. Ko te kupu, kia timata therapy i mua i te hapū, me te haere tonu i roto i te wiki tuatahi o te gestation.

I roto i te whanaketanga o hē ngongo neural he ona tohu

Ka rite ki tetahi mate te whakararuraru, ranei te whanaketanga tika, he ona ake tohu te hanganga o te koha ngongo neural i roto i te kukune.

Tohu o filosilivá rongoā hou dizrafii whakaaro te ariā e whai ake nei:

• Huna tuaiwi ngatata: kua tino maha kei te koha taua i roto i te rohe lumbosacral. Ko reira mōrearea no te tohu haumanu kore ko ia i reira. kitea ana tēnei māuiuitanga e tino e tupono, mo te tauira, i muri i te Radiography tuaiwi. Kua kahore huringa nui o te kiri, i ētahi wā i reira he wahi pouri talc ranei. Tenei kapiti huna he mea rite te kino i te kopere kati o tetahi o te pekehoe. He hopearaa hari, e ngā po He mate rite taikaha, he takahi nui o te tūranga tika, ngoikore o nga uaua o waewae, mamae i roto i te rohe lumbar, a tae noa deformation o nga waewae. Ko Ko te aha e mea faufaa ki te kite ranei i reira ko te hanganga tika o te ngongo neural i roto i te kukune.
• tuwhera wāwāhi whēwhē: kua huaina hoki ratou i te hernias tuaiwi pono. kia tango ratou i te ahua o te protrusion wāhanga o te mater Rura. Ko te ihirangi o taua hernias ko te waipiro e he inu cerebrospinal. Ka taea e tēnei tukanga mate nui kia atu ki e rua ranei e toru pekehoe. Rave rahi te iwi nei i whanau ki te koha taua, maitai noho te ora roa, me te hari. Pokanga i roto i ngā take pēnei i, tūtohu ngā ki te whakamahi i anake, no te reira he tupuraa mau o te whaturama tuaiwi. Ki te hopu i te taua koha wheua 3-5 pekehoe, ka whai i te manawanui wheako uaua ngoikore, me te taikaha. Ko, kāore, te whakararuraru tino noa e hopu 6-8 pekehoe. Ko te kiri i runga i te whaturama he kikokore rawa, a kua marama ai i roto i te kiriuhi whārangi pia. Ko te ahua kino rawa o te koha, e maha mutu ki te pūwhera break whaturama me te matamua o te inu cerebrospinal tenei.
• Na roto i te kino tino whakaaro tuarā ngatata me te kopa ngohengohe, haere tahi nei i te hanganga hapa o te ua. he koha taua ki te ora whakaritea e kore e hototahi.

Interesting Ko te meka e taka te wāhi o taua hernias i 90% o ngā take i runga i te rohe lumbar, a kei te tino uaua kitea reira i roto i te rohe rei waha ranei. E whakamārama ana tēnei āhuatanga e te mea puta he koha i te kukune, maha mäminga te hapūtanga materoto noa (materoto). Taua embryos e patua noa no ratou atu hanganga he tata e taea.

Me pēhea te ki te tātari i te koha abnormalities ngongo neural ranei?

Tirohia te he koha ngongo neural i roto i te US anake i roto i te toru o nga huatū o te hapūtanga. Ko te aroaro e, i reira he nui o tūponotanga ki te kitea i te māuiuitanga rite.

Hei timata ki, rite kua whakahuatia, ko reira e tika ana ki te mahi i te tātaritanga tuatahi, tūtohutia nei i roto i te wā o te whakamahere hapūtanga meake nei. kia pa ano hoki e koe he obstetrician-rata mātai, roma mimi me iranga. Ki te taea, kia haere koutou whakamātautau e whakaatu te taumata o te mōrea o te he tamaiti ki te koha o te ngongo neural. I tua atu, he mea tika ki te pānui i te rota o te tuhinga. E tauturu i tenei ki te matau ki ta te mea te ngongo neural o te kukune, me te taea ki te ako i nga tūtohutanga katoa o tohunga, e ka whai hua ki a koutou i roto i te heke mai.

I muri i hapu, e kore e taea te mahi i waho i te tirohanga marama o te obstetrician. Ko te huatū tuarua o te hapūtanga kia tonu kia haere tahi e te whakamātautau toto auau mō mau mama heke mai. Ko reira kua taea ki te kawe i roto i te whakamātautau ultrasound o te kukune. Kaua e whakamā ki te ui i te mātanga i runga i te mana o te tamaiti, rawa, ki te he koe i roto i te rōpū o te wahine ki te nui haere mōrea o abnormalities ngongo neural.

I roto i te toru o nga huatū, he reira taea kua ki te kite e te ultrasound malformation congenital o te kukune, kua puta ake nei rite ki te hua o te meka i ko hangahapa te ngongo neural. Whakaahua o te ira i roto i te kopu ki te whakaū i te tātaritanga, taea hoki e whakaatu ki a koutou tetahi atu mātanga.

Ki te kua tetahi o nga wāhanga o te hanganga o te koha ngongo neural kua whakapumautia, he mea he take pai ki te whakaara i te take o te materoto. Heoi, Me te tuatahi koe ki te mohio i te tohu o te ofatiraa, no etahi o ona puka taea e rawa te ora noa. I teie mahana malformation te ngongo neural, faaite nei i roto i te whakawhanake i malformation fetal taea te papaki i te wawaotanga hāparapara. hiahiatia tātaritanga atu te i muri i kua hoatu e koe he tātaritanga taua, no te mea materoto - ko reira te putanga whakamutunga.

Maimoatanga o kohakore ngongo neural

Maimoatanga o ngā raruraru e kua puta ake e tika ana ki te meka i pakaru te hanganga o te ngongo neural, ka taea e koe timata tonu i muri i whanau. Ka rite ki te mau taote e tango tuma katoa ki te ora o te tamaiti, e ko, whakahokia tukupūngao noa me te pāmahana tinana tirohia te mata hou, whaturama kia tukinotia tonu ki disinfectants ka hipoki ki tauera horomata. I muri i te whakahaere ki nga matua, ki te whakaae ratou ki te pokanga, kua whakawhitia te whanau ki te tari neurosurgical, te wahi i te rangahau e tika ana katoa, no te mea kahore ratou, ka kore e angitu i te mahi.

Ki te reira te mea he riri o te whaturama whaturama, kawea tuaki i roto tonu. Kore, ka taea e koe tatari noa tupu ake te tamaiti. Ko "kuwaha tuwhera" mo ahua o mate tetahi - ko e te meka e te āputa i te whakatau taua whakatikaia. E mea pinepine, i muri i te tango o hernias puta mumura suppurative. E ai ki ngā tatauranga, puta āhua 78% o tūroro taitamariki rite pōauautanga. Me kï reira e i roto i nga ra i muri i tonu o te hauora pokanga i roto i ngā tamariki te. Heoi, 5% o ngā tamariki noho tonu i mōrea.

Hoki nui ko reira te meka e ki te mau koe i te mahi rite i roto i te hou, ka taea e whakahoki tino te tapatahi o te mater Rura. E ko, ka whakawhanake te tamaiti i muri i te mea tino noa te pokanga, a ka tatari te reira mo te ora tonu ki tonu i. kia mohio ki te reira e kawea te tūhuratanga tuatahi i te aroaro o te mahi rawa hohoro. Mahi nga whakamātautau e tika anake i roto i te tikanga ki te whakaora i te tamaiti, me te kore e tukua ki a ia noho mo te hauātanga ora. He mea nui ki te tango tino me ki te wā postoperative. Ki ka mau whakaauraki wahi ngāwari me kahore pōauautanga, kia aru nga tūtohutanga katoa o te rata te rongoā tino.