Amniotic band akateedzana

Amniotic band akateedzana (ABS) iboka rezvisingawanzo kuremara kwekuberekwa izvo zvinofungidzirwa kuti zvinoguma kana tambo dzeamniotic sac dzichisunga uye kuputira dzakatenderedza zvikamu zvemwana mudumbu. Izvo zvinokanganisa zvinogona kukanganisa kumeso, maoko, makumbo, zvigunwe, kana zvigunwe.

Amniotic mabhendi anofungidzirwa kuti anokonzerwa nekukuvara kune chikamu cheplacenta inonzi amnion (kana amniotic membrane). Iyo placenta inotakura ropa kumwana achiri kukura mudumbu. Kukuvadza kune iyo placenta kunogona kudzivirira zvakajairika kukura uye kukura.

Kukuvadza kune amnion kunogona kuburitsa fiber-senge mabhendi ayo anogona kusunga kana kumanikidza zvikamu zvemwana ari kukura. Aya mabhandi anoderedza kuwanda kweropa kunzvimbo uye anoita kuti akure zvisina kujairika.

Zvisinei, zvimwe zviitiko zvekuremara kweABS zvinogona kukonzerwa nekuderedzwa kweropa pasina chero zviratidzo zvemabhandi kana kukuvara kune amnion. Kune zvakare kwakave nezviitiko zvisingawanzo zvinoita kunge zviri nekuda kwekuremara kwemajini.

Kuomarara kwekuremara kunogona kusiyana zvakanyanya, kubva padiki chigunwe mune chigunwe kana chigunwe kusvika kune chemuviri chikamu chisipo kana kusanyanya kusimukira. Zviratidzo zvinogona kusanganisira:

• Gaka risina kujairika mumusoro kana kumeso (kana rikayambuka kumeso, iro rinodanwa kunzi kupatsanuka)
• Zvese kana chikamu chemunwe, chigunwe, ruoko kana gumbo zvisipo (kuberekwa kudamburwa)
• Kukanganisa (kubvaruka kana gomba) redumbu kana chipfuva rusvingo (kana bhendi iri munzvimbo idzodzo)
• Permanent bhendi kana induction kutenderedza ruoko, gumbo, chigunwe, kana chigunwe

Anopa hutano anogona kuongorora mamiriro aya panguva yepamuviri ultrasound, kana iri yakaoma zvakakwana, kana panguva yemwana achangozvarwa bvunzo.

Kurapa kunosiyana siyana. Kazhinji, hurema hwakanyanya uye hapana kurapwa kunodiwa. Kuvhiya mwana achiri mudumbu kunogona kubatsira kuvandudza mhedzisiro mune zvimwe zviitiko, asi hazvisati zvanyatsojeka kuti vacheche vanobatsirwa nei. Zvimwe zviitiko zvinovandudza kana kugadzirisa vasati vazvara. Muzviitiko zvakakomba, kuvhiyiwa kukuru kungangodikanwa kuvakazve zvese kana chimwe chikamu chemuviri. Zvimwe zviitiko zvakakomba zvekuti hazvigone kugadziriswa.

Zvirongwa zvinofanirwa kuitwa zvekusvitsa pakuburitsa uye manejimendi yedambudziko mushure mekuzvara Mwana anofanirwa kuburitswa mune yezvechiremba nzvimbo ine hunyanzvi hunowanikwa mukutarisira vana vane chirwere ichi.

Kunyatsoita mucheche zvinoenderana nekuoma kwemamiriro acho. Mazhinji kesi akapfava uye maonero eakajairika mashandiro akanaka. Mamwe makesi akaomarara ane zvimwe zvakachengetedzwa.

Zvinetso zvinogona kusanganisira kurasikirwa kwakakwana kana kusarudzika kwekushanda kwechikamu chemuviri. Congenital mabhendi anokanganisa zvikamu zvikuru zvemuviri anokonzera matambudziko mazhinji. Zvimwe zviitiko zvakakomba zvekuti hazvigone kugadziriswa.

Amniotic band chirwere; Amniotic constriction mabhendi; Constriction band chirwere; ABS; Limb-body wall yakaoma; Zvindori zvinokanganisa; Mutumbi wemadziro kuremara

Crum CP, Laury AR, Hirsch MS, Inokurumidza CM, Peters WA. Amniotic mabhendi. Mu: Crum CP, Laury AR, Hirsch MS, Inokurumidza CM, Peters WA. eds. Gynecologic uye Obstetric Pathology. Philadelphia, PA: Elsevier; 2016: 776-777.

Jain JA, Fuchs KM. Amniotic band akateedzana. Mune: Copel JA, D'Alton ME, Feltovich H, et al, eds. Kufungidzira Kufungidzira: Fetal Kuongorora uye Kuchengeta. 2nd ed. Philadelphia, PA: Elsevier; 2018: chits. 98.

Obican SG, Odibo AO. Inopisa fetal therapy. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 37.