Anencephaly

Anencephaly kusavapo kwechikamu chakakura cheuropi uye dehenya.

Anencephaly ndeimwe yeanowanzozivikanwa neural tube zvikanganiso. Neural chubhu kuremara ndiko kuberekwa kusakwana uko kunokanganisa nyama inova musana uye uropi.

Anencephaly inoitika pakutanga kwekukura kwemwana asati aberekwa. Izvo zvinoguma kana chikamu chepamusoro cheiyo neural chubhu chikatadza kuvhara. Chikonzero chaicho hachizivikanwe. Zvimwe zvikonzero zvinogona kusanganisira:

• Uturu hwezvakatipoteredza
• Kudya kwakaderera kwe folic acid naamai panguva yekuzvitakura

Iyo chaiyo nhamba yezviitiko zveanencephaly hazvizivikanwe. Mazhinji eidzi nhumbu dzinoguma nekuparara. Kuve nemwana mumwe chete ane chirwere ichi kunowedzera mukana wekuve nemumwe mwana ane neural tube zvirema.

Zviratidzo zveanencephaly ndezvi:

• Kushaya dehenya
• Kushaikwa kwezvikamu zvehuropi
• Chiso chimiro chinokanganisa
• Kunonoka kwekuvandudza kunonoka

Kukanganisa kwemoyo kunogona kunge kuripo mune imwechete kubva pamashanu kesi.

An ultrasound panguva yekuzvitakura inoitwa kusimbisa kuongororwa. Iyo ultrasound inogona kuburitsa yakawandisa fluid mukati mechibereko. Aya mamiriro anonzi polyhydramnios.

Amai vanogona zvakare kuve nemiedzo iyi panguva yepamuviri:

• Amniocentesis (kutsvaga huwandu hwakawedzera hwealpha-fetoprotein)
• Alpha-fetoprotein level (yakawedzera nhanho inoratidza iyo neural tube kuremara)
• Urine estriol nhanho

Iyo pre-nhumbu serum folic acid bvunzo inogona kuitwawo.

Iko hakuna kurapwa kwazvino. Taura nemupi wako wezvehutano nezve sarudzo dzekuchengetedza.

Aya mamiriro anowanzo kukonzera rufu mukati memazuva mashoma mushure mekuzvarwa.

Iye mupi anowanzoona mamiriro aya panguva yekuedzwa kwepamuviri uye ultrasound. Zvikasadaro, inozivikanwa pakuzvarwa.

Kana anencephaly ikaonekwa usati waberekwa, kumwe kurairwa kunozodiwa.

Pane humbowo hwakanaka hwekuti folic acid inogona kubatsira kudzikisa njodzi yehumwe hurema, kusanganisira anencephaly. Vakadzi vane nhumbu kana kuronga kuve nepamuviri vanofanira kutora multivitamin ine folic acid mazuva ese. Zvikafu zvakawanda zvino zvakasimbiswa nefolic acid kubatsira kudzivirira aya marudzi ehurema hwekuzvarwa.

Kuwana zvakakwana folic acid kunogona kutema mikana yeiyo neural tube kuremara muhafu.

Aprosencephaly neakavhurika cranium

• Ultrasound, zvakajairika fetus - ventricles yehuropi

Huang SB, Doherty D. Congenital malformations epakati sisitimu yenzira. Mune: Gleason CA, Juul SE, eds. Zvirwere zveAvery zveMucheche. 10th ed. Philadelphia, PA: Elsevier; 2018: chits. 59.

Kinsman SL, Johnston MV. Congenital anomalies epakati etsinga system. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 609.

Sarnat HB, Flores-Sarnat L. Kuvandudza kusagadzikana kwehurongwa hwemitsipa. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 89.