Hydrops Fetalis: Zvinokonzera, Maonero, Kurapa, uye Zvimwe

Zvemukati

• Chii chinonzi hydrops fetalis?
• Mhando dzehydrops fetalis
• Asina-immune hydrops fetalis
• Immune hydrops fetalis
• Ndezvipi zviratidzo zvehydrops fetalis?
• Kuongorora hydrops fetalis
• Hydrops fetalis inorapwa sei?
• Ndeapi maonero ehydrops fetalis?

Chii chinonzi hydrops fetalis?

Hydrops fetalis chirwere chakakomba, chinotyisa muhupenyu umo mwana kana mwana achangoberekwa ane zvakaumbika zvemvura mumatumbu akakomberedza mapapu, moyo, kana dumbu, kana pasi peganda. Kazhinji zvinonetsa zveimwe mamiriro ekurapa ayo anokanganisa nzira iyo muviri unobata nayo mvura.

Hydrops fetalis inongowanikwa mune mumwe chete pavane chiuru chekuberekwa. Kana iwe uri nepamuviri uye mwana wako ane hydrops fetalis, chiremba wako angangoda kukurudzira kutanga kwebasa uye kubereka kwemwana. Mwana akazvarwa aine hydrops fetalis angangoda kuwedzerwa ropa uye mamwe marapiro kuti abvise iro rakawandisa mvura.

Kunyangwe nekurapwa, inopfuura hafu yevana vane hydrops fetalis vanofa chinguva chidiki nguva kana mushure mekusununguka.

Mhando dzehydrops fetalis

Kune marudzi maviri ehydrops fetalis: immune uye isiri-immune. Rudzi runoenderana nechikonzero chemamiriro acho.

Asina-immune hydrops fetalis

Asina-immune hydrops fetalis ikozvino ndiyo yakajairika mhando yehydrops fetalis. Izvo zvinoitika kana imwe mamiriro kana chirwere chinokanganisa kugona kwemwana kugadzirisa fluid. Mienzaniso yemamiriro ezvinhu anogona kukanganisa manejimendi manejimendi manejimendi anosanganisira:

• anemias yakaoma, kusanganisira thalassemia
• kubuda kweropa (kubuda ropa)
• hurema hwemwoyo kana hwemapapu mumwana
• genetic uye metabolic kusagadzikana, kusanganisira Turner syndrome uye chirwere cheGaucher
• hutachiona uye hutachiona hutachiona, senge Chagas chirwere, parvovirus B19, cytomegalovirus (CMV), toxoplasmosis, syphilis, uye herpes
• vascular malformations
• mamota

Mune zvimwe zviitiko, chikonzero chehydrops fetalis hachizivikanwe.

Immune hydrops fetalis

Immune hydrops fetalis inowanzoitika kana mhando dzeropa raamai nemucheche dzisingawirirane. Izvi zvinozivikanwa seRh kusapindirana. Immune system yaamai ingazorwisa nekuparadza masero matsvuku eropa emwana. Mhosva dzakakomba dzekusawirirana kweRh dzinogona kutungamira kune hydrops fetalis.

Immune hydrops fetalis yakanyanya kushomeka nhasi kubvira pakagadzirwa mushonga unozivikanwa seRh immunoglobulin (RhoGAM). Mushonga uyu unopihwa vakadzi vakazvitakura vari panjodzi yekusawirirana kweRh kudzivirira matambudziko.

Ndezvipi zviratidzo zvehydrops fetalis?

Vakadzi vane pamuviri vanogona kuona zvinotevera zviratidzo kana fetus ine hydrops fetalis:

• kuwandisa kweamniotic fluid (polyhydramnios)
• rakakora kana rakakura zvisina kujairika placenta

Iyo fetus inogona zvakare kuve neakakura spleen, moyo, kana chiropa, uye mvura inoyerera yakatenderedza moyo kana mapapu, inoonekwa panguva ye ultrasound.

Mwana anozvarwa aine hydrops fetalis anogona kunge aine zvinotevera zviratidzo:

• ganda rakachenuruka
• kukuvadza
• kuzvimba kwakanyanya (edema), kunyanya mudumbu
• chakawedzera chiropa uye spleen
• kunetseka kufema
• jaundice yakaoma

Kuongorora hydrops fetalis

Kuongororwa kwehydrops fetalis kunowanzoitwa panguva ye ultrasound. Chiremba anogona kuona hydrops fetalis pane iyo ultrasound panguva yekuzvitakura kwepamuviri. Iyo ultrasound inoshandisa yakakwira-frequency ruzha mafungu kubatsira kutora mhenyu mifananidzo yemukati memuviri. Iwe unogona zvakare kupihwa iyo Ultrasound panguva yekuzvitakura kana iwe ukaona kuti mwana ari kufamba kashoma kana kuti uri kusangana nemamwe matambudziko epamuviri, senge yakakwira BP.

Mimwe bvunzo yekuongorora inogona kuitwa kubatsira kuona kuomarara kana chikonzero chemamiriro acho. Izvi zvinosanganisira:

• sampuro yeropa fetus
• amniocentesis, ndiko kubviswa kweamniotic fluid kuti uwedzere kuyedzwa
• fetal echocardiography, iyo inotarisa kuumbika kwechimiro chemoyo

Hydrops fetalis inorapwa sei?

Hydrops fetalis kazhinji haigone kurapwa panguva yekuzvitakura. Dzimwe nguva, chiremba anogona kupa mwana kuwedzerwa ropa (intrauterine fetal kuwedzerwa ropa) kubatsira kuwedzera mikana yekuti mwana ararame kusvika pakuzvarwa.

Muzviitiko zvakawanda, chiremba anozoda kufurira kutanga kuburitsa mwana kuti ape mwana mukana wakanaka wekupona. Izvi zvinogona kuitwa nemishonga inoita kuti basa rekutanga kana nechikamu chechimbichimbi cheCesarean (C-chikamu). Chiremba wako anozokurukura idzi sarudzo newe.

Kana mwana achinge azvarwa, kurapwa kunogona kusanganisira:

• kushandisa tsono kubvisa zvakawandisa mvura kubva munzvimbo yakatenderedza mapapu, moyo, kana dumbu (thoracentesis)
• kufema rutsigiro, senge yekufema muchina (ventilator)
• mishonga yekudzora kutadza kwemoyo
• mishonga yekubatsira itsvo kubvisa zvakawandisa mvura

Kune immune hydrops, mwana anogona kugamuchira kuwedzerwa kwakananga kwemasero matsvuku eropa anoenderana nerudzi rweropa. Kana iyo hydrops fetalis yakakonzerwa nechimwe chinokonzeresa mamiriro, mwana anozowanawo kurapwa kweichi chiitiko. Semuenzaniso, mishonga inorwisa mabhakitiriya inoshandiswa kurapa hutachiona hwe syphilis.

Vakadzi vane vacheche vane hydrops fetalis vari panjodzi yeimwe mamiriro anozivikanwa segirazi chirwere. Mirror syndrome inogona kukonzeresa kutyisidzira kwehupenyu (kukwirisa kweropa) kana kubatwa. Kana iwe ukagadzira girazi syndrome, uchafanirwa kuendesa mwana wako nekukasira.

Ndeapi maonero ehydrops fetalis?

Maonero ehydrops fetalis anoenderana nemamiriro ezvinhu, asi kunyangwe nekurapwa, mwero wekupona kwemwana wakaderera. Chete vangangoita makumi maviri muzana evacheche vanoonekwa vaine hydrops fetalis vasati vaberekwa vanozopona kusvika pakuzvara, uye yeavo vacheche, hafu chete ndiyo ichapona mushure mekusununguka. Ngozi yekufa yakakwira zvakanyanya kune vacheche vanoonekwa kuti vakurumidza (pasi pemasvondo makumi maviri nemana kuti vave nepamuviri) kana vane hunhu hwakasarudzika, sekushomeka kwemoyo.

Vacheche vanozvarwa vaine hydrops fetalis vanogona kunge vaine mapapu asina kusimuka uye vari panjodzi huru ye:

• kutadza kwemoyo
• kukuvara kwehuropi
• hypoglycemia
• pfari