Ugxininiso Hyperechoic kwi ventricle lasekhohlo intliziyo ezingekazalwa: ukuxilongwa, izinto

Ngexesha ultrasound yesibini routine kudla kubonakele Ugxininiso hyperechoic kwi ventricle lasekhohlo intliziyo Palsy. Le ukufakwa yeyona ngongoma amancinci - ngentambo ezongezelelweyo ongazaliyo nawuphi na umonakalo umntwana, kodwa imeko leyo zicime ubukho ukungaqheleki chromosomal.

inkcazelo uphethwe

Xa indawo kwindawo lizwe ibanjiwe itywina intliziyo izihlunu, oko kunokubangelwa:

• iityuwa isimemezelo;
• ubukho sifo kwiseti chromosome;
• ubukho taxi ezongezelelweyo, nto leyo awukuchaphazeli ukusebenza ngokupheleleyo kwentliziyo.

Ukuba isizathu ezibangele ukuba imbonakalo kwindawo kumhlophe lweHo- intliziyo, isixa esikhulu iityuwa, ngoko yi leenyanga ezintathu lesithathu iyalahleka kwaye ongazaliyo naziphi na iziphumo olungekazalwa. Kukwasebenza kwanjalo kuyo le Isingqi, oko kunokubangela ukuba nimkrokrele intliziyo kwiminyaka ethile (ngokuqhelekileyo yaqhutywa kwiminyaka 2-3) okanye inyamalala phambi kokuzalwa. Kuyo nayiphi na imeko, ukuba ikhona, kufuneka ahlole cardiologist yomntwana rhoqo.

Ingozi uxilongo efumaneka zidityaniswe abanala makhwiniba chromosomal kuphela. Kulo mzekelo, i iposi itywina uthwala umngcipheko ubomi bomntwana.

Ugxininiso Hyperechoic kwi ventricle lasekhohlo intliziyo ezingekazalwa nga kubonisa ubukho Down engqondweni ukuba okhulelweyo bamakishi chromosomal engaqhelekanga zaye zachongwa ngethuba ekuhlalutyeni igazi.

Ngeliphi ixesha nokubetha kwentliziyo foetal ingaba ulalele

Heart Bookmark iwela kwiveki yesine yokukhulelwa. Ingadlulanga iveki kuyenzeka ukubona ucutheko engabalulekanga ultrasound transvaginal. Ultrasound zeemviwo woluvo esiswini ukuze ubambe kwiveki wesibhozo. Ukuba lo gama kungekho iinkqubo contractile le myocardium, kunokwenzeka ukuba ukugqiba ukuba ebunayo yokukhulelwa.

Emva kokusekwa intliziyo neyakhe kumaza ka 110-130 ibetha, ngoko ke inani yandiswa kakhulu 170-190 (Incopho kwi iiveki ezisibhozo) kunye nasemva ibetha intliziyo mbungu kwakhona lancitshiswa 120-160 sekhinzi ngomzuzu kwaye abazitshintshi ngokwenza phambi kokuba unikezelo.

Mamela ukubetha kwentliziyo ngokusebenzisa ukusetyenziswa yeSkrini kunokwenzeka kuphela kwiveki wamashumi amabini, nto ifumaneka kuphela ngoogqirha abanamava. Ungeva ukuba ibetha intliziyo yomntwana, unokuba kwi kwiveki wamashumi amathathu.

uphethwe GEFa

Ukufunyanwa kwe onaso of "ibhola yegalufa" ikhutshwa phandle ultrasound. Emva koko, kungakuhle ukuba kutyelela ultrasound 3D ezongezelelweyo, kwaye ugqirha asenokusa echocardiography okhulelweyo Palsy. le sifundo kakhulu ngokuqhelekileyo emiselweyo:

• abasetyhini abakhulelweyo abaminyaka yobudala eyi-35 phezu;
• ukuba ukukhulelwa ekuqaleni unina izifo ezosulelayo;
• phambi umfazi omithiyo (okanye izalamane), isifo sentliziyo okanye isifo seswekile;
• emva kokuba embulele ezingaqhelekanga ultrasound ebimiselwe entliziyweni;
• isalele Palsy kunye nobukhulu bayo;
• efumanise markers abonisa ukuphazamiseka chromosomal.

Ugxininiso Hyperechoic kwi ventricle lasekhohlo intliziyo ezingekazalwa zingayokuhlolwa ngokusebenzisa echocardiography kwi ithuba leeveki 18-28, ngoko ukuqhuba akayi kuba zoviwo ezipheleleyo nako, njengoko inkulu kakhulu ukuba bahlolisise ngokomgangatho ubungakanani kunye nemeko yentliziyo yakhe ubukhulu umntwana.

Yamihla ne echocardiography

Ngexesha test, isikali onke angabi nemingxuma yentliziyo. Ngokuqhelekileyo, la manani kufuneka kube kuluhlu:

• ubude ventricular Ekunene - 0,5-1,75 cm;
• ububanzi ventricle ekunene - 0.4-1.1 cm;
• ubude ventricular ekhohlo - 0.9-1.8 cm;
• ububanzi ventricle ekhohlo - 0,44-0,89 cm;
• umlinganiselo ventricle ekhohlo ukuya ububanzi ekunene - cm 0,45-0,9;
• emlonyeni aorta - 0,3-0,52 cm;
• emlonyeni pulmonary - 0.3-0.5 cm;
• orifice mitral - cm 0,35-0,6;
• orifice tricuspid - 0,3-0,63 cm;
• inani zisaphila - 140-160 ibetha / minute.

Ubungakanani intliziyo ezingekazalwa inayo parameters zayo kwaye yahluke kakhulu ukusuka ubungakanani omdala, njengokuba onke amalungu aloo mzimba bahambelana ubukhulu. Pathology kwentliziyo nalo olu hlolisiso lubonisa lihlala, ngoko musani ukubuxhalela yokungabikho echubekileyo uzist ukuba uthole ayiqinisekiswanga kwaye ugqirha uthi akukho akulubeki isongela umntwana.

Yintoni ekufuneka yenziwe ekuchongeni GEFa

GEF entliziyweni yosana olungekazalwa kufuna ukuqashwa ezicwangcisiweyo iimvavanyo ezongezelelweyo kagqirha. Ezi ziquka:

• Ultrasound ne Doppler baby intliziyo;
• CTG (cardiotocography);
• 3D okanye 4D ultrasound.

Ukuba wenziwe iindlela zokuxilonga andiwakhanyelanga ubukho ezingaqhelekanga zentliziyo (oko kukuthi, xa kukho amagosa amakishayo igazi ngokungaqhelekanga kwaye ultrasound kuqinisekiswa ezi mpawu), kucetyiswa ukuba ukutyelela zofuzo u.

Olu phando linyathelo kubaluleke kakhulu, kuba athwala nengozi enkulu ebunayo kwesisu okanye yokukhulelwa. Ngoko ke, ukuba enze isampuli yegazi intambo okanye fluid kuyimfuneko kuphela kwiimeko kakhulu.

Pathology intliziyo elincinci, ngoko ugqirha-sezakhi akuxhomekekanga ejoliswe isifo esiyingozi enjalo. Noko ke, ukuba uphethwe kuqinisekiswa kwi ultrasound volume kuhle ukuba ubonane yobungcali ukuba iingozi ze GEF ubomi wosana.

Ugxininiso Hyperechoic kwi ventricle lasekhohlo intliziyo ezingekazalwa: izinto

Ukuvela ekujoliswe echogenic entliziyweni umntwana kuba sisiphumo ehlukene neempahla zonke imisipha yenhliziyo, intliziyo msebenzi ngamnye (apho isahlulelo ezongezelelweyo ezifumaneka intliziyo ngokohlobo usinga encinane) okanye abanala makhwiniba chromosomal, ezifana Down engqondweni.

Isivuno iiveki likhula ngokukhawuleza kakhulu, kwaye esulungekileyo umzimba wakhe kunye neenkqubo umzimba ebaluleke ngakumbi. Yiyo le nto kufuneka ukuba esweni rhoqo imeko ndingekazalwa, nto leyo eza kuvumela ixesha ukubona iingxaki kunokwenzeka kunye nophuhliso okanye ukuthintela phambi kokuba iimpawu kuqala kubo.

Phambi yabamakishi chromosomal zophendlo lwezifo egazini umama ukuba umntwana ukungaqheleki zophuhliso kuqinisekiswa ngenqindi phantsi. Kulo mzekelo, abazali kufuneka ukuba wenze isigqibo malunga imfuneko yokuba uhlolo ezongezelelweyo okanye isisu.

Imiphumo moshilongo lomntwana

Ngokwesiqhelo, le Isingqi olongezelelweyo le ventricle ekhohlo kwi umntwana iyaphela ekupheleni kwalo ezintathu wesithathu, kodwa ingabekwa entliziyweni ebomini ngaphandle kokuya iingozi zempilo. Le mfuneko ukwazi yaye, ukuba kuyimfuneko, azise wabantwana bantwana, ngokuba ukuphulaphula kungenzeka ukuba ekuxilongweni ngenxa yobukho ukumbombozela kwentliziyo.

Kukwacetyiswa kwakhona ukuba babhaliswe kwi cardiologist zabantwana kwaye ihlolwa rhoqo ubukho sifo. Njengomthetho jikelele, ukuba iminyaka emithathu umntwana iyanyamalala naluphi umqondiso sibandakanywe izihlunu intliziyo, ngoxa ugqirha yenza kwisigqibo malunga nempilo elililo lwe umntwana.

Ukuba ndine worry ngale isifo

Njengomgaqo, ugxininiso hyperechoic kwi ventricle lasekhohlo intliziyo ezingekazalwa ongavelisi ingozi ngenxa umntwana. Emva kokuzalwa kunye noviwo rhoqo ngugqirha hayi sivakala abantwana akukho ezinxaxhileyo kumthetho norm kunokwenzeka ingxolo kuphela ezingephi phambi ngentambo olongezelelweyo.

Xa umntwana efikelela kubudala iinyanga 2-3, uxolo olukhulu lwengqondo abazali ukwenza ultrasound wentliziyo, apho yonke imilinganiselo nemingxuma nasemingxunyeni vana ziboniswa ngokweenkcukacha, inani taxi ezongezelelweyo kunye nemithambo yegazi lulonke. Elokuqukumbela, eli uxilongo ziya kubhalwa kwi impilo intliziyo kunye nobudala ngokupheleleyo iimpawu ukuthobela (idla ukuya kunyaka omnye abantwana bafumana open window elimbhoxo).

Kuphela ipesenti encinane amatyala, le Isingqi eyongezelweleyo ventricle wasekhohlo umntwana kunokubangela isifo sentliziyo okanye nezinye izinto ezimbi. Kodwa oku akwanelanga yokuba syndrome of "golfnogo Ball", kufuneka uqinisekise i ingozi ngqo nge umzekelo ulwelo fluid okanye igazi intambo yosana emva kokuba Uxilongo kunye nobukho amakishayo igazi engaqhelekanga ebonisa ubukho ezingaqhelekanga chromosomal kwi olungekazalwa.