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Lā O Ka Hana: 9 Pepeluali 2021
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Hōʻike Overview

ʻO Anencephaly kahi kīnā hānau kahi e kū ʻole ai ka lolo a me nā iwi o ka iwi poʻo i ka wā o ka pēpē i loko o ka ʻōpū. ʻO ka hopena, ulu ka lolo o ka pēpē, ʻo ia hoʻi ka cerebellum, me ka liʻiliʻi loa. ʻO ka cerebellum ka ʻāpana o ka lolo ke kuleana nui no ka noʻonoʻo, ka neʻe ʻana, a me nā ʻano, e like me ka hoʻopā, ka hihiʻo, a me ka lohe.

Manaʻo ʻia ʻo Anencephaly he kīnā neural tube. ʻO ka neural tube kahi lāʻau haiki e paʻa mau i ka wā o ka ulu ʻana o ka fetal a hana i ka lolo a me ka iwi kuamoʻo. Hana ʻia kēia ma ka pule ʻehā o ka hāpai ʻana, akā inā ʻaʻole, hiki i ka hopena ke anencephaly.

Hoʻololi kēia ʻano incurable ma kahi o ʻekolu hāpai keiki no kēlā me kēia 10,000 ma United States i kēlā me kēia makahiki, e like me ka. Ma kahi o 75 pākēneka o nā hihia, hānau hānau pēpē ʻia ka pēpē. ʻO nā pēpē ʻē aʻe i hānau ʻia me anencephaly e ola wale nō i kekahi mau hola a mau lā paha.

I nā manawa he nui, hāpai ka hāpai ʻana e pili ana i kahi kīnā neural tube i ka hānau keiki ʻole.

He aha ke kumu o ia a ʻo wai ka pilikia?

ʻAʻole ʻike ʻia ke kumu o ka anencephaly, kahi mea hoʻonāukiuki. No kekahi mau pēpē, pili paha ke kumu i nā loli a i ʻole chromosome. I ka hapanui o nā hihia, ʻaʻohe moʻolelo o ka ʻohana anencephaly i nā mākua o ka pēpē.


Hoʻolahalaha ka hana a ka makuahine i kekahi mau toxins kaiapuni, nā lāʻau lapaʻau, a i ʻole nā ​​meaʻai a mea inu paha. Eia nō naʻe, ʻaʻole lawa ka ʻike o ka poʻe noiʻi e pili ana i kēia mau kumuhana weliweli ʻē aʻe e hāʻawi i kekahi kulekele a i ʻole nā ​​ʻōlelo aʻoaʻo.

ʻO ka hōʻike ʻana i nā mahana wela, inā mai ka sauna a i ka pā wela paha a mai ke kuni kiʻekiʻe paha, e hāpai paha i ka makaʻu o nā kīnā neural tube.

Hōʻike ka Cleveland Clinic i kekahi mau lāʻau i kuhikuhi ʻia, e like me kekahi o nā mea e mālama ai i ka maʻi diabetes, e hoʻonui paha i ka makaʻu no ka anencephaly. ʻO ka maʻi diabetes a me ka momona ka mea e hopohopo ai no nā pilikia o ka hāpai ʻana, no laila he mea maikaʻi loa e kamaʻilio me kāu kauka e pili ana i nā kūlana mau a pehea e hopena ai i kou hāpai ʻana.

ʻO kahi mea nui e pili ana i ka anencephaly ka lawa ʻole o ka lawe ʻana i ka waikawa folic. Hiki i ka nele o kēia nutrient kī ke hāpai i kou makaʻu i ka loaʻa ʻana o kahi pēpē me nā kīnā neural tube ʻē aʻe me ka anencephaly, e like me spina bifida. Hiki i nā wahine hāpai ke hoʻohaʻahaʻa i kēia pilikia me nā mea kōkua folic acid a i ʻole nā ​​loliʻai.


Inā loaʻa iā ʻoe kahi pēpē me ka anencephaly, hiki i kou loaʻa ʻana o kahi pēpē ʻelua me ke kūlana like a i ʻole ke kīnā neural tube ʻē aʻe e 4 a 10 pakeneka. ʻElua mau hānau hānau ma mua i hoʻopili ʻia e anencephaly e hoʻonui i ka piʻi hou ʻana ma kahi o 10 a 13 pākēneka.

Pehea ia ʻike?

Hiki i nā kauka ke kuhikuhi pono i ka anencephaly i ka wā hāpai a i ʻole ma hope koke o ka hānau ʻana o ka pēpē. I ka wā hānau, hiki ke ʻike maʻalahi ʻia nā mea pono ʻole o ka iwi poʻo. I kekahi mau hihia, ua nalowale kahi ʻāpana o ke poʻo, me ka iwi poʻo.

ʻO nā hōʻike Prenatal no anencephaly me:

  • Hōʻike koko. Hiki i nā pae kiʻekiʻe o ke akepaʻa protein alpha-fetoprotein ke hōʻike i ka anencephaly.
  • ʻO Amniocentesis. Lawe ʻia ka Fluid mai ka ʻeke amniotic e hoʻopuni ana i ka ʻōpū e hiki ke hoʻopaʻa ʻia e ʻimi no nā māka he nui o ka hoʻomohala pono ʻole. ʻO nā kiʻekiʻe kiʻekiʻe o ka alpha-fetoprotein a me ka acetylcholinesterase e pili me nā kīnā neural tube.
  • Kukuna ultrasound. Hiki i nā hawewe kani ʻoi loa ke kōkua i ka hana ʻana i nā kiʻi (sonograms) o ka fetus e ulu ana ma ka papakaumaka. Hōʻike paha kahi sonogram i nā hōʻailona kino o anencephaly.
  • Scanner MRI Fetal. Hoʻopuka kahi kahua uila a me nā nalu uila i nā kiʻi o ka fetus. Hāʻawi kahi scan MRI fetal i nā kiʻi kikoʻī ma mua o kahi ultrasound.

Hōʻike ka Cleveland Clinic i ka hoʻokolohua prenatal no anencephaly ma waena o ka 14th a me ka 18th mau pule o ka hāpai ʻana. Hana ʻia ka scanner MRI fetal i kēlā me kēia manawa.


He aha nā hōʻailona?

ʻO nā hōʻailona ʻike nui loa ʻia o ka anencephaly nā ʻāpana i nalo o ka iwi poʻo, ʻo ia nā iwi i ka hope o ke poʻo. ʻO kekahi mau iwi paha ma nā ʻaoʻao a i ʻole ma mua o ka iwi poʻo paha e nalo ana a hana maikaʻi ʻole paha. ʻAʻole hana kūpono ka lolo. Me ka ʻole o ka cerebellum olakino, ʻaʻole hiki i ke kanaka ke ola

ʻO nā hōʻailona ʻē aʻe e hoʻopili i ka pelu ʻana o nā pepeiao, ka pāleo, a me nā reflexes maikaʻi ʻole. ʻO kekahi pēpē i hānau ʻia me anencephaly he mau kīnā puʻuwai kekahi.

Pehea e mālama ʻia ai?

ʻAʻohe lāʻau lapaʻau a lāʻau hoʻi no anencephaly. ʻO kahi pēpē i hānau ʻia me ke ʻano e mālama ʻia mehana a ʻoluʻolu hoʻi. Inā nalowale kekahi mau ʻāpana o ke poʻo, e uhi ʻia nā ʻāpana i hōʻike ʻia o ka lolo.

ʻO ke ola o kahi pēpē i hānau ʻia me anencephaly ʻaʻole ʻoi aku ma mua o kekahi mau lā, ʻoi aku paha i kekahi mau hola.

ʻO Anencephaly vs. microcephaly

ʻO Anencephaly kekahi o nā ʻano i ʻike ʻia ʻo nā maʻi cephalic. Pili lākou āpau i nā pilikia me ka hoʻomohala ʻana o ka ʻōnaehana hopohopo.

Hoʻokahi maʻi e like me ka anencephaly ma kekahi ʻano he microcephaly. ʻO kahi pēpē i hānau ʻia me kēia ʻano he liʻuliʻu kona poʻo ma mua o ka maʻamau.

ʻAʻole like me ka anencephaly, i ʻike maka ʻia i ka wā hānau, aia paha ʻaʻole paha ʻo microcephaly i ka wā hānau. Hiki iā ia ke hoʻomohala i loko o nā makahiki mua o ke ola.

Hiki i kahi keiki me ka microcephaly ke ʻike i ke ʻano maʻamau o ka maka a me nā ʻāpana ʻē aʻe o ke kino, ʻoiai ke poʻo liʻiliʻi e noho ana. ʻO kekahi me ka microcephaly e lohi ʻia paha a alo i kahi ola pōkole ma mua o kekahi me ke ʻano cephalic.

He aha ke kuanaʻike?

ʻOiai ke hoʻomohala ʻana i kahi keiki hoʻokahi anencephaly hiki ke luku ʻia, e hoʻomanaʻo i ka makaʻu o ka hāpai hope ʻana e huli i ke ala like he haʻahaʻa loa ia. Hiki iā ʻoe ke kōkua i ka hōʻemi ʻana i kēlā pilikia a ʻoi aku paha ma ka hōʻoia ʻana e ʻai pono i ka waikawa folic ma mua a i ka wā o kou hāpai ʻana.

Hana pū ka CDC me nā Centres for Birth Defects Research and Prevent ma nā noiʻi e ʻimi ana i nā ʻano hoʻomaikaʻi o ka pale a me ka mālama ʻana no anencephaly a me ka pae holoʻokoʻa o nā hānau hānau.

Inā hāpai ʻoe a ke hoʻolālā nei ʻoe e hāpai, e kamaʻilio koke me kāu kauka e pili ana i nā ala āpau e hiki ai iā ʻoe ke kōkua i ka hoʻomaikaʻi ʻana i nā pilikia o ka hāpai keiki olakino.

Hiki ke pale ʻia?

ʻAʻole hiki ke pale aku i ka anencephaly i nā hihia āpau, ʻoiai aia kekahi mau ʻanuʻu e hoʻohaʻahaʻa ai i nā pilikia.

Inā hāpai ʻoe a hiki paha i ka hāpai ʻana, paipai ka CDC i kēlā me kēia lā ʻai o ka liʻiliʻi. Hana i kēia ma ka lawe ʻana i kahi waihona waikawa folic a i ʻole i ka ʻai ʻana i nā meaʻai i hoʻopaʻa ʻia me ka waikawa folic. Koi paha kāu kauka i kahi hui o nā ala ʻelua, kaukaʻi ʻia i kāu papaʻai.

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