Ka naʻau ma waho o ka umauma: no ke aha e hana ai a pehea e mālama ai

Anter

• He aha ke kumu o kēia malformation
• He aha ka hana ke puka ka naʻau mai ka umauma
• He aha nā koho lapaʻau
• Pehea e hōʻoia ai i ke kuhi

ʻO ka Ectopia cordis, i ʻike ʻia he ectopia puʻuwai, he hana hewa nui loa kahi e loaʻa ai ka puʻuwai o ka pēpē ma waho o ka umauma, ma lalo o ka ʻili. I kēia malformation, hiki ke loaʻa ka puʻuwai ma waho o ka umauma a i ʻole hapa hapa ma waho o ka umauma.

I ka hapanui o nā hihia, aia kekahi mau hewa like ʻole e pili pū ana a, no laila, ke ola maʻamau he mau hola, a ʻo ka hapanui o nā pēpē e hopena ʻaʻole ola ma hope o ka lā mua o ke ola. Hiki ke ʻike ʻia ka Ectopia cordis i ka trimester mua o ka hāpai ʻana, ma o ka nānā ʻana i ultrasound, akā aia kekahi mau hihia rarer kahi e ʻike wale ʻia ai ka malformation ma hope o ka hānau ʻana.

Ma waho aʻe o nā kīnā o ka puʻuwai, pili pū kēia maʻi me nā hemahema i ke ʻano o ka umauma, ʻōpū a me nā mea ʻē aʻe, e like me ka ʻōpū a me nā akemāmā. Pono e mālama ʻia kēia pilikia me ke kahakaha e hoʻihoʻi i ka puʻuwai i kahi, akā kiʻekiʻe ka makaʻu o ka make.

He aha ke kumu o kēia malformation

ʻAʻole i ʻike ʻia ke kumu kikoʻī o ka ectopia cordis, akā naʻe, hiki ke kupu mai ka malformation ma muli o ka ulu pono ʻole ʻana o ka iwi sternum, a ʻo ka pau ʻana o ka ʻole a me ka ʻae ʻana i ka puʻuwai e hele i waho o ka umauma, ʻoiai i ka wā hāpai.

He aha ka hana ke puka ka naʻau mai ka umauma

Ke hānau ʻia ka pēpē me ka puʻuwai mai ka umauma, loaʻa pū kekahi i nā pilikia olakino ʻē aʻe e like me:

• Nā kīnā i ka hana o ka puʻuwai;
• Nā kīnā i ka diaphragm, e alakaʻi i ka paʻakikī i ka hanu ʻana;
• Intestine ma waho o kahi.

Loaʻa i ka pēpē me ka ectopia cordis ka manawa kūpono e ola ai ka wā o ka pilikia ka wahi maikaʻi ʻole o ka puʻuwai, me ka ʻole o nā pilikia ʻē aʻe e pili ana.

He aha nā koho lapaʻau

Hiki ke mālama ʻia ma o ke kaha ʻana e hoʻololi i ka puʻuwai a kūkulu hou i nā kīnā ʻole i ka umauma a i ʻole nā ​​mea ʻē aʻe i hoʻopili ʻia. Hana pinepine ʻia ke ʻoki kino i nā lā mua o ke ola, akā pili ia i ka nui o ka maʻi a me ke olakino o ka pēpē.

Eia nō naʻe, he pilikia koʻikoʻi ka ecotopia cordis ma ka hapanui o nā hihia e alakaʻi i ka make i nā lā mua o ke ola, ʻoiai ke hana ʻia ke ʻoki. Hiki i nā mākua o nā keiki me kēia maʻi ke loaʻa i nā hoʻokolohua kūlohelohe e loiloi i ka manawa o ka hoʻi hou ʻana o ka pilikia a i ʻole nā ​​kīnā ʻē aʻe i ka wā e hāpai ai.

I nā hihia kahi e hiki ai i ka pēpē ke ola, pono mau i nā ʻoki ʻana i kona ola a pau, a me ka mālama ʻana i ka mālama olakino maʻamau, e hōʻoia i ka loaʻa ʻole o nā pilikia i hiki ke hoʻoweliweli i ke ola.

Pehea e hōʻoia ai i ke kuhi

Hiki ke hana i ka hōʻailona mai ka hebedoma 14th o ka hāpai ʻana, ma o nā hōʻike ultrasound maʻamau a morphological. Ma hope o ke kuhi ʻana o ka pilikia, pono e hana pinepine ʻia nā hōʻike ultrasound ʻē aʻe e kiaʻi i ka ulu ʻana o ka fetus a me ka piʻi ʻana o ka maʻi a i ʻole ʻaʻole no ka maʻi, i hoʻonohonoho ʻia ai ka lawe ʻana ma o ka ʻāpana cesarean.