Ngamagama athi "intombazane ye-hyperechoic" isho isithombe esiqhakazile kakhulu somathumbu we-fetus ekuqapha amadivaysi e-ultrasound. Kumele kuqashelwe ukuthi i-echogenicity yamathumbu ikhulu kune-echogenicity yezinye izitho zangaphakathi ezikuwo. Uma kwenzeka ukuthi ukukhanya komathumbu kufinyelele ekukhanyeni kwesithombe samathambo, bakhuluma nge-hyperechoinality.
Amathumbu angama-hyperechogenous fetus atholakala ngamacala angu-0.5% e-trimester yesibili yokukhulelwa. Lolu hlobo lwezinambuzane lungaba uhlobo oluvamile, noma lungabonakala uma ingane igawula igazi, elingagciniwe futhi lihlala emgodini we-guten. Ngezigaba ezithathiwe zokukhulelwa, igciwane le-hyperechoic libonisa ukuthuthukiswa kwe-meconium peritonitis noma i-ileus ye-meconium, noma uphawu lokutheleleka nge-inkukhu.
Izimbangela zegciwane le-hyperechoic ebusweni
Uma ngesikhathi sokuhlolwa kwe-ultrasound le-fetus yembula imathumbu ye-hyperechoic, umama olindelekile akumele akhathazeke, ngoba kungenzeka ukuthi lesi simo somntwana wesisu singashintsha emva kwesikhashana. Kodwa ungakhohlwa ukuthi ukuxuba kungabonisa:
- izifo ze-chromosomal eziphilayo (isib., Down syndrome);
- ukuphuza kokuthuthukiswa kwe-intrauterine;
- ukungena kwe-intrauterine ye-fetus.
Kumele kukhunjulwe ukuthi ukusungulwa kwe-hyperechoogenicity akusho ngokuqondile ukuthi kukhona i-Down syndrome, kodwa ubufakazi bokuthi ingozi eyanda kakhulu yokuthuthukisa le syndrome. Kulesi simo, kufanelekile ukuphendukela ku-geneticist ukuhlola imiphumela yesimo se-biochemical futhi. Kubuye kudingeke ukuba kuhlolwe ukuthi kukhona ama-antibodies ku-cytomegalovirus, i-herpes simplex virus, i-toxoplasmosis, i-parovirus, i-rubella.
Ukukhipha ukubambezeleka kokuthuthukiswa kwe-intrauterine , kubalulekile ukuhlola ngaphezu kwalokho:
- Kungakhathaliseki ukuthi kukhona ukulandelana kwezikhulu zekhanda nomzimba wesithelo kusukela esikhathini sokukhulelwa;
- kungakhathaliseki ukuthi kukhona ukungabi namanzi;
- kungakhathaliseki ukuthi ukugeleza kwegazi ezitsheni zesisu nesisu, i-placenta, akunciphisi.
Uma kungekho nenye yezimpawu eziqinisekisiwe, khona-ke ukuxilongwa kukhishwe, futhi kubalulekile ukusungula enye imbangela ye-hyperechogenicity.
Imiphumela yomgudu we-hyperechoic ebusweni
Idatha etholwa abacwaningi abahlukahlukene ibonisa ukuthi ukutholakala kwegciwane lesifo se-hyperechoic yisisekelo sokuhlukanisa owesifazane okhulelwe njengeqembu eliyingozi, ngoba angase abe ne- cystic fibrosis . Naphezu kokuthi intombazane ye-hyperechoic ingakwazi ukukhuluma ngamathambo amaningi we-fetus,
Ukwelashwa kwegciwane le-hyperechoic ebusweni
Ezimweni zokusungula ukukhulelwa kwamathumbu emathunjini emathunjini, ukuhlolwa kwangaphambi kokubeletha kufanele kwenziwe kumuntu wesifazane, okuzobandakanya isifundo se-karyotype, ukuhlolwa kwe-anatomy ye-ultrasound yengane, ukuqapha isimo sakhe, nokwenza izivivinyo zokutheleleka kwe-intrauterine. Kungemva kwalokhu udokotela anganika lona wesifazane izincomo ezidingekayo zokwelapha nokuphathwa okuqhubekayo kokukhulelwa.