Chotupa wa plexus choroid: Zoyambitsa ndi Chithandizo

Chotupa mapangidwe otchedwa plexus choroid ku ubongo umene wapezeka ndi ultrasound mu mwana wosabadwayo pa mwezi 6-7 ya chitukuko. Pambuyo kuti ayenera kutha ndi zambiri za ndekha konse amafanana. Komabe, pambuyo pa kulandira zotsatira za maphunziro amayi apakati kuyamba kudandaula ndi kuganizira zopatuka izi. Ndipotu si. Mu chotupa chotero, chomwe unachokera mu ubongo pa chitukuko yoopsa, palibe kuopseza mwanayo. Kapena thanzi lake kapena chitukuko si pangozi.

M'pofunika kusiyanitsa chotupa lomwe lili ndi chiyambi mtima. Ndicho, icho aumbike mwa thunthu oziziritsa pambuyo sitiroko, aneurysm matenda. Ndiko kuti, ndi chifukwa cha matenda zinachitika mu thupi. M'nkhaniyi, ife adzamvetsa, kodi choroid plexus chotupa.

Kufotokozera za maphunziro

Chotupa mu mtima (choroid, horioidnom villous) plexus anapanga osati kawirikawiri. Ambiri, ndi% 1-3 yekha mimba onse omwe wotiyang'anira. Maphunziro amenewa ayenera kutha mwa masabata 27-28 ya gestation. Theka la cysts ndi amgwirizano. Koma pali milandu kumene chotupa ndi visualized isanafike yobereka. Iyi si akutukwana.

zipatso si pangozi. Komanso, ngati wapezeka ndiye wakhanda kapena wamkulu (a nthawi zina kwambiri, alipo mwa munthu moyo), alibe phindu. Cysts wa plexus choroid angakhale ochepa, zilibe bwanji madokotala ananena zawo.

Kodi izi choroid plexus chotupa? Mkati plexus amatenga madzimadzi cerebrospinal kapena CSF, amene amapangidwa. Ndi chakudya ubongo ndi msana wa mwana wosabadwayo. Mtima Plexus - chizindikiro oyambirira CNS lomenyera Ndisanaumbidwe ndi m'mene awiriwo, monga hemispheres oziziritsa (lamanja ndi lamanzere).

Science sakudziwa chifukwa chimene madzimadzi kudzikundikira isanafalikire kuti malo enieni. Pezani sizimatanthauza. Ndipotu choroid plexus chotupa mu mwana wosabadwayo zilibe kanthu. Iwo wotchedwa chifukwa pa ultrasound kuchulukana analimasulira ofunikira.

Kodi pali ubale ndi kudwala chitukuko yoopsa?

Medical magwero mabuku zina akuimira mfundo zimenezi kuti kulankhulana pakati pa chotupa ndi plexus choroid wa kudwala yoopsa kumeneko. Kuti izi kungapangitse Mwachitsanzo, ndi kusintha kwa maselo.

Kodi mukuchitika choroid plexus chotupa (kumanja, kumanzere kapena mbali zonse), zilibe kanthu. Nkofunika kudziwa kuti pali kugwirizana, koma anyamata. Kuti ndi choroid plexus chotupa sichichititsa anomalies chitukuko, koma m'malo mwake, matenda obadwa nawo a mwana wosabadwayo amachititsa mapangidwe cysts mu ziwiya. Koma izi sikuti limodzi ndi njira nthenda ndi pathological.

Kuti umabweretsa choroid plexus chotupa mu akhanda ndi?

Taganizirani kaŵirikaŵiri matenda majini chilema, limodzi ndi kukhalapo kwa cysts. Ndi matenda, Edwards kapena trisomy 18. chromosomal izi anomaly awiri 18 si divergent, izo anawonjezera kuti asakhale ndi vutoli lina 18. Choncho, zawo awiri, kwa matenda anapatsidwa ankasinthana atatu. Mu mwana wosabadwayo chifukwa genotype tichipeza 47 DNA.

buku la khromozomu 18 angachititse imfa yoopsa kapena kubadwa kwa mwana udzakhala nawo zopindika angapo ndipo anomalies. Izi zinagwira:

• ubongo chubu zilema;
• Hammerhead mapazi;
• torsion ya zala;
• hygroma chotupa;
• hydrocephalus;
• micrognathia;
• Phazi rocker;
• kukula zochepa.

Nthawi zina ngakhale trisomy 21 , kapena matenda Down, koma pazifukwa zina, ndi chotupa cha plexus choroid ubongo aumbike zochepa matenda anapatsidwa.

Tanthauzo la cysts ziro ngakhale ndi matenda Edwards, monga kufunika ndi kupatuka m'munsili chitukuko cha anomaly izi.

Features wa cysts choroid plexus

Choncho, malinga ndi pamwamba, tingapeze mfundo zotsatirazi:

• zosapi-, dzanja lamanja kapena lamanzere;
• Zofunikanso kapena adzadziwire ikuyimiridwa mwa dongosolo angapo yaing'ono;
• Motero tikhoza;
• alibe ntchito;
• si kumatanthauza njira chilichonse chofunika;
• Si kukula ndipo si adzabadwanso.

Amayi oyembekezera sayenera kuopa matenda "chotupa mtima plexus ubongo," kapena amaona kuti formations ena enaake. maina zikhoza kukhala zofanana, koma ndi dongosolo losiyana ndi zidakwa.

Other mtima chotupa

Nkofunika kudziwa kuti mu magawo ina ya mimba mabungwe ena m'zotengera akhoza wapezeka. Pa yoopsa ubongo ultrasonography visualized osati choroid plexus chotupa. Zimene angathe kulankhula?

cysts zimenezi zikusonyeza Pankhaniyi kuti mayi anali ndi matenda kapena kodi izo zikadali apo. matenda zikuphatikizapo cytomegalovirus ndi nsungu HIV.

Koma uwu si chotupa mtima plexus a mu ubongo mwana wosabadwayo.

Mtima ndi ramolitsionnaya (ili mu ubongo chinthu) chotupa, umene uli mu magawo ina, zikusonyeza kuti ubongo kale anapanga, ndipo mmenemo pali cavities enaake chifukwa matenda a HIV.

Mwana wakhanda akhoza kukhala ndi kachilombo ankadutsa ngalande mayi anabadwa. Ndiye enaake mapangidwe, angapo ndipo nthawi zambiri ankakhala mu zigawo kanthawi ndi mazunzo a ubongo, kodi kuzindikiridwa atabadwa. Ngati chotupa linachokera ku foci wa necrosis, umatchedwa ramolitsionnoy.

Kuwonongeratu mitsempha minofu chifukwa choipa nsungu kapena cytomegalovirus. Cysts mtima plexuses wa ventricles lateral ngati si anapanga.

neurosonography

Microcysts plexus choroid angapezeke pa ultrasound, pa neurosonography. Mwana aliyense kwa chaka chimodzi likhale matenda amenewa. Pa US kumatanthauza matenda a ubongo.

Neurosonography chofunika milandu zotsatirazi:

• Kubadwa choipa.
• Mu nkhani ya kukayikirana pamaso pa matenda yoopsa.
• Mimba kwambiri.
• Mu nkhani ya kubadwa masiku asanakwane.
• Pamene zolakwika mu thupi wakhanda ndipo kukula.
• Ngati pali kuyan'anila yofunika kwambiri kapangidwe ndi mawonekedwe a mutu, pamaso pa kuvutika mu thunthu ziwalo.

kaonedwe

Chifukwa, kutanthauzira ndi kukula kwa cysts bwanji madokotala ananena zawo kudwala. The kaŵirikaŵiri Kwalamulidwa matenda PCR kudziwa wothandizila tizilombo. Ngati kusanthula ndi zabwino, chofunika mankhwala enieni ndi polojekiti zina.

Mu miyezi itatu, kenako miyezi isanu ndi chaka kuchita ultrasound ya ubongo (cranial ultrasonography) mwana. Kuneneratu makamaka yabwino, kaya matenda kuzindikiridwa tizilombo. maphunziro za chaka kutha ndipo akukumbutsa palokha. No musabise sizichitika.

Ngati ife kulankhula za ramolyatsionnoy chotupa, zikhoza kwathunthu kutha ali wakhanda. Apo ayi, ngati zifukwa zina khalidwe mosiyana. Koma ndiye iwe sungakhoze iyo chotupa. mapangidwe zimachitika chifukwa kuphwanya malinga chotengera, ndipo ili mu ubongo minofu.

zinthu kukulitsa

Pathological chotupa akhoza kupanga chifukwa zinthu zina:

• Matenda.
• Angaperekedwe ndi ena kuvulala.
• Microstroke.
• Hemorrhagic sitiroko (chotupa m'malo mwa hematoma, anapanga chifukwa cha kuvulala mtima).
• Ischemic sitiroko (remolitsionnaya chotupa chiyambi mtima monga cimabwela necrosis).
• Aneurysms.

Nthawi zambiri, ngati kuonongeka chotengera khoma, lidzakhala wolumikizira. Zoonadi, mwa njira yotero, mitsempha samenya nawo.

zizindikiro matenda

Hematoma, sitiroko, aneurysm imfayo ndi chotupa mu ubongo. Nthawi zina, palibe chizindikiro cha maphunziro awa, ndipo lingapezeke pambuyo pa imfa ya munthuyo. Koma pamodzi ndi chotupa anapanga ku HIV, ungatithandize zizindikiro zina ndi:

• Zizindikiro za Hyper mu akhanda.
• Zinthu psinjika ubongo, kupweteka kwa mutu.
• A kumva ndi zithunzi kuwonongeka.
• Pang'ono ataxia.
• Khunyu khunyu, amene ankaona mavuto aakulu kwambiri.

Cysts wa choroid plexus ventricle zizindikiro chotero musataye.

zizindikiro zina

Komanso, psinjika zonse minofu ubongo zingachititse kuti makhalidwe ena:

• zonse kupweteka ululu mutu wa kusinthasintha mwamphamvu ndipo nthawi;
• Kuphwanya matupi udindo kumva, kununkhiza, ndi pamaso;
• kusinza kapena, Tikawonetsetsa tulo;
• mavuto ndi kugwirizana galimoto;
• minofu hypotonia; Ripple ndi phokoso kumverera mutu, kuthamanga okwera mkati chigaza ndi;
• mwadzidzidzi pafupipafupi akukomoka ndi khunyu;
• kugwedeza;
• regurgitation;
• ripple m'ziwalo fontanel kutupa;
• ziwalo m'dera la manja kapena miyendo, dzanzi ndi manja wathunthu.

Maonekedwe zizindikiro matenda amayamba ndi psinjika minofu pafupi. Iwo akusokoneza uziyenda yachibadwa ubongo. Choncho zimene zimachitika lalikulu kukula cysts kapena waipeza kwambiri pafupi ndi malo ofunika a ntchito apamwamba mantha. Ndi kusamutsidwa kumabweretsa makope osauka ndi hypoxia.

zochiritsira

Aliyense chithandizo chapadera kwa ubongo chotupa, monga choroid plexus chotupa si chofunika. Koma kudziwika nsungu, matenda cytomegalovirus kapena zina akusankhidwa ndi mankhwala mavairasi oyambitsa. Ngati pali khunyu, imasonyezedwa kumwa mankhwala ndi katundu anticonvulsant.

Tiyeneranso kukumbukira kuti pamene mankhwala ndiwofatsa wosatenga zotsatira (chotupa cha plexus choroid ya ubongo wa mwana wosabadwayo ndi waukulu kwambiri, mwachitsanzo), ayamba opaleshoni. moto likuchotsedwa mwa ntchito. Pambuyo pake, monga ulamuliro, kusiya zizindikiro zonse.

Ndi zizindikiro wofatsa komanso yosowa madandaulo mtima wa chizungulire, kupweteka kwa mutu, zomwe compressing khalidwe, iye Kwalamulidwa yaitali Inde kulandira "tsinarizin" ndi "Cavinton". Mankhwala akhoza kwambiri patsogolo okwanira ubongo mpweya, kukhazikitsa kutanganidwa magazi, matenda a maganizo. Anasamutsa zambiri bwino, mavuto musati chifukwa. Koma n'zotheka mbali yapadera.

Takambirana mwatsatanetsatane choroid plexus chotupa, komanso kusiyana waukulu kuchokera formations ena enaake.