Kev hloov kho Meningocele

Kev kho mob Meningocele (tseem hu ua kev kho mob myelomeningocele) yog kev phais mob los kho kho qhov teeb meem thaum yug ntawm tus txha nraub qaum thiab txha caj qaum. Meningocele thiab myelomeningocele yog hom txha caj qaum bifida.

Rau ob qho tib si meningoceles thiab myelomeningoceles, tus kws phais yuav kaw qhov qhib nyob tom qab.

Tom qab yug menyuam, qhov ntxeev yog them los ntawm hnav khaub ncaws tsis huv. Tom qab ntawd koj tus menyuam yuav raug xa mus rau hauv lub tsev kho mob loj (neonatal intensive care unit) (NICU). Kev saib xyuas yuav muab cov neeg kho mob nrog cov kev paub dhau los hauv cov menyuam yaus spina bifida.

Koj tus me nyuam yuav muaj MRI (sib nqus resonance xav) los yog ultrasound ntawm sab nraub qaum. Ib qho MRI lossis ultrasound ntawm lub hlwb yuav ua kom nrhiav hydrocephalus (ntxiv dej hauv lub hlwb).

Yog tias qhov myelomeningocele tsis tau npog los ntawm daim tawv nqaij los yog daim nyias nyias thaum koj tus menyuam tau yug, kev phais yuav raug ua hauv 24 mus rau 48 teev tom qab yug. Qhov no yog los tiv thaiv tus kab mob.

Yog tias koj tus menyuam muaj hydrocephalus, yuav tsum tso lub ntsej muag (lub raj yas) tso rau hauv tus menyuam lub hlwb kom tso cov dej tawm mus rau hauv lub plab. Qhov no tiv thaiv kom tsis txhob raug mob uas tuaj yeem ua rau tus menyuam lub hlwb puas. Qhov shunt no yog hu ua ventriculoperitoneal shunt.

Koj tus menyuam yuav tsum tsis txhob tso tawm cov quav ua ntej, thaum, thiab tom qab phais. Coob leej me nyuam nrog tus mob no muaj qhov tsis haum nrog latex.

Kho kho meningocele lossis myelomeningocele yog qhov xav tau txhawm rau txhawm rau txhawm rau txhawm rau tiv thaiv kev kis mob thiab ntxiv kev raug mob rau tus menyuam tus txha caj qaum thiab cov hlab ntsha. Cov kev phais tsis tuaj yeem kho qhov tsis xws ntawm pob txha caj qaum lossis cov hlab ntsha.

Kev phom sij rau ib qho kev ua kom loog thiab phais yog:

• Cov teeb meem ua pa
• Kev tshuaj tiv thaiv
• Ntshav
• Kab mob

Kev phom sij rau qhov kev phais mob no yog:

• Kev haus dej hauv lub hlwb thiab lub siab hauv lub hlwb (hydrocephalus)
• Muaj feem ntau ntawm txoj kev mob txeeb zig thiab teeb meem quav
• Kev kis mob los yog mob hlwb txha nraub qaum
• Tuag tes tuag taw, tsis muaj zog, lossis hloov pauv vim ploj ntawm cov hlab

Tus kws saib xyuas kev noj qab haus huv ntau zaus yuav pom qhov tsis xws luag ua ntej kev yug menyuam siv ultrasound. Tus kws kho mob yuav ua raws li tus menyuam kom txog rau thaum yug. Nws zoo dua yog tias cov me nyuam nqa mus txog qhov ntev. Koj tus kws kho mob yuav xav ua kev phais plab menyuam (C-section). Qhov no yuav tiv thaiv kev puas tsuaj ntxiv rau lub hnab lossis cov pob txha caj qaum raug mob.

Koj tus menyuam feem ntau yuav tsum tau siv sijhawm li 2 lub lis piam tom tsev kho mob tom qab kev phais mob. Tus menyuam yuav tsum pw ncaj qha tsis txhob chwv lub qhov txhab ntawd. Tom qab phais tas, koj tus menyuam yuav tau txais tshuaj tiv thaiv tiv thaiv tus kab mob.

MRI lossis ultrasound ntawm lub hlwb raug rov ua dua tom qab kev phais mob txhawm rau pom tias hydrocephalus kev txhim kho ib zaug thaum kho cov teeb meem hauv nraub qaum yog kho dua.

Koj tus me nyuam yuav xav tau kev kho lub cev, ua hauj lwm, thiab kev hais lus. Coob leej me nyuam uas muaj cov teeb meem no tau loj (loj) thiab raug nplua (me me) qhov tsis taus ntawm lub cev, thiab nqos teeb meem, thaum tseem ntxov hauv lub neej.

Tej zaum tus menyuam yuav xav ntsib pab pawg kws tshaj lij mob spina bifida ntau zaus tom qab tawm hauv tsev kho mob mus.

Yuav zoo npaum li cas tus me nyuam nyob ntawm kev pib mob ntawm lawv tus txha nqaj qaum thiab txoj hlab ntshav. Tom qab kho meningocele, cov menyuam yaus feem ntau ua tau zoo heev thiab tsis muaj teebmeem ntxiv rau lub hlwb, lub paj hlwb lossis cov leeg mob.

Cov menyuam yaus yug nrog myelomeningocele feem ntau muaj tuag tes tuag taw lossis tsis muaj zog ntawm cov leeg hauv qab theem ntawm lawv tus nqaj qaum qhov twg qhov tsis xws. Lawv kuj yuav tsis muaj cuab kav tswj tau lawv lub zais zis los yog lub plab hnyuv. Lawv yuav xav tau kev pab kho mob thiab kev kawm rau ntau xyoo.

Lub peev xwm taug kev thiab tswj cov hnyuv thiab lub zais zis muaj nyob ntawm qhov twg qhov kev yug me nyuam nyob ntawm tus txha nqaj qaum. Kev ua tsis zoo rau tus txha nqaj qaum yuav muaj qhov zoo dua.

Txoj kev kho Myelomeningocele; Myelomeningocele kaw; Txoj kev kho Myelodysplasia; Kev txhim kho pob txha caj qaum; Kev kho Meningomyelocele; Neural raj kho cov teeb meem; Kev kho mob spina bifida

• Kev phais mob kho mob - qhib

• Kev kho Meningocele - series

Kinsman SL, Johnston MV. Congenital anomalies ntawm lub hauv nruab nrab poob siab. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 609.

Ortega-Barnett J, Mohanty A, Desai SK, Patterson JT. Kev phais hlwb. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier Saunders; 2017: chap 67.

Robinson S, Cohen AR. Myelomeningocele thiab muaj feem xyuam rau cov hlab ntsha tsis zoo. Hauv: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff thiab Martin's Neonatal-Perinatal TshuajCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 65.