Beklar lub nucleus ntawm ultrasound: dab tsi yog qhov tseem ceeb
Beklar lub nucleus ntawm ultrasound: dab tsi yog qhov tseem ceeb
Anonim

Nws yuav zoo li tias kev tshawb fawb nyob rau theem pib ntawm cev xeeb tub, uas txiav txim siab thiab tiv thaiv kev loj hlob ntawm pathologies, yog qhov tseem ceeb. Tab sis ultrasound nyob rau hauv lub xeem theem qhia ib tug xov tooj ntawm yam tseem ceeb uas qhia txog kev npaj ntawm tus me nyuam hauv plab rau kev yug me nyuam. Ib tug ntawm lawv yog Beklar core.

Qhov tseem ceeb ntawm lub sijhawm ultrasound lig

Kev xaiv ultrasound hauv peb lub hlis twg yog teem sijhawm rau 31-32 lub lis piam, tab sis qee zaum, cov kws kho mob tuaj yeem sau tshuaj ntsuam xyuas ua ntej yug menyuam. Piv txwv li, tawm tsam keeb kwm yav dhau los ntawm cov teeb meem (rub qhov mob hauv lub plab hauv plab, stained nrog ib qho admixture ntawm cov ntshav tawm). Lossis yog tus niam uas cia siab tias yuav muaj kev pheej hmoo (hnub nyoog, teeb meem kev noj qab haus huv). Raws li cov txiaj ntsig ultrasound, tus kws kho mob tuaj koom yuav kos cov lus xaus:

  1. Kev nthuav qhia yug - txoj haujlwm ntawm tus menyuam hauv tsev menyuam yuav qhia koj lub tswv yim rau kev coj tus txheej txheem yug.
  2. Kev Npaj ntawm cov placenta rau kev yug menyuam - nyob ntawm qhov loj thiab tuab ntawm placental membrane, cov ntsiab lus tseeb ntawm PDR tau teeb tsa.
  3. Kev kuaj mobtxoj kev loj hlob ntawm txoj kev ua pa yuav qhia tau tias lub sij hawm ntawm tus me nyuam.
  4. Pathologies - nws raug soj ntsuam yog tias muaj kev hloov pauv pathological uas cuam tshuam rau tus menyuam hauv plab.
  5. Anatomical tsis - tshuaj xyuas lub plawv dhia, zaus ntawm kev txav, kev loj hlob ntawm daim siab thiab lwm yam kabmob hauv nruab nrog cev, qhov siab thiab qhov hnyav ntawm tus menyuam hauv plab, muaj ossification nuclei.

Raws li koj tau pom, kev tswj hwm ntawm cov ntsuas no yog qhov tseem ceeb rau kev ua tiav kev yug menyuam thiab kev noj qab haus huv ntawm tus menyuam thiab niam.

Dab tsi yog Beklar core qhia thaum cev xeeb tub

Nyob rau hauv kev kuaj ultrasound ua ntawm 37-40 lub lis piam, qee qhov tsis tsim nyog tau txais kev saib xyuas tshwj xeeb. Ib qho ntawm cov kev ntsuas anatomical uas cov kws kho mob tshwj xeeb tswj hwm yog Beklar nucleus, uas yog qhov degree ntawm ossification ntawm distal epiphysis ntawm femur. Raws li kev kho mob encyclopedias, nws yog ib qho tseem ceeb ntawm lub sij hawm tag nrho.

Ntau zaus lub tswv yim ntawm Beklar lub nucleus tsis meej pem nrog ossification nuclei hauv lub duav sib koom. Kev tsim ntawm cov nuclei pib ua ntej - nyob rau hauv thaj tsam ntawm peb mus rau lub hlis thib tsib ntawm cev xeeb tub, thaum lub sij hawm active osteogenesis. Qhov sib txawv hauv zos: Beklar's nucleus tshwm sim nyob rau hauv qis dua ntawm cov pob txha ncej puab.

distal epiphysis
distal epiphysis

Tus nqi ib txwm nyob ntawm 37-40 lub lis piam

Qhov tseem ceeb ntawm cov nucleus ntawm ossification ntawm lub distal epiphysis nyob rau hauv lub fetus sib txawv ntawm 3 mus rau 6 hli los ntawm fortieth lub lim tiam ntawm cev xeeb tub. Cov qhov ntev no suav hais tias yog ib qho cim ntawm cov qauv. Txawm li cas los xij, hauv 3-10% ntawm cov neeg mob ntawm cov menyuam mos uas muaj hnub nyoog puv sijhawm, Beklar nuclei tsis tuaj yeem ua ke, thiab qee qhov lawv tsim tau pom nyob rau ntawm 35-36.week.

Yog li, nws tsis raug txiav txim siab qhov kev loj hlob ntawm tus menyuam hauv plab tsuas yog qhov loj ntawm Beklar kernel. Qhov kev txiav txim siab ntawm lub xub ntiag ntawm pathology yog ua los ntawm tus kws kho mob raws li kev sib txawv ntawm tag nrho cov kev txwv.

ntsuas ntsuas qhov txawv txav

Nquag, Beklar lub nucleus ua tiav nws txoj kev tsim tom qab yug menyuam, los ntawm lub hli thib rau ntawm lub neej. Dab tsi hem ossification tsis txaus?

Ua ntej, qhov qeeb hauv ossification ntawm qis epiphysis ntawm tus ncej puab entails lub pathology ntawm txoj kev loj hlob ntawm lub hauv caug pob qij txha. Raws li qhov tshwm sim, tus menyuam yaus nkag tsis tau ib txwm.

Thib ob, muaj kev pheej hmoo ntawm kev tsim cov kab mob epiphyseal dysplasia. Nyob rau tib lub sijhawm, lub luag haujlwm loj ntawm cov kab mob caj ces molecular tau sau tseg hauv cov kab mob.

epiphyseal dysplasia ntawm femoral epiphyses
epiphyseal dysplasia ntawm femoral epiphyses

Distal epiphyseal dysplasia ua rau X- thiab O-hom ceg curvature. Deformities, thickening los yog expansion ntawm lub hauv caug pob qij txha tshwm sim. Luv stature kuj tau sau tseg, tshwm sim los ntawm kev txo qis ntawm qhov ntev ntawm cov pob txha tubular. Raws li cov kws tshaj lij, cov teeb meem no tsis cuam tshuam rau lub neej expectancy lossis kev txawj ntse ntawm tus menyuam. Txawm li cas los xij, lawv tuaj yeem ua rau hypoplasia ntawm lub cev vertebral thiab shortening ntawm qaum. Tib lub sijhawm, ossification ntawm vertebrae yog ncua.

Kev kuaj mob tau ua tiav nrog kev pabcuam ntawm X-ray kev tshawb fawb, kuaj cov noob caj noob ces molecular thiab kuaj pom tsis tu ncua. Deceleration ntawm ossification nyob rau hauv qis epiphyses yog kuaj pom feem ntau ntawm radiographs.

Kev kho mob ntawm dysplasia nyob rau theem pib ntawm tus menyuam txoj kev loj hlob tsuas yog siv rau kev txhawb nqa thiab kho kho. Nws yog ib qho tseem ceeb uas yuav tsum tau siv cov cuab yeej orthopedic: cov ntaub qhwv thiab corsets txo cov pob txha thiab pob qij txha. Rau cov menyuam yaus, kev kho mob zaws thiab kev tawm dag zog kho mob tau zoo.

massage rau epiphyseal dysplasia
massage rau epiphyseal dysplasia

Kev kho phais ntawm deformities yog ua tau rau cov neeg laus.

Kev txheeb xyuas qhov teeb meem raws sijhawm thiab muaj kev kho mob orthopedic pab txo qhov tsis zoo ntawm tus kab mob.

Pom zoo: