Chikofu of choroid plexus: Zvinokonzera neMarapirwo

Chikofu inotungamirwa akadana choroid plexus muuropi, izvo dzakaonekwa kubudikidza Ultrasound ari mudumbu pa 6-7 mwedzi vayo kukura. Pashure paizvozvo zvinofanira kubviswa uye zvakawanda nezvangu kumbobvira fanana. Zvisinei, mushure mekugamuchira migumisiro zvidzidzo vakadzi vane pamuviri kutanga kunetseka uye kufunga kutsauka ichi. Chokwadi hachisi. Mumamiriro chikofu akadaro, izvo zvakatanga muuropi panguva fetus, hakuna ngozi mwana. Kana utano hwake kana kukura haisi pangozi.

Zvakakosha kusiyanisa munhu chikofu, iro rine vascular mavambo. Kureva izvozvo achiumbwa cerebral fuma pashure sitiroko, aneurysm, hweHIV. Kureva, ndiko mugumisiro zvirwere kwakaitika muviri. Munyaya ino, tikati kunzwisisa, ndeipi choroid plexus chikofu.

Description dzidzo

Chikofu muna Vascular (choroid, horioidnom villous) plexus akaumba kudaro kakawanda. Kazhinji, ndiko 1-3 chete% kubva pamuviri zvose, izvo zviri kuongororwa. dzidzo ichi chinofanira kubviswa pamasvondo 27-28 pamusoro gestation. Hafu cysts vari bilateral. Asi pane zviitiko apo chikofu iri mufanidziro asati pakukurukura. Izvi zvakare kwete hombe.

Muchero haisi panjodzi. Uyezve, kana ari kuona zvino achangoberekwa kana mukuru (a zvisingawanzoitiki chaizvo kacho aripo ari munhu muupenyu), hakuna ukoshi. Cysts of choroid plexus angava mashoma, hazvina chokuita fungidziro.

Chii plexus ichi choroid chikofu? Inside plexus anounganidza cerebrospinal mvura kana CSF, izvo anogadzirwa. It zvinogara uropi uye musana ari mudumbu. Vascular Plexus - mangwanani chiratidzo CNS inotungamirwa ari mudumbu, sezvamakaropafadzwa vaviri, sezvakanga Hemisférios Cerebrais (kurudyi uye kuruboshwe).

Science asingazivi kuti chii chikonzero kuwanda Urume iri mupasi kune imwe nzvimbo. Deal hazvina musoro. Pashure pezvose, ichi choroid plexus chikofu ari mudumbu haasi chaizvoizvo basa. Inonzi nokuti Ultrasound kuzara rakashandurwa chimiro ichi saka.

Pane kudanana zvokurwara fetus kukura?

Medical mabhuku mabhuku anogona kumirira mashoko akadaro kuti kutaurirana pakati chikofu uye choroid plexus ane fetus zvokurwara ikoko. To izvi zvinogona Somuenzaniso, majini mutation.

Where vemunyika choroid plexus chikofu (divi kurudyi, akasiya kana mativi), hazvina basa. Zvakakosha kuziva kuti pane kubatana, asi kunoshandurwa. Ndicho choroid plexus chikofu haiiti kuti anomalies okukura, asi nekusiyana, munhu vachiberekwa chirwere ari mudumbu hunokonzera nokuumbwa cysts nenhumbi. Asi izvi hazvina hazvo achiperekedzwa kanganisika uye pathological kwendangariro.

Kuti kuitwawo choroid plexus chikofu ari rusvava?

Funga inonyanyoshandiswa chirwere kuvabereki urema, achiperekedzwa nokuvapo cysts. Iri urwere, Edwards kana Trisomy 18. chromosomal ichi anomaly peya 18 hakusi yakashatiswa mumufambiro, zvinonzi akawedzera mumwe chromosome 18. Nokudaro, avo enguva dzose maviri nyaya, nokuti vakapiwa chirwere matatu muchichinjana. In kacho kunokonzerwa genotype ine 47 okutodza.

A kopi chromosome 18 anogona kukonzera rufu fetus kana kuzvarwa mwana achapiwa wakapindwa vakawanda vakaremara uye anomalies. Izvi zvinoita kuti tibvunze kuti:

• Neural chubhu kuremara;
• Hammerhead tsoka;
• torsion munwe;
• hygroma chikofu;
• hydrocephalus;
• micrognathia;
• Foot rocker;
• shoma kukura.

Dzimwe nguva kunyange Trisomy 21 , kana chirwere cheDown syndrome, asi nokuda kwechimwewo chikonzero, chikofu ari choroid plexus uropi aumbwa zvishoma kuti chirwere kupiwa.

Zvinorehwa cysts Zero kunyange Edwards urwere, sapamazuva kukosha ndiyo kutsaudzira vachifambidzana kukura anomaly ichi.

Zvinoumba choroid plexus cysts

Saka, maererano apa, chatingawana zvinotevera mhedziso:

• hapana kukosha, kurudyi kana kuruboshwe;
• Zvichishungurudza kana ani chinomiririrwa idzodzo duku akawanda;
• saka zvinokuchengetedzai;
• isina basa;
• haina mumabasa pezvakaitwa chero rinokosha;
• Hazvina kukura uye haina patsva.

Vakadzi vane pamuviri havafaniri kutya nechirwere "chikofu vascular plexus uropi," kana funga vamwe cystic idzodzo. Mazita zvingava zvakafanana, asi ane zvakasiyana urongwa uye Genesisi.

Other vascular chikofu

Zvakakosha kuziva kuti mune akazotevera nzendo pamuviri mamwe masangano ari mumidziyo zvinogona kuonekwa. On fetus uropi ultrasonography mufanidziro haana choroid plexus chikofu. About chii chinogona kutaura?

cysts kwakadaro ndiratidze iyi kuti amai vaiva chirwere kana zviri izvozvo achiripo. zvirwere izvi zvinosanganisira cytomegalovirus uye herpes utachiwana.

Asi ichi hachisi chikofu vascular plexus uropi ari mudumbu.

Vascular uye ramolitsionnaya (riri muuropi fuma) chikofu, riri akazotevera matanho, kunoratidza kuti muuropi watopiwa akaumba, uye mukati maro mune cystic in yakafanira kuti utachiwana hweHIV.

A achangoberekwa anogona kuva utachiwana pavaipfuura nomune amai atoberekwa Canal. Ipapo cystic maumbirwo, multiple uye kazhinji iri zvenyama frontal kumatunhu uropi, achava ringazivikanwa pashure pokuberekwa. Kana chikofu rakabva foci pamusoro necrosis, kunonzi ramolitsionnoy.

Deadens etsinga rinenge nokuda pakukuvara herpes kana cytomegalovirus. Cysts vascular plexuses ari lateral ventricles sezvo asina kuumbwa.

neurosonography

Microcysts choroid plexus dzinogona kuwanika Ultrasound, panguva neurosonography. mbudzana ose kuti gore zvinofanira kupfuura chirwere chakadai. On US rinotsanangurwa chetsinga zvirwere.

Neurosonography chinodiwa zvinotevera nyaya:

• Birth gumo.
• Kana nokufungirana kuvapo fetus noutachiona.
• In chakakomba pamuviri.
• Kana nguva isati yakwana pakuberekwa.
• Kana zvarakasiya mu achangoberekwa nouremu.
• Kana pane zvinokosha kutyorwa marongerwo Maumbirwe musoro, pamberi abnormalities vari anatomi zvomukati.

mataridzikiro

The chikonzero, localization uye kukura cysts sei fungidziro zvokurwara. Inonyanyoshandiswa ushandiswe chirwere PCR kuziva nemavhairasi mumiririri. Kana nenyaya iri zvakanaka, yaidiwa chaizvo kurapa uye zvakare kuongorora.

Muna mitatu, ipapo mwedzi mitanhatu uye gore kuita Ultrasound uropi (cranial ultrasonography) mwana. Kufembera kazhinji zvakanaka, pasinei kuzvibatanidza chaikonzerwa noutachiona. Izvi dzidzo rinenge gore inonyangarika uye anoyeuchidza zvoga. No zvazvo zvikasaitika.

Kana isu kutaura ramolyatsionnoy chikofu, zvinogonawo kutsakatika zvachose achiri mucheche. Zvikasadaro, kana dzimwe zvikonzero izvozvo achiita zvakasiyana. Asi zvino haugoni vanouti munhu chikofu. inotungamirwa Izvi zvauya nokuda kutyora mudziyo masvingo, uye riri mu uropi.

sembura zvinhu

Pathological chikofu anogona kuumba nokuda zvimwe zvinhu:

• Zvirwere.
• Generic uye mamwe makuvaro.
• Microstroke.
• Hemorrhagic Kurohwa (chikofu unotsiva hematoma, aumba somugumisiro vascular kukuvara).
• Ischemic Kurohwa (remolitsionnaya chikofu vascular mavambo chete unobva necrosis).
• Aneurysms.

Kakawanda, kana ukama mudziyo rusvingo, ichava chinhu arterial. Zvechokwadi, mune yakadaro kwacho, asi mutsinga havabatanidzwi.

zvekuchipatara zviratidzo

Hematoma, sitiroko, aneurysm anogona kumutsa munhu chikofu muuropi. Mune zvimwe zviitiko, hapana chiratidzo dzidzo ichi, uye rinogona kuwanikwa chete pashure munhu rufu. Asi pamwe chikofu aumba kubva utachiwana, unogona kubereka zvimwe zviratidzo:

• Zviratidzo hyper vachangoberekwa.
• Pfungwa compression uropi, nomusoro.
• A kunzwa uye kutadza kuona zvakanaka.
• Zvishomanana ataxia.
• Zvipusha nezvipusha, izvo vaiona kupfuura zvakakomba.

Cysts of choroid plexus ventricle zviratidzo zvakadai regai.

mamwe zviratidzo

Mukuwedzera, dzose compression pamusoro uropi anogona kutungamirira vamwe unhu:

• chenguva vachirwadziwa marwadzo ari musoro kunosiyana zvakanyanya uye refu;
• Kutyora mitumbi anokonzera kunzwa, kunhuwidza uye kuona;
• Hope kana, Ukuwo, kushaya hope;
• matambudziko motor Kufambisa;
• tsandanyama hypotonia; Ripple uye ruzha kunzwa musoro, chakakwirira kumanikidzwa mukati dehenya;
• kungoerekana kakawanda kufenda nokugwinha;
• tremor;
• regurgitation;
• ripple kunzwa zviri nenhova zvinopinda bundu;
• dzemo kuoma maoko kana makumbo, chiveve nhengo dzake rakakwana.

The pakuonekwa kurapwa zviratidzo kukonzerwa compression kuti pedyo tishu. It kwakakanganiswa kunowanzoitika kushanda uropi. Saka chii chinoitika apo guru saizi cysts kana vanouwana zvakare pedyo zvinokosha nzvimbo yakakwirira huta basa. By misha kunotungamirira murombo anotengeswa uye hypoxia.

kurapwa

Chero vavashandire kuti uropi chikofu, sezvo ari choroid plexus chikofu haisi kuzvireva. Asi kuziva miedzo herpes, cytomegalovirus hweHIV kana zvimwe neMutungamiriri antiviral kurapa. Kana pane nezvipusha, zvinonzi anoratidzwa kushandisa zvinodhaka pamwe anticonvulsant ehupfumi.

Zvinofanira kucherechedzwa kuti kana kuchinja kurapa hakuiti migumisiro (chikofu pamusoro choroid plexus uropi ari mudumbu iri guru, somuenzaniso), kuti akarwawo kuvhiyiwa. The pachoto panobviswa pachishandiswa oparesheni. Pashure paizvozvo, sezvo ushe, siya zvose zviratidzo.

With munyoro zviratidzo uye kashoma murefu Zvichemo dzungu, nomusoro, izvo compressing hunhu, iye ushandiswe refu Chokwadi kugamuchira "tsinarizin" uye "Cavinton". Zvinodhaka anogona yekudyidzana kuvandudza pfungwa okisijeni wedzerai, kusimbisa vavhiringidzike kweropa, normalize kumunetsawo. Kutamiswa kazhinji zvakanaka, nemishonga regai kukonzera. Asi zvinokwanisika idiosyncrasy.

Dzatakurukura muudzame choroid plexus chikofu, uyewo yaro chikuru kusiyana nemamwe cystic idzodzo.