I-edema engekho-fetal ingumphumo wokugqibela wezifo ezithile ze-intrauterine fetal, ngenxa yokokuba umbane uqokelele emzimbeni womzimba, ukuvuvukala kwezicubu kwenzeka, kwaye ukungakwazi ukuphefumula okukhulu ngokukhawuleza kukhula.
Ngexesha elifanayo yonke into iphela ngokugqithiseleyo - kwi-60-80% yamatyala, isiphumo esibulalayo senzeke, nangona kukho inkqubela phambili yeyeza zanamhlanje kunye neendlela ezikhoyo zonyango.
Ukusinda kuxhomekeke kwithuba apho umntwana wazalwa khona kwaye ubunzima bezo zifo ezandulela ukuphuhliswa kwehla. Ukuba ukubeletha kuqala ekuqaleni, amathuba okuphila komntwana anciphisa. Umphumo omuhle wokonyango lwe-fetal dropsy engapheliyo yinto enokwenzeka kuphela xa umntwana efunyaniswa ngaphambili kwaye ahlolisise i-etiological factor of the fetus, eya kukuvumela ukuqikelela ukuhlaselwa kwesifo kunye nokuqulunqa amathuba kunye neendlela zokunyanga.
Iimbangela zentsholongwane
Kukho izizathu ezinjalo zokungakhuseli komzimba ongasetshenziswanga ngumzimba:
- izifo zesifo senhliziyo, ezifana nesifo senhliziyo esiswini, ukuphazamiseka kwengqondo yomzimba, i-arterio-venous shunts, i-vein thrombosis;
- i-chromosomal engavamile: I-Down syndrome, i-triploidy, i-monosomy X (i-Shereshevsky-Turner syndrome);
- ukungaqhelekanga kwisigubungelo sesifuba: isithintelo esithintekayo, isifo sesifo sengqondo se-congenital lung, i-dysplasia ye-thorax;
- izifo zofuzo: i-syndromes Noonan, i-Pena-Choqueta, i-tanatophoric dwarfism, i-pterygium syndrome, i-achondroplasia, i-achondrogenesis, njl;
- izifo: isifo se-syphilis, i-toxoplasmosis, i-cytomegaly, i-pancarditis yentsholongwane
- isifo sokumpontshelwa kweplantshi;
- chorioangioma ye-placenta;
- isifo se-nephrotic congenital, i-malformation of the kidneys, urethra.
I-dropsy yengqondo e-fetus
Ama-hydrops angama-congenital yengqondo ebizwa ngokuba yi-hydrocephalus. Le meko ibonakaliswe ngokuqokelela ngokugqithiseleyo kwe-cerebrospinal fluid engqondweni. Umkhuhlane ubeka ingcinezelo kwengqondo yomntwana, engakhokelela ekuphelelweni kwengqondo kunye nokukhubazeka ngokomzimba. Ngokwezifundo, malunga nomntwana oyedwa ku-1,000 uzalelwa kwesi sifo. Ukulwa nesifo omele uqale ukususela ekuqaleni. Emva koko kukho ithemba lokunciphisa iingxaki ezinzulu kunye nexesha elide.
Uphawu oluphambili lokuxotha kwengqondo yintloko enkulu. Ukungahambisani kwayo kubonakala ngokukhawuleza emva kokuzalwa okanye kwiinyanga ezili-9 zokuqala. Ukuqinisekisa ukuxilongwa, ukukhangela kwengqondo, i-MRI, i-ultrasound okanye i-tomography eqingqiweyo eyenziwa. Kubaluleke kakhulu ukuba uhlolisise eso sifo kuqala kwaye uqale unyango kwinqanaba lokuqala lokuphuhliswa kwalo - kwiinyanga zokuqala ezintathu ukuya kwezine zobomi bomntwana. Unyango lubandakanya ukungenelela kokuphaphaza ukuseka i-shunt (tube) ukususa i-cerebrospinal fluid.
Abantwana abane-congenital hydrocephalus basengozini yokuphuhliswa kweendlela ezahlukeneyo zophuhliso. Bahlala befuna iintlobo ezikhethekileyo zonyango, njenge-physio- or speech treatment.