ʻO ka Microcephaly kahi maʻi hoʻomohala o ka iwi poʻo a me ka lolo i hele pū ʻia me ka lohi o ka noʻonoʻo a me nā ʻano ʻino neurological..
He ʻano liʻiliʻi ke poʻo, hele pū ʻia me ke kaumaha haʻahaʻa a me ka underdevelopment o ka lolo. Ma keia hihia, He mea maʻamau ka nui o ke kino.
Hōʻike ʻia ia e ka pani mua ʻana o nā hiku cranial a me ka pani ʻana o ka fontanelle, convulsive syndrome, hoʻopaneʻe ka hoʻomohala ʻana i nā kaʻa, hemahema naʻauao, ka hoʻomohala ʻana a i ʻole ka ʻōlelo ʻole.
Loaʻa ka Microcephaly i ka like like ma waena o nā keikikāne a me nā kaikamahine. Me ka pinepine o 1 hihia no kēlā me kēia 10.000 keiki.
Maanei mākou e wehewehe ai i nā kumu, nā hōʻailona, ka hōʻailona, nā lāʻau lapaʻau maʻamau no ka microcephaly a me kā lākou pale ʻana.
Papa kuhikuhi
Nā kumu o ka microcephaly
He kumu genetic paha kēia pathology, hoʻokumu ʻia e WDR62 gene mutation. ʻO ka hopena, ua uhaki ʻia ka hoʻomohala ʻana o kahi protein kūikawā, microcephalin.
Hiki ke hoʻoulu ʻia ka abnormality e kekahi mau kumu: ma muli o ka ʻike ʻana i nā mea ʻino i ka hoʻomohala mua ʻana o ka pēpē a ma muli o ka pōʻino o ka lolo i nā pae hope o ka hoʻomohala intrauterine., e like me ke kaʻina hana o ka hānau ʻana a me nā mahina mua o ke ola o ke pēpē.
ʻO nā kumu maʻamau i hiki ke ʻike ʻia:
- ʻO nā maʻi maʻi a me nā maʻi lele o ka makuahine e like me Zika a i ʻole toxoplasmosis
- ʻO nā maʻi maʻi intrauterine (ʻāʻī, mumps, herpes, rubella, cytomegalovirus, etc.)
- Nā hemahema o ka ʻōnaehana endocrine i nā wahine hāpai (diabetes, hyperthyroidism)
- Hōʻike i nā lāʻau lapaʻau
- Nā maʻi genetic
- Nā hopena o ka radiation a me ka pōʻino kaiaola
- Ma ke ʻano he ʻāpana o nā maʻi hoʻoilina he nui (ʻO ka maʻi maʻi ʻo Payne, ʻO Giacomini syndrome)
- Nā maʻi metabolic
- ʻO ka ʻeha hānau ma loko
- Nā mea ʻino ʻole Chromosomal: ʻO ka maʻi o lalo, ʻO ka maʻi maʻi o Patau, ʻO Edwards syndrome, síndrome “grito de gato”
I kekahi mau hihia, He kumu ko ka microcephaly ʻaʻole hiki ke hoʻoholo ʻia i kekahi manawa, ʻike ʻia i nā keiki a nā mākua olakino.
Nā hōʻailona
ʻO ka hōʻailona nui o ka microcephaly he poʻo liʻiliʻi, ʻaʻole like me ke kino o ke pēpē. ʻIke ʻia ka lae bevelled, nā pepeiao puka a me ka lae.
Ke ulu nei nā keiki me kēlā maʻi, mai ka makahiki mua mai, ʻO nā hōʻailona o ka microcephaly paʻakikī ke nānā ʻole. ʻO kekahi mau hōʻike maʻamau o kēia maʻi:
- liʻiliʻi a pani ʻia paha ka fontanel
- Ua wehe ʻia ka fontanel i ka wā hānau, pani koke ia, hoʻokahi mahina ma hope o ka hānau ʻana
- Leo ʻiʻo haʻahaʻa
- ʻO ke kaumaha a me ke kiʻekiʻe o ke keiki ma lalo o ka mea maʻamau (enanismo)
- ʻAʻole hoʻonohonoho
- ʻO ka hopu a me ka nalowale o ka ʻike (ʻAʻole ma nā hihia a pau)
- Squint
- ʻAʻohe ʻōlelo hoʻopuka
- Ka 'ole o ka wili a me ka tertiary grooves, i ke kino o ka lolo
- Hoʻolohi nui i ka hoʻomohala ʻana. Aʻo lōʻihi nā keiki e paʻa i ko lākou poʻo, huli, noho i lalo, kolo a hele.
- Ka hemahema o ka naʻauao
ʻIkepili
Hiki ke hana ʻia ka ʻike o ka microcephaly ma mua o ka hānau ʻana. I ka wā hāpai, hana ʻia nā haʻawina ultrasound, e hoʻohālikelike i nā ʻāpana biometric i loko o ka pēpē.
Hiki i ke kani kani ke ʻike i nā mea ʻino liʻiliʻi a me nā ana o ka lolo o ke keiki. ʻO ka mea pōʻino, hiki ke hana ʻia kēia ʻike ma ka pule 27 a 30 o ka hapai ana me ka manao o 67%.
No ia mea, inā he kānalua ka microcephaly, pili i ka genetic a i ʻole chromosomal abnormality, Pono e hoʻokō ʻia nā ʻano hana ʻike ultrasound me kekahi hōʻailona prenatal invasive He aha: cordocentesis, amniocentesis, chorionic villus sampling a me ka karyotype fetal.
Inā he kānalua a he moʻolelo ʻohana no ka microcephaly, pono e lawe ʻia kahi moʻolelo olakino me nā loiloi makua piha. Kahi e loaʻa ai nā hoʻokolohua genetic, CT scan a me MRI o ke poo.
Ma hope o ka hānau ʻana, hōʻoia ʻia ka ʻike o ka microcephaly ma o ka nānā ʻana i ke keiki hou.
E hoʻoholo i ka nui a me ka wānana o ka abnormality, mea paahana e like me: ecoencefalograma, electroencephalogram, hoʻopāhaʻi magnetic, ʻO ka CT scan a me ka nānā ʻana i ka x-ray o ke poʻo.
ʻO nā maʻi me ka microcephaly, ma muli o ke ʻano, hiki ke maheleia i 2 pūʻulu: ʻO ka poʻe maʻi i ka pūʻulu mua he fussy, lawe lima loa. ʻO nā maʻi ma ka huiʻelua, ʻO ka ʻokoʻa, he poe malama ole, nā papa, malama ole i ke kaiapuni.
Nā lāʻau lapaʻau Microcephaly
Me ka microcephaly, ʻO ka lāʻau lapaʻau nui e pili ana i ke kākoʻo symptomatic o nā maʻi. ʻO ka hoʻohana ʻana i ka lāʻau lapaʻau maʻamau e hoʻomaikaʻi i nā kaʻina metabolic i loko o ka lolo, ma ka lawelawe ʻana i nā mea paʻakikī vitamina, nā anticonvulsants a me nā mea hoʻomaha.
ʻO ka hoʻoponopono hou ʻana i nā keiki me ka microcephaly e pili ana i ka ʻoihana hana, lomilomi a me ka physiotherapy. ʻO ka lāʻau lapaʻau e pili ana i ka hoʻomohala kino-naʻauao o ke keiki a me kona hiki ke hoʻololi i ka nohona.
Hoʻohana ʻia kēia mau ʻano i nā kikowaena hoʻomaʻamaʻa kūikawā e hoʻoulu i ka hana maʻamau o nā kaʻina metabolic i loko o ka lolo..
Pono e mālama ʻia nā maʻi me ka microcephaly e kahi neurologist pediatric a me kahi pediatrician.
I ka manawa like, He kuleana koʻikoʻi nā mākua o ke keiki i ka hoʻoponopono. Pono ka Microcephaly i ka mālama ʻana a me ka hoʻomohala ʻana (hana hoʻomanaʻo, noonoo, hoʻoulu manaʻo, etc.
Nā mīkini pale
ʻO ka pale ʻana i ka Microcephaly ʻo ia ka hoʻolālā ʻana i ka hāpai keiki. Pono e hana ʻia nā hoʻokolohua pale e like me ka TORCH profile, ʻO ka CRP a me ka pale ʻana i ka pēpē prenatal.
I ka hihia o ka ʻike mua intrauterine o microcephaly, pono e hoʻoholo i ka hiki ke hoʻopau artificial o ka hāpai ʻana.
No ka loiloi ʻana i ka pilikia o ka microcephaly i nā hāpai ʻana ma hope o nā ʻohana me ka mōʻaukala o kēia ʻano, Pono e hoʻokō ʻia nā ʻōlelo aʻoaʻo lāʻau genetic.
hopena
ʻO ka Microcephaly kahi maʻi i hānau ʻia ai ke keiki me kahi poʻo liʻiliʻi a i ʻole ka pau ʻana o ke poʻo ma hope o ka hānau ʻana. He kūlana kakaikahi, no ka mea, ua hānau ʻia kekahi keiki me ka microcephaly.
ʻO ke ala e hoʻoholo ai i ka microcephaly i loko o ke keiki, ʻo ia ke ana i ke anapuni o ko lākou poʻo 24 mau hola ma hope o ka hānau ʻana a hoʻohālikelike i ka hopena me nā hōʻailona maʻamau o WHO no ka ulu ʻana o ke keiki.
Nā keiki i hānau ʻia me ka microcephaly, i ko lakou ulu ana, hiki ke loaʻa i nā maʻi, a me nā kino kīnā a me nā hemahema aʻo.
ʻAʻohe hana kūikawā no ka microcephaly.