Imtixaanka Nuchal translucency

Imtixaanka nuchal translucency wuxuu cabiraa dhumucda isku laabka nuchal. Tani waa aag unug oo ku yaal dhabarka qoorta ilmaha aan dhalan. Cabbiraadda dhumucdan waxay ka caawineysaa qiimeynta halista Down syndrome iyo dhibaatooyinka kale ee hidde-sidaha ee ilmaha.

Bixiyaha xanaanada caafimaadkaaga wuxuu adeegsadaa ultrasound-ka caloosha (ma ahan siilka) si uu u cabiro laabka nuchal. Dhammaan carruurta aan dhalan waxay leeyihiin xoogaa dareere ah xagga dambe ee qoorta. Ilmaha qaba cilladda Down syndrome ama cilladaha kale ee hidde-sidaha, waxaa jira dheecaan ka badan inta caadiga ah. Tani waxay ka dhigeysaa booska mid dhumuc weyn.

Baaritaanka dhiigga ee hooyada sidoo kale waa la sameeyaa. Isku soo wada duuboo, labadan tijaabadood ayaa sheegi doona haddii ilmuhu yeelan karo cudurka Down syndrome ama cillad kale oo hidde ah.

Haysashada kaadi haysta buuxda ayaa bixin doonta sawirka ugu fiican ee ultrasound. Waxaa lagu weydiin karaa inaad cabto 2 illaa 3 koob oo dareere ah saacad baaritaanka ka hor. HA KADHIGIN kahor ultrasound-kaaga.

Waxaa laga yaabaa inaad xoogaa raaxo la'aan ah cadaadiska kaadiheystaada inta lagu jiro ultrasound. Jeelka la isticmaalay muddada baaritaanka waxaa laga yaabaa inuu dareemo xoogaa qabow iyo qoyan. Ma dareemi doontid mowjadaha 'ultrasound'.

Bixiyahaagu wuxuu kugula talin karaa baaritaankaan inuu ka baaraandego ilmahaaga cilladda Down syndrome-ka. Dumar badan oo uur leh ayaa go'aansada inay maraan baaritaankan.

Nuchal translucency badiyaa waxaa la sameeyaa inta udhaxeysa usbuuca 11aad iyo 14aad ee uurka. Waxaa la samayn karaa horaantii uurka marka loo eego amniocentesis. Kani waa baaritaan kale oo lagu hubinayo cilladaha dhalashada.

Qadar caadi ah oo dareere ah xagga dambe ee qoorta inta lagu jiro ultrasoundka micnaheedu waa inay aad u yar tahay in ilmahaagu qabo cilladda Down syndrome ama cillad kale oo hidde ah.

Qiyaasta Nuchal translucency waxay kordheysaa da'da uurka. Tani waa muddada u dhexeysa rimidda iyo dhalashada. Heerka cabirka marka la barbardhigo carruurta isla da'da uurka, halista sare ayey ugu jirtaa ciladaha hiddo-wadaha qaarkood.

Cabbiraadaha hoose waxaa loo tixgeliyaa inay yihiin khatar hoose oo ku timaadda cilladaha hidda-wadaha:

• Usbuucyada 11 - ilaa 2 mm
• Usbuucyada 13, 6 maalmood - ilaa 2.8 mm

Dareere ka badan inta caadiga ah ee xagga dambe ee qoorta waxay ka dhigan tahay inay jirto khatar sare oo loo yaqaan 'Down Syndrome, trisomy 18, trisomy 13, Turner syndrome, ama cudurada wadnaha lagu dhasho. Laakiin si qayaxan ugama warrameyso in ilmuhu qabo cilladda Down syndrome ama cillad kale oo hidde ah.

Haddii natiijadu aan caadi ahayn, baaritaanno kale ayaa la samayn karaa. Inta badan, baaritaanka kale ee la sameeyo waa amniocentesis.

Ma jiraan wax khatar ah oo la yaqaan oo ka imanaya ultrasound.

Baaritaanka Nuchal translucency; Axdiga Cusub; Nuchal laab tijaabo; Nuchal laab laab; Baaritaanka hidda-socodka umusha ka hor; Cilladda Down syndrome-ka - nuchal translucency

Driscoll DA, Simpson JL. Baaritaanka hidda-socodka iyo ogaanshaha cudurka. Gudaha: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Uurka dhalmada Gabbe: Uurka caadiga ah iyo dhibaatada. 8aad ed. Philadelphia, PA: Elsevier; 2021: cutubka 10.

Walsh JM, D'Alton ME. Nuchal hufnaanta. Gudaha: Copel JA, D'Alton ME, Feltovich H, et al, eds. Sawirka Uurka: Baadhitaanka Uur-ku-jirta iyo Daryeelka. 2aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 45.