A choroid plexus cyst yog tsim nyob rau hauv lub hlwb, uas tau kuaj pom los ntawm ultrasound hauv tus me nyuam hauv plab thaum 6-7 lub hlis ntawm nws txoj kev loj hlob. Tom qab ntawd, nws yuav tsum ploj mus thiab tsis nco qab nws tus kheej dua. Txawm li cas los xij, tom qab tau txais cov txiaj ntsig ntawm txoj kev tshawb no, tus poj niam cev xeeb tub pib txhawj xeeb thiab xav tias qhov no yog qhov sib txawv. Qhov tseeb nws tsis yog. Xws li cyst, uas tshwm sim hauv lub hlwb thaum lub sij hawm kev loj hlob ntawm fetal, tsis muaj kev hem thawj rau tus me nyuam. Tsis yog nws txoj kev noj qab haus huv lossis nws txoj kev loj hlob tsis muaj kev phom sij.
Nws yuav tsum tau muab cais tawm ntawm lub cyst, uas muaj vascular keeb kwm. Namely, nws yog tsim nyob rau hauv cov khoom ntawm lub hlwb tom qab mob stroke, aneurysm, kab mob. Ntawd yog, qhov no yog qhov tshwm sim ntawm pathology uas tau tshwm sim hauv lub cev. Hauv kab lus no, peb yuav nkag siab tias choroid plexus cyst yog dab tsi.
Kev qhia txog kev kawm
Ib cyst hauv vascular (choroid, choroid, villous) plexus tsis tsim ntau zaus. Feem ntau, qhov no yog tag nrho1-3% ntawm tag nrho cov cev xeeb tub uas tau soj ntsuam. Qhov tsim no yuav tsum ploj los ntawm 27-28 lub lis piam ntawm cev xeeb tub. Ib nrab ntawm cov cysts yog ob sab. Tab sis muaj cov xwm txheej thaum lub cyst pom ua ntej yug menyuam. Tsis muaj ib yam dab tsi tsis ncaj ncees lawm.
Tus fetus tsis muaj kev phom sij. Tsis tas li ntawd, yog tias nws pom tom qab hauv tus menyuam yug tshiab lossis hauv ib tus neeg laus (tseem tsis tshua muaj nyob hauv tus neeg thoob plaws lub neej), nws tsis muaj teeb meem. Tej zaum yuav muaj ob peb choroid plexus cysts, qhov no tsis cuam tshuam rau qhov kev tshwm sim hauv ib txoj kev.
choroid plexus cyst yog dab tsi? Nyob rau hauv lub plexus, CSF los yog cerebrospinal kua accumulates, uas yog tsim nyob rau hauv nws. Nws nourishes lub hlwb thiab rov qab ntawm fetus. Cov choroid plexuses yog ib qho cim ntawm kev tsim thaum ntxov ntawm lub hauv paus paj hlwb hauv lub embryo, thiab muaj ob ntawm lawv, zoo li lub hemispheres ntawm lub hlwb (txoj cai thiab sab laug).
Kev tshawb fawb tsis paub tias vim li cas cov kua dej sib sau ua ke hauv ib qho chaw. Tsis muaj qhov taw tes rau kev nkag siab qhov no. Tom qab tag nrho, qhov cyst ntawm choroid plexus nyob rau hauv lub fetus tsis tshua muaj teeb meem. Nws yog hu ua li ntawd vim hais tias pawg yog pom nyob rau hauv daim ntawv no ntawm ultrasound.
Puas muaj kev sib txuas nrog cov kab mob ntawm kev loj hlob hauv plab?
Cov ntaub ntawv kho mob qee zaum muab cov ntaub ntawv zoo li no tias muaj kev sib txuas ntawm choroid plexus cyst thiab qee qhov kab mob hauv plab. Qhov no tuaj yeem tshwm sim, piv txwv li, los ntawm kev hloov caj ces.
choroid plexus cyst nyob qhov twg (ntawm sab xis, sab laug lossisob tog) tsis muaj teeb meem. Nws yog ib qho tseem ceeb kom nco ntsoov tias muaj kev sib txuas, tab sis nws yog inverse. Ntawd yog, choroid plexus cyst tsis ua rau muaj kev loj hlob tsis zoo, tab sis, ntawm qhov tsis sib xws, lub cev tsis zoo ntawm tus menyuam hauv plab ua rau tsim cov hlwv hauv cov hlab ntsha. Tab sis cov formations no tsis tas yuav nrog los ntawm anomalies thiab pathological txheej txheem.
Yuav ua li cas nrog choroid plexus cyst hauv tus menyuam yug tshiab?
Xav txog qhov feem ntau kuaj tau cov caj ces tsis xws luag nrog los ntawm qhov muaj cyst. Peb tab tom tham txog Edwards syndrome lossis trisomy 18. Nrog rau qhov tsis zoo no 18, ib khub ntawm chromosomes tsis sib txawv, ib qho ntxiv chromosome 18 ntxiv rau nws. Yog li, ib txwm muaj ob ntawm lawv, thiab nrog tus kab mob no nws hloov tawm peb. Qhov tshwm sim embryo muaj genotype ntawm 47 chromosomes.
Ib daim qauv ntawm chromosome 18 tuaj yeem ua rau tus menyuam hauv plab tuag, lossis thaum yug tus menyuam yuav muaj ntau yam tsis xws luag thiab tsis zoo. Qhov no ua rau:
- neural tube defect;
- rauj taw;
- twisted ntiv tes;
- hygrome cysts;
- Yhydrocephalus;
- micrognathia;
- rocker taw;
- limited kev loj hlob.
Tseem muaj trisomy 21 lossis Down's disease, tab sis vim qee yam, choroid plexus cyst hauv lub hlwb nrog tus kab mob no tsawg dua.
Qhov tseem ceeb ntawm lub cyst yog xoom txawm tias nyob rau hauv lub xub ntiag ntawm Edwards syndrome, vim nws yog qhov sib txawv uas nrog rau qhov kev loj hlob tsis zoo uas dhau los ua qhov tseem ceeb.
Txheej txheem ntawm choroid plexus cyst
Yog li, raws li saum toj no, peb tuaj yeem kos cov lus xaus hauv qab no:
- tsis muaj nqi, sab xis lossis sab laug;
- txawm tias nws yog ib leeg lossis sawv cev los ntawm ntau qhov me me;
- tab sis nws muaj kev nyab xeeb;
- nws tsis muaj nuj nqi;
- tsis koom nrog cov txheej txheem tseem ceeb;
- tsis loj hlob los yog yug dua tshiab.
Cov poj niam cev xeeb tub yuav tsum tsis txhob ntshai qhov kev kuaj mob ntawm "choroid plexus cyst" lossis xav txog lwm qhov kev tsim cystic. Cov npe yuav zoo sib xws, tab sis lawv nyob nrog qhov chaw sib txawv thiab keeb kwm.
Lwm vascular cysts
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias lwm cov hlab ntsha tuaj yeem pom tom qab thaum cev xeeb tub. Nyob rau hauv ultrasound ntawm lub fetus hlwb, nws tsis yog tag nrho cov choroid plexus cyst uas pom. Qhov no txhais li cas?
Cov kab mob cystic zoo li no qhia tias leej niam muaj tus kab mob lossis nws tseem muaj. Cov kab mob no suav nrog cytomegalovirus thiab kab mob herpes.
Tab sis cov no tsis yog vascular plexus cysts hauv fetus.
Vascular thiab ramolitic (nyob rau hauv cov khoom ntawm lub hlwb) cyst, uas pom nyob rau tom qab, qhia tias lub hlwb twb tsim thiab cystic kab noj hniav tshwm nyob rau hauv nws vim yog kab mob puas tsuaj.
Tus me nyuam mos tuaj yeem kis tus kab mob thaum hla niam tus kwj dej yug. Ces cystickev kawm, ntau yam feem ntau thiab nyob rau hauv lub cev nqaij daim tawv thiab pem hauv ntej ntawm lub hlwb, yuav raug kuaj pom tom qab yug me nyuam. Yog hais tias lub cyst pib los ntawm foci ntawm necrosis, ces nws yog hu ua ramolitic.
Cov ntaub so ntswg tuag vim yog herpes lossis cytomegalovirus puas tsuaj. Choroid plexus cysts ntawm lateral ventricles tsis tsim li no.
Neurosonography
A choroid plexus microcyst tuaj yeem kuaj pom ntawm ultrasound, thaum lub sijhawm neurosonography. Txhua tus menyuam yaus hnub nyoog qis dua ib xyoos yuav tsum tau kuaj pom zoo li no. Ultrasound txiav txim siab txog kev puas siab puas ntsws. Neurosonography yuav tsum tau nyob rau hauv cov xwm txheej hauv qab no:
- Yug raug mob.
- Nyob rau hauv cov ntaub ntawv xav tias muaj kab mob hauv lub cev.
- Thaum cev xeeb tub hnyav.
- Nyob rau qhov yug ntxov ntxov.
- Thaum tus menyuam yug tshiab muaj qhov sib txawv ntawm qhov hnyav thiab qhov loj.
- Nyob rau hauv lub xub ntiag ntawm pronounced ua txhaum ntawm cov qauv thiab cov duab ntawm lub taub hau, nyob rau hauv lub xub ntiag ntawm anomalies nyob rau hauv lub anatomy ntawm lub cev.
Huab cua
Qhov ua rau, qhov chaw thiab qhov loj ntawm lub cyst cuam tshuam rau qhov tshwm sim ntawm cov kab mob. Feem ntau, PCR diagnostics raug sau tseg txhawm rau txheeb xyuas tus kab mob. Yog tias qhov kev soj ntsuam zoo, ces yuav tsum muaj qee qhov kev kho mob thiab kev tswj xyuas ntxiv.
Thaum peb lub hlis, tom qab ntawd ntawm rau lub hlis thiab ib xyoos, nws yuav tsum ua ultrasound ntawm lub hlwb (neurosonography) rau tus menyuam. Qhov kev kwv yees feem ntau yog qhov zoo, tsis hais txog qhov kuaj pom tus kab mob. Qhov kev tsim no ploj mus txog ib xyoos thiab tsis nco qab txogkoj tus kheej. Tsis muaj kev rov qab los.
Yog hais tias peb tham txog ramolation cyst, ces nws kuj tuaj yeem ploj mus yam tsis muaj kab mob thaum yau. Txwv tsis pub, yog tias nws tshwm sim rau lwm yam laj thawj, nws coj txawv txawv. Tab sis tom qab ntawd koj tsis tuaj yeem hu nws cyst. Qhov kev tsim no tshwm sim vim kev ua txhaum ntawm phab ntsa ntawm cov hlab ntsha, thiab nyob rau hauv cov ntaub so ntswg ntawm lub hlwb.
Txhob Cia Siab
Ib kab mob pathological tuaj yeem tsim vim muaj lwm yam:
- Kev kis kab mob.
- Kev yug me nyuam thiab lwm yam raug mob.
- YMicrostroke.
- Hemorrhagic stroke (lub cyst hloov lub hematoma tsim los ntawm vascular puas tsuaj).
- Ischemic stroke (remolition cyst ntawm vascular keeb kwm nyuam qhuav tshwm sim los ntawm necrosis).
- Aneurysms.
Feem ntau, yog cov phab ntsa vascular puas lawm, nws yuav yog cov hlab ntsha. Tom qab tag nrho, cov leeg tsis koom nrog cov txheej txheem zoo li no.
Clinical signs
Hematoma, mob stroke, aneurysm tuaj yeem ua rau muaj cyst hauv lub hlwb. Qee zaum, tsis muaj qhov cim qhia ntawm qhov kev tsim no, thiab nws tsuas tuaj yeem pom tom qab tus neeg tuag. Tab sis ua ke nrog cyst tsim los ntawm tus kab mob, nws tuaj yeem muab qee yam tsos mob:
- Cov cim qhia ntawm hypertonicity hauv cov menyuam yug tshiab.
- Tshuaj mob lub hlwb, mob taub hau.
- Qee qhov hnov lus thiab tsis pom kev.
- kev tsis sib haum xeeb me me.
- qaug dab peg, uas suav tias yog qhov mob hnyav tshaj plawskev tshwm sim.
Cysts ntawm choroid plexus ntawm lub ventricle tsis muab cov tsos mob zoo li no.
Cov tsos mob ntxiv
Tsis tas li ntawd, cov ntaub so ntswg puas hlwb tuaj yeem ua rau lwm cov tsos mob:
- mob qhov mob tas li ntawm lub taub hau ntawm qhov sib txawv thiab lub sijhawm;
- cuam tshuam kev ua haujlwm ntawm lub nruab nrog cev uas muab kev hnov lus, hnov tsw thiab tsis pom kev;
- drowsiness lossis, hloov pauv, insomnia;
- teeb meem nrog kev sib koom ua ke ntawm lub cev muaj zog;
- muscle hypotension; Kev hnov ntawm pulsation thiab suab nrov hauv lub taub hau, nce siab hauv pob txha taub hau;
- sudden nquag faints thiab convulsions;
- tremor;
- regurgitation;
- pulsation hnov hauv fontanel, o;
- hauv zos tuag tes tuag taw ntawm caj npab lossis txhais ceg, ua tiav loog loog.
Cov tsos mob ntawm cov tsos mob no yog provoked los ntawm squeezing cov ntaub so ntswg nyob ze. Ib txwm ua haujlwm raug cuam tshuam hauv lub hlwb. Qhov no tshwm sim thaum lub cyst loj los yog ze rau cov chaw tseem ceeb ntawm cov hlab ntsha siab dua. Squeezing ua rau circulatory disorders thiab hypoxia.
txoj kev kho
Txhua yam kev kho tshwj xeeb rau lub paj hlwb, nrog rau cov choroid plexus cyst, tsis tas yuav tsum tau ua. Tab sis yog tias kuaj pom tus kab mob herpes, cytomegalovirus lossis lwm yam kab mob, cov tshuaj tiv thaiv kab mob tau muab tshuaj. Yog tias muaj qaug dab peg, cesnoj tshuaj nrog tshuaj tiv thaiv kab mob.
Nws tseem yuav tsum tau muab sau tseg tias thaum kev kho mob tsis ua haujlwm (choroid plexus cyst ntawm lub fetal hlwb loj dhau lawm, piv txwv li), lawv mus rau kev phais. Lub hom phiaj yog tshem tawm nrog kev pab ntawm kev ua haujlwm. Tom qab ntawd, raws li txoj cai, tag nrho cov tsos mob ploj mus.
Nrog cov tsos mob me me thiab cov neeg mob tsis tshua muaj kev tsis txaus siab ntawm kiv taub hau, mob taub hau, uas muaj tus cwj pwm ua kom muaj zog, nws tau muab tshuaj rau "Cynarizine" thiab "Cavinton". Cov tshuaj tuaj yeem txhim kho cov pa oxygen rau lub hlwb, txhim kho cov ntshav ncig, thiab normalize kev noj qab haus huv. Lawv feem ntau zam tau zoo thiab tsis ua rau muaj kev phiv. Tab sis tus neeg intolerance yog ua tau.
Peb tau tshuaj xyuas kom meej txog choroid plexus cyst, nrog rau nws qhov sib txawv tseem ceeb ntawm lwm cov kab mob cystic.
