21 Eylül 2016 Çarşamba

BIRTH (Congenital) DEFECTS


Approximately 3-5% of newborn babies in the various structural anomalies (anomaly = unusual structural feature) is encountered. With advancing technology is sometimes possible to detect abnormalities at an early stage, it anomalies incompatible with life rather than allow babies to more growth is possible to terminate the pregnancy.

There is no risk factor in many infants with congenital disorders. Nevertheless increases the risk of the presence of certain factors:
- Family or personal history of birth defects
- Previous children have birth defects
- The use of certain drugs during pregnancy formation
- 35 years later pregnancies

However, it is impossible to determine the overall problem is unnecessary. Because a significant number of congenital anomalies does not create any negativity, problems are corrected. Early detection of possible anomalies incompatible with life principles on ultrasound, so to be able to provide mothers and families of the less wear as much as possible in every sense.


SOME CONGENITAL ANOMALIES
Diaphragmatic Hernia: the abdomen and chest cavity of the organ in the abdominal cavity due to a defect in the diaphragm separates the chest cavity from each other, it is partly a case of herniation. Defect weight determines the size of the abdominal organs into the chest cavity. Almost all of the many congenital abnormalities is likely to be with anomalous vardir.En system, reproductive system, skeletal system and kidneys, bladder problems of post-operative patients with moderate çıkar.hafif anomalilerininh weeks all of them living without sequelae may be possible.

Adenoid cystic congenital malformation: an emerging disease by the presence of cysts in the lungs without the normal anatomy. Often the diagnosis is put after birth and can be treated surgically. If adenoid cystic ultrasound development is followed by serial sonographic malformation detected if, when fetal hydrops are the first signs emerged of birth should be performed and surgical treatment should be applied.


NERVOUS SYSTEM anomalilerimerkez nervous system of postnatal treatment of a portion of some of the anomalies that occur in the life incompatible may be possible.
Hydrocephalus is the brains of the space in the cerebrospinal fluid (CSF) is considered among the thousand increase in frequency durumudur.görül 0.3-0.5. Hydrocephalus can occur for various reasons and the cases of other anomalies are found in the central nervous system and other systems in up to half. The enlargement of the lateral ventricles detected by ultrasonography.
Holoprosencephaly: the brain and the eyes are usually very severe developmental disorder. Incompatible with life and not being able to treat the early diagnosis of these anomalies is very important. It is recommended to terminate the pregnancy to the family.
Aqueductal Canal Stenosis (Aquaductal stenosis) of the cerebrospinal fluid caused by preventing the circulation as described above, constitutes the majority of hydrocephalus. Infection may be due to genetic reasons or tumor formation. Pregnancy can also occur in later periods. Babies born with this problem regulating the circulation of CSF Shunt surgery after birth usually benefit.
Dandy-Walker syndrome: affect the development of the cerebellum, which is an anomaly and generally poor prognosis. The section of the cerebellum called the vermis untraceable and 4 izlenir.18 significant expansion in the ventricle. weeks before the diagnosis is usually not possible. Some cases may be asymptomatic at birth, but at 75% until the age of 3 cases of severe hydrocephalus occurs. termination of pregnancy when these babies are determined Dandy Walker malformation is not possible to live a normal life is the most appropriate option.
Arnold Chiari Malformation: Cerebellum's skull in Subpart 'foramen magnum' name appears in the right place değiştirmesisonuc given space. When a heavy anomalidir.saptan should be advised to terminate the pregnancy.
Agenesi the Corpus Callosum: the corpus callosum in the brain is not possible to determine early pregnancy yapıdır.koordinasyo combining both a half and my sağlar.oluşu be forwarded to each half of the brain nerve impulses that partly occurs in the later stages.
Encephalocele: Skull bones are normally out of the neural tissue of the herniated opening must absences. Usually with some other anomalies. Determine the size of brain tissue affected by the events of the prognosis of the table.

Statistics related to congenital defects:
(Source: http://www.cdc.gov/birthdefects)
Between 2004-2006 the rates of 21 common birth defects:
Anencephaly: 4859 has seen the birth of a
Spina bifida (without anencephaly): 2858
Encephalocele: 12235
Anofltalm in / Microphthalmos: 5349
Truncus arteriosus (Common trunk): 13 876
Transposition of the great arteries: 3333
Tetralogy of Fallot: 2518
ASD: 2122
Hypoplastic left heart syndrome: 4344
Cleft palate: 1574
Tomorrow lip (cleft palate or not included): 940
Esophageal atresia / Transözogageal fistula: 4608
Rectal or bowel atresia, stenosis: 2138
Upper limb deformity (Reduction deformity): 2869
Defosmite the lower extremity (Reduction deformity): 5949
Gastroschisis: 2229
Omphalocele: 5386
Diaphragmatic hernia: 3836
Trisomy 13: 7906
Trisomy 21: 691
Trisomy 18: 3762


ADDITIONAL INFORMATION:
- In IVF and ICSI pregnancies obtained by assisted reproductive techniques, such as the incidence of congenital anomalies it is higher. In normal pregnancy, major congenital anomalies, while the rate of 3 per cent, assisted reproductive techniques of births occur with increases to 9 percent.
- Major konkenital anomaly: Vital that can create danger or are congenital anomalies requiring surgical procedures for correction. In all major congenital birth rate is about 3%. Minor is closer to 10 percent rate of congenital anomalies.

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