Hi mbak Ana, Saya coba posting salah satu artikel ttg. Prenatal Hydrocephalus (PH) ...maaf masih versi bahasa Inggris.
Usia kandungan istri temannya mbak berapa? Refer to artikel itu, paling cepat di akhir masa trimester 1 usia kandungan, kemungkinan PH sudah bisa dideteksi, bahkan hanya lewat alat ultrasound saja. Tapi kadang kondisi fetus bisa pulih kembali dengan sendirinya di usia kandungan akhir. Metode lain untuk deteksi PH bisa menggunakan Amniocentesis. Biasanya ini prosedur normal untuk ibu hamil di usia 35 tahun ke atas. Mungkin bisa dicoba juga dengan USG 4 dimensi, apalagi kalau sekarang usia kandungan sudah menginjak 20-an minggu ke atas. Di artikel lain (British Columbia - Ministry of Health), disebutkan juga penyebab PH diantaranya: pendarahan yang dialami janin dalam kandungan atau infeksi yang dialami ibu hamil (mis. toksoplasma, cacar air, rubella atau gondongan). Kemungkinan advise medis untuk mempercepat persalinan sebelum usia kandungan 38 minggu, karena treatment untuk indikasi PH ini dilakukan setelah bayi dilahirkan (walau tetap ada cara dilakukan operasi saat janin masih di kandungan - tapi mungkin resiko komplikasi lebih besar). Doa saya supaya kehamilan istri teman mbak, juga kondisi kesehatan sang janin dapat penanganan yang tepat dan terbaik. cheers, Sylvia - mum to Jovan & Rena ----------------------------------------------------------------------------------------------------------------------- What Is Prenatal Hydrocephalus? http://www.hydroassoc.org/information/prenatal.html Prenatal hydrocephalus describes hydrocephalus that is diagnosed in utero (before birth). Hydrocephalus can be detected in a fetus as early as the latter part of the first trimester of pregnancy. Around 20 to 24 weeks of gestation, abnormal dilation of the fetus's ventricles is more clearly detectable. Prenatal ultrasound, performed by a radiologist or perinatologist skilled in obstetric ultrasound, is highly reliable and accurate. It will establish that there is an abnormal cerebrospinal fluid (CSF) collection but it may not show the precise site of flow obstruction. The more important question is what caused the hydrocephalus and to what degree are there other malformations within the central nervous system. Amniocentesis (needle aspiration of intrauterine fluid) can often detect the presence of open neural tube defects, such as myelomeningocele, chromosome abnormalities and in utero infections, and may indicate the severity of the fetal condition. In general, early (first trimester) development of significant hydrocephalus can be a bad prognostic sign for infant mortality and developmental progress. In some cases, mild ventricular dilation identified by ultrasound has resolved itself by the third trimester. Prenatal hydrocephalus is generally not treated until after birth, when a shunt may be inserted into the baby's brain to divert CSF fluid. While some neurosurgeons have attempted in utero placement of a shunt, existing studies indicate that there are few benefits of doing so and, in fact, the potential complications outweigh the benefits. There are many unknowns surrounding a prenatal diagnosis of hydrocephalus. This can be very frightening, distressing and sad for expectant parents, and extremely frustrating for the medical specialists who provide care. Although the outlook and success rate for infants diagnosed at or after birth is generally very high, there are limited studies available on the long-term prognosis of those with prenatal-onset hydrocephalus. Much seems to depend on the extent of associated brain and systemic abnormalities, structural changes in the brain and the extent of the hydrocephalus. It is very difficult to accurately predict future function based on morphology or imaging. The more significant factor in the future development of children with prenatal-onset hydrocephalus is the presence of continuing care and the absence of complications such as infection or hemorrhage. --------------------------------------------------------------------------------------------------------------------------- On 3/1/06, BLA-Berliana L. Tobing <[EMAIL PROTECTED]> wrote: > > Istri teman saya sedang khawatir banget karena bayi yang dikandungnya ukuran kepalanya besar dan disarankan untuk ceasar walaupun belum sampai 38 minggu, untuk hal tersebut mohon bantuan infonya > 1. Apakah bayi tersebut dapat diindikasikan terkena Hydrocephalus ? > 2. Dengan USD 4 Dimensi apakah terdeteksi bahwa bayi yang dikandung terkena Hydrocephalus ? atau adakah metode pemeriksaan yang akurat yang dapat menerangkan kondisi kepala bayi tersebut ? > 3. Apakah penyebab bayi berkepala besar ( Hydrocephalus ) didalam kandungan ? > <deleted>
