
pottikadupu goda lopam

pottikadupu goda lopaalu anedi puttukatho vachhe lopam, idhi kadupu, pregulu ledhaa itara avayavalanu pottikadupupai erpade asaadhaarana dwaaram dwara poduchukodaniki anumatistundi.
pindam abhivruddhi samayamlo, garbham lopala aneka oohinchani maarpulu sambhavistaayi. pratyaekamgaa, kadupu, pregulu ledhaa itara avayavalu pindam yokka pottikadupu velupala pottikadupuloni asaadhaarana randhram dwara abhivruddhi chendadam praarambhistaayi mariyu abhivruddhi perige koddi, pottikadupu goda chivariki eee avayavalanu chuttumudutundi. konni sandarbhaallo boddu teravadam chaalaa peddadigaa untundi ledhaa sarigga abhivruddhi chendaledu, idhi avayavalu bayata undataaniki ledhaa pottikadupu goda gundaa pindi vaeyadaaniki veelu kalpistundi.
abhivruddhi samayamlo maarpula kaaranamgaa rendu pradhana rakaala pottikadupu goda lopaalu unnaayi. avi omphalosel mariyu gastroskisis. pottikadupu goda puurtigaa moosiveyakapoyinappudu mariyu avayavalu sisuvu sareeram velupala unnappudu gastroskisis abhivruddhi chendutundi. boddu taadu chuttoo unna praantamloo konni avayavalu pottikadupu kandaraala dwara poduchukunnappudu omphalosel sambhavistundi. omphalosel chinnadi kaavacchu, konni avayavalu matrame bahirgatam kaavacchu ledhaa teevramgaa undavacchu, chaalaa varaku, anni kadupu avayavalu bahirgatam kakapoyina.
pradarsana.
samasyalu.
pottikadupu goda lopaala kaaranamgaa talette aandolanalu pramaadakaramgaa undavacchu mariyu takshana mariyu teevramaina vaidya samrakshana avasaram. konni antuvyaadhulu ekkuva kaalam konasaagavacchu mariyu aaharam samasyalu vanti teevramaina samasyalaku daariteeyavachchu, idhi sisuvuku aneka shastrachikitsalu avasaramayye avakaasam undhi. eee samasyalu teevramgaa undavacchu kabatti, chikitsa vyavadhilo vaidyulu gala brundamtho kalisi panicheyaalani tallidandrulu sifaarsu chestaaru. chikitsa puurtayina tarvaata, pottikadupu goda lopaalu unna pillalaku adanapu sahayam avasaram kaavacchu. omphalosel mariyu sambandhita chromosome asaadhaaranatalu mariyu puttukatho vachhe lopalaku kooda adanapu sevalu saadhaaranamgaa avasaram. eee sandarbhaalalo chikitsalu deerghakaalikamainavi mariyu pillalu bharinche saareeraka mariyu abhivruddhi ibbandulapai drushti pedataayi. tallidandrulaku eee prakriya kashtamgaa anipinchavacchu mariyu aarogya samrakshana brundam andinche seva dwara prakriyanu nirvahinchadamlo sahayam avasaram kaavacchu.
kaaranam.
puttukatho vachhe lopalaku gala anni kaaranaalalo pedda sankhya gurinchi samacharam ippatikee teliyadu. 2004 natiki, pottikadupu goda lopaalu sambhavinchadaaniki kaaranam inca nirnayinchabadaledu ledhaa ardham kaaledu. talli choopinche lakshanaalu lopam yokka abhivruddhini suuchistaayi mariyu gurtinchalenivi. pottikadupu goda lopaala chaalaa sandarbhaalu appudappudu unnatlu kanugonabaddayi mariyu kutumbamloni rugmata charithratho etuvanti sambandham ledhu.
attragin anae saadhaarana kalupu samhaarakam pottikadupu goda lopalatho paatu itara puttukatho vachhe lopaalu mariyu cancerku kaaranamavutundani epaku telusu. 2004 nundi european unionlo attragin nishedhinchabadindi, ayinappatikee haani kaliginche aadharalu unnappatikee ippatikee samyukta rashtraalalo saadhaaranamgaa upayoginchabadutundi. attragin taguneeti sarafaraanu prabhaavitam chestundi, pradhanamgaa madhyapaschimamlo.
vyaadhi niyantrana mariyu nivaarana kendram attragin mariyu pottikadupu goda lopaala madhya sambandhampai adhyayanam chesindi
"gastroskisis mariyu omphalosel puttukatho vachhe pottikadupu goda lopaalu (eah. doubleu. dii). attragin mariyu naitretlu saadhaarana vyavasaya eruvulu "
mariyu muginchaaru
"jaateeya retlatho poliste indianalo eah. doubleu. dii [pottikadupu goda lopaalu] gananeeyamgaa ekkuva raetlu unnaayi. perigina attragin sthaayilu eah. doubleu. dii yokka perigina sanghatanatho sambandham kaligi untaayi."
rooga nirdhaarana.
puttukaku mundu, pottikadupulo randhraalanu saadhaaranamgaa vivaranaatmaka ultrasound ledhaa eah. eff. pii screening dwara gurtinchavacchu. ultrasound ledhaa eah. eff. pii. scanningtho paatu, eee lopam unna pillalu itara puttukatho vachhe lopaala kosam tanikhi cheyadam kooda avasaram, endukante janyu rugmatalu saadhaaranamgaa konni pottikadupu goda lopalatho mudipadi untaayi. anubandhinchabadina itara janyu rugmatala kosam vetakadamlo, janyu counselling mariyu amneocentesis vanti marinta janyu pareekshalu andinchabadataayi.
chikitsa.
pottikadupu goda lopaalu etuvanti kramaraahityaalu lekapothe shastrachikitsa dwara chikitsa cheyavachu. omphalosel marammattu/moosiveta ledhaa gastroskisis marammattu/moosiveta anie kooda piluvabade shastrachikitsa vidhanam athi klishtamgaa undadu. avayavalu saadhaaranamainavi conny tappugaa untaayi.
ayithe, pottikadupu kuharam chaalaa chinnadigaa unte ledhaa avayavalu chaalaa peddavigaa unnappudu ledhaa charmanni muusivaeyadaaniki veelugaa vaapu vachinappudu, mottam viseraanu chinna pottikadupu kuharamloki amarchadam kashtam kaavacchu. atuvanti sandarbhaallo, shastrachikitsakudu saadhaaranamgaa silasticto tayaaru chesina cover parsunu sisuvu velupala pottikadupu avayavaalapai unchutaaru, dheenini saadhaaranamgaa "sailo" anie pilustaaru (endukante idhi vyavasaya sailo aakaaramlo untundi). sailo vaedini aadaa cheyadaaniki mariyu sankramananu nivaarinchadaaniki upayogapadutundi. eee parikaranni pottikadupu goda lopali bhaagaaniki kuttu lekunda jodinchadaaniki veelugaa sailo spring-load cheyabadindi. sailo paibhagam nitaruga nilabade vidhamgaa bhadraparachabadutundi, tadwara pregulu kramamga gurutvakarshana dwara pottikadupu kuharamloki kudinchabadataayi. eee prakriyaku oka vaaram varaku pattavacchu, mariyu konni vaaraala taruvaata tudi moosiveta cheyavachu. pottikadupu kandaraalanu marammatu cheyadaaniki taruvaata marinta shastrachikitsa avasaram kaavacchu.
rooga niruupana.
itara lopaalu lekapothe, eee paristhitini shastrachikitsa dwara marammatu chesina tarvaata rooga niruupana saapekshamgaa manchidi. ayithe, marinta teevramaina ledhaa adanapu asaadhaaranatalu unnavaarilo 10 saatam mandhi dheeni valla maranistaaru. avayavalu puurtigaa panicheestaayi; vaatini pottikadupu lopala amarchadamlo ibbandi undhi. eee paristhiti, vaastavaaniki, hernia sambhavinchina marganni bharti cheyadam mariyu balopetam cheyadam matrame avasaram. shastrachikitsa tarvaata, podavati pottikadupulo perigina ottidi lopali avayavaala paniteerunu debbateestundi.
sanghatana.
pottikadupu goda lopaalu, mukhyamgaa pradhana rendu rakalu, gastroskisis mariyu omphalosel, arudugaa sambhavistaayi, prati 5000 jananaalalo okadaanilo sambhavistaayi. abbayilu, ammayila madhya praabalyamlo thedaa ledhu. iravai samvatsaraala kante takkuva vayassu unna janminche vyaktulu vaari iravaila chivarilo mariyu anthakante ekkuva vayassu unna vaaritho poliste pottikadupu goda lopaanni abhivruddhi chesina santaanaanni kaligi undataaniki daadaapu naalugu retlu ekkuva avakaasam undhi.