Ensefalosel (Encephalocele) Bebe\u011fin beyninde delik olmas\u0131<\/strong>
\nFrontal (\u00f6n) ensefaloselGebelik olu\u015ftuktan sonra ortalama 25. G\u00fcn ile 50 g\u00fcn aras\u0131ndaki bir nedenden dolay\u0131 geli\u015fmektedir.
\nTan\u0131m olarak kafa kemiklerindeki defektten beyin i\u00e7i yap\u0131lar\u0131n d\u0131\u015far\u0131 \u00e7\u0131kmas\u0131d\u0131r. Bu tan\u0131m beyini \u00e7evreleyen zar ve beyin dokusunun d\u0131\u015far\u0131 \u00e7\u0131k\u0131\u015f\u0131( herniasyonu) dur.
\nSadece zar ve i\u00e7erisinde beyin omurilik s\u0131v\u0131s\u0131 d\u0131\u015far\u0131 \u00e7\u0131karsa meningosel denilmektedir.<\/p>\n

Bu durum %40 konjenital anomali e\u015flik etmektedir.
\nEn s\u0131k oksipital b\u00f6lge denen ba\u015f\u0131n arka k\u0131sm\u0131nda g\u00f6r\u00fcl\u00fcr. Bunun d\u0131\u015f\u0131nda frontal k\u0131s\u0131m denen ba\u015f\u0131n \u00f6n k\u0131sm\u0131ndan da d\u0131\u015far\u0131 \u00e7\u0131kabilir.<\/p>\n

G\u00f6r\u00fclme riskini art\u0131ran durumlar:<\/strong>
\nRubella(k\u0131zam\u0131kc\u0131k)
\n\u015eeker hastal\u0131\u011f\u0131
\nGenetik sendromlar(Meckel- Gruber sendromu)
\nAmniotik band
\nRadyasyon
\nA vitamin a\u015f\u0131r\u0131 dozu<\/p>\n

Sonografik olarak b\u00fcy\u00fck olanlar rahatl\u0131kla tespit edilebilir. Ancak k\u00fc\u00e7\u00fck olanlar g\u00f6r\u00fclemeyebilmektedir.
\nY\u00fcksek oranda anne karn\u0131nda \u00f6l\u00fcme neden olmaktad\u0131r. Di\u011fer k\u0131sm\u0131 ise normal seyreder.<\/p>\n

Tan\u0131 sonras\u0131 yap\u0131lacaklar:<\/strong>
\nAyr\u0131nt\u0131l\u0131 sonografik inceleme
\nTan\u0131 sonras\u0131 bebe\u011fin karyotip tayini yap\u0131lmal\u0131d\u0131r(amniosentez)
\nBebe\u011fin geli\u015fimini belirleyen fakt\u00f6rler:
\nBeyin d\u0131\u015far\u0131s\u0131na \u00e7\u0131kan dokunun i\u00e7erisinde beyin dokusu girip girmemesi
\nEk olarak kafa i\u00e7i hidrosefali olup olmamas\u0131
\nMikrosefali olup olmamas\u0131
\nDi\u011fer anomaliler olup olmamas\u0131<\/p>\n

En \u00f6nemli olan \u015fey zarlar\u0131n i\u00e7erisine beyin dokusunun girip girmedi\u011fine g\u00f6re de\u011fi\u015fmektedir. Beyin dokusu olan vakalarda son derece a\u011f\u0131r prognozu vard\u0131r.
\nSadece zar olan vakalarda do\u011fum sonras\u0131 yap\u0131lacak olan cerrahi bir d\u00fczeltme ile normal ya\u015fant\u0131 s\u00fcrebilirler. Ancak ameliyat\u0131n olas\u0131 komplikasyonlar\u0131 ve enfeksiyon riski vard\u0131r.
\nTekrarlama riski
\n\u0130zole olan vakalar tekrar etme riski artmaz.
\nAncak sendromik vakalarda tekrarlama riski artmaktad\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ensefalosel…<\/p>\n","protected":false},"author":4,"featured_media":7172,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523],"tags":[2969,3865,4411,4412,4408,4409,2987,4410],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7169"}],"collection":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=7169"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7169\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/7172"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=7169"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=7169"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=7169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}