ozi

Mgbanwe nke Splanchnic (gụnyere mkpokọta splanchnic inversion [dextrocardia] na akụkụ splanchnic inversion [levocardia]) bụ ihe na-adịghị ahụkebe mmepe mmepe nke ntụzịaka nke nkesa splanchnic na ndị ọrịa na-emegide nke ndị nkịtị. Anyị hụrụ mmụba dị ukwuu n'ọnụọgụ nwa ebu n'afọ visceral nke ultrasound gosipụtara n'ụlọ ọgwụ anyị ọnwa ole na ole ka akagbuchara amụma "efu efu" nke COVID-19 na China.

Site n'ịtụle data ụlọ ọgwụ sitere na ụlọ ọrụ obstetric abụọ dị na mpaghara dị iche iche nke China, anyị kpebisiri ike na mgbanwe nke nwa ebu n'afọ visceral sitere na January 2014 ruo July 2023. N'ime ọnwa asaa mbụ nke 2023, ihe na-eme mgbanwe n'ime ime (nyochaa prenatal ultrasonography na nchoputa na ihe dị ka afọ 20 ruo 24 na-enweghị mgbanwe nke dọkịta na-ahụ anya na afọ 20 ruo 24 na-enweghị mgbanwe nke gnostic n'ime afọ 24. ọzụzụ]) karịrị okpukpu anọ dị elu karịa nkezi ihe omume kwa afọ maka 2014-2022 na ebe abụọ ahụ (Figure 1).

Mmetụta nke ntụgharị visceral na-arị elu n'April 2023 wee nọgide na-adị elu ruo June 2023. Site na January 2023 ruo July 2023, 56 ikpe splanchnosis hụrụ (52 ngụkọta splanchnosis na 4 akụkụ splanchnosis). Ọnụọgụ nke ọrịa SARS-CoV-2 gbagoro ka akagbuo amụma COVID-19 "efu efu", na-esote mmụba nke ikpe ntụgharị visceral. A na-eme atụmatụ na mmụba nke ọrịa SARS-CoV-2 malitere na mbido Disemba 2022, gbagoro na Disemba 20, 2022 wee kwụsị na mbido February 2023, mechara metụta ihe dị ka 82% nke ndị China. Ọ bụ ezie na enweghị ike nweta nkwubi okwu banyere ihe kpatara ya, ihe anyị chọpụtara na-egosi njikọ nwere ike ịdị n'etiti ọrịa SARS-CoV-2 na ntụgharị visceral nke nwa ebu n'afọ, nke na-akwado n'ihu.mụọ ihe.

Ọnụọgụ A na-egosi nkwenye ekwenyesiri ike na ngbanwe nwa ebu n'afọ na splanchnic na ebe ọmụmụ abụọ site na Jenụwarị 2014 ruo Julaị 2023. Ọnụọgụ dị n'elu chaatị mmanya na-egosi ọnụ ọgụgụ ikpe maka afọ ọ bụla. A kọrọ akụkọ ihe mere eme dị ka ọnụ ọgụgụ nke ndị inyom dị 10,000 dị ime bụ ndị mere nyocha nke ultrasound. Ọnụọgụ B na-egosi ọnụ ọgụgụ ndị enwetara nkwenye nke ntụgharị visceral site na Jenụwarị 2023 ruo Julaị 2023 na China Welfare Society International Peace Maternal and Child Health Hospital (IPMCH) na Shanghai na Hunan Provincial Maternal and Child Health Hospital (HPM) na Changsha.

Ntugharị visceral congenital na-ejikọta ya na nkesa homonụ morphogenetic na-adịghị mma na onye nhazi cilium na-arụ ọrụ aka ekpe na mmalite afọ ime nke ẹmbrayo axis aka ekpe-aka nri. Ọ bụ ezie na nnyefe kwụ ọtọ nke SARS-CoV-2 ka na-arụrịta ụka, ọrịa embrayo na mmalite afọ ime nwere ike imetụta mmepe nwa ebu n'afọ visceral asymmetrical. Na mgbakwunye, SARS-CoV-2 nwere ike imetụta ọrụ etiti anụ ahụ aka ekpe na aka ekpe site na nzaghachi mkpali nne ya agbaziri, si otú a na-egbochi mmepe asymmetrical visceral. N'ime ọmụmụ ihe n'ọdịnihu, nyocha ọzọ dị mkpa iji gosi na ọrịa mkpụrụ ndụ ihe nketa jikọtara ya na ciliary dyskinesia bụ isi nke nwere ike ọ gaghị achọpụta na nyocha nke mkpụrụ ndụ ihe nketa abụghị maka ikpe ndị a, na iji chọpụta ọrụ nwere ike ime na gburugburu ebe obibi na mmụba nke visceral inpositions. Ekwesiri iburu n'uche na n'agbanyeghi na ngbanwe nke visceral na-abawanye n'ime ebe umuaka abuo ka oria SARS-CoV-2 gbasiri ike, ihe omume ulo ogwu nke ngbanwe visceral ka di oke ụkọ.