<神經管缺損🧠之早期診斷>

這篇整理比較偏醫學專業，主要提供給大家一個不算新的新觀念，可做為早期診斷神經管缺損之參考。
也就是上一篇所提到的BS/BSOB ratio還有IT。

—-
對於我們而言，以前聽到神經管缺損會想到的超音波異常不外乎是「檸檬頭」和「香蕉腦」，大部分在第二孕期超音波特徵比較顯著。

🍋Lemon sign:
正常頭型切面應該是橢圓形，但若有神經管缺損或腦部異常，前面的頭型會變成尖尖的像檸檬一樣的形狀。

🍌Banana sign:
正常的小腦應該是啞鈴型，若有神經管缺損，有可能變成像香蕉一樣的彎彎半月形。

🔎由於最近提倡早期超音波的重要性，因此在做第一孕期唐氏症篩檢(11~13週又6天)時，看頸部透明帶的那個切面，也可以提供給我們很多腦部的資訊。
其中漸漸被大家所提倡的，就是BS/BSOB的比例和IT的概念。

✔️BS (brain stem): 腦幹寬度
✔️BSOB (brain stem to occipital bone): 腦幹到枕骨距離
✔️IT (intracranial translucency): 第四腦室

✏️第一張照片截圖自發表在Prenatal Diagnosis的文章，圖中的A代表蝶骨後緣，B代表腦幹後緣/第四腦室前緣，C代表枕骨前緣。

✏️所謂的BS就是AB的寬度，BSOB距離就是BC的寬度；IT則是在B下方的一條黑線（粉紅箭頭處➡️），上緣是腦幹後方，下緣則是脈絡叢。

—-
那要怎樣的異常才會懷疑有神經管缺損呢?

🔎BS/BSOB

正常的胎兒，BS和BSOB都會隨著胎兒大小增加而增加(CRL)，而BS/BSOB的比例會隨著週數增加而下降。

但是如果碰到有異常的胎兒，BS會變寬，而BSOB反而會變窄，因此造成BS/BSOB的比例會明顯的上升。

會造成這樣現象的可能原因，是由於腦幹往下位移，壓迫第四腦室/腦室大池，造成BSOB變窄(第一張照片的右圖，可以看到B下方原本應該有第四腦室的地方，也就是IT變形不明顯)。

🔎IT
正常的胎兒，IT都清晰可見，寬度約為1.5-2.5mm。

神經管缺損的胎兒，IT則會消失看不到。

📖參考文獻:
Posterior brain in fetuses with open spina bifida at 11 to 13 weeks
Assessment of intracranial translucency (IT) in the detection of spina bifida at the 11–13‐week scan.

大家可以在做第一孕期超音波的時候，順道看一下腦幹區域的構造，如果看起來哪邊怪怪的，要記得想到可能有神經管缺損或是其他腦部異常喔!

#firsttrimesterdownscreen
#第一孕期唐氏症篩檢
#早期腦部超音波
#神經管缺損

台南-徒手保健
線上預約：
https://lin.ee/0ogj81p


手法技術：
Gonstead.
Activator.
Thompson.
Koren specific technique
Sacro- occipital Technique
Diversified Technique

#蔡偉傑joe
#健美備賽
#健美訓練
#徒手保健
#運動按摩
#健身健美運動營養諮詢
#我鍛故我在
#千日為鍛萬日為鍊
#RoentgenologicExamination
#ChiropracticTechniques
#SupportiveTechniques
#SacrooccipitalTechnique
#loganbasictechnique
#華堂身體零件整修工作室
————————————————
🔰飲食設計規劃-5千
✅編排訓練課表-5千
❇️健美備賽-3萬
♻️cycle 使用包套計劃-5千
🆘PCT/HRT/TRT/OCT 排制-5千～8千
☯️健身營養諮詢 50分鐘-3千

🟠Online coaching package 「12 週線上私人教練」，健身（重訓增肌或減脂）規劃 $30000 NT

台南市北區玉皇里崇安街83號
#華堂身體零件整修工作室

2021年2月
台北市-徒手保健
⚠️不用預約⚠️



我的手法技術：
Gonstead.
Activator.
Thompson.
Koren specific technique
Sacro- occipital Technique
Diversified Technique

#蔡偉傑joe
#健美備賽
#健美訓練
#徒手保健
#運動按摩
#健身健美運動營養諮詢
#我鍛故我在
#千日為鍛萬日為鍊
#RoentgenologicExamination
#ChiropracticTechniques
#SupportiveTechniques
#SacrooccipitalTechnique
#loganbasictechnique
#華堂身體零件整修工作室
————————————————
🔰飲食設計規劃-5千
✅編排訓練課表-5千
❇️健美備賽-3萬
♻️cycle 使用包套計劃-5千
🆘PCT/HRT/TRT/OCT 排制-5千～8千
☯️健身營養諮詢 50分鐘-3千

🟠Online coaching package 「12 週線上私人教練」，健身（重訓增肌或減脂）規劃 $30000 NT

台北市信義區基隆路一段149號12樓之六
中太大廈
#華堂身體零件整修工作室

On the Kazuya Sakoda YouTube channel,
Starting today, I am posting mainly information on how to eliminate back pain and stiff shoulders, how to improve posture, and how to eat, which are useful for your health.


▷ Today's theme
Eliminate neck-occipital pain! Stretch for 30 seconds!



▷Table of Contents
0:00 OP
0:34 Stretch commentary
3:24 Stretch commentary (reverse foot)
5:11 Summary



▷ Click here to subscribe
https://www.youtube.com/channel/UCQJ17IwkU2JNvY-85MNHwwQ?sub_confirmation=1
　↑　↑　↑
You will receive a notification every time you press the bell mark.




▷Recommended related videos

Exercise to eliminate neck stiffness in 3 seconds. [English subs] Exercise to eliminate neck stiffness in 3 seconds.
https://youtu.be/1ZSKFKmLeWw

[Just press for 10 seconds] The strongest self-manipulative treatment to eliminate stiff neck and stiff shoulders! [English subs]
https://youtu.be/Y-QhX9fZbi0

Introducing a stretching method that fundamentally cures back stiffness and tension!
https://youtu.be/ksLVajbOePE

How to get rid of neck pain
https://youtu.be/tBbhJHiCN2w

Introducing a stretch that eliminates the straight neck in 1 minute!
https://youtu.be/pWaJZOetkz8

＜Overseas related videos＞
7 Stiff Shoulder Stretches & Exercises - Ask Doctor Jo
https://www.youtube.com/watch?v=TIvREhFgho0

Yoga for Neck and Shoulder Relief - Yoga With Adriene
https://www.youtube.com/watch?v=SedzswEwpPw

Understanding Shoulder Pain and How To Fix It
https://www.youtube.com/watch?v=B4UYaumLy90

How to Fix “Low Back” Pain (INSTANTLY!)
https://www.youtube.com/watch?v=DWmGArQBtFI

11 Best Lower Back Stretches For Pain & Stiffness
https://www.youtube.com/watch?v=CdCClhtKH2Q

▷Inquiry

Fujisawa Tsujido's Chronic Low Back Pain Specialized Manipulative Institute Wa -KAZU-
https://seitaiin-kazu.com

Click here for KTR accredited hospitals nationwide
https://kazu-ktr.com/instructor/



▷Profile

Seitaiin Kazu -KAZU- Director
Judo rehabilitation teacher, fascial yoga instructor, professional fasting meister

What is the healer Kazuya Sakoda?
https://youtu.be/oJGPuMqlb_Q


Fujisawa Tsujido's only "chronic low back pain" specialized manipulative clinic

"Ad hoc" back pain treatment quit with Sassa,
Don't you think "I really want to cure"?

Over the past 15 years, he has experienced treatment for back pain for more than 50,000 people.
Performing treatment for the "cause" of pain, not relieving the pain on the spot
Propose "fundamental improvement".
The cause of pain is not in the painful place! Under the motto, we are carrying out a back pain eradication luck operation battle all over Japan.
Relieving pain with treatment is a passing point.
The true treatment is to build a body that does not return pain.
Tips for improving back pain as a back pain buster,
We will actively inform you about self-care by fascial yoga and stretching to prevent recurrence.

http://seitaiin-kazu.com


General Incorporated Association Molecular Consistency Medicine Beauty and Food Education Association Shonan Central Branch Manager
Professional Fasting Meister

Ultimate health method "fasting"
We will guide you through mineral fasting (enzyme fasting) that you can practice more safely and with peace of mind based on molecular matching medicine.

I spend my time without any regular meals, but during that time I replenish the minimum amount of calories, minerals and vitamins needed from the fasting drink, so it is a feature that I can do it safely and reasonably.
If sleep is a rest for the "brain", fasting is a rest for the "internal organs" and a "cleaning of the body". Why don't you take this opportunity to take this opportunity to clean up the internal organs that have never been rested since you were born?
By being cleaned cleanly, you will be awakened from the inside.
From the charm of Fasting as an Expert Fasting Meister, we will give you tips for daily diet, improvement of constitution, and detoxification.

http://kazu-fasting.com

#Stretch #Stiff neck #Stiff shoulder #Kazuya Sakoda #Manipulative clinic #Neck #Occipital