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[寨卡病毒先天性综合征概念分析]

[Analysis of the concept of the Zika Virus congenital syndrome].

作者信息

Teixeira Gracimary Alves, Dantas Dândara Nayara Azevêdo, Carvalho Gleyce Any Freire de Lima, Silva Aylla Nauana da, Lira Ana Luísa Brandão de Carvalho, Enders Bertha Cruz

机构信息

Escola de Saúde, Universidade Federal do Rio Grande do Norte. Av. Senador Salgado Filho s/n, Lagoa Nova. 59078-970, Natal, RN, Brasil.

Universidade Federal do Rio Grande do Norte. Natal, RN, Brasil.

出版信息

Cien Saude Colet. 2020 Feb;25(2):567-574. doi: 10.1590/1413-81232020252.30002017. Epub 2018 Jul 1.

Abstract

The scope of this article is to analyze the concept of the Zika Virus Congenital Syndrome. It is a conceptual analysis, based on Walker and Avant. In order to operationalize the search, a systematic review was conducted. The essence of the concept of the Zika Virus Congenital Syndrome is determined by the following attributes: intracranial calcification, ventriculomegaly, and diminished brain volume. For this syndrome to occur, it is necessary to have the following antecedents: transplacental transmission of a mother infected by the bite of the Aedes SSP mosquito or by sexual contact. Accordingly, this entails a set of signs and symptoms that go beyond fetal or postnatal microcephaly, such as, for example, delayed neuropsychomotor development, auditory and visual abnormalities, craniofacial disproportion, overlapping cranial sutures, prominent occipital bone, excess nuchal skin, epilepsy, irritability, dyskinesia, hypertonia, hypotonia, hemiplegia, hemiparesis, spasticity and hyperreflexia. The concept of the Zika Virus Congenital Syndrome is newly acknowledged. The presence of the set of signs and symptoms by the Zika Virus Congenital Syndrome is determined by intracranial calcification and decreased brain volume, and the baby may present microcephaly at birth or subsequently.

摘要

本文的范围是分析寨卡病毒先天性综合征的概念。这是一项基于沃克和阿万特的概念分析。为了实施检索,进行了系统综述。寨卡病毒先天性综合征概念的本质由以下属性决定:颅内钙化、脑室扩大和脑容量减小。要出现这种综合征,必须有以下前提条件:母亲因被伊蚊叮咬或通过性接触感染后经胎盘传播。因此,这会引发一系列超出胎儿或出生后小头畸形的体征和症状,例如神经精神运动发育迟缓、听觉和视觉异常、颅面不对称、颅骨缝重叠、枕骨突出、颈部皮肤过多、癫痫、易激惹、运动障碍、张力亢进、张力减退、偏瘫、轻偏瘫、痉挛和反射亢进。寨卡病毒先天性综合征的概念是新被认可的。寨卡病毒先天性综合征的一系列体征和症状的出现由颅内钙化和脑容量减小决定,婴儿可能在出生时或之后出现小头畸形。

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