Intrauterine kukula chiletso: zimayambitsa, matenda, mankhwala, zotsatira

Pafupifupi akazi khumi mu malo a dokotala akupanga matenda a "yoopsa intrauterine kukula retardation '(IUGR). The katswiri Mzimuyo pamaso pa kuvutika yodziwika ndi kusatsatira kuyenda zamitundu zizindikiro muyezo pa sabata linaperekedwa chitukuko. Kodi moona oopsa kudwala ndi momwe linaopseza mwana, ndikofunika kudziwa chilichonse mayi, chifukwa cha zochitika ngati alibiretu wina ndi otetezeka.

IUGR ndi chiyani?

Intrauterine yoopsa chitukuko, zambiri matenda pamaziko a ultrasound. Kudwala anatsimikiza ngati momwe mwana akulemerera zosakwana muyezo mitengo, mmene nthawi ino ya chitukuko. Mu yochizira matenda, ntchito tebulo mwapadera kuti muli zipatso kulemera malinga ndi msinkhu wake gestational, mwachitsanzo nthawi kuchokera pamene umuna. mlingo Izi kawirikawiri anatsimikiza masabata. M'mawu ena, pali malamulo kwa m'badwo uliwonse gestational. Unit zofunika pa miyezo matebulo ngati - percentile. Ngati chipatso zosakwana 10 percentile wa tebulo, dokotala akutsimikiza pamaso pa kudwala.

Intrauterine kukula retardation: Zoyambitsa

Nthawi zina matenda a IUGR makolo sayenera nkhawa. Pa nthawi imene mwana wabadwa kukula yaing'ono, monga atate wake ndi amake si wamtali kwambiri. Mbali imeneyi thupi sikumangotikhudza ntchito za mwana, chitukuko maganizo ndi thupi. Pa mimba ndi atabadwa mwana safunikira mankhwala pang'onong'ono maganizo.

Pa zochitika zonse ayenera kupereka ulemu wapadera kwa matenda. chikhalidwe Zimenezi zingachititse kuti kuvutika mu chitukuko mwana kapena ngakhale imfa ya mwana wosabadwayo. IUGR zingasonyeze kuti mwana ali m'mimba zakudya m'thupi. Izi zikutanthauza kuti salandira kuwonjezeka okwanira mu chakudya ndi mpweya. kuperewera zakudya amakhala chifukwa cha zifukwa zotsatirazi:

• Cholakwika khromozomu akonzedwa.
• oipa mayi (kusuta, kumwa mowa ndi mankhwala).
• matenda tizilombo (oopsa, kuchepa magazi, matenda a dongosolo mtima).
• Kusagwiritsa pamalo ndipo anayamba mapangidwe latuluka lapansi.

Komanso, madokotala muyimbe zifukwa zina, zomwe amathanso imfayo retardation syndrome chitukuko yoopsa:

• Angapo mimba.
• Kugwiritsa ntchito mankhwala popanda mankhwala.
• Kubadwa pambuyo masabata 42.
• Osauka zakudya. akazi ambiri samafuna bwino woyembekezera, kotero mayendedwe nokha zakudya. Nautsa zikutha m'mayiko thupi, imbaenda chitukuko cha kudwala.
• Opatsirana chikhalidwe cha matenda (toxoplasmosis, chikuku, chindoko).

chithunzi matenda

ndi zizindikiro limodzi ndi intrauterine kukula retardation chiyani? Zizindikiro pathological amapezeka nthawi zambiri mimba oyambirira (pafupifupi 24-26 masabata). Kudziwa mayi awo sangathe, zikhoza basi dokotala. syndrome IUGR amawapeza ndi sanali kugwilizana ndi zizindikiro zotsatirazi:

• Kukula kwa mutu ndi a femoral mwana.
• M'mimba circumference pa enaake, kutalika kwa uterine fundus.
• Voliyumu ya madzimadzi amniotic.
• Violation latuluka opareshoni (kusintha matabwa ake ndi miyeso).
• FHR.
• magazi mu nsengwa ndi umbilical chingwe.

Mu zina, kudwala mwamsanga akufotokozera ndi m'kati popanda chisokonezo chilichonse, mwachitsanzo asymptomatic.

kusalekerera

• Ine digiri. Intrauterine kukula retardation wa digirii 1 amati zimakhala zosavuta, monga kwanthawi mu Kukula kwa deta anthropometric, lolingana ndi ena nthawi gestation masabata awiri okha. Dongosolo panthawi yake ya chithandizo angakhale ogwira ndi kuchepetsa mosavuta mavuto pa mwanayo.
• II digiri. Kumangidwa Development ndi za 3-4 masabata, muyenera chithandizo chachikulu.
• III digiri. Amaona ovuta kwambiri mtundu wa mwana wosabadwayo chifukwa backlog chizindikiro kwa mwezi umodzi kapena kuposerapo. boma nthawi kenako kusintha otchedwa organic. kukula Intrauterine madigiri 3 zambiri itha imfa.

Asymmetrical mawonekedwe kudwala

Pankhaniyi, pali kuchepetsa kwambiri kulemera yoopsa pa kukula bwinobwino. mwana A matenda kwanthawi mu mapangidwe chifuwa ndi m'mimba zofewa minofu, nthenda chitukuko cha thupi. N'zotheka m'goli mkati limba kachitidwe. Popeza mankhwala okwanira amayamba kuchepetsa pang'onopang'ono kukula kwa mutu ndi kwanthawi mu Kukula kwa ubongo pafupifupi nthawi zonse kumatanthauza imfa ya mwana wosabadwayo. Asymmetrical IUGR chimake Syndrome kumachitika makamaka mu trimester lachitatu ndi wonse placental insufficiency.

The symmetrical mawonekedwe a kudwala ndi

Pamene pali symmetrical mawonekedwe yunifolomu kuchepa thupi, kukula kwa ziwalo ndi kukula yoopsa. kudwala Izi kawirikawiri akufotokozera mu magawo oyambirira mimba chifukwa matenda yoopsa (matenda, chromosomal kuvutika). Ofananira intrauterine kukula retardation kumachititsa la kukhala ndi mwana ndi zosalongosoka anapanga CNS.

miyeso matenda

Ngati mukukayikira kuti kudwala mkazi ayenera kukayezetsa wathunthu matenda kuwunika. Makamaka dokotala likamva mbiri wodwalayo, anati kale anasamutsa matenda matenda, makamaka pa mimba m'mbuyomu. Ndiye, kufufuza thupi ndi lamulo muyeso wa circumference m'mimba, chiberekero, kutalika ndi kulemera kwa akazi.

Komanso, kungafunikire ultrasound, Doppler (kufufuza magazi mu mitsempha ndi mitsempha) ndi cardiotocography (mosalekeza kujambula wa kugunda kwa mtima yoopsa, ndi ntchito zake contractions mwachindunji uterine). Yachokera pa zotsatira za mayesero otsimikiza matenda a katswiri, kapena kutsutsa izo.

Kodi chithandizo chofunika?

Kudziwa machenjerero wotsatira wa mimba patapita matenda a "intrauterine kukula retardation" ayenera kuganizira zimene zimayambitsa matenda, mawonekedwe ndi mmene matenda. Zoyamba za chithandizo liziyang'ana pa kuwongolera magazi ambiri "chiberekero-latuluka, mwana wosabadwayo". miyezo achire akutsatiridwa m'chipatala. Choyamba mkazi onse ayenera kupereka mpumulo, zakudya zabwino ndi zonse yaitali kugona. Chinthu chofunika mankhwala akuti ndi ulamuliro pa chikhalidwe panopa mwana wosabadwayo. Pakuti zolinga zimenezi, ntchito ultrasound masiku 7-14, cardiotocography ndi Doppler magazi.

mankhwala limapangidwa kulandira angioprotectors kuteteza ziwiya ndi Tocolytics uterine minofu mavuto ( "papaverine", "No-spa"), bracing njira. Komanso azimayi onse, popanda yekha, mankhwala amene amachepetsa neuro-maganizo chilakolako chogonana (tincture wa Leonurus, valerian) ndi bwino magazi mu nsengwa ( "Aktovegin", "Kurantil").

Malinga mlingo wa matenda kuopsa kwa mankhwala zingasiyane. Intrauterine kukula retardation 1 digiri zambiri mwangwiro amenable mankhwala, Mwina zotsatira zina zoipa amachepa. Mu pathologies lalikulu kwambiri amafuna njira ina mankhwala, ndi zotsatira ndi kovuta kulosera.

kuchotsa mimbayo

yobereka oyambirira, kaya nthawi ya mimba, Ndi bwino milandu zotsatirazi:

1. Popeza zizindikiro kukula yoopsa kwa masiku 14.
2. Chochititsa chidwi kuwonongeka boma la mwana mu mimba (mwachitsanzo, liwiro la magazi mu mitsempha).

Mimba kusunga munthu pazipita masabata 37 kukachitika kuti chifukwa mankhwala a zachipatala bwino ntchito pamene kuli kofunika kukambirana za matenda a "intrauterine kukula retardation wa mwana wosabadwayo."

Zotsatira ndi mavuto zotheka

Kids ndi kudwala ili pambuyo pa kubadwa mwina kuvutika kwa kusinthasintha mwamphamvu, ngakhale anayamba ndi moyo wabwinobwino adzakhala kwakukulukulu kudalira pa makolo.

Zotsatira adzawonekera kale pa yobereka (hypoxia, matenda chiyambi ubongo). kukula Intrauterine kubweza kucha a dongosolo chapakati mantha ndi ntchito zake, kumene kumakhudza machitidwe onse. ana awa zambiri wofooka chitetezo, Patapita zaka pali kochulukira Mwina zosayembekezereka wa matenda a dongosolo mtima.

Ana kwa zaka zisanu kawirikawiri matenda pang'onopang'ono kunenepa, psychomotor retardation, malformation kachitidwe ziwalo za m'kati, hyperexcitability. Mu unyamata, chiopsezo cha matenda a shuga. ana awa amakhala angakhale onenepa, iwo amaoneka ndi mavuto magazi. Izi sizikutanthauza kuti moyo wawo wa tsiku ndi kulandira mankhwala ndi moyo mu zipatala. Iwo akusowa pang'ono kwambiri kwa zakudya zawo ndi zolimbitsa thupi tsiku ndi tsiku.

Ana ena amene anapezeka ndi intrauterine kukula retardation madigiri 2 ndi kutengedwera moyenerera, mosiyana ndi anzawo. Iwo munthu wabwinobwino, kusewera masewera kucheza ndi anzanu ndi kupeza maphunziro.

Kodi ndingatani kupewa IUGR?

Kupewa bwino za matenda - mapulani mimbayo adzaimira. Pafupifupi theka makolo ndidzadutsa kufufuza mabuku ndi kuchitira anthu onse ndi matenda aakulu. Chokana wa makhalidwe oipa, oyenera moyo, chakudya chamagulu ndiponso masewera olimbitsa thupi nkhawa tsiku - njira yabwino yopewera IUGR.

Tinapita ku chipatala antenatal nthawi zonse, pa adula amagwira ntchito yofunika kwambiri mu matenda a "intrauterine kukula retardation wa mwana wosabadwayo." Chithandizo yake kudziwika matenda kuchepetsa chiopsezo zotsatira zoipa.

akazi A pakati sayenera kumangidwa ndi mode tulo. Olondola ndi lopumula zikusonyeza maola 10 kugona usiku ndipo 2:00 madzulo. mode Zimenezi zimathandiza kuti magazi aziyenda bwino ndi mayendedwe a zakudya pakati pa mayi ndi mwana.

Daily nezi mu mpweya wabwino, sonyezani maganizo osati patsogolo thanzi akukhudzidwira wa mimba, komanso matenda mkhalidwe wa mwana wosabadwayo mkati m'mimba.

Pomaliza

Usasiye popanda chidwi kudwala monga intrauterine kukula retardation, zotsatira za zimenezi wachisoni kwambiri. Komano, makolo sayenera kulandira matenda izi ngati m'sentensi. Ngati anaikidwa yake, tsogolo mayi watsopanoyo adzaphulitsa njira zonse zofunika kuti athetse mavuto ake ndipo potsatira malangizo onse a dokotala, kuti madokotala ananena zawo akhoza kukhala bata. Mu dziko palibe mavuto amene sangathe kugonjetsa. Nkofunika kukumbukira kuti chimwemwe cha mayi ndi kanthu ofanana!