Intrauterine yoopsa hypoxia: zizindikiro zimayambitsa, mankhwala ndi kapewedwe

Intrauterine yoopsa hypoxia - njira yoopsa, amene, mwatsoka, zachilendo. Zotsatira za hypoxia zingathe kusokoneza chitukuko yoopsa ndi zochitika za ziwalo zake mkati. Ku matenda yake ndi chithandizo kumatengera ndi moyo ndi thanzi la mwana m'njira zosiyanasiyana.

Kudikira chozizwitsa

Pa mimba - ndi yosangalatsa kwambiri ndiponso osangalala nthawi iliyonse mkazi. Koma ndi kuyembekezera wosangalala mwana akabadwa anawonjezera nkhawa za moyo wake. Amayi oyembekezera ndi katundu wolemetsa wa udindo. Kwa miyezi inayi akufotokozera ndi kukula moyo watsopano. Health wa mwana wosabadwa zimadalira thanzi la mayi wake.

Pali ayamikira ambiri pa momwe kuwunika thanzi lawo pa mimba. Zimenezi zikukhudza chakudya, moyo, maganizo, ndi zambiri. Satsatira malamulo yosavuta angachotsedwe mavuto ndi thanzi la mwana wosabadwayo.

Chimodzi mwa zotsatira awa akhoza kukhala yoopsa hypoxia, entailing chakhungu kukula yoopsa ndi zina zokha mimba. Popewa izi, mayi woyembekezera ayenera kukhala mosamala mfundo zoopsa kuti mukam'bisalire wake woyembekezera, ndi kuyesa kupewa asayembekezere.

hypoxia Kodi

"Hypoxia" - wakale Greek mawu kwenikweni anamasuliridwa kuti "mpweya wochepa". Mawu kutanthauza mpweya njala akukumana chamoyo kapena ziwalo payekha chifukwa cha zochita za zinthu zina.

Ndi yaitali mpweya njala mu thupi sizingasinthe njira morphological. Iwo kusintha kapangidwe ka zimakhala ndi ziwalo ndi kusokoneza luso lawo liziyenda. Pamene mpweya njala wa mwana wosabadwayo kubweza ndi akusokoneza ndondomeko mapangidwe ziwalo mkati, mwana angabadwe ndi kwanthawi mu chitukuko cha machitidwe ofunika kapena kuwonongeka. Zimenezi ndizo zotsatira za hypoxia yoopsa. Kwambiri kwambiri poyera kuti hypoxia, mtima, impso, chiwindi ndi dongosolo chapakati mantha.

akusowa mpweya akhoza ayende matenda kapena zimachitika ngati ndondomeko ufulu entailing makhalidwe ziwalo. Pachifukwa ichi, hypoxia sangathe wachinsinsi monga matenda, ndi ndondomeko pathological, mofanana ndi kutukusira kapena alibe.

Zizindikiro za hypoxia yoopsa

Iwo anafotokoza kuti miyezi itatu mimba anoxia akufotokozera infrequently. Nthawi zambiri izi zingachitike mu wachiwiri ndi wachitatu trimester. Ichi ndi chifukwa chakuti ndi kukula kwa mwana wosabadwayo kumachitika ndi kukula kwa ankafuna ake mpweya, ndi zinthu zina zoipa, apakati sangathe kulimbana ndi ntchito imeneyi.

akusowa mpweya mwana ndi zovuta kudziwa popanda maphunziro matenda makamaka mu magawo oyambirira mimba. Koma pali zizindikiro za hypoxia yoopsa, amene ayenera kukhala chizindikiro kochititsa mantha kwa mayi woyembekezera.

Chinthu choyamba muzindikire ndi ntchito yoopsa. The m'chigulugulu ndi khumi perturbations mu tsiku. Mu masiteji koyamba hypoxia mwana amayamba kuona kusapeza, momwemonso ukugwirira. Pa perturbations yaitali osakwanira mpweya kuchuluka amachepetsa. Komanso yoopsa hypoxia Icahn akhoza yodziwika ndi mwana wosabadwayo pafupipafupi.

Ngati kupatuka kuchuluka kwa perturbations ku hiccups zachilendo ndipo kawirikawiri kumphatikiza ndi masewera olimbitsa mayi woyembekezera kapena kukhala ndi udindo wovuta, izo chofunika mwamsanga funsani munthu yemwe ati awulule chifukwa khalidwe la mwana wosabadwayo ndi mankhwala mankhwala ngati ndi kotheka.

zimayambitsa

Zimayambitsa intrauterine yoopsa hypoxia angakhale osiyana. Awa ndi matenda amene akuvutitsa amayi apakati, placental kudwala matenda, malformations yoopsa.

Mayi wa matenda, zikubweretsa hypoxia yoopsa, ndi zotsatirazi:

• magazi m'thupi;
• disruptions dongosolo mtima;
• matenda a ziwalo kupuma;
• shuga.

Komanso, thanzi mwana wasokoneza zizolowezi zoipa zimene zinkachitika mayi woyembekezera. Kupewa hypoxia yoopsa Pamafunikanso kutha wathunthu wa fodya ndi mowa. Pakuti hypoxia yoopsa zikhoza kupatuka aliyense kuchokera malamulo anavomera kutenga mimba. zolakwika zimenezo zingakhale abruption ndi ukalamba msanga wa latuluka, ndi perenashivanie wosabadwa kapena kuchuluka uterine kamvekedwe.

Chinthu china chimene entailing mpweya akusowa ndi yosemphana Rhesus mayi ndi mwana. zosagwirizana Zimenezi zingadzetse matenda hemolytic wa mwana wosabadwayo, omwe kaŵirikaŵiri limodzi ndi hypoxia. Kuphatikiza pazifukwa izi, mmene tingatengere makina pa mwana wosabadwayo - kukodwa umbilical chingwe psinjika pa mutu pa yobereka ndi zina zotero.

Zimayambitsa hypoxia intrauterine amathanso kukhala ena, zosokonezeka mofanana kwambiri. Kupewa mavuto pa chitukuko yoopsa, mayi woyembekezera ayenera kusamala ndi anthu oyenerera mu nyengo ya mimba.

Mitundu ya hypoxia yoopsa

Malinga liti anoxia akupitiriza, yoopsa hypoxia ali m'mitundu iwiri: pachimake ndi aakulu. Pachimake hypoxia amakhala ndi kuchepa lakuthwa mu mpweya aperekedwe. Ambiri pachimake mawonekedwe zidzachitika ndondomeko kubadwa kapena profuse uterine magazi. Matenda yoopsa hypoxia aumbike pa nthawiyo, pang'onopang'ono kuswa njira chitukuko yoopsa.

Mlingo wa Kukula kwa mpweya njala

Allocated madigiri atatu a hypoxia yoopsa. Poyamba zipatso popanda chofunika kuchuluka kwa mpweya, akuyesera kukwaniritsa chosowa chake. Mlingo woyamba wakhala kuchokera vuto la oxygen. Mu thupi, mwana wayamba kusintha, umalimbana kuwonjezeka buku la mpweya umene ukubwerawo. Kukula timadzi ta m'thupi kuonjezera kamvekedwe Mitsempha - tochepa. Anakwezedwa milingo tochepa kumapangitsa kuwonjezeka mu buku la magazi kuti amazungulira kudzera ziwiya, ndi kuwonjezeka kugunda kwa mtima. Kusintha zikuchokera magazi: kumawonjezera mlingo wa hemoglobin ndi maselo ofiira. Komanso, pali bwino ntchito kwa mwana. Iye akuyamba kusamukira kumufotokozera ndi kupanga magulu kupuma, ngakhale glottis chatsekedwa.

Mu ndime yachiwiri chipukuta misozi tsankho mwa ntchito zoteteza wa chamoyo kudziwa matupi kutsogoza omwe amaperekedwa ndi mpweya kwenikweni. ziwalo zimenezi ndi mtima ndi ubongo, motero, ziwalo zina (impso, m'mapapo thirakiti m'mimba) kulandira magazi mpweya wokwanira, imbaenda chisokonezo pa chitukuko ndi ntchito. Mpweya akusowa kumatipatsanso kuwonongedwa kwa shuga. Izi amachepetsa mphamvu amasungidwa maselo a chamoyo ndi matenda kagayidwe kachakudya.

Matenda intrauterine yoopsa hypoxia ali patsogolo ndipo njira yachitatu - decompensation. Kunja GAWO chidawoneka kuchepetsa ntchito ndi yoopsa kuchepetsa mlingo mtima. zimagwirira ntchito chitetezo kuonetsetsa Kukwanilitsa mpweya, akugwedezeka. Tochepa amapangidwa zedi osakwanira, motero kubweza magazi, ndiponso amachepetsa chiwerengero cha kufalitsidwa magazi. Magazi ladzala ndi carbon dioxide, magazi coagulation akawinduka, imbaenda kuna mapangidwe thrombi yatsoka ndi magazi.

miyeso matenda

Kudziwa kupezeka ndi digiri ya mpweya njala kuthandiza njira malangizo a matenda. Woyamba njira amenewa ndi cardiotocography (HIC). njira yodziwira ndi otetezeka kwambiri. chipangizo mosalekeza akulemba CTG yoopsa kugunda kwa mtima ndi contractions uterine. Mothandizidwa ndi ultrasound zithunzi anasonyeza tachogram. Izi ndi Zithunzi amene akuimira chiwerengero cha contractions wa minofu mtima kuchuluka ndinapatsidwa nthawi. Kupsyinjika n'zotsimikizira amaona kusinthasintha kuthamanga ndi uterine kamvekedwe, outputting gisterogrammu - Zithunzi uterine minofu ntchito. CTG amawerengedwa chiwerengero cha perturbations ndipo akhoza inamva ndi pafupipafupi kudalira za ntchito yoopsa mtima.

Kuyambira sabata la makumi awiri a mimba, akhoza kuphunzira ndi Doppler ultrasound. njira umalimbana kuphunzira magazi kuchokera latuluka kwa mayi ndi mwana wosabadwayo ku nsengwa ndi angazindikire kuyan'anila za kufalitsidwa utero-placental. Ndi njira yodziwira amathanso kudziwa khalidwe la madzimadzi amniotic.

Kuwonjezera njira pamwambapa, yoopsa mtima katswiri amamvetsera kuunikira ntchito zake ntchito obstetric stethoscope. Komabe, njira imeneyi si wolondola, kotero ngati mukukayikira mtima anomaly dokotala pakati akutsogolera Ndime ya CTG ndi ultrasound.

chithandizo

Chithandizo cha hypoxia intrauterine Pamafunika polojekiti pakati pa chipatala. Akazi pamtendere zonse ndipo anasankha njira achire mankhwala, zomwe cholinga chake ndicho osati pa oxygenation magazi, komanso kupeza chifukwa chenicheni cha hypoxia lapansi. Kawirikawiri, kuvutika mimba monga intrauterine yoopsa hypoxia, - zotsatira kapena zizindikiro za matenda aliwonse.

dokotala pakati n'kukulemberani mankhwala kuchepetsa magazi kukhuthala, kusintha otaya magazi kwa latuluka kuchokera kwa mayi ndi matenda kagayidwe pakati pa mayi ndi mwana wosabadwayo. Kusankhidwa kwa mankhwala ena ndi njira zimadalira chifukwa cha hypoxia, ngati chaululidwa, ndi cholinga kuthetsa ichi.

Ngati mphamvu zabwino wodwalayo mankhwala ndipo amavomereza kuti kupewa hypoxia. Zikuphatikizapo zolimbitsa panja, utachepa zolimbitsa thupi, kupewa makhalidwe oipa ndi malamulo a ena mu chakudya. Ngati kumene chithandizo anali osamveka, ndi kuperewera kwa mpweya anakhalabe, pamafunika m'zigawo opaleshoni ya mwana wosabadwayo. Ngati zaka gestational kuposa masabata makumi awiri mphambu zisanu ndi zitatu, dokotala n'kukulemberani opaleshoni - Kaisara gawo.

kupewa

Pali ena ayamikira yosavuta, mogwirizana ndi zimene zingakuthandizeni kuchepetsa chiopsezo akusowa mpweya mwana. Pamaso akukonzekera kukhala ndi pakati, mkazi ayenera kuchita mankhwala a matenda aakulu, kuchotsa zizolowezi zoipa. Ngati mimba kumachitika n'kofunika kulembetsa ndi malo zachipatala mimba msanga. Kwa mimba, muyenera ankakonda kukacheza ndi dokotala mayesero ndi kuchita ultrasound. Izi kuonetsetsa ulamuliro pa thanzi la mayi oyembekezerayo ndi mwana, ndipo zimenezi kupewa chitukuko cha zotheka pathological mkhalidwe wa mwana wosabadwayo.

Mbali yofunika kupewa hypoxia intrauterine ndi kukhalabe moyo wathanzi. Inu muyenera kucheza nthawi zambiri panja, kugona maola asanu ndi atatu patsiku, chakudya chabwino.

Woyembekezera, kufunika kubwezeretsanso katundu wa mavitamini ndi zakudya, mlingo umene yafupika chifukwa katundu zina m'thupi. Iwo ayenera kukhala mulingo wabwinobwino wa calcium, magnesium ndi mchere. Makamaka kwambiri ndi ulamuliro wa zili chitsulo magazi, monga msinkhu wake otsika kumabweretsa magazi m'thupi - kuti azikhulupirira kuti hypoxia. Tengani mavitamini ayenera kukhala mogwirizana ndi dokotala wakuuzani.

zotsatira

Zotsatira za hypoxia intrauterine zimadalira mtundu wake. Matenda hypoxia, umene unayamba mu mimba oyambirira, pamene kokha ayamba mapangidwe machitidwe yofunika mwana wosabadwayo kungachititse kuti vuto lobadwa. Hypoxia anasamutsa ina mimba, angachititse yoopsa kukula retardation, komanso zikubweretsa ischemia ndipo necrosis ziwalo payekha. khanda zambiri kusowa kwa kutalika ndi kulemera, komanso nthawi waukulu anatengera (zosinthidwa za chamoyo mu chilengedwe chatsopano). M'tsogolo, odziwa mpweya kulandidwa m'mimba zingachititse matenda monga khunyu ndi khunyu la ubongo.

Pachimake yoopsa hypoxia mwana kumabweretsa ischemia ndi minofu necrosis. Ngati pachimake hypoxia amapezeka pobereka, pali zotheka mavuto angapo, malingana ndi njala chifukwa mpweya:

1. Baby Airways si kwathunthu anachotsa madzimadzi amniotic. Pankhaniyi, n'zotheka chitukuko cha chibayo, mu nkhani zikachitika - imfa ya mwana ku kutsamwa.
2. Kuchepa kwa buku lalikulu la magazi. akhanda A akufotokozera hemorrhagic anakhumudwa amasokoneza ntchito ya machitidwe onse. Izi zikachitika, pali choopsa pa moyo, osati mwana komanso mayi.

Atabadwa mwana amene akukonza hypoxia m'mimba, pamafunika polojekiti zonse akatswiri oyenerera. Zotsatira za kuperewera kwa mpweya kumachitika osati mu masiku oyambirira a moyo, koma patapita nthawi yaitali. Choncho ndikofunika kukhala ndi njira yolongosoka kusintha ndi kuvutika mu chitukuko cha mwana cholinga chofuna kudziwa kuti ndi kulepheretsa chitukuko cha mavuto hypoxia.