Perinatal imfa: Tanthauzo, Zoyambitsa anapezazo

The amafa ana asanabadwe ndi pa masiku asanu ndi awiri pambuyo - vuto si chatsopano. Ngati kale iwo sakanakhoza kusankha chifukwa cha khalidwe osauka chisamaliro obstetric (pambuyo umayi anaonekera yekha mu 20s za m'ma XX., Ndipo onse anabereka pa agogo-anamwino), tsopano perinatal imfa, womwe akuti Iwo imalongosola zodabwitsazi, kwambiri kuphunzira ndi madokotala, statisticians, akatswiri ochokera magulu osiyanasiyana.

Lingaliro kwambiri pa pamatenda perinatal - ndiyo imfa ya mwana wosabadwayo ndi twente chitatu sabata chitukuko yoopsa masiku asanu ndi awiri pambuyo pa kubadwa kwa mwana. Pa nthawi, mayiko onse limagwirizana zizindikiro chotero kuti inu mukhoza kufanizira ziwerengero, kuzindikira. Kuphunzira zimayambitsa imfa perinatal - mmodzi wa ntchito yaikulu ya madokotala. Iwo amadziwa chifukwa, adzatha kuthetseratu zodabwitsazi.

Pofuna kumvetsa bwino zimene uli pangozi, ndi madzi pang'ono mu mawerengero youma. Pakuti mawerengedwe a mlingo perinatal imfa kupita naye nkhani wosabadwa kapena akhanda amene misa ndi kilogalamu kuposa wina, ndi ngati thupi silingathe udzakhazikitsidwa, pamene amaganizira ntchito chinkafunika - kutalika kwa thupi ziyenera kukhala oposa makumi asanu masentimita, Chofanana masabata makumi awiri mphambu zisanu ndi zitatu za chitukuko yoopsa.

Mu ziwerengero wonse kuti zipatso masekeli kuposa paundi, masentimita makumi awiri mphambu zisanu m'litali, ndi masabata 22 a mimba. Nchifukwa chiyani anavomereza kanjedza zimenezi? Kuyambira mu 1993, malinga ndi malangizo WHO kwa nyengo chitukuko cha ana akangobadwa, m'pofunika kupereka kuwatsitsimula. Ndiko kuti, kwenikweni chimatengedwa ngati kubereka moyo, kutanthauza kuti imfa iliyonse yoopsa imatengedwa imfa. Ichi ndi chifukwa chakuti mu dziko pali milandu akumuyamwitsa mwana ndi kulemera amenewa ndi mawu.

Ngati imfa zinachitika yoperekera mu masiku asanu ndi awiri, kapena mwana anabadwa akufa, koma zonse yaitali ndi yotheka, madokotala amene anabadwa, ndi kuti akuyenera awadziwitse akuluakulu kulembetsa boma. Pamene boma imfa perinatal satifiketi zachipatala chikalata chitsanzo makamaka. Ngati mimba si chipatso cha obadwa, monga Buku zili aliyense wa mwana womwalirayo. Pofuna kukhala m'tsogolo, zimayambitsa kupewedwa imfa perinatal zakonzedwa ndi autopsy, ndilo kuvomerezedwa. Poti yomaliza imene dokotala wodziwa za vutoli monga msana ndi Ufumuyo satifiketi.

Pakati zimayambitsa imfa perinatal ndi anatchula kunyumba kubadwa, amene posachedwapa kukhala yapamwamba ofunika. Ndipo amayi nthawi zambiri sazindikira kuti nyumba kubadwa zoona, kutenga malo popanda thandizo la ogwira ntchito zachipatala, chifukwa ngakhale kukhalapo kwa dokotala popanda zida chokwanira cha mankhwala kuwatsitsimula si kuthandiza mwanayo ngati akufunika kutero. Nthawi zina kunyumba kupsyolela ndi mthunzi chigawenga pamene mayi akufuna kuchotsa mwana, kum'pangitsa makamaka kuvulaza. Mu nkhani iyi, autopsy umabala Katswiri azamalamulo. Ndipotu, ndi nthawi yoti mayesero, chifukwa apa chala zonse limakhala ndi mayi, amene zochita zawo sizinathe amathandiza kuti njira yachibadwa za pobereka.

Ngati mwana wamwalira mlungu woyamba, ndiye m'kaundula mu ofesi kaundula kawiri: koyamba monga anabadwa, ndipo nthawi yachiwiri womwalirayo.

Pa autopsy, madokotala amaona yoopsa chosayenerera, omwe anali ndi matenda a mayi ake, zosokonezeka mimba, pobereka.

imfa Perinatal akuonetsedwa ngati chiŵerengero cha amafa mu m'badwo perinatal ndi chiwerengero cha ana obadwa kuchulukitsa ndi zikwi. Nkofunika kuti kusanja zomwe zimayambitsa imfa asphyxia vuto yoopsa chitukuko, chibayo, matenda magazi. Kuti imfa perinatal langokhala, ndi kuyang'aniridwa woyembekezera, Kukhwimitsa makamaka akazi pangozi (makamaka zipatso, pambuyo mimba angapo akudwala matenda aakulu, starorodyaschimi). Si madokotala yekha, komanso mkazi ayenera kukonzekera kubadwa kwa mwana wathanzi, kutsatira mfundo dokotala, kuchititsa yolondola ya moyo, kusiya zizolowezi zoipa.