Intrauterine hypoxia ezingekazalwa: iimpawu, izinto, unyango kunye nothintelo

Intrauterine hypoxia Palsy - inkqubo esiyingozi, leyo, ngelishwa, yinto eqhelekileyo. Imiphumo hypoxia inokuba kakubi kuchaphazela Palsy kunye nemisebenzi amalungu yayo yangaphakathi. Ukususela isifo ngexesha unyango ixhomekeke ubomi kunye nempilo yomntwana ngeendlela ezininzi.

Ilinde umqondiso

Ngexesha lokukhulelwa - ixesha imincili kakhulu kwaye uvuyo yonke umfazi. Kodwa kucingwa ezimyoli kokuzalwa kosana idityaniswe ixhala malunga nempilo yakhe. Kwi umama okhulelweyo nomthwalo onzima uxanduva. Iinyanga ezilithoba yenzeka kwaye lukhula ubomi obutsha. Health kosana olungekazalwa kuxhomekeke impilo kamama wakhe.

Kukho iingcebiso ezininzi iliso njani impilo yabo ngexesha lokukhulelwa. Oku kusebenza ukutya, indlela yokuphila, uxinezeleko ngokweemvakalelo, kwaye ngaphezulu. Ukungaphumeleli ukulandela le migaqo elula kungabangela iziphumo ezibi kwaye kakubi impilo yosana olungekazalwa.

Enye yezi imiphumo inokuba hypoxia ezingekazalwa, esizakukhokelela ukukhula ezingekazalwa kakuhle kwaye kwezinye iimeko kuphelelwa ukukhulelwa. Ukuze uphephe oku, unina okhulelweyo kufanele ukuba ubungozi ingqalelo ngenyameko ulalelwe kuyo ngexesha lokukhulelwa, uze uzame ukuthintela kwazo.

Yintoni hypoxia

"Hypoxia" - igama yamandulo lesiGrike ngokoqobo bubonakala "ioksijini eliphantsi". Eli gama yindlala ukuchaza ioksijini lifumana ephilayo okanye amalungu ngamnye ngenxa yempembelelo yeemeko ezithile.

Nge elide oxygen yindlala emzimbeni womntu iinkqubo ongenakulungiseka morphological. Bona Ndiyijike ubume ancedisana amalungu kuze kuphazamise ukukwazi kwabo ukusebenza. Xa oksijini yindlala yosana olungekazalwa ukucola phantsi ephazamisa inkqubo lokusekwa enyama yangaphakathi, umntwana kuzalwa ukuqhwalela kuphuhliso lweenkqubo ezibalulekileyo okanye batshabalale. Ezo imiphumo hypoxia Palsy. Kunazo kakhulu zibethwa hypoxia, intliziyo, izintso, isibindi kunye nenkqubo luvo.

oksijini okubangelwa nga ihambe nasiphi na isifo okanye kwenzeka njengenkqubo ezimeleyo, esizakukhokelela imikhuba amalungu zangaphakathi. Ngenxa yesi sizathu, hypoxia ayikwazi sibenokubizwa njengendawo isifo, oko yinkqubo lwezidumbu, ngokufanayo komtshiso okanye ukonakala.

Iimpawu ze hypoxia foetal

Oku kuqatshelwe ukuba kwiinyanga ezintathu zokuqala zokukhulelwa anoxia senzeka manqaphanqapha. Kwiimeko ezininzi, oku kwenzeka ezintathu wesibini nowesithathu. Oku kungenxa yokuba kunye ekukhuleni kosana olungekazalwa kwenzeka kunye nokukhula kwemfuno yalo ioksijini, yaye kwiimeko ezithile ezinzima, abakhulelweyo abakwazi ukumelana nalo msebenzi.

oksijini ukuhluleka umntwana kunzima ukubona ngaphandle ukuqhuba izifundo diagnostic, ingakumbi xa nisaqala yokukhulelwa. Kodwa kukho ezinye iimpawu hypoxia ezingekazalwa, ekufuneka ibe umqondiso ophawulekayo ukuba umama okhulelwe.

Into yokuqala ozakuliqaphela umsebenzi Palsy. Ummiselo imalunga ezilishumi perturbations ngemini. Kumanqanaba okuqala hypoxia Umntwana uqala ukuva ukungakhululeki, ngoko kakhulu iyasebenza. Xa perturbations elide imali eyoneleyo oxygen kunciphisa. Ukongeza, hypoxia foetal Icahn ukuze lungachazwa engekazalwa rhoqo.

Ukuba isixa ukwahluka perturbations ezivela hiccups eqhelekileyo rhoqo hayi ezinxulumene umthambo umama okhulelweyo okanye kwindawo ungakhululekanga, kufuneka ukuba likhawuleze ukuqhagamshelana umntu oza kutyhila isizathu sokuba ukuziphatha ezinjalo olungekazalwa kwaye ukumisela unyango ukuba kukho imfuneko.

oonobangela

Izinto ezibangela hypoxia intrauterine foetal inokuba nomahluko. Ezi zifo abacinezeli abasetyhini abakhulelweyo, kwizifo placental zosulelo, malformations Palsy.

UMama izifo, okukhokelela hypoxia ezingekazalwa, zezi zilandelayo:

• igazi;
• nokuphazamisa inkqubo yegazi;
• izifo amalungu zemigudu;
• seswekile.

Ukongeza, impilo yosana nempembelelo imikhwa emibi ukuba wambetha unina okhulelwe. Prevention of hypoxia foetal Oku kuquka kumiwe ngokupheleleyo ukutshaya kunye notywala. Kuba hypoxia Palsy kunokubangela nayiphi na ukutenxa nesithethe lokukhulelwa. nokuphambuka okunjalo kungaba abruption kunye kwesikhumba ngumkhaya, lo perenashivanie ungakanani okanye ukwanda ithoni zesibeleko.

Enye into esizakukhokelela oxygen ngxaki akuvumelani Rhesus unina kunye nomntwana. Le ukungavumelani bungabangela izifo hemolytic yosana olungekazalwa, nto leyo Idla yi hypoxia. Ukongeza kwezi zinto, impembelelo kunokuba nempembelelo ngoomatshini ekukhuleni kosana olungekazalwa - azibophelele imfesane yosana ucinezelo intloko ngexesha lonikezelo njalo njalo.

Izinto ezibangela hypoxia intrauterine nako kunokubangela ezinye iingxaki, embi ngokulinganayo. Ukuthintela iziphumo ezibi Palsy, umama okhulelweyo kufuneka esweni ngabasebenzi abaqeqeshiweyo kulo lonke ixesha yokukhulelwa.

Types of hypoxia foetal

Kuxhomekeka anoxia elide kuyaqhubeka ngayo, hypoxia ezingekazalwa uye iintlobo ezimbini: oyingozi futhi ezigulo ezondeleyo. hypoxia Acute luphawulwa ukuhla elibukhali kwi oksijini ekubonelelwe. Lolona hlobo luqhelekileyo zizitye ngexesha lenkqubo sokuzalwa okanye lweenkcukacha zesibeleko ukopha. hypoxia Chronic Palsy abunjwe kwithuba elide, ngokuthe ngcembe ngokwaphula iinkqubo Palsy.

Ubungakanani yokuqhubela phambili oksijini yindlala

Olwabiweyo degrees ezintathu hypoxia Palsy. Ekuqaleni iziqhamo ngaphandle kokuba anenani elifunekayo ioksijini, uzama ukubuyisela ngenxa yokuswela kwayo. Le isidanga sokuqala Ukubekela bayicime ukuswela ioksijini. Emzimbeni, umntwana eqalisa ukuba utshintshe, ezijolise ukwandisa umthamo ioksijini ozayo. Ukukhulisa amanqanaba hormone, ukunyusa isandi kwemithambo yegazi - cortisol. Iphakamileyo kumanqanaba cortisol ivuselela ukwanda umthamo wegazi ukuba ajikeleze ngazo ezityeni, kunye nokwanda kwereyithi entliziyweni. Ukutshintsha isimo igazi: kwandisa kwinqanaba mpilo kunye neeseli ezibomvu zegazi. Ukongeza, kukho umsebenzi nangakumbi wosana. Eqalisa ukuba anyakaze ngomdla usenza iintshukumo ukuphefumla, nangona glottis ezivaliweyo.

In inyathelo lesibini imbuyekezo kwenxenye imisebenzi ibakhusela eziphilayo limisele imizimba ephambili, ezinikwa mpilo ikakhulu. Ezi zitho intliziyo nengqondo, ngokulandelelana, amanye amalungu (izintso, imiphunga, iphecana zesisu) igazi, ioksijini-amahlwempu, nto leyo ekhokelela uqhushululu kuphuhliso lwabo kunye nokusetyenziswa. Oxygen ukunqongophala kuphumela yokuwa glucose. Oku kunciphisa amandla agcinwe kwi kwiiseli eziphilayo nokuphazamiseka metabolic.

Chronic hypoxia intrauterine foetal iye progression and sesithathu - decompensation. Ngaphandle UMDLALO kubonakaliswa njengoko unciphiso kumsebenzi kunye nokunciphisa rate intliziyo Palsy. iindlela zokukhusela Employment ukuqinisekisa unyanzeliso ioksijini, kuba kuyahexa. Cortisol iveliswa hi mpimo enganelanga, ngokulandelelana ukucola ukuhamba kwegazi, kwaye unciphisa isixa elijikeleza igazi. Igazi okroqiweyo carbon dioxide, coagulation igazi aphazanyiswa, nto leyo ekhokelela kuseko thrombi nesehlo ukopha.

amanyathelo zokuxilonga

Ukuze ubone ubukho kunye neqondo oksijini yindlala ekuncedeni iindlela negalelo of kokuxilongwa. Le nqubo yokuqala enjalo cardiotocography (uqale). Le ndlela diagnostic kukhuselekile ngokupheleleyo. Icebo ngokuqhubekayo ingxelo CTG izinga lentliziyo ezingekazalwa kunye kwamathumbu zesibeleko. Ngoncedo yemizobo ultrasound wabonisa tachogram. Le grafu emele inani izishunqulelo kwemisipha wentliziyo isixa yanikezwa ixesha. Strain gauge umlinganiselo ukuhla xi ithoni zesibeleko, kukukhupha gisterogrammu - grafu umsebenzi zesibeleko kwezihlunu. CTG ubala inani perturbations kwaye aya kulandelelwa ngokumana kusenziwa rhoqo uxhomekeko yomsebenzi yentliziyo Palsy.

Ukususela kwiveki wamashumi amabini yokukhulelwa, ukuze afunde Doppler ultrasound. Le ndlela lijoliswe isifundo yokumpompoza kwegazi ukusuka ngumkhaya ukuya kumama ukuya kwimveku ukusuka ngumkhaya kwaye ukubona nokuhlukunyezwa Esibelekweni-placental kwegazi. Ngale ndlela diagnostic nazo ukumisela umgangatho fluid.

Ngaphandle ubuchule ngasentla, yingcali intliziyo ezingekazalwa uyayiphulaphula ukuba indlela esiwenza ngayo umsebenzi waso usebenzisa yeSkrini yokubelekisa. Nangona kunjalo, le ndlela olungachanekanga, ngoko ukuba urhanela ukuba intliziyo anomaly ugqirha okhulelweyo walathisa indlela CTG ultrasound.

unyango

Unyango lwe hypoxia intrauterine Kufuna esweni okhulelweyo esibhedlele. Banandiphe uxolo ngokupheleleyo yaye bamisa indlela enyangayo yonyango, ejoliswe nje kuphela oxygenation igazi, kodwa kwakhona ukuqaphela isizathu sokuba le hypoxia. Ngokuqhelekileyo, ukungaqheleki ukukhulelwa ezifana hypoxia intrauterine ezingekazalwa, - imiphumo okanye uneempawu zaso nasiphi na izifo.

Ugqirha Pregnant ekunika ukuba kuthoba viscosity igazi, ukuphucula igazi kuqukuqela ngumkhaya ukusuka unina bunjani yokucolwa phakathi unina kunye engekazalwa. Ukuqeshwa nezinye iziyobisi neenkqubo zixhomekeke unobangela hypoxia, ukuba kubhaliwe kutyhilwa, kwaye ijolise ukuphelisa yoku.

Ukuba Dynamics ezakhayo isigulane amisele nokwenza izindululo malunga nokuthintela hypoxia. Ezi ziquka umthambo yangaphandle, sinciphise umsebenzi ngokwasemzimbeni, uphambuke imikhwa emibi nokugcina imithetho ethile apha ekutyeni. Kwimeko apho unyango kuphumelele, kwaye ukunqongophala mpilo igcinwa, ifuna utsalo zoqhaqho olungekazalwa. Ukuba yobudala sokukhulelwa mkhulu kweeveki ezimashumi mabini anesibhozo, ugqirha umisela utyando - icandelo ngoqhaqho.

ukuvimbela

Kukho ezinye iingcebiso ezilula, ukuthobela leyo eya kunceda ekunciphiseni ubungozi oksijini intswelo baby. Ngaphambi kokuba uceba ukukhulelwa, umfazi kufuneka wenze unyango lwezifo ezingapheliyo, lahla nemikhwa emibi. Ukuba kwenzeka ukukhulelwa kubalulekile ukuba ubhalise kwiziko lonyango ekukhulelweni ekuqaleni. Kuyo yonke le ukukhulelwa, kufuneka atyelele rhoqo ugqirha ayokuvavanywa kwaye wenze ultrasound. Oku kuya kuqinisekisa ulawulo phezu impilo umfazi omithiyo umntwana, yaye ngaloo ndlela ukunceda ukuthintela uphuhliso imeko enokwenzeka zophendlo lwezifo ze olungekazalwa.

Into ebalulekileyo ekuthintelweni hypoxia intrauterine ekulondolozeni indlela yokuphila esempilweni. Kufuneka ukuchitha ixesha elininzi ngaphandle, ukulala iiyure ezisibhozo ngosuku, ukutya okunezondlo.

Ngexa lokukhulelwa, imfuneko makasizalise kwimpahla iivithamini kunye nezondlo, umgangatho apho yancitshiswa ngenxa yokuba umthwalo owongezelelweyo emzimbeni. Kufuneka bagcine amanqanaba eqhelekileyo calcium, nemagnesium kunye nezinye izimbiwa. Eyona nto ibaluleke kakhulu ulawulo lwesiqulatho ensimbi egazini, njengoko inqanaba esezantsi kukhokelela anaemia - eyona nto ibangela hypoxia. Thatha mzimba kufuneka ngokungqinelana gqirha ingalinganiselwa.

imiphumela

Imiphumo hypoxia intrauterine kuxhomekeka kuhlobo lwayo. hypoxia Chronic, eyaqala ngo ukukhulelwa ekuqaleni, xa kuphela nje kuqala ukuyilwa iinkqubo ebalulekileyo olungekazalwa kunokukhokelela kwasekuzalweni. Hypoxia kugqithiselwa kamva xa ekhulelwe, kunokubangela abazizidalwa ngokukhula ezingekazalwa, kwakunye ezikhokelela ischemia kunye necrosis amalungu ngamnye. A usana olusanda kuzalwa basoloko yokushotelwa ubude, kwakunye kwixesha elinzima lohlengahlengiso (utshintsho ephilayo kwindawo entsha). Kwixesha elizayo, onamava komoya esibelekweni kunokubangela izifo ezifana sokuxhuzula kunye abanedumbe lobuchopho.

Acute foetal umntwana hypoxia kukhokelela ischemia kunye inyama necrosis. Ukuba hypoxia zizitye ngexesha lokuzalwa komntwana, kukho iziphumo eziliqela kunokwenzeka, ngokuxhomekeke yindlala isizathu ioksijini:

1. Baby Airways bangabi kususwa ngokupheleleyo fluid. Kulo mzekelo, uphuhliso kunokwenzeka yinyumoniya, kwimeko okubi - ukufa umntwana ukomiwa.
2. Ukulahleka umthamo omkhulu wegazi. Usana iphuhlisa shoka ukopha ukuba kuphazamisa indlela elisebenza ngayo zonke iinkqubo. Phantsi kweemeko ezinjalo, kukho isoyikiso ebomini, kungekuphela nje usana kodwa unina.

Emva kokuzalwa komntwana lowo unenzondelelo hypoxia esibelekweni, ifuna esweni rhoqo yeengcali abafanelekayo. Imiphumo oksijini intswelo kungenzeka hayi ngemihla yokuqala yobomi, kodwa kakhulu kamva. Ngoko ke kubaluleke kakhulu ukuba ukugcina umkhondo utshintsho nabanezinto ezingaqhelekanga kuphuhliso wosana ukuze ukuchonga iyaluthintela uphuhliso neziphumo ezibi kakhulu hypoxia.