Intrauterine ukukhawulelwa ukukhula: oonobangela, uxilongo, unyango, iziphumo

Phantse omnye abafazi ezilishumi indawo ugqirha yenza une "yokudodobala foetal ukukhula intrauterine '(IUGR). Yingcali umisela ubukho ezingaqhelekanga luphawulwa ukungahambisalani toddler Isanti izikhombisi asezantsi iveki elinikiweyo yophuhliso. Njani ngokwenene yingozi le ngezifo kwaye usongela ngayo umntwana, kubalulekile ukwazi yonke unina, ngenxa iziganeko ezinjalo ngokupheleleyo akukho namnye uya kusinda.

Yintoni IUGR?

Intrauterine Palsy, ngokuqhelekileyo kwafunyaniswa ngokusekelwe ultrasound. Pathology uzimisele ukuba umntwana ubunzima ngaphantsi kwe standard rates, okufana eli xesha lophuhliso. Xa yezonyango, usebenzisa itafile eyenzelwe ngokukhethekileyo equlethe ubunzima iziqhamo ngokungqinelana nobudala yayo sokukhulelwa, okt ixesha ukususela ekudalweni ifakwe. Le rate idla kumiselwa kwiiveki. Ngamanye amazwi, kukho eminye imithetho age ngalinye sokukhulelwa. Iyunithi basic zemilinganiselo iitafile ezinjalo - percentile. Ukuba iziqhamo ngaphantsi kwe-10 percentile le theyibhile, ugqirha iqinisekisa phambi ngezifo.

Intrauterine abazizidalwa ngokukhula: Oonobangela

Ngamanye amaxesha lokufunyaniswa abazali IUGR kufuneka Ungakhathazeki. Kwenzeka ke ukuba umntwana azalwe ubungakanani omncinane, njengoko uyise nonina hayi mde kakhulu. Olu phawu komzimba aluchaphazeli umsebenzi womntwana, uphuhliso yakhe engqondweni nasemzimbeni. Ngethuba lokukhulelwa emva kokuzalwa kosana akukho mfuneko kwanonyango esinda okungqalileyo.

Kuzo zonke ezinye iimeko kufuneka ukuba anikele ingqalelo ekhethekileyo uxilongo. Le meko ingakhokelela ekubeni ezingaqhelekanga kakhulu ekukhuleni komntwana okanye ukufa olungekazalwa. IUGR asenokubonisa ukuba usana esizalweni yindlala. Oku kuthetha ukuba akukho nto ufumana ukunyuka olwaneleyo zizondlo neoksijini. ukuqhwalela izondli ngokuqhelekileyo ngenxa yezi zizathu zilandelayo:

• Engalunganga set chromosome.
• imikhwa Mother ombi (ukutshaya, ukusela utywala neziyobisi).
• Izifo izifo (lwegazi, ianemia, izifo nemithambo yegazi).
• eyona ndawo engafanelekanga kunye nokusekwa kwe ngumkhaya.

Ngaphezu koko, oogqirha bathi eziliqela nezinye izizathu, nto leyo nayo ukubangela abazizidalwa syndrome Palsy:

• ukukhulelwa ezininzi.
• Ukusetyenziswa kweziyobisi ngaphandle kagqirha.
• Ukuzalwa emva kweeveki 42.
• isondlo Poor. abafazi abaninzi abafuni ukuba ngcono ngexesha lokukhulelwa, ngoko ngesantya ngokwakho izidlo. Ngaloo baphambana zokuncipha umzimba, nto leyo ekhokelela kuphuhliso ngezifo.
• uhlobo esosulelayo isifo (toxoplasmosis, rubella, negcushuwa).

picture clinical

Ziintoni iimpawu kunye abazizidalwa ngokukhula intrauterine? Iimpawu yezifo abonakale ngokufuthi ukukhulelwa ekuqaleni (malunga nama-24-26 iiveki). Ukumisela umfazi yabo ayiyi kuba nako, oko sinokukwenza kuphela ngugqirha. IUGR syndrome unesifo yi-non ukuthotyelwa zikhombisi zilandelayo:

• Ubungakanani intloko ke femoral usana.
• wedini besisu kwinqanaba elithile, intlomo fundus zesibeleko.
• Umthamo fluid.
• operation ukungathobeli beendawo (ukutshintsha isakhiwo sayo kunye nemilinganiselo).
• FHR.
• igazi flow kwi ngumkhaya kunye imfesane yosana.

Kwezinye iimeko, le ngezifo ngokukhawuleza iphuhlise kwaye inkqubela ngaphandle neziphithiphithi, okt nazimpawu.

elihlabayo

• I degree. Intrauterine abazizidalwa ngokukhula of 1 kuthathwa ukuba kube lula kakhulu, njengoko ukuqhwalela kuphuhliso data anthropometric, ehambisana ixesha elithile sokukhulelwa iiveki ezimbini kuphela. Ulawulo kwangethuba unyango kunokuba olusebenzayo ukunciphisa amathuba neziphumo ezibi usana.
• degree II. Development Ukuvalelwa malunga 3-4 iiveki, kufuneka unyango kakhulu.
• isidanga III. Kucingwa ngohlobo ngokuqatha olungekazalwa ngenxa parameter ukusilela inyanga enye okanye ngaphezulu. Le meko idla ilandelwa yi ekuthiwa-organic utshintsho. ukukhula intrauterine degrees 3 kaninzi kuphelela ekufeni.

Azilingani shape zokugula

Kulo mzekelo, kukho ukwehla kakhulu ubunzima ezingekazalwa kwi kukuhluma okuqhelekileyo. Umntwana sifo ukuqhwalela ekubunjweni esifubeni kunye kwizihlunu ezithambileyo esiswini, uphuhliso okungaqhelekanga komzimba. Iinkqubo kunokwenzeka ezimagqagala zangaphakathi omzimba. Xa engekho unyango ezaneleyo iqala ukunciphisa ubungakanani intloko ukuqhwalela kuphuhliso ingqondo ukuba phantse lonke ibandakanya kokufa olungekazalwa. Azilingani IUGR ngobuwena Syndrome lwenzeka ubukhulu becala kwithuba leenyanga ezintathu lesithathu malunga nokuvuleka insufficiency placental.

Imilo macala le ngezifo

Xa kukho uhlobo macala ukuhla efanayo ubunzima, ubungakanani amalungu kunye nokukhula ezingekazalwa. Le ngezifo kudla senzeka nisaqala zokukhulelwa ngenxa kwizifo ezingekazalwa (zosulelo, ukungaqheleki chromosomal). Twatsa abazizidalwa ngokukhula intrauterine lwandisa amathuba okufumana umntwana sinesiphene ukusekwa CNS.

amanyathelo zokuxilonga

Ukuba ukrokrela ukuba lo mfazi ngezifo kufuneka bangenele uvavanyo olupheleleyo diagnostic. Ubukhulu becala ugqirha uqokelela imbali yesigulane, wathi ngaphambili watshintshelwa izifo yamanina, ingakumbi ngexesha lokukhulelwa odlulileyo. Emva koko, ukuxilongwa ngokwasemzimbeni umlinganiselo imbopheleleko yenu umtya ojikeleyo esiswini, wesibeleko, ubude kunye nobunzima kwabasetyhini.

Ngaphezu koko, angafuna ultrasound, Doppler (uvavanyo igazi-flow kwemithambo ngemithambo) kunye cardiotocography (recording esiqhubekayo izinga lentliziyo ezingekazalwa, nomsebenzi wayo izishunqulelo zesibeleko ngqo). Ngokusekelwe kwiziphumo zeemvavanyo bangakuqinisekisa lokufunyaniswa oyingcali, okanye ukuphikisa kuyo.

Yintoni unyango efunekayo?

Ukuze ubone amacebo ezilandelayo yokukhulelwa emva kokuba une "abazizidalwa ngokukhula intrauterine" kufuneka athathe ingqalelo ezibangela izifo, uhlobo kunye nobungakanani sifo. Imigaqo ezisisiseko unyango kufuneka kukujolisa ekuphuculweni igazi ukuhamba kwi "isibeleko-beendawo-umbungu '. Onke amanyathelo zonyango kwenziwa esibhedlele. Okokuqala umfazi kufuneka inike ukuphumla, ukutya okusempilweni yaye bubuthongo ngokupheleleyo elide. Enye into ebalulekileyo unyango luthathwa ngokuba ukulawula imeko yangoku olungekazalwa. Ukuze ezi njongo, wasebenzisa ultrasound zonke iintsuku 7-14, cardiotocography kunye Doppler ithombo legazi.

unyango Drug iquka ukufumana angioprotectors ukukhusela izitya nxamnye Tocolytics zesibeleko izihlunu kwempixano ( "papaverine", "No-Spa"), siqinisele iindlela. Ukongeza, bonke abafazi, ngaphandle kokukhetha, amisele amayeza ukunciphisa neuro-psychological inkanuko (tincture of Leonurus, valerian) yaye kuphucula zibaleke igazi ngumkhaya ( "Aktovegin", "Kurantil").

Kuxhomekeka iqondo sandla isifo unyango ungahluka. Intrauterine abazizidalwa ngokukhula kwe-1 degree ngokuqhelekileyo ngokugqibeleleyo efanele kuthomalaliso, amathuba neziphumo elibi kuncitshiswe. Xa ezimbi kakhulu kufuna indlela ezahlukeneyo kunyango, kunye neziphumo zicwadi kunzima kakhulu ukuqikelela.

eyeka ukukhulelwa

ukunikezelwa Early, kungakhathaliseki ngexesha lokukhulelwa, kucetyiswa kwezi meko zilandelayo:

1. Ukungabikho lwezibonisi eli thole iintsuku ezili-14.
2. Buqapheleke ukonakala imo usana ngaphakathi esizalweni (umz, sehlise igazi flow kwimikhumbi yegazi).

Pregnancy iyigcine ezona kwiiveki 37 Xa ngenxa kuthomalaliso zonyango ziye zaphucuka komsebenzi xa akukho mfuneko ukuthetha malunga lokufunyaniswa "abazizidalwa ngokukhula intrauterine yosana olungekazalwa."

Imiphumela kanye nobunzima kunokwenzeka

Kids nalo ngezifo emva kokuzalwa ukuze ukungaqheleki sandla ezahlukeneyo, ukuhambelana abo kuqhubana ngayo ubomi obuqhelekileyo ubukhulu becala uya kuxhomekeka abazali.

Imiphumo yokuqala ukuvela sele ngexesha delivery (hypoxia, ukuphazamiseka of imvelaphi luvo). ukukhula intrauterine ukucola emuncu kwenkqubo luvo kunye nemisebenzi yayo, nto leyo ichaphazela zonke inkqubo. Aba bantwana zidla buthathaka zokuzikhusela, kwiminyaka kamva kukho amathuba ukwanda ingenzeka kwezifo kwenkqubo sentliziyo.

Abasafunda ukuhamba ukuya kwiminyaka emihlanu sivame ukuxilongwa ubunzima inzuzo kade, lengqondo abazizidalwa, malformation kweenkqubo zangaphakathi, hyperexcitability. Xa elivisayo, kukho umngcipheko ophezulu seswekile. Aba bantwana basoloko kusenokwenzeka ukuba utyebile, zibonakala neengxaki uxinzelelo lwegazi. Oku akuthethi ukuba ubukho babo ngemihla ziya kuba sisiya kufumana amachiza kunye nobomi kwizibhedlele. Kufuneka nje ingqalelo ngaphezulu ukutya zabo umthambo ngemihla.

Abanye abantwana abaye unesigulo abazizidalwa ngokukhula intrauterine degrees-2 baze banyangwe ngokufanelekileyo, akukho kwahluka noontanga babo. Bathi usenokuphila ubomi obuqhelekileyo, ukudlala imidlalo, ubudlelwane nabangane kwaye ufumane imfundo.

njani na ukuthintela IUGR?

Uthintelo kakhulu kwesi sifo - ucwangciso esakhulelwe elizayo. Malunga nesiqingatha abazali kufuneka kuwisa uviwo olubanzi aze aphathe bonke abo esinganyangekiyo. Ukwala imikhwa emibi, indlela efanelekileyo, ukutya okunempilo imihla umthambo uxinzelelo - ukhetho ingcono yokuthintela ukuba IUGR.

A utyelelo kwikliniki kokubeleka rhoqo, phezu ubhaliso ludlala indima ebalulekileyo lokufunyaniswa "abazizidalwa ngokukhula intrauterine yosana olungekazalwa." Unyango ubhaqo ngexesha sifo ukunciphisa umngcipheko emibi.

A abasetyhini abakhulelweyo kufuneka eyakhiwe kakuhle kwaye imo yokucima izenzo. Abanye echanekileyo kunye olupheleleyo ithetha iiyure 10 balala ebusuku kunye 2:00 emva kwemini. Le ndlela ivumela ukuphucula kwegazi kunye nothutho izondlo phakathi umama nomntwana.

iin- imihla ngemihla umoya omtsha, ukusebenzisa xi nga ukuphucula kuphela impilo jikelele okhulelweyo, kodwa ukubuyisela imeko Umbungu ngaphakathi esiswini.

isiphelo

Musa ukushiya ngaphandle ingqalelo ngezifo ezifana abazizidalwa ngokukhula intrauterine, ifuthe apho kunokuba buhlungu kakhulu. Kwelinye icala, abazali akufuneki ukwamkela lo uphethwe ngathi isivakalisi. Ukuba ibekwe ngendlela ngexesha, umama elitsha elizayo iya kuthatha onke amanyathelo ayimfuneko ukuphelisa izinto zalo kwaye siya kulandela zonke iingcebiso gqirha, i-ALS kunokuba ibe intle. Kwihlabathi akukho miqobo abangakwaziyo koyiswe. Kubalulekile ukukhumbula ukuba uvuyo ngumama into eyogqitha!