Senyongo ezisanda kuzalwa ku kuzalwa: oonobangela, iimpawu kunye nonyango

Ukuzalwa kwiimvuthuluka - kuluvuyo olukhulu ukuba abazali. Kodwa ngamanye amaxesha, ingakumbi xa kufikwa-owazalwa kuqala, oko neentsuba ngenxa yotshintsho umbala na ulusu kunye kwiinwebu umntwana. Ziyenzeka, eyaziwa ngokuba senyongo lweentsana, asinto ingaqhelekanga, ke ngoko, ukuba abo kungekudala uza kuzalwa usana kufuneka ufunde okungakumbi ngalo.

izizathu

Kukuvela senyongo xa kuzalwa - kuba nakanjani eqhelekileyo. Loo kwenzeka xa kwiimvuthuluka igazi ngenxa ukubola iiseli ezibomvu yibilirubin ngaphezulu kunesiqhelo. Kufuneka iqondwe into ukongeza zaso igazi lakhe, umzimba usana kufuneka ukusebenza ngakumbi yaye intsalela ezibomvu iiseli zegazi unina. Ngoko ke, lo umthwalo uba namandla, yaye ekugqibeleni oqokelela yibilirubin agqithisileyo, nto leyo ekhokelela ekubeni yellowing of sclera amehlo kunye nosana isikhumba. Kulo mzekelo, umntwana akukho ezinye ezimbi, kucingwa ukuba babe sempilweni, yaye akukho mfuneko unyango.

ifomu bokuphila

Ngokuqhelekileyo, utshintsho imbonakalo yomntwana komzimba kuvandlakanywa kwiintsuku 2-5 emva kokuzalwa shwaka ngeeveki ezingama-2 ubudala. Ngelo xesha igalelo yokuduka ngokukhawuleza iimpawu zheltushki komzimba kunokwenzeka ukuba bahlala bebeka kwiimvuthuluka ukuya ibele. Oku kuya kukhawulezisa kukhethwe isitulo lokuqala - meconium, nto leyo liyasuswa umzimba yibilirubin kwemfuneko. Ukongeza, kucetyiswa kakhulu njalo ehamba kunye nomntwana ngumoya.

senyongo ezisanda kuzalwa period of usana: Oonobangela

Njengoko sele kukhankanyiwe, umbala bendalo ulusu kunye uxakaxa imifinya idla kwakhona iintsuku 10-14 ubudala. waxilongwa ngenye kunye senyongo lweentsana. Oku kungabangelwa:

• ingane ezalwe;
• hormone yibilirubin;
• iiseli enzymatic ubuntwana isibindi;
• wayenobuchule yancitshiswa sokuwubopha serum igazi yibilirubin.
• senyongo ezisanda kuzalwa yezifo (elide).

Isifo ingaba naso okanye lufundiwe.

Kwimeko yokuqala, senyongo lweentsana inokuba ngenxa:

• Pathology le inwebu iiseli ezibomvu zegazi. ngamanye amaxesha Esi sifo ibonakala sele kwixesha lweentsana. Ekuhambeni kwexesha, ukwanda udakada kunye wesibindi, kunye nezinye kamva.
• Erythrocyte enzyme intswelo. Kulo mzekelo, senyongo kwenzeka ngomhla wesibini yobomi. Enye ebonisa lo mnyama umchamo.
• Siphene e kwalo amagama nesakhiwo kunye heme. Kubonakala kwiinyanga 4-6 zobomi yosana.

Ezifuniweyo senyongo yezifo lweentsana kukuba kweentlobo ezintathu:

• isifo Hemolytic ye usana, esisisiphumo kwembambano imuunologicheskogo igazi ezingekazalwa egazini sikanina;
• yokopha kwi izibilini okanye cephalohematoma, olwenzeka xa resorption iimveliso igazi nghena ziindleko kwalo;
• inani nezinye izizathu, ezifana ilungeniselo iiseli ezibomvu zegazi egazini sana, njengesifo ukuvela ibidibene negazi ngexesha lokubeleka kwisiqwenga zesisu kosana, ubukho yokugula nature immunopathological unina wakhe, amayeza, njl hemolysis.

unyango

Njengoko senyongo komzimba, abantwana badla ekucetyiswa ukuba ukuncancisa nokwenza umoya omtsha. Ukongeza, ukuba senyongo lomntwana lweentsana, indlela phototherapy uyasetyenziswa. Le ibandakanya irradiating mixture photo ukukhanya. Phantsi emaphikweni alo emzimbeni wayo kwandiswa yokubola yibilirubin, kwaye ke kubhaliwe kwizondlo kwi umchamo ngendle.

Le nkqubo yenziwa ngolu hlobo lulandelayo:

• undress umntwana ngokupheleleyo (ukuba inkwenkwe, amalungu esini iqhiya) kwaye ibekwe kwibhokisi ekhethekileyo ukuze kuzalwa;
• amehlo ivalwe imaski ngaphaya kwawo kunye ibhanti;
• zokukhanya lwenziwa ubuncinane 2-3 iiyure ukuphazanyiswa lweehagu;
• amaxesha ngamaxesha umntwana bunikezelwe photo umqadi kwafuneka ukufikelela kuzo zonke iinkalo ulusu.

Kwiimeko kuyingozi kakhulu, xa inqanaba eliphezulu yibilirubin lubalulekile, intlanganiso wenziwe rhoqo. Ngelo xesha linye iyure nganye athathe uvavanyo lwegazi. Inkqubo inqanyulelwe kuphela xa Izifundo zibonisa isiphumo obanelisayo yibilirubin.

Contraindication ukuqhubeka phototherapy yinto kwaqapheleka kwesikhumba. Noko ke, izenzakalo ezinjalo waphawula kunqabile kakhulu.

GOIC

Unyango lwe senyongo lweentsana kwiimeko buzaza kwenziwa ngotofelo operation exchange. Izinto ezibonisa ukuba ukusetyenziswa kwale ndlela zezi:

• iziphumo enganelisiyo iimvavanyo kwilebhu amanqanaba yibilirubin kwi igazi imfesane yosana ngexesha lokuzalwa kunye nokukhula isigxina, nxamnye sizoku phototherapy, kunye nabanye;
• ukuzabalaza zegazi umama kunye neempawu zesifo kakhulu hemolytic usana emntwaneni wakhe;
• ukubonakala iimpawu kwiimvuthuluka yibilirubin letyhefu.

components igazi oogqirha igazi zikhethiwe ngokungqongqo ngamnye kumntwana ngamnye kwaye kuthathelwe ingqalelo uhlobo lwegazi ukungavumelani kamama nomntwana. Ngaphezu koko, GOIC zisebenza kuphela emva kokuba crossmatch ngempumelelo ngokusebenzisa catheter ingafakwa Kusenjalo yosana. Kwangaxeshanye, kuba uyazi ukuba nokuba kunye ukhetho oluchanekileyo lwezincedisi ukusebenza kunye nokugcina engqongqo inzalo ngeke ngaphandle ezahlukeneyo iingxaki. Umzekelo, kusenokubakho i Embolism umoya, yaphula intliziyo, usuleleko, thrombosis, ukothuka anaphylactic, kunye nabanye. Ayedla kwenzeke kwisithuba seeyure ezi-3 emva kokuba GOIC, ngoko lonke eli xesha, abasebenzi bezonyango kufuneka esweni ngokungqongqo imeko wosana.

nezinye iindlela

Unyango kwakhona kwenziwa ngokusebenzisa iziyobisi kunye nonyango nokubandakanywa. Kwimeko yokuqala wabelwa "ziksorin" agar-agar "Karbolit" yaye "Cholestyramine 'ekhuthaza ukukhululwa yibilirubin emathunjini. Amachiza cholagogue nazo emiselweyo. Malunga unyango iimela, ngoko kuliwa nezisombululo sodium chloride kunye iswekile, kwaye umxube albumin busetyenzisiwe kwinqanaba protein kuyehla.

ukuvimbela

ezibangela senyongo ezisanda kuzalwa apho zichazwe ngentla, akunakufane kwenzeke okanye iimpawu zakhe hamba ngokukhawuleza ukuba ukuthabatha la manyathelo alandelayo.

• ngoko nangoko emva imvuthuluka uzale qhoboshela ebeleni;
• undress umntwana ezinye uziyekele kwi ilweyile ze kangangesiqingatha seyure;
• ibele ngokufunwa;
• Ukususela kwimihla wokuqala umntwana angahambi ngumoya;
• ukondla usana libele ngalinye imizuzu ubuncinane 7-10;
• ukuba umntwana akavumi kwanya ubisi lwebele kufuneka yabonisa ukuba amnike ngecephe.

Ke kaloku, ukuba uyazi ukuba yintoni na senyongo lweentsana. Iimpawu iintlobo ezahlukeneyo sifo sele ichaziwe ngentla, ngoko, ibona imiqondiso zabo, ungenza ngokukhawuleza ukubonisa ugqirha kwiimvuthuluka kwaye bangalahlekelwa lixesha elixabisekileyo.