Intrauterine fetus hypoxia: zviratidzo, zvinokonzera, kurapwa uye ekudzivirira

Intrauterine child hypoxia - mumwe mutoo ngozi, izvo, zvinosuruvarisa zvikuru zvakajairika. Migumisiro hypoxia kunogona kukanganisa fetus uye mabasa ayo nhengo dzomukati. Kubva nenguva zvokuongorora uye kurapwa kunobva upenyu uye utano mwana nenzira dzakawanda.

Kumirira chishamiso

Panguva pamuviri - a inonakidza chaizvo uye vachifara nguva yokuti mukadzi ose. Asi rinofadza kutarisira pakaberekwa mwana akawedzera kuti kufunganya pamusoro utano hwake. On amai vanepamuviri unorema pamusoro basa. Kwemwedzi mipfumbamwe inokudziridza uye inokura upenyu hutsva. Health of mwana kunoenderana utano mai vake.

Pane mazano akawanda sei akuteerere utano hwavo panguva yepamuviri. Izvi zvinoshandawo zvokudya, mararamiro, mupfungwa, uye zvakawanda. Kukundikana kutevera mitemo nyore izvi zvinogona nemigumisiro uye kukuvadza utano azvarwa.

Rimwe Migumisiro izvi zvinogona fetus hypoxia, entailing vasingadzoreki fetus kukura uye mune zvimwe zviitiko zvishoma nezvishoma pamuviri. Kuti izvi zvisaitike, amai vanepamuviri anofanira kunyatsoongorora vaiona zvinokonzera njodzi kuti vanovandira naye panguva pamuviri, uye edza kurambidza chiitiko chavo.

Chii hypoxia

"Hypoxia" - chekare Greek shoko sezvariri anoshandura se "pasi okisijeni". Izwi anoratidza okisijeni nenzara kunzwa munhu muviri kana munhu nhengo yakafanira kufurirwa zvimwe zvinhu.

With kwenguva refu okisijeni nenzara muviri kusingarapiki morphological kwendangariro. Ivo kuchinja maumbirwo nyama uye nhengo uye kuvhiringidza kugona kwavo kushanda. Kana okisijeni nenzara zviri mudumbu DZEMUNHU DZINODZORA uye kwakakanganiswa chirongwa paumbwe zvomukati, mwana anogona kuberekwa aine lag kukura zvinokosha hurongwa kana kuparara. Akadaro migumisiro fetus hypoxia. Zvikuru kwazvo pachena kuti hypoxia, mwoyo, itsvo, chitaka uye nechepakati tsinga.

okisijeni kushaikwa anogona kuenda chero chirwere kana kuitika sezvo yakazvimirira muitiro, entailing zvakaipa nhengo dzomukati. Nokuda kwechikonzero ichi, hypoxia haigoni semhosva nechirwere, ndiko pathological chichiitwa, sezvaiitwa chokutsva kana degeneration.

Zviratidzo fetus hypoxia

Zvinonzi kuzivikanwa kuti mitatu yokutanga yepamuviri anoxia hwapedyo Kazhinji. Kazhinji, izvi kunogona kuitika munyika trimester rechipiri uye rechitatu. Izvi imhaka yokuti pamwe kukura mudumbu kunoitika uye kukura kwayo okisijeni kudiwa, uye mune mamwe mamiriro ezvinhu, asi pamuviri havagoni kukurira basa iri.

okisijeni kushayiwa ari mwana anonetsa kuona pasina kuitisa zvidzidzo chirwere, kunyanya tanga pamuviri. Asi pane zvimwe zviratidzo fetus hypoxia, izvo zvinofanira kuva zvaityisa mureza amai vanepamuviri.

Chinhu chokutanga kucherechedza ndiyo fetus basa. The ndeyokuva perturbations anenge gumi pazuva. In kwokutanga nzendo hypoxia mwana anotanga kunzwa kunetseka, saizvozvowo rinoshanda. At yakareba perturbations kukwana okisijeni uwandu kunoderedza. Uyezve, fetus hypoxia Icahn anogona dzinoratidzwa kakawanda mudumbu.

Kana kutsaudzira uwandu perturbations kubva kuipa uye kakawanda hiccups asina chokuita muviri amai vanepamuviri kana ari kusununguka chinzvimbo, zvinodikanwa kukurumidza kutaura munhu ichafukura chikonzero maitiro akadai mudumbu uye taurira kurapwa kana zvakakodzera.

zvinokonzera

Zvinokonzera intrauterine fetus hypoxia angava akasiyana. Ava zvirwere vakadzi nepamuviri, placental zvokurwara chirwere, fetus malformations.

Amai zvirwere, zvichiita kuti fetus hypoxia, ndedzinotevera:

• kupererwa neropa;
• disruptions kuti kumwoyo;
• zvirwere kufema zvomukati;
• cheshuga.

Uyezve, mwana wacho utano kukanganiswa tsika dzakaipa wakatambudza amai vanepamuviri. Kudzivirira fetus hypoxia Anosanganisira kumbomira zvakakwana kusvuta uye doro. For fetus hypoxia kungaita chero yakatsauka kubva akagamuchira dzemunharaunda akazvitakura. zvarakasiya kwakadaro kungava abruption uye kukurumidza kuchembera zviri placenta, fetus perenashivanie kana kwakawedzera uterine matauriro.

Chimwe entailing okisijeni kushaikwa hakupindirani Rhesus mai uye mwana. kusapindirana Izvi zvinogona kuguma hemolytic chirwere azvarwa, iro kunowanzoguma hypoxia. Kuwedzera kune izvi, zvakamubaya anogona kuva zvokuimba zvainoita mudumbu - yakatokura achiine rukuvhute tambo compression musoro pakukurukura uye zvichingodaro.

Zvinokonzera intrauterine hypoxia vanogona kutungamirira vamwe, matambudziko zvakafanana zvakakomba. Kuti tidzivise nemigumisiro pamusoro fetus, amai vanepamuviri anofanira kuongororwa ne vashandi vanokwanisa kusvikira nguva pamuviri.

Types fetus hypoxia

Zvichienderana sei refu anoxia mberi, fetus hypoxia ane mhando mbiri: chakasimba uye chisingaperi. Chenjera hypoxia kunoratidzwa unopinza kuderera yakachena yawapihwa. Rakajairika rikwanise chimiro kunoitika panguva yokuberekwa muitiro kana kunonyengedza uterine ropa. Chisingaperi fetus hypoxia achiumbwa pamusoro refu kwenguva, zvishoma nezvishoma nokuputsa pezvakaitwa fetus.

The mwero kunoita reokisijeni nzara

Dzinounzwa madhigirii matatu fetus hypoxia. Pakutanga michero pasina kuwana inodiwa okisijeni, ari kuedza kuripa nokushaiwa kwayo. Chokutanga dhigirii iri kuronga kubvisa chinhu yakachena kukanganisika. Mumuviri, mwana anotanga kuchinja, zvainanga kuwedzera Vhoriyamu kuuya okisijeni. Kukura mahomoni, mukanyanyisa mataurire tsinga - cortisol. Kwakakwidziridzwa cortisol yomuropa kunomutsa nokuwedzera vhoriyamu ropa kuti circulates kuburikidza midziyo, uye kuwedzera kwemwoyo. Changing murwiyo ropa; kunowedzera padanho Chizenga uye masero matsvuku eropa. Uyezve, pane kuwedzera basa mwana. Anotanga kufamba maziso uye kuti kufema kufamba, pasinei namahwindo glottis.

In danho wechipiri rushoma muripo womunhu runodzivirira mashandiro anoita nhengo kuona kukoshesa miviri, izvo yaipiwa pamwe okisijeni zvikurukuru pakati. nhengo Ndivo mwoyo uye pfungwa ukuwo, dzimwe nhengo (itsvo, mapapu, nemudumbu) kugamuchira ropa, okisijeni-murombo, zvinoita kuti mhirizhonga munyika kukura kwavo uye kushandisa. Okisijeni kushaikwa kunogumawo iri Kuparara shuga. Izvi zvinoderedza zvakachengetwa simba iri mumasero Muviri metabolic zvirwere.

Chirwere intrauterine fetus hypoxia ane kunoita uye danho rechitatu - decompensation. Externally Stage akaratidza kuva zvinoderedza basa uye fetus kwemwoyo rutapudzo. Employment dziviriro zvigadziriswe kuti tibu- vatevedzere reokisijeni, huri kuderera. Cortisol anogadzirwa kukwana zvakawanda, ukuwo DZEMUNHU DZINODZORA ropa kuyerera, uye zvinoderedza uwandu achiparadzira ropa. Ropa nomuti carbon dioxide, ropa coagulation akashatirwa, zvinoita kuti paumbwe thrombi uye panowanikwa ropa.

chirwere matanho

Kuti uone kuvapo uye mwero okisijeni nenzara achibatsira paku nzira nechirwere. Chokutanga chidobi kwakadaro cardiotocography (Hic). Nzira iyi chirwere zirokwazvo ngozi. The mudziyo anoramba mashoko CTG fetus kwemwoyo uye uterine sunga. Achibatsirwa Ultrasound Graphics vakaratidza tachogram. Ichi girafu kuti anomirira nhamba sunga mwoyo tsandanyama iri yakapiwa nguva. Kugozha geji anoyera kufurirwa nokufamba uye uterine matauriro, outputting gisterogrammu - girafu uterine tsandanyama basa. CTG haazobvumiri uwandu perturbations uye zvinogona yakawana kubudikidza kakawanda kutsamira ari fetus mwoyo basa.

Kutanga ramakumi maviri vhiki pamuviri, vanogona kudzidza Doppler Ultrasound. Nzira iyi nechinangwa nokudzidza ropa kuyerera kubva placenta kusvika mai uye mudumbu kubva placenta uye rinogona kuona kutyorwa utero-placental kutenderera. With nzira ichi chirwere vanogonawo kuona unhu Líquido amniótico.

Kunze pamusoro nzira, ari fetus mwoyo nyanzvi anoteerera kuongorora mashandiro ayo uchishandisa obstetric stethoscope. Zvisinei, nzira iyi haisi yakarurama, saka kana ukaona munhu mwoyo chiremba pamuviri anomaly anotungamira kwemutemo CTG uye Ultrasound.

mabatiro

Mabatirwo intrauterine hypoxia Zvinoda zvichiongororwa pamuviri muchipatara. Women norugare zvizere uye akagadza muviri nzira yokurapa, nechinangwa kwete chete panguva ropa oxygenation asiwo kuona mhaka hypoxia wechokwadi. Kazhinji, pamuviri abnormalities akadai intrauterine fetus hypoxia, - migumisiro kana zviratidzo chero chirwere.

chiremba pamuviri prescribes zvinodhaka kuti kudzikisa ropa viscosity, kuvandudza ropa riyerere kuti placenta kubva mai uye normalize muviri pakati mai uye mudumbu. Kugadzwa zvimwe zvinodhaka uye pachishandiswa kunoenderana mhaka hypoxia, kana kunoratidzwa, uye nokupa kubvisa ichi chikonzero.

Kana zvakanaka rinomutsa murwere aisirwe uye vanorumbidza kuti kudzivirira hypoxia. Izvi zvinosanganisira panze muviri, ungaderedza kurovedza muviri, tichidzivisa miitiro inokuvadza uye kuchengetwa nedzimwe anobata zvokudya. Kana apo kurapwa kwakanga basa, uye okisijeni kushaikwa anodzokororwa, zvinoda kuvhiya dzokubudisa ari mudumbu. Kana gestational zera kupfuura mavhiki maviri nemasere, chiremba prescribes kuvhiya - Caesarean chikamu.

dziviriro

Pane dzimwe kunenge nyore, zvaidiwa izvo zvichakubatsira yekuzvidzivirira okisijeni kushaikwa mwana. Asati kuronga pamuviri, mumwe mukadzi anofanira kuita kurapwa echirwere zvirwere, kubvisa tsika dzakaipa. Kana pamuviri kunoitika zvakakosha kunonyoresa wezvokurapa Zvivako mukutanga pamuviri. Munyika pamuviri, unofanira kugara kushanyira chiremba miedzo uye kuita Ultrasound. Izvi zvichaita nechokwadi masimba pamusoro hutano mukadzi pamuviri mwana, uye nokudaro kubatsira kudzivisa chitange zvichiita pathological nemamiriro azvarwa.

Nezvemamwe zvinokosha kudzivisa intrauterine hypoxia ari tiine utano hwakanaka. Unofanira kupedza nguva yakawanda panze, kurara maawa masere pazuva, zvokudya zvinovaka muviri.

Panguva pamuviri, kukosha muzadze wemari mavhitamini uye zvinovaka muviri, pachiyero iyo ipfupi nokuda okuwedzera mutoro pamusoro muviri. Zvinofanira kuramba zvinoitika kwevari calcium, magnesium nezvimwe zvicherwa. Kunyanya rinokosha kudzorwa resimbi tigutsikane muropa, sezvo pasi pamwero wayo kunotungamirira kupererwa neropa - munhu kukonzera hypoxia. Tora vhitamini zvokuwedzera zvinofanira maererano varwere chiremba.

migumisiro

Migumisiro intrauterine hypoxia pakuti ayo mhando. Chirwere hypoxia, rwakatanga mangwanani pamuviri, kana chete uchangotanga paumbwe zvinokosha enyika mudumbu kungaita kuti pakupona. Hypoxia Kutamiswa gare gare pamuviri, zvinogona kukonzera fetus kukura retardation, uyewo zvichitungamirira ischemia uye necrosis netumedu nhengo. A achangoberekwa kazhinji kuperevedza kureba uye uremu, uyewo inorema nguva kwadzakabva (shandurudzo ane muviri idzva ezvinhu). Mune ramangwana, ruzivo okisijeni kusasangana mudumbu kungaita zvirwere zvakadai nepfari uye palsy.

Chenjera fetus hypoxia mwana kunotungamirira ischemia uye tishu necrosis. Kana chenjera hypoxia kunoitika pakusununguka, pane pezvingazoitika anoverengeka, zvichienderana chikonzero okisijeni nzara:

1. Baby Airways vasiri zvakazara zvabviswa Líquido amniótico. Panyaya iyi, pangava kukura nemabayo, mu yakaipisisa nyaya - kufa mwana kudzipwa.
2. Kurasikirwa huru Vhoriyamu ropa. A achangoberekwa anovandudza Hemorrhagic kuvhunduka kuti kuchambokanganisa nokushanda zvose hurongwa. Mumamiriro ezvinhu akadaro, pane ngozi kuupenyu, kwete chete mwana asiwo amai.

Pashure pakaberekwa mwana ainge avhiyiwa hypoxia mudumbu, zvinoda kuramba zvichiongororwa dzinokwanisa nenyanzvi. Migumisiro okisijeni kushaikwa zvingaitika kwete mumazuva okutanga oupenyu, asi zvikuru gare gare. Saka zvinokosha zvikuru kuti arambe kuchinja uye abnormalities kukura mwana kuitira kuziva uye kudzivisa kukura nemigumisiro ose hypoxia.