Kurara mu intrauterine fetal kukura: zvinokonzera, kuongororwa, kurapwa, migumisiro

Inenge mukadzi mumwe nomumwe wegumi muchinzvimbo chechiremba anoita kuti aongororwe "intrauterine kukurumidza kukurumidza" (HNDR). Nyanzvi inotarisa kuvapo kwezvakatsauka, zvinoratidzika nekusiyana kwehutano kumwana kune zvirevo zvekusimudzira mune imwe nguva yekubatsira. Kuwanda kwehutano uku kwakanyanya kuipa uye kuti kunotyisidzira sei mwana, zvakakosha kuzivikanwa naamai vose, nekuda kwechiitiko ichi zvachose hapana munhu anodzivirira.

Chii chiri EFA?

Kuzononoka kwekuberekwa kwe fetus ye fetus, sekutonga, kunoratidzwa pane hwaro hwe ultrasound. Pathology inotsanangurwa pane zvakaitika kuti kuyerwa kwemwana kwakashata kudarika zvirevo zvemasimiro zvinoenderana nenguva iyi yekufambira mberi. Muchiito chekurapa, zvakanyatsogadzirirwa matafura anoshandiswa, umo huwandu hwemucheche hunoratidzwa maererano nemakore ayo ekugwinya, kureva, nguva kubva panguva yekudyara. Ichi chiratidzo chinowanzogadzwa mumavhiki. Mune mamwe mazwi, pane mitemo yega yega yega yega yekuzvitakura. Icho chidzidzo chekutanga chezviyero mumatafura akadaro ndiyo percentile. Kana iyo fetus iri pasi pe 10 percentile maererano neetafura ino, chiremba anotsigira kuvapo kwehutano.

Kurasikirwa kwepinuteruterine fetal kukura: zvinokonzera

Dzimwe nguva, apo kuongororwa neRIV, vabereki havafaniri kunetseka. Izvi zvinoitika kuti mwana akaberekerwa muduku muhukuru, sezvo baba vake namai vasiri vakuru zvikuru. Izvi zvepanyama hazvibatsiri basa romwana, kunyanya kwepfungwa uye mumuviri. Panguva yekuzvitakura uye mushure mokuberekwa, mwana akadaro haadi chirongwa chakanyanyisa chinorapwa.

Mune mamwe mamiriro ose ezvinhu, kunyatsotarisirwa kunofanira kubhadharwa kuongororwa. Mamiriro ezvinhu akadaro anogona kutungamirira kumisikidziro mukurudzirwa kwemwana kana kunyange kufa kwemucheche. ZVUR inogona kupupurira kuti mwana ari mudumbu haasi kudya zvakanaka. Izvi zvinoreva kuti haigamuchiri zvakakwana zvezvibereko uye oksijeni. Kushayikwa kwekudya kunowanzotsanangurwa nezvikonzero zvinotevera:

• Kusarudzwa kwekromosome yakasarudzwa.
• Zvinokuvadza tsika dzeamai (kusvuta, kunwa doro nezvinodhaka).
• Zvirwere zvepathogenic (hypertension, anemia, zvirwere zvepfungwa yemwoyo).
• Sangano risina kukodzera uye rinotevera maitiro eparcenta.

Mukuwedzera, vanachiremba vanoshevedza zvimwe zvikonzero zvinogonawo kukonzera chirwere che intrauterine kukurumidza kukurumidza:

• Kubata pamuviri.
• Kushandisa mishonga pasina kuraira chiremba.
• Kubereka pashure pevhiki makumi mana.
• Zvokudya zvisina kukodzera. Vakadzi vazhinji havadi kuve nani munguva yepamuviri, saka vanodya zvokudya. Izvi zvinokonzera kupera kwemuviri, izvo zvinotungamirira kukura kwehutano.
• Zvirwere zvehutachiona hwehutachiona (toxoplasmosis, rubella, syphilis).

Clinical picture

Ndezvipi zviratidzo zvinosangana nekumhanya kunonoka pakukura kwe fetus? Zviratidzo zvehutano zvinowanzoratidzwa mumatanho ekutanga (anenge masvondo 24-26). Kuziva kuti mudzimai wavo haakwanisi, zvinogona kuita chiremba chete. Chirwere cheZUR chinoonekwa kana chikasatenderana nemitemo inotevera:

• Kukura kwemusoro nebandaupa bone remucheche.
• Kusarudzwa kwemuviri pane imwe nhanho, kureba kwepasi pechibereko.
• Bhuku reamniotic fluid.
• Kuvhiringidzwa kwekushanda kweparcenta (chimiro chayo uye zviyero zvinoshanduka).
• Fetal heart rate.
• Ropa rinoyerera velocity mu-placenta uye mundilical cord.

Mune zvimwe zviitiko, chirwere ichi chinokurumidza kukura uye chinopfuurira pasina zvinetso zvakasiyana-siyana, kureva kuti, hazvina maturo.

Degrees of gravity

• I degree. Kuzononoka pakukura kwe fetus mu fetus kunofungidzirwa kuva nyore, sezvo kupera kwekutsvaga kubva kune anthropometric data inoenderana nenguva inenge yepamuviri isvondo mbiri chete. Kurapa kwakagadzirirwa panguva yakakodzera kunogona kubudirira uye kuderedza mikana yemigumisiro yakaipa kumwana.
• II degree. Kuzononoka pakugadzirwa kwemavhiki mashoma matatu, kurapwa kwakanyanya kunodiwa.
• III degree. Inofungidzirwa kuti ndiyo inonyanya kuipa pamusana pemakumbo mumiganhu ye fetus kwemwedzi umwe kana kupfuura. Iyi hurumende inowanzoendeswa kune izvo zvinonzi zvinoshandiswa nehupenyu. Kuzononoka kwekuberekwa kwekuberekwa kwe fetus emuzinga rechitatu kazhinji kunopera mumugumisiro unouraya.

Asymmetric form of pathology

Muchiitiko ichi, pane kuderedza kukuru mu fetal mashoma nekukura kwakakosha. Mwana wacho anoonekwa kuti ane chirwere mumapangama ezvinyoro zviduku zvepfupa uye mimba, kukura kwakashata kwedu. Kukura kusina kusanganiswa kwenhengo dzomukati kunobvira. Kana kusina kukwana kwakakwana, kupera zvishoma nezvishoma muhukuru hwomusoro kunotanga uye kunyura mukukudziridzwa kweuropi, iyo inowanzotungamirira kurufu rwemucheche. Kusiyana kwechinokonzera chechirwere cheSRD chinowanzoonekwa zvikuru mumatatu matatu ekurwisana nemamiriro ezvinhu evanhu vakawanda .

Symmetrical form of pathology

Mune chimiro chakasiyana, yunifomu inoderera muhukuru, chimiro chemuviri, uye kukura kwekuberekwa kunoonekwa. Utachiona hwakadaro hunowanzotanga pamatangiro ekutanga ekudzivirira nekuda kwezvirwere zvekuberekwa (utachiona, chromosomal kusagadzikana). Kurasika kwechimiririmiti ye intrauterine fetal development inowedzera mikana yemwana ane CNS yakadzika.

Kuongorora zviyero

Kana izvi zvikanganiswa, mukadzi anofanira kuongororwa zvakakwana kuongororwa. Kutanga pane zvose chiremba anounganidza anamnesis murwere, anotsanangura zvirwere zvepakutanga zvepabonde, zviratidzo zvepamuviri hwepakutanga. Zvadaro kuongorora kwepanyama kunoitwa nechiyero chekugadzirisa chechidimbu chemuviri, chibereko, kukura uye kuyerwa kwemukadzi.

Mukuwedzera, ultrasound, dopplerometry (kuongororwa kweropa kunopinda mumaketheni nemavhuini) uye cardiotocography (inoramba ichinyorwa ye fetal heart rate, basa rayo uye zvipembenene zvehutachi zvakananga) zvinogona kudiwa. Kubva pamigumisiro yechiratidzo, nyanzvi inogona kusimbisa kuongororwa kana kuishora.

Ndeipi kurapwa kunodiwa?

Kuti uone maitiro ekuzotevera ekudzivirira kubata pamuviri mushure mekusimbisa kuongororwa kwe "kukanganisa kwekuwedzera kweprauterine ye fetus," mumwe anofanirwa kufunga nezvechikonzero chekurwara, chimiro uye huwandu hwechirwere chacho. Nheyo dzemitemo yekurapa dzinofanira kuiswa pakuvandudza kuteura ropa mukati meuropiti-placenta-fetus system. Zvose zvinorapwa zvinowanikwa pasi pemamiriro ezvinhu. Chokutanga pane zvose, mukadzi anofanira kugovera runyararo, kurongedza muviri uye nguva yakareba refu yehope. Chimwe chinhu chinokosha chekurapa ndechekutonga pamusoro pemazuva ano emucheche. Nokuda kwezvinangwa izvi, ultrasound inoshandiswa mazuva ose e7-14, cardiotocography uye dopplerometry yeropa rekuyerera.

Kushandisa zvinodhaka kunosanganisira kushandiswa kwemaiioprotectors nekudzivirirwa kwemidziyo yeropa, kuyanana nehutachiona hwehutachiona hwechibereko (Papaverin, No-shpa), vanosimudzira maitiro. Uyezve, vose vakadzi vasingasaruri vanorayirwa zvinoderedza kuchera neuropsychic (tincture ye motherwort, valerian) uye kuvandudza kuteura ropa mu placenta (Actovegin, Kurantil).

Zvichienderana nehuwandu hwekuoma kwehutachiona, zvibereko zvekurapa zvinogona kusiyana. Kuzononoka kwekuvandudzwa kwe intrauterine ye fetus yegorosi yekutanga kunowanzogadziriswa nehutachiona hwakakwana, mukana wekuonekwa kwemigumisiro yakaipa munguva yemberi yakaderedzwa kusvika zvishoma. Mumatambudziko akawanda, nzira yakasiyana yekurapa inodiwa, uye migumisiro yayo yakaoma kufanotaura.

Kukanganiswa kwepamuviri

Kutanga kwokutanga, pasinei nemakore ekugwinya, inokurudzirwa mumatambudziko anotevera:

1. Kusara kwekukura kwekukura kwemazuva gumi nemana.
2. Kuora kunonzwisisika kwemuviri wemwana mukati mechizvaro (somuenzaniso, kunonoka kweropa kuderera mumidziyo).

Kuberekwa kunoponeswa kusvika pamasvondo makumi matatu nemaviri musangano apo, nokuda kwechirwere chechirwere, pane kuvandudzwa kwezvinyorwa, kana zvisingakodzeri kutaura pamusoro pekuongororwa kwe "intrauterine kukura kwekukurumidza".

Migumisiro uye zvinetso zvinogoneka

Vana vane chirwere ichi mushure mekuberekwa vangave nekupotsa kwekusiyana kwakasiyana, kuwirirana kwavo kwekupedzisira nemararamiro ezvisikwa kunonyanya kuvimba nevabereki.

Mhedzisiro yekutanga inoonekwa kunyange nekubereka (hypoxia, neurological disorders). Kuzononoka kwekukura kwekuberekwa kunoita kuti kusvibiswa kwehutano hwemagetsi nemabasa ayo, izvo zvinosvibisa masangano ese. Vana ava vanowanzowedzera simba rekudzivirirwa kwemuviri, munguva yakakura zvakanyanya kune huwandu hwekuonekwa kwezvirwere zvehutano hwemwoyo.

Muvana vasati vava nemakore mashanu, zvishoma nezvishoma zvinorema zvinowanzoongororwa, inonzi psychomotor yakavhara mukurudzirwa, isina kukodzera kuumbwa kwenhengo dzomukati, kutengesa. Mukuyaruka, njodzi yakakura yehuga. Vana vakadaro kazhinji vanowanzova mafuta, vane zvinetso neropa. Izvi hazvirevi kuti hupenyu hwezuva nezuva huchaderedzwa kupinda mishonga uye kugara muzvipatara. Vanongoda kubhadhara zvishoma nezvekudya kwavo pachavo uye zuva nezuva.

Vamwe vana vakamboonekwa kuti vakanonoka kukura kwe fetus ye fetus yechipiri chechipiri uye vanobatwa nenzira yakasiyana havafani nevezera ravo. Vanotungamira nzira yemararamiro, vanoenda mune zvemitambo, kukurukura neshamwari uye kugamuchira dzidzo.

Ndingadzivirira sei EFA?

Iyo yakanakisisa kudzivirirwa kwehutachiona huri kuronga kubata pamuviri unouya. Inenge mwedzi mitanhatu gare gare, vanotarisira vabereki vanofanira kuongororwa zvakakwana uye kubata zvirwere zvose zvinogara zvisingaperi. Kuregererwa kwezvidhakwa, mararamiro akanaka, kurongedza muviri uye zuva nezuva muviri wekuita muviri ndiyo nzira yakanakisisa yekudzivirira ZVUR.

Kushanyira kubvunzurudzikadzi kwevakadzi nguva dzose mushure mekunyora kunyoresa kunokosha mukuongororwa kwe "kuchetwa kwe fetal". Kurapa kwechiitiko chinowanikwa panguva yakareba chechirwere kunobvumira kuderedza dambudziko remigumisiro yakaipa.

Vakadzi vane pamuviri vanofanira kunyatsoenderana nebasa uye kurara. Kururamisa uye kukwirira kwepamusoro-grade kunoreva pasi payo maawa gumi ehope usiku uye maawa maviri panguva yemasikati. Iyi hurumende inokubvumira kuvandudza kupararira kweropa nekufambisa kwezvibereko pakati peamai nevana.

Zuva rega rega rinofamba mumhepo itsva, kushanda kwepanyama kunongogadzirisa chete hutano huripo hwevakadzi vane pamuviri, asiwo kuratidza kuti fetus iri mudumbu.

Mhedziso

Hazvisiko kukanganwa chirwere chakadai sekumhanya munguva yekutambisa intrauterine ye fetus, migumisiro yeiyo inogona kuva yakanyanya kusuruvara. Kune rumwe rutivi, vabereki havafanire kutora ichi kuonekwa semutsara. Kana yakapiwa panguva yakakodzera, amai vakamirira vachatora matanho ose anodiwa kuti vabvise chikonzero chavo uye vachatevera mazano ose echiremba, izvo zvingave zvakanaka. Munyika hapana zvipingamupinyi zvisingagoni kukundwa. Zvakakosha kuyeuka kuti mufaro weamai hwakasiyana.