Ndezvipi zvinokonzera palsy muvana?

Mumakore hafu remakore, pose, kusanganisira Kishi nyika, nhamba yevana vakaremara vane palsy. Uye kana achiri pakati remakore rapfuura, asi vanachiremba, hapana aiziva zvazvaive palsy, asi nhasi anenge munhu wose ane hama kana shamwari, izvo zvakaipa ichi akabata zvakananga.

Ndezvipi zvinokonzera mitezo nhema chepfungwa uye rinotyisa kuwedzera nhamba yevana vane chirwere ichi? Sei gwindiri vabereki, vakadzi vane zvakajairika kuti ukuru chiuno, kugara munzvimbo mukudyidzana nezvimwe zvisikwa yakachena uye maererano zvose kunenge pavadzidzisi panguva pamuviri, asi vana vanozvarwa vaine palsy?

Munguva yedu, palsy - kwete ari oga chirwere, kwete etiological chirwere chinhu rairatidza izwi rinounza pamwechete vana nevasiri mberi vanotaura yokuzvidira kufamba (ataxia, spasticity, hyperkinesis). Kune rimwe divi, sangano vana ava kunyongana rive benyu boka wainzi - palsy, inobatsira kufunga kuti kurapwa uye paumbwe injini ruzivo kuti tibudirire vapore. Ukuwo, izvi ndiko zvavo zvakaoma mangwanani nechirwere, kutsvaka anodiwa matanho, uye kurapwa kumavambo chirwere wemwana (rikwanise nguva).

Palsy - a chinoumbwa nezvinhu zvakawanda chirwere. Zvinokanganisawo, pakutanga, vana musimboti tsinga, kureva, uropi uye musana. Nokuda kwaizvozvi, pane zvarakasiya ari kwomwana, kusiyanisa zviri zvakaoma. Zvingaitika uye kutyora tsandanyama uye gwenya gadziriro - anetseka Kufambisa ipapo zvishomanana kana zvachose mwana kurambidzwa kufamba,. Inenge 70-85 muzana yevana vane palsy vasingadzoreki kutaura (ndiko kana vasingadiwi kana iri zvachose vasipo). Vamwe vana panoita kukundwa pakati psyche, mune dzimwe - strabismus kana kusanyatsoona zvakanaka. Munhu uyewo kufamba chirwere -. Pfari, hydrocephalus, etc. Most vana ava vane vachivavhiringidza uwandu siyana. Kureva, mumwe mwana wacho chirwere kunoratidzwa nomumwe. Calling chete rokuti chirwere palsy, vanachiremba vakaona kuti pane dzakawanda. Uye sei zvakakura CNS chirwere akarova mwana achavaponesa hwake uye pachake kuita.

In America, palsy rinowanikwa mune vana 1-2 paminiti pakuzvarwa mhenyu 1,000. In Russia hatina chaiyo nhamba, asi isu kuitika, maererano nokufungidzira siyana, 6-12 (!) Children por 1,000.

Nei vana vanoberekwa vaine palsy?

Nhasi vanachiremba zita zvinokonzera zhinji palsy muvana. Panyaya iyi, nzvimbo yokutanga vakaisa mberi kukundwa imwe mhando fetus uropi achiri utero, zvichiratidza anopfuura 400 zvinhu, zvakadai chisingaperi uye rikwanise rwaamai zvirwere, zvirwere vamiririri, tsika dzakaipa pamuviri kana baba mwana, uye kunyange mupfungwa kusagadzikana! Asi nhasi, panguva soro nenhanho nechirwere fetus abnormalities, kukundikana zvikonzero izvi zviri pachena!

Muenzaniso uchapupu anganzi kanenge ndechokuti kuzvarwa ne caesarean chikamu vacheche, zvishoma kana pasina chirwere palsy. Uye ichi kunyange zvazvo vanaamai chirwere (cardiac, kwemakemikari anobudiswa, chetsinga, uye kunyange palsy), nephropathy kana toxicosis ari pamuviri, nokupfupfudzika nezvimwe vanotyisidzirwa.

A rodostimuliruyuschih mari zvave kwose sezvo 50s, uye nyika yedu - kubva pakutanga 60s, uye vari kushandiswa munyika yedu zvisingadzorwi uye akapotsa kwose kwose. Uye kubvira panguva iyoyo, uye ndakatanga kutara rakapinza kuwedzera nhamba yevana vane palsy.

The chikonzero chikuru palsy musiki rokuti, kupenya XIX mu neurology. Little, akadana hypoxia panguva basa (okisijeni kushaikwa) uye kuberekwa kunotevera, kunokuvadza mwana uropi.

Saka, kuwedzera makore achangopfuura vana vane palsy inoti kuti kuwedzera uwandu pakupona. Izviwo, kwakabatana zvakananga rodostimulyatsii.

Pakuzvarwa kunge vasiri (i.e. romuzvarirwo) pezvakaitwa kuti vari pedyo kubatana. sunga First kugadzirira dumbu chokusunungukira - kuzarura cervix uye kuberekwa Canal rinogadzirirwa. Kazhinji, mwana pakaberekwa Canal musoro uye pedyo (nemakemikari uye biophysical) pamwe chete naamai anogadzirira pakuberekwa. mwana Head kujairana kuberekwa Canal kukura, nemhaka mukana wokushandiswa kubatana zviri dehenya mapfupa vana.

Power anoberekwa mwana ari zvinovaka muviri zvakakodzera uye okisijeni dzichidzidzisa achiine rukuvhute tambo uye placenta kuna mai, saka kuti chero kumhanyisa yokuberekwa muitiro unogona kuvhiringa nyore kuwirirana naamai uye mwana ari mukuru kubereka. Asi nhasi chokwadi, muna Obstetrics akatsiviwa kubatsirwa mwana ne hasha kupindira mune muitiro kushandisa, nzira zvisingakoshi kazhinji ngozi.

Heano chikuru nzira Kupindira zvakasikwa muitiro yokusununguka:

1) mukakuvadza sefuro pamwe Líquido mvura mberi nguva. Somugumisiro, panguva basa, mwana musoro wakuvadzwa nokuda amai mapfupa pelvic sezvinoita sefuro akazara imwe nguva vachishanda se "kuvhunduka absorb" - sokuvapo mwana musoro ari kugadzirira nokuda kwemutemo yokuberekwa Canal.

2) Yechipiri (kana chakagadzirwa induction) zvinodhaka wakurukura kana nedzimwe nzira pamberi mwana yakagadzirirwa ndima nokuberekwa Canal. In Muchiitiko ichi, zvinokuvadza mwana musoro aberekwa Canal.

3) kweiyi sunga kushandisa oxytocin uye zvimwe zvinodhaka, kuita mwana haagamuchiri chete kukuvara, uye kuwedzera, uye hypoxia - kushaya okisijeni uye zvokudya (zvikurukuru uropi). Pashure pezvose, pamwe nerimwe marwadzo, nokuda kurwadza kwacho ari zononoka arteries, DZEMUNHU DZINODZORA kana kudzivirira ropa riyerere ari placenta. A dzinovhurika sunga (kunyanyisa mune nguva uye simba) kunokanganisa kubvumirana nekuita pakati paamai nomwana. Hypoxia kunoguma kuvadza endothelium pamusoro capillaries uye havachanyatsogoni kuzvidzora uropi kwouropi mwana. Somugumisiro yakawedzera venous dzvinyiriro uye chepfungwa ropa riyerere inowedzerawo. Izvi zvose zvinokonzera uropi kukuvadza mwana: edema, ropa, ischemia. Ndiko, ndicho chikonzero chikuru palsy.

A rwemucheche kuwedzera zvepanyama pakubereka muitiro inowana ngozi uropi. Uye nokuda kwaizvozvi, vana ava pashure pokuberekwa uye kuoneka akanga tetroparezy, dystonia, spasticity, ataxia, hyperkinesis, ari curvature ari hunde, chiso uye migumo, madzerere, kusanzwa, uye hydrocephalus.

Chokwadi chokuti kukonzera palsy - hypoxia uye kuberekwa kunotevera panguva induction basa, ndeyechokwadi nhamba: vakomana vane palsy zvakawanda zvakajairika 1,3 nguva kudarika vasikana. 3/4 zviitiko zvikuru uye mwero quadriplegia, ndiyo vakomana nawo chirwere palsy. Sei? Nekuti musoro anozvarwa vakomana Kazhinji zvikuru kupfuura vasikana, saka vakomana kubereka kunotevera uye hypoxia raitongwa pagungano tyisa kuzvarwa vari kakawanda.

Ngatiite muchidimbu mhedziso. Kuderedza kuitika palsy zvinokosha mari chaiyo kuteerera muitiro Obstetrics, zviripo munyika yedu.

Pashure obstetric nemwero basa ikozvino - damerau, kujeka uye asingauyi kufungawo mukana kuvadza nechepakati tsinga mwana nokuda kurudziro yakadaro. Somugumisiro, kutambudzika ndiro vana pokumbononotswa injini uye kutaura kukura, kubvira achifamba zvigunwe ake (nokuda vawedzere inzwi iri flexors norutsoka) uye kuti paumbwe palsy, havachanyatsogoni kunzwa uye zvakaratidzwa, hydrocephalic nevaiva netsviyo urwere, ADHD (kunosiyana inosiyana zvakaoma kwazvo, yaiitwa 35% yevana ano), kukanganisika pakati autonomic tsinga munzira dzakasiyana, kana pfungwa retardation kusvikira autism.

Naizvozvo, zvinokosha kuti kuwedzera mutoro obstetric kuberekwa zvaitika uye mberi mamiriro mwana. Nhasi zvinokonzera palsy hadzina chokuita mabasa ane nyamukuta kutora pakusununguka. Izvi zvinoitika nokuti hatisi kushandiswa chaiyoiyo chirwere nzira dzakadaro, kufanana MRI uye CT atarise pakarepo pashure pokuberekwa kwomwana, uye kunze, vana kufamba zvirwere kazhinji kuva pachena kusvikira pakuguma kwavo yokutanga muupenyu nemakore kana gare gare.

Tip: Iwe aifanira Sarudza yakanaka, hwakavimbika obstetrician wokubata utariri. Hurumende inofanira irambidze kukurudzira mwana pane kudaro pamwero. Anofanira zvachose kufungwa rodostimulyatsii kunoreva kudzora kushandisa kwavo. Uyezve, kushongedzera ose kuchipatara elektrosredstvami kuti kuramba richiona mwana mwoyo urove uye uterine basa, izvo richava kudzivirira hypoxia uye kukubatsira kusarudza nzira yakarurama makurukuriro zvakanaka. Zvinokoshawo kushongedzera kuchipatara mano kuti CT uye MRI Diagnostics - ichi ichaona zvinobvira kukuvara uropi pakutanga nguva, uye kuwedzera marapirwo. Uye zano kuti moms: mazuva mwana vaifanira kutanga kuonekwa wetsinga zvakanaka. Dzimwe nguva vanozvarwa chirwere ne "ngozi palsy," uye rinogona murapwe nekuti mugore matambudziko akawanda chetsinga rokutanga angakundwa. Chinhu chikuru pano - musapotse nguva.