Intrauterine girma hanin: haddasawa, ganewar asali, magani, sakamakon

Aƙalla daya a goma mata a matsayi na likita sa a ganewar asali "fetal intrauterine girma retardation '(IUGR). A gwani kayyade gaban munanan halin da savanin Toddler Girma misali Manuniya a kan wani ba mako na gaba. Yadda gaske m wannan Pathology da kuma yadda shi ya razana yaro, yana da muhimmanci a san kowane mahaifiyarsa, saboda irin mamaki da cikakken Ba wanda ya tsira.

Mene ne IUGR?

Intrauterine fetal ci gaba, kullum kamu a kan tushen da duban dan tayi. Pathology aka ƙaddara idan jariri weighs kasa fiye da misali rates, hali na wannan lokaci na ci gaba. A likita yi, ta amfani da wani musamman tsara tebur cewa yana dauke da 'ya'yan nauyi daidai da ta gestational shekaru, watau lokacin daga lokacin da hadi. Wannan kudi da aka yawanci m, a makonni. A wasu kalmomin, akwai wasu dokoki domin kowane gestational shekaru. Ainihin naúrar na ji a cikin irin alluna - percentile. Idan 'ya'yan itace ne kasa da 10 percentile wannan tebur, da likita ya tabbatar da kasancewar Pathology.

Intrauterine girma retardation: Sanadin

Wani lokaci da ganewar asali IUGR iyaye ya kamata ka damu. Yana haka ya faru da cewa jariri da aka haife kananan size, kamar yadda mahaifinsa da mahaifiyarsa ba sosai tsayi. Wannan physiological alama ba zai tasiri da ayyukan da yaro, ya shafi tunanin mutum da kuma ta jiki ci gaba. A lokacin daukar ciki da kuma bayan haihuwar jariri ba ya bukatar wani tsallaka mayar da hankali far.

A duk sauran yanayi ya zama biya musamman da hankali ga ganewar asali. Wannan yanayin na iya haifar da munanan a cikin yaro ta ci gaba ko ma mutuwa da tayin. IUGR iya nuna cewa jaririn ne a cikin mahaifa mai gina jiki. Wannan yana nufin cewa shi ba ya sami isasshen karuwa a gina jiki da kuma oxygen. sinadirai ƙarara yawanci saboda wadannan dalilai:

• Wrong chromosome sa.
• Uwar ta miyagun halaye (shan taba, shan giya da kwayoyi).
• Pathogenic cututtuka (hauhawar jini, anemia, cututtuka na zuciya da jijiyoyin jini tsarin).
• M sakawa da kuma m samuwar mahaifa.

Bugu da ƙari kuma, likitoci kiran lamba daga wasu dalilai, wanda zai iya ma tsokane retardation ciwo fetal ci gaba:

• Mahara ciki.
• Da amfani da kwayoyi ba tare da sayen magani.
• Haihuwa bayan 42 makonni.
• Poor abinci mai gina jiki. Mutane da yawa mata ba su so su samu mafi alhẽri a lokacin daukar ciki, don haka taki kanka abun da ake ci. Kamar haka suka tsokani ãr na jiki, wadda take kaiwa zuwa cin gaban Pathology.
• Kamuwa da yanayin da cuta (toxoplasmosis, rubella, syphilis).

asibiti hoto

Mene ne bayyanar cututtuka tare da intrauterine girma retardation? pathological ãyõyi bayyana mafi sau da yawa a farkon daukar ciki (kamar 24-26 makonni). Ƙayyade nasu mace ba iya, da zai iya yi kawai da likita. IUGR ciwo ne kamu da ba yarda da wadannan Manuniya:

• A size da kai, kuma da femoral baby.
• Ciki karkara a wani matakin, da tsawo daga cikin igiyar ciki fundus.
• A girma daga ruwar.
• Take hakkin Mahaifa aiki (canza tsarinta da girma).
• FHR.
• jini ya kwarara a cikin mahaifa da kuma cibiyarki igiyar.

A wasu lokuta, da Pathology da sauri tasowa da kuma samun ci gaba ba tare da wani disturbances, watau asymptomatic.

mai tsanani

• Na digiri. Intrauterine girma retardation na 1 mataki an dauke su gwada da sauki, a matsayin fada a cikin ci gaban anthropometric data, m zuwa wasu gestation zamani ne kawai makonni biyu. Dace gwamnati na magani iya zama mai tasiri da kuma rage da alama na illa kan jariri.
• II digiri. Kama Development ne game da 3-4 makonni, bukatar tsanani magani.
• III digiri. An dauke da mafi tsanani nau'i na tayin saboda da backlog siga ga wata daya ko fiye. Wannan jiha mafi yawa ana bi da ake kira Organic canje-canje. Intrauterine girma na 3 digiri sau da yawa ƙare a mutuwa.

Asymmetrical siffar Pathology

A wannan yanayin, akwai wani gagarumin raguwa a fetal nauyi a al'ada girma. A yaro kamu fada a cikin samuwar cikin kirji da ciki da taushi nama, mahaukaci ci gaba na jiki. Zai yiwu m ciki sashin jiki tsarin. A rashin isassun far fara wani sauka a hankali rage a cikin size da kai, kuma a fada bayan a ci gaba da kwakwalwa da cewa an kusan ko da yaushe entails da mutuwa da tayin. Asymmetrical IUGR embodiment ciwo ya auku da farko a cikin na uku trimester a kan sauran placental insufficiency.

A tsakaitã siffar da Pathology

Lokacin da akwai wani tsakaitã form wani uniform karu a nauyi, girman gabobin da fetal girma. Wannan Pathology ne sau da yawa tasowa a farkon matakai na ciki saboda fetal cututtuka (cututtuka, chromosomal munanan). Fasali intrauterine girma retardation qara da alama na da ciwon yaro da m kafa CNS.

diagnostic matakan

Idan ka zargin cewa wannan Pathology mace ya kamata sha cikakken bincike da kimantawa. Da farko likita tattara haƙuri da tarihi, ya ce a baya canjawa wuri gynecological cututtuka, musamman a lokacin da baya ciki. Sa'an nan, wani jiki jarrabawa da wajibi ji daga ciki karkara, mahaifa, tsawo da kuma nauyi na mata.

Bugu da ƙari, shi na iya bukatar duban dan tayi, Doppler (kimantawa na jini ya kwarara a cikin jijiyoyi da kuma jijiyoyinmu) da kuma cardiotocography (m rikodi na fetal zuciya kudi, da kuma ta aiki kai tsaye igiyar ciki contractions). Bisa ga sakamakon da gwaje-gwaje zai iya tabbatar da ganewar asali na wani gwani, ko su ɓãta shi.

Abin da magani ake bukata?

Don sanin m dabara na daukar ciki bayan wani bincike da na "intrauterine girma retardation" Ya kamata la'akari da Sanadin cutar, da tsari da kuma nisan da cutar. A ka'idodi na magani ya kamata a mayar da hankali kan inganta jini ya kwarara a cikin "mahaifa-Mahaifa-tayin". All warkewa matakan da ake da za'ayi a wani asibiti. Da farko wata mace bukatar samar da sauran, abinci mai gina jiki da kuma cikakken dogon barci. An muhimmin kashi na far aka dauke su iko a kan yanayin da tayin. Domin wadannan dalilai, yi amfani da duban dan tayi kowane 7-14 kwanaki, cardiotocography da Doppler jini ya kwarara.

Miyagun ƙwayoyi jiyya hada da samun angioprotectors kare tasoshin da Tocolytics igiyar ciki tsoka tashin hankali ( "papaverine", "A'a-dima jiki"), takalmin gyaran kafa tafiya wajen. Bugu da kari, duk mata, ba tare da togiya, rubũta magunguna da cewa rage neuro-m arousal (tincture na Leonurus, valerian) da kuma inganta jini ya kwarara a cikin mahaifa ( "Aktovegin", "Kurantil").

Dangane da mataki na cuta mai tsanani da magani iya bambanta. Intrauterine girma retardation na 1 digiri yawanci daidai amenable ga far, yiwuwar kara illar aka rage girmanta. A mafi tsanani pathologies bukatar wani daban-daban tsarin kula da magani, tare da sakamakon da quite wuya a hango ko hasashen.

ƙarshe na ciki

Farkon delivery, ko da kuwa lokacin kiranka na ciki, shi ne shawarar a cikin wadannan lokuta:

1. Babu fetal girma Manuniya for 14 days.
2. Tabarbarewar gaske jihar na baby a cikin mahaifa (msl, inda hakan na jini ya kwarara a cikin jini).

Pregnancy riƙe a kalla 37 makonni a cikin taron cewa saboda likita far sun inganta yi a lokacin da ba lallai ba ne don magana game da ganewar asali "intrauterine girma retardation da tayin."

Gurbin kuma zai yiwu rikitarwa

Kids tare da wannan Pathology bayan haihuwa iya samun munanan mai sãɓãwar launukansa a mai tsanani, da m karfinsu da wata al'ada rayuwa za ta fi mayar dogara ne a kan iyaye.

A farko effects bayyana riga a lokacin bayarwa (hypoxia, cuta na neurological asalin). Intrauterine girma slows ripening na tsakiya m tsarin da ayyuka, wanda rinjayar duk da tsarin. Wadannan yara yawanci raunana defenses, a cikin shekaru baya akwai wani ƙara yiwuwar aukuwar cututtuka na zuciya da jijiyoyin jini tsarin.

Toddlers har zuwa shekaru biyar sau da yawa kamu jinkirin nauyi riba, psychomotor retardation, malformation na ciki gabobin tsarin, hyperexcitability. A samartaka, a babban hadarin da ciwon sukari. Wadannan yara yawanci iya zama kiba, sun bayyana tare da jini matsaloli. Wannan ba ya nufin cewa ta yau da kullum kasancewar sa ba zai zama a sami magunguna da rayuwa a asibitoci. Suna kawai bukatar a little more hankali ga nasu abinci da kuma kullum motsa jiki.

Wasu yara da aka kamu da intrauterine girma retardation na 2 darajõji, kuma bi da ya dace, babu daban-daban da su daga takwarorina. Sun kai wata al'ada rayuwa, wasa wasanni, socialize tare da abokai da kuma samun ilmi.

Ta yaya zan iya hana IUGR?

A mafi kyau rigakafin wannan cuta - shiryawa da mai zuwa ciki. Aƙalla rabin da iyaye dole wuce wani m jarrabawa da kuma yi wa dukan waɗanda suke tare da na kullum rashin lafiya. Ƙin na miyagun halaye, ta dace da rayuwar sa, a daidaita cin abincin nasu, kuma kullum motsa jiki danniya - mafi wani zaɓi don hana IUGR.

A ziyarar da antenatal asibitin akai-akai, a kan rajista taka muhimmiyar rawa a cikin ganewar asali "intrauterine girma retardation da tayin." Jiyya dace ganewa na cuta ya rage girman hadarin mummunan sakamakon.

A mata masu ciki ya zama da-gina da kuma yanayin barci. A daidai da cikakken sauran yakan haifar da wani 10 hours barci da dare, kuma 2:00 na yamma. Wannan yanayin damar inganta jini wurare dabam dabam da kuma harkokin sufuri da na gina jiki tsakanin uwa da yaro.

Daily yanã tafiya a cikin sabo ne iska, motsa jiki da danniya ba kawai inganta overall kiwon lafiya na mai ciki, amma kuma normalize da yanayin da tayin a cikin mahaifa.

ƙarshe

Kada ka bar ba tare da hankali ga irin Pathology kamar yadda intrauterine girma retardation, sakamakon wanda zai iya zama baƙin ciki ƙwarai. A daya hannun, iyaye ya kamata ba yarda da wannan ganewar asali ne kamar jumla. Idan ya aka sanya shi a cikin wani dace hanya, nan gaba sabon uwa za ta dauki duk matakan da suka dace don kawar da ta haddasawa da kuma za su bi duk shawarwarin da likita, da hangen nesa iya zama m. A duniya akwai wani cikas da cewa ba za a iya shawo kan. Yana da muhimmanci a tuna cewa da farin ciki na mata da kome m!