Intrauterine ulu kapu: mea, lalau mai,ʻike, lapaʻau, ka hopena

Kahi o hoʻokahi i loko o nā wāhine heʻumi i loko o ke kulana o ke kaukaʻo ia i kaʻike, o "fetal intrauterine ulu retardation '(IUGR). Ke hoʻomalu hoʻoholo i ke alo o abnormalities wehewehe aku ma ka inconsistency hoʻi i hāʻawe nui like 'ole maʻamau nā hoailona ma ka haawi hebedoma o? Acaeoey. Pehea maoli nō pilikia loa keia pathology, a pehea ia Hoʻoweliweli 'o ia i ke keiki, ia mea nui e ike i na makuwahine, no ka mea, o ka meaʻike manaʻo loa i kekahi mea pakele.

He aha ka IUGR?

Intrauterine fetal kūpono 'ana, ana diagnosed ma ke kulanui o ultrasound. Ua nānā 'Pathology ina ke kamaiki kaupaona emi o maʻamau holo' awelika, typical no kēia wā o ka? acaeoey. I ka 'inikua hana, hoʻohana i ka pela' ia papa e paka me ka hua kaumaha i kulike ai me kona gestational elemakule, oa ka manawa, mai ka manawa mai o fertilization. Kēia pākēneka ua ana manao ma ka pule. Ma na olelo e ae, ma laila nō kekahi rula no kēlā gestational makahiki. Ka walaʻauʻana pa alima o ke ana i loko o ia papa - percentile. Inā i ka hua mea emi o 10% o nā keia papa, ke kahuna lapaau e pono keʻae i ke alo o ke pathology.

Intrauterine ulu retardation: 'ehaʻeha ka

I kekahi manawa, ai kaʻike, a IUGR na makua e ole hopohopo. Ua ai ka hana i ke kamaiki ua hanau uuku nui, e like me kona makua kāne a me kona makuwahine i ole loa lōʻihi. Kēia physiological hiʻona aʻole e pili mai ka ha awina o ke keiki, o kona ulu ka noʻonoʻo a me ka physical. Ma hāpai keiki, a ma hope o ka hanau ana o ke keiki, aole ia e pono i ka haka kālele ana Inc.

Ma nā mea a pau'ē aʻe wahi, i hiki e ia, e uku kūikawā noonoo i kaʻike,. Keia ano hiki ke alakai i abnormalities i kūpono 'ana i ke keiki i ka ai a hiki i ka make ana o ka fetus. IUGR e hōʻike ana i ke kamaiki mea i loko o ka opu malnourished. Kēia 'o ia hoʻi i ka mea aole ia loaa ole he lawa mahuahua ma ka mahuaola a me ka oxygen. 'aiaola ia wā nō i hookuu manawa i ka kēia mau kumu:

• Hewa chromosome huapalapala.
• Mother ka hewaʻano (uiki, inu kanakaʻona mau nā mea inu, a ai ').
• Pathogenic maʻi (hypertension, anaemia, maʻi o ka mea'ōnaehana mānowai koko nenoaiu).
• Kūpono hoʻonohoʻia a mahope ho okumu ana o ke keiki.

Eia kekahi, kauka i kapa aku ai i ka helu o nā kumu, a hiki i ka hoʻonāukiukiʻana retardation maʻi pale fetal ulu ana:

• Mau hāpai keiki.
• Ka hoʻohanaʻana i ai 'ole kuhikuhi.
• Birth ma hope o 42 pule.
• No kou kino. He nui nā wāhine mai i makemake e kiʻi maikaʻi i hāpai keiki, no laila, uuku ae oe ia oe iho iʻai. Pela ka mea hoʻonāukiuki depletion o ke kino, i hiki aku ai i ke kūpono 'ana o ke pathology.
• Infectious ano o ka maʻi (toxoplasmosis, rubella, syphilis).

lapaʻau kiʻi

He aha e na symptoms pu ma intrauterine ulu retardation? pathological hoailona hou loa pinepine i loko o kakahiaka hāpai keiki (ka hola 24-26 pule). Hoʻoholo lākou iho wahine mea i hiki ia, ka mea hiki ke hana wale e ke kauka. IUGR maʻi pale ua diagnosed ma ole-kaʻaeʻana i nā kēia nā hoailona:

• I ka nui o ke poo, a me ka femoral pēpē.
• Abdominal anapuni ma ka kekahi pae, i ke kiekie o ka uterine fundus.
• Ka buke o amniotic loli.
• 'Aʻe' placenta hana (hoʻololi kona 'ole a me nā Ana).
• FHR.
• koko i loko o ke keiki a me ka piko.

Ma kekahi mau hihia, o ka pathology koke Aey? Acaeoey? A progresses me kekahi haunaele, oa asymptomatic.

oolea

• I loa. Intrauterine ulu retardation o 1 ka papahelu ua manaoia e e kŘpa a oluolu, e like me ka lag i loko o ka ulu ana o ka anthropometric aeaiiua, e like me ka kekahi gestation au mea elua wale pule. 'Eleu hoʻoponopono o ka lapaʻau hiki e pono a me ka loa kń i ka likelihood o adverse' ole ma ke keiki.
• II degere. Hopuia Development mea e pili ana 3-4 pule, pono hoʻoponopono lapaau.
• III degere. Ua Ua noʻonoʻo pono i ka loa hanahana loa ano o ka fetus aie i ka backlog aiao no hoʻokahi mahina a oi. Kēia moku'āina ua ana ma hope ma ka ai-kapaia ke aloha loli. Intrauterine ulu o 3 degere pinepine na welau o ka make.

Asymmetrical shape pathology

Ma keia hihia, aia no he nui ka ho'ēmiʻana i loko o fetal kaupaona i ulu maʻamau. A keiki diagnosed lag i loko o ke kahua o ka pahu a me ka abdominal palupalu'aʻaʻa,'āno'ē kūpono 'ana o ke kino. Hiki haoʻa maloko hui, nenoai. I ka wa e kaawale aku o ka pono Inc hoʻomaka i ka gradual ka ho'ēmiʻana i loko o ka nui o ke poo, a me ka lag i loko o ka ulu ana o ka lolo i mea aneane mau entails i ka make ana o ka fetus. Asymmetrical IUGRʻano maʻi pale ia lŘlŘ kuhikuhi i loko o ke kolu o ka trimester e ku ei ka mea pono placental insufficiency.

Ke symmetrical kinona o ka pathology

A hiki aku ka mea, he symmetrical palapala i kaʻaʻahu emi i loko o ke kaupaonaʻana, o ka nui o nā loko a me ka ulu ana fetal. Kēia pathology He pinepine e hoʻomōhala ana i loko o nā kahua o ka hoʻonaʻauao kakahiaka o ka hāpai keiki ma muli o ka fetal maʻi (nā mea palahēhē, chromosomal abnormalities). Symmetric intrauterine ulu retardation maoli ka likelihood o ka ke keiki me ka hemahema hana CNS.

PalekanaEND_LINK ana

Inā 'oe hāʻupu aʻe i kēia pathology wahine e undergo i ka piha PalekanaEND_LINK loiloi. Kuhikuhi i ke kauka 'ohi i ke ahonui o ka mōʻaukala, i mai la mua hoolilo gynecological maʻi, o ka oi aku i ka mua hāpai keiki. A laila, he physical ninaninau me ka obligatory ana o abdominal anapuni, uterus, kiʻekiʻe a me ke kaumaha o na wahine.

Eia kekahi, ka mea e koi ultrasound, Doppler (loiloi 'o ke koko i loko o arteries a me aa koko) a me ka cardiotocography (ana i hoʻopaʻa' ia o ka fetal naʻau ana, a me kona aayoaeuiinoe pololei uterine contractions). Ma muli o ka hopena o nā ho'āʻo ma ke hoopaa i kaʻike, a me ka hoʻomalu, ai ka hōʻoleʻia kāna mea.

He aha lapaʻau Ua koi 'ia?

E hoʻoholo i ka mahope nā kaʻa mokulele o ka hāpai keiki ma hope o kaʻike, o "intrauterine ulu retardation" E lawe i loko no nā kumu o ka maʻi, i ka palapala a me ka loa o ka maʻi. Ka walaʻauʻana me nā loina o ka lapaʻau E e hoʻomōhala i ka hoʻomaikaʻi i ke koko i loko o ka "uterus-placenta-fetus". All pākōlea ana e lawe mai i loko o ka haukapila. Mua o nā mea a pau i ka wahine pono i ka i koena, maikai no kou kino, a me ka piha loa hiamoe. An nui hehee ai o ka Inc ua manaoia e e hooponopono ma luna o ka papa ana o ka fetus. No kēia mau mea, hoʻohana ultrasound kela 7-14 lā, cardiotocography a me ka Doppler koko.

Lāʻau lapaʻau maupaʻa loaa angioprotectors e hoʻopale ai i na moku e ku e ia Tocolytics uterine Muscle hoʻopilikia ( "papaverine", "No-Spa"), bracing loa. Eia hou, nā wāhine, me ka a koe, i hoakaka ia lapaʻauʻia e ho'ēmi i neuro-manaʻoʻike arousal (tincture o Leonurus, valerian) a? Ienoai aa koko i loko o ke keiki ( "Aktovegin", "Kurantil").

Ke kaumaha ma muli o ka degere o ka maʻi oolea o ka iapaau ana i ĸokoĸa ana nä pane. Intrauterine ulu retardation o 1 ka papahelu ana pono amenable e Inc, ka pahiki o hou hopena maikaʻi 'ole i minimized. I oi nui pathologies pono ka okoa e hoʻokokoke i ka lapaau, a me nā hualoaʻa Ua paʻakikī ke kilokilo.

hoopau wale o ka hāpai keiki

I kakahiaka nui hānau, ka nānā 'ana i ka lōʻihi like' ole o ka hāpai keiki, ka mea, ua waiho ia ma ka kēia hihia.

1. I ka wa e kaawale aku o fetal ulu nā hoailona no 14 lā.
2. Kekahi 'mea hōʻemi moku'āina o ke keiki i loko o ka opu (e laʻa me, ka meheu o ke koko i loko o na moku koko).

Hāpai keiki hoomau i ka i kā mākou no 37 pule ma ka hoʻok & ucirckû ia ma muli o ka 'inikua Inc ua hou hana ia ia mea,ʻaʻole e pono ke kamailio e pili ana i kaʻike, o "intrauterine ulu retardation o ka fetus."

Waiwai a me ka hiki complications

Kids me keia pathology ma hope o ka hānau ke i abnormalities o ka loli iki ana oolea, kā lākou mahope hoʻokaulike me ka maʻamau ke ola, e pili kēia hilinaʻi ma luna o nā mākua.

Ka mua 'ole i haawi (hypoxia, kāna hana o neurological me Kinohi) e hōʻike ai mamua. ulu Intrauterine 'aʻole hoʻi oo ana o ka Central ko mākou hopohopo'ōnaehana a me kona oihana, a e loli ai a pau na nenoai. Mau keiki i ana hoʻonāwaliwaliʻia pale aku ia lakou, i ka hope makahiki he mea ka māhuahua pahiki o ka hanana o nā maʻi o ka mea'ōnaehana mānowai koko nenoaiu.

Hāʻaweʻia mai ai i elima makahiki ua pinepine diagnosed kali kaumaha waiwai, psychomotor retardation, malformation o na nā loko nenoai, hyperexcitability. Ma adolescence, he kiʻekiʻe kamepiula o mimikō. Mau keiki i IeAUPIIe, IAa IO paha ia e overweight,ʻikeʻia ka mea, ke koko, pilikia me. 'aʻole i kēia manaʻo i kā lākou kela la i keia ola ana, e lilo ia i loaa mai ai' a me ke ola i loko o ka haukapilaʻo. Ka mea, e pono i kekahi wahi hou noonoo ana i kā lākou mauʻai a me kela la i keia hoounauna.

Kekahi mau keiki, ka poe i ua diagnosed me ka intrauterine ulu retardation o 2 degere, a hana kūponoʻia,ʻaʻohe okoa mai lākou na¯. he maʻamau ola lakou alakai, hula haʻuki, socialize me ka hoa, a kiʻi i ka hoʻonaʻauao.

Pehea e hiki ai au e pale aku IUGR?

Ka pono Kāohiʻana o kēia maʻi - ka hoʻolālā o ka forthcoming hāpai keiki. Kahi o ka hapalua o na makua pono kekahi i kekahi hulina keia hookolokolo ana a me ka hana i ka poe a pau me ka maʻi maʻi. Hoole ana i ka maikaʻiʻano, kupono Aloha Hawaii, he 'O ke kaulikeʻai a me kela la i keia hoounauna stress - i ka pono koho e ole IUGR.

A kipa i ka antenatal? Aaieou ma ka regular kumu, ma luna o ke kakau ana Radio nui i kūlana i loko o kaʻike, o "intrauterine ulu retardation o ka fetus." Lapaʻau 'eleu ka loaʻaʻana o ka maʻi, e kń i ka pilikia o ka io hopena.

A hapai wahine e e pono-i kukulu ia a me ka hiamoe 'ano paha. I ka pololei a me ka piha koena hoʻohuʻu he 10:00 hiamoe i ka po a me 2:00 o ka auwina la. Kēia aaeei apono 'i ka hoʻoikaika' ana i ke koko holo a me ka halihali ana o māhuaola ma waena o ka makuahine, a me ke keiki.

Kela la i keia hele ana i loko o ka hou lewa, hana stress i hoʻoikaika wale i ka pono ola o ka hapai, akā, i normalize i ke ano o ka fetus i loko o ka opu.

ka hopena

Mai haʻalele me ka noonoo ana i ka pathology me intrauterine ulu retardation, i ka hopena o ka i hiki e loa kaumaha. Ma ka kekahi lima, na makua e maiʻae i kēiaʻike, mea e like me ka hoʻopaʻi. Inā ka mea, ua waiho ia ma ka 'eleu kūpono, i ka wā e hiki mai hou makuahine, e lawe a pau e pono ana, e hoʻopau kona kumu, a, e hahai mai nā koi o ka kahuna lapaau, no ka prognosis hiki e maikaʻi. Ma ke ao nei, aole i ole nā pilikia i hiki ole ke lanakila. He nui no ka hoomanao ana i ka olioli o ka noho 'ana makuahine a me ka mea like!