Mukati
Munhu wese pano anovadana kuti "zviyereso zvidiki". Vangave vakaiswa mudumbu revanaamai venguva yemberi kana kuti vakaiswa mumaincubator edhipatimendi revana vechipatara cheRobert Debré muParis. Vadiki pane avhareji, vacheche ava vanotambura nekukasira kukura muchibereko. Mumikoto yewadhi yavanosunungukira, Coumba, ane pamuviri pemwedzi misere, akanga asati ambonzwa nezvazvo, semumwe wevakadzi vaviri muFrance *. Pakanga pari pakupfuura ultrasound yake yechipiri, mwedzi mina bedzi yapfuura, apo iye akanzwa aya mavara mana okuti “RCIU”: “Vanachiremba vakangotsanangura kwandiri kuti mwana wangu akanga ari muduku zvikuru! “
*Opinionway ongororo yePremUp Foundation
Kukura kunonoka muutero: mu40% yezviitiko, mavambo asina kutsanangurwa
Iyo RCIU ipfungwa yakaoma: "fetus" ine huremu hushoma kana ichienzaniswa nezera rayo rekuzvitakura (hypotrophy), asi simba rekukura kwayo curve, yenguva dzose kana nekudzikira, kunyangwe kuzorora, yakangokosha kuita kuongororwa. "MuFrance, mumwe mucheche gumi anobatwa nechirwere ichi. Asi isu tinoziva zvishoma, zvakare ndicho chikonzero chekutanga chekufa kwevacheche! », Anotsanangura Purofesa Baud, mukuru wedhipatimendi revana vacheche kuRobert Debré. Uku kukundikana kukura kunowanzobatanidzwa nekukura kukuru, izvo zvisina migumisiro pane ramangwana rekukura kwemwana. Kuti vaponese amai kana mwana, vanachiremba dzimwe nguva vanomanikidzwa kuti vasununguke nguva isati yakwana. Izvi ndizvo zvakaitika kuna Lætitia, uyo akasununguka pamavhiki 33 emwana musikana airema 1,2 kg. “Masvondo maviri adarika akangotora 20g uye moyo wake wairatidza kusasimba pakutarisisa. Takanga tisina imwe mhinduro: aive nani kunze kunze kwemukati. “Mushumiro yevacheche, amai vadiki vanoratidza chati yekukura kwemwanasikana wavo anogara padivi peincubator: mucheche ari kuwedzera uremu zvishoma nezvishoma. Lætitia akadzidza mukati memwedzi wake wechina wekuzvitakura kuti akarwara nekuremara muvascularization ye placenta yake. Inhengo yakakosha iyo fetus inokwevera zvese zvinodiwa kuti ikure. Kusakwana kwePlacental saka kunokonzera 4% yezviitiko zveIUGR naamai vane pamuviri, dzimwe nguva mhedzisiro inotyisa: hypertension, pre-eclampsia ... Pane zvikonzero zvakawanda zvekukura kwakaoma. Isu tinofungidzira zvirwere zvisingaperi - chirwere cheshuga, chirwere chekushaya ropa -, zvigadzirwa - fodya, doro ... uye mamwe madhiragi. Kuchembera kwaamai kana kuonda kwavo (BMI isingasviki 18) zvinogonawo kukanganisa kukura kwemwana. Muchikamu che10% chezviitiko, pane fetal pathology, yakadai sechromosomal abnormality. Asi zvese izvi zvinokonzeresa zvinodaidza nzira dzisati dzanyatso kunzwisiswa. Uye mu40% yeIUGR kesi, vanachiremba havana tsananguro.
Mu utero kukura kunonoka kuongorora maturusi
Akarara pamubhedha wokuongororwa, Coumba nenzira yokuteerera anokotama kukurekodhwa kwevhiki nevhiki kwomwoyo womwana wake. Ipapo anenge asangana nanyamukuta pabvunzo dzekiriniki, uye anozodzoka mumazuva matatu kune imwe ultrasound. Asi Coumba arikunetsekana. Uyu mwana wake wekutanga uye haaremi zvakanyanya. Zvishoma 2 kg pamwedzi misere yekuzvitakura uye pamusoro pezvose, akatora iyi svondo rapfuura 20 g chete. Amai vachaba vanofambisa ruoko pamusoro pedumbu ravo rakakora uye mafinya, asina kukura zvekunakirwa. Kuti ive nechokwadi chekuti mwana anokura zvakanaka, varapi vanovimbawo neindekisi iyi, nekuyera kwehurefu hwechibereko.. Inoitwa kubva pamwedzi wechina wepamuviri, uchishandisa tepi yekusona inoyera kureba pakati pe fundus ne pubic symphysis. Iyi data yakashumwa padanho rekuzvitakura, kureva masendimita 4 pamwedzi mina semuenzaniso, inozorongerwa pane inonongedza curve, zvishoma seavo vanoonekwa munhoroondo yehutano hwemwana. Chiyero chinobvumira nekufamba kwenguva kumisa curve yekuona kuderera kunobvira mukukura kwe "fetus". "Iri nyore, risingapindike uye risingadhure rekuongorora chishandiso, asi richiramba rakajeka", anovimbisa Pr Jean-François Oury., mukuru wedhipatimendi regyneco-obstetrics. Asi kuongororwa kwekiriniki uku kune miganhu yayo. Inongoratidza hafu yeIUGRs. Ultrasound inoramba iri nzira yekusarudza. Pachirongwa chega-chega, murapi anotora zviyero zve "fetus": dhayamita yebiparietal (kubva kune imwe temberi kuenda kune imwe) uye cephalic perimeter, iyo yose inoratidza kukura kwehuropi, denderedzwa redumbu rinoratidza chimiro chayo chekudya uye kureba kwefemu kuongorora kukura kwayo. . Zviyero izvi zvakasanganiswa nealgorithms akadzidzwa zvinopa fungidziro yehuremu hwe "fetus", nemuganhu wekukanganisa unosvika 10%. Yakashumwa pane referensi curve, inoita kuti zvikwanise kuwana zvakanyatsojeka RCIU (dhayagiramu yakatarisana). Kana chirwere chacho chaitwa, amai vemangwana vanobva vaiswa mubhatiri rekuongorora kuti vawane chikonzero.
Kukura kunonoka muchibereko: kurapa kushoma
Asi kunze kwezano rehutsanana, rakadai sokurega kusvuta uye kudya zvakanaka, kazhinji kazhinji hapana zvakawanda zvaunogona kuita., kunze kwekutarisa mwero wekukura uye kuyerera kweropa kwakajairika mumutsara wembilical kudzivirira matambudziko uye kuita kuti kuberekwa kana zvichidikanwa. Sedziviriro, amai vane pamuviri vanowanzo zorora kumba nekushanyira wadhi yevanosunungukira kuti vaone mamiriro akaita zvinhu vhiki nevhiki. Nguva zhinji anogara muchipatara asati asununguka kuti agadzirire mwana wake upenyu hutsva kunze. Kunyanya, nekukurumidzira maturation process yemapapu ake. "Hatina marapiro ekudzivirira IUGR mumurwere asingaratidze njodzi pakutanga", anochema kudaro Muzvinafundo Oury. Tinogona chete, kana paine nhoroondo yeIUGR yekwakabva placenta, kumupa mushonga weaspirin wepamuviri pake inotevera. Inoshanda chaizvo. "Pamusoro, mucheche, Muzvinafundo Baud ari kunetsekawo kukura" zviremu zvake zvidiki "nepaanogona napo. Akaiswa mumaincubator, vana ava vanobaiwa nechikwata chese. Iwo anodyiswa mhinduro dzakapfuma mukudya uye anotariswa zvakanyanya kudzivirira matambudziko. “Pakupedzisira, vamwe vachabata, asi vamwe vacharamba vakaremara,” anodemba kudaro. Kuponesa vana ava nevabereki vavo refu Stations of the Cross, Prof. Baud anobatanidzwa mu PremUp Foundation, iyo inounza pamwe network yevanopfuura 200 vanachiremba nevatsvakurudzi muEurope yose. Ichitsigirwa neFrench Ministry of Research and Inserm, Nheyo iyi yakagadzirwa makore mashanu apfuura yakazvipa basa rekudzivirira hutano hwevanaamai nevana. “Gore rino tinoda kuparura chirongwa chakakura chetsvakiridzo paIUGR. Chinangwa chedu? Gadzira mabiological marker ekuona vanaamai vemangwana nekukurumidza sezvinobvira, kuitira kudzikamisa mhedzisiro yekunonoka kukura uku. Kunzwisisa zvirinani maitiro eiyi pathology kugadzira marapirwo. Kuita chirongwa ichi uye kuedza kubereka vana vane hutano, iyo PremUp hwaro inoda kukwidza 450 €. “Saka ngatisanganei paBaby Walk!” », Inotangisa Muzvinafundo Baud.
Uchapupu hwaSylvie, ane makore 43, amai vaMélanie, vane makore makumi maviri, Théo, vane makore gumi nemana, Louna naZoé, vane mwedzi mumwe chete.
“Ini ndatova nevana vaviri vakura, asi takaronga nemumwe wangu kuti tiwedzere mhuri. Pakutanga ultrasound, vanachiremba vanotiudza kuti hapana mwana mumwe chete, asi maviri! Zvakambotishamisa pakutanga, takakurumidza kujaira iyi pfungwa. Kunyanya kubva pamwedzi mitatu yekutanga yekuzvitakura yakafamba zvakanaka, kunyangwe ini ndichirwara neBP. Asi pakazosvika mwedzi wechi4, ndakatanga kunzwa mazamu. Neraki, pane ultrasound, hapana dambudziko rekutaura kune mabinoculars. Ndakarongedzerwa kurapwa, pamwe nekuzorora kumba nemwedzi wega wega. Mumwedzi wechishanu, yambiro nyowani: Kukura kweLouna kunotanga kudzikira. Hapana chinotyisa, anongorema 5g zvishoma pane hanzvadzi yake. Mwedzi unotevera, gaka rinowedzera: 50 g zvishoma. Uye mumwedzi wechinomwe, mamiriro ezvinhu anowedzera kuipa. Zvisungo zvinoonekwa zvakare. Mumba me emergency ndakaiswa drip kuti ndirege kushanda. Ndinobayiwawo majekiseni e<em>corticosteroid kugadzirira mapapu evana. Vana vangu vakabatirira! Kumusha, ndine pfungwa imwe chete mupfungwa: batisisa nepaunogona napo uye simbisa vanasikana vangu. Maungira ekupedzisira anofungidzira huremu hwaZoe pa200 kg, uye Louna pa7 kg. Kukurudzira kuchinjana kwepa placenta, ndinogara ndakarara nerutivi rwangu rworuboshwe. Mukudya kwangu, ndinosarudza zvigadzirwa zvakapfuma mumakoriyumu uye zvinovaka muviri. Ndakatora 1,8 kg chete, pasina kuzvinyima. Ndinoenda kuwadhi yevanosunungukira svondo rega rega: BP, kuongororwa weti, maungira, kuongorora… Zoe ari kukura zvakanaka, asi Louna ari kunetseka. Isu tinonetsekana zvakanyanya kuti kuwedzera kukuru kusati kwasvika pakukura kwake kwakaoma kwaizongoita kuti zvinhu zviwedzere. Mumwe anofanira kuchengeta! Mucherechedzo wemwedzi misere wakayambuka neimwe nzira, nekuti ndave kutanga kuita edema. Ndinobatwa nepreeclampsia. Kuendeswa kunosarudzwa kwezuva rinotevera. Pasi pe epidural uye vaginal nzira. Zoe akaberekwa na1,4:9 pm: 8 kg ye16 cm. Mwana akanaka. Maminitsi matatu gare gare, Louna anosvika: 31 kg ye2,480 cm. Chipi chidiki, chakabva chaendeswa kune intensive care. Vanachiremba vanotivimbisa kuti: “Zvinhu zvose zvakanaka, zvinorema zvishoma!” »Louna icharamba iri mucheche kwemazuva gumi nemashanu. Achangouya kumba. Anorema zvishoma kudarika 46 kg apo Zoe akadarika 3 kg. Sekureva kwavanachiremba, anokura nekumhanya kwake uye ane mukana wese wekubata sisi vake. Tinotenda mavari zvakasimba, asi hatigoni kubatsira asi kuvaenzanisa nguva dzose. Nekupesanisa zvigunwe zvako. “
Muvhidhiyo: "Fetus yangu idiki zvakanyanya, zvakakomba here?"
Unoda kutaura nezvazvo pakati pevabereki here? Kupa maonero ako, kuunza uchapupu hwako? Tinosangana pa https://forum.parents.fr.