Kunonoka kukura kwemwana muchibereko

Chii chinonzi kukura kunonoka muchibereko?

«Fetus yangu idiki zvakanyanyisa: yakamira here?»Chenjera kuti usakanganise mwana ari mudumbu zvishoma pane avhareji (asi iri kuita zvakanaka zvakakwana) uye kukura chaiko kwakamira. Kukura kwakaoma kunoratidzwa kana kuverenga kwemwana kuri pasi pegumi muzana. Pakuzvarwa, izvi zvinoita kuti a kusakwana kwehuremu hwemucheche zvichienzaniswa nemacurves reference. the intrauterine kukura kunonoka (RCIU) inobva ku dambudziko repamuviri izvo zvinoita kuti pasave nekukura kwefetus yezera renhumbu. Kukura curves panguva yekuzvitakura kunoratidzwa mu "percentiles".

Nzira yekudzivirira sei fetus kukura kunonoka?

Kazhinji hurefu hudiki hudiki kune nguva yemimba inozivisa nyamukuta kana chiremba, uye inovatungamira kuti vakumbire ultrasound. Iyi bvunzo inogona kuongorora nhamba yakakura yekunonoka kukura kwe intrauterine (zvisinei, chinenge chikamu chimwe muzvitatu cheIUGR hachiwanikwe kusvika pakuzvarwa). Musoro wemwana, dumbu nefemu zvinopimwa uye zvichienzaniswa nereferensi macurves. Kana zviyero zviri pakati pegumi netatu muzana, kunonoka kunonzi kuri pakati nepakati. Pazasi pechitatu, yakanyanya.

Kuongororwa kwe ultrasound kunoenderera mberi nekudzidza kwe placenta uye amniotic fluid. Kuderera kwehuwandu hwemvura chinhu chakakomba chinoratidza kushushikana kwe fetal. Mamiriro emwana anobva adzidzwa kutsvaga kutadza kuumbwa kwe "fetus" zvichikonzera dambudziko rekukura. Kudzora kuchinjana pakati paamai nemwana, fetal umbilical doppler inoitwa.

Kune marudzi akawanda ekukakama here?

Zvikamu zviviri zvekunonoka zviripo. Mu20% yezviitiko, inonzi inopindirana kana symmetrical uye inobata zvose kukura parameters (musoro, dumbu uye femur). Kunonoka kwerudzi urwu kunotanga pakutanga kwepamuviri uye kazhinji kunomutsa kunetseka pamusoro genetic abnormality.

Mu80% yezviitiko, kukura kunonoka kunoonekwa kunonoka, mu 3rd trimester yepamuviri, uye inobata chete dumbu. Izvi zvinonzi dysharmonious kukura retardation. Kufungidzira kuri nani, sezvo 50% yevana inobata nekurasikirwa kwavo mukati megore rekuzvarwa.

Ndezvipi zvikonzero zvekuderera kwekukura mu utero?

Iwo akawanda uye anouya pasi pemaitiro akasiyana. Harmonious IUGR inonyanya kukonzerwa nemajini (chromosomal abnormalities), utachiona (rubella, cytomegalovirus kana toxoplasmosis), chepfu (doro, fodya, zvinodhaka) kana mishonga (antiepileptic) zvinhu.

Idzo dzinonzi RCIUs disharmonious kazhinji kazhinji mhedzisiro yezvironda zvepa placenta izvo zvinotungamira mukudzikira kwekudya kunovaka muviri uye kupihwa kweokisijeni, yakakosha kumwana. Sezvo mwana asina "kudyiswa" zvisina kunaka, haachakura uye anorasikirwa. Izvi zvinoitika mupreeclampsia, asiwo apo amai vanotambura nezvimwe zvirwere zvisingaperi: chirwere cheshuga chakakomba, lupus kana chirwere chetsvo. Kubata pamuviri kwakawanda kana kukanganisa kwe placenta kana tambo kunogona kukonzera kuderera kwekukura. Pakupedzisira, kana amai vakashaya zvokudya zvinovaka muviri kana kuti vane anemia yakakomba, inogona kukanganisa kukura kwomwana. Zvisinei, ye30% yeIUGR, hapana chikonzero chinozivikanwa.

RCIU: pane vakadzi vari panjodzi here?

Zvimwe zvinhu zvinokonzeresa kukura kwakaoma: chokwadi chokuti amai vachange vava nepamuviri kekutanga, vanotambura nekusagadzikana kwechibereko kana kuti idiki (<1,50 m). Zera rinewo basa, sezvo RCIU iri kakawanda pamberi pemakore makumi maviri kana mushure memakore makumi mana. Mamiriro asina kunaka ezvemagariro evanhu anowedzerawo njodzi. Pakupedzisira, chirwere chemadzimai (chirwere chemwoyo, somuenzaniso), pamwe chete nekudya kusina kukwana kana nhoroondo yeIUGR inogonawo kuwedzera kuitika kwayo.

Kuremara kukura: chii chinoguma kumwana?

Kukanganisa kumwana kunobva pane chikonzero, kuoma uye zuva rekutanga kwekukura kwekukura panguva yekuzvitakura. Zvinotonyanya kuipa kana kusununguka kunoitika nguva isati yakwana. Pakati pezvinonyanya kunetsa ndezvi: kuvhiringika kwehupenyu, kusaramba kubatwa nezvirwere, kusadzora tembiricha yemuviri (vana vanodziya zvisina kunaka) uye kuwedzera kusingawanzo kwehuwandu hwemasero matsvuku eropa. Kufa kwakakwira zvakare, kunyanya muvacheche vakatambura nekushaikwa kweokisijeni kana vane hutachiona hwakakomba kana kuremara. Kana ruzhinji rwevacheche rwakabata nekunonoka kukura kwavo, njodzi yekupfupika zvachose inopeta kanomwe muvana vanozvarwa vaine intrauterine kukura kunonoka.

Kuoma musoro kunorapwa sei?

Nehurombo, hapana mushonga weIUGR. Chiyero chekutanga chichava chekuisa amai kuti vazorore, vavete nerutivi rwavo rworuboshwe, uye mumhando dzakakomba nekutanga kwekushungurudzika kwe fetal, kusununguka mwana kare.

Ndezvipi zvidziviriro zvepamuviri mune ramangwana?

Ngozi yekudzokororwa kweIUGR inenge 20%. Kuzvinzvenga, mamwe maitiro ekudzivirira anopiwa kuna amai. Ultrasound monitoring yekukura kwemwana kana kuongororwa hypertension ichasimbiswa. Kana paine chepfu IUGR, amai vanokurudzirwa kurega kushandisa fodya, doro kana zvinodhaka. Kana chikonzero chacho chiri chekudya, kudya uye vitamini supplementation zvichanyorwa. Genetic counselling inoitwawo kana paine chromosomal abnormality. Mushure mekuberekwa, amai vachabaiwa kurwisa rubella kana vasina kudzivirirwa, mukugadzirira pamuviri mutsva.

Unoda kutaura nezvazvo pakati pevabereki here? Kupa maonero ako, kuunza uchapupu hwako? Tinosangana pa https://forum.parents.fr.