Khunyu mu akhanda: zimayambitsa, zotsatira, ndi makhalidwe chithandizo

Kubadwa kwa mwana ankaona kuti mwambo woterowo. Komabe, nthawi zambiri limodzi ndi maonekedwe a mavuto atsopano ndi nkhawa. Mmodzi wa wamba mavuto amene achinyamata amakumana makolo kupweteka kwa makanda. Zimayambitsa matenda zingasiyane. Childs, madokotala kuphwanya anamanga ndi mantha dongosolo mwana. Pali zina zimene zimachititsa maonekedwe a khunyu. Pa iwo adzakhala m'nkhani lero. Komanso, ife kukusonyezani mmene kuzindikira matenda m'njira yake, kuti makolo imeneyi.

Khunyu mu akhanda: ikulongosola za kudwala kwa

Omangana - ndi likukulira musanaganizire minofu contractions, amene siyana mu nthawi ndi mphamvu. N'chifukwa chiyani zidzachitika? njira zonse mu thupi malamulo ndi ubongo, kuphatikizapo yosangalala ndi kuphwanya kwa thupi. Mu zanyengo ma, ndipo amatchedwa manyuroni mosalekeza zimachitika zochita zosiyanasiyana amuzolengedwa. Chifukwa ndi malemeredwe. Ndiye, manyuroni kutumiza zizindikiro minofu, "inalamula" ntchito ndi mgwirizano. Komabe, si onse mophweka. Siyense malemeredwe zinthu zimene ma imafalikira kwa minofu. Nthawi zina ubongo "wasankha kuti" asiye njira. Chifukwa, anatuluka mu malemeredwe okhudza mitsempha si ikuyenda kwa minofu.

Pamene irritant ena (kutupa, kapena kuvulala zoopsa) amachita pa maselo mafuta ndi braking limagwirira si adamulowetsa, khunyu zimachitika. Ana, kuphwanya kumachitika kangapo kambirimbiri kuposa akulu. Madokotala kufotokoza izi azimuth ubongo mbali. Ana manyuroni Tikasangalala mosavuta ndipo mwamsanga, ndipo braking njira sizinathe ndi izi nthawi potsiriza anapanga. Nthawi zina, khunyu mu akhanda chifukwa cha matenda osiyanasiyana.

Zimayambitsa waukulu kuyan'anila

Malinga ndi kafukufuku, imodzi isanakwane mwana asanu anapeza omangana. ana amene anabadwa mu nthawi, vuto akapezeka ndi pafupipafupi milandu 10-14 pa 1,000 kubereka moyo. Mwa mavuto akuluakulu amene amayambitsa matenda Dokotala otchedwa zotsatirazi:

• kagayidwe kachakudya matenda ndondomeko ku maziko a akusowa kashiamu kapena hypoglycemia;
• chosowa mpweya otaya ku ubongo;
• CNS matenda ndi chitukuko wotsatira wa encephalopathy ischemic;
• kuphwanya zopangitsa kwa adrenal ntchito mu kuvutika awo obadwa nawo;
• hemolytic matenda a chikasu ndiyo, yomwe ndi chotsatira cha bilirubin mkulu magazi.

Amene ali pa chiopsezo?

kudwala Izi kawirikawiri matenda makanda. Pa nthawiyi, mantha dongosolo yodziwika ndi underdevelopment ndipo mofulumira excitability. Magawo a ukalamba oziziritsa makamaka mu CNS chifukwa zaka maonekedwe a khunyu. Kafukufuku wosiyanasiyana wa vutoli n'zotheka kudziwa otchedwa chiopsezo gulu. Zina mwa zinthu zazikulu zinanso matenda, madokotala zimatulutsa:

• hypoplasia wa chapakati mantha dongosolo;
• kovuta kubadwa;
• ntchito mayi wa mankhwala kapena mowa pa mimba;
• chingwe kukodwa, suffocation;
• kuphwanya ntchito.

Kupezeka kwa zinthu limodzi kapena angapo mndandanda kumachititsa kuti makolo adzakhala vuto la khunyu mwa mwanayo.

Waukulu kuwonekera kwa kudwala

Neonatal khunyu zambiri zimachitika mwa masiku ochepa pamene mwana wabadwa. Makolo anayamba kudandaula za umoyo wa nyenyeswa amene kumtunda kwa torso wake ndi miyendo unayamba kunjenjemera popanda chifukwa. Nthawi zambiri, madokotala oterewa kugwedeza akhanda. Ichi ndi chikhalidwe kumene chibwano ndi chogwirira pang'ono ikugwedezeka. zizindikiro zimenezi zimasonyeza matenda a ubongo ndi amafunika mwamsanga mogwirizana ndi mbiri katswiri.

N'zothekanso kupweteka kwa makanda akagona. Iwo kutenga makamaka miyendo m'munsi. The mwana motero amayamba mwadzidzidzi akukuwa, kukoka miyendo. Nthawi zina, kumuukira limodzi ndi mpweya likhale. Usiku izi khunyu amasonyeza khunyu osauka. Komabe, iwo nthawi zambiri amasonyeza chosakhwima wa chapakati mantha dongosolo ndi kuyesedwa pambuyo chaka choyamba cha moyo.

mitundu ya khunyu wotani?

Khunyu ana akhanda ndi okalamba kusiyana ndi khalidwe lawo. Maphunziro kudwala zimatengera pa zomwe ubongo. Choncho, madokotala kusiyanitsa mitundu zotsatirazi twitch.

1. Small khunyu amakhala harbingers matenda aakulu ubongo. Mwa mawonetseredwe chachikulu cha matenda a angatchedwe jitter ndi diso kuphethira, ena minofu ya nkhope, ndi malekezero. Nthawi zina pali blueness wa khungu.
2. kupweteka zimandilimbikitsa makanda ndi zizindikiro zotsatirazi: minofu mavuto a thupi lonse, lalifupi mpweya likhale. Pamene mwana uyu akutenga extensor kaimidwe, mutu wake kuponyedwa kumbuyo. Chikhalidwe chotere zingatenge angapo Mphindi. kuukira Awa ndi khalidwe la ana msanga.
3. khunyu Clonic yodziwika ndi zina rhythmic kunjenjemera za thupi. Iwo focal, multifocal ndi zowombetsa mkota. Yotsirizira yodziwika ndi cyanosis ndi kupuma mungoli.
4. khunyu Myoclonic makanda n'zochepa kwambiri. Mu matenda pali twitch lakuthwa thupi lonse kapena miyendo payekha. Ana chaka choyamba cha moyo, kudwala mfundo izi kuwononga kwambiri ubongo, ndipo chikhalidwe mwachibadwa.

zotsatira zotheka

Zizindikiro za matenda sitingakane. Muyenera yomweyo kuchipatala. Ndikatha kumfunsafunsa wonse dokotala ana adzakhala kudziwa, ndi okhudzidwa khunyu neonatal. Zimayambitsa matenda, monga ulamuliro, amasankha chithandizo.

The palibe mankhwala woyenera zambiri kumayambitsa mavuto sizingasinthe. Choyamba, khunyu likhoza kulumikizidwa ndi ubongo zotupa kapena shuga. Anapulumutsidwa matenda yake kumachititsa wa ayambe othamanga. Komanso pa kumuukira, ubongo amaloŵamo kusowa kwambiri mpweya, zomwe kwenikweni zimakhudza njira kagayidwe kachakudya ndi mphamvu ukubwera. Ngati khunyu kawirikawiri, mwana wayamba kwanthawi kumbuyo mu kukula, amadwala nzeru zake.

njira matenda

Siyense kupotoza kapena kunjenjemera ya nthambi ayenera kumwedwa kwa khunyu mu akhanda. Zimayambitsa matenda zingadziŵike katswiri yekha. Pakuti matenda zolondola n'kofunika ntchito kwa dokotala ndi kutenga kuyesedwa. Kawirikawiri kumaphatikizapo phunziro la electroencephalograph lapansi. chipangizo amalola kuti younikira kusintha ntchito ubongo, kudziwa chikhalidwe cha twitch.

Nthawi zina mankhwalawa chachikulu dokotala akupanga matenda "khunyu" ndipo perekani mankhwalawa koyenera. Ngati kachitidwe zabwino si anaona ndi khunyu kupitiriza, muyenera kupita zambiri mozama bwino.

choyamba-chithandizo

Zopweteka makanda, amene zimayambitsa yatchedwa pamwamba chabe, amafuna woyenera kufika kwa mankhwala. Si boma, pamene mwanayo akhoza kuthandiza piritsi yosavuta. Pamene jerks ayenera yomweyo kuitana gulu la zachipatala. Mpaka kufika kwa dokotala nyenyeswa muyenera kuika pa malo abwino ndi kutimasula thupi ku zovala zothina. Mwanayo ayenera poyesa kupatutsa pa mbali yake, kotero iye anaposa ngati kusanza. Pakati m'kamwa akhoza kuika mpango woyera. Iwo ali osavomerezeka kuti Musiyeni wakhanda ndipo kumupatsa mankhwala.

Pambuyo nkhondo, muyenera kuletsa nyenyeswa, koma kukhala okonzekera kukonzanso kusalima. Nkofunika kulabadira nthawi zawo, zizindikiro kugwirizana ndi mphamvu. Mfundozi akhala akugwira kwa magulu a zachipatala. Ngati madokotala kupereka m'chipatala, amakana kuti sikuthandiza. Kuchipatala mosavuta kudziwa chifukwa cha matenda, komanso monga kukatenga mankhwala woyenera.

mankhwala Features

Kuchiza khunyu mu zimayambitsa obadwa kwa matenda ayenera kuikidwa choyamba. Kawirikawiri kulimbana ndi matenda abwera kusunga Malamulo awa:

• ndi pang'ono mtima hypocalcemia anatumizidwa kashiamu gluconate mu njira shuga m'nsinga;
• zinachitikira hypoglycemia chithandizo choyamba ikuchitika ntchito dextrose kenako analimbikitsa mtsempha shuga njira;
• limati febrile convulsive woyamba wa zonse cropped malungo.

Ndi njira yaitali kudwala mwana anamuona pa odwala mwakayakaya. Pamene mankhwala walandiridwa monga maziko mankhwala chopangidwa kuchokera barbituric asidi ( "Phenobarbital", "Phenytoin"). Pocheza chapakati mantha dongosolo, kuchepetsa mphamvu ya minofu chidule. Pang'onopang'ono, wodwala matenda amabwerera yachibadwa.

Tikumbukenso kuti mankhwala a matendawa ayenera kukhala wopambana. Zotsatira zabwino kupereka mwana kudya zakudya zoyenera, olimbitsa kuumitsa kudzera mankhwala madzi ndi zofikisa ulesi. Pambuyo mankhwala mu zaka zingapo zotsatira, mwana kuzioneka ndi katswiriyu ndi, nthawi tizipima.

Mu nthawi neonatal zovuta kudziwa zimene akhoza zokhudzana khunyu mu akhanda. Zifukwa zovuta kudziwa. Choncho, za gawo limodzi la ana amafa. Kumene, tikulankhula za yopanda chilema akuluakulu monga ischemia, matenda oumitsa khosi, ndi zina zotero. Ngati kupweteka chifukwa cha matenda kagayidwe kachakudya, kuti madokotala ananena zawo nthawi zambiri yabwino. Komanso, pafupifupi gawo limodzi mwamagawo atatu anapulumuka ali matenda osiyanasiyana osokoneza bongo.

kuti adzimvera

Sitiyenera kunyalanyaza mawonetseredwe woyamba wa kudwala izi, monga kupweteka kwa makanda. Zotsatira amene amabwera chifukwa chakuti matendawa zambiri kuposa miyoyo ya ana. Pamafunika chidwi kwa madokotala ndiponso makolo awo. Nkofunika kwambiri mwamsanga kupeza chifukwa cha khunyu ndi kuyamba mankhwala. Only mu nkhani iyi n'zotheka ndikuyembekeza kuti zinthu ziwayendere bwino.