Neonatal asphyxia.

neonatal asphyxia - chikhalidwe pathological wa ana akhanda, amene amayambitsidwa ndi kuphwanya kupuma ndipo monga Motero, pakutchulidwa wa akusowa oxygen. neonatal asphyxia ndi mitundu iwiri: chachikulu (pobadwa) ndi sekondale (oyambirira mu moyo).

Pulayimale ndi akhanda asphyxia kumachitika chifukwa pachimake, aakulu akusowa intrauterine oxygen. Monga zikamera wake ntchito ndi matenda osiyanasiyana extragenital mimba (aakulu matenda a m'mapapo, matenda a mtima, matenda a shuga, kuchepa magazi kwambiri, matenda opatsirana, hyperthyroidism ndi zina), mimba perenashivanie, mochedwa toxicosis, kudwala kwa chingwe umbilical, msanga detachment wa latuluka, mitundu yosiyanasiyana ya mavuto pobereka ( ntchito yosayembekezereka ya madzimadzi amniotic, ndi mismatch kukula mafupa a chiuno amayi ndi mutu wa mwana wosabadwayo, udindo molakwa mutu yoopsa ndi anomalies ena kanjedza angaperekedwe nosti). Secondary chifukwa neonatal asphyxia akhale chisokonezo mu oziziritsa kufalitsidwa yoopsa pneumopathy ndi ena.

Kupuma kulephera ndi Rute mmwamba foni ndi nthawi kuganizira ngati pali asphyxia. zotsatira zake zingakhale zomvetsa chisoni kwambiri - mwina kusintha ntchito mtima ndi hemodynamics. Mu ntchito zachipatala kunachititsa mitundu itatu asphyxia - wofatsa, lochepa kwambiri.

Mu wofatsa mwana asphyxia mu miniti koyamba mpweya choyamba, koma kupuma wake ndi omasuka kwambiri, pali kuchepa minofu kamvekedwe. Mlingo avareji asphyxia distinguishable ndi chakuti pamene zikuoneka mwanayo komanso zinalili m'mbuyomu, kumapangitsa mpweya choyamba mu miniti choyamba, akatumba ake ali omasuka kwambiri, khungu mtundu buluu, makamaka manja ndi mutu, kupuma ofooka, kulira yodziwika ndi nyonga, monga ulamuliro, pali bradycardia kapena tachycardia, chingwe umbilical pulsates kwambiri.

Nthawi ya aakulu, mwanayo akuchita ndi ofooka kwambiri ndipo infrequent mpweya kapena ali kwina kwathunthu, mwanayo si imalira, nthawi zina yells, kugunda kwambiri mochedwa, nthawizina zimatipatsa njira contractions zosathandiza mtima, bongo kwina, minofu atonia alipo kapena hypotension. Chifukwa zotumphukira mtima kuphipha khungu ndi wotumbululuka kwambiri, chingwe umbilical si zimatulutsa ndi pulsation, zina, kukhala adrenal insufficiency.

Neonatal asphyxia amayambitsa zotsatira monga chitukuko mu maola choyamba cha moyo postgipoksichekogo syndrome, mawonetseredwe waukulu umene - ndi dongosolo chapakati mantha wonse. Pankhaniyi, pali mavuto aakulu. Mwana aliyense lachitatu, omwe chili mu asphyxia cha kuwuma zolimbitsa, pali chisokonezo kufalitsa oziziritsa 1 ndi 2 movutikira. Ndi ana onse ndi digiri asphyxia lachitatu pali kuphwanya makope oziziritsa ndi liquorodynamics chachiwiri ndi digiri lachitatu.

neonatal asphyxia kuwatsitsimula amafuna alowererepo. Mphamvu ya mankhwala zikudalira miyezo zofunika atengedwa mu nthawi. Zinthu zokhudza ntchito kuwatsitsimula ikuchitika mu chipinda chapadera - chipinda yobereka, zida ndi zipangizo zonse zofunika pa moyo: kugunda kwa mtima, mlingo wa kupuma ndi permeability, magazi magawo kuthamanga, udindo asidi-m'munsi ndi hematocrit.

Kuteteza asphyxia ndi kutsatira malamulo kutsata ndi mkazi wobala. Izi makamaka mosamala yake kwa mavuto, komanso zakudya zachilendo, kupewa makhalidwe oipa ndi kupuma mokwanira, ndi kusowa kwa mafunde ndi nkhawa. Kumbukirani, thanzi kwambiri zodula.