Intrauterine hypoxia fetus: izimpawu, izimbangela, ukwelashwa kanye nokuvimbela

Intrauterine hypoxia fetus - inqubo iyingozi,, ngeshwa, zivame kakhulu. Imiphumela hypoxia kungathikameza kabi kwengane esiswini kanye nemisebenzi kwezitho zawo zangaphakathi. Kusukela uphethwe ngesikhathi esifanele kanye nokwelashwa incike ukuphila nempilo ingane ngezindlela eziningi.

Ilinde isimangaliso

Ngesikhathi ekhulelwe - isikhathi esijabulisayo kodwa futhi esijabulisayo yilowo nalowo wesifazane. Kodwa yi-abayilangazelela ngenjabulo we kokuzalwa kwengane ukungezwa ukukhathazeka ngempilo yakhe. On the umama okhulelwe umthwalo wemfanelo osindayo. Kwaphela izinyanga eziyisishiyagalolunye sibangelwa futhi ikhula impilo entsha. Impilo somntwana ongakazalwa incike impilo kamama wakhe.

Kukhona izincomo eziningi zendlela ukuze kuqashwe impilo yabo ngesikhathi sokukhulelwa. Lokhu kusebenza ukudla, indlela yokuphila, ukucindezeleka ngokomzwelo, nokuningi. Ukwehluleka ukulandela le mithetho elula kungaholela imiphumela emibi futhi zilimaze impilo umbungu.

Omunye yale miphumela ingaba hypoxia fetus, entailing kahle ukukhula fetus futhi kwezinye izimo fade sokukhulelwa. Ukuze ugweme lokhu, umama okhulelwe kufanele kube kubhekwe ngokucophelela engcupheni ukuthi baqamekela wakhe ngesikhathi sokukhulelwa, bese uzama ukuvimbela nesenzakalo yabo.

Kuyini hypoxia

"Hypoxia" - igama yamaGreki asendulo ukuthi ngokoqobo ihumusha ngokuthi "umoya-mpilo ongaphakeme". Leli gama lisho ukuvunyelwa-mpilo yokulamba ihlangabezana i umzimba noma izitho ngabanye ngenxa ithonya yezizathu ezithile.

Nge isikhathi eside umoya-mpilo yindlala umzimba womuntu engelapheki izinqubo morphological. Bona ungashintsha isakhiwo ezicutshini futhi kwezitho ukuphazamisa ikhono labo lokwenza. Lapho umoya-mpilo yokulamba umbungu kubambezela futhi aphazamise inqubo ukwakheka kwezitho zangaphakathi, ingane ingase izalwe lag e nokuthuthukiswa kwezinhlelo kubalulekile noma ishabalale. Ezinjalo ngemiphumela hypoxia fetus. Kakhulu kakhulu wadalula hypoxia, inhliziyo, izinso, isibindi kanye isimiso sezinzwa esiyinhloko.

ukuntuleka komoya-mpilo ungakwazi ukuhamba yisiphi isifo noma kwenzeka njengoba inqubo ezimele, entailing imikhuba emibi izitho zangaphakathi. Ngenxa yalesi sizathu, hypoxia ayikwazi labizwa ngokuthi isifo, kuyinqubo sokugembula, kuyafana yisihlungu noma awe ukonakala.

Izimpawu hypoxia fetus

Kuyaqapheleka ukuthi ezinyangeni zokuqala ezintathu zokukhulelwa anoxia eba njalo. Ezimweni eziningi, lokhu kungenzeka kumaphesenti senyanga wesibili nowesithathu. Lokhu kungenxa yokuthi ngokukhula umbungu kwenzeka nokukhula-mpilo yayo ngokufunwa, futhi kwezinye izimo ezinzima, lo okhulelwe akakwazi ukubhekana lo msebenzi.

ukuntuleka komoya-mpilo ngendlela ingane kunzima ukuthola ngaphandle baqhuba izifundo zokuxilonga, ikakhulu uma nisanda zokuqala zokukhulelwa. Kodwa kukhona ezinye izimpawu hypoxia fetus, okufanele isignali ezethusayo ngoba umama okhulelwe.

Into yokuqala okumele isaziso umsebenzi fetus. Kuyinsakavukela imayelana eziyishumi perturbations ngosuku. Ezigabeni kokuqala hypoxia Umntwana uqala ukuzizwa ukungakhululeki, ngakho kakhulu iyasebenza. Ngezinye perturbations eside umoya-mpilo owanele lemali incipha. Ngaphezu kwalokho, hypoxia fetus Icahn kungenzeka libhekene umbungu njalo.

Uma inani lemali ukuphambuka perturbations kusukela hiccups evamile futhi njalo ongakaphathelani umsebenzi umama okhulelwe noma ukuba sesimweni ungakhululekile, kuyadingeka ngokushesha uxhumane nomuntu kuzoveza isizathu ukuziphatha okufana umbungu futhi zibeka ukwelashwa uma kunesidingo.

izimbangela

Izimbangela intrauterine hypoxia fetus zingase zihluke. Lezi izifo okukhungethe abesifazane abakhulelwe, zokugula esinomhlapho ukutheleleka, ukukhubazeka kombungu.

Umama izifo, okuholela hypoxia fetus, yilezi ezilandelayo:

• anaemia;
• ukuphazamiseka yisimiso senhliziyo nemithambo yegazi;
• izifo kwezitho zokuphefumula;
• sikashukela.

Ngaphezu kwalokho, impilo ingane bathonya imikhuba emibi esahlupha umama okhulelwe. Ukuvimbela hypoxia fetus Kuhlanganisa ukumisa okuphelele ukubhema kanye notshwala. Ukuze hypoxia fetus kungadala yimuphi ukuphambuka kusuka kwezinkambiso wamukela yokukhulelwa. ngeziphambeko enjalo ingase ibe abruption futhi asheshe aguge yomzanyana le perenashivanie umbungu noma ukwanda kwemithwalo lesizalo ithoni.

Esinye isici entailing ukuntuleka komoya-mpilo aluhambisani Rhesus umama nengane. Lokhu ukungavumelani bungabangela izifo hemolytic umbungu, okuyinto ngokuvamile ehambisana nobutha hypoxia. Ngaphezu kwalezi zici, umthelela kungaba nethonya mechanical embungwini - izihibe umzanyana kokucindezelwa ikhanda ngesikhathi sokubeletha nokunye.

Izimbangela hypoxia intrauterine nakho kungaholela kwezinye, eziyingozi ngokulinganayo. Ukuze ugweme nemiphumela emibi kwengane esiswini, umama okhulelwe kufanele ziqashwe izisebenzi eziqeqeshiwe phakathi naso sonke isikhathi sokukhulelwa.

Izinhlobo hypoxia fetus

Kuye ngokuthi lakhiwe kanjani anoxia eside uyaqhubeka, hypoxia fetus has amafomu amabili: oyingozi futhi ezingalapheki. hypoxia olunamandla libhekene ukwehla elibukhali oxygen enikeziwe. Okuvame kakhulu ifomu acute kwenzeka ngesikhathi senqubo lokuzalwa noma kakhulu lesizalo ukopha. Okungalapheki hypoxia fetus Kumiswa phezu isikhathi eside, kancane kancane breaking izinqubo kwengane esiswini.

Izinga phambili umoya-mpilo yokulamba

Labelwe degrees ezintathu hypoxia fetus. Ekuqaleni izithelo ngaphandle kokuthola imali edingekayo i-oksijini, uzama isinxephezeliso ukuntula kwayo. Izinga lokuqala seliya ngomutsha ukuvalwa ukuntula umoya-mpilo. Emzimbeni, ingane iqala ukushintsha, okuhloswe ngaso nekwandzisa umtsamo oxygen engenayo. Growing amazinga ama-hormone, kwandisa ithoni yegazi - cortisol. Iyokhushulwa amazinga cortisol kuvusa ukwanda umthamo wegazi ukuthi ukhiphela ngokusebenzisa izitsha, nokwanda kwenhliziyo. Ukushintsha indlela yokwakheka igazi: kwandisa ezingeni elithwala umoya-mpilo futhi amangqamuzana abomvu egazi. Ngaphezu kwalokho, kukhona umsebenzi owengeziwe umntwana. Yena uqala ukunyakaza izikhandle kakhudlwana ekufuneni futhi wenze ukuphefumula ukunyakaza, naphezu kwezinkinga elalibhekene glottis avaliwe.

In the isinyathelo sesibili isinxephezelo olungaphelele imisebenzi okuvikela umzimba ukucacisa imizimba igunya, okuyinto ayanikezelwa yomoya-mpilo engasetshenziswa ngokuyinhloko. Lezi zitho enhliziyweni nasebuchosheni, ngokulandelana, keminye (izinso, amaphaphu pheshana emathunjini) wamukele igazi, umoya-mpilo-abampofu, okuholela yokuphazamiseka ekuthuthukeni kwabo kanye nokusetshenziswa. Ukuntuleka komoya-mpilo kuphumela ukuwohloka glucose. Lokhu kunciphisa amandla agcinwe amaseli umzimba kanye iziyaluyalu umzimba.

Okungalapheki intrauterine hypoxia fetus has ebangeni lelilandzelako nekunika Isinyathelo sesithathu - decompensation. Ngaphandle sigaba obonakala njengenhlangano nokuncipha umsebenzi ne-fetus ube kwenhliziyo ukunciphisa. izindlela ukuvikelwa Employment ukuqinisekisa ukuphoqelelwa oksijini, onezinkinga. Cortisol ikhiqizwa eziningi enganele, ngokulandelana siyehla ukugeleza kwegazi, futhi kunciphisa inani afundwa igazi. Igazi ayegcwele carbon dioxide, igazi coagulation kuyaphazamiseka, okuholela kwetinhlavu thrombi nesenzakalo ebangela ukopha.

izinyathelo zokuxilonga

Ukuze sithole khona kanye degree of-mpilo yokulamba ekusizeni izindlela wezinsimbi ukuxilongwa. Le nqubo yokuqala enjalo kuyinto cardiotocography (uqale). Le ndlela zokuxilonga nakanjani ephephile. Idivayisi ngokuqhubekayo uloba CTG fetus kwenhliziyo lesizalo Kufinyeta. Ngosizo ultrasound ihluzo ukuboniswa tachogram. Lena igrafu esimele isibalo Kufinyeta of imisipha yenhliziyo e lemali eyabelwe isikhathi. Uhlobo gauge alinganise iyehla iyenyuka ingcindezi kanye ithoni lesizalo, outputting gisterogrammu - igrafu lesizalo imisipha umsebenzi. CTG ubala linani perturbations futhi kungenziwa zalandelwa imvamisa ukwencika fetus umsebenzi inhliziyo.

Kusukela ngesonto lamashumi amabili yokukhulelwa, angase atadishe nge Doppler ultrasound. Le ndlela ihlose ekutadisheni ukugeleza kwegazi kusukela placenta ukuba umama ezingenzeka embungwini kusukela placenta futhi kungathola ukwephula kwegazi utero-esinomhlapho. Nale ndlela zokuxilonga futhi unganquma izinga amniotic fluid.

Ngaphandle amathekhiniki ezingenhla, fetus inhliziyo Uchwepheshe ulalela ukuhlola ukusebenza kwayo usebenzisa IselulekoSesihenqo azoya. Nokho, le ndlela akuyona olunembile, ngakho uma usola inhliziyo udokotela anomaly abakhulelwe uqondisa ukudlula CTG kanye ultrasound.

ukwelashwa

Ukwelashwa nokuvikelwa hypoxia intrauterine Kudinga ukuqapha abakhulelwe esibhedlela. Abesifazane ukujabulela ukuthula egcwele bamisa indlela oqabulayo ukwelashwa, okuhloswe ngalo hhayi kuphela igazi oxygenation, kodwa futhi ukuze abone imbangela hypoxia kweqiniso. Ngokuvamile, ukukhulelwa kwezinso ezifana intrauterine hypoxia fetus, - nemiphumela noma izimpawu yanoma yimuphi isifo.

udokotela abakhulelwe sinquma izidakamizwa ukuthi kunciphise umfutho viscosity, ngcono igazi ligeleze placenta kusuka umama kujwayeleke umzimba phakathi kukamama embungwini. Ukuqokwa nezinye izidakamizwa nezinqubo incike imbangela hypoxia, uma kutholakala khona, futhi ihlose ukuqeda le imbangela.

Uma Dynamics omuhle isiguli linqume futhi wenze izincomo nokuvimbela hypoxia. Lezi zihlanganisa umsebenzi ongaphandle, kwehle umsebenzi ngokomzimba, ukugwema imikhuba eyingozi ukugcinwa imithetho ethile ekudleni. Esimweni lapho ukwelashwa kwaba ingaphumeleli, futhi ukuntula-mpilo inakekelwa, idinga isizinda kuhlinzwa umbungu. Uma iminyaka yobudala isukela sokukhulelwa mkhulu kunezinhliziyo amasonto amabili nesishiyagalombili, udokotela ekunika ukuhlinzwa - Ukubeletha.

zokuvimbela

Kukhona ezinye izincomo elula, ukuhambisana okuzosiza ekunciphiseni ingozi ukuntuleka komoya-mpilo ingane. Ngaphambi uhlela ukukhulelwa, owesifazane udinga ukwenza ekwelapheni izifo ezingelapheki, ukuqeda imikhuba emibi. Uma ukukhulelwa kwenzeka kubalulekile ukubhalisa nge isikhungo sokwelapha ekukhulelweni ekuseni. Kuyo yonke ukukhulelwa, kufanele uvakashele njalo udokotela ukuze bamhlole futhi wenze ultrasound. Lokhu kuzoqinisekisa ukulawula impilo owesifazane okhulelweyo umntwana, futhi ngaleyo ndlela asize ukugwema ukuthuthukiswa kungenzeka isimo sokugembula umbungu.

Isici esibalulekile ekugwemeni hypoxia intrauterine ukulondoloza indlela yokuphila enempilo. Udinga ukuchitha isikhathi esiningi ngaphandle, ukulala amahora ayisishiyagalombili ngosuku, ukudla ukudla okunomsoco.

Phakathi nenkathi yokukhulelwa, isidingo ubuyise isitokwe amavithamini nezakhi ezondla umzimba, ezingeni zazo kuyehla ngenxa umthwalo ezengeziwe emzimbeni. Kufanele silondoloze amazinga evamile calcium, magnesium namanye amaminerali. ebaluleke nakakhulu ukulawula okuqukethwe zensimbi egazini, njengoba injalo ongaphakeme kuholela anaemia - iyimbangela eyinhloko yokungakholelwa ukuthi hypoxia. Thatha mzimba kufanele kube ngokuhambisana udokotela enquma.

imiphumela

Imiphumela hypoxia intrauterine incike uhlobo yayo. hypoxia Ezingalapheki, okwaqala ngo-sokukhulelwa ekuseni, lapho kuphela nje ungakaqali ukwakheka izinhlelo ezibalulekile umbungu kungaholela kwasekuzalweni. Hypoxia adluliselwe kamuva ekukhulelweni, kungabangela fetus ukukhula retardation, kanye okuholela ischemia futhi necrosis kwezitho ngabanye. A usana ngokuvamile ukushoda ubude nesisindo, kanye inkathi ezisindayo okuzivumelanisa (sokulungiswa i umzimba endaweni entsha). Esikhathini esizayo, abanolwazi-mpilo nokuswela esibelethweni kungabangela izifo ezifana nesifo sokuwa futhi ngine-cerebral palsy.

Acute fetus hypoxia ingane kuholela ischemia nezicubu necrosis. Uma hypoxia acute kwenzeka ngesikhathi sokubeletha, zikhona nemiphumela eziningana kungenzeka, kuncike yokulamba imbangela-mpilo:

1. Baby yomoya akasulwa ngokugcwele kusukela amniotic fluid. Kulokhu, ukuthuthukiswa kungenzeka i-pneumonia, esimweni okubi - kokufa ingane kungaminyezeli.
2. Ukufelwa yenqwaba igazi. Usana eba oluhambisana ukushaqeka ukuthi kuphazamisa ngemisebenzi eyenziwa zonke izinhlelo. Ngaphansi kwezimo ezinjalo, kunosongo ekuphileni, hhayi kuphela ingane kodwa futhi unina.

Emva kokuzalwa kwengane yakho egade iyokuhlinzwa hypoxia esibelethweni, idinga nokuqapha njalo ochwepheshe abafanelekayo. Imiphumela ukuntuleka komoya-mpilo kungenzeka hhayi ngezinsuku zokuqala zokuphila, kodwa ngemva kwesikhathi eside kakhulu. Ngakho-ke kubaluleke kakhulu ukuba lokhozi izinguquko futhi kwezinso ku siza ukukhulisa ingane ukuze abone futhi kuvimbele ukuthuthukiswa imiphumela emibi hypoxia.