Fetopathy diabetic. Mimikō i hāpai keiki

None, ua hiki ole eʻoiaʻiʻo i kona hāpai keiki, e hoomau aku me ka complications, o ka oi aku ina la ua loaa mai kekahi mai o ka wahine. Fetal ano hiki ke loli keʻano o nā kumumea i hiki i ia ia ka poino. He nolaila, nui ke kanaka hoʻoponopono i ko lakou ola, a ho'āʻo e hoʻopale ai ia lakou iho, mai ka hopena o adverse ana. No keia mau kumumanao e pili ana i ka poe wahine, ka poe i likeʻole kāna hana i loko o ke kino.

Women a me kaʻike, "mimikō" a me ka moe i ka i ka bebe ë he mähele wale i loko o keia hihia ma luna o ko lākou poʻohiwi nui kuleana, no ka mea, i kēia maʻi hiki ke alakai i mau complications i ke keiki. Kekahi o ia mea fetopathy fetus.

Hiʻona o ka maʻi

Diabetic fetopathy mea he maʻi nui o ka fetus i kupu mai, mai ke alo aku o ka mālama '-mimikō paha mimikō i hapai nā wāhine, ka wā o ka monakō koko pae Uaʻoi kona kiʻekiʻe ma mua o mahana maʻamau. No keia pathology ano loli o ka moku'āina o ka fetus a me dysfunction o kona pancreas, hakuʻala, macro- a me ka microvascular nenoaiu.

Inā i ka mōʻaukala o ka wahine hapai i kaʻike, e like me "fetopathy hua", loa pinepine ke kauka hoʻoholo e lawe maiʻoki lāʻau lapaʻau hānau.

Ke 'ano papa o ka hāpai keiki i loko o na wahine me ka mimikō mea e kaukaʻi ma lehulehu aʻe. O nā: keʻano o ka maʻi, complications o nei, e maliuia mai ai 'e pono maʻi. Aole he weliweli i o kekahi adverse loa, ina ma ka hāpai keiki koko monakō koko pae kū aʻela ma luna o ka pilikia cia.

Inā 'oe e ole compensate no keia maʻi, mimikō mellitus, hāpai keiki negatively e loli ai i ka ulu ana o ka fetus, a me ka wā o ka gestation. Kauka pele mua rodorazreshayut ka wahine, e hoola i kona ola a me ke keiki. Me keia maʻi loli aʻe ultrastructure placental ke'ākeʻakeʻa mai, a ma ka mea pohaku e Launch maʻamau a me ka haawi aku i koi fetus. Kauka ma keia hihia, pinepine e kaʻike, o "hyperplasia o na capillaries." Ke keiki i loko o utero ua ho onui ana i ka puu o ke kaupaonaʻana, akā, ka mea, ua poorly ulu.

hoike

Mimikō i hāpai keiki hiki aku ai i ka mea i hanau iho nei i ke keiki a me ka hope o na hoailona o ka maʻi.

• Nui ke kaupaona (IeAUPIIe, IAa IO oi ma mua o 4 kg);
• onoho ana huahuaʻe ma luna o kaʻili;
• haanou ana o kaʻaeʻae'aʻaʻa a me kaʻili;
• moekolohe no ka mea, o ka mea ikaika ulu subcutaneous momona;
• pōkole lala;
• lepaʻano-uliuli ili leo;
• syrovidnoy excessive ka nui o ka ili lubricant;
• ākea mau poohiwi.

symptoms

Keiki fetopathy ikeia like penei:

• naehana popilikia, a wehewehe i ka nele o ka hoʻololi kemikala o kekahi mau 'waiwai i loko o ke akemāmā (surfactant), kokua ana ia laua ńlua mua hanu;
• paha pokole o ka hanu, a hiki naehana hopu koke ma hope o ka hanau ana;
• zheltushka, a ua manaoia i ka hoailona o ka pathological loli ma ke akepaʻa, a pono kūpono lapaʻau;
• neurological kāna hana: ua hoʻemi Muscle leo, suppression o keiki omowaiu reflex, ka alternation o ua hoʻemi hope me ka hyperexcitability.

kumu

Fetopathy diabetic fetus e hoʻomōhala ana i aie i ka noho lakou malaila papa o ka hāpai keiki manawa i originated uncompensated mimikō mellitus type 1 a me ka 2. Eia hou, i ke kumu o ka maʻi o ka makuwahine o gestational mimikō.

An oi ka nui o ka monakō koko i loko o ke koko o ka makuahine ke kumu fetal pancreas hoʻomaka e paka he nui loa insulina. Puka ma ke koko i ka bebe monakō koko i nui na mea o ka makuwahine o ka hoʻomaka 'Imi pau keia la. Eia naʻe, no ka mea, i ka ulu kūpono 'ana o ke fetus koi i kekahi dala o ka ia, no laila, ke oi ua hoohuliia i ka momona, a hiki aku i ka nui bebe kaumaha.

Inā 'oe e ole e lawe mai i loko o glycemia kūmau, ka mea hiki ke hoʻonui i ka' auhau ikaika o adipose'aʻaʻa a me ka fetus aʻole hoʻomōhala maʻamau ae i ka holoʻokoʻa'ōnaehana o na nā loko a me nā'aʻaʻa o ke keiki.

lapaʻau '

E kuhikuhi anomalies i loko o ka fetus, ke kauka prescribes ke kēia mau kaʻina hana:

• ultrasound;
• hoʻopaʻa haʻawina i ka biophysical ano o ka fetus;
• Doppler;
• CTG;
• ka auhau o biochemical hōʻailona o fetoplacental kahua.

ana ultrasound

Ka walaʻauʻana hana o ka hoomaopopo ana i kekahi aʻe 'ana o ka fetus mea ultrasound. Paipai paʻa ultrasound i loko o ka kēia mau hua'ōlelo, ina diagnosed me ka mimikō i hāpai keiki:

• Ma ka trimester mua - o ka manawa.
• Ma ka lua o ka trimester - koke like ma waena o 24 a me 26 pule. He mea pono i ka mea e kuhikuhi i na malformations likeʻole o ka Central ko mākou hopohopo, iwi a me ka ami, genitourinary a me ka mea'ōnaehana mānowai koko'ōnaehana, e like me ka digestive nenoaiu.
• Ke mau hiki e paa i ke kolu o ka trimester ultrasound, a he ekolu manawa. I ka insulina e kaukaʻi mimikō mellitus mea he ao lawe mai ma luna o ka 30-32 hebedoma, a laila, hana ia kekahi manawa o ka pule.

Symptoms o diabetic fetopathy ma ultrasound o ka fetus:

• nui ke kaupaona no i kekahi wā o ka manawa;
• disproportion o ke kino;
• palua contour o ke poo;
• ka hoʻonuiʻia ka nui o ka wai;
• fetal pālua kaapuni aie i ka huina nui o ke kaikea a me ka pahee'aʻaʻa nani;
• i loko o ka iwi o ka puniu wale no ia ehonegativnoe ciia, e hoike ana i edema.

Biophysical Research fetal ana

Oia i keia hookolokolo ana ke hoike i ka 'aʻe i loko o ka morphofunctional kūpono' ana o ka lolo, a ua noʻonoʻo i ka loa loa hoike ana o ka embryopathy. E loaʻa mai, he kauka, a me ka hapalua hola fixes hanu, naʻau uku a me ka locomotor aayoaeuiinoe o ka fetus.

Inā he mea i hoʻohuoiʻia no fetopathy, alaila, i ka pēpē i ka hiamoe, e e pokole-ola, a me ka hapanui o ka manawa ia i hana ka neʻe 'ana. Pōkole hiamoe lōʻihi like 'ole mea i oi aku 50 minute, a ma ia manawa ia ka meheu o ka naau i kela a me ka emi ana i loko o ka naau kōmi.

e hali ana i Doppler

Me ke kōkua o kēia ao ma hope o ka kēia nā hoailona:

• oia i hoemi myocardial olona,;
• cardiac auaiaea waiwai;
• ejection manawa o ka hema ventricle;
• systolic a diastolic koko i loko o ka artery hiʻohiʻona.

Doppler velocimetry hana ma ka hebedoma 30 e Loiloi i ka ano o ka Central ko mākou hopohopo nenoaiu.

E hali ana i CTG me ka auhau o ka iaea ooieoeiiaeuiiai ho'āʻo ma

Kēia kaʻina hana apono 'e loiloi i ka naau ana i koena, i neʻe, uterine contraction. Kauka lawe mai ho'āʻo ma, a ma ka hope lawe i kekahi mau Eia kekahi laʻana.

Manaʻo loiloi 'o biochemical hōʻailona o placental kahua

E diagnose placental insufficiency, a me ka mimi a me ke koko Eia kekahi laʻana ia. Ma ia i ka maʻi i loko o ka kolu o ka trimester fetopathy diabetic hoike nui mahuahua ana o ka ACE.

Lapaʻau i hāpai keiki

Ma hāpai keiki, i ka wahine e hoʻomaka pakiko-ka mālamaʻana o ke koko, a me ke koko monakō koko. Inā koi 'ia, he hou hoakaka insulina. E like me ke kāohi ana i ke kōpaʻa pono e noiʻi ana i kela 3-4 hola kela la i keia. Glycemia? Ee monakō koko a insulina.

Fetopathy diabetic komo ai lawe nā wikamina, ana i kona akua o kūikawāʻai a me nā koi o ka kauka. Food E e waiwai i loko o ke puana digestible carbohydrates, a me ka momona ua pono e ho'ēmi i.

Lapaʻau i haawi

Mua, a me ke kōkua o ke ultrasound ho oholo i ka pau e pono ai ka lā o ka haawi. Inā ka hāpai keiki mea uncomplicated, ia mea maikaʻi rodorazreshat wahine ma 37 pule. Inā he mea i hoʻoweliweli 'ia ke ola o ka makuahine a me ke keiki, no laila, i loko o 36 pule e hana. Lapaʻau o abortion ma ka mua ke kahua me ua ana lawe mai wale nō inā he mea he imminent hoʻoweliweli 'ana i ke ola ana o ka makuwahine, a me ka olelo ana, oia mea,ʻaʻole e pili ana i hoola i ke keiki.

Ma ka hana, e koiia na kumu e kanaka hoʻoponopono glycemia. Inā he ikaika emi i loko o ke koko kō pae i kekahi wahine e i lawa ka ikaika i ka hana, me ka hailona o ka monakō koko ua lilo ma uterine contractions. Ma ke kaʻina hana o ka nahunahu a koke ma hope o lākou, aia no he pilikia i ke hoʻomanawanui, e hina ia i loko o ka hypoglycemic coma.

Gestational mimikō mellitus hoʻolako i ka manawa pōkole hana. Inā e mau no ka oi mamua o 10 hora, ma keia hihia lawe mai caesarean pauku, ma hope i lapaʻau ua kuhikuhi antibiotics.

Lapaʻau ma hope o ka nahunahu hanau

E pale ai ulu o ka hypoglycemia a me ka hou complications, i kekahi manawa ma hope o ka hanau ana o ke keiki ua lawelawe i ka 5% monakō koko pāʻoihana. pono e haawi kela a me keia 2 chasa keiki umauma ka waiū, mai kēia lāʻau lapaʻau loli mea hiki ke hooki aku i moku'āina.

I kakahiaka nui neonatal wā e lawe wahi ma lalo o ka hooponopono ana o kauka ka poe i koi 'ia e kanaka hoʻoponopono i ka hanu o ke keiki. I kona wa e kaawale aku hoʻohui ventilator. Ma ke alo o neurological kāna hana kōkua kalipuna a me ka makanekiuma pāʻoihana. Inā i ke keiki i na hoailona o ke akepaa maʻi, i ka wa a ka 'oiaʻiʻo ma loko o ka maka, a me ka keiki ka ili i jaundiced, ke kauka prescribes kau o ultraviolet pāhawewe i loko o ka pololei hoakaka mahele lāʻau.

Postpartum wahine 2-3 manawa emi insulina no ka mea, i ke koko monakō koko pae ua me ka nui loa hoemiia. I hookuuia ana o ka monakō koko ua hoihoi hou ia i ka mahana maʻamau.

complications

Diabetic fetopathy neonatal hopena i i ke kēia:

• neonatal hypoxia;
• he oi emi i loko o ke koko monakō koko pae i ka pilikia kiʻekiʻe;
• congestive naʻau ole;
• mimikō nā pēpē i;
• ka nele o ka makanekiuma a me ka kalipuna, a negatively e loli ai i ka functioning o ka Central ko mākou hopohopo oihana;
• obesity.

ka hopena

Fetopathy mimikō e hoʻomōhala ana i loko o ka fetus ma ka keia moku'āina o mimikō o kona makuwahine, ka mea, he loa kaʻawaʻawa loa a me ka weliweli maʻi. Woman pono i hāpai keiki ma hope a pau kauka mau koi, a me ka pāʻana i ke koko monakō koko pae. Wale i keia hihia i ka hopena no ke keiki e,ʻaʻole eʻoi aku ka kaumaha.