FGR - He aha ka mea? fetal ulu retardation maʻi pale

ʻike, "FGR" kauka i nā keiki i i hanau me ka deficiency o ke kino ke kaupaonaʻana pili ana i kā lākou mau gestational elemakule. About i kēia maʻi, he nui na wahine loaʻa mai i hāpai keiki. Mai na mea o keia 'atikala oe, e loaʻa mai i ka symptoms o ka maʻi pale ua pu ma ke kali hou aku; o fetal? Acaeoey, no ke aha la ia ia lŘlŘ.

FGR - He aha ka mea?

Retardation maʻi pale fetus? Acaeoey (IUGR) - he pathology wehewehe aku ma ka lag i hāʻaweʻia ka nui o ka awelika nā loina i kākau i ka kūmau no i kekahi wā o ka hāpai keiki. Ma Rusia, ka prevalence o keia kāna hana papa koa mai ka 5 a hiki i 18%. Nā Ana uuku o ke keiki, aole ia e mau kuhikuhi i kēia maʻi pale. About 70% o nā keiki i loaʻa i kēiaʻike, ma ko lakou ano i ka uuku kaumaha i kau. Ka mea, i ka makuwahine, a me ka makua kāne paha eʻuʻuku i loko o kona kino. A eia hoi, ka mea e e hoohanau (wahine IeAUPIIe, IAa IO emi o 5% o nā keikikāne i ka hola 200 g) a me ka Lāhui.

E like me ka rula, o ka moku'āina compensated ke kamaiki i ka makahiki mua o ke ola. He ua ho onui ana ke kaupaona a me ka ho onui ana kiekie, ka hookokoke ana i ka hae nā hoailona. Inā hookupaa iho la ia ma ka kaukaʻike, i ke kumu nui no ka lag i loko o ka ulu ana o ke keiki, ka mea e loli ai ke ola kino a me ka pono o ke ola ua noʻonoʻo i ka hana luna 'lapaau.

Hoomaopopo mau ano o FGR: symmetric a me asymmetric. Kēlā me kēia koho i kona mau ano pathological hiʻona. Ma ia E e kūkākūkā hope i loko o kēia 'atikala.

Asymmetrical shape FGR

Pathology nō kāu ia lŘlŘ iloko o ka lua o ka trimester, a ua wehewehe aku e nele maila fetal ke kaupaonaʻana i ulu maʻamau. Ke keiki lagging hope i loko o ka ulu ana o na nā'aʻaʻa o ka abdomen a me ka pahu. Asymmetric FGR kekahi manawa, wehewehe aku ma ka ho okumu i ka haoʻa maloko hui, nenoai. I ka wa e kaawale aku o ka 'eleu lapaau emi ka nui o ka poo i ka pēpēʻana, a me ka lag i loko o ka ulu ana o ka lolo e hiki i kona make ana.

Ke symmetrical shape o FGR

Ke pathology Ua wehewehe aku ma kekahi hapaʻauhau emi i loko o ke keiki ka kino nui pili i ka awelike nā loina no i kekahi gestational makahiki. Ua Ua ana diagnosed i loko o ka lua o ka trimester. Ke symmetrical kinona o ka maʻi pale i loko o ka hapanui manawa no i intrauterine maʻiʻaʻai o ka fetus, chromosomal abnormalities. me ka hemahema kūpono 'ana o ka Central ko mākou hopohopo'ōnaehana Children me keiaʻike, e hanau ai.

I ka papa kuhikuhiE kumu o ka maʻi

Baby hiki e hanau uuku no kekahi mau kumu. Mākou e ole hookaawale ia i ka nui, e hoike ana ia mea he physiological hiʻona. Ka haahaa ulu ana o ke keiki ke lilo mai ia ia, mai ko lākou mau mākua. Eia naʻe, i loko o keia hihia ke kauka ua diagnosed "retardation maʻi pale fetus." Inā ma hope o ka hanau ana o ke kino i ke keiki ka piha hana ana, a me kona reflexes hoʻopili like i kūmau, kekahi kanaka ua koi 'ia.

Kauka maopopo kekahi kumu IUGR, a hiki alakai i ka hypoxia a hiki mae hāpai keiki. Developmental kali hou aku; ua ike i loko o ka hihia, ina o ka bebe i loko o ka opu, aole ia e loaa i oxygen a me ka mea e pono ai ka mahuaola. Ole ia mea, aole e hiki ke hoʻolauna i ka piha-fledged functioning o ka meaola.

Hoemi i ka nui o ka e hoʻopā ai ka mea e hiki ke kena ae la ia e nui aʻe:

1. Placental pilikia. Keia kino He kuleana no ka transporting oxygen ma i ka fetus i loko o ka opu. Inā ke keiki ua ino, ka mea e ole kuleana pili i loa.
2. Pathology i loko o nā nenoai o na nā loko i loko o ka wā e hiki mai makuwahine (kiʻekiʻe ke koko, anaemia, naau maʻi a me ka ÷ naehana hanu'āpana, mimikō).
3. Ka hooulu ana o ka kūikawā a Mānoa i ka fetus e pili ana i ka chromosome 'ia paha, aʻo ia ke launa mai ia mai kona mau mākua.
4. Lama. He nui no ka maikai ke keka uahi a me ka waiʻona inu. Inoʻano, a hiki ina ka hoole no ua wahine ia koke ma mua hapai ana i i IUGR i hāpai keiki.
5. Kauka i mau, ua hai aku la ia i ka wahine i loko o ka oihana e ia ma laila pono no elua. Ua maoli mea. Eaioiuo a heʻoi emi ma caloricʻai ana e negatively pili i ke keiki. Inā ka fetus aʻole ole i lawa ka mahuaola, e hoʻomaka e lawe aku mai ka opu o ka makuwahine. Meaʻai no nā aʻole i manaʻo 'ia e pono ai, e ai i na mea a pau. Keʻai E e 'O ke kaulike, a komo wale nō o ka maikaʻi kēia huahana. Ma hāpai keiki e ole e makau i ka kiʻi maikaʻi, e noho ma luna o ka ikaikaʻai ua pololei ole.
6. Ka lapaʻauʻia. Mai ka lapaʻauʻia ana e hali ana i ke kamaiki e ke kāpaeʻia. E lapaʻauʻia wale nō ma luna o kauka ka'ōlelo aʻo, ka wā i kekahi mea hou hiki ole ke kokua mai.
7. Neʻe i hāpai keiki, infectious ano o ka maʻi (rubella, toxoplasmosis, syphilis) hiki ke wehe 'ia i ke kūpono' ana o ke fetus. I mea no ke aha kauka ikaika i ka manao no ka vaccinated pono mua i kō ai ke keiki.
8. FGR 2 degere pinepine i na wahine e noho ana ma ka wahi ma kiʻekiʻe kiʻekiʻena. Ma kēia wahi, puʻe mea kiʻekiʻe, a me keia pinepine hiki aku i ka hypoxia ma ka fetus, a 'ūlōlohi kona Holomua.

'Eleu' ike no nā kumu o ka maʻi pale a me kona mahope hoʻopau ae i ke kauka, e koho i ka pono ka lapaau.

He aha symptoms hoike retardation maʻi pale fetal ulu?

Ka lapaʻau kiʻi o keia maʻi ua ana holoiia. Manaʻo pü 'ia kaʻike, oe hapai ka olelo lealea ia. Only regular ka mālamaʻana ma ka gynecologist no maluna o eiwa mahina hōʻike i ka pilikia i loko o ka 'eleu kūpono.

manaʻo kekahi kanaka i ina kekahi wahine i hāpai keiki, uuku ua ho onui ana ke kaupaonaʻana, loa paha, i ka hua o ka uuku nui. ʻO kekahi kumu oiaio, akā, ia mea kākaʻikahi oiaio. I ka expectant hou makuahine hoʻohaiki ana i ka kela la i keiaʻai o 1500 kcalʻai mea hoihoi, ka pahiki o ka hanana o ka IUGR fetus mea kiʻekiʻe nui iho la ia. Ma ka kekahi lima, i ka hanana o ka maʻi Eʻaʻole e hoʻokoe 'ia no ka poe wahine, ka poe i loaa i ka disproportionate mahuahua i loko o ke kaumaha.

A akaka hoailona o ka maʻi pale ua noʻonoʻo i ke nānā, a sluggish fetal ka neʻe 'ana. Oia symptoms e Alert, a e kumu no ka pōpilikia e kōkua ai i ka hoʻomalu.

Keia hookolokolo ana me ka fetal ulu retardation

Inā e manaʻo ai he pathological kūpono 'ana o ke keiki ka kauka hiki Alert kiekie discrepancy ma waena o ka waiwai o ka uterine fundus me hoʻokonukonu ana, ho'ākāka' ia ma kēia kahua o ka hāpai keiki. Ka loa ike loeaʻike, ua manaoia e lilo i kekahi fetal ultrasound, a ma ia mau loea, manaʻo kona nui a me ke kaumaha. Eia hou, a me ke kōkua o ke ultrasound ke ho oholo i ka kūlana o ka na nā loko o ke keiki nenoai.

Doppler i hoakaka ia no kēia IUGR. He aha ka mea? Kēia manaʻo 'ana i mālama i ka Loiloi i koko i loko o nā ipu o ke keiki a me ka placenta. nui i hana no ka diagnosing i fetus ua noʻonoʻo cardiotocography (noiʻi Heartbeat). Ma ka maʻamau naau i kela papa koa, mai ka hola 120 a hiki i 160 kui iho oe a no minuke. A hiki aku i ke kamaiki mea i loko o ka opu nele oxygen, o kona naʻau i nā i oi pinepine.

Ma muli o ka hopena o ka ninaninau, ke kauka ke hoopaa i kaʻike, a me ka hooholo i ka oolea o ka maʻi.

• FGR 1st papahelu ua manaoia e ia i ka easiest, ua wehewehe aku ma ka lag i loko o ka ulu ana o ka awelika anthropometricʻikepili no nā pule.
• FGR 2 degere okoa haiahū kūmau, mai ka mea maʻamau i nā hoailona i loko o elua i eha pule.
• Ka loa paʻakikī o ke kolu o ka degere o IUGR. Nā hoailona o ka nui a me ke kaumaha o ke keiki i loko o ka opu, aole ia e hālāwai me nā ana hoʻohālike o ka oi ma mua o eha pule. Ma ka hapanui o na hihia 3 FGR hiki aku ai i ka degere fetal mae wale.

therapies

No ka iapaau ana o keia maʻi pale ua hoʻohana 'ia i loko o obstetrics nui arsenal o ka ai' e i kuhikuhi ma normalizing uteroplacental koko pele.

1. Tokoliticheskogo e hoʻonānea i ka uterus ( "ginipral", "papaverine").
2. Hoomakaukau no ka normalization o pūnao ma'aʻaʻa ( "Curantil", "Aktovegin").
3. Infusion Inc hoʻohana monakō koko pāʻoihana a me ke koko ae pani ai ,.
4. Wikamina Inc.

All ai 'i hoakaka ia no ka manawa lōʻihi me ka ikaika aku ka mālamaʻana o ke ano o ka fetus.

Mau noonoo ana ua uku a hiki i ka iapaau ana o FGR kino i hāpai keiki. Keʻai E ke koena aku hoi like nui i hiki. Ua UaʻAʻole pono e hilinai ma kekahi mau huahana. Oe e ai i na mea a pau. E i hookaawale ia ka ai a me ka haleʻuwī waiū huahana, no ka mea, iloko ona nui dala o ka holoholona kumuʻiʻo. Kēia mea ma ka hopena o ka hāpai keiki maoli i ka pono no ka ma kahi o 50%. Ia mea nui,ʻaʻole e hoʻopoina i ka pahuhopu nui o ka Inc - ole e fatten i ke keiki, a hoʻolako i aku la ia ia me ka pono a me ka ulu harmonious? Acaeoey.

i hapai wahine i paipai no kela la i keia hele, mea naʻau a malie iho la. Mea maʻa mau, i ka auina hiamoe pono ai,ʻaʻole wale nō ma luna o ka moku'āina o ka wā e hiki mai makuwahine, akā, no hoi i ka bebe i loko o ka opu.

Prenatal malama ma FGR

Ma hope o e hooiaio ai, o kaʻike, hope loa o ka wā e hiki mai maternity kauoha ikaika aku ka mālamaʻana ma ka hoʻomalu. Ultrasound hoonoho i ole e emi malalo o elua manawa o ka mahina. Piha noiʻi ua pono, e kuhikuhi i'anatomia i ke keiki a me ka ka mall mā i hiki i hoʻopaneʻe 'ia ana. Nō hoʻi i ka wā e hiki mai hou makuwahine ia amniocentesis kaʻina hana no ka auhau ana o ka chromosomal abnormalities, ina o ka maʻi i 'akomi i ma ultrasound.

Nānā 'ole o ka mea kumumea i alakaʻi ai i ka hanana o IUGR, ka hopena no ke keiki i e irreversible. No kā lākou Kāohi wahine e undergo ultrasound nana kela mau pule. He mea pono e Loiloi i ka nui o ka fetus a me kona ulu ana.

A hiki aku i ka wahine i loko o ka hebedoma 37th, na kauka pele lawe i ka olelo hooholo, e induce hana. A laila, hooponopono ana o ka hāpai keiki hilinaʻi nui ma luna o ka moku'āina o hunahuna i loko o ka opu. Inā ka wahine i preeclampsia symptoms, kauka hooholo ma ka premature hanau.

Hiki complications a me ka hopena

Children me keia maʻi pale pinepine koho complications mea,ʻaʻole wale nō ma fetal ola, akā, kekahi ma hope o ka hanau ana. Ke degere o ka kamepiula hilinaʻi nui ma luna o nā kumu o ka pathological kaʻina, kona oolea a me ka hoʻomaka o ka manawa. E like me ka 'ikepili helu, i ke alo o complications i loa paha ka poe keiki nona kaumaha i hanau mea emi o 1 kg.

Aie i ka mea i ka fetus me ka maʻi pale o ka o oxygen a me ka mahuaola e hele mai i loko o lawa na mea, ua mau keiki i ke hanau kona make koke ana. ka mea, ua pinepine hiki ole ke ku i ka puʻe ma ka hanau-nahu kuakoko, no laila, kauka pele hooholo ma ka caesarean pauku.

Ma na keiki i hanau i IUGR, i ka hopena o kēiaʻike, pono lakou aloha ia i ka hana o ka nui kūloko ma hui, nenoai. Ka mea, IeAUPIIe, IAa IO ana hypoglycemia, ilihune ia'ku i nā mea palahēhē. Ka mea, e prone e jaundice a me ka meconium wehena, oa inhalation mua feces.

Inā kauka diagnose FGR 2 degere, i ka hopena o ka maʻi mea kokoke ole ke kilokilo. keiki ka mea e like ai o ke ola i loko o ka wahi mua hilinaʻi nui ma luna o ka hp'pnphp kumu o ka maʻi pale. Kekahi mau keiki i ke kiʻekiʻe o lālau mai me kā lākou mau na¯ ma ka ulu ana. 'Ē aʻe i mea ola pilikia. Lākou i kakahiaka nui diagnose obesity, i a laila hele aku ai i ka hoʻohuikau 'ana o ka naau, a me ka mimikō hypertension.

kāohi ana

Mai haʻalele me ka hoolohe FGR. He aha ka mea, ua i ua ua hai aku. Hiki au e pale aku ia i ka hanaia?

Ka pono Kāohiʻana o FGR - mua hoʻolālā hāpai keiki. Mua maoli i kō ai ke keiki i ka makua, e hele i ka moʻo o ka ho'āʻo e pono maʻi maʻi. Wahine maʻi a me ka niho palaho e ole e AOON.

pāʻani maʻamau kipa i ka gynecologist ma hope o kakau i hāpai keiki kūlana nui i loko o ka Kāohiʻana o IUGR. Ka mua ke kauka loaa abnormalities, o ka mea kiekie oia ka pahiki, e hoʻopau pilikia complications i loko o ka ulu ana o ke keiki i hāpai keiki, a ma hope o ka hanau ana.

Hapai na wahine e mālama i keʻano o ka hana a me ka hoʻomaha. A piha ka hiamoe e ole e emi malalo o na hora he 10 no po manawa a me ka hora i ka lā 2. Inā 'oe e hiamoe ma ka auina la oe hiki ole, e hiki ke hoolawaia ma kekahi manawa, e moe iho i loko o ka papamoe kūlana. Naps kōkua normalize koko holo ma waena o ke keiki, a me ka makuwahine, hou nutrient amo.

E Nihi Ka Hele ana ma o ka hou lewa, he 'O ke kaulikeʻai a me ka lōpū hoʻokō - he Kāohi nui o IUGR. He aha aʻole ia ke ano o? A wahine eʻai ola waleʻai waiwai i loko o nā wikamina a kumumea hehee wale. Kekahi mau kauka paipai aku hoʻoipoipoʻanaʻai kiʻekiʻe i loko o carbohydrates, e like me kēia mau waiwai hoʻoikaika 'ana i naʻau i loko i hapai, a me ka fetus loko o ka opu. E pili ana i ke kahe o physical haʻawina, ka pono pāʻoihana mea Yoga, o 'Amelika i loko o ka wai.

retardation maʻi pale fetus ulu - ia mea,ʻaʻole he make olelo no ka makua i eagerly kali i ke ano o ke keiki. A nui kūlana ma ka iapaau ana o keia maʻi e pili ana i ke kaʻina o kaʻike,. Eia naʻe, kona koʻikoʻio mea,ʻaʻole he kumu, e haʻalele i ke keiki. 'Aʻohe mea o ke'ākeʻakeʻa mai, i hiki ole kaukau aloha mākua lanakila. No ia mea, ke hele mai i ka oiaio maternal ka pomaikai.