FGR - chii? fetus kukura retardation chirwere

Chirwere "FGR" vanachiremba vana vose vanozvarwa vane kushayiwa muviri uremu hama dzavo gestational zera. About chirwere ichi, vakadzi vazhinji vanowana kubva panguva yepamuviri. Kubva zvinhu ino uchawana kuti zviratidzo zvechirwere chirwere riri kubatana kunonoka fetus kukura, nei zvinoitika.

FGR - chii?

Retardation chirwere mudumbu kukura (IUGR) - munhu zvokurwara dzinoratidzwa lag kukambaira ukuru avhareji tsika akanyorwa chaiwo kwenguva vamwe munguva pamuviri. MuRussia, kuwanda wenyonganyonga ichi anoda kubva 5 kusvika 18%. The duku kukura mwana Hazviwanzovi nongedzera urwere ichi. About 70% vana vane chirwere ichi, pachisikirwo yavo duku uremu agoverwa. Vane amai kana baba kungava duku kwazvo. Uyezve, tinofanira kuva chechikadzi (mukadzi kazhinji asingasviki 5% vakomana kuti inenge 200 g) uye urudzi.

Kazhinji, hurumende ndanyarara hangu mwana mugore upenyu rokutanga. Ari kuwana uremu uye kuwedzera urefu, pedyo tichienzanisa zviratidzo. Kana yasimbiswa ne chiremba chirwere anova chikuru chikonzero lag kukura mwana, zvinokanganisawo utano uye kunaka kwoupenyu sechinhu chinokosha kunzwisisa kurapwa.

Kusiyanisa mhando mbiri FGR: symmetric uye asymmetric. Yega ine yayo noruzhinji pathological zvinhu. Pavari ichakurukurwa gare gare munyaya ino.

Asymmetrical chimiro FGR

Zvokurwara yemanyorero kunoitika munguva wechipiri trimester uye kunoratidzwa wakareruka fetus uremu panguva dzekudya kukura. Mwana lagging shure kukura munyama ari mudumbu uye chipfuva. Asymmetric FGR dzimwe nguva inozivikanwa pokubatana gogonera womukati nenhengo dzawo. Pasina nenguva kurapa zvinoderedza kukura musoro mwana uye lag kukura uropi anogona kukonzera rufu rwake.

The zvakafanana, ichibata chimiro FGR

The zvokurwara iri dzinoratidzwa Proportional kuderera muviri kukura kwemwana hama kuti paavhareji tsika chimwe gestational zera. Kazhinji chirwere rechipiri trimester. The zvakafanana, ichibata pezvakaita chirwere kakawanda nokuda intrauterine chirwere ari mudumbu, chromosomal abnormalities. Vana vane chirwere ichi vanozvarwa vaine chakaremara kukura nechepakati tsinga.

The kukonzera chirwere

Baby anogona kuzvarwa diki nokuda kwezvikonzero zvinoverengeka. Hatifaniri haabatanidzi chokwadi kuti chinhu vasiri rutivi. The pasi ikure mwana anogona nhaka kuvabereki vavo. Zvisinei, kunyange ichi kana chiremba chirwere "retardation chirwere mudumbu." Kana pashure kuberekwa muviri wemwana woshanda zvizere, uye ayo hunenge anoenderana dzemunharaunda, marapiro kunodiwa.

Doctors kusiyanisa zvimwe zvinokonzera IUGR, izvo zvingaita kuti hypoxia uye kunyange rinooma pamuviri. Kunonoka kukura ari kuchengetwa panyaya, kana mwana mukati mudumbu haagamuchiri okisijeni uye zvokudya zvakafanira. Pasina pavo hazvibviri kuti ataure dzakazara kushanda muviri.

Kuderedza uwandu kuuya zvinhu izvozvo zvinogona kukonzerwa zvinhu zvizhinji:

1. Placental matambudziko. muviri Iri basa rokutakura okisijeni kuti mudumbu mudumbu. Kana placenta iri akaremara, zvirege kushanda zvizere.
2. Zvokurwara ari mugadziriro zvomukati mune vanamai ramangwana (BP, kupererwa neropa, mwoyo chirwere uye kufema turakiti, chirwere cheshuga).
3. Kukura mudumbu basa rinokosha ndowenyika chromosome yakatarwa, izvo iye anogamuchira kubva kuvabereki vake.
4. Muropa. Vakawanda akanaka bonde utsi uye zvokunwa doro. Bad tsika, kunyange kana mukadzi akaramba nguva pfupi asati pakunambwa kungaita IUGR panguva yepamuviri.
5. Doctors vari kuramba uchiudzwa kuti mukadzi anokwanisa kuva ikoko chete maviri. It chaizvoizvo. Kudhayeta kana rakapinza kuderera caloric yaunodya kunogona kukanganisa mwana. Kana mudumbu asina zvinokurisa zvakakwana, rwunotanga kubvisa muviri ramai. Zvokudya vaviri hakurevi kuti unofanira kudya zvose. The Kudya inofanira kuva pakati nepakati uye kuva bedzi kuti anobatsira zvigadzirwa. Panguva pamuviri havafaniri kutya kuti nani, kugara vasingaiti kudya iri zvachose wairambidza.
6. Mishonga. Kubva kurapwa apo akatakura mwana anofanira kuraswa. Tora mishonga chete pamusoro zano yachiremba, kana hapana zvakawanda hazvigoni vangabatsirwa.
7. Kutamiswa panguva pamuviri, kutapuriranwa hunhu chirwere (rubella, toxoplasmosis, njovhera) anogona misa kukura mudumbu. Ndokusaka vanachiremba zvakasimba vakayambira kuti nhomba zvakanaka vasati yokubereka mwana.
8. FGR 2 madhigirii kazhinji kuisa vakadzi vanogara kunzvimbo panguva pamatunhu kukwira. Munzvimbo idzi, kumanikidzwa zvakakwirira, uye izvi zvinowanzoita kuti hypoxia ari mudumbu uye nokunonoka kunoita kwayo.

Panguva Chaiyo kuziva zvinokonzera kuti chirwere chacho unozotevera kubviswa kubvumira chiremba kusarudza chinobudirira kurapwa.

Ndezvipi zviratidzo zvinoratidza retardation chirwere fetus?

The kunotoda mufananidzo chirwere ichi Kazhinji zvapera. Fungira chirwere chakadai pachako pamuviri angangotadza. Chete zvichiongororwa dzose achishandisa gayinakorojisiti kweanodarika mipfumbamwe anoratidza dambudziko iri nenguva nenzira.

Vamwe vanhu vanofunga kuti kana mukadzi panguva pamuviri, zvishoma kuwedzera uremu, Ungangove, chibereko vashoma saizi. Izvi pamwe wechokwadi, asi zviri kashoma chokwadi. Kana amai vatsva pamuviri ichikutadzisa zuva zvokudya 1500 kcal zvinodyiwa vaifarira, ndingangokuvara panowanikwa IUGR mudumbu zvakakwirira zvakakwana. Ukuwo, panowanikwa chirwere hakufaniri kunze kune vakadzi vakambova disproportionate kuwedzera uremu.

A chiratidzo zvakajeka chirwere anoonekwa isingawanzowanikwi uye usimbe fetus kufamba. Zviratidzo zvakadaro pasvika uye kuva nechikonzero pakaita zvivabatsire kune nyanzvi.

Ongororo pamwe fetus kukura retardation

Kana uchifungidzira munhu pathological kukura chiremba mwana anogona kuona kukwirira musiyano pakati kukosha uterine fundus pamwe pamutemo matanho, wakananga Danho iri pamuviri. Chakavimbika kupfuura chirwere anoonekwa kuti imwe fetus Ultrasound, umo nyanzvi dzinofungidzira kwayo ukuru uye uremu. Mukuwedzera, achibatsirwa Ultrasound anogona kuona mamiriro zvomukati mwana hurongwa.

Doppler uyewo nachiremba vanofungidzirwa IUGR. Chii? Ongororo iyi inoitwa kuongorora ropa riyerere munzira dzeimba mwana uye placenta. An nzira chinokosha diagnosing fetus anonzi cardiotocography (tsvakurudzo kwemwoyo). Mugore chakaipa kwemwoyo neeSultan kubva vanenge 120 kusvika 160 anorova paminiti. Kana mwana ari mudumbu haina okisijeni, mwoyo wake zvishoma nezvishoma yava kakawanda.

Inobva migumisiro yokuongorora, chiremba anogona kusimbisa chirwere uye kuona kukomba kwechirwere chacho.

• FGR 1st dhigirii ichaongororwa kuva nyore, iri dzinoratidzwa lag kukura avhareji anthropometric Data kwevhiki mbiri.
• FGR 2 madhigirii yakasiyana yakatsauka kubva mureza zviratidzi mukati maviri mana vhiki.
• Chinonetsa ndiyo mwero IUGR rechitatu. Zviratidzi noukuru kurema mwana ari mudumbu asingadi kusangana mitemo kwevhiki dzinopfuura mana. Muzviitiko zvizhinji 3 FGR kunotungamirira madhigirii fetus wasvava.

kurapwa

Nokuti kurapa chirwere ichi rinoshandiswa Obstetrics guru zvombo zvinodhaka kuti tinotungamirirwa pana normalizing ropa riyerere uteroplacental.

1. Tokoliticheskogo kuzorora muchibereko chemusikana ( "ginipral", "papaverine").
2. Achigadzirira normalization kuti muviri mu zvinyama ( "Curantil", "Aktovegin").
3. Aizomupa mushonga kushandisa shuga mhinduro uye ropa Sevamiririri ,.
4. Vhitamini mushonga.

zvinodhaka ose ushandiswe kwenguva yakareba pamwe kuramba zvichiongororwa kwokufara azvarwa.

Pfungwa iri rwakabhadharwa kuna pakurapa FGR zvokudya panguva yepamuviri. Zvokudya zvinofanira nepakati napo. Hazvina varumbidzwa kuvimba zvimwe zvigadzirwa. Unogona kudya zvose. Haafaniri siya nyama nezvinogadzirwa nomukaka, sezvo ane yakawanda mhuka mapuroteni. Ndiyo apo magumo pamuviri kunowedzera kudiwa vanenge 50%. Zvakakosha Haazombokanganwi kuti huru chinangwa yokurapa - kwete fatten mwana uye zvinopa naye akakodzera kukura uye rinopindirana kukura.

Vakadzi vane pamuviri vari Dzakamukurudzirawo-famba zuva rimwe nerimwe, manzwiro akadzikama. Setsika, masikati hope kubatsira kwete mamiriro vanaamai ramangwana, asiwo kune mwana mukati mudumbu.

Havana hanya muna FGR

Mushure chisimbiso, chokupedzisira zvokuongorora ramangwana maternity zvinoda kuramba zvichiongororwa kubudikidza unyanzvi. Ultrassom kugadza kwete isingasviki kaviri pamwedzi. Detailed tsvakurudzo chinodiwa kuziva mwana anatomi uye STRUCTURAL zvikanganiso anogona kukonzera sokunonoka. Uyewo mune ramangwana vanaamai vatsva basa amniocentesis nzira nokuda tinyatsonzwisisa chromosomal abnormalities, kana hosha vakanga dzakaonekwa pamusoro Ultrasound.

Pasinei zvinhu kukanganiswa panowanikwa IUGR, nemigumisiro nokuti mwana anogona kuva kusingarapiki. Nokuti mukadzi wavo kudzivirira vanofanira kumbotambudzika Ultrasound kuongororwa ose mavhiki maviri. Zvakakodzera kuongorora kukura mudumbu uye ikure unodiwa.

Kana mukadzi ari rechi37 vhiki, vanachiremba kazhinji tora chisarudzo kufurira basa. Kusvikira zvino, utariri pamuviri kunoenderana mamiriro mafufu mukati mudumbu. Kana mukadzi ane preeclampsia zviratidzo, vanachiremba vanosarudza uri vakurumidze pakuberekwa.

Possible yematambudziko uye migumisiro

Vana vane chirwere ichi kazhinji kugadzirisa zvakakomba matambudziko, kwete chete panguva fetus upenyu, asi pashure pokuberekwa. The mwero pangozi kunoenderana zvinokonzera ari pathological muitiro, ayo kwokuomerwa uye kutanga kwenguva. Maererano nenhamba, kuvapo yematambudziko ingangowanikwa vana vane uremu pakuzvarwa idukusa 1 kg.

Nokuti kuti mudumbu pamwe chirwere reokisijeni uye zvinovaka muviri vasvika kukwana zvakawanda, vana vakadaro vanogona kuzvarwa atofa. dzinowanzoitwa kukwanisa kudzivisa kuita panguva yokuberekwa-okubereka, saka vanachiremba kazhinji kusarudza munhu caesarean chikamu.

In vana vaine IUGR, migumisiro nechirwere ichi zvakananga chokuita basa guru womukati nenhengo dzawo. Kunowanzosanganisira kuitika yomuropa, murombo nemishonga zvirwere. Ivo havatani jaundice uye meconium chido, kureva inhalation yepakutanga mutsvina yadzo.

Kana vanachiremba rokuongorora FGR 2 madhigirii, zvinokonzerwa chirwere kwakaoma zvisingaiti kufungidzira. unhu hwomwana upenyu pakutanga kunobva zvinokonzera kuti syndrome. Vamwe vanozvarwa zvishoma nezvishoma uchibata pamwe nevezera avo kukura. Vamwe vane zvinetso zvakakomba zvoutano. Dzavo mangwanani rokuongorora kufutisa, vakazochinja inotungamirira nokuvhiringidzirwa mwoyo, chirwere cheshuga uye BP.

matanho

Usasiya pasina kuteerera FGR. Chii, hatina kare kuudzwa. I kunogona kubva kuitika?

The yakanakisisa kudzivirira FGR - pachine kuronga pamuviri. Asati chaizvoizvo yokubereka mwana vabereki vanofanira kupfuura nhevedzano nemiedzo kurapa chirwere zvirwere. Dzokubereka zvirwere uye mazino havafaniri kungosiyiwa.

Kushanya dzose kuti gayinakorojisiti pashure kunyoresa nenguva pamuviri basa rinokosha iri kudzivirira IUGR. Kwokutanga chiremba awana abnormalities, dzakanga mukana kubvisa matambudziko ngozi kukura mwana panguva yepamuviri uye pashure pokuberekwa.

vakadzi vane pamuviri vanofanira kutarisira kwadzinoita basa uye zororo. A hope izere havafaniri kuva maawa asingasviki 10 paminiti nguva usiku uye maawa masikati 2. Kana kurara masikati haugoni, unogona kutenga imwe nguva pasi chinjikira chinzvimbo. Naps the kunobatsira normalize kweropa pakati mwana namai, nani inotonhorera zvifambiso.

Kufamba yakachena mhepo, zvokudya zvinovaka muviri uye muviri zvine mwero - munhu kudzivirira guru IUGR. Zvinorevei? Mukadzi adye zvokudya chete utano mufumi mavhitaminzi uye kuronda zvinhu. Vamwe vanachiremba vanokurudzira Vakadzi zvokudya kumusoro makabhohaidhiretsi, sezvo izvi zvinhu kuvandudza mafungiro ava nemimba uye fetus mukati mudumbu. Nezveshoko nyaya kurovedza muviri, wakakwana mhinduro iri yoga, kushambira mudziva.

retardation chirwere mudumbu kukura - harisi mutongo rufu vabereki avo vanomirira pakuonekwa mwana. A rakakura basa pakurapa chirwere ichi ndowenyika timeliness ose nechirwere. Zvisinei, inyaya haisi chikonzero kusiya mwana. Hapana zvipingamupinyi zvakadai, kuti vabereki vane rudo haagoni kukunda. Kunyanya kana totaura chokwadi rwaamai mufaro.