Ntsiab nta ntawm tag nrho-lub sij hawm cov me nyuam mos: kev piav qhia thiab cov yam ntxwv

Niaj hnub no peb yuav sau thiab piav me ntsis txog cov yam ntxwv ntawm tag nrho-lub sij hawm cov me nyuam mos. Nyob rau hauv tas li ntawd, peb yuav kub siab rau tej teeb meem perenoshennosti los yog prematurity. Yuav ua li cas yog nws tau los mus txiav txim rau tus me nyuam thiab cov me nyuam yog sib txawv? Yuav ua li cas hawv no me nyuam mos?

Vim li no nws yog tsim nyog los paub tsis tau tsuas yog lub cim ntawm maturation thiab kom loj hlob ntawm tus me nyuam mos, tab sis kuj yuav tau kev tshawb nrhiav kom raug, thiab yuav tsum paub txog tau teeb meem. Yog hais tias peb xav txog qhov tus me nyuam raws li ib tug kwv ntawm tus me nyuam, nws yuav tsum tau ua raws li qhov loj ntawm lub taub hau, raws li yog qhov ntim ntawm lub me nyuam hauv plab lub cev, uas yog muaj cov loj tshaj teeb meem thaum lub sij hawm mus ncig teb chaws los ntawm cov me nyuam yug kwj dej. Tam sim no peb muaj tham nyob rau hauv ntau yam txog cov cim qhia ntawm tag nrho-lub sij hawm cov me nyuam mos.

Ib tug tag nrho-lub sij hawm tus me nyuam

Yuav ua li cas yog lub kom loj hlob ntawm lub fetus? Nws yog ib tug zoo ntawm lub xeev ntawm tus me nyuam, uas characterizes lub npaj txhij ntawm lub hauv nruab nrog cev los xyuas kom meej lub neej ntawm tus me nyuam sab nraum lub tsev menyuam. Tom qab tus me nyuam yug ntawm ib tug me nyuam yuav tsum tau xyuas lub neonatologist.

Tus kws kho mob yuav tsum tau soj ntsuam raws li peb tsis:

• txhais los ntawm ib tug me nyuam mos liab maturation, tej yam tshwm sim uas peb yuav sib tham txog nyob rau hauv seem no;
• ntsuam xyuas cov neeg kawm ntawv ntawm lub cev kev loj hlob;
• morphological thiab haumxeeb kom loj hlob.

Yuav ua li cas tus me nyuam yog suav tias yog tag nrho-lub sij hawm? Cov yam ntxwv xws li:

• lub sij hawm yug me nyuam - los ntawm peb caug-yim rau plaub caug-ob lub lis piam;
• lub cev hnyav yuav tsum tau ntau tshaj li ob thiab ib tug ib nrab kilograms;
• lub cev ntev - los ntawm plaub caug-rau centimeters los yog ntau tshaj.

Nws yog ib qho tseem ceeb yuav tau nco ntsoov hais tias muaj ib tug xov tooj ntawm lwm yam tej yam tshwm sim ntawm maturation ntawm tus me nyuam mos. Peb yuav tau tham txog lub morphological thiab haumxeeb kom loj hlob. Qhov no yuav tsum tau tham nyob rau hauv kom meej hauv qab no. Yuav kom saib lub ntsab lug dab tsi tau hais tias nyob rau hauv seem no, nws tseem tau los txheeb xyuas cov yam ntxwv tseem ceeb ntawm tag nrho-lub sij hawm cov me nyuam mos:

• gestational hnub nyoog;
• lub cev hnyav;
• lub cev ntev.

lwm yam tshwm sim

Peb pib nrog lub ntsiab nta ntawm uas yog pom mus rau tus liab qab qhov muag. Tus thawj yam nyob rau hauv daim ntawv no, koj yuav tsum xaiv ib lub suab nrov nrov thiab xav tau. Qhov thib ob - ib tug me nyuam mos liab daim tawv nqaij yuav tsum liab thiab velvety. Nco ntsoov them sai sai rau lub fact tias cov me nyuam mos tawv nqaij yuav tsum huv si thiab muaj roj txheej - uniform. Qhov thib peb - qhov muaj ib tug loj qhib fontanelle. Txawm li cas los, raws li statistics, hais txog kaum tsib feem pua ntawm tus neeg mob qhib thiab me me. Plaub tsos - nws kom loj hlob ntawm lub pob ntseg, tag nrho cov npoo yuav tsum tau cov lus hais. Fifth feature - ntaws nyob rau ntawm qhov chaw ntawm lub plab mog, tus ntsia thawv phaj yuav tsum kiag npog tus ntsia thawv Phalanx. Qhov thib rau feature - tus hluas nkauj kaw lub pudendal cleft thiab cov tub hluas ho nqis mus rau hauv lub scrotum noob qes.

haumxeeb nta

Nyob rau hauv seem no peb sau tej nta ntawm tag nrho-lub sij hawm cov me nyuam mos. Rau cov neeg muaj xws li cov nram qab no:

• povtseg tus me nyuam yuav tsum tau bent ntawm cov pob qij txha;
• chaotic tsheb thiab heev active;
• rau cov me nyuam yus muaj los ntawm ntau zog nqaij laus;
• Lub cev kub yog ruaj khov, hloov nyob rau hauv lub cev ntau mus txog rau kaum ntawm degrees Celsius;
• me nyuam mos ua tsis taus pa tseem li qhia siv kuj - los ntawm plaub caug rau caum ua pa ib feeb;
• lub plawv dhia tapped zoo, rhythmical (norm - los ntawm ib puas nees nkaum rau ib puas plaub caug yeej ib feeb);
• Tag nrho cov reflexes yog symmetrical nyob rau hauv ib tug tag nrho-lub sij hawm tus me nyuam, nws tseem tau mus ua kev.

Kev neonatal reflexes:

• ib co kab;
• nrhiav;
• niag;
• proboscis thiab lwm tus neeg.

prematurity

Peb tam sim no tig mus rau rau lo lus nug ntawm lub txheej xwm ntawm prematurity, perenoshennosti tus me nyuam. Ib tug ntxov ntxov tus me nyuam yug los ua ntej thaum xaus ntawm me nyuam hauv plab kev loj hlob, uas yog, ua ntej lub peb caug xya lub lim tiam ntawm cev xeeb tub. Cov me nyuam muaj ib tug me me ceeb thawj, yog tus luj yog tsawg tshaj li ob thiab ib tug ib nrab kilograms, thiab lawv txoj kev loj hlob tsis tau plaub caug-tsib centimeters. Nyob rau hauv cov me nyuam mos, muaj teeb meem nrog regulators thiab tsis teb mus rau sab nraud stimuli. Nws yog ib qho tseem ceeb rau koj nco ntsoov cov statistics: cov me nyuam mos yug los nyob txog 10% ntawm cov neeg.

Tsim kom paub hais tias muaj ib lub sij hawm "huab prematurity", yog hais tias tus me nyuam yug los mus txog rau nees nkaum-ob lub lis piam. Qhov no mob - lub kab ntawm rho me nyuam tawm thiab ntxov ntxov cov me nyuam mos. Lub cev hnyav nyob rau hauv cov ntaub ntawv no yog ib tug tseem ceeb: Yog hais tias nws nce mus txog ib nrab ntawm ib kilogram, qhov no ntxov ntxov tus me nyuam, thiab cia li ib tug gram tsawg - nchuav menyuam.

Prematurity cais rau tus me nyuam mos lub cev hnyav.

prematurity teeb meem yuav ua tau ob qho tib si niam thiab txiv, thiab tus me nyuam. Luv luv, lawv muaj nyob rau hauv qab no.

manifestation ntawm prematurity

Xam tias yog nyob rau hauv peb daim ntawv qhia maturation, prematurity thiab me nyuam mos perenoshennosti yog thaws rov los nyob rau hauv tus cwj pwm thiab kev loj hlob ntawm tus me nyuam. Peb muab rau koj los tham txog yuav ua li cas qhia nws preterm cov me nyuam mos. Tam sim no peb muab ib tug general soj ntsuam daim duab. Ua ntej, lub cev ntawm ib tug me nyuam mos yog cim disparity (heev loj lub taub hau). Nyob rau hauv tas li ntawd, sutures ntawm lub pob txha taub hau, ces malleable pob txha. Ob, mos mos pob ntseg. Qhov thib peb - cov me nyuam yog nyob rau hauv Qav teeb, raws li sau tseg nqaij hypotonia. Qhov thib plaub feature - tus noob qes nyob rau hauv cov tub hluas tsis tau nqis mus rau hauv lub scrotum thiab labia ntxhais tsis tau tsim los rau thaum xaus. Fifth - kev reflexes qhia heev tsis zoo. Sixth - nto thiab tsis muaj zog ua pa (54), uas tsis muaj ntshav siab (txog 55-65). Xya - nquag tso zis thiab ntuav.

postmaturity

Yuav ua li cas nta muaj lub post-lub sij hawm me nyuam mos liab? Tej yam tshwm sim perenoshennosti niam yuav tsum tau paub hais tias los ntawm ib tug kws kho mob uas siv cov CTG thiab ultrasound. Rau cov neeg cov tsos mob muaj xws li:

• cov tsis muaj zog ua hauj lwm;
• yuav txo tau ntawm plab ncig;
• haum loj txiv hmab txiv ntoo;
• muab tus me nyuam pob txha taub hau;
• meconium mus rau hauv lub amniotic kua;
• Txo zib nyob rau hauv concentration amniotic kua;
• Cov Kev Kuaj Zis tsom tsom underestimated cov theem ntawm estriol.

Nws yog ib nqi sau cia hais tias paim ob hom heev uas cev xeeb tub:

nyob rau hauv loj heev txaus ntshai, vim hais tias hypoxia nyob rau hauv qhov tseeb perenoshennosti tus me nyuam.

Dab tsi ua rau perenoshennosti thiab yuav ua li cas lawv muaj kev cuam tshuam rau tus me nyuam?

Raws li lub caij nyoog uas cev xeeb tub muaj feem xyuam rau tus me nyuam? Cov me nyuam yaus muaj cov nram qab nta:

• nyias lub cev;
• qhuav thiab ntsws ntsws tawv nqaij;
• tshwv ntawm daim tawv nqaij;
• hauv lub qhaj ntawv ntawm me nyuam hauv plab roj;
• ntev tes thiab cov plaub hau;
• qhib lub qhov muag;
• nce kev ua si.

Thov nco ntsoov tias daim tawv nqaij ntawm post-lub sij hawm cov me nyuam mos yuav siv sij hawm nyob rau hauv ib tug yellowish tint. Yuav kom tiv thaiv heev uas cev xeeb tub yog qho tseem ceeb heev rau peb lub sij hawm ib lub lim tiam dhau CTG sai (tom qab 40 lub lim tiam). Plawv dhia thiab zog yuav pab tau tus me nyuam los txiav txim seb yuav ua li cas raws nraim tus me nyuam pom tau tias.

Yog vim li cas rau qhov no yog tsis paub hais tias, tab sis cov kws kho mob tau pom ob tug loj pawg:

Thov nco ntsoov hais tias muaj yog ib tug puas siab puas ntsws tau. Yog hais tias lub expectant niam yog ntshai ntawm yug menyuam thiab yog tsis psychologically npaj rau nws, lub cev xeeb tub tej zaum yuav raug ncua. Nyob rau hauv cov ntaub ntawv no, peb yuav tsum tau kev pab los ntawm sawv daws yuav txheeb, los yog puas siab puas ntsws tswv yim.

Txawv ntawm tag nrho-lub sij hawm thiab ntxov ntxov tus me nyuam

Ib tug tag nrho-lub sij hawm tus me nyuam muaj ib tug xov tooj ntawm cov nta. Nws yog npaj rau lub neej sab nraum lub tsev menyuam, muaj tej yam reflexes, daim tawv nqaij muaj peev xwm kom muaj ib tug tej yam kub, lub plawv dhia yog ruaj khov, ib txwm ua pa thiab kev ua si. Ib tug ntxov ntxov tus me nyuam - yog lub caij nyoog rov qab: nws yog tsis npaj rau lub neej sab nraum lub tsev menyuam, tsis tau tswj qhov kub, lub plawv dhia thiab ua tsis taus pa yog tsis ruaj tsis khov, tsis muaj zog ntshav siab, tsis zoo tsim neonatal reflexes.