Neonatal asphyxia.

neonatal asphyxia - a pathological ezvinhu achangoberekwa, izvo zviri kukonzerwa kutyorwa kufema uye, sezvo zvakaguma panowanikwa okisijeni kukanganisika. neonatal asphyxia ndirwo mhando mbiri: chikuru (pakuzvarwa) uye yechipiri (mangwanani muupenyu).

Primary uye achangoberekwa asphyxia kunoitika nokuda chakasimba, chisingaperi intrauterine okisijeni kukanganisika. Sezvo kwayo chidzoke akwanise ne siyana extragenital zvirwere pamuviri (zvikuru zvemapapu chirwere, zvemwoyo chirwere, chirwere cheshuga, zvikuru kupererwa neropa, zvirwere, hyperthyroidism nezvimwe), perenashivanie pamuviri, mushakabvu toxicosis, zvokurwara pamusoro achiine rukuvhute tambo, kukurumidza yokuzviparadzanisa pamusoro placenta, akasiyana-siyana yematambudziko pakusununguka ( kukurumidza basa Líquido fluid iri mismatch saizi chiuno vanevana musoro mudumbu, isiri nzvimbo fetus musoro uye dzimwe anomalies Generic nenhamba nosti). Secondary chikonzero neonatal asphyxia kuve yanyarara mu chepfungwa riparadzirwe fetus pneumopathy uye nevamwe.

Respiratoria kukundikana chinhu mukai vachikotsira uye mukana wokufungisisa kuti paiva asphyxia. Migumisiro zvinogona zvakasuwa - zvichida shanduko cardiac nerevane hemodynamics. In basa wezvokurapa akaita mhando nhatu asphyxia - munyoro, mwero uye yakanyanya.

In munyoro asphyxia mwana ari kutanga miniti zvakamiswa wokutanga mweya, asi kufema kwake vagadzikana zvikuru, pane kuderera tsandanyama matauriro. Avhareji mwero asphyxia distinguishable chokuti kana ikaramba mwana uyewo muzvirevo nyaya, inoita rokutanga kufema wokutanga miniti iri, tsandanyama ake zvakare vagadzikana chaizvo, ganda ane yebhuruu ruvara, kunyanya maoko uye musoro, kufema simba, unodanidzira vaine simba, sezvinoita mutemo, pane bradycardia kana tachycardia, kuti achiine rukuvhute tambo pulsates zvakasimba.

Muzviitiko chakakomba, mwana ari kuita simba chaizvo uye nguva nenguva kundosvikira kana vanotoda vasipo, mwana asingadi emit unodanidzira, dzimwe nguva yells, zvikuru mwoyo seiyi, dzimwe nguva anopa nzira sechisina musoro sunga womwoyo, ndisipo hunenge, tsandanyama atonia aripo kana hypotension. Nokuda peripheral vascular spasm ganda riri nani chaizvo, asi achiine rukuvhute tambo hakurevi emit munhu pulsation, mune zvimwe zviitiko, nekukudziridza adrenal insufficiency.

Neonatal asphyxia kunokonzera migumisiro dzakadai chiitiko maawa zvoupenyu postgipoksichekogo chirwere, chikuru kuratidza izvo rokutanga - ndicho chinokosha tsinga yose. Muchiitiko chino, pane zvakakomba. mwana wese wechitatu, iyo wakaiswa pakati asphyxia pamusoro mwero zvakaoma kwazvo, pane mhirizhonga munyika cerebral riparadzirwe 1 uye 2 dambudziko. Uye vose pamwe asphyxia dhigirii retatu vana pane kutyora chepfungwa kuparadzirwa uye liquorodynamics wechipiri uye dhigirii retatu.

neonatal asphyxia nokumutswa kunoda kupindira. Kubudirira kurapwa inoenderana nokuti matanho akakodzera akatorwa nenguva. Chekuita nokumutswa basa rinoitwa munguva chaiyo mukamuri - kukurukura mumba, vakagadzirira vose anodiwa mano tirarame: kwemwoyo, mwero kufema uye permeability, BP parameters, asidhi-nechigadziko chinzvimbo uye hematocrit.

Kudzivirira asphyxia ndiko kushandisa mitemo kuti kuteverwa mukadzi ari kusununguka. Izvi anonyanya nenguva kuongorora kuti zviome, uyewo kuipa zvokudya, tichidzivisa miitiro inokuvadza uye kunyatsozorora, uye kushaya pakaitika uye mupfungwa. Yeuka, utano zvakawanda zvinodhura.