Isifo seswekile Fetopathy. Diabetes ngexesha lokukhulelwa

Akekho asikwazi ukuqiniseka ukuba ukukhulelwa kwakhe liya kuqhubeka ngaphandle iingxaki, ingakumbi xa ehlupheka nasiphi na isifo umfazi. imeko Fetal kungenza ezahlukeneyo izinto ezingasenza ukuba andenzakalise. Kubaluleke kakhulu ke ngoko ukuba iliso impilo yabo kwaye azame ukuzikhusela ngokwabo kwimiphumo kweemeko ezinzima. Ingakumbi ezi ngongoma enxulumene kwabo abafazi abaye zezigulo ezahlukeneyo emzimbeni.

Abasetyhini ne uxilongo "diabetes" kwaye iphupha ukuba nomntwana kufuneka bazi ukuba kulo mzekelo emagxeni abo uxanduva omkhulu, ngenxa yokuba esi sifo kungakhokelela kubunzima ezahlukeneyo usana. Enye yazo engekazalwa fetopathy.

Iimpawu zesi sifo

fetopathy seswekile sisifo esibi yosana olungekazalwa avela phambi pre-seswekile okanye isifo seswekile abafazi abakhulelweyo, xa inqanaba iswekile ingaphezulu kumanqanaba eziqhelekileyo. Ngokuba lo ngezifo tshintsho uphawu karhulumente olungekazalwa kunye nokuphazamiseka of nepancreas, zezintso, inkqubo yakhe olukhulu kunye microvascular.

Ukuba imbali umfazi omithiyo sele unesifo njenge "isiqhamo fetopathy", amaxesha amaninzi ugqirha ugqiba ukwenza unikezelo yotyando.

Evumayo ikhondo ukukhulelwa xa amabhinqa seswekile kuxhomekeke ezintweni ezininzi. Ezi ziquka: uhlobo lwesifo, iingxaki iziyobisi ekhoyo, wavuma ukuba ukunyanga izifo. Akukho koyika naziphi na iziphumo ezibi, ukuba kulo lonke amanqanaba iswekile yegazi ukukhulelwa lenyuka ngaphezu ixabiso ezibalulekileyo.

Ukuba ngaba ukuvala esi sifo, iswekile sinwenwa, ukukhulelwa kakubi ichaphazela nophuhliso olungekazalwa kunye nexesha sokukhulelwa. Oogqirha ngokuqhelekileyo phambili rodorazreshayut umfazi ukusindisa ubomi bakhe kunye nosana. Nesi sifo yahluka ultrastructure placental isithintelo, apho oko uyayeka ukusebenza ngokwesiqhelo ebukhobokeni bonke umbungu efunekayo. Oogqirha kulo mzekelo, kaninzi yenza lokufunyaniswa 'hyperplasia le emithanjeni. " Umntwana Esibelekweni ukuzuza bubunzima obuninzi, kodwa ayiqondakali kuphuhliswa.

ubungqina

Diabetes ngexesha lokukhulelwa kukhokelela ekubeni umntwana uzalelwe kule miqondiso ilandelayo zokugula:

• kakhulu ngobunzima (idla ngokuba ngaphezulu kwama-4 kg);
• qondile ukukhubazeka esikhumbeni;
• udumba kwizihlunu ezithambileyo kunye nesikhumba;
• esiswini enkulu ngenxa amanqatha ephuhliswe ngamandla ongama;
• ezizitho elifutshane;
• ithowuni isikhumba sayingqombela-blowu;
• syrovidnoy imali ngokugqithisileyo yesikhumba igrisi;
• ngamagxa ezibanzi.

iimpawu

fetopathy Newborn livela ngolu hlobo lulandelayo:

• ukubandezeleka yokuphefumla, ezichaza ukunqongophala Yindibanisela into ethile kwi kwemiphunga (lunezinto), ebanceda genge umoya kuqala;
• ukuphelelwa mhlawumbi umoya nkqu nokubanjwa zokuphefumla kungekudala emva kokuzalwa;
• zheltushka, nto leyo kuthathwa umqondiso utshintsho zophendlo lwezifo esibindini, esifuna unyango eyaneleyo;
• zizigulo zemithambo: yehle kwezihlunu, ingcinezelo yokuba usana reflex, lo alternation umsebenzi yehla nge hyperexcitability.

izizathu

engekazalwa Fetopathy seswekile iphuhlise ngenxa ikhondo kwabathile lokukhulelwa ngexesha nesuka uhlobo uncompensated seswekile sinwenwa 1 no-2. Ukongeza, unobangela esi sifo unina ka seswekile sokukhulelwa.

Isixa mali agqithise glucose egazini kamama kubangela injeke ezingekazalwa iqalisa ukuvelisa insulin kakhulu. Kuqhubeka ngenxa yegazi kamama ukuya glucose usana kukuninzi liqalisa ngenkuthalo wachitha. Noko ke, ngokuba uphuhliso epheleleyo olungekazalwa kufuna isixa esithile kuyo, ngoko ke excess iguqulelwa ngamanqatha, nto leyo ekhokelela ubunzima usana enkulu.

Ukuba anithanga bayizise glycemia norm, kunokuba negalelo ngomthamo ezomeleleyo izihlunu adipose kwaye umbungu akukho kukhula kakuhle ukuba le nkqubo iyonke ngamalungu angaphakathi kunye nezihlunu umntwana.

ekuxilongweni

Ukuchonga mgaqweni kwi ndingekazalwa, ugqirha limisele ezi nkqubo zilandelayo:

• ultrasound;
• ukufunda imeko okuphilayo olungekazalwa;
• Doppler;
• CTG;
• uhlolo markers kwemichiza inkqubo fetoplacental.

edelela ultrasound

Indlela esisiseko yokumisela nayiphi na ukunyhashwa umbungu ultrasound. Ekucetyiswa ukuba ubambe ultrasound ngo la magama alandelayo, ukuba unesifo seswekile ngexa lokukhulelwa:

• Xa ezintathu yokuqala - ixesha.
• Xa ezintathu yesibini - kanye njengokuba phakathi kweeveki ezingama-24 no-26. Oku kuyimfuneko ukuze kuchongwe malformations ezahlukeneyo luvo, amathambo namalunga, inkqubo genitourinary kunye sentliziyo, kwakunye inkqubo yokwetyisa.
• Ezi zimbini kubanjwa ultrasound ezintathu wesithathu, yaye izihlandlo ezithathu. Xa insulin seswekile kuxhomekeke sinwenwa sisifundo olwenziwe ngeveki 30-32, uze ukwenze oko kanye ngeveki.

Iimpawu fetopathy seswekile yi ultrasound olungekazalwa:

• ubunzima kakhulu kangangexesha elithile elide;
• Ukungayelelelani yomzimba;
• nentaba kabini intloko;
• imali ukwanda amanzi;
• wesekethe Palsy ezimbini ngenxa isixa esikhulu ngamanqatha okanye soft ijwabu ukudumba;
• kwi amathambo yokakayi ephawulwe ehonegativnoe zone, ebonisa nokudumba.

Biophysical Research isimo somntwana

Loo uviwo onokuchaza ukugxojwa kuphuhliso morphofunctional lobuchopho, egqalwa ukubonakalalisa ngokuqatha embryopathy. Ukuze ufumanise, ugqirha kunye neeyure enesiqingatha oqondela ukuphefumla, izinga lentliziyo kunye nomsebenzi weentshukumo yosana olungekazalwa.

Ukuba kukho urhano of fetopathy, ngoko ubuthongo usana iya kuba yinto yomzuzwana, kwaye ixesha elininzi wenza iintshukumo esebenzayo. Mfutshane ubude ukulala akukho ngaphezulu kwe-50 imizuzu, ngelo xesha elo linyuke le izinga lentliziyo kunye nokuncipha kwereyithi entliziyweni.

Doppler Ukufeza

Ngoncedo yolu phando ulandele ezi zikhombisi zilandelayo:

• kukukhawulezisa ukunciphisa imicu engabalulekanga;
• ixabiso output intliziyo;
• ixesha ejection of ventricle ekhohlo;
• igazi flow iSystolic kwaye iDiastolic kwi ratio kwemithambo.

Doppler velocimetry lwenziwa kwiveki 30 ukuhlola imeko kwenkqubo luvo.

Siphethe CTG novavanyo zeemvavanyo ezisebenzayo

Le nkqubo ivumela ukuhlola izinga intliziyo ukuphumla, ngexesha intshukumo, zesibeleko ukusikwa. Oogqirha baye baqhuba iimvavanyo kwaye okwangoku ukuthatha iisampulu ezimbalwa.

Ukuphunyezwa nokuhlola markers kwemichiza kwinkqubo placental

Ukuxilonga insufficiency placental, kunye nomchamo kunye neesampuli igazi ezithathiweyo. Xa sifo kwithuba leenyanga ezintathu lesithathu seswekile fetopathy wabonakalisa ukwanda okubonakalayo ye-ACE.

Treatment ngexesha lokukhulelwa

Kuyo ukukhulelwa, umfazi ufanele ukuqhuba self-iliso uxinzelelo lwegazi kunye iswekile yegazi. Ukuba kuyimfuneko, i-insulin eyongezelelweyo emiselweyo. Njengenyathelo lokuthintela iswekile kuyimfuneko ukuphanda qho kwiiyure 3-4 yonke imihla. Glycemia wayilungisa iswekile okanye insulin.

seswekile Fetopathy kubandakanya iivithamini ngokuthatha, ukugcinwa ukutya ezizodwa kunye nezinye iingcebiso ugqirha. Ukutya kufuneka kube zizityebi iicarbohydrate lula ukutya, kunye namanqatha kucetyiswa ukunciphisa.

Treatment ngethuba lokuzalwa

Okokuqala, ngoncedo ultrasound amisele umhla ngokupheleleyo kweenkonzo. Ukuba ekhulelwe ayinzima, ukuba kuhle rodorazreshat umfazi kwi kwiiveki 37. Ukuba kukho isoyikiso kubomi umama kunye nomntwana, benza njalo kwiiveki ezingama-36. isisu Medical kwibakala lakwangoko ngokuqhelekileyo luqhutywa kuphela xa kukho uloyiko lokuchaphazelelka ebomini kamama, kwaye intetho akukho ngokulondoloza umntwana.

Ngexesha yabasebenzi, oogqirha banyanzelekile ukuba iliso glycemia. Ukuba ukuhla esiluqilima amaqondo eswekile yegazi umfazi akayi kuba namandla ngokwaneleyo ngexesha yabasebenzi, a lot glucose ichithwa kwamathumbu zesibeleko. Kwinkqubo inenimba okanye ngoko nangoko emva kwabo, kukho i-risk yokuba isigulane yeyela isiqaqa hypoglycemic.

Sokukhulelwa seswekile sinwenwa inika abasebenzi emfutshane. Ukuba zihlala ngaphezu kweeyure ezingama-10, kulo mzekelo ikhutshwa phandle Uqhaqho, emva koko unyango emiselweyo antibiotics.

Treatment kokuba luzelwe

Ukuthintela uphuhliso hypoglycemia kunye nezinye iingxaki, ixesha elithile emva kokuzalwa komntwana ilawulwa i-5% isisombululo iswekile. Wonke 2 chasa usana kufuneka ukunika ubisi lwebele, ekubeni le ulwelo amayeza unako ukuyeka karhulumente.

ixesha Early ezisanda kuzalwa kufuneka kwenzeke phantsi kweliso oogqirha ekufuneka esweni ukuphefumla umntwana. Xa ukungabikho kwalo ukudibanisa mpilo. Phambi ukuphazamiseka luvo ukunceda izisombululo calcium nezinki. Ukuba umntwana lowo iimpawu zesifo wesibindi, xa abelungu yamehlo, isikhumba bomntwana uba senyongo, ugqirha umisela iiseshoni ultraviolet radiation kwi idosi echazwe ngokungqongqo.

abafazi Kwasemva amaxesha 2-3 ukunciphisa insulin kuba kwinqanaba iswekile yegazi liyehla kakhulu. Xa obhobhozayo izinga glucose ubuyiselwa kumanqanaba yesiqhelo.

ukungaphili

nemiphumela seswekile fetopathy lweentsana ukuze ube nezi zinto zilandelayo:

• hypoxia ezisanda kuzalwa;
• ukuhla ebukhali kwamanqanaba iswekile egazini ukuya kwinqanaba kakhulu;
• senhliziyo congestive;
• kubelekwa diabetes;
• ukunqongophala magnesium calcium, leyo kakubi ichaphazele ukusebenza kwenkqubo luvo;
• ukutyeba.

isiphelo

Diabetes Fetopathy ukuvela kwi Umbungu kwi imeko yangoku seswekile unina wakhe, oko zingambi kakhulu, kwaye izifo eziyingozi. Woman ukuba ngexesha lokukhulelwa ulandele iingcebiso zonke kagqirha kunye ukulawula amanqanaba iswekile yegazi. Kuphela kule meko nemiphumela umntwana akayi kuba buhlungu kakhulu.