Fetal hypoxia chirwere chinokonzerwa nokusadya kukwana kwe okisijeni mumumwana. Kutambudzika kwakaipisisa kwe hypo hypoia is asphyxia - mamiriro ekutyisa upenyu we fetus, kana muviri wayo nechimwe chikonzero unorega kuwana oxygen. Asphyxia inogona kutungamirira kurufu rwemucheche, kana kuti zvinetso zvakakomba zvepfungwa dzemwoyo uye nheyo yepamusoro.
Chii chinokonzera fetal hypoxia?
Hypoxia ye fetus inoshamisa uye isingaperi. Chronic hypoxia ye fetus panguva yekuzvitakura inowanikwa mu10% yevakadzi uye inosanganiswa neiyo iripo inogadziriswa yakawanda yehutachiona (yehutano nehutano hwezvirwere zvirwere, chirwere chisingaperi), kubata pamuviri (rhesus-mhirizhonga, kukakavadzana kwevanhu muropa, gestosis yakaguma) uye kusina kunaka mararamiro (kusvuta, kudhakwa, kudhakwa kwezvinodhaka, kushanda pamabhizimisi anokuvadza). Chikamu chekutanga che fetal hypoxia chinoratidzwa nekugadzirisa nzira dzakagadziriswa (zvimwe kuwedzera kwepfungwa yemwoyo kusvika ku 160 kubata paminiti, kushandiswa kwemagadzirirwo emagetsi), izvo zvinoita kuti muviri wekuberekwa uzvidzivirire kushayikwa kwemojeni.
Kubata fetal hypoxia (kurwadziwa kwakanyanya kwema fetus) kunoitika, semurairo, pakuberekwa, uye zvinoitika nekuda kwezvikonzero zvinotevera: kuputika kwemuviri, kushanda kwenguva refu (kushaya simba kwebasa), kusungirirwa kwemutilical cord loops (tsvimbo yakasimba, prolapse ye umbilical cord loops munguva yebasa). Kuongororwa kwe fetal hypoxia pakuberekwa kunosimbiswa nekuteerera kubata kwemoyo pakati pemakumbo kana kuti cardiotocography. Kazhinji, iyo fetal heart rate iri mukati meurongwa hwe 110-170 kurohwa paminiti. Kurongedza kwe fetus panguva ye hypoxia paunowedzera kuwedzera pamusoro pezvibato 170 paminiti, uye kana yakasimbiswa nerubatsiro, inopinda mu bradycardia (pasi pe110 kurova paminiti).
Nzira yekuziva sei fetal hypoxia?
Uye zvakadaro - ungaziva sei hypoxia ye fetus panguva yekuzvitakura? Zviratidzo zvekutanga zve intrauterine hypoxia ye fetus zvinogona kutsanangurwa nemukadzi pachake, nekuteerera kuwanda kwekufamba kwake. Iko kusvibiswa kwe fetus panguva ye hypo hypoia inowanzotanga, uye munyaya yekuwedzerwa kwekushayikwa kweokisijeni kunowanzosviki uye isina usimbe (zvisingasviki katatu muawa imwe). Iva nechokwadi chekutya kuti mwana anotambudzika nekushayikwa kwe okisijeni, unogona kushandisa nzira dzakasiyana-siyana dzekutsvakurudza: cardiotocography, dopplerometry uye kuongorora amniotic fluid.
Kurapa kwe fetal oxygen nzara
Miviri yezvechiremba ye hypoxia inobva pamhando yayo: yakaoma kana isingaperi. Kuzivikanwa kwe hypocia muhutano chiratidzo chekukurumidzira kutakura nechikamu chekudzivirira, kana kunetseka kuchifungidzirwa apo kuiswa kwemusoro kwakaitika, zvino zvinokurudzirwa kuti kuburitsa kunowedzerwa nekubudiswa kwekunze kwe fetus. Kuberekwa kwomwana kunowanikwa nehutano hunosungirwa wee neonatologist uyo anofungidzira mwana achangoberekwa pa1 nemaminitsi mashanu pamusana weApgar uye anopa rubatsiro rwakakodzera.
Uine zviratidzo zvokutanga zve fetal hypoxia panguva yekuzvitakura, iwe unofanira kubva waonana nachiremba kuitira kuti iye anyore zvidzidzo zvinodiwa kuti asimbise oksijeni nzara. Kururamiswa kwekusingaperi hypoxia ndiko kurapwa kwezvirwere zvinokonzera kufara, kufamba-famba kwemazuva ose mumhepo itsva, kushandiswa kwezvokudya uye kukanganisa tsika dzakaipa.
Kana iwe uchida kuwana mwana ane hutano uye akazara, unofanirwa kutarisirwa musati wechirwere: kurapwa kwema-morbid zvirwere, kusiya tsika dzakaipa, kushandura basa rinokuvadza uye kubvisa zvinogona kushungurudza.