Kuongororwa ropa kwevana mucherechedzo unokosha unonyatsoongororwa navanachiremba vevana. Ichi chidzidzo chekuchipatara chinobvumira chiremba kuti aongorore hutano hwehutano hwemucheche uye, pamusana pokuona kusakanganisika, pakarepo utange kuongorora zvakare uye kurapa kunotevera.
Kurongedza kukuru kweropa - kugadzirira
Chikamu ichi chakakosha zvikuru, sezvo kukwanisa kwemigumisiro kunobva pazviri. Chiremba achapa mazano akajeka kuvabereki. Kazhinji kuongororwa kweropa - kugadzirira kwekutaura ndeiyo:
- Vabereki vanofanira kugadzirisa zvimedu zvavo kuti izvi zvinenge zvisingaiti. Zvisinei, usanyengedza mwana, achiti hazvizokuvadzi zvachose. Saka mwana, achitarisana nemamiriro ezvinhu chaiwo, achaodzwa mwoyo nevanhu vakuru. Iwe unogona kutaurira mwana kuti ane ushingi uye vabereki vake vanozvikudza pamusoro pake. Kudzidzisa kwakadaro kwakanaka kunodzivirira mwana kubva kuzvidya mwoyo uye kubatsira kudzivisa kusagadzikana.
- Kuongorora kweropa muvana kunotorwa pachirwere chisina chinhu. Kudya kwekupedzisira kunofanira kuitwa 12-14 maawa asati atora mashoko. Mune mamwe mazwi, kana kuongororwa kwakarongeka kune 9.00, unogona kufudza mwana mushure memazuva 21.00. Mambakwedza, haugone kupa mwana wako mukaka, tei, kocoa. Iwe unogona kupa icho chiduku chechiri mvura. Kana ruzivo rweruzhinji ruchirwa mumucheche asingakwanisi kumira kwenguva refu yekutsanya, nzira yacho inopfuura pakati pekudya.
- Nenguva isati isati yadzidza iwe unofanirwa kuderedza chiito chemuviri checheche. Kana mwana wacho achimhanyira, svetuka, kusviba, kliniki yekuongorora kuongorora ropa muvana kucharatidza chikonzero chakatsauka.
- Kwemazuva 5-7 mushure mekudzidza kunotevera, zvakakosha kurega kupa mwana mavhithamini nemimwe mishonga (kunze kwezvinhu zvinokosha zvinodhaka zvinopa kuenderera mberi kugamuchira).
- Pamberi pekuongororwa, mwana wacho anofanira kurara , nokuti hupenyu hwake huchachinja hutano hwemasero matsvuku eropa. Mukuwedzera, zvakakosha kuti mwana anoenda kuchivanze. Saka, mutumbi uchange uine rusununguko hwehupfu, uye izvi zvinosvika pamigumisiro yekuongorora.
Vanotora sei ropa kubva kuvana?
Gem-mvura inogona kutorwa kubva mumunwe uye mumhino. Zvimwe zvakajairika ndeyekutanga. Muzvitsva, zvinyorwa zvinobviswa chitsitsinho. Iyi ndiyo nzira iyo ropa kubva munwe inotorwa kubva kuvana:
- Iyo mubatsiri webazi anoburitsa pod pad nemushonga weviriseptic. Zvadaro, iyo yakasvibiswa nedhaka isina kubatwa dhaka.
- Nebatsiro rekugadzirisa zvinogona kuvhara munwe kumadziro e 2-3 mm.
- Donho rekutanga reropa pamusoro rinobvisa tsvina yakaoma cotton swab.
- Mvura inotevera 10 inobatsira e laboratori inounganidzwa neakashandura chaiyo. Ropa rinofanira kuenda nechisimba. Kuwedzeredza hazvibviri, sezvo zvichatungamirira kune kusanganiswa kwayo nemishonga inoshandiswa. Izvi zvichabata migumisiro yekutsvakurudza: ichange isina kuvimbika.
- Murairi webazi anoita kuti ropa rakasarudzwa riendese kubhuku rakanyorwa.
- Pachinzvimbo cheputika, shandisa yakasviba cotton bhodha yakanyoroveswa mumushonga we antiseptic. Inokurudzirwa kuchengetedza iyo kwemaminitsi mashanu kusvika ku7. Inenge nguva yakadaro inoda kumira zvachose kubuda ropa.
Zviratidzo zvekuongorora ropa muvana
Mazuva ano ma laboratori akashongedzerwa nemichina inoshandiswa, inoita basa reyanyanzvi. Nyaya yekuongorora inopihwa kune chigadzirwa, uye mukati meminiti iyo inogadzira chigumisiro chacho. Mushure mokunge kuongororwa kweropa muvana kunodzokororwa nevabatoriki mubatsiri. Imwe nyanzvi, isati yatora kubwinya, inofanira kuve nechokwadi chokuti chigadzirwa chacho hachina kukanganisa.
Izvi zvinotevera zviratidzo zvinoongororwa:
- hemoglobin ;
- reticulocytes;
- erythrocytes;
- leukocytes;
- ESR ;
- monocytes;
- lymphocytes ;
- basophils;
- thrombocytes;
- segmented;
- eosinophils;
- kuputika uye nezvimwe zvakadaro.
Hemoglobin muropa
Iyo ipuroteni yakaoma yakawanikwa mumasero matsvuku eropa. Basa guru reiyo zvinhu nderokuendeswa kwemhepo yakakisi uye carbon dioxide. Munguva yekudzidza, hemoglobin inowanikwa munharaunda yeropa rose. Kuti zvive zvakanyatsojeka, chiyero che r yeprotheni iyi mu 1 litre yeheme-mvura inotorwa. Maitiro anotevera:
- matangwe - 138-220;
- Mwedzi 1-12 - 99-138;
- Makore 1-6 - 109-144;
- Makore 6-12 - 114-148;
- anopfuura makore gumi nemaviri - 114-150.
Apo chiratidzo che hemoglobin chakakwirira kudarika chinowanzoitika, izvi zvinoratidza kuti mwana ane chirwere chemvura, anokonzerwa nekurutsa kukuru, marwere, kana chirwere mubasa remwoyo yemavhutu kana chekuita. Pakarepo unoda kurapwa. Kutsika kwakanyanya kune ngozi. Icho chinoperekedzwa neanemia, kudya kwakashata, leukemia kana zvimwe zvirwere zvehumatological.
Kuyera kweropa kumwana - ESR
Ichi chiratidzo chinoratidza chiyero chekugadziriswa kwezvitsvuku zvitsvuku. Mumwana ane utano (izvi zvinoshandawo kuvanhu vakuru) mu erythrocytes chinhu chisina kunaka, saka vanodzokorora. Aripo muropa plasma proteine, somuenzaniso, fibrinogen, inokurudzira kuvhara kwezvitsvuku zvitsvuku. Erythrocyte yakadaro inokurumidza kukurumidza kupfuura yakagwinya. Kuvapo kweprotheni kunoratidza kuvhiringidza kana zvimwe zvirwere. Ku "kuona" kushanduka kwakadaro kunobatsira ESR mune rimwe ropa rekuedzwa. Maitiro aya ndeaya (mm / h):
- vatsva - 0,1-2,0;
- Mwedzi 1-12 - 2,0-12,0;
- kubva kune 1 gore nekure - 2.0-10.0.
Kana chiratidzo ichi chiri pasi pezvakanaka, izvi zvinoratidza zvinhu zvinotevera:
- viral hepatitis;
- kurora kwenguva refu;
- kurutsa kwenguva refu;
- circulatory insufficiency.
Nekuwedzerwa kwekuwedzera kweESE mumutumbi wemwana, zvakadai zvinogona kuitika:
- kushungurudzika muhutano hwetachiona;
- zvirwere zvinotapukira;
- kurwisa;
- kubuda ropa;
- kuonekwa kwemaitiro akaipa.
Erythrocytes mune rimwe ropa rekuedzwa
Chidzidzo chacho hachigoni kungoita chete mabhuku matsvuku, asiwo upamhi hwavo (musiyano pakati pemasero makuru uye mashoma). Kutakura kuongorora ropa kune vana anenge gore, fungawo nguva. Saka, munguva yekupisa, vana vanonwa mvura zhinji, nekuda kwei anisocytosis inogoneka. Zvisinei, ichi chiitiko hachina kuonekwa sechirwere chechirwere. Apo kuongororwa ropa kunoitwa - kududzira vana, zvinowanzo (x10 kusvika 12 masero neawa imwe ye heme-liquid):
- matangwe - 4,41-6,61;
- Mwedzi 1-12 - 3.61-4,91;
- Makore 1-6 - 3.51-4.51;
- Makore 6-12 - 3.51-4.71;
- anopfuura makore gumi nemaviri - 3,61-5,12.
Izvi zvinotevera zvinoderedza kuwanda kwemasero matsvuku eropa kunonzi kune ngozi:
- kusagutsikana kwekunyoroka kwemapfupa;
- anemia;
- parasitic diseases;
- zvokudya zvishoma zvishoma.
Kana kuongororwa kwese ropa muvana kunoratidza huwandu hwemasero matsvuku eropa, izvi zvinogona kukonzerwa nezvikonzero zvinotevera:
- kusakwana kwemapapu;
- matambudziko mubasa remwoyo;
- poisoning;
- stenosis ye renal renter.
Platelets mumutambo weropa rakawanda
Basa remasero aya nderekusika peplatelet aggregate nekukuvadza kumidyo yeropa nekukurumidza kupisa plasma. Kliniki yekuongorora ropa remwana inobatsira kuziva kuti kuwanda kweiyi inoratidza ichi. Nzira idzi ndei (x10 muyero yechitanhatu chemasero pane heme-liquid l):
- kubva pakuzvarwa kusvika kumakore matanhatu - 180,5-400,0;
- Makore 6-12 - 157.0-380.0;
- anopfuura makore gumi nemaviri - 157.0-390.0.
Kana kukura kuri kujekesa masero aya munguva yekuenzanisa, kakawanda inoratidza zvinetso zvinotevera:
- kurasikirwa kukuru kweropa;
- leukemia;
- tuberculosis;
- zvirwere zvepachikafu;
- kutadza kwepleen.
Thrombocytopenia inogona kukonzerwa ne:
- mwana akazvarwa asati apera;
- mwana ane hemophilia;
- a kid aplastic anemia;
- pamwe neDIC-syndrome.
Hematocrit munharaunda yakawanda yeropa
Ichi ndicho chiratidzo chinoratidza huwandu hwemakonduru matsvuku muhuwandu hweheme. Nzira dzekuongorora ropa mune vana dzinosiyana maererano nezera:
- muzvitsva - kubva 43% kusvika 63%;
- mwana kusvikira pagore - kubva 36% kusvika 44%;
- Makore 2-10 - kubvira 37% kusvika 44%.
Chiratidzo chikuru chinokonzerwa kakawanda nezvikonzero zvakadaro:
- kusagadzikana kwemuviri wekupemha;
- matumbo okudzivirira;
- zvinopisa;
- leukemia yeropa;
- kukuvadzwa.
Kukosha kwepasi kunoratidza matambudziko akadaro:
- kubuda ropa kunorema;
- ropa guru;
- iyo proteine inogadziriswa ye heme mvura yakawedzerwa.
Leukocytes mune imwe ropa test
Iwa masero anobatanidzwa mukusikwa kwemasimba ekuchengetedza masero uye maseru. Kutakura kuongorora kweropa romwana - lymphocytes, funga nezvekuti tsika inowanzosiyana zvichienderana nezera (x10 muyero yechitanhatu chemasero pane heme-liquid l):
- vana vachangoberekwa - 7.21-18.51;
- Mwedzi 1-12 - 6,15-12,0;
- Makore 1-6 ane makore 5,1-12,0;
- Makore 6-12 - 4.4-10.0;
- anopfuura makore gumi nemaviri - 4,3-9,5.
Kuwedzera kwechiratidzo kunoratidza matambudziko akadaro:
- kukanganisa mu-endocrine system;
- zvirwere zvinotapukira;
- mukati kubuda ropa;
- parasitic diseases;
- allergy.
Nhamba yakaderedzwa inokonzerwa nezvinhu zvakadaro:
- mabhakitiriya zvirwere;
- bone marrow kusagadzikana;
- kushaikwa kwezinc, selenium, iodine mumuviri.
Chii chinyorwa chemuvara mukati mekuongorora ropa?
"Akaverengwa" chete kana chidzidzo chacho chaitwa nemaune. Nhamba yeropa yeropa inokosha inoratidza hemoglobin inogadzirwa mumasero matsvuku eropa:
- hypochromia - hemoglobin zvichida hapana;
- normochromia - kukosha kwechiratidzo ichi chakanaka;
- hyperchromia - kunyanya kuisa saturation ne hemoglobin.
Kakawanda kuongorora ropa - zvakasununguka muvana
Mushure mokugamuchira migumisiro, chiremba wevana vanoongorora mamiriro echecheche, zviyero zvakaenzana zvinoenderana nezvakaverengwa. Kuti aite izvi, ane gwaro rekuongorora ropa muvana - tafura. Mariri, zviratidzo izvi zvinonyatsofungisisa zvinotevera:
- age;
- pasi.