Nekuongororwa kwe " perinatal encephalopathy " (PEP), vabereki vakawanda vemazuva ano vanosangana nemwana. Uye kunyange zvazvo zita iri mukushandura kubva muchiGiriki rinoreva kuti "chirwere chepfungwa", kazhinji kacho nekuchengetwa kwakanaka hazvive nekunyatsoona. Izvi zvinowedzera kusimbiswa nekukwanisa kunoshamisa kwehupenyu hwemwana kuzvipira nekudzorera. Saka, kana iwe wakadzidza nezvekutsvaga kwePEP mumwana wako, usatya. Pane kudaro, vabereki ikozvino ndiyo nguva yekuchengetedza rugare rwepfungwa - izvi zvinowanzotora mikana yekuwanazve matombo.
PEP muvana: zvinokonzera nemigumisiro
Encephalopathy mu nguva yepininatal (kureva, kubva pamasvondo makumi maviri nematatu ekuberekwa kusvika kumanomwe manomwe mushure mokuberekwa) yakabva zvakasiyana-siyana:
- hypoxic (inokonzerwa nehosijeni yekushaya nzara panguva yekuvandudzwa kwemukati);
- doro (nemhaka yekudhakwa kana kunwa zvinodhaka, zvikurukuru panguva yekuzvitakura);
- bilirubin (kushungurudzika muuropi pamusana pehupamhi hwebilirubin muropa);
- ischemic (yakakonzerwa nokusakatika kwepfungwa muuropi yemwana);
- Chirwere cheshuga ("side effect" chechirwere cheshuga mellitus).
Kubudirira kubva pane izvi, izvo zvinokonzera PEP zvakajeka: zvirwere zvisingaperi uye zvisikwa, nzira isina kururama yehupenyu hwemamazuva anouya, chirwere chepamuviri nekuberekwa (toxicosis, kutyisidzirwa kwekukanganisa, kukurumidzira kana kupera kwenguva refu, kubatwa nemarwadzo, njodzi). Chaizvoizvo, encephalopathy isinganzwisisiki, inorwara yeuropi, uye izvo vanachiremba vanofanira kunyatsojekesa uye kujekesa, zvichibva pachikonzero chekubva kwayo. Mukuwedzera, zvinofanira kuonekwa kuti neonatologists neurologists vanowanzoita zvikanganiso nekuongororwa kwePEP mumwana achangoberekwa, sezvo mumazuva manomwe okutanga ehupenyu zvakaoma zvikuru kutonga nechivimbo utano hwemucheche, uyo, kunze kwokuchema, haagoni kutaura chero chinhu. Nokudaro, vana vakawanda vari mukati memakadhi ekunze vane marekete pamusoro pekuonekwa mumazuva ekuberekwa kwezviratidzo zvePEP, chaizvoizvo, havakwanisi. Vanachiremba vanongobatsiridzirwa zvakare, kuongororwa kwekudzivirira pfungwa mukati mevana, iyo inopfuura isina tsanangudzo yakave mumakore mashomanana ekutanga ehupenyu hwezvimedu, kana kuti yakanga isipo pakutanga.
Asi panguva imwechete kuziva nezvezviitiko zvinogoneka zvehutano hunotyisa hunodiwa kuitira kuti ugokwanisa kuona zviratidzo zvinotyisa nenguva uye kudzivirira kukura kwezvinetso kubva mumamiriro emagetsi. Saka, kuora mwoyo kwepininatal kune ngozi nemigumisiro yakadaro:
- zvirwere zvinobva mukati memutambo wenheyo;
- kunonoka mukusimudzirwa kwomwana (kunyanya, psychomotor uye kutaura);
- kuora mwoyo muvana ;
- kukanganisa mubasa rehumukati;
- hazvigoneki kwenguva yakareba kuisa pfungwa, kusava nehanya.
Zviratidzo zvePET mumwana
Dzidzo yePEP inosanganisira nguva yakaoma uye yekudzorera. Wekutanga inotanga kubva pakuzvarwa kusvika kumwedzi mumwe, wechipiri - kubva pamwedzi mumwe kusvika 1 gore (kana kusvika kumakore 2 muvana vasati vasvika). Zviratidzo zvechirwere chezviitiko izvi zviviri zvakasiyana.
Mune nguva yakaoma, syndromes yekudzvinyirira kwehutachiona hwehutachiona (hunyengeri, kushaya simba kwemasimba, kupera kwemafungiro), kudengenyeka, kuwedzerwa kunetseka, hydrocephalus, coma syndrome zvinoratidza.
Nguva yekudzorera inoratidzwa nezviratidzo zvakadai sokunonoka mukugadzirwa kwemwana, zvinetso zvemotokari, kuvhiringidzwa mubasa remukati, nhengo dzepachirwere.
Kurapa kwePET mumwana
Pfungwa dzechiremba wenyika yedu maererano nePEP dzakagoverwa kuva mapoka maviri. Vamwe vanodavira kuti pap chirwere chakakomba chinoda kurapwa mishonga, uye chekutanga, chiri nani. Vamwe vanotenda kuti muviri wevana muzviitiko zvakawanda unokwanisa kukunda dambudziko iri pachako, uye pano kumirira-uye-kuona mazano anodiwa.
Zvinyorwa zvezvokurapa zvinoreva kuti PEP inoda kurapwa nemishonga chete munguva yakaoma, munguva yekudzorera, haibatsiri uye mwana anongoda chete kuisa muviri, physiotherapy, phytotherapy, kururamiswa kwehurumende kwegore. Chero zvazvingava, nzira yekurapa inoratidzwa neurologist inobva pakusimba kwechiremera chegadziriro yenyoka.