FGR (fetal growth retardation syndrome) qib 1 yog ib qho kev kuaj mob zoo rau cov poj niam cev xeeb tub. Nws yog hais txog nws uas yuav tau tham hauv kab lus no. Koj yuav kawm dab tsi yog FGR 1 degree thaum cev xeeb tub. Koj tuaj yeem pom cov yam ntxwv tseem ceeb ntawm tus mob no. Nws yog qhov tsim nyog hais txog dab tsi SZRP ntawm 1st degree muaj qhov tshwm sim. Qhov ua rau ntawm cov kab mob pathology yuav qhia rau koj mloog hauv qab no.
Qib 1 FGR thaum cev xeeb tub yog dab tsi?
Qhov kev kuaj mob no tuaj yeem ua rau tus niam muaj menyuam twb nyob rau lub hlis thib ob ntawm qhov kev cia siab ntawm tus menyuam. Feem ntau, thaum kuaj tom ntej thiab ntsuas qhov siab ntawm lub tsev menyuam, tus kws kho mob tsim qhov tseeb tias lub cev xeeb tub yog lagging qab hauv qhov loj. Tus kws kho menyuam yaus hauv cov xwm txheej zoo li no tuaj yeem hais qhia fetal growth retardation syndrome (FGR) qib 1, hom 2 lossis 3. Txawm li cas los xij, tsuas yog kev tshawb fawb ntxiv tuaj yeem lees paub qhov xwm txheej no kom paub meej.
SZRP 1st degree - qhov lag luam loj ntawm lub neej yav tom ntej tus me nyuam txij li hnub kawg tsis pub dhau ob lub lis piam. Yog tias lub sijhawm no ntev dua, peb tab tom tham txog lwm theem ntawm pathology. Yog li, nrog rau hom thib ob ntawm intrauterine kev loj hlob retardation ntawm tus me nyuam hauv plab, nws qhov loj diverges ntawm qhov nruab nrab los ntawm peb mus rau plaub lub lis piam. Thaum koj tus me nyuam muaj ntau tshaj ib qho tom qabhli, gynecologists tham txog theem peb ntawm intrauterine kev loj hlob retardation.
Fetal growth retardation syndrome yog qee zaum hu ua lwm yam lus. Txawm li cas los xij, lawv lub ntsiab lus thiab cov yam ntxwv zoo ib yam. Yog tias qib 1 FGR raug kuaj pom thaum cev xeeb tub, kev kho mob tau qhia hauv feem ntau. Kev tshawb fawb ntxiv yog ua ua ntej kho. Cov no suav nrog dopplerography, cardiotocography, ultrasound diagnostics hauv dynamics. Raws li cov ntaub ntawv tau txais, cov tshuaj tsim nyog tau sau tseg.
Cov qauv ntawm pathology
SZRP 1 degree tuaj yeem muaj ob hom sib txawv. Lawv tsuas tuaj yeem txheeb xyuas thaum lub sijhawm ultrasound. Kev kuaj niaj hnub tsis tuaj yeem muab cov ntaub ntawv ntxaws ntxaws rau tus kws kho mob thiab tus neeg mob. Yog li, lub syndrome ntawm intrauterine kev loj hlob qeeb yuav ua tau raws li nram no:
- symmetrical shape (hauv qhov no, tus menyuam hauv plab muaj qhov sib npaug ntawm qhov loj ntawm cov pob txha, qhov ntim ntawm lub taub hau thiab lub plab, qhov siab thiab qhov hnyav), hom kev loj hlob hauv plab no tshwm sim li ntawm 20-40 feem pua. ntawm cov mob ntawm no pathology;
- zoo li asymmetrical (lag tsis sib npaug, feem ntau ntawm lub cev muaj qhov tseem ceeb, thaum qee qhov tsis txaus), hom kab mob no tshwm sim hauv xya caum feem pua ntawm txhua kis.
Qee zaum, lub ntsiab lus ntawm hom fetal loj hlob retardation syndrome ntawm qib 1 yuav ua yuam kev. Nws yog ib qho tsim nyog yuav tsum nco ntsoov tias daim ntawv no ntawm pathology muaj qhov sib txawv me ntsis nrog cov qauv qauv. Yog li ntawd nws tseem ceeb heev uas yuav tau xaiv ib tug tsim nyogtus kws kho mob tshwj xeeb los kuaj tus mob no.
Kev txhim kho qeeb lossis ib txwm?
Qee zaum nws tshwm sim tias kev kho mob ntawm FGR 1 degree tsis ua tiav. Txawm li cas los xij, tsis muaj laj thawj rau qhov xwm txheej no. Feem ntau, tsis muaj qhov tshwm sim. Nyob rau tib lub sijhawm, cov kws kho mob tseem ua qhov kev kuaj mob no, txawm hais tias qhov no nws yog qhov ua tau zoo dua qub.
Nyob hauv qee tsev neeg, tag nrho cov me nyuam yug me me heev. Cov me nyuam yaus no tsuas yog tau txais qhov tshwj xeeb no los ntawm niam thiab txiv. Yog tias koj tau kuaj pom tus kab mob saum toj no, tab sis cardiotocography thiab doplerometry yog qhov qub, nws ua rau kev nkag siab zoo kom nco ntsoov tias koj thiab koj tus khub tau yug los nrog hnyav npaum li cas.
YKev txhim kho ntawm pathology
SZRP 1 degree asymmetrical shape lossis symmetrical tsos tsis tshwm sim li ntawd. Cov kev zam tsuas yog cov yam ntxwv ntawm caj ces. Feem ntau, muaj qhov laj thawj rau qhov teeb meem. Yog vim li cas intrauterine kev loj hlob retardation tsim?
Qhov ua rau ntawm qhov teeb meem no yog ua txhaum ntawm cov ntshav uteroplacental. Nyob rau tib lub sijhawm, tus menyuam pib tsis muaj oxygen, vitamins thiab lwm yam khoom noj. Feem ntau, qhov teeb meem tshwm sim maj mam. Yog li ntawd, nyob rau hauv lub thib ob peb lub hlis twg, tus me nyuam yuav poob qab nyob rau hauv loj tsuas yog ob peb hnub. Los ntawm qhov thib peb ntawm cev xeeb tub, lub sijhawm no nce mus rau ib thiab ib nrab lub lis piam. Me nyuam yug tau ob lub lis piam tom qab.
Cia peb xav paub meej txog cov laj thawj tseem ceeb ntawm cov kab mob no.
tsev neeg thiabsocial
Txhua tus cwj pwm phem tuaj yeem raug ntaus nqi vim li no. Yog tias tus niam uas xav haus luam yeeb, haus dej haus cawv tsis tu ncua, ces nws tus menyuam tau txais kev txom nyem ntau heev. Nws tsim nyog sau cia tias kev haus luam yeeb tsis txaus thiab noj qee yam tshuaj muaj txiaj ntsig zoo sib xws. Kev tawm dag zog lub cev lossis kev mob siab rau kev ua kis las kuj tseem tuaj yeem ua lub luag haujlwm.
Nws tsim nyog xav txog kev noj zaub mov ntawm tus poj niam cev xeeb tub. Qee cov neeg sawv cev ntawm kev sib deev tsis muaj zog yog ntshai kom nce qhov hnyav. Yog vim li ntawd lawv ua raws li qee yam kev noj haus thiab noj cov zaub mov uas tsis muaj calorie. Koj ua tsis tau li ntawd. Ib tug poj niam nyob rau hauv txoj hauj lwm nthuav yuav tsum noj txog 2000 calories ib hnub twg. Tus niam expectant yuav tsum noj nqaij thiab cov khoom hematopoietic. Txwv tsis pub, tus me nyuam tsuas yog tsis tuaj yeem txhim kho kom raug thiab sib npaug.
Lub hnub nyoog ntawm poj niam tib yam tuaj yeem cuam tshuam tus menyuam hauv plab thiab ua rau nws txoj kev loj hlob qeeb. Nws yog tsim nyog sau cia tias qhov kev kuaj mob no feem ntau ua rau cov niam muaj hnub nyoog qis dua 18 xyoo. Tom qab 36 xyoo, tseem muaj kev pheej hmoo ntawm kev loj hlob ntawm tus menyuam hauv plab. Cov xwm txheej ntxhov siab thaum cev xeeb tub tuaj yeem ua rau muaj kev cuam tshuam tsis zoo rau kev loj hlob ntawm crumbs.
Obstetric reason
FGR 1 degree (asymmetric lossis symmetrical form) feem ntau kuaj pom hauv cov niam txiv uas muaj kev txom nyem los ntawm cov kab mob gynecological. Nws yog tsim nyog sau cia tias lawv tuaj yeem yog congenital lossis kis tau. Qhov thib ib muaj xws li anomalies nyob rau hauv txoj kev loj hlob ntawm lub cev xeeb tub (bifurcation, lub xub ntiag ntawm partitions, cov me nyuam.niam, etc.). Ntawm cov neeg tau txais, ib tus tuaj yeem tawm ntawm endometriosis, adenomyosis, muaj cov qog ntawm zes qe menyuam thiab hauv kab noj hniav ntawm cov leeg nqaij, thiab lwm yam.
Nws tsim nyog hais tias cov niam uas muaj menyuam uas yav tas los rho menyuam los yog rho menyuam tsis tu ncua feem ntau yuav muaj kev ncua ntawm kev loj hlob ntawm tus menyuam hauv plab. Thaum ntxov ntawm kev sib deev los yog kev loj hlob ntawm lub tsev menyuam (thaum ntxov cev xeeb tub) kuj ua rau fetal growth retardation syndrome.
Somatic laj laj
FGR 1-2 degrees thaum cev xeeb tub feem ntau pom muaj qee qhov teeb meem sib txuam. Cov no suav nrog cov kab mob ntawm lub raum thiab daim siab, lub plawv thiab cov hlab ntsha. Txawm tias mob plab rwj tuaj yeem ua rau kev loj hlob ntawm lub tsev menyuam.
Qhov no kuj suav nrog cov kab mob uas tus poj niam cev xeeb tub. Thawj peb lub hlis twg yog lub sijhawm txaus ntshai tshwj xeeb. Nws yog thaum ntawd cov kabmob tseem ceeb thiab cov tshuab ntawm tus menyuam raug tsim. Ib qho mob khaub thuas tuaj yeem ua rau muaj kev ua txhaum cai thiab qhov tshwm sim ntawm FGR yav tom ntej.
Kev nyuaj siab
Intrauterine growth retardation syndrome tuaj yeem tshwm sim los ntawm cov teeb meem uas tshwm sim ncaj qha thaum cev xeeb tub. Nyob rau hauv cov ntaub ntawv no, lub sij hawm ntawm yug tus me nyuam tsis muaj teeb meem. Pathology tej zaum kuj tshwm sim thaum pib. Tsis tas li ntawd, qhov teeb meem yuav tshwm sim thaum kawg ntawm cev xeeb tub.
Cov laj thawj no suav nrog kev mob toxicosis hnyavlos yog gestosis. Polyhydramnios los yog oligohydramnios, anemia, placenta previa, nws lub plawv nres los yog cysts - tag nrho cov no yuav ua rau cov tsos ntawm fetal loj hlob retardation syndrome. Yog hais tias nyob rau hauv thawj ib nrab ntawm cev xeeb tub muaj ib tug detachment ntawm lub fetus qe, ib tug hematoma los yog los ntshav, ces txoj kev pheej hmoo ntawm kev loj hlob pathology zoo heev.
Pathology hauv kev tsim ntawm fetus
Qee zaus intrauterine loj hlob retardation syndrome tshwm sim vim fetal pathologies. Hauv qhov no, peb tuaj yeem tham txog ntau yam sib txawv, piv txwv li, kab mob thyroid, ntau yam mob, chromosomal abnormalities, kis tau tus kab mob intrauterine, thiab lwm yam.
Qhov laj thawj ntawm FGR ua rau muaj qhov tshwm sim loj tshaj plaws, txij li ntawm no peb tab tom tham tsis yog hais txog kev poob qis, tab sis kuj hais txog teeb meem hauv tus menyuam lub cev.
FGR qhov kev tshwm sim yog dab tsi?
Yuav teb lo lus nug no, nws yog ib qho tsim nyog yuav tsum paub seb dab tsi ua rau cov kab mob pathology. Yog hais tias qhov no yog ib yam kab mob, thiab tus me nyuam cov niam txiv kuj muaj me me stature thiab hnyav thaum yug los, ces feem ntau tsis muaj txim. Cov menyuam yaus no nrawm heev nrog lawv cov phooj ywg. Twb tau nyob rau thawj peb lub hlis, cov menyuam tuaj yeem ntxiv los ntawm peb mus rau rau kilograms thiab loj hlob los ntawm kaum centimeters. Txawm li cas los xij, yog tias muaj laj thawj rau kev loj hlob ntawm intrauterine qeeb, ces tej zaum yuav muaj tshwm sim. Xav txog lawv.
yug ntxov ntxov
Thaum kuaj pom tus menyuam muaj kev mob hnyav, cov kws kho mob tau sau ntawv kho mob. Feem ntau, nws yog nqa tawm nyob rau hauv cov phab ntsa ntawm lub tsev kho mob. Yog dhauYog tias tsis muaj kev txhim kho rau ob peb lub lis piam, cov kws kho mob tuaj yeem sib tham hauv pawg sab laj uas tau txiav txim siab thaum ntxov. Feem ntau, qhov no yog ib qho caesarean seem. Nws tsim nyog sau cia tias tus menyuam yuav xav tau kev pab tsim nyog thiab qee yam mob.
Kev tsis sib haum xeeb hauv kev yug menyuam
Yog hais tias pathology tsis tau hais, tom qab kho, tus poj niam tuaj yeem coj tus menyuam mus txog hnub kawg. Txawm li cas los xij, teeb meem feem ntau tshwm sim thaum yug me nyuam. Cov no muaj xws li fetal asphyxia, hypoxia, meconium staining ntawm amniotic kua, kab mob, thiab lwm yam. Feem ntau ntawm cov xwm txheej no, tus menyuam xav tau kev kho mob sai sai kom tsis txhob muaj qhov tshwm sim tsis zoo.
Kev loj hlob thiab kev loj hlob yav tom ntej
Cov menyuam yaus nrog FDRD feem ntau ntes nrog lawv cov phooj ywg hauv qhov siab thiab qhov hnyav thaum muaj hnub nyoog ob xyoos. Tab sis qhov no tsis tuaj yeem hais txog kev txhim kho psycho-kev xav. Ntawm no qhov sib txawv tsuas yog tshem tawm thaum muaj hnub nyoog kaum lossis kaum tsib xyoos. Cov menyuam yaus no muaj kev xav ntau dua thiab ua siab ntev, feem ntau tsis tuaj yeem mloog zoo rau ib qho kev kawm ntev, lawv ua haujlwm tsis zoo hauv tsev kawm ntawv thiab tsis muaj kev vam meej hauv lawv txoj haujlwm.
Cov menyuam yaus uas muaj tus kabmob no feem ntau mob. Lawv nquag tsim cov ntshav qab zib, rog rog, mob ntsws thiab mob plawv. Txhawm rau kom tsis txhob muaj kev noj qab haus huv ntau li ntau tau, nws yog ib qho tsim nyog yuav tsum tau qhia tus menyuam rau cov kws kho mob kom raws sijhawm thiab ua raws li cov kev kho mob pom zoo los ntawm lawv.
Tam sim no koj paub tias FGR ntawm qib 1 yog dab tsi. Koj puas tau kawm txog txoj hauv kevKev kuaj mob thiab hom pathology. Txhawm rau tiv thaiv kev txhim kho tsis zoo ntawm cov xwm txheej, nws yog qhov tsim nyog los npaj kev xeeb tub. Ua ntej xeeb tub, nco ntsoov mus ntsib kws kho mob thiab tshem tawm txhua yam uas tuaj yeem ua rau tus kab mob no.
Yog tias koj yuav tsum ua raws li kev kuaj mob tau piav qhia saum toj no, tsis txhob ntshai. Kev ntxhov siab ntawm tus niam expectant tsuas tuaj yeem ua rau tus menyuam loj hlob tuaj. Cia siab rau cov kws kho mob thiab, yog tias tsim nyog, ua raws li kev kho mob raws cai. Kev xeeb tub yooj yim thiab noj qab nyob zoo!
