Dolihotsefalicheskaya musoro chimiro: wokuyera uye zvokurwara

Chiitiko yakaisvonaka vakadzi - ndiwo musangano wokutanga nemwana wake, iye akatakura 9 months uye nguva yose iyi chete fungidzira sei achatarira. Asi pakupedzisira rauya pakuzvarwa, uye pane musangano-refu akanga akamirirwa. Zvimwe amai ose nokunyatsodzidza nechitarisiko mwana wenyu, uye kana imi kutarira vamwe vana, Waona kuti havasi vose zvakafanana Maumbirwe dehenya. Panyaya iyi, mubvunzo angamuka: nei?

Skull chimiro muvana

VanaChiremba mhando mbiri mikuru dehenya chimiro muvana:

1. Dolihotsefalicheskaya musoro chimiro. Muchiitiko chino, zviri denderedzwa uye elongated chimiro.
2. Brachycephalic musoro chimiro. Kana dehenya ane woita chimiro.

mhando idzi mishonga vanoonekwa chakaipa.

The zvinokonzera variances

Kazhinji, pane zvikonzero zvinoverengeka nei vana vanoberekwa vaine zvakasiyana siyana musoro. Chekutanga napo mapiro mwana akaberekwa. Uye pane nzira mbiri kusununguka nhasi:

• zvechisikigo;
• cesarean chikamu.

Chokwadi ndechokuti kana mwana zvinofamba kubudikidza nokuberekwa canal, zviri pasi kumanikidzwa. Panguva iyi Follow dehenya mwana zvinoenderana kuti nemamiriro mitumbi mai uye kuumbwa dolihotsefalicheskaya musoro chimiro. Skull anogona kuchinja chimiro chayo nokuda nenhova zvinopinda uye kwakavharwa nenyama membranes zvine chokuita nemapfupa ake ari mwana. Naizvozvo dolihotsefalicheskaya musoro chimiro zvikuru mune avo vacheche vakaberekerwa takasununguka.

Zvinonzi zvakare vaidavira kuti elongated Maumbirwe dehenya ari mudumbu inoumbwa ne occipital mharidzo. Izvi zvinoitika kana akati musoro nzvimbo mwana pakukurukura wokutanga ichipfuura pakuberekwa Canal.

Vakaberekwa ne Caesarean chikamu havasi pachena kuti kumanikidzwa, saka dehenya anoramba dzeraundi yaro yepakutanga, brachycephalic chimiro. Sezvineiwo, chimiro musoro achangoberekwa dolihotsefalicheskaya izvi zvinodiwa maviri anonzi chigamuchirwe. Pashure pezvose, zvakasikwa kuberekwa mwana pane kushanda rose mutumbi achangozvarwa.

Kana cesarean chikamu, kunyanya kana aronga uye anosarudza pasina vakamirira basa, yepanyama run of achangoberekwa kunoitika mumuviri. Saka, vana vakaberekerwa nenzira iyi, achichinja kuita upenyu kunze mudumbu chingaitika zvishoma zvakasiyana pane vana vakaberekwa zvoga.

Pathological siyana neonatal dehenya

Kune akawanda pathological siyana pamusoro dehenya pakati vachangoberekwa:

1. Plagiocephaly, kana "sandara musoro". At ichi zvokurwara frontal kana occipital chikamu flattened, uye musoro ndiko asymmetrical.
2. Turricephaly. Panguva zvokurwara ichi vachangoberekwa conical, elongated musoro chimiro. The sutures yeDehenya mapfupa akashaya zaraschivayutsya.
3. Scaphocephaly. Inozivikanwa pakuti Pazvinoitika mangwanani Ossificação em yeDehenya, sezvamakaropafadzwa rinogona yekudyidzana anobuda frontal kana occipital chikamu.

Head sekamufarenzi vachangoberekwa

Kwete uremu chete uye achangoberekwa kukura kunokosha, asi kukura musoro, uyewo yaro sekamufarenzi. zviratidzi izvi zvakawanda kuudza chiremba pamusoro pemamiriro ezvinhu mwana chaiko akaonekwa chiedza.

Kukura uye musoro sekamufarenzi vakanga akayera aine nyoro pedengu tepi maererano zvikuru convex nzvimbo - nape mitsetse uye nevagari vayo. Kuyera sekamufarenzi musoro iri achangoberekwa rechipiri kusvikira zuva rechina hwake, pashure kunyangarika postpartum edema.

Ndeyokuva denderedzwa masendimita 35, asi oscillation 32 kusvika 38 masendimita ndiyo mureza kutsauka. Kana zviratidzo izvi vanoenda sekamufarenzi nevana kupfuura ukuru pechipfuva pa 2.5 cm. Kana mwana akatsauka 5 months, ambotaurwa zviratidzo zvinofanira kuenzana. Uye gore rimwe ari mubhokisi iri mwana anofanira nechekare kusapfuudza sekamufarenzi musoro pamusoro chete 2.5 cm.

Where pashure yakayerwa zvakava pachena kuti pane kutsaudzira, rinotaura munhu zvichibvira chirwere. Nokuti ayo kunyatsoenderana tsanangudzo zvinokosha kuziva umo mirayiridzo nokutsauka - kana pasi.

hydrocephalus

Kune mhando wandei zvichibvira pathologies. Mumwe wavo ari chirwere, sezvo hydrocephalus (kana, neimwe nzira, edema). Panguva chirwere ari kuchengetwa nokuwedzera cerebrospinal mvura iri dehenya ane mwana.

Photo kwevana vacheche pamwe dambudziko iri zvinoratidza zvakajeka kuti kukura musoro panguva iyoyo yakawedzera zvikuru uropi dhipatimendi Yakakura tichienzanisa chiso uye frontal chikamu zvikuru nyasha mberi. Kuunganidza akati Urume kunotungamirira kuwedzera intracranial kumanikidzwa.

Zviratidzo hydrocephalus

Zviratidzo hydrocephalus kana hydrocephalus vari:

• kuwedzera musoro sekamufarenzi;
• The kwomwana dehenya pashure pokuberekwa anopfuurira kuwedzera;
• mwana lags mumashure kukura;
• akanga tsamwa, lethargic, kugunun'una, uye dzimwe nguva, nekusiyana, inova hasha;
• mwana tinganetseka nomusoro;
• iye kazhinji akacherechedza svoto uye kurutsa;
• Doctors kazhinji wanikidza zvachinja fundus;
• zvinogoneka zvipusha pfari;
• Urinary incontinence.

Kana mwana ane chirwere "hydrocephalus", zvakakodzera kuratidza neurosurgeon. Kakawanda, chirwere ikarapwa surgically, uye neurosurgeon pashure rokuongorora uye kwazvo kuongororwa rinopa zvairatidza kana contraindications kuti kuuya oparesheni.

Pashure inobudirira pokuvhiyiwa, kurwara, sezvinoita mutemo, usingatangi mberi. Mwana anogona kupinda nguva preschools (minda) uye chikoro nevezera ravo. Dzimwe marapirwo rinoitwa pasina kuvhiya kupindira kushandisa nevasori kuti kudukupiswa kugadzirwa cerebrospinal mvura. Maumbirwe yeDehenya iri zvishoma nezvishoma kuwana kudzokera dzose.

microcephaly

Chechipiri mhando ndiyo achangoberekwa zvinoita zvokurwara zvirwere zvakadai microcephaly. Kana vakachengeta vasanyanye mukanyiwa uropi ari mucheche, mukusiyana kuvana utano, uye matambudziko zvinoderedza kukura musoro sekamufarenzi.

Pane zvikonzero zvakawanda kuti pave nekukurukurirana kukura chirwere. Zvinogona kuva siyana zvinotapukira vakatakura pamusoro panguva pamuviri, kudhaka ari mudumbu ari mudumbu mai doro, fodya nezvimwe zvinodhaka. Kunyanya ngozi dzokupisa kwakadaro panguva mangwanani pamuviri, kana vose nhengo uye hurongwa vari kuumbwa chete mwana.

Isakarurama kukanganiswa nokushandisa nemimwe mishonga inorwisa mabhakitiriya panguva yepamuviri. The kwomudzimu radioactive mwaranzi, fetus chepfu chepfu, kuvabereki abnormalities, uye pakupona zvinogona kuva chikonzero neonatal microcephaly. Panyaya iyi, iyo dehenya mwana achava shoma zvikuru zvichienzaniswa nevana vasina chirwere.

Zviratidzo microcephaly

Microcephaly achangoberekwa anogona kutombomuziva nemaziso, pasina kuitisa mamwe inspections. chirwere ichi pamwe anotevera zviratidzo:

1. Head sekamufarenzi of achangoberekwa 2-3 nguva dzakasiyana ndozvakajairwa parutivi duku. Kana vana utano zviri 32-38 cm mu neonates, varwere microcephaly, nhamba masendimita 25-27 chete. Photo vana vachangoberekwa vane microcephaly kunoonekwa kuti pezvakaita dehenya zvakachinja - chiso mwana achikura, uye musoro pacharo inoramba diki.
2. uropi uremu vana utano vanenge 400 g, uye varwere neonatal pamwe microcephaly, zviri kumativi 250 d
3. Kakawanda satellites ose akati zvirwere ndivo zvarakasiya avo se "akatsemuka muromo" squint "mumukaha mukanwa."
4. Varwere vakaberekwa nevana microcephaly fontanelle kuvharwa kana kuvhara richiwanika rokutanga romwedzi upenyu.
5. Kid zvinooneka shure muna mupfungwa uye mutauro kukura. Zvisinei, haana chete havagoni iye kutamba mashoko uye ruzha, asi panenge haasi kunzwisisa mutauro mumwe.

Microcephaly pari, zvinosuwisa, chirwere chisingarapiki. Treatment dzinowanzotsigi- zvainanga, kuitira kuderedza zvirwere.

macrocephaly

Rumwe rudzi zvichibvira zvokurwara ndiyo macrocephaly. Mukurapa, vakadanwa saka kuwedzera dehenya kukura uye pfungwa uremu tisina chorukandwe. In chirwere ichi, uropi anogona kuyera 2850 magiramu. zvokurwara Izvi zvingava asymptomatic, asi pakuonekwa uropi pamwe anenge asina kusiyana dzose.

Macrocephaly ari vachiberekwa chirwere, asi izvozvo zvingaitikawo pashure pokuberekwa. Zvinosuruvarisa zvikonzero icho kunoitika, muri Parizvino USINGAZIKAMWI.

Kunyange kana yako achangoberekwa dolihotsefalicheskaya Maumbirwe musoro uye hapana zvarakasiya uye abnormalities ari Maumbirwe dehenya, zvakakodzera zvakanaka kutarisira mwana kudzivisa panowanikwa postpartum zvirwere. Chokwadi chokuti mapfupa dehenya vachangotanga akazviratidza pamusoro mafufu chiedza achiri nyoro, kwete vakaoma, saka kwenguva mucheche avete imwe nzvimbo kuti deformation kuti dehenya mapfupa, uye pakupedzisira musoro anova kwemashifiti. Kuti dolihotsefalicheskaya Maumbirwe musoro mudumbu yachinja, mumavhiki 12 okutanga oupenyu sezvo vabereki vanofanira kuchinja nzvimbo rusvava kazhinji napo, nguva imwe neimwe akaisa mhiri.