Cov niam txiv, eagerly awaiting yug ntawm nws tus me nyuam, zoo li kev txhawj txog nws tus mob. Hmoov tsis, qee zaum lawv cov kev ntshai yog qhov tsis txhaum. Ib qho ntawm cov pathologies uas feem ntau mob hauv plab yog fetal thiab menyuam mos ntses asphyxia. Ntau tus niam txiv, hnov cov lus qhia no, paub tias nws yog kab lus thiab tam sim ntawd ntshai. Peb kuj pom zoo kom pib nkag siab txog qhov tseem ceeb ntawm qhov teeb meem no thiab, thaum txhua tus nqi, kom muaj tus cwj pwm zoo.
Ua rau thiab hom asphyxia ntawm cov me nyuam mos
Asphyxia yog lub xeev ntawm tus menyuam mosliab uas qhov kev ua pa yuav cuam tshuam, ua rau lub cev tsis muaj zog txaus. Kev txheeb xyuas xeev hais tias kwv yees li 70 feem pua ntawm cov me nyuam yug los nrog ntau hom thiab degrees ntawm asphyxia.
Muaj tshuaj asphyxiation ntawm ob hom:
- thawj (tshwm sim thaum yug);
- theem nrab (tsim tawm hauv thawj hnub ntawm tus me nyuam lub neej).
Txoj kev loj hlob ntawm asphyxiation yog ib txwm nce los ntawm qhov hnyav yam. Nws tuaj yeem yog:
- intrauterine hypoxia (mob ntev lossis mob ntev);
- kev mob plab menyuam hauv plab;
- incompatibility ntawm leej niam thiab fetus immunologically;
- ua kom tiav lossis ib nrab ntawm txoj hlab pas ntawm tus menyuam uas muaj amniotic fluid lossis mucus;
- mob kis mob ntawm tus niam thaum cev xeeb tub;
- pathological thaum cev xeeb tub;
- kev txawv txav ntawm kev mob plab (pathologically nqaim pelvis ntawm leej niam, qhov tsis zoo ntawm lub plab taub hau, qee zaum, qaum kab ntxau).
Ntawm qhov ua rau qis qis asphyxia yog:
- Congenital pneumonia nyob hauv tus menyuam;
- impaired cerebral circulation;
- ingress ntawm ntuav rau hauv txoj hlab ntsws;
- cuam tshuam ntawm lub hauv siab hauv nruab siab ntawm tus me nyuam mos.
Ua li cas nrog asphyxiation?
Txawm hais tias cov kev ua rau asphyxia, tus me nyuam pib hloov cov txheej txheem metabolic. Nyob rau hauv rooj plaub thaum hypoxia ntawm fetus coj qhov chaw ua ntej, thiab ces asphyxia ntawm tus me nyuam mos tshwm sim, tus me nyuam yuav tsim hypovolemia. Hypovolemia yog ib qho kev hloov ntawm qhov hloov ntawm cov ntshav. Ntshav hnyuv, nws cov viscosity nce, platelets thiab liab qe ntshav liab tau nce ntau zog.
Hauv lub paj hlwb, nyob hauv plawv, siab, qog thiab adrenal qog ntawm tus menyuam yug tshiab, hemorrhages thiab o ntawm hypoxia ntawm cov ntaub so ntswg tuaj yeem kuaj tau.
Txo cov leeg ntawm lub cev thiab lub cev tseem ceeb hemodynamics ua rau txo qis ntawm cov mob plawv, ntshav siab poob qis.
Cov txheej txheem metabolic cuam tshuam, uas ua rau lub cev muaj zog ntawm txoj hlab ntsha ntawm lub raum.
Lub cim tseem ceeb ntawm asphyxia ntawm cov me nyuam mos yog ib qho kev ua txhaum ntawm txoj kev ua pa, uas yog fraught nrog kev hloov hauv lub suab ntawm lub plawv thiab kev hloov hloov ntawm kev ua haujlwm ntawm lub hlwb.
Kev kho mob thaum muaj xwm ceev thiab kev cawm dim ntawm cov menyuam mos nrog rau asphyxiation.
Tam sim ntawd, tom qab yug me nyuam ntawm asphyxiation, neonatology cov kws kho mob yuav tsum ua tib zoo tshuaj xyuas nws los ntsuam xyuas qhov mob ntawm Apgar nplai. Tag nrho cov menyuam yaus xav tau kev pabcuam tam sim ntawd. Cov kev kho mob sai dua pib, qhov lawv ua tau zoo dua tuaj. Txhua yam pib txoj cai nyob rau hauv tus me nyuam chav. Cov kws kho mob tsis tu ncua yuav tsum saib xyuas cov me nyuam lub neej:
- lub plawv dhia;
- hematocrit;
- zaus ntawm kev ua pa, lawv tob.
Raws li cov ntaub ntawv no, cov kws kho mob pom zoo tias
Asphyxia ntawm cov me nyuam mos muaj peev xwm ua tau zoo li no:
- hyper and hypoexcitability;
- convulsive syndrome;
- hydrocephalic syndrome;
- diencephalic ntshawv siab.
Qhov tshwm sim ntawm qhov yuav tshwm sim yog nyob ntawm qhov mob ntawm asphyxia pauv mus rau tus menyuam mos. Thiab kom txo tau qhov teeb meem ntawm cov teeb meem no thiab cov kev kho mob yog tias tsim nyog, kev sab laj tswv yim ntawm cov kws kho mob tshwj xeeb ntawm cov ntsiab lus tsim nyog raug pom zoo.