Clavicle wovulala mu akhanda a. Angaperekedwe neonatal kuvulala

Kuvulala pobadwa ndi zachilendo Komabe, madokotala angayese kuwapewa. Osati nthawi zonse akazi pa ntchito khalidwe labwino, si nthawi zonse zinthu zipatso monga kwalembedwa mu mabuku kwa obstetricians - ambiri sizimadziwika mphindi. N'chifukwa chake nkhani ya choipa, mwamwayi, ali kwenikweni osati poipa kwambiri ndipo popanda yaitali mankhwala ndi konzanso.

Genera ndi maganizo a mwana wosabadwayo

akazi ambiri pakati mukuyembekezera, koma pa nthawi yomweyo mantha nthawi pamene iwo kuona mwana wanu. Zimenezi n'zosadabwitsa, anapatsidwa mmene mantha ndi zopweteka ndi mphekesera, ndi kubereka. Komabe, akazi ena kwathunthu kuiwala kuti si chotero chokha, komanso ana awo kuti adutse njira yovuta, pamodzi ndi mavuto aakulu kwambiri zimadalira zochita za alendo - madokotala.

Kwenikweni, ngati mukuganiza za pa ana pobereka kuperekedwa mu zinthu zoopsa kwambiri. Pafupifupi 40 masabata mwana ankakhala m'mimba ofunda, anamva kumpanda mtima amake, nadya, anapumira ndi ndiyotani pakuchotsa zinyalala kudzera chingwe umbilical - Mwachidule, anali mu zinthu zabwino kwambiri. Koma tsopano kunyumba akale kwenikweni amakankhira izo kunja, kutulutsa kuchokera yokha. Ndipo kuti kuona dziko latsopano, m'pofunika kudutsa ndime yopapatiza. Mwa njira imeneyi mwanayo kusuntha mafupa a Chigaza, koma apatsa ndi mavuto zoopsa kwa mayi ake. Ambiri, njira iyi sangathe adzatchedwa wosangalatsa, ngakhale anapeza chikhalidwe chotero. N'zosadabwitsa kuti akhoza limodzi ndi mitundu yosiyanasiyana ya zotupa.

Angaperekedwe neonatal kuvulala

Ngakhale masoka njira, nthawi zambiri chinachake si ndithu monga kuyenera. Mwamwayi, kupanga mankhwala limachititsa kuti athandize akazi ngati pali vuto. Koma kudalira kwambiri pa madokotala sangakhoze - iwo si milungu, koma mayi watsopano ayenera khalidwe labwino ndiponso lokha, osati kusuntha udindo pa akatswiri.

Mfundo zoopsa pobadwa mwana zikuphatikizapo mndandanda wa limati zotheka, ndizo zotsatira za ena pathologies kapena pa mimba kapena chigamulocho za izo. Njirazi ndi monga:

• hypoxia;
• cerebrovascular ngozi;
• kuwonongeka kwa mitsempha ndi mitsempha;
• fractures, fractures, fupa kusamutsidwa;
• utaphulika minofu;
• hematoma ziwalo mkati;
• kukha magazi.

Zonse izi zikumveka woopsa kwambiri, makamaka pamene inu dziwani kuti mwamuna wamng'ono kwambiri, zofuna kusintha, ngakhale mu chikhalidwe yachibadwa. Mwamwayi, akuluakulu kubadwa zopindika wa ana sanalembedwepo zambiri. Koma n'chifukwa chiyani kuchitika konse? Pali njira zambiri.

zifukwa

Prerequisites kupeza kuvulala aliyense pobereka zikhoza kukhazikitsidwa. Ena mwa iwo ngati kudwala mimba, monga kukula kwa mwana wosabadwayo ndi kulakwika kwa ngalande kubadwa, ulaliki nthenda, chingwe kukodwa, pachithunzichi malo a ntchito mutu mu mafupa a chiuno ndi. Komanso, zoyambitsa akhoza zimachitika kwambiri kapena mlingo wochepa wa otaya yobereka, kukondoweza, malo olakwika kapena mayi wa kanthu.

Nthawi zina gawo udindo komanso limakhala ndi asing'anga amene ntchito njira zimenezi kwachikale ndi owopsa monga zingalowe m'zigawo kapena forceps yobereka. Cephalic komanso subala kuteteza umoyo wa mwanayo, koma kuti ndikhale woonamtima, izo nkomwe kuchitidwa popanda lalikulu kufunika. Ndipo ambiri olankhula, zopatuka aliyense mwakale pa mimba ndi kubereka zingachititse lolingana kuvulala. Mwamwayi, kawirikawiri zimaonekeratu yomweyo, pamene ankaona neonatologist, kutanthauza kuti miyeso zofunika angathe kumwedwa msanga.

Chabwino, izo sizikanakhoza kukhala mayi kusalola zofanana ndi zimenezi zinachitika kwa mwana wake? Choyamba - kupita pa maphunziro kwa akazi apakati ndi kuphunzira mmene kuwonjezera ntchito ndi chifukwa chake ndi chofunika kuti amvetsere madotolo ndi obstetricians. Ndipo, ndithudi, sayenera amakana gawo la Kaisara, ngati akulimbikira madokotala - kungakuthandizeni kupewa mavuto ambiri.

phewa wovulala

akhanda A pobadwa apo pakubwera nthawi imene mutu kale kunja, ndi mapewa panobe. Ndipo apa kwa azamba amafuna molondola wapadera ndi mwachikondi. Mukayamba kukoka mutu kwambiri kapena kupewa ngakhale kasinthasintha kakang'ono mozungulira olamulira, inu mosavuta kuwononga mafupa wosakhwima. Ndipo inu mukhoza mwachindunji imfayo choipa ichi pa breech zosafunika mavuto. Ndipotu, ndi clavicle wosweka mu ana akhanda - ndi imodzi ya zopindika ambiri kubadwa. Malinga ndi kafukufuku, ndi akamagwira ana 11-12 kuyambira 1000. Nthawi zambiri, nawonso limodzi ndi kuvulala kwina: paresis ndi ziwalo za malekezero, chophukacho minofu sternocleidomastoid, fractures mafupa ena.

diagnostics

Ngakhale kuti choipa ichi sanathe afunsidwa mu anayendera koyamba, nthawi mwaona maola oyamba kapena masiku. lingaliro kuti panali wovulala wa clavicle mu akhanda akhoza kubweretsa zinthu zotsatirazi:

• kuchuluka m'chikaiko chowakaikitsa mwana, kusafuna chakudya, wosakwiya kunenepa;
• pang'ono kutupa m'dera phewa;
• asymmetrical makutu;
• uncharacteristic malo mutu;
• kukwezedwa kwa mkono umodzi pa ena;
• dangling imodzi ya manja ake.

Onani kukaikira kwawo madokotala angathe kugwiritsa ntchito X-ray bwinobwino ndiko kunena mosapita m'mbali ngati fupa lothyoka ndi kaya zikhale zovuta. Nthawi zambiri mukhoza kupeza mothandizidwa ndi palpation, koma mu nkhani iyi pali chiopsezo dislodge zinyalala ndi vutoli kuwonongeka. Choncho ngakhale kuti ndi zachilendo, zikhoza kukhala zamkhutu zikukhudza clavicle mu akhanda.

chithandizo

ana, makamaka aang'ono kwambiri, mafupa zikulire pamodzi m'malo mofulumira, chifukwa iwo ali zofewa. Ndipo ambiri a fractures pa sikutanthauza amtundu uliwonse miyeso wapadera, koma kuti chidwi kuchuluka kwa khalidwe la mwanayo, kugwiritsa ntchito bwino ndiponso kusintha mphasa. Nthawi zina, pamafunika immobilization, mwachitsanzo nthambi immobilization ntchito nsalu wapadera ndi matayala. Pomaliza, ngati inu muli kwenikweni osati mwayi, mungafunike opareshoni, imene iwo adzasonkhanitsa ndalama pamodzi, koma Mwina izi ndi negligible, chifukwa n'kovuta kwambiri wovulala lathunthu la clavicle mu akhanda. Zotsatira za kuvulala izi, koma kupanda kwake, ndi ziyembekezo za mankhwala ake, mwamwayi, pafupifupi nthawi zonse zokondweretsa. Kotero musadandaule pasadafike.

ziyembekezo

wopepuka wovulala chithandizo zambiri siyikhuzana mavuto alionse - mlungu umodzi kuti malo kuvulazidwa, otchedwa chimanga, kenako adziwonetsa minofu fupa, kumaliza ndondomeko kusinthika. Ngati panali kusamuka kwa makombo, ndi ululu zina kulankhula za chiyembekezo cha zovuta - pa nkhani iliyonse iwo eni, kotero muyenera kumvera malangizo a dokotala nawo.

zotsatira

Clavicle wovulala mu neonate kawirikawiri sayambitsa iye anachitazi kwambiri, popeza ngakhale kwenikweni pa sayenda a nthambi. Komabe, ngakhale poganiza kuti fupa chawonongeka kwambiri ndithu, kawirikawiri sayenda zonse abwezeretsedwa mwa mlungu umodzi kapena iwiri. Aliyense zopindika zodzikongoletsera kugwirizana ndi zoipa, zimachititsa mofulumira ndithu. Motsimikiza wololera tikhoza kunena kuti ambiri, ndi fupa lothyoka la clavicle mu akhanda alibe zovuta zilizonse kutchulidwa m'tsogolo.