Fontanelle wa mwana: kukula, nthawi kutseka. Kapangidwe ka chigaza cha ana akhanda

Pobadwa, mwanayo ali kugawa nthawi yomweyo amphamvu cranial fupa limene limalumikizana ndi fontanelle yaikuluikulu ndi sutures, iwo atumikire monga absorbers zachilengedwe mantha. Malinga ndi odetsedwa angaone pamaso pa ICP kapena chikhalidwe cha njira ya ntchito. Podutsa m'njira kubadwa a Chigaza wakhanda ndi appreciably opunduka chifukwa superposition mafupa ndi mnzake. Izi amachepetsa ngozi za kuvulala kwa onse khanda ndi mayi. Makolo Young zimakhala zoopsa osasamba mawonekedwe mutu, koma musadandaule, chifukwa patapita kanthawi adzakhala mwachizolowezi mawonekedwe.

N'chifukwa chiyani ndikufunika fontanelle

Fontanelle mwana amapereka chitukuko yosalala ubongo. Ndipo kukula kwambiri yogwira n'kofunika, monga ife tikudziwira, chaka choyamba cha moyo, pa nthawi, mpaka chigaza mbali zalembedwa Kakhungu.

Chifukwa fontanel ndi zotheka kuchita kafukufuku ubongo popanda kugwiritsa ntchito njira zovuta ndi kusapeza osachepera kwa mwana. Neurosonography kuwulula zotsatira zoopsazo, kukha mwazi zotupa zosiyanasiyana, kusintha mu nyumba ubongo pa siteji oyambirira. Mwa zina Dziwani makonzedwe a thermoregulation. Fontanelle mwana, makamaka omalizira a zakulera ake, akamazizira thupi akafika mlingo wa thupi kutentha kwa madigiri 38. Zina thermoregulatory limagwirira kwambiri amachepetsa zosayembekezereka wa edema oziziritsa, ndi khunyu kuti mwina chifukwa cha kutentha. Komanso amachita monga ngati absorber mantha pa mathithi, popanda zomwe silingachite njira yoyamba.

NTHAWI YOCHITA kutseka fontanelle lalikulu ana

Makulidwe pakuchitika 2x2 cm, ndi fontanelle ndi pamwamba ndipo ali daimondi mawonekedwe. Ndi zaka, chigaza mafupa kukula pamodzi ndi iye kusiyiratu. Koma ana onse ndi chitukuko osiyana, kotero Ntchito imeneyi mpaka miyezi 18-20. Izi si chifukwa nkhawa pa chikhalidwe cha magawo ena lolingana mwakale.

Chigaza mwana amakhala ndi fontanel ochepa kumbuyo lomwe lili ndi kakang'ono kwambiri. Pafupifupi ana onse chatsekedwa yomweyo pambuyo pa kubadwa, zikhoza kuonedwa mu makanda amene anabadwa msanga. Pankhaniyi, umaonekera maphatikizidwe kwathunthu kwa masabata 4-8.

Ripple ndi fontanelle kukula ndi zofunika makamaka ndi zoononga madokotala kuti aone mmene mwanayo. Chifukwa katundu zinchito ina kapena mosinthanitsa pamaso overgrowth zina kungakhale chizindikiro cha pathological cranial kukula fupa.

pa mimba

Chakudya akazi pa mimba umakhudza kashiamu ndi phosphorous kagayidwe mwanayo, amene chifukwa zimakhudza nthawi atachuluka fontanelle. Fontanelle, mwana akhoza kukhala wandiweyani, ndi kukula yaing'ono ndi azimuth zosiyanasiyana mofulumira kutseka, ngati mayi woyembekezera kudya mankhwala ambiri mkaka tikadwala mavitamini. Ichi ndi chimodzi mwa zifukwa kufunika kwa kusunga okhwima malamulo anakhazikitsa tikaona gynecologist, malingana ndi nthawi ya mimba. Iwo ayenera kukumbukira kuti overabundance kashiamu kumathandiza kuti oyambirira kukalamba latuluka lapansi.

Komanso, chifukwa malire kukula ubongo ikusonyezedwa yaikulu chitukuko.

Kashiamu-phosphorous kagayidwe

Owonjezera kashiamu mu ambiri a milandu, chifukwa cha oyambirira fontanel overgrowth ndi akusowa chake atseka pasanafike tsiku lomalizira ndi. Onse milandu ndi chifukwa kuyang'anira zina, kuyambira mlingo wochepa wa kashiamu chifukwa cha nambala osakwanira vitamini D, ndipo akusowa ake kumathandiza kuti matenda monga rickets. Chifukwa cha iye, zimakhala fupa amayamba kusintha n'kukhala miyendo kupatula yosalala ndi makutu gait. Zizindikiro zina taonera dazi kumbuyo kwa mutu, amaika thukuta yodziwika ndi wowawasa kununkhiza, ndi maloto oyipa. Normalization wa zinthu kuwombola kashiamu-phosphorous chindiletsa msanga coalescence fontanel m'mbali.

Anzanu

Ngati lalikulu fontanelle makanda atseka molawirira kwambiri, kungasonyeze Mwina pamaso pa microcephaly, craniostenosis ndi nkhani kusiyana pambuyo kutsekedwa ndi kofunika kupereka ulemu wapadera kwa kuthekera kuchuluka kuthamanga cranial.

Fontanelle makanda ayenera miyeso mu osiyanasiyana 1-3 cm. Choposa chizindikiro ichi zingasonyeze pamaso pa chikhalidwe opatsirana matenda, kuvulala wolingalira pobereka, hypoxia pa mimba ndi makutu outflow wa madzimadzi mu ventricles ubongo. Komanso, ana obadwa masiku asanakwane, ndiponso anthu kubadwa wopunduka, matenda endocrine ndi nthenda kagayidwe, Mwina mulinso fontanelle lalikulu.

Pamene kuwona dotolo

Mu chochitika cha sanali kugwilizana amafuna kugonjera ziyeso kudziwa mlingo wa kashiamu mu mkodzo ndi mwazi, ndi ndime ya Kupenda zina mankhwala. Ichi ndi chifukwa chakuti rickets, umene ndi chifukwa chofala ya pyakuipa kukula fontanelle, kumayambitsa deformities fupa, kuchepetsa wonse minofu kamvekedwe ndi kusintha wamanjenje dongosolo. Mu nkhani ya kudzimbidwa kumachitika chifukwa cha kufooka ambiri a minofu ya. katswiriyu mwana m'pofunika kusonyeza, ngati psychomotor chitukuko ndi fontanelle sanali zizigwirizana m'badwo, nthawi zambiri chifukwa cha izi ndi matenda oopsa intracranial, amene inathetsedwa ndi kukonzekera mwapadera. Pa nthawi yomweyo, makolo ayenera kuwunika chitukuko cha mwana komanso ngati pali kukayika kulikonse, funani dokotala anu. dokotala ayenera kudziwa sanali kuvomereza ndi nkhawa zizindikiro zilizonse. Mwachitsanzo, kaŵirikaŵiri kulira akagona ndi akudzuka kukuwa mokweza angasonyeze mutu, chifukwa cha zomwe ndi mkulu intracranial kuthamanga. Fontanelle makanda pamene kulira amakhala yomangika pansi pa iye anamva wolumikizira pulsation.

Medical Kupenda chofunika ndi pamalo indented Limanenanso za madzi m'thupi chifukwa kusanza pafupipafupi kapena m'mimba.

Kodi mantha amayi

Makolo kumene amakhala mantha ngakhale mwangozi kukhudza "zofewa" korona ndi kufunsa dokotala za kufunika chisamaliro yeniyeni. Fontanel makanda, makamaka Kakhungu ndi, Izo sizingakhoze kuonongeka ndi kuongola tsitsi kapena stroking mutu, chifukwa ndi wamphamvu kwambiri kuposa zikuwoneka. Pa nthawi yomweyo, zina osafunika mwana pamadzi, ngakhale kuyang'aniridwa ndi akatswiri oyenerera, kuyambira ubongo wadwala kusiyana kuthamanga.

Pamene kuona chitukuko cha nyenyeswa za ripple fontanelle si chifukwa maganizo makolo. Anthu ambiri ankaona kuti mukhoza ichi ndi kuwonjezeka overgrowth mu zakudya mankhwalawa tsiku vitamini D ndi calcium. Koma zimenezi sadzakhala ndi mphamvu iliyonse ngati pali kutengera za kumtundu.

Pomaliza

Pomaliza pamwamba Dziwani zifukwa zazikulu sanali kugwilizana ndi anakhazikitsa malamulo fontanelle:

• Rickets ali kufalitsidwa kwambiri. Koma osafufuza matenda a pokhapokha ngati nthawi yaitali si kukula mdima. The chizindikiro chachikulu ndi mapindikidwe zina za mafupa, mu kusintha makamaka ziwalo munthu Mwachitsanzo, mwendo kapena chifuwa.
• Fontanelle wa mwana Angagwiritsidwenso chifukwa cha hypothyroidism. Koma ngati kuphwanya ntchito chithokomiro akuwonekera patsogolo pa zaka 1.5-2 n'zochepa.
• Cholowa china. Pankhaniyi, nthawi accretion m'malo osamveka ndipo akhoza kufika zaka 2.5. kukhalapo yake kulankhula, pakalibe zizindikiro zina ndi chitukuko munthawi yomweyo malinga ndi msinkhu.