Kuchepetsa kukula mu chiberekero: "zolemera zazing'ono" pansi pa kuyang'anitsitsa

Aliyense pano amawatcha "zolemera zazing'ono". Kaya ali m'mimba mwa amayi amtsogolo kapena ali m'ma incubators a dipatimenti ya neonatal ya chipatala cha Robert Debré ku Paris. Ang'onoang'ono kuposa avareji, makanda awa amakhala ndi vuto lakukula kwa chiberekero. M’makonde a m’chipinda cha amayi oyembekezera, Coumba, yemwe anali ndi pakati pa miyezi isanu ndi itatu, anali asanamvepo za izo, monga momwe mkazi mmodzi mwa aŵiri alionse a ku France * anali asanamvepo. Panali pamene akudutsa ultrasound yake yachiŵiri, miyezi inayi yokha yapitayo pamene anamva zilembo zinayi izi “RCIU”: “Madokotala anangondifotokozera kuti mwana wanga anali wamng’ono kwambiri! “

* Kafukufuku wamaganizidwe a PremUp Foundation

Kuchepetsa kukula mu chiberekero: mu 40% ya milandu, chiyambi chosadziwika

RCIU ndi lingaliro lovuta: mwana wosabadwayo ndi wocheperapo poyerekeza ndi msinkhu wake woyembekezera (hypotrophy), koma kusinthasintha kwa kakulidwe kake, pafupipafupi kapena pang'onopang'ono, ngakhale kupuma, ndikofunikira kwambiri kuti muzindikire. "Ku France, mwana mmodzi mwa 10 aliwonse amakhudzidwa ndi matendawa. Koma tikudziwa zochepa, ndi chifukwa choyamba cha imfa ya makanda! », Akufotokoza Pulofesa Baud, wamkulu wa dipatimenti ya ana akhanda ku Robert Debré. Izi kulephera kukula nthawi zambiri kugwirizana ndi prematurity wamkulu, amene si popanda zotsatira pa chitukuko cha tsogolo la mwanayo. Kuti apulumutse mayi kapena mwana, madokotala nthawi zina amakakamizika kuyambitsa ntchito nthawi isanakwane. Izi n’zimene zinachitikira Lætitia, yemwe anabereka ali ndi milungu 33 ya mwana wamkazi wolemera makilogalamu 1,2. "Masabata awiri apitawa adangotenga 20g ndipo mtima wake ukuwonetsa kufooka pakuwunika. Tinalibe yankho lina: anali bwino kunja kuposa mkati. “Muutumiki wa mwana wakhanda, mayi wachichepere akuwonetsa tchati cha kukula kwa mwana wake wamkazi yemwe amakhala pafupi ndi chofungatira: khandalo likukula pang’onopang’ono. Lætitia adamva m'mwezi wake wa 4 wokhala ndi pakati kuti anali ndi vuto la vascularization la placenta. Chiwalo chofunikira chomwe mwana wosabadwayo amakoka chilichonse chomwe chimafunikira kuti chikule. Kusakwanira kwa placenta kumayambitsa pafupifupi 30% ya milandu ya IUGR yokhala ndi mayi woyembekezera, nthawi zina zotulukapo zazikulu: matenda oopsa, pre-eclampsia ... Pali zifukwa zambiri za kukula kwapang'onopang'ono. Timakayikira matenda aakulu - shuga, kuchepa kwa magazi m'thupi -, mankhwala - fodya, mowa ... ndi mankhwala ena. Kukalamba kwa mayi kapena kuwonda kwake (BMI osakwana zaka 18) kungasokonezenso kukula kwa mwanayo. Mu 10% yokha ya milandu, pali fetal pathology, monga chromosomal abnormality. Koma zifukwa zonsezi zimafuna njira zomwe sizikumveka bwino. Ndipo mu 40% ya milandu ya IUGR, madokotala alibe kufotokoza.

Mu utero kukula retardation zowonera zida

Atagona pa bedi lopimitsira, Coumba momvera amawerama ku chojambulidwa cha mlungu ndi mlungu cha mtima wa khanda lake. Kenako adzakhala ndi nthawi yokumana ndi mzamba kuti akamuyezetse, ndipo adzabweranso pakadutsa masiku atatu kuti akapimenso ultrasound. Koma Coumba ali ndi nkhawa. Uyu ndi mwana wake woyamba ndipo salemera kwambiri. Pafupifupi 2 kg pa miyezi isanu ndi itatu ya mimba ndipo koposa zonse, adatenga sabata yatha 20 g yokha. Mayi wobadwayo amayendetsa dzanja pamimba pake yaing'ono yonenepa ndi makwinya, osakula mokwanira momwe amakondera. Pofuna kuonetsetsa kuti mwana amakula bwino, madokotala amadaliranso ndondomekoyi, poyeza kutalika kwa chiberekero.. Amachitidwa kuyambira mwezi wa 4 wa mimba, pogwiritsa ntchito tepi ya seamstress kuyeza mtunda pakati pa fundus ndi pubic symphysis. Izi deta lipoti pa siteji ya mimba, mwachitsanzo 16 cm pa 4 miyezi Mwachitsanzo, ndiye chiwembu pa Buku pamapindikira, pang'ono ngati amene amaoneka mbiri ya thanzi la mwanayo. Muyeso womwe umalola pakapita nthawi kukhazikitsa kokhota kuti muwone kuchepa komwe kungachitike pakukula kwa fetal. "Ndi chida chosavuta, chosasokoneza komanso chotsika mtengo chowunikira, pomwe chimakhala cholondola", akutsimikizira Pr Jean-François Oury., mkulu wa dipatimenti ya gyneco-obstetrics. Koma kufufuza kwachipatala kumeneku kuli ndi malire ake. Imangozindikiritsa theka la ma IUGR. Ultrasound imakhalabe njira yosankha. Pa gawo lililonse, dokotala amayesa kuyeza kwa mwana wosabadwayo: kuchuluka kwa biparietal (kuchokera ku kachisi wina kupita ku mnzake) ndi cephalic perimeter, zomwe zikuwonetsa kukula kwa ubongo, kuzungulira kwamimba komwe kumawonetsa thanzi lake komanso kutalika kwa femur kuti aone kukula kwake. . Miyezo iyi yophatikizidwa ndi ma aligorivimu ophunziridwa imapereka kuyerekeza kulemera kwa fetal, ndi malire a zolakwika pafupifupi 10%. Zanenedwa pamapindikira, zimapangitsa kuti zitheke kupeza RCIU (chithunzi chotsutsana). Matendawa akangopangidwa, mayi wamtsogolo amayesedwa kuti apeze chifukwa chake.

Kuchedwa kwakukula mu utero: mankhwala ochepa kwambiri

Koma pambali pa uphungu waukhondo, monga kusiya kusuta ndi kudya bwino, nthawi zambiri palibe zambiri zomwe mungachite., kuwonjezera pa kuyang'anira kuchuluka kwa kakulidwe ndi kayendedwe kabwino ka magazi mumtsempha kuti apewe zovuta komanso kuti abereke ngati kuli kofunikira. Monga kusamala, mayi woyembekezera nthawi zambiri amapumula kunyumba ndikupita kuchipinda cha amayi oyembekezera kuti akaone momwe zinthu zilili mlungu ndi mlungu. Nthaŵi zambiri amagonekedwa m’chipatala asanabadwe kuti akonzekeretse mwana wake kaamba ka moyo wake watsopano kunja. Makamaka, ndi kufulumizitsa kusasitsa ndondomeko m'mapapo ake. "Tilibe mankhwala oletsa IUGR mwa wodwala yemwe sapereka chiwopsezo poyambira", akudandaula Pulofesa Oury. Titha, ngati pali mbiri ya IUGR yochokera ku placenta, kumupatsa mankhwala a aspirin pa nthawi yomwe ali ndi pakati. Ndizothandiza ndithu. "Pamwambapa, wakhanda, Pulofesa Baud akuvutikanso kukulitsa" zolemera "zake zazing'ono" momwe angathere. Anawa amakhala m'ma incubators, ndipo gulu lonse limawakwirira. Iwo amadyetsedwa mayankho olemera mu michere ndipo amawayang'anitsitsa kuti apewe zovuta. "Pamapeto pake, ena adzagwira, koma ena adzakhalabe olumala," akunong'oneza bondo. Kupulumutsa ana awa ndi makolo awo yaitali Stations of the Cross, Prof. Baud ndi nawo PremUp Foundation, zomwe zimasonkhanitsa pamodzi madokotala ndi ofufuza oposa 200 ku Ulaya konse. Mothandizidwa ndi Unduna wa Kafukufuku ndi Inserm ku France, Maziko awa omwe adapangidwa zaka zisanu zapitazo adzipatsa okha ntchito yoletsa thanzi la amayi ndi ana. "Chaka chino tikufuna kukhazikitsa pulogalamu yofufuza zambiri pa IUGR. Cholinga chathu? Kupanga zolembera zamoyo kuti zizindikire amayi amtsogolo mwachangu momwe zingathere, kuti muchepetse zotsatira za kuchepa kwa kukula uku. Kumvetsetsa bwino njira zamatendawa kuti mupange chithandizo. Kuti akwaniritse ntchitoyi ndikuyesera kubereka ana athanzi, maziko a PremUp ayenera kukweza 450 €. “Ndiye tiye tikumane ku Baby Walk!” », Anayambitsa Pulofesa Baud.

Kodi mukufuna kukambirana za izo pakati pa makolo? Kuti mupereke maganizo anu, kubweretsa umboni wanu? Timakumana pa https://forum.parents.fr.