Hoʻopaneʻe ka ulu ʻana i loko o ka ʻōpū: "nā paona liʻiliʻi" ma lalo o ka nānā pono ʻana

Kapa ʻia nā kānaka a pau ma ʻaneʻi ʻo "nā mea kaupaona liʻiliʻi". Inā lākou i hoʻopaʻa ʻia i loko o ka ʻōpū o nā makuahine e hiki mai ana a i ʻole i loko o nā incubators o ke keʻena neonatal o ka haukapila ʻo Robert Debré ma Paris. ʻOi aku ka liʻiliʻi ma mua o ka awelika, pilikia kēia mau pēpē i ka ulu ʻana o ka ʻōpū. Ma nā ala o ka hale hānai, ʻo Coumba, ʻewalu mahina hapai, ʻaʻole i lohe ʻia e like me hoʻokahi o nā wahine ʻelua ma Farani *. ʻOiai ʻo ia e hala ana i kāna ultrasound ʻelua, ʻehā mau mahina i hala aku nei, ua lohe ʻo ia i kēia mau leka ʻehā "RCIU": "Ua wehewehe wale nā ​​kauka iaʻu he liʻiliʻi loa kaʻu pēpē! “

* Nānā manaʻo no ka PremUp Foundation

Ka hoʻopaneʻe o ka ulu ʻana ma ka ʻōpū: ma 40% o nā hihia, kahi kumu i wehewehe ʻole ʻia

He manaʻo paʻakikī ka RCIU: ua emi ke kaumaha o ka fetus e like me kona makahiki hapai (hypotrophy), akā ʻo ka dynamics o kona pihi ulu, maʻamau a i ʻole me ka lohi ʻana, ʻoiai he haʻihaʻi, he mea nui ia e hana i ka maʻi. "Ma Farani, Hoʻokahi o nā pēpē he 10 i loaʻa i kēia maʻi maʻi. Akā ʻaʻole mākou ʻike, ʻo ia ke kumu mua o ka make ʻana o nā pēpē! », Wehewehe ʻo Professor Baud, ke poʻo o ke keʻena neonatal ma Robert Debré. Hoʻopili pinepine ʻia kēia ulu ʻole me kahi prematurity nui, ʻaʻole ia he hopena i ka ulu ʻana o ke keiki e hiki mai ana. No ka hoʻopakele ʻana i ka makuahine a i ʻole ka pēpē, koi ʻia nā kauka e hoʻoulu i ka hana ma mua o ka manawa. ʻO kēia ka hihia o Lætitia, nāna i hānau i nā wiki he 33 o kahi pēpē pēpē he 1,2 kg. "ʻO nā pule ʻelua i hala iho nei ua lawe ʻo ia i 20g a ke hōʻike nei kona puʻuwai i nā hōʻailona o ka nāwaliwali i ka nānā ʻana. ʻAʻohe o mākou hopena ʻē aʻe: ʻoi aku ka maikaʻi o waho ma mua o loko. "Ma ka lawelawe neonatal, hōʻike ka makuahine ʻōpio i ka pakuhi ulu o kāna kaikamahine e noho ana ma ka ʻaoʻao o ka incubator: ke piʻi mālie nei ke pēpē. Ua aʻo ʻo Lætitia ma kahi o kāna 4 mahina o ka hāpai ʻana ua loaʻa ʻo ia i kahi kīnā i ka vascularization o kāna placenta. He kino koʻikoʻi kahi e huki ai ka fetus i nā mea a pau e pono ai ke ulu. No laila, ʻo ka hemahema o ka placental ke kuleana ma kahi o 30% o nā hihia o IUGR me ka makuahine e kali ana, i kekahi manawa he hopena weliweli: hypertension, pre-eclampsia ... Nui nā kumu o ka ulu ʻana. Manaʻo mākou i nā maʻi maʻi maʻi - diabetes, anemia koʻikoʻi -, huahana - paka, waiʻona… a me kekahi mau lāʻau lapaʻau. Hiki ke hoʻopilikia i ka ulu ʻana o ka pēpē i ka wā ʻelemakule a i ʻole kona lahilahi (BMI ma lalo o 18). I ka 10% wale nō o nā hihia, aia kahi maʻi maʻi fetal, e like me ka abnormality chromosomal. Akā ke kāhea nei kēia mau kumu āpau i nā mīkini i hoʻomaopopo ʻole ʻia. A ma 40% o nā hihia IUGR, ʻaʻohe wehewehe o nā kauka.

I loko o ka utero ulu retardation mea paahana

E moe ana ma luna o kahi moena hoʻokolokolo, hoʻolohe pono ʻo Coumba i ka hoʻopaʻa ʻana o ka puʻuwai o kāna pēpē i kēlā me kēia pule. A laila e loaʻa iā ia kahi manawa me ka pale keiki no ka hoʻokolohua lapaʻau, a hoʻi mai ʻo ia i nā lā ʻekolu no ka ultrasound hou. Akā hopohopo ʻo Coumba. ʻO kāna pēpē mua kēia a ʻaʻole nui kona kaumaha. ʻAʻole 2 kg i ʻewalu mahina o ka hāpai ʻana a ma luna o nā mea a pau, ua lawe ʻo ia i kēia pule hope loa he 20 g wale nō. Holo ka makuahine i ka lima ma luna o kona ʻōpū liʻiliʻi a ʻāʻī, ʻaʻole lawa i kona ʻono. No ka hōʻoia i ka ulu maikaʻi ʻana o kahi pēpē, hilinaʻi pū ka poʻe loea i kēia index, me ke ana o ke kiʻekiʻe o ka ʻōpū.. Hana ʻia mai ka mahina ʻehā o ka hāpai ʻana, me ka hoʻohana ʻana i ka lipine humuhumu e ana i ka mamao ma waena o ka fundus a me ka symphysis pubic. ʻO kēia ʻikepili i hōʻike ʻia ma ka pae o ka hāpai ʻana, ʻo ia hoʻi, ʻo 4 knm i nā mahina 16 no ka laʻana, a laila hoʻolālā ʻia ma kahi pihi kuhikuhi, e like me nā mea i ʻike ʻia ma ka moʻolelo olakino o ke keiki. ʻO kahi ana e hiki ai i ka wā lōʻihi ke hoʻokumu i kahi pihi e ʻike i kahi hiki ke lohi i ka ulu ʻana o ka fetal. "He mea hana maʻalahi, ʻaʻole invasive a maʻalahi hoʻi ka nānā ʻana, ʻoiai e waiho pololei ana", e hōʻoiaʻiʻo ana ʻo Pr Jean-François Oury, ke poʻo o ka ʻoihana gyneco-obstetrics. Akā he mau palena ko kēia hoʻokolohua lapaʻau. Hoʻomaopopo wale ia i ka hapalua o nā IUGR. ʻO ka ultrasound ka mea i koho ʻia. I kēlā me kēia kau, hana ka mea hoʻomaʻamaʻa i nā ana o ka pēpē: ke anawaena biparietal (mai kekahi heiau a i kekahi) a me ka perimeter cephalic, e hōʻike ana i ka ulu ʻana o ka lolo, ka ʻōpū o ka ʻōpū e hōʻike ana i kona kūlana meaʻai a me ka lōʻihi femur e nānā i kona nui. . ʻO kēia mau ana i hui pū ʻia me nā algorithm aʻoaʻo e hāʻawi i kahi kuhi o ke kaumaha o ka fetal, me kahi hapa o ka hewa ma kahi o 10%. Hōʻike ʻia ma kahi pihi kuhikuhi, hiki iā ia ke ʻimi pololei i kahi RCIU (kiʻi kūʻē). Ke hana ʻia ka maʻi maʻi, a laila e hoʻokau ʻia ka makuahine e hiki mai ana i kahi pākahi o nā hoʻokolohua e ʻike i ke kumu.

Hoʻopaneʻe ka ulu ʻana i loko o ka ʻōpū: liʻiliʻi loa nā lāʻau lapaʻau

Ma waho aʻe o nā ʻōlelo aʻo maʻemaʻe, e like me ka haʻalele ʻana i ka puhi paka a me ka ʻai maikaʻi ʻana, ʻoi aku ka nui o nā mea hiki ʻole ke hana., Ma waho aʻe o ka nānā ʻana i ka wikiwiki o ka ulu ʻana a me ke kahe koko maʻamau i ka umbilical cord e pale i nā pilikia a hoʻoulu i ka hānau ʻana inā pono. Ma ke ʻano he makaʻala, hoʻomaha ʻia ka makuahine hāpai ma ka home me ke kipa ʻana i ka hale hānai e nānā i ke kūlana i kēlā me kēia pule. Hoʻokomo pinepine ʻia ʻo ia i ka haukapila ma mua o ka hānau ʻana e hoʻomākaukau i kāna pēpē no kona ola hou ma waho. ʻO ka mea nui, ma ka hoʻolalelale ʻana i ke kaʻina maturation o kona mau māmā. "ʻAʻohe o mākou lāʻau lapaʻau e pale aku ai i ka IUGR i ka mea maʻi ʻaʻole i hōʻike i kahi kumu pilikia i ka hoʻomaka", kanikau ʻo Professor Oury. Hiki iā mākou, inā loaʻa kahi moʻolelo o ka IUGR o ka placental origin, hāʻawi iā ia i kahi lāʻau aspirin-based no kāna hāpai ʻana. He kūpono loa. "Ma luna o ka papahele, i ka neonate, ke paʻakikī nei ʻo Professor Baud e hoʻonui i kāna" mau paona liʻiliʻi "e like me kāna hiki. Aia i loko o nā incubators, ua hoʻoulu ʻia kēia mau pēpē e ka hui holoʻokoʻa. Hānai ʻia lākou i nā ʻano meaʻai momona a nānā pono ʻia e pale aku i nā pilikia. "I ka hopena, e hopu kekahi, akā e noho paʻa kekahi," mihi ʻo ia. No ka hoopakele ana i keia mau keiki a me ko lakou mau makua i ka loihi Stations o ke Kea, Prof. Baud komo i loko o ka ʻO PremUp Foundation, e hui pū ana i kahi pūnaewele o nā kauka a me nā mea noiʻi ma mua o 200 ma ʻEulopa. Kākoʻo ʻia e ka French Ministry of Research and Inserm, ua hoʻokumu kēia Foundation i ʻelima mau makahiki i hala aku nei i hāʻawi iā ia iho i ka misionari e pale i ke olakino o nā makuahine a me nā keiki. "I kēia makahiki makemake mākou e hoʻomaka i kahi papahana noiʻi nui ma IUGR. ʻO kā mākou pahuhopu ? E hoʻomohala i nā hōʻailona olaola e ʻike koke i nā makuahine e hiki mai ana, i mea e kaupalena ʻia ai nā hopena o kēia ulu ʻana. E hoʻomaopopo maikaʻi i nā hana o kēia pathology e hoʻomohala i nā lāʻau lapaʻau. No ka hoʻokō ʻana i kēia papahana a hoʻāʻo e hānau i nā keiki olakino, pono ka hoʻokumu ʻana o PremUp e hoʻonui i 450 €. “No laila e hui kāua no ka Baby Walk!” », Hoʻokuʻu iā Professor Baud.

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