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Fetal macrosomia: lokacin da kuke tsammanin babban jariri
A da, haihuwar "kyakkyawan jariri" ya kasance sananne. A yau, likitoci suna lura da girman tayin a duk lokacin ciki. Macrosomia tayi, wato nauyin haihuwa fiye da kilogiram 4, na iya dagula haihuwa.
Menene macrosomia tayi?
Macrosomia tayi yana bayyana gabaɗaya ta nauyin haihuwa sama da 4000g. Ya shafi kusan kashi 5% na jarirai. Jarirai macrosome ba lallai ba ne su sami ƙarin matsaloli tare da kiba fiye da sauran jarirai yayin da suke girma. Duk ya dogara da asalin waɗannan 'yan gram ɗari da yawa. Likitan yara zai ɗan ƙara mai da hankali ga juyin halittarsu na nauyi da tsayin su.
bincike
Duk da ci gaban fasaha, tsinkayar macrosomia tayi ba ta da sauƙi. Ciwon ciki da auna tsayin mahaifa yayin duban wata-wata tare da ungozoma ko likitan mata suna ba da alamar girman tayin. Hakanan ana iya gano haɗarin macrosomia tayi yayin duban dan tayi amma dabarun lissafi don kimanta nauyin tayin suna da yawa kuma basu da hankali.
Sanadin
Ciwon suga na uwa, ko wanda ya riga ya kasance ko kuma yana tasowa yayin daukar ciki (ciwon suga na ciki), shine babban sanadin macrosomia tayi. Mun kuma san cewa kiba na uwa yana ninka da 4 haɗarin macrosomia tayi. Har ila yau, an gano wasu abubuwan haɗari: yawan nauyin haihuwa na haihuwa, shekarun haihuwa fiye da 35, tarihin macrosomia na tayin a cikin ciki na baya, yawan nauyin nauyi a lokacin daukar ciki, lokaci mai tsufa.
Yadda za a rage kasada?
Ciwon sukari na ciki shine babban abin da ke haifar da macrosomia tayi, uwaye masu ciki waɗanda suka kamu da ita (fiye da shekaru 35, BMI sama da 25, tarihin iyali na ciwon sukari na 2, ciwon sukari na ciki, macrosomia) ana wajabta tsakanin makonni 24 zuwa 28 na amenorrhea "Hyperglycemia na baka". Ana yin wannan gwajin ne ba tare da komai ba don duba yadda jiki ke daidaita yawan adadin sukari a cikin jini. Yana da matakai da yawa: gwajin jini lokacin isowa dakin gwaje-gwaje, sha 75g na glucose na ruwa, sannan gwajin jini na awa 1, sannan sa'o'i 2 bayan haka.
Lokacin da aka gano ciwon sukari na ciki, iyaye mata masu zuwa suna amfana daga tallafi na musamman don magance shi (abinci, abubuwan da suka dace na jiki, mafi yawan duban dan tayi don lura da girman tayin) kuma don haka iyakance nauyin tayin tayi. Matan da suka yi kiba kafin su yi juna biyu ko kuma suna da kiba mai yawa a lokacin daukar ciki su ma ana sa ido sosai.
Haihuwa lokacin da ake tsammanin babban jariri
Macrosomia na tayi zai iya haifar da rikitarwa a lokacin haihuwa. A bangaren uwa, yana inganta zubar jini a lokacin haihuwa, cututtuka na haihuwa, ciwon mahaifa-farji, fashewar mahaifa. A gefen jaririn, abin da ya fi dacewa da jin tsoro shine dystocia kafada: a lokacin korar, kafadun jaririn ya kasance a kulle a cikin mahaifa yayin da kansa ya riga ya fita. Yana da mahimmancin gaggawa na buƙatar madaidaicin motsin mahaifa don kawar da jariri ba tare da haɗari ba.
Bisa la'akari da waɗannan haɗari, Kwalejin Ƙasa ta Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Faransa ta ba da shawarwari da yawa:
- Idan an kiyasta nauyin tayin ya fi ko daidai da 4500 g, ana nuna sashin cesarean na asali;
- Zato na macrosomia na iya tabbatar da shigar da haihuwa a cikin mako na 39 na amenorrhea;
- Zaɓin sashin cesarean ko hanyar farji dole ne a yi shi bisa ga al'ada. Amma idan akwai haihuwa a cikin farji, ana ba da shawarar yin aiki da analgesia na epidural da kuma tabbatar da cikakkiyar kasancewar ƙungiyar masu haihuwa (ugozoma, likitan obstetrician, anesthesiologist da pediatrician).