He aha mea he eha hanau ana?

Birth eha - o ka luna 'maʻi (a he oiaio, ua hewa) i kānāwai i loko o ke keiki i hāpai keiki a pono i ka hana ana ia lakou iho.

Nōhie maopopo hypoxic poino (pili i ka muli o ka oxygen) a me mechanical.

Hypoxic eha o ka spinal lesions hōʻike, lolo a viscera i ala mai ma muli o ke hypoxia neonate paha fetus.

Mechanical hanau trauma:
- nōhieʻeho;
- nā aʻalolo poho;
- kahe ana ke koko i loko o ka Muscle'aʻaʻa;
- iwi fracture;

- cephalohematoma.

Makaʻu predisposing i ka hewa ka hanau ana:
- prematurity;
- haʻahaʻa a ua nui ka hua kaumaha;
- hoolohi ole transient hana;
- Eia hou, forceps i ka mea kiʻekiʻe pilikia o ka hanau ana trauma.

I mea, o ka hanau trauma mea,ʻaʻole mea'ē aʻe, e like me ka inevitable hopena o ka nōhie kaʻina. Ia mea, ia mea i loaʻa i loko o kēlā me kēia hihia o ka hanau ana, i ke koena unuhi mea wale nō i loko o kona loa. Birth eha ua hana ia e kekahi me mechanical AaOIeIOUIeXAOAaIN o ka fetus, a me ka makuwahine. Ma kekahi mau hihia, ke kaʻina haʻalele no aiiay a adaptive ikaika keiki, a me kekahi poe e ae (no ka exhaustion o ka uku 'koa) he hoʻonui i ka mama i ka ka hoʻololiʻana o ke keiki.

Ka loa pinepine hoike ana o ka trauma - hanau trauma i ke poo. Līkaia no kēia eha poʻo: he nōhieʻeho, a cephalohematoma.

Haanou ana ma ka ili poo he mea e, e like haanou ana o ka pahee nā'aʻaʻa o ke poo ka hōʻike i ka hanau Canal o na wahine. Ua hana like me ka hopena o ka pahee'aʻaʻa mīkini'opihia o ka venous congestion pinepine me petechial hemorrhages ma lalo o kaʻili. Loa pinepine i kēia 'ano o ka hewa hanau ia lŘlŘ ma nulliparous makuwahine iloko o ka nahunahu hanau dlitelnotekuschih, like hoʻi me nui, i pili i ka hanau Canal, ka fetus. Ka hopena o ka mea iʻa i loko o ka pule.

Kahe ana ke koko ma lalo o ka periosteum o ka puniu wale iwi - cephalohematoma e hoʻomōhala ana i like me ka hopena o ka pohupani hale o ka ili i ka periosteum iloko o ka hooholo ana o ka fetus ma ka hanau ana Canal. Over manawa (i loko o ka mua elua a ekolu lā ma hope o ka hānau) hematoma accumulates i loko o ke koko, kūpono i mahuahuaʻeho.

Inā mākou e kamailio e pili ana i ka hemorrhage i loko o ka Muscle'aʻaʻa, loa pinepine ia ia lŘlŘ i loko o ka sternoclavicular Muscle. I wahi o ka ho okumu iʻeho hemorrhage (1-2 pule ma hope o ka hānau). A laila hemorrhage poʻo hōʻike ka lń i ka maʻi keiki (torticollis), ai ka wehena chin i kaʻaoʻao e ku pono ana.

Me ka pili ana i ka iwi fractures, ka loa, he pono ole i loko o obstetric hoʻomaʻamaʻa he mea he fracture o ka clavicle. Fracture ia lŘlŘ like me ka hopena o pathology like me ka hānauʻana iho, a ma ka hoʻolako 'ana i obstetric kōkua.

Olelo ana mai o nā aʻalolo poino, ka mea e e kaulana he kiʻekiʻe mea hiki wale mai o ke poho a hiki i ka lehalehu t nā aʻalolo. No hoi pinepine i loaʻa povrrezhdenie brachial plexus.

Ka noho pilikia loa o ka eha hanau - intracranial hanau trauma. Ka pilikia ma keia hihia ke moe ana ma ka oiaio i ka trauma ke kumu lolo poho mai ana lolo edema paha hemorrhage. Aia he ekolu degere o ka oolea o intracranial hanau trauma: mālamalama, a me ka meakino kaumaha. Weight steadily degere hiki aku ai i ke kahua o ka paakiki pathology o ka'emi'ōnaehana (nā Central a me kaʻike ākea). Ka huʻi pae Ua wehewehe aku ma ka excitation o ka Central ko mākou hopohopo'ōnaehana o ke keiki, wehewehe aku ma ka restlessness, convulsions, uwauwa mai la lakou, Kanikani'āʻula, tremor o na lala o ke keiki. I ka Ia manawa he mea hoʻoluhi hewa reflexes, moni 'ia a me ka omo. Ma ke kēia wā o ka excitation UAIAaIN ma ka moku'āina o lethargy a me ka emi ana ma ka Muscle leo, kamaiki kahea ana i nawaliwali, haikeaʻili, he Pule Hoola bebe. Pinepine eia recurrent ho'āhewa wale o ka breathlessness.

Penei, o ka hanau trauma - pinepine, a me ka hapanui importantly, he nui pilikia, a hiki aku i ka hoʻoponopono ulia pōpilikia 'hopena.