Vamwe vana pakati pemakore 24 ne2 72 vanoratidza maitiro ehutachiona - kuwedzerwa kubuda kubva pamuvara wembilical, mumukumbo, mudumbu. Boka remamiriro akafanana anowanikwa mu 0.2-0.5% yevana vanonzi hemorrhagic neonatal zvirwere. Kakawanda, chirwere ichi chinokonzerwa nekushaikwa kwevhitamini K mumuviri wemakumbo. Mumwana mutsva anonwisa, chirwere ichi chinogona kuzviratidza muvhiki rechitatu rehupenyu. Izvi zvinokonzerwa nekuvapo mumukaka we thromboplastin - chiitiko chekuvhara ropa. Izvo zvirwere zvinouraya zvevana vanozvarwa zvinowanikwa musi uyu zvinoonekwa sekupedzisira.
Kune miviri miviri yechirwere ichi: kunyanya kubatana mukati mitsva, kutarisa nehuwandu hwevhitamin K, uye yechipiri, iyo inotangira uye vana vasina simba vane basa risina simba rinoita basa rinogona kuitika. Vanenge 5% vevana vacheche vanotambura nehuwandu hwakaderera hweK-vitamini-hunochengeterwa zvinhu, kana amai pavanenge vachiita pamuviri vakatora mishonga inorwisa mabhakitiriya, aspirin, phenobarbital kana anticonvulsant zvinodhaka zvinokanganisa basa rehepatic. Muchikwata chinotyisa kune vanawo vanaamai avo vanotambura ne toxicosis, enterocolitis uye dysbacteriosis munguva yekupedzisira.
Clinical picture and diagnosis
Nepfungwa huru yehemorrhagic diathesis, vana vanoona kusuruvara, kubuda kwemimba, kuputika paganda, nekupwanya. Kuratidzwa kwakadaro paganda kunonzi purpurea mukurapa. Kuongororwa kweropa kumimba kunowanikwa muchechi - chigaro pamubhedha wakasviba nemuputi weropa. Kazhinji izvi zvinosangana nekurutsira ropa. Kakawanda, kubuda mumimba kunomumwe uye hakuna kubuda. Fomu yakasimba inopfurikidza neropa rinoramba riripo kubva kune anus, ropa rine ropa rinoramba richirutsa. Dzimwe nguva kunyange uterine kubuda ropa kunogona kuitika. Zvinosuruvarisa, migumisiro yehutachiona hwehutachiona hwemucheche mukusabatwa kwehutano hwakakodzera panguva ino hunouraya - mwana anofa nekutyisidzika. Chimwe chechipiri chechirwere chinoratidzwa nekuvapo kwehutachiona uye hypoxia . Mukuwedzera, kuora kwemafupa, mapapu, uye mhepo inokonzera uropi inogona kuonekwa.
Kuongorora zvirwere zvehemorrhagic zvevana vanozvarwa zvinowanikwa pamakiriniki ezvinyorwa nemigumisiro yezvidzidzo zvinotevera (ropa smear, thrombotest, platelet count, basa rekuvhara zvinhu uye hemoglobin). Panguva imwecheteyo, mwana achangoberekwa anoedzwa kune zvimwe zvirwere zvinokonzera diathesis: hemophilia, chirwere cheWillebrand, thrombastenia.
Mishonga uye kudzivirira
Kana chikamu chechirwere ichi chisina kuoma, ipapo kufungidzira kunowanzofarirwa. Mune ramangwana, kushanduka kuva mamwe marudzi ezvirwere zvinokonzerwa nehemorrhagic hazviitiki.
Kurapa kweropa chero ripi neripi muvana vemazuva okutanga ehupenyu rinotanga nejoyo yepramuscular ya vitamini K, umo muviri hauwani. Zvinotarisirwa kutarisa trombotest kuongorora kuenzaniswa kweK-vitamini-inotenderera zvinhu zvinodzivirira.
Kudzivirirwa kwechirwere ichi kunosanganisira mukana umwe weVikasol kune vacheche, avo vakaberekerwa kubva pamuviri uye toxicosis . Muchifananidzo cheprophylaxis, macheche anodiwawo anodiwa munharaunda yeAsphyxia semugumisiro wekushungurudzika kwepfungwa kana intrauterine.
Vakadzi vane zvirwere zvakasiyana-siyana munguva yakapfuura iyo inobatanidza nekuwedzera kana kuputika kwechirwere kunofanira kuongororwa panguva yose yekuzvitakura.