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With moderate injury loud cry, shake (tremor) hands and feet can go into convulsions, rodnichki vybuhayut, seams between the skull bones diverge, that is a sign of improving the intracranial pressure Vomiting less frequent, but always stagnant, with a foul smell the smell ( "Bulking vomiting) Urination meager - For children born in asphyxia, establishes a careful withdrawal from the first day life Melun children the first day of life must be differentiated from "zaglochennoy blood "mother (in passing on descent routes as well as cracks from the nipple), Also Oprelosti is one of the signs ekssudatipnogo diathesis (see below, section 9) To clarify the diagnosis ascertain the nature during pregnancy (complications of pregnancy, mnogovodie), assess the general condition of the child (presence of intoxication, reducing body weight more physiological parameters, Availability and localization caps abdomen, bowel movement hinges, tension abdominal muscles), conducting sensing stomach and analyze the number and nature of the contents, carrying out a study rectum (with atrezii -- see above - mekony absent), as well as x-ray examination Symptoms and over. By the end of the first day of life evolving picture of intestinal obstruction in the lower section of bowel, A child infected mother or personnel, through the objects of care -- nipples, spoons, etc - Load on the liver leads to the fact that it increases even more, becoming cal bright-yellow, dark urine, bile becomes more dense that adversely affects the digestion Outlook: In late diagnosis, especially if pxh partial, is intoxication (poisoning) and the deterioration of the body is already in preoperative period, which affects the condition after the operation and hence the high mortality. Symptoms, and within a fairly typical: vomiting on the first day of life, at first impurity bile, then brown color - "feces", belly sharply caps, chair absent, Otherwise Designate anti retroviral therapy (antibiotics, vitamins, lavish drink, oxygen inhalation) - After 2-3 weeks of life, increasing the size of the liver first, and then spleen. Treatment. The child is weak, poorly soset, there are frequent srygivaniya, vomiting Zakuporka bile duct eliminates the appointment of 25% solution Slings sulfuric acid to 5 ml 3 times a day (through the mouth), under the effect of which cork pushes while reducing the gall bladder 1% p-p adrenaline, necessarily - 5% p-p hydrocarbonate sodium, 10% r-r glucose, ascorbic acid, kokarboksilaza) to prevent brain edema hold local cooling head, as well as drip infusion solutions: respoliglyukina (10%), glucose (20%), mannitola (10%), at the end of procedures in kapelnitsu added laziks -- diuretic, When gemoliticheskoy disease of newborns, as with physiological jaundice, typical changes in the biochemical analysis of blood The head is lifted by the end of bed, from a distance 20 cm from head placed bladder with ice, legs to put radiators Then spend intravenous infusions blood plasma, plazmozameschayuschih solutions, 5% solution of glucose, saline Solutions (physiological), In an early manifestation of the disease rhesus-conflict can be a cause of premature births or miscarriages, and birth dead Child It also noted an increase in the abdomen, the expansion of subcutaneous veins abdominal wall In order to restore content of the most important elements designate potassium chloride, calcium or klyukonat calcium, panangin (the drug containing potassium), magnesium sulfate - Recognition, A fistula girls often begin at advance of the vagina, boys - in the urethra and the perineum. Anaemic form manifests itself mainly to changes in blood (anemia), favorable prognosis - Low ileus also evident in the first hours and days of life and characterized by large caps and abdominal strain The causes of disease a lot. Atelektaz lungs. Diseases burgeoning progressive, heavy state, Diagnosis is usually carried out in the hospital, to ascertain the level and type atrezii conducting x-ray study. You can also use boltushki - mixtures the. Symptoms and over, Breached eye movement: if inadvertently eyeball turn downwards from the upper-century strip visible blood -- Shell white (a symptom called "setting sun") How big an area struck by lung tissue, the more expressed breathing disorders. Recognition -
Treatment atrezii biliary surgical waysWhere there used erosions association with anti furatsilinovoy and other ointments, 5% Peruvian balm, fuksinevkaliptovuyu pasta, The diagnosis set by the appearance of jaundice and data analyses of urine and blood - The final diagnosis is established with the help of ray studies, with the shadow of heart shifted toward a damaged lung (because it does not raspravleno and a plot in the chest cavity the place is free), Differentiate atelektaz accumulation of fluid in the cavity oesophagus - Shell, vystilayuschey covering the lungs and chest cavity. Pxh bowels (congenital) Atreznya Anal holes, rectum Jaundice not, because because of the high permeability of the placenta becomes Bilirubin mother and removed the body from bile - Atreziya rectum is often accompanied by the development of fistulas - moves through cal who goes outside The clinical picture immediately after the injury depends from its gravity Mekoinevaya impassable. Sometimes there is solid grey and white film, which is easily removed after processing mucous membranes 6% solution sodium bicarbonate (drinking soda) or borax in glycerin - Local - ultraviolet radiation, and then - from lubricating oils, taninovoy metiluratsilovoy ointment or, more rarely - aqueous solution of methylene blue or diamond green (or blue zelenki) To reduce intracranial pressure produce puncture, which is puncture in the spinal shells and removing excess fluid from the cavity, in which the number of brain edema increasing dramatically, posing a threat to life Oprelosti, Silttomy and over, Jaundiced growing in the next two or three days, while skin color changes from lemon-yellow to shafranovogo At 2-4 - day life (rarely later) appears chair with blood (chalk), uterine bleeding, from pupochnoy markets, kefalogematoma (see below) rarely - a brain haemorrhage, lungs, liver, adrenal glands, sometimes - Skin and subcutaneous hemorrhages (bleeding) called purple Often combined with direct atreziey gut, Developed bilirubinovy kidney heart attack due to his deposition in tissues bilirubin, In the first 3-4 Day of the Child stsezhennym fed milk from a bottle or spoon, if there is a violation swallowing - through the probe - In its developmental catheter delayed at the level of blind bag, or the end of catheter goes back through the mouth Liver and spleen increased Atreziya esophagus There Individual predisposition to the disease, This and lower bowel, when the intestine is a severe, or has the appearance ligament sausages, or lumen eardrums are violating passage of food masses and Kala; may be unusual situation in the bowels abdominal (to turn gut) as well as other organs of the abdominal anomalies cavity and nochek - The symptoms, treatment Treatment Prevention zaklyuchaetssya in early detection and treatment of disease women, pathology of pregnancy and childbirth, prevention of intrauterine hypoxia (oxygen deficiency) and the fruit is right for the child care after childbirth Treatment. Only surgical Samppyulsh and over: the birth of a jaundiced skin colour to the first week of life, Recognition, Weakened troublesome children to more protracted downstream disease. Prevention Krovongliyannya intracranial In the absence of complications kefalogematoma dissolving independently through 6-8 weeks and does not affect the status of the child In early treatment - more favourable. C-rhesus negative blood pose registration
With the improvement of the state are beginning to carry out a complex of measures aimed at the rehabilitation of the central nervous system activity: Group B vitamins, glyutaminovaya acid, substances that improve the metabolism in the brain (aminalon, tserebrolizin), massage, gymnastics, but in a later age - with classes speech. In most cases "physiological" atelektazy independently liquidated in a donoshennyh within 2 days, the premature - at a later date - Children are losing weight, picking up dehydration, intoxication lopment. Often you can see eye to the increased movement expanded over the gut barrier. The most frequent localization - buttocks area, the lower Part belly, genitals, rarely - for the ears, the neck, podmyshechnyh, inguinal, hip and other folds III degree - heavy: weeping red skin as a result of numerous merged among themselves erosion, possibly yazvochek education - This disease mother, in which there is a shortage excess oxygen or carbon dioxide in her body: cardiovascular Pathology, light heavy defeat, expressed anemia, in which a number of erythrocytes, ie blood cells, oxygen transfers to different organs and tissues, decreases or they do not fully perform their functions; big blood loss, shock - a state in which occur sharp disorder circulation and, as a result, insufficient supply of oxygen organs and tissues; severe poisoning - He zakuporivaet clearance gut as cork, resulting in low total coliform phenomena obstruction (i. In remote as possible after atrezii can develop occlusion, narrowing field comparisons segments esophagus, as well as stoning in it gastric contents due to underdeveloped muscles, closures entrance to the stomach, The disease, which is observed svertyvaemosti violation of blood due to insufficient vitamin K, increased permeability of the wall receptacles, as well as other factors, Treatment, The clinical manifestations vary. Communicable disease in utero, whose agent penetrates through the placenta (child seat) or amniotic bubble inside which the fetus and amniotic water - Sources of contamination - herself pregnant, infected and which, in turn, could trigger the use of water, fouled infected birds and animals, including wild, poorly processed meat from them and other foods, sick dog bites, cats, etc - 1 degree - light: moderate redness of skin without apparent breach of its integrity. Treatment: frequent pelenanie, should not be prolonged stay Child in wet diapers; not to use oilcloth and when pampersami predisposition to oprelosti, Focuses on removing a child from the organism and toxic bilirubin restore functions affected organs and systems, Oprelost could easily infected - In the acute period of rehabilitation activities directed pa central nervous system, respiratory, heart, the normalization of metabolism, circulation, adrenal function. A secure online pharmacy offers Gabapentin Vice development which fully absent biliary tract, that is Protocol, which enters the bile zhelchny bubble, and when digestion is allocated from it, Children are born pale, with a pronounced swelling of subcutaneous fat, increased liver and spleen, accumulation of fluid in cavities - Attached to his chest allowed only after 20-22 - the first day of life, when the mother's milk antibodies to disappear rhesus-factor The general condition is defined content in the blood and bilirubin relating to his high degree of concentration of central defeat nervous system. Jaundiced skin tends to reduce, while conversely gradually atrezii growing, New source of news for people who are looking for Gabapentin. Treatment complete obstruction: shows the operation, further forecast depends the timing of surgical intervention (the earlier the operation is performed, so better result) and from a state of the child. Processing spend every 2 hours, alternating between these funds. When instituting designate phenobarbital, magnesium sulfate, seduksen (relanium) Droperidol - Often accompanied by chalk bloody vomiting. There are attacks stops breathing, it is difficult to treat and often resulting in death, phenomenon of cardiovascular failure, shortness of breath, The forecast depends on the severity of asphyxia, held curative interventions In the first days after Birth kefalogematoma covered generic tumor and becomes visible only after her disappearance. Illness is hereditary in nature and most often caused by a violation of metabolism (cystic fibrosis) When large amounts of education content by removing puncture the wall, with nagnoenii need surgical intervention - to cut evacuation of the contents and the appointment of anti-treatment (antibiotics, bandages with disinfectants solutions) and others, depending on gravity condition Differ jaundiced, anaemic and dropsical form gemoliticheskoy disease Forecast: in the case of high - content of bilirubin in the blood and expressed intoxication if the child does not killed at 5-7 day life in the future are lagging behind in the mental and physical development
In this heart of the case shifted in the direction of healthy lung (because in the cavity affected hand there is liquid) The forecast depends on the form atrezii and duration of the operation, While expressing concern, breathlessness, klokochuschee breath, in the light hripy heard Atreziyu distinguished from the current long-term physiological jaundice, gemoliticheskoy disease of newborns (see below), and tsitomegaliey toxoplasmosis - intrauterine infection (see below), congenital syphilis, zakuporkoy bile duct and gall mucous cork, congenital hepatitis, If the operation is not carried out, children are dying through 6-9 months. The emergence of raids at the root of language, mucosa soft palate, cheeks, gums - the color of their first white, then they become grayish or yellowish However, as a rule, not there is acute oxygen deficiency When severe asphyxia irregular breathing or missing, the child is not shouts, sometimes stonet, slow heartbeat, muscle tone sharply reduced or no, not incidental reflexes, pale skin, not the umbilical cord pulses Children are often born prematurely, sometimes dead, In this case exercise resuscitation activities aimed at rehabilitation of breathing and cardiac activity (artificial respiration, massage heart, if necessary, impose 0 - The lowest prices – the highest quality Dark urine. There should be a sounding of the esophagus In the future may has lagged behind in the neuro-psychological development, hydrocephalus (edema brain, see below), epilepsy and episindromy (state, clinically associated with epilepsy, but in a more mild), infantile cerebral palsy Implemented antibiotics, vitamins, mainly C and Group B intravenous infusion of blood plasma, plazmozameniteley, salt solutions, salts containing sodium, potassium, calcium, magnesium, glucose solution: to be held obscheukreplyayuschaya therapy (gamma globulin, biologically active substances, Raising immunity). The reasons for the emergence of the state are: insufficient flow of air into individual plots of light, incomplete spread his network of vessels, reduce surfaktanta - substances, spadeniyu preventing lung tissue Possible complications in the form of bowel to turn, violations the integrity of its walls with the subsequent development of peritonitis (inflammation carcinomatosis) The disease caused blood incompatibility of mother and fetus. Haemolytic disease of newborns Heavy intracranial trauma evident confusion or loss of consciousness, the common severe weakness, oppression central nervous system The exception is children Multiple atreziyami when intestine struck in several places at great length. Mekony not deviated from the first days of life, Often there is a skin rash, Prevention is the early detection and treatment of listeriosis in pregnant, When generic trauma, inflammatory diseases, when the lungs are not massacred in the specified time, this leads to their disease, more often - to severe respiratory distress and (or) pneumonia II degree - moderate: bright red with visible erosion When shown increased bleeding hemostatic means: ditsinon, vikasol, askorutin, gluconate and calcium chloride. When male suspected child urgently ileus transferred to a surgical hospital, pre-rinsed stomach and leaving Standing gastric probe for removal of contents - Congenital hepatitis diagnosed only through methods aimed (ultrasonography liver, taking it on tissue biopsy, as well as laparoscopy abdominal cavity with the introduction of a special istrumentov through small sections), When the child is easy to worry, there shake hands and feet, sleep disturbance, which pass quickly - Intracranial hemorrhage caused by a damaged vessels brain or as a result of cerebral vascular hard shell Recognition Development molochnitsy contribute to frequent srygivaniya, because acidic environment conducive to growth fungi, Normally, intestinal bleeding repeated throughout the day, neobilnoe, may be one time They provide the rest, give head sublime situation, monitor timely emptying the bladder and bowels, shall appoint oxygen inhalation; feed them through the probe or bottles, because at first, even if the degree of asphyxia been easy, a child is difficult to suck. In many cases, this condition does not require long-term care Many women this fungus found in the vagina and Infection can occur when already in generic ways Is in the early detection and treatment of pathological be pregnant and the fetus
In late assistance child may dieIn hereditary or congenital immunodefitsitnyh states, the evils of development kidneys affected the entire organism, and education, Similar molochnitse the oral cavity, located throughout the body With insufficient apply their adrenal hormone (hydrocortisone), Includes definition of all pregnant women and blood group rezusfaktora The main feature -- Persistent vomiting bile with impurity or greenery In Depending on the localization of hemorrhage divided into epidural (mezhducherepnymi Bone and strong brain-coated), subdural (mezhdutverdoy and soft tanks shells), subarachnoid (in the space between Wide Web sheathing and substance of the brain), hemorrhage in the ventricles and the substance lead brain The child must be abundant drink, the introduction Group B vitamins (B1, B2, B6, B12), The forecast is determined by the weight of injuries, the degree of maturity of the child, his general - Being, timeliness and adequacy of treatment - When fistula, opening into the vagina, operation conducted between the ages of 2 months In this case, the causes can be not only vices development, and internal hernia - vypyachivaniya gut through natural vnutribryushnye openings in various pockets (Region blind gut - Division bowel, where the thin intestine becomes thick; bag seals - cavity, in which contains gland - fold edge, rich in fat and vessels cloth and plays a protective role in diseases of the abdominal cavity) Sometimes the disease is complicated by hydrocephalus, or purulent meningitis (inflammation of envelopes the brain and spinal cord), the last proceeds with high temperature, convulsions, a characteristic pose of a patient, with which to throw back the head, hands and feet repeated, brushes and fingers stop bent, back straight, in severe cases, the body of a patient with an arch support vygnuto only on the back of the head and heels (opistotonus), as well as changes in spinal liquid - In some cases can be rentgenogramme discover innate absence of one of the lungs, Treatment usually not required, The stomach is not normally caps, often looks zapavshim (ladevidny). e, Against this backdrop, can observed convulsions, Symptoms and over. Salttolm and over. A child removed mucus from the upper respiratory tract, conducted with the help of oxygen inhalation oxygen masks and enter a vein in the umbilical cord 10% r-r glucose with vitamin C (ascorbic acid) - Factors leading to the development of asphyxia, also: the umbilical cord knot, tighten obvitie umbilical cord around the neck and compression her head fruit, perenashivanie pregnancy, premature izlitie waters, During the atypical generic activities, in whole or in part zakuporka respiratory tract, such as mucus, mekoniem Recognition Pathological or part of a state of light, with which noted his spadenie and airless The treatment of partial obstruction: first should try to dissolve mekony, make it more liquid through the 5% solution pankreatina, entered through the mouth and through enema in the rectum Existing long-term atelektazy always infected later in the zone spadeniya lung tissue may be irreversible changes Therefore, regular monitoring is necessary (PCP determines the frequency of visits Physician) in the clinic where the operation took place, A child is born with jaundice or (if atrezii vnepechenochnyh drains bile), it develops in the first 3-4 days High ileus manifests itself in a few hours after Birth, less - at a later date (in the first days of life) In this case, showing signs of anaemia (anaemia) -- fall in blood pressure, reducing muscle tone, increasing weakness, paleness of skin, weak cry, a violation of breath, palpitations, along with increases gluhostyu heart tones, Forecast favorable One of the most frequent causes urgent operations in children between births. Based on the data during pregnancy, childbirth, condition maternal health, the degree of maturity of the fruit, as well as the results Child study cerebrospinal fluid, oculi, ultrasonic study the brain - ehoeptsefalografii, neyrosonografii Inflammatory processes in the skin in places where they are exposed urine and feces of irritation or friction gross diapers, Symptoms and over In the case of congenital syphilis, toxoplasmosis, tsitomegalii special samples, specific lesion cells confirm the diagnosis, If necessary, spend resuscitation events, introducing blood, diuretic (for prevention of brain and lung edema, as well as for the withdrawal of the body sodium, which in high concentrations in delaying zhidkst tissues), The best results, according to many authors, received the first 2 months of life. Other signs - swelling and swelling of the brain, the violation it supplies blood and lymph One type of birth trauma - krovoziliyanie between the outside surface of the skull bones and covering their periosteum Often, children are born dead or killed in the early hours
Women with rhesus-negative blood, not recommended at first pregnancy have an abortionThe method of operation depends on the level atrezii lengths and the distance between the esophagus - Treatment obstruction in the lower divisions of the bowels). Jaundiced form In so doing, clarify Do they not been previously blood transfusion, not whether children born with this disease, identify instances of stillbirths and abortions We recommend placing the child in the surgical hospital to conduct a detailed survey and the choice of treatment, Atreziya biliary tract. The forecast depends on timely diagnosis and adequacy of therapy Haemorrhagic disease of newborns. Clinical manifestations detected immediately after birth and are as coughing, sinyushnosti and accumulations of mucus in the pharynx, EPS selections from mouth and nose Predispose to the violation permeability of the placenta (child seat), lack of activity of the liver newborn, repeated pregnancies and blood transfusion woman without taking into account rhesus factor, etc, There should be thorough care Treatment Ileus divided into high, when the barrier is in initial department bowel, and low when defeat begins with the end - Division toschey gut and below, There is shortness of breath, paleness, even sinyushnost skin, breathing on the side of a damaged lung sharply weakened. Manifestations of the disease are typical If you can not dissolve mekoniya - prompt treatment The forecast depends on the timeliness of diagnoses and held operation, When I try feeding brunt of the state Child rapidly increasing Stoel discoloured since birth, although certain portions of it may be slightly painted - Vice development, in which the upper body segment ends blindly, but in most cases lower flows into the trachea, forming fistula - There are mixed forms You can also apply gastrografin - a substance for radiological studies gastrointestinal tract, there are indications of the effectiveness of this method after birth In physiological icterus chair usually redundant painted by the allocation of large quantities of bile thick, dark urine Symptoms and over Developed respiratory failure, pneumonia, due to hit milk and gastric contents in the respiratory tract You can lubricate mucous membranes as 2% solution of methylene violet, gene tsianovogo purple, methylene blue (blue), nystatin solution in milk or water (500 000 ED at 1 ml of milk or water). Vice development, in which Anal hole missing Kefalogematoma More often occurs in part the absence of biliary tract, or hypoplasia, To do this in the first two days after the birth of replacement blood transfusions, often odnogruppnoy, rhesus - negative After Extract from the hospital pediatrician necessarily regular monitoring and neuropathologist in the first year of life, because does not exclude the possibility of complications from the central nervous system. Sometimes ulcers are not, that is leading role in such graet cases and probably anomalous sverhpronitsaemost the walls of blood receptacles. When sensing the number of stomach contents significantly higher than normal, usually with impurities bile, intestinal juice, but impurities can and missing, lesion primary department duodenum. One of the main symptoms of intracranial birth trauma Melo-intestinal bleeding-diagnosed on a chair in black, surrounded by a red rim on diapers, different from mekoniya (kala original dark-green colour) Recognition.
The emergence atelektazov I inhalation may cause a small amount of amniotic waters (often this occurs when hypoxia) or milk during lactationJaundice is increasing gradually, Predisposition of children with lower protective function of the body Prevention - Symptoms and over. The cause of chalk consider education to small yazvochek mucosa stomach and duodenum because of the increase in hormones adrenal sprinkle in a newborn after birth stress, heightened acidity gastric juice - Children who underwent intracranial trauma descent, must be under supervision and neuropathologist orthopaedist, pediatrician at the time of discharge such children from the hospital should be informed of the status of their held treatment recommendations - Lnsternoz Dropsical form - the most severe, there is still a fetus during intrauterine development, often in cases of pregnancy 5-7, Differential diagnosis of asphyxia spend with newborns intrauterine infection, birth trauma - intracranial, spinal cord, liver, kidneys, spleen, nadpochechnikovoy acute deficiency hernia diaphragm, congenital heart disease, anemia (anaemia) after heavy loss of blood Symptoms during the hour. Usually not required if atelektazy are "physiological" and massacred themselves in the above dates Treatment Sometimes the cause is a slight inflammation of the respiratory tract, mucosa which at this age is very loose and even if it minor swelling rose bronchial clearance. Symptoms and over, Stoel missing, stomach caps, a child to worry, over time his condition deteriorated, appears vomiting, possible complications - the gap gut wall (perforation) and, as Consequently, inflammation edge - peritonitis. Depending on the extent of the disease are distinguished light and heavy asphyxia. The preparations to begin operations in the hospital (continuing provide oxygen) and otsasyvayut mucus, accumulate in the pharynx, exclude feeding through the mouth, Affected child seats smeared cream, children's special oils or any plant, tentatively prokipyachenym and ostuzhennym, 2% taninovoy ointment Partial light atelektazy often found in healthy newborns, especially premature, in the first days of life. At the same time increasing the liver, spleen, there anemia (anaemia) - Treatment, Molochnitsa Gribkov defeat of the mouth and tongue, widely held among newborns The defeat of the central nervous system (nuclear jaundice) is expressed the emergence of cramps, a sharp razgibaniem neck, inability to bend her (so-called rigidity neck muscles) Caps, and if there is, after feeding and only in the area of the median line directly under the belly sternum ( "under the spoon"); after vomiting caps disappears, The forecast in neoslozhennom during haemorrhagic disease of newborns favourable to further its transition to other types of hemorrhagic no diseases More rarely encountered severe forms, with vydslyastssya which blood from the rear of passage almost continuously, there is hard bloodish vomiting When oprelostyah II degree pelenanie apply open, that is affected parts of the body left open, In many hripov light, the picture resembles pneumonia (often congenital pneumonia) and X-ray - lung tuberculosis (Multiple seal lung tissue, inflammatory changes trachea and bronchi). Violation move mekoniya (original kala) but the bowels associated with its high viscosity. The treatment of late complications gemoliticheskoy disease (central defeat nervous system, anemia) have given their seriousness Until that moment feeding spend donor or maternity breast milk, but boiling, in which antibodies are destroyed, In later stages, in the absence of treatment joins increased bleeding, fluid accumulation in the abdomen (astsit) Razlichayuttri extent oprelosti In doing so, the sooner put diagnosis and conducted the operation, the better the results Surgical. At high coliform obstruction, if not struck underlying divisions bowel, during the first days may depart mekony. Regularly study on the blood-rhesus antibodies, and with the rapid increase in their blood pregnant sent for treatment