Thaum twg lub kaus mom ntawm tus menyuam yug tshiab loj hlob?
Thaum twg lub kaus mom ntawm tus menyuam yug tshiab loj hlob?
Anonim

Temechko hauv tus menyuam yug tshiab tseem hu ua fontanel. Nws yog ib qho chaw mos ntawm tus menyuam lub taub hau, uas tsuas yog npog nrog daim tawv nqaij thiab ib daim nyias nyias. Thaum lub sij hawm, lub fontanel pib zawm thiab tag nrho hardens. Cov yas mos mos pab kom tus menyuam yug tau yooj yim, thiab tseem ua tau lwm yam haujlwm.

Tus me nyuam lub kaus mom yog dab tsi thiab nws muaj dab tsi?

Feem ntau, fontanel hauv tus menyuam mos siv daim ntawv rhombus. Thaum hnov nws, niam yuav hnov mob me ntsis, tab sis qhov no yog qhov qub.

Temechko nyob rau hauv ib tug me nyuam mos
Temechko nyob rau hauv ib tug me nyuam mos

Lub kaus mom ntawm tus menyuam yug tshiab nyob qhov twg? Nws tuaj yeem hnov zoo li saum toj lossis qis dua qhov siab ntawm cov pob txha nyob ib puag ncig. Nws qhov ntev li ib txwm tsis pub tshaj 3 x 3 cm, tab sis tuaj yeem ua me dua. Nws tag nrho yog nyob ntawm kev noj haus ntawm leej niam thaum cev xeeb tub thiab heredity. Qhov ntau calcium nyob rau hauv cov zaub mov ntawm tus poj niam cev xeeb tub, qhov me me ntawm lub crown yuav nyob rau hauv tus me nyuam. Tab sis koj yuav tsum tsis txhob tsim txom calcium, vim hais tias nrog ib tug loj tus naj npawb ntawm cov khoom, fontanel yuav luag tag nyob rau hauv lub tsev menyuam, thiab tus me nyuam yuav raug mob thaum yug me nyuam.pob txha taub hau.

Tib neeg pob txha taub hau yog tsim los ntawm peb lub pob txha daim hlau uas loj hlob sai tom qab yug me nyuam. Nruab nrab ntawm lawv yog lub crown ntawm tus me nyuam mos. Ib tug kws kho mob tuaj yeem muab ib daim duab ntawm nws. Thaum xub thawj, nyob rau hauv tus me nyuam, qhov kev ncua deb ntawm cov pob txha yog loj thiab mos, tab sis tom qab ntawd daim hlau loj hlob tuaj, thiab fontanel yog nruj nreem kaw.

fontanelle yog dab tsi?

Nature tsis tsim ib yam dab tsi li ntawd. Ua ntej ntawm tag nrho cov, fontanel los yog temechko nyob rau hauv ib tug me nyuam mos pab lub taub hau kho thaum lub sij hawm tawm ntawm lub qhov dej yug. Qhov no tau lees paub los ntawm qhov tseeb tias tus menyuam yug los nrog me ntsis flattened thiab elongated zoo ntawm pob txha taub hau.

Tsis tas li ntawd, ib lub fontanel mos tiv thaiv tus menyuam hauv thawj xyoo ntawm lub neej los ntawm kev raug mob ntawm lub hlwb, thiab kev pheej hmoo ntawm kev poob rau tus menyuam mos yog qhov tshwj xeeb tshaj yog. Thaum muaj kev cuam tshuam, lub taub hau zoo li kho thiab nqus qhov cuam tshuam.

Temechko nyob rau hauv ib tug me nyuam mos thaum overgrown
Temechko nyob rau hauv ib tug me nyuam mos thaum overgrown

Kuj, tsis muaj fontanel mos, tus me nyuam lub hlwb yuav tsis tuaj yeem loj hlob ntawm qhov ceev. Kev txav ntawm cov pob txha tso cai rau lub taub hau nthuav dav thiab tsis cuam tshuam rau lub hlwb.

Thaum twg qhov txheej txheem kaw yuav tshwm sim?

Nws yuav tsum nco ntsoov tias qhov loj me ntawm fontanel yog suav tias yog mus txog 3x3 cm. Ib lub kaus mom me me hauv tus menyuam yug los yog txiav txim siab yog tias nws qhov loj me tsis pub tshaj 0.5x0.5 cm. lub kaus mom mos me ntsis nce ntxiv. hauv qhov loj. Qhov no yog qhov tsim nyog kom lub taub hau coj nws cov duab kawg thiab raug. Yav tom ntej, qhov kev ncua deb no tsuas yog txo qis.

Tsis yog ib tug kws kho mobtsis tuaj yeem hais raws nraim ntev npaum li cas lub crown yuav kaw tag. Nws nyob ntawm ntau yam, nrog rau kev yug me nyuam. Txawm li cas los xij, hauv cov tshuaj niaj hnub no, muaj cov duab kwv yees uas suav tias yog tus qauv.

Rau cov menyuam yaus feem ntau, qhov kaw ntawm fontanel tshwm sim hauv thawj ob xyoos ntawm lub neej, hauv ib nrab ntawm cov menyuam yug tshiab - thawj xyoo. Kuj tseem muaj cov menyuam mos uas nws lub kaus mom tawv twb tau peb lub hlis tom qab yug los.

Nws tsim nyog sau cia tias qhov kev kaw ntawm fontanel kuj nyob ntawm tus menyuam deev. Thiab qhov no yog qhov tseeb kho mob pov thawj. Yog li, hauv cov tub hluas, lub kaus mom hardens sai dua li cov ntxhais.

Kuv muaj ntau dhau ntawm lub crown ntawm tus menyuam yug los ntawm tus menyuam tshiab.

Temechko nyob rau hauv ib tug me nyuam yees duab
Temechko nyob rau hauv ib tug me nyuam yees duab

Cov kws kho mob tuaj yeem qhia tau meej tias tus menyuam yug tshiab lub kaus mom loj npaum li cas. Thaum lub fontanel overgrows, nws tseem paub, yog li txhua qhov kev sib txawv ntawm cov qauv yog suav tias yog qhov txaus ntshai. Cov kev sib txawv no tuaj yeem qhia tau ntau yam kab mob hauv lub cev.

Ib lub kaus mom loj thiab nws qhov kev loj hlob qeeb tuaj yeem qhia tias:

  • Rickets. Cov kab mob zoo sib xws feem ntau tshwm sim hauv cov menyuam mos ntxov ntxov lossis hauv cov menyuam yaus uas tsis muaj vitamin D. Cov menyuam mos uas muaj rickets feem ntau raug kev txom nyem los ntawm ib lub pav ca. Nrog rau cov tsos mob no, nws raug nquahu kom mus ntsib kws kho mob sai sai rau kev tawm tswv yim.
  • Hypothyroidism. Hauv cov menyuam mos, qee zaum muaj cov thyroid ua haujlwm tsis zoo. Ib tug me nyuam nrog hypothyroidism yog heev lethargic, tsaug zog ntau, noj tsis zoo thiab raug kev txom nyem los ntawm kev ua txhaum ntawm excretory system. Yog tus me nyuam muaj qhov zoo sib xwsCov tsos mob, nws pom zoo kom pub ntshav rau cov thyroid hormones.
  • Achondrodysplasia. Qhov no yog ib tug tsis tshua muaj pathology, uas manifests nws tus kheej nyob rau hauv ib tug ua txhaum ntawm txoj kev loj hlob ntawm tus me nyuam, shortening ntawm ceg, lub taub hau dav. Hmoov tsis zoo, qhov no yog kab mob hauv lub cev uas kho tsis tau.
  • Down Syndrome. Nws tsis pub leejtwg paub tias xws li pathology manifests nws tus kheej hauv kev ua txhaum ntawm kev loj hlob ntawm tus menyuam. Tsis tas li ntawd, tus menyuam muaj lub caj dab luv luv, lub ntsej muag tsis zoo. Hauv cov tshuaj niaj hnub no, Down syndrome tau kuaj pom tam sim tom qab yug me nyuam, tab sis kuj muaj cov ntaub ntawv me me uas tshwm sim nrog lub sijhawm.
  • Lwm yam kab mob ntawm pob txha thiab pob txha pob txha.

Ceev ceev ntawm fontanel thiab nws qhov me me

Thaum temechko kho sai sai hauv cov menyuam mos thiab nws me me, qhov no kuj qhia txog qee yam mob hauv lub cev. Txawm li cas los xij, kev loj hlob sai thiab qhov me me tsis tshua muaj tshwm sim.

Me crown nyob rau hauv ib tug me nyuam mos
Me crown nyob rau hauv ib tug me nyuam mos
  1. craniosynostosis. Ib tug kab mob tshwm sim los ntawm ib tug me me ncig lub taub hau thiab siab siab nyob rau hauv lub pob txha taub hau. Nrog rau qhov no, strabismus, tsis hnov lus tsis zoo thiab kev loj hlob qeeb tau sau tseg. Craniosynostosis tau kho tau zoo nrog kev phais.
  2. Tsis tas li, qhov me me ntawm fontanel thiab nws qhov kev kaw thaum ntxov kuj tau sau tseg nrog kev tsis txaus ntseeg hauv kev loj hlob ntawm lub hlwb. Txhawm rau ua qhov kev kuaj mob hnyav, qhov xaus ntawm tus kws kho mob neuropediatrician yog xav tau. Qhov tshwm sim yog nyob ntawm qhov kev kuaj mob tshwj xeeb, nrog rau qhov hnyav ntawm pathology.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias txhua qhov kev sib txawv ntawm cov qauv yuav tsum tau kuaj xyuas ntxov thiabkev kho mob.

Qee lub sij hawm cov niam pom ib tug sunken crown nyob rau hauv ib tug me nyuam mos thaum nws overgrows. Daim duab ntawm cov fontanel tuaj yeem pom hauv cov ntawv tshwj xeeb.

Ib qho teeb meem zoo sib xws qee zaum tshwm sim hauv cov menyuam mos, tab sis nws tsis ua rau muaj kev phom sij loj rau lub cev. Niam tuaj yeem kho lub kaus mom sunken ntawm nws tus kheej, vim qhov teeb meem feem ntau yuav nyob hauv lub cev qhuav dej.

Txhawm rau ua kom cov dej sib npaug ntawm tus menyuam zoo li qub, nws yuav tsum tau ua raws li kev haus dej haus cawv thiab tsis tas yuav saib xyuas cov zis. Feem ntau, tus menyuam yug tshiab yuav tsum tso zis tsawg kawg 8 zaug hauv ib hnub.

Tus fontanel kuj tog tom qab ntuav, raws plab, uas yog, thaum lub cev raug lom. Yog tias pom cov tsos mob ntawm intoxication, ces nws yuav tsum tau nrhiav kev pab los ntawm kws kho mob. Nws twb tau sau tshuaj los kho cov dej-ntsev sib npaug, xws li Regidron. "Regidron" yog qhov zoo rau cov menyuam mos los ntawm thawj hnub ntawm lub neej, tab sis nyob rau hauv txoj cai concentration thiab kom muaj nuj nqis.

Fannel protrusion

Ntawm lub kaus mom hauv tus menyuam yug tshiab yog qhov tsos mob hnyav. Nws feem ntau zoo li ib qho chaw o me ntsis, uas feem ntau tshwm sim vim muaj zog intracranial hauv tus menyuam lub taub hau.

Ultrasound ntawm lub crown nyob rau hauv cov me nyuam mos
Ultrasound ntawm lub crown nyob rau hauv cov me nyuam mos

nce intracranial siab thiab bulging ntawm fontanel tuaj yeem yog cov tsos mob ntawm cov kab mob xws li:

  • ncephalitis;
  • tumors;
  • xiav;
  • mob khaub thuas.

Kev xav ntawm cov kab mob no tsuas yog ua tau thaum muajLwm cov tsos mob, suav nrog qaug zog, txob taus, kub taub hau, convulsions, xeev siab, thiab tsis nco qab ib ntus. Tag nrho cov cim qhia no yog qhov qhia ncaj qha rau kev mus ntsib kws kho mob ntxov, vim tias kev saib xyuas thaum lub sijhawm tsis raug tuaj yeem ua rau tus menyuam yug tshiab tuag.

Mus ntsib kws kho mob

Txawm tias ua ntej yug menyuam, niam yuav tsum txiav txim siab rau tus kws tshaj lij uas yuav saib xyuas nws txoj kev loj hlob. Tus kws kho mob menyuam yaus yuav tsum tau tsim nyog heev.

Thaum mus ntsib kws kho mob, fontanel raug tshuaj xyuas kom zoo. Kev tshuaj xyuas yog ua raws li cov ntsiab lus hauv qab no:

  • ua ntej lub kaus mom raug soj ntsuam thiab qhov kev txiav txim siab tau ua txawm tias nws qhib lossis kaw;
  • nws qhov loj me yog teem thiab piv nrog tus menyuam hnub nyoog;
  • nrog lub teeb nyem txav, tus kws kho mob txiav txim siab txog qib ntawm softness ntawm fontanel, yog tias nws cov npoo yog mos heev, ces qhov no feem ntau yuav qhia tau tias rickets;
  • palpation ntawm qhov membranous, thaum nias, tus kws kho mob yuav tsum paub meej tias lub pulsation.
Lub crown ntawm tus me nyuam yug nyob qhov twg
Lub crown ntawm tus me nyuam yug nyob qhov twg

Yog tias muaj qhov sib txawv ntawm yam tsawg kawg ib yam ntawm cov khoom, ces tus kws kho mob yuav tsum tau sau ntawv mus kuaj lossis kho (nrog rau kev kuaj mob uas twb tau tsim lawm). Raws li txoj cai, nws tsis yog superfluous mus rau ib tug ultrasound ntawm lub crown ntawm lub taub hau nyob rau hauv cov me nyuam mos. Cov txheej txheem no muaj kev nyab xeeb rau tus menyuam thiab pab txheeb xyuas qee cov kab mob hauv cov theem pib.

ua kom tiav ntawm fontanel

Feem ntau, kev tsim tag nrho ntawm fontanel hauv tus menyuam yaus tshwm sim thawj xyoo ntawm lub neej thiab tsis muaj sab nraudpab. Txhawm rau tiv thaiv rickets, tus menyuam raug pom zoo kom muab cov khoom noj uas muaj vitamin D.

Ntau leej niam, tshwj xeeb tshaj yog cov tsis paub, ntshai kov lub kaus mom ntawm tus menyuam mos. Tej kev ntshai no yeej tsis muaj tseeb. Nws muaj kev tiv thaiv los ntawm daim nyias nyias tshwj xeeb thiab nws tsis tuaj yeem ua mob rau tus menyuam. Lub taub hau yuav tsum tau muab ntxuav kom maj mam, thiab tom qab ntawd maj mam so nrog phuam.

Thaum lub temechko kho nyob rau hauv cov me nyuam mos
Thaum lub temechko kho nyob rau hauv cov me nyuam mos

Txhawm rau txhawm rau txhawm rau tsim cov fontanel, cov kws kho mob pom zoo kom ua lub teeb zaws, tab sis nws yog qhov tsim nyog los tswj cov qib siab.

Yog li, hauv kev xaus, nws yuav tsum tau muab sau tseg tias cov yas mos ua haujlwm tseem ceeb heev hauv kev loj hlob ntawm tus menyuam, thiab tseem pab kom xav tias muaj cov kab mob hauv lub cev hauv tus menyuam.

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