GIPOKSIYAI TIFLI BATN

GIPOKSIYAI TIFLI BATN (Hypoxia fetus), holati marizie, ki binobar bo oksigen purra tamin nashudani boftayu uzvhoi tifli batn ba vujud meoyad. G. shadid va muzmin meshavad. G.-i shadid hangomi tavallud (dar natijai nuqsi zoimon, aftodan yo fishor khurdani nof, dar javfi kosi khurd muddati ziyod darmondani sari tifl), bazan dar mavridi homilagi (binobar daridani bachadon, pesh az muhlat kuchidani hamrohak va g.) rukh menamoyad (on zud boisi ikhtiloli faoliyati uzvhoi asosi megardad). G.-i muzmin dar asnoi bemorihoi azoi tanosul, toksikozhoi homilagi (sartoriki), az muhlat guzashtani haml, nomuvofiqii khuni modaru tifl, siroyat yoftani kudak va g. paydo meshavad. On tadrijan inkishof meyobad, binobar in tifl ba norasoii yakmaromi oksigen odat mekunad. G.-i muzmin alomathoi kliniki nadorad.
Norasoii garoni oksigen boisi ikhtiloli khungardish va mikrosirkulyatsiya meshavad; dar tifl takhikardiya, bradikardiya, fishorbalandi ba mushohida merasad; khun binobar az majroi rag berun baromadani plazma gafs megardad; boftaho varam mekunand. Dar boftaho gun shudani mahsuli turshi mubodila (atsidoz) va khalal yoftani muvozanati elektrolitho boisi varami dokhili hujayraho megardad. In hama ba faoliyati uzvhoi hayotan muhim tasiri nomatlub rasonda, bo favti kudak anjom mepazirand.
Alomati asosii bolinii G.-i shadid ikhtiloli faoliyati dil (to ziyoda az 160 zarba dar 1 daq. afzudan yo to 120 zarba dar 1 daq. kam shudani tappishi dil)-i kudak ast.
Hangomi gumon burdan az G.-i muzmin (toksikozhoi homilagi, bemorihoi azoi tanosul va g.) zanro zud dar bemorkhona khobondan yo ba markazi tashkhisi bemoriho firistodan lozim ast. Dar surati ba nazar rasidani nishonahoi G.-i shadid zani homilaro betakhir dar bemorkhona mekhobonand. Muolija vobasta ba alomatu sababhoi G. surat megirad.
Bo maqsadi peshgirii G. sari vaqt oshkor va muolija namudani bemorihoi azoi tanosul, orizahoi homilagi va nazorati holati tifli batn ahamiyati kalon dorad. Hamchunin muhim ast, ki tavalludi tifl durust surat girad.
M.F. Dodkhoeva.