Neonatal kuaj xyuas thiab nws tseem ceeb rau hauv thaum ntxov nrhiav kom tau ntawm roj ntsha kab mob

Lub sij hawm thaum yug los mus 28 hnub ntawm lub neej - lub neonatal lub sij hawm. Nws yog muab faib mus rau hauv thaum ntxov thiab lig. Lub sij hawm thaum ntxov kav mus txog 8 hnub tom qab yug tus me nyuam. Lub sij hawm no yog yus muaj los ntawm cov zaj uas lub active coj cov lus teb rau tej yam kev mob sab nraum lub niam lub cev. Yog li ntawd, radically hloov lub hom ntawm lub hwj chim, ua tsis taus pa thiab ncig. Nyob rau hauv tom qab neonatal coj tshua mus.

Muab qhov tseem ceeb kev hloov nyob rau hauv lub cev ntawm tus me nyuam mos, nws yog kev kawm mus rau zoo soj nyob rau hauv thawj lub hlis ntawm lub neej. Thaum lub sij hawm no, neonatal kuaj yog ua - ib tug txheej ntawm yuav tsum tshawb fawb, uas yog ua nrog cov aim ntawm thaum ntxov ntawm congenital thiab raws roj ntsha cov kab mob.

Txhua mos liab coj ib tug nco ntawm cov ntshav los ntawm cov heels rau ib tug tshwj xeeb daim ntawv no, uas yog xa mus rau cov kev kho mob thiab kev tshuaj ntsuam genetic cov chaw rau cov dawb kev tshawb fawb. Yog hais tias kev kuaj nyob rau hauv cov ntshav marker ntawm ib tug kab mob, tus me nyuam yuav raug xa mus rau kev sib tham mus rau ib tug geneticist, uas appoints tus ua cov kev ntsuam xyuas thiab tsim nyog kho mob nyob rau hauv cov kev tshwm sim ntawm kev paub ntawm tus mob.

Neonatal kev ntsuam xyuas yog tsis tshua muaj neeg tseem ceeb, vim hais tias nws yuav pab tau raws sij hawm ntes loj ua txhaum nyob rau hauv lub cev ntawm cov me nyuam mos cov me nyuam thiab nqa tawm kho ntsuas nyob rau hauv ib tug raws sijhawm.

Nrog rau qhov no kev xeem yuav ntes:

• congenital hypothyroidism - yog lub feem ntau heev pathologies. Kab Mob tshwm sim tawm tsam lub backdrop ntawm ib tug tsis muaj txoj kev loj hlob ntawm cov thyroid caj pas, raws li zoo raws li lub tsis tuaj kawm ntawv los yog tsis muaj peev xwm ntawm cov thyroid stimulating lawm pituitary. Nyob rau hauv tas li ntawd, irregularities nyob rau hauv lub qog antithyroid tshuaj thiab txiav txim ib co tshuaj uas yuav circulate nyob rau hauv leej niam lub ntshav thaum lub sij hawm cev xeeb tub. Yog hais tias lub sij hawm tsis ntes no pathology nyob rau hauv cov me nyuam tsim loj heev lub hlwb puas tsuaj thiab kev puas hlwb ruamqauj. Cov tsos mob ntawm congenital hypothyroidism es "vague" - daj ntseg, hypothermia, tsis qab los thiab pluag ib co kab hauv lub mis, lub xub ntiag ntawm txoj hlab hernia thiab hoarse quaj, qhuav ntawm daim tawv, loj tus nplaig, loj pob qij txha ntawm lub pob txha taub hau. Qhov no soj ntsuam daim duab yog nonspecific, li ntawd, txoj cai mus nrhiav kom tau tus mob yog ib qhov nyuaj. Thiab hais tias neonatal kuaj tso cai rau koj mus kuaj nyob rau hauv ib tug raws sijhawm;

• phenylketonuria, uas yog inborn uas tsis zoo ntawm cov amino acid metabolism, thaum disrupted lub tsim ntawm tyrosine, uas ua rau yus muaj hlwb ruamqauj. Raws sij hawm kom paub tias ntawm no pathology tso cai rau koj mus muab ib tug tshwj xeeb kev noj haus thiab tiv thaiv kom txhob loj heev teeb meem;

• congenital adrenal hyperplasia - manifested congenital adrenal hyperplasia;

• galactosemia - ib tug pub enzyme abnormality nyob rau hauv uas cov kev pauv yog lawm thiab muaj ib tug hnyav galactose lub tsev kho mob nyob rau hauv lub lim tiam thib ob ntawm tus kab mob - qaug zog, ntuav, daim siab puas tsuaj thiab kev loj hlob ntawm ob sab sib dho cataracts. Neonatal kuaj pab los xyuas txog cov kab mob thiab muab ib tug noj cov zaub mov hloov mis nyuj rau kua cov khoom, uas yuav pab normalize cov mob ntawm tus me nyuam;

• cystic fibrosis.

Ceev faj kev soj xyuas tus me nyuam mos kuj pab tshawb nrhiav neonatal sepsis, uas ua rau yus mus rau ntau yam khoom hauv nrog cev tsis ua hauj lwm thiab kev tuag nyob rau hauv cov me nyuam nyob rau hauv lub qhaj ntawv ntawm kev kho mob, thiab lub rooj sib hais pathology.