Nnukwu maka afọ ime

Large for gestational age but okwu eji akowa umuaka amuru di nnukwu Karia out ha kwesiri idi, okachasi idi 90th percentile maobu Karia otu umuaka idi ya di N'oge ntolite ya. [1] [2][3] Macrosomia bụ okwu yiri nke ahụ nke na-akọwa oke ibu ọmụmụ, mana ọ na-ezo aka n'ịtụle zuru oke, n'agbanyeghị afọ ime.[4] Dị ka ọ na-adịkarị, ọnụ ụzọ maka ịchọpụta macrosomia bụ ịdị arọ nke ahụ n'etiti 4,000 na 4,500 gram (8 , ma ọ bụ karịa, nke a tụrụ mgbe a mụrụ ya, mana enwere ihe isi ike iru nkwekọrịta zuru ụwa ọnụ nke nkọwa a.[4][4]

Nnukwu maka afọ ime

Ihe ịrịba ama na mgbaàmà

dezie

Macrosomia nwa e bu n'afọ na LGA anaghị enwekarị mgbaàmà ndị ọrịa a na-ahụ anya. Ihe ịrịba ama dị mkpa gụnyere nnukwu ịdị elu (ogo akpa nwa) na Mmiri amniotic gabigara ókè (polyhydramnios). [5] Enwere ike ịlele ịdị elu nke isi site n'elu akpa nwa ruo n'Ọkpụkpụ pubic ma gosipụta na nwa a mụrụ ọhụrụ nwere ike ibu. Mmiri amniotic gabigara ókè na-egosi na nsị nwa e bu n'afọ buru ibu karịa ka a tụrụ anya ya, na-egosi nwa buru ibu karịa nke kwesịrị ekwesị; ụfọdụ mgbaàmà nke mmiri amniotic karịrị akarị gụnyere

  • ume dị mkpụmkpụ
  • ọzịza nke ụkwụ ala na mgbidi afọ
  • Enweghị ahụ iru ala ma ọ bụ mgbanaka
  • ọnọdụ nwa ọhụrụ, dị ka ngosipụta breech.[5]

Ihe Ndị Na-akpata ya

dezie

E gosipụtara ọtụtụ ihe na-eme ka ohere nke macrosomia nwa ọhụrụ dịkwuo ukwuu, gụnyere oke ibu, ọrịa shuga, ma ọ bụ dyslipidemia nke nne, ọrịa shuga dị n'ime ime, ime ime ime, akụkọ ihe mere eme nke ọmụmụ macrosomic, mkpụrụ ndụ ihe nketa, na ihe ndị ọzọ.[4]

Mgbochi

dezie

Enwere ike igbochi LGA na macrosomia nwa ọhụrụ metụtara nchịkwa glycemic na-adịghị mma site na njikwa glucose dị irè n'ọbara n'okpuru ọkwa glucose nke 100 mg / dl tupu na n'oge ime; na mgbakwunye, nlekota nke ọma ibu ibu na nri n'oge afọ ime nwere ike inye aka igbochi L GA na macrosomy nwa ọhụrụ.[6][7]  Ụmụ nwanyị buru oke ibu na-ebelata ibu nwere ike belata ohere ha nwere inwe nwa ọhụrụ ma ọ bụ LGA.[2] Tụkwasị na nke a, nlekọta tupu amụọ nwa oge na nyocha oge niile na dọkịta dị mkpa na ịhazi ime ime, ọkachasị ma ọ bụrụ na mmadụ buru oke ibu, ọrịa shuga, ọbara mgbali elu, ma ọ bụ ọnọdụ ndị ọzọ tupu ime ime ime.[1][6]

  1. (2021) "Interventricular Septal Thickness as a Diagnostic Marker of Fetal Macrosomia". Journal of Clinical Medicine 10 (949). DOI:10.3390/jcm10050949. PMID 33804406. 
  2. (2008) "The macrosomic fetus: a challenge in current obstetrics". Acta Obstetricia et Gynecologica Scandinavica 87 (2): 134–45. DOI:10.1080/00016340801899289. PMID 18231880. 
  3. (August 2018) "Large-for-Gestational-Age Neonates in Type 1 Diabetes and Pregnancy: Contribution of Factors Beyond Hyperglycemia". Diabetes Care 41 (8): 1821–1828. DOI:10.2337/dc18-0551. PMID 30030258. 
  4. 4.0 4.1 4.2 (January 2020) "Macrosomia: ACOG Practice Bulletin, Number 216". Obstetrics and Gynecology 135 (1): e18–e35. DOI:10.1097/AOG.0000000000003606. PMID 31856124.  Kpọpụta njehie: Invalid <ref> tag; name "Barth_2020" defined multiple times with different content
  5. 5.0 5.1 Fetal macrosomia - Symptoms and causes (en). Mayo Clinic. Retrieved on 2021-09-15. Kpọpụta njehie: Invalid <ref> tag; name "mayoclinic.org" defined multiple times with different content
  6. 6.0 6.1 Large for Gestational Age Babies: Reasons, Signs & Treatment. parenting.firstcry.com. Retrieved on 2021-09-15.
  7. UpToDate. www.uptodate.com. Retrieved on 2021-09-15.