Yog tias koj mloog niam txiv ntawm cov mos ab-cov me nyuam mos tau tham txog thaum lawv mus lawv cov menyuam hauv qhov chaw ua si, koj tuaj yeem tshawb txog 3 yam tseem ceeb tshaj plaws: nco txog kev xeeb tub thiab kev yug me nyuam - lub sijhawm no, noj tsob txiv ntoo - yog ob leeg thiab mus ntsib cov menyuam ntawm cov tsev kho mob - peb. Ntawm leej niam leej txiv lub crumb feem ntau yog mob, tus neeg tsis tau nyob hauv thawj xyoo - txhua yam nws yog ib qho tseem ceeb uas yuav tsum tau mus cuag cov neeg nyob hauv cov khaub ncaws hnav dawb ... Yog li cas muaj pes tsawg zaus thiab yog dab tsi rau cov me nyuam kev sab laj ntawm tus kws kho mob?
Tus kws kho mob thawj zaug
Tus kws kho mob zoo, nws yuav tsum tso nws tus me nyuam lub plab hauv nws lub plab, nws qhia nws mus rau hauv siab, nws txo nws hwj "first time". Leej twg yog tus kws kho mob no? Neonatologist. Nws yog nyob tom ntej ntawm leej niam hauv chav xa khoom thaum lub sij hawm yug tus me nyuam (los yog hauv qhov chaw ua hauj lwm hauv cov lus hais ntawm cov hnub caesarean). Tus kws kho mob soj ntsuam tus me nyuam, ntsuas nws tus mob tag nrho tom qab yug me nyuam (ntawm 1 thiab 5 feeb), raws li tsib cov yeeb yam ntawm Apgar nplai: tawv nqaij, ua pa, lub plawv dhia, qhov xwm ntawm kev ywj pheej thiab mob nqaij, nrog rau qhov sib txawv thiab lub siab xim shouting. Tus qhab nia siab tshaj plaws rau txhua lub cim qhia yog 2 points. Ntawd yog, yog hais tias lub khoob pob ntseg tau 10 ntsiab lus ntawm Apgar, nws txhais tau tias "zoo heev-zoo heev". Txawm hais tias 9, thiab 8 thiab 7 xyoo - tseem zoo, tab sis tus qhab nia ntawm 6 thiab hauv qab yog qhov kev zam rau tus kws kho mob, uas txiav txim siab seb tus menyuam puas xav tau kev kho mob. Yog hais tias txhua yam yog nyob rau hauv thiaj li, ces mummy nrog ib tug crumb yog sab laug nyob rau hauv lub chaw zov me nyuam rau 2 xuab moos - thaum tus me nyuam mos nyob rau hauv lub niam lub plab.
Thaum cov 3-4 hnub (lossis ib lub lim tiam tom qab lub qog), tus kws kho mob tus neonatologist yuav tshuaj xyuas tus menyuam txhua hnub hauv lub tsev me nyuam.
Thaum sawv ntxov pom kev, tus kws kho mob tshuaj xyuas tus me nyuam, teb cov lus nug txog kev tu mob pub mis thiab kev pub niam mis, thiab tus nais mom hnyav ntawm crumbs, txhawm rau qhov mob npaws, ua kom cov tawv nqaij khi nrog cov me nyuam roj. Tus me nyuam hauv tsev kho mob me nyuam yuav tsum tau ua kom tiav thiab "tag nrho" kev ntsuam xyuas - rau phenylketonuria (congenital impairment ntawm amino acid txauv ntawm phenylalanine) thiab hypothyroidism (tsis ua haujlwm ntawm cov thyroid caj pas). Ntshav los ntawm pob taws ntawm lub pob zeb qoob loo yuav raug siv rau ib daim ntawv tshwj xeeb thiab xa mus rau hauv kev sim, cov txiaj ntsig tau muab xa mus rau hauv koj lub cheeb tsam tsev kho mob.
Council. Yog hais tias hauv tus cwj pwm ntawm tus me nyuam koj yuav yog ib yam dab tsi txhawj xeeb txog - tsis txhob tos rau thaum sawv ntxov pom, hu rau lub tuam tsev pab menyuam txhua lub sijhawm. Thaum nws yog lub sijhawm rov qab tuaj nrog lub tsev kho mob, tsis txhob hnov qab tus extract ntawm keeb kwm kev loj hlob ntawm tus menyuam. Koj yuav muab qhov tseem ceeb rau koj tus kws kho mob hauv cheeb tsam, thiab koj xav tau ib daim photocopy yog tias koj xav tau hu rau tus kws kho mob tshwj xeeb hauv chaw kho mob.
Kev mus ntsib tus kws qhia ntawv hauv tsev kawm
Ua ntej yuav tawm hauv tsev kho mob, tus neeg tu mob yuav qhia qhov chaw nyob tus me nyuam tsev neeg yuav nyob. Qhov no yog los xyuas kom meej tias cov ntaub ntawv ntawm tus me nyuam tau raug xa mus rau hauv chaw kho mob hauv koog chaw. Tsis txhob ceeb yog tias, hnub tom qab rov qab los tsev, tus kws qhia ntawv hauv tsev kawm ntawv tuaj rau koj - nws tus kheej, tsis muaj hu. Nws yog nws lub luag haujlwm - nws yuav tsum tau mus xyuas tus menyuam yug tshiab rau hnub tom qab (nyob rau hauv heev zaus, tsis pub dhau lub thib peb) tom qab tawm. Thawj lub hlis ntawm pawg thawj coj hauv koog tsev kawm ntawv yuav tshawb xyuas tus menyuam ib zaug ib lub lim tiam - qhov no yog qhov hu ua patronage ntawm tus menyuam mos. Tus kws kho mob ntawm nws mus ntsib, hais lus kho mob, yuav ua tus kws kho mob xyuas. Nws muaj li cas? Kev ntsuam xyuas ntawm tus menyuam qhov tawv nqaij, nws cov hnyuv membranes (qhov ncauj, qhov muag, sab nraud plab hnyuv siab raum), mloog lub siab lub ntsws, ua pa, khaus lub plab, txiav txim siab cov yam ntxwv ntawm cov leeg nqaij thiab cov kev ua haujlwm ntawm lub cev.
Council. Nug tus kws kho mob seb yuav ua li cas yog tias tus me nyuam ua rau nws txawv txawv: nws tsis kam lub mis, quaj, txawm tias tag nrho thiab qhuav, sib zog txhuam nrog rab raum thiab ceg.
Ntawm qhov kev txais tos!
Thaum koj tus menyuam puv ib hlis, koj yuav tsum mus ntsib kws kho mob. Tsis txhob ntshai tias koj tus menyuam tau raug kho los ntawm ib tug tub hluas ntxhais hluas - kom tau txais cov menyuam mos liab nyob rau hauv ib lub tsev kho mob, ib hnub tshwj xeeb raug faib rau lwm cov me nyuam tsis tau txais. Yog tias koj dheev tuaj rau lub tsev kho mob rau hnub qub - nws tsis muaj dab tsi, vim hais tias cov leej niam uas muaj me nyuam tsis tuaj yeem tsis muaj queue. Cov ntaub ntawv kho mob? Nws yog, yog tias cov kws kho mob yuav tsum tau mus nrog tus menyuam mus txog ib xyoos, nws yuav nyob hauv chaw ua haujlwm ntawm tus kws qhia ntawv hauv tsev kawm ntawv, yog li koj tsis tas yuav queue rau hauv lub npe. Yog li, koj nyob hauv tus kws kho mob lub chaw ua haujlwm. Thawj thawj zaug tom qab lub tuam tsev kho mob, tus me nyuam yuav tsum hnyav, ntsuas qhov ncig ntawm nws lub taub hau thiab hauv siab, yuav paub tias tus me nyuam loj hlob thiab hnyav npaum li cas hauv thawj lub hlis. Cia nws tsis thab koj hais tias tus me nyuam tsis hnyav rau ib lub hlis: yog tias lub cev qhov hnyav thaum yug los, ces tsis tas yuav ntuav cov kab npua ntawm ib lub lim piam ib zaug. Muaj tag nrho cov "tshev" puas tiav? Tom qab ntawd tus kws kho mob sau tawm cov kev taw qhia kom cov neeg ua hauj lwm nqaim
Council. Thaum npaj mus rau lub tsev kho mob, tsis txhob hnov qab muab cov ntaub qhwv plab pov tseg rau hauv ib lub hnab, ntim rau cov ntaub ntub dej thiab cov dej tsis huv tsis zoo nrog rau cov chaw tua kab los yog cov ntawv ntim.
Neurologist thiab lub tuam txhab
Nyob rau thawj zaug kws kho mob kuaj mob (thiab yuav muaj ob qho ntxiv - nyob rau hauv peb lub hlis thiab ib xyoos) tus menyuam yuav tsum mus xyuas ib tug kws kho mob neurologist, orthopedic kws phais, oculist, lor, a cardiologist. Ib tug kws kho mob neurologist yog ib tus kws tshaj lij tshwj xeeb uas tau tuaj xyuas thaum nws tuaj txog rau tus me nyuam mus txog ib xyoos. Nws yog ib qho tseem ceeb rau tus kws kho mob no kom muaj kev soj ntsuam xyuas tus me nyuam txoj kev xav ntawm lub paj hlwb, qhov kev paub ntawm cov kev txawj tshiab thiab kev poob siab ntawm qhov teeb meem ntawm qhov ua niam txiv nyob ntawm tej lub sij hawm. Tus kws kho mob tshwj xeeb ntsuas tus me nyuam txoj kev mob, kev xav hauv lub siab, lub ntsej muag, lub suab, lub cev muaj zog, qhov mob ntawm fontanel, thiab lwm yam. Qhov no yuav tsum tsis txhob ntshai, vim hais tias tus me nyuam tsis yog irradiated.
Tus orthopedist (tus kws phais) yuav ntsuam xyuas seb lub cev nqaij daim tawv puas tsim los ntawm tus menyuam, seb nws cov pob txha yuav zoo li cas. Qhov kev soj ntsuam tseem ceeb tshaj plaws yog qhov kev ntsuam xyuas ntawm lub ntsag pob qog rau dysplasia tau. Qee zaus cov menyuam yaus (feem ntau yug ua ntej lub sij hawm) yog cov ultrasound ntawm lub ntsag pob qij, thaum kawm cov duab thiab khov ntawm tag nrho cov khoom ntawm lub pob qij, muaj cov ossification nuclei. Yog tias tus menyuam muaj teebmeem nrog pob qij txha, tus kws kho mob yuav txiav txim siab txog kev kho mob los yog qhia tshwj xeeb gymnastics rau kev tiv thaiv ntawm dysplasia. Ntxiv nrog rau kev mus xyuas orthopedist, mus xyuas nws chav ua haujlwm thaum koj pom tias tus me nyuam tab tom npaj zaum, sim sawv ntsug ntawm ob txhais ceg. Tus kws kho mob yuav pab koj xaiv cov khau txoj cai rau koj tus me nyuam, uas yuav pab txhawm rau txhim kho ntawm ko taw, qhia koj yog tias koj xav tau ib qho ntxiv ntawm calcium lossis vitamin D.
Tus kws kho mob yuav kuaj xyuas tus me nyuam lub qhov muag kom pom tseeb tias qhov discs ntawm cov teeb meem ntawm optic tau tsim zoo, seb puas muaj crumbs ntawm strabismus, myopia, astigmatism, congenital diseases, teeb meem nrog cov kua muag ciav, uas yuav hem nws nrog blockage. Feem ntau cov niam txiv muaj kev txhawj txog qhov muag "kua muag" hauv cov menyuam hauv thawj lub hli ntawm lub neej (uas yog txuam nrog kev siv lub cev ntawm lub voj voog ntawm lub cev). Tus kws kho qhov muag yuav pab koj xaiv txoj kev kho mob zoo tshaj plaws.
Loj (los yog nyob rau hauv tib neeg "pob ntseg-caj pas-lub taub ntswg") kuaj xyuas cov kaus hniav thiab pob ntseg ntawm pob ntseg. Nws yog ib qho tseem ceeb tshwj xeeb kom sai li sai tau los txheeb xyuas qhov tsis hnov lus ntawm qhov tsis hnov lus zoo, yog tias koj pom tias tus me nyuam tsis mloog koj lub suab, lub suab nrov los yog kev sib tw thaum xaus ntawm thawj lub hlis.
Tus kws kho plawv yuav mloog tus me nyuam lub plawv kom tsis txhob plam kev ua txhaum cai ntawm ntshav ncig los yog lwm tus, uas yuav tsum tau kho nyob rau thawj lub hlis ntawm lub neej. Cov neeg laus thiab tus me nyuam lub plawv sib txawv txawv, yog li ntawd nws tsis yog ib txwm txaus rau tus kws kho mob kom nws mloog lub plawv dhia ntawm lub phonenoscope, vim li cas nws thiaj xaiv tau ib lub txiv kab ntxwv thiab ECG - ib qho electrocardiogram.
Pom koj sai sai!
Zoo, thawj zaug kev kuaj mob dhau, uas peb pab koj zoo siab! Tab sis dab tsi txog, vim hais tias nws yog akin rau thawj kev cai raus dej ntawm hluav taws! Tam sim no yuav muaj ib yam dab tsi los qhia cov poj niam thiab cov niam ntiav tsis nyob hauv qhov chaw ua si. Tab sis tiag - nws tsis tsim nyog pheej mus ncig ua si mus rau tom tsev kho mob. Nyob rau hauv "zabudddomovskih" mob siab thiab kev ua haujlwm hauv tsev, nws muaj peev xwm, Vaj tse txwv, kom tsis txhob muaj tus kab mob uas tau pib hauv me nyuam los yog ua txhaum. Vim li cas peb thiaj xav tau cov teeb meem no? Peb xav kom tus me nyuam loj hlob thiab noj qab nyob zoo umnichko! Thiab yog li ntawd nws yuav - qhov tseeb! Thiab rau qhov no koj yuav tsum paub cov kws kho mob twg yuav tsum tau coj tus me nyuam mus 1 xyoos, thiab ua li niaj hnub ua:
- txog li 6 lub hlis rau ntawm txhua lub hlis;
- txij li 6 mus rau 12 - txhua ob lub hlis.