Mmerụ ahụ a mụrụ ya
Birth injury but mmebe maobu meru ahu nke NWA ebu na afo tupu amo ya, N'oge ana amu ya maobu mgbe amuchara ya. Birth trauma bu nani meru ahu nwaanyi na enwe mgbe ona amu nwa.[1]
Enwere ike iji okwu ahụ bụ "mmerụ ọmụmụ" mee ihe n'ụzọ abụọ dị iche iche:
- ICD-10 na-eji "mmerụ ahụ ọmụmụ" na "mmerụrụ ahụ ọmụmụ" n'ụzọ na-agbanwe agbanwe na-ezo aka na mmerụ ahụ na-arụ ọrụ n'oge ọmụmụ.
- ndị ọka iwu na-eji "mmerụ ahụ ọmụmụ" na-ezo aka na mmerụ ahụ ọ bụla ma ọ bụ mmerụ ahụ e nwere n'oge ime, n'oge ịmụ nwa, ma ọ bụ ozugbo ịmụ nwa, gụnyere mmerụ ahụ nke mmerụ ahụ kpatara.
A ghaghị ịmata ọdịiche dị n'etiti mmerụ ahụ ọmụmụ na nkwarụ ọmụmụ. "Ọghọm ọmụmụ" na-ezo aka na mmebi nke na-eme mgbe nwa e bu n'afọ nọ n'afọ, nke nwere ike ibute site na mgbanwe mkpụrụ ndụ ihe nketa, ọrịa, ma ọ bụ ikpughe na nsí. E nwere ihe karịrị ụdị nkwarụ ọmụmụ 4,000.[2]
Ihe Ndị Na-akpata ya
[dezie | dezie ebe o si]Ọrụ siri ike (dystocia)
[dezie | dezie ebe o si]Ọrụ siri ike, nke a makwaara dị ka dystocia ma ọ bụ ọrụ mgbochi, na-eme mgbe nwatakịrị ahụ enweghị ike ịgafe n'ụzọ dị mfe site na ọwa ọmụmụ. Nke a nwere ike ịkpata nsogbu nwa ọhụrụ ma ọ bụ mmerụ ahụ n'ahụ n'ahụ, ọkachasị nkwonkwo nkwonkwo gbajiri agbaji na mmebi nke akwara brachial plexus. Ọ pụkwara ịnapụ nwa ahụ ikuku oxygen ka a na-ejide eriri umbilical, nke nwere ike imebi ụbụrụ ma ọ bụ ọnwụ.[3]
Ọrụ siri ike nwere ike ime n'ihi na nwa ahụ buru oke ibu (macrosomia), n'ihi n'ihi nde pelvis ma ọ bụ ọwara ọmụmụ dị obere ma ọ bụ nwere nkwarụ, ma ọ bụ n'ihi ne nwa ahụ nọ n'ọnọdụ na-adịghị mma maka ọmụmụ (dị ka breech ma ọ bụ transverse presentation). [4]
Ụdị mmerụ ahụ a na-ahụkarị
[dezie | dezie ebe o si]Mmerụ ahụ brachial plexus
[dezie | dezie ebe o si]brachial plexus bụ plexus nke akwara nke dị n'etiti olu na axilla ma na-achịkwa mmegharị nke ogwe aka na aka. Enwere ike ịgbatị plexus brachial ma mebie ya n'oge nnyefe siri ike. N'ọnọdụ ndị dị obere, akwara na-agbake ma jiri aka na ogwe aka mee ihe n'ụzọ zuru ezu. N'ọnọdụ ndị siri ike karị, nwatakịrị ahụ nwere ike ịnwe mmerụ ahụ na-adịgide adịgide ma nwee ike ọ gaghị eji ubu, ogwe aka, ma ọ bụ aka eme ihe n'ụzọ zuru ezu. Mmerụ ahụ brachial plexus na-eme na ụmụaka 1-3 n'ime 1,000 a mụrụ dị ndụ.[5]
Mmerụ ụbụrụ
[dezie | dezie ebe o si]Ọtụtụ ihe nwere ike imebi ụbụrụ, gụnyere nkwarụ nwa e bu n'afọ n'ihi mgbanwe mkpụrụ ndụ ihe nketa ma ọ bụ ikpughe na nsí, hypoxia intrauterine, ma ọ bụ mmerụ ahụ n'oge ịmụ nwa.[6]
Cerebral paralysis bụ otu ihe atụ nke mmerụ ahụ ụbụrụ na-eme tupu ma ọ bụ n'oge ịmụ nwa; a na-achọpụta ihe dị ka ụmụaka 10,000 na-arịa Ọrịa ụbụrụ kwa afọ.[7]
Ịgba ụja
[dezie | dezie ebe o si]Nkwado siri ike nwere ike ibute mmerụ ahụ, ọkachasị n'isi na ihu, site na nrụgide megide pelvis nke nne ma ọ bụ nrụgide nke forceps ma ọ bụ ngwaọrụ ikuku (lee ventouse) eji eme ihe.[8]
Ọkpụkpụ gbajiri agbaji
[dezie | dezie ebe o si]Ọkpụkpụ gbajiri agbaji nwere ike ime n'oge ọmụmụ siri ike. Ọkpụkpụ nkwonkwo olu bụ mmerụ ahụ a na-ahụkarị n'ọmụmụ.[9]
- ↑ Laroia (2 February 2015). Birth Trauma. MedScape. WebMD LLC. Retrieved on 13 December 2017.
- ↑ Birth Defects. Kids Health. Nemours. Retrieved on 13 December 2017.
- ↑ James (28 October 2009). Brain and Behaviour Problems. AboutKidsHealth. Retrieved on 13 December 2017.
- ↑ Kancherla (26 June 2012). "Birth-related femoral fracture in newborns: risk factors and management". Journal of Children's Orthopaedics 6 (3): 177–180. DOI:10.1007/s11832-012-0412-4. PMID 23814617.
- ↑ Brachial Plexus Birth Palsy. Boston Children's Hospital. Archived from the original on 14 December 2017. Retrieved on 13 December 2017.
- ↑ Hagberg (August 2016). "Perinatal brain damage: The term infant". Neurobiology of Disease 92 (Pt A): 102–112. DOI:10.1016/j.nbd.2015.09.011. PMID 26409031.
- ↑ Data & Statistics for Cerebral Palsy. Centers for Disease Control and Prevention (2 May 2016). Retrieved on 13 December 2017.
- ↑ Recovering from an assisted birth Approved. BabyCentre (July 2015). Retrieved on 13 December 2017.
- ↑ Newborn Clavicle Fractures. Nationwide Children's. Nationwide Children's Hospital. Retrieved on 13 December 2017.