Qee cov menyuam yaus hnub nyoog 24 thiab 72 teev cov kab mob pathological - muaj zog los ntawm txoj hlab ntaws, hnyuv, plab. Ib pawg ntawm cov mob uas zoo sib xws nyob rau hauv 0.2-0.5% ntawm cov menyuam mos yog hu ua tus kab mob neuratal neonatal. Feem ntau, tus kab mob no yog tshwm sim ntawm kev tsis muaj vitamin K nyob rau hauv lub cev crumbs. Hauv cov menyuam mos noj mis, tus kabmob no tuaj yeem tshwm sim rau lub limtiam peb ntawm lub neej. Qhov no yog vim qhov muaj nyob hauv cov mis nyuj ntawm thromboplastin - ib yam ntawm cov ntshav khov. Tus kab mob hu ua hemorrhagic ntawm cov me nyuam mos uas tau tshwm sim rau hnub no yog suav tias lig.
Muaj ob hom kab mob no: thawj coagulopathy hauv cov me nyuam mos, nrog rau cov vitamin K tsis muaj peev xwm, thiab theem ob, uas cov me nyuam tsis muaj zog thiab tsis muaj zog nrog cov kev ua haujlwm tsis muaj zog lim hiam yog raug. Kwv yees li 5 feem pua ntawm cov menyuam mosliab raug kev txom nyem los ntawm cov qib K-vitamin nyob ntawm cov tshuaj qis, yog tias leej niam thaum cev xeeb tub nqa tshuaj tua kab mob, tshuaj aspirin, phenobarbital lossis anticonvulsant tshuaj uas cuam tshuam txog kev ua haujlwm sib xyaw. Hauv cov neeg muaj kab mob kuj yog cov me nyuam uas nws leej niam tau raug mob los ntawm kev mob toxicosis, enterocolitis thiab dysbacteriosis hauv lub caij nyoog lig.
Clinical daim duab thiab mob
Nrog rau thawj tus kab mob hemorrhagic diathesis, cov menyuam muaj qhov ntswg, plab hnyuv taum, nqaij tawv, thiab nqaij tawv. Tej yam tshwm sim ntawm daim tawv nqaij yog hu ua purpurea hauv cov tshuaj. Kev kuaj ntawm plab hnyuv taum ntshav yog nqa tawm hauv lub rooj zaum - quav rau ntawm daim ntaub qhwv yog dub nrog ib tug ntshav khi. Feem ntau qhov no yog nrog ntuav ntshav ntuav. Feem ntau, plab hnyuv plab yog ib zaug thiab tsis txhaws. Mob hnyav yog los ntawm kev mob ntshav qab zib los ntawm lub qhov quav, ntuav ntshav heev. Qee lub sij hawm txawm tias los ntshav los ntshav. Hmoov tsis, qhov tshwm sim ntawm tus kab mob ntshav qab zib heev ntawm cov me nyuam tshiab thaum tsis muaj kev kho mob raws sij hawm yog ua rau tuag taus - tus me nyuam tuag ntawm kev poob siab. Qhov thib ob daim ntawv ntawm tus kab mob no yog tsi ntsees los ntawm muaj kab mob thiab hypoxia . Tsis tas li ntawd, qhov mob cerebral hemorrhage, lub ntsws, thiab cov hlwv ntawm lub paj hlwb tuaj yeem kuaj tau.
Diagnostics ntawm cov kab mob ntawm tus mob hemorrhagic ntawm cov me nyuam tshiab yog raws li cov ntaub ntawv tshawb fawb thiab cov txiaj ntsim ntawm cov kev tshawb fawb tom qab (ntshav smear, thrombotest, platelet suav, kev ua ntawm cov tsom xaj thiab hemoglobin). Thaum tib lub sijhawm, tus menyuam mosliab raug kuaj rau lwm tus neeg tuag tes taw: hemophilia, tus kabmob Willebrand, thrombastenia.
Kev kho mob thiab kev tiv thaiv
Yog hais tias lub chav kawm ntawm tus kab mob no yog uncomplicated, ces tus raug feem ntau yog zoo. Nyob rau hauv lub neej yav tom ntej, hloov mus rau lwm hom kab mob hauv cov ntshav tsis tshwm sim.
Kev kho mob ntawm cov ntshav ntawm thawj hnub ntawm lub neej pib nrog cov tshuaj txhaj tiv thaiv kab mob vitamin K, uas lub cev tsis muaj. Nws yog ib qho tsim nyog los soj ntsuam cov tshuaj tua kab mob kom pom cov K-viv-viv ncaus uas ua rau qaug.
Kev tiv thaiv ntawm tus kab mob no muaj nyob rau hauv ib qho kev txhaj tshuaj ntawm Vikasol rau cov me nyuam mos, uas tau yug los ntawm kev xeeb tub uas muaj tshuaj lom . Hauv kev zoo ib yam li prophylaxis, cov me nyuam mos kuj tseem xav tau nyob rau hauv lub cev asphyxia los ntawm kev kis mob intracranial lossis intrauterine.
Cov poj niam uas tau muaj kab mob ntau yam dhau los uas tau txuam nrog kev mob ntxiv los yog kev mob ntsws nrog ntshav yuav tsum tau saib xyuas thoob plaws hauv plab thaum cev xeeb tub.