ʻO kekahi mau keiki i waena o 24 a 72 mau hora hōʻike i nāʻano pilikino - ka nui o ka hāʻuleʻana mai ka maʻi o ka umbilical, ka'ōpū, ka'ōpū. ʻO kahi hui likeʻole e ulu ana ma 0.2-0.5% o nā pēpē i kapaʻia he maʻi neonatal hemorrhagic. ʻO ka manawa pinepine,ʻo kēia maʻi ka hopena o ka nele o ka hua maloʻo K i loko o nā'ōhū kino. Ma loko o ka umauma lima, hiki i kēia maʻi ke hōʻike iā ia iho i ka hebedomaʻekolu o ke ola. ʻO kēia ke kumu o ka hikiʻana i ka waiū o thromboplastin - kahi hihia o ke koko. ʻO ka maʻi hemorrha o nā keiki hou i hōʻikeʻia i kēia lā ua manaʻoʻia he lā.
ʻElua mauʻano o kēia maʻi: ke kumu coagulopathy mua i nā keiki hou, me ka hoʻonuiʻana i ka lālā Khāpē K, a me ke kula kiʻekiʻe, kahi hikiʻole i nā maʻi heʻe a me nā keiki hoʻonāwaliwali i ka hanaʻana. Ma kahi o 5% o nā keiki hou e loaʻa i nā mea kūlohelohe K-vitamin ma muli o ka hopena, ināʻo ka makuahine i ka wā'ōpū e lawe i nā mea'alopelo, aspirin, phenobarbital a iʻole nā meaʻaeʻaʻole e pili ana i ka hana hepatic. I loko o ka pōʻino, he poʻe keiki nō hoʻi nā mākua i loaʻa i ka toxicosis, enterocolitis a me dysbacteriosis i ka wā hope loa.
ʻO ke kiʻiʻokoʻa a me ka hōʻoia
Me nā diathesis hemorrhagic mua,ʻike nā keiki i ka'ōpū, kahe o ke koko, kaʻehaʻana i kaʻili, a me kaʻeha. ʻO nāʻano hōʻike ma kaʻili ka i kapaʻia he purpurea i loko o ka lāʻau lapaʻau. ʻIkeʻia ka maʻiʻana o ka'ōpū i loko o ka noho - kū i kaʻeleʻeleʻeleʻele me kahi koko koko. ʻO ka manawa pinepine e pili pū kēia me ka luaʻi koko. I ka manawa pinepine, he hui hoʻokahi a hoʻoheheʻeʻia ka hanuʻana. Hoʻokomoʻia keʻano o ka maʻi maʻamau me ka kahe mau o ka anus, ka pīpī pīhoihoi koko. I kekahi manawa e hiki ke hana i ke koko o ka'ōpū. ʻO ka mea pōʻino,ʻo ka hopena o ka maʻi hemorrhagic nui o nā keiki hānau i ka neleʻana i ka lāʻau lapaʻau kūpono - ua make ke keiki i ka weliweli. ʻO keʻano lua o ka maʻi i keʻano o ka maʻi a me ka hypoxia . Eia kekahi, hiki keʻikeʻia ka hemorrhage āpau, nā mumū, a me nā ventricles o ka lolo.
Hoʻokumuʻia nā diagnostics o ka maʻi hemorrhagic o nā keiki hou ma nāʻikepili clinical a me nā hopena o nā noi hope loa (ke koko, ka'ōhumu, ka papa helu pāʻani, ka hana o nā mea hihia me ka hemoglobin). I ka manawa like, ua ho'āʻoʻia ka mea hānau hou no nā diathesis hemorrhagic: hemophilia, maʻi Willebrand, thrombastenia.
Hoʻomaʻoʻia a me ka paleʻana
Inā maikaʻiʻole keʻano o kēia maʻi, a laila, maikaʻi loa ka hua'ōlelo. I ka wā e hiki mai ana, hikiʻole ke hoʻololi i nāʻano maʻi o nā hemorrhagic.
Hoʻomaʻoʻia i ke koko o nā'ōpiopio i nā keiki o nā lā mua o ke ola me ka hoʻokomoʻana i ka huamaila K, ma kahi i nele ai ke kino. Pono pono e nānā i ka hana maʻalahi e nānā i ke kauʻana o nā kumuhana K-vitamin.
ʻO ka paleʻana i kēia maʻi he hoʻokahi wale nō o nā inikō o Vikasol i nā pēpē, i hānauʻia mai ka'ōpū me ka lāʻau make . I nā maʻi likeʻole, pono i nā keiki hou i ka moku o asphyxia ma muli o ka hopena o ka hopena a me ka maʻi intrauterine.
ʻO nā wāhine i loaʻa i nā maʻi likeʻole i ka wā i hala aku nei e pili ana i ka maʻi ākea a maʻiʻole paha, pono ke nānāʻia ma loko o ka'ōpū.