<\/p>\n
– B\u0259xtiyar m\u00fc\u0259llim, hans\u0131 do\u011fu\u015flar vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015f hesab olunur?<\/strong><\/p>\n – H\u0259r il t\u0259xmin\u0259n 15 milyon k\u00f6rp\u0259 vaxt\u0131ndan \u0259vv\u0259l (37-ci tamamlanan hamil\u0259lik h\u0259ft\u0259sind\u0259n \u0259vv\u0259l) do\u011fulur. Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259, x\u00fcsus\u0259n d\u0259 \u00e7ox erk\u0259n do\u011fulanlarda b\u0259z\u0259n sa\u011flaml\u0131q probleml\u0259ri yarana bil\u0259r. Bu k\u00f6rp\u0259nin vaxt\u0131ndan n\u0259 q\u0259d\u0259r \u0259vv\u0259l d\u00fcnyaya g\u0259ldiyind\u0259n as\u0131l\u0131d\u0131r: vaxt\u0131ndan son d\u0259r\u0259c\u0259 erk\u0259n do\u011fulan (hamil\u0259liyin 28-ci h\u0259ft\u0259sin\u0259 q\u0259d\u0259r); vaxt\u0131ndan \u00e7ox erk\u0259n do\u011fulan (hamil\u0259liyin 28-32-ci h\u0259ft\u0259l\u0259rind\u0259); do\u011fu\u015f m\u00fcdd\u0259tin\u0259 yax\u0131n do\u011fulan (hamil\u0259liyin 32-37-ci h\u0259ft\u0259l\u0259rind\u0259).<\/p>\n Tipik olaraq vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015fun a\u011f\u0131rla\u015fmalar\u0131 f\u0259rqlidir. \u018fks\u0259r hallarda vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015fun spesifik s\u0259b\u0259bi ayd\u0131n deyil. Bununla bel\u0259, m\u0259lum risk faktorlar\u0131 var, o c\u00fcml\u0259d\u0259n: diabet v\u0259 ya infeksiyalar kimi xroniki sa\u011flaml\u0131q probleml\u0259ri; narkotik v\u0259 ya alkoqoldan istifad\u0259; \u00e7oxd\u00f6ll\u00fc hamil\u0259lik; preeklampsi (hamil\u0259lik zaman\u0131 y\u00fcks\u0259k t\u0259zyiq), stresli h\u0259yat t\u0259rzi v\u0259 s.<\/p>\n – Vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015fun f\u0259sadlar\u0131 n\u0259l\u0259rdir?<\/strong><\/p>\n – Baxmayaraq ki, b\u00fct\u00fcn vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259r f\u0259sadlarla qar\u015f\u0131la\u015fmasa da, erk\u0259n do\u011fu\u015f q\u0131sam\u00fcdd\u0259tli v\u0259 uzunm\u00fcdd\u0259tli sa\u011flaml\u0131q probleml\u0259rin yaranmas\u0131na s\u0259b\u0259b ola bil\u0259r. \u00dcmumiyy\u0259tl\u0259, k\u00f6rp\u0259 n\u0259 q\u0259d\u0259r tez do\u011fulsa, a\u011f\u0131rla\u015fma riski bir o q\u0259d\u0259r y\u00fcks\u0259kdir. Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f u\u015fa\u011f\u0131n \u00e7\u0259kisi d\u0259 m\u00fch\u00fcm rol oynay\u0131r. B\u0259zi probleml\u0259r do\u011fu\u015f zaman\u0131 g\u00f6r\u00fcn\u0259, b\u0259zil\u0259ri is\u0259 sonradan inki\u015faf ed\u0259 bil\u0259r.<\/p>\n \u0130lk h\u0259ft\u0259l\u0259rd\u0259 vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015fun a\u011f\u0131rla\u015fmalar\u0131na a\u015fa\u011f\u0131dak\u0131lar daxildir:<\/p>\n T\u0259n\u0259ff\u00fcs probleml\u0259ri. Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259nin t\u0259n\u0259ff\u00fcs sisteminin yeti\u015fm\u0259m\u0259si s\u0259b\u0259bind\u0259n n\u0259f\u0259s almaqda \u00e7\u0259tinlik yarana bil\u0259r;<\/p>\n Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259 bronxopulmoner displaziya kimi tan\u0131nan a\u011fciy\u0259r x\u0259st\u0259liyi d\u0259 inki\u015faf ed\u0259 bil\u0259r. Bundan \u0259lav\u0259, b\u0259zi vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259r apne sindromu kimi tan\u0131nan n\u0259f\u0259sl\u0259rind\u0259 uzunm\u00fcdd\u0259tli fasil\u0259l\u0259rl\u0259 qar\u015f\u0131la\u015fa bil\u0259rl\u0259r;<\/p>\n \u00dcr\u0259k probleml\u0259ri. Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259 \u0259n \u00e7ox rast g\u0259lin\u0259n \u00fcr\u0259k probleml\u0259ri \u201cPatent Duktus Arteriosus\u201d (PDA) v\u0259 a\u015fa\u011f\u0131 qan t\u0259zyiqidir (hipotensiyon);<\/p>\n Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259 b\u0259d\u0259n h\u0259rar\u0259ti \u00e7ox a\u015fa\u011f\u0131 d\u00fc\u015f\u0259rs\u0259, anormal d\u0259r\u0259c\u0259d\u0259 a\u015fa\u011f\u0131 b\u0259d\u0259n h\u0259rar\u0259ti il\u0259 (hipotermiya) n\u0259tic\u0259l\u0259n\u0259 bil\u0259r;<\/p>\n Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259 yeti\u015fm\u0259mi\u015f m\u0259d\u0259-ba\u011f\u0131rsaq sistemi var. N\u0259tic\u0259d\u0259 nekrotiz\u0259 enterokolit (NEC) kimi f\u0259sadlar yaran\u0131r. Ba\u011f\u0131rsaq divar\u0131n\u0131 \u0259hat\u0259 ed\u0259n h\u00fcceyr\u0259l\u0259rin z\u0259d\u0259l\u0259ndiyi bu ciddi v\u0259ziyy\u0259t vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259 qidalanmaya ba\u015flad\u0131qdan sonra ba\u015f ver\u0259 bil\u0259r;<\/p>\n Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259r anemiya v\u0259 yeni do\u011fulmu\u015fun sar\u0131l\u0131q kimi qan probleml\u0259ri riski alt\u0131ndad\u0131r. Anemiya b\u0259d\u0259nd\u0259 kifay\u0259t q\u0259d\u0259r q\u0131rm\u0131z\u0131 qan h\u00fcceyr\u0259l\u0259rinin olmad\u0131\u011f\u0131 \u00fcmumi bir v\u0259ziyy\u0259tdir. Sar\u0131l\u0131\u011f\u0131n bir \u00e7ox s\u0259b\u0259bi olsa da, erk\u0259n do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259 daha \u00e7ox rast g\u0259linir;<\/p>\n Metabolizm probleml\u0259ri. Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259 tez-tez madd\u0259l\u0259r m\u00fcbadil\u0259si il\u0259 ba\u011fl\u0131 probleml\u0259r olur. B\u0259zi hallarda anormal d\u0259r\u0259c\u0259d\u0259 a\u015fa\u011f\u0131 qan \u015f\u0259k\u0259ri (hipoqlikemiya) inki\u015faf ed\u0259 bil\u0259r;<\/p>\n Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259 rast g\u0259lin\u0259n z\u0259if inki\u015faf etmi\u015f immun sistemi infeksiya riskinin artmas\u0131na g\u0259tir\u0259 bil\u0259r.<\/p>\n Vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015fun sonradan inki\u015faf ed\u0259n a\u011f\u0131rla\u015fmalar\u0131na bunlar daxildir:<\/p>\n Serebral iflic. \u0130nfeksiya qeyri-adekvat qan ax\u0131n\u0131, hamil\u0259liyin erk\u0259n d\u00f6vr\u00fcnd\u0259 v\u0259 ya yeni do\u011fulmu\u015f k\u00f6rp\u0259d\u0259 inki\u015faf ed\u0259n beyninin z\u0259d\u0259l\u0259nm\u0259si n\u0259tic\u0259sind\u0259 yarana bil\u0259n h\u0259r\u0259k\u0259t v\u0259 \u0259z\u0259l\u0259 tonusu poz\u011funlu\u011fudur. Bu k\u00f6rp\u0259l\u0259r m\u00fcxt\u0259lif inki\u015faf m\u0259rh\u0259l\u0259l\u0259rind\u0259 vaxt\u0131nda do\u011fulmu\u015flardan geri qal\u0131rlar;<\/p>\n Onlarda g\u00f6z\u00fcn arxas\u0131ndak\u0131 sinirl\u0259rin i\u015f\u0131\u011fa h\u0259ssas t\u0259b\u0259q\u0259sind\u0259 (torlu qi\u015fa) h\u0259ddind\u0259n art\u0131q b\u00f6y\u00fcm\u0259si n\u0259tic\u0259sind\u0259 yaranan erk\u0259n do\u011fu\u015f retinopatiyas\u0131 inki\u015faf ed\u0259 bil\u0259r;<\/p>\n Onlar m\u00fc\u0259yy\u0259n d\u0259r\u0259c\u0259d\u0259 e\u015fitm\u0259 itkisi riski alt\u0131ndad\u0131r;<\/p>\n Bu k\u00f6rp\u0259l\u0259rd\u0259 di\u015f \u00e7\u0131xma gecikm\u0259si, di\u015fl\u0259rin r\u0259nginin d\u0259yi\u015fm\u0259si v\u0259 d\u00fczg\u00fcn olmayan di\u015fl\u0259r kimi di\u015f probleml\u0259rinin inki\u015faf etm\u0259 riski y\u00fcks\u0259kdir;<\/p>\n Onlarda m\u00fc\u0259yy\u0259n davran\u0131\u015f v\u0259 ya psixoloji probleml\u0259r, el\u0259c\u0259 d\u0259 inki\u015faf geril\u0259m\u0259l\u0259ri tam m\u00fcdd\u0259tli k\u00f6rp\u0259l\u0259r\u0259 nisb\u0259t\u0259n daha \u00e7ox m\u00fc\u015fahid\u0259 olunur;<\/p>\n Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259 astma inki\u015faf etm\u0259 riski y\u00fcks\u0259kdir.<\/p>\n – Bu probleml\u0259ri nec\u0259 h\u0259ll etm\u0259k olar?<\/strong><\/p>\n – Erk\u0259n do\u011fu\u015fdan \u00f6l\u00fcml\u0259rin v\u0259 a\u011f\u0131rla\u015fmalar\u0131n qar\u015f\u0131s\u0131n\u0131n al\u0131nmas\u0131 sa\u011flam hamil\u0259likd\u0259n ba\u015flay\u0131r. \u00dcmumd\u00fcnya S\u0259hiyy\u0259 T\u0259\u015fkilat\u0131n\u0131n antenatal bax\u0131m qaydalar\u0131na vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015fun qar\u015f\u0131s\u0131n\u0131 almaq \u00fc\u00e7\u00fcn \u0259sas m\u00fcdaxil\u0259l\u0259r daxildir. Bunlara aiddir: sa\u011flam p\u0259hriz, optimal qidalanma,\u00a0t\u00fct\u00fcn v\u0259 madd\u0259 istifad\u0259si il\u0259 ba\u011fl\u0131 m\u0259sl\u0259h\u0259tl\u0259r;\u00a0\u00e7oxd\u00f6ll\u00fc hamil\u0259likl\u0259rd\u0259 (\u0259kiz hamil\u0259lik, \u00fc\u00e7\u0259m hamil\u0259liyi v\u0259 s.) vaxt\u0131nda a\u015fkar etm\u0259si \u00fc\u00e7\u00fcn erk\u0259n ultras\u0259sd\u0259n istifad\u0259; risk faktorlar\u0131n\u0131 m\u00fc\u0259yy\u0259n v\u0259 idar\u0259 etm\u0259k \u00fc\u00e7\u00fcn hamil\u0259lik boyu (12 h\u0259ft\u0259d\u0259n \u0259vv\u0259l ba\u015flayaraq) \u0259n az\u0131 8 d\u0259f\u0259 tibb m\u00fct\u0259x\u0259ssisi il\u0259 \u0259laq\u0259 saxlamaq.<\/p>\n \u018fg\u0259r bir qad\u0131n vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015fla qar\u015f\u0131la\u015f\u0131rsa v\u0259 ya vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015f riski varsa, bu zaman vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259ni g\u0259l\u0259c\u0259k nevroloji poz\u011funluqlardan, h\u0259m\u00e7inin t\u0259n\u0259ff\u00fcs v\u0259 infeksiya il\u0259 ba\u011fl\u0131 \u00e7\u0259tinlikl\u0259rd\u0259n qorumaq \u00fc\u00e7\u00fcn m\u00fcalic\u0259l\u0259r m\u00f6vcuddur. Bunlara do\u011fu\u015fu gecikdirm\u0259k \u00fc\u00e7\u00fcn antenatal steroidl\u0259r v\u0259 tokolitik m\u00fcalic\u0259l\u0259r daxildir.<\/p>\n 2022-ci ild\u0259 \u00dcmumd\u00fcnya S\u0259hiyy\u0259 T\u0259\u015fkilat\u0131 vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259y\u0259 qulluq il\u0259 ba\u011fl\u0131 yeni t\u00f6vsiy\u0259l\u0259r d\u0259rc edib. Bunlar do\u011fumdan d\u0259rhal sonra kenquru ana qay\u011f\u0131s\u0131, ana s\u00fcd\u00fc il\u0259 qidalanman\u0131n erk\u0259n ba\u015flamas\u0131, davaml\u0131 m\u00fcsb\u0259t t\u0259n\u0259ff\u00fcs yolu t\u0259zyiqinin (CPAP) istifad\u0259si v\u0259 t\u0259n\u0259ff\u00fcs probleml\u0259ri \u00fc\u00e7\u00fcn kofein kimi d\u0259rmanlar\u0131n vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f v\u0259 a\u015fa\u011f\u0131 \u00e7\u0259kisi olan k\u00f6rp\u0259l\u0259rd\u0259 \u00f6l\u00fcm hallar\u0131n\u0131 \u0259h\u0259miyy\u0259tli d\u0259r\u0259c\u0259d\u0259 azalda bil\u0259c\u0259yin\u0259 dair yeni s\u00fcbutlar\u0131 \u0259ks etdirir.<\/p>\n \u00dcST-nin t\u0259limatlar\u0131nda ana v\u0259 ail\u0259nin k\u00f6rp\u0259y\u0259 qulluqda \u0259sas rolu t\u0259min etm\u0259l\u0259rinin vacibliyini vur\u011fulan\u0131r. Ana v\u0259 yeni do\u011fulmu\u015f k\u00f6rp\u0259l\u0259r do\u011fu\u015fdan sonra bir yerd\u0259 qalmal\u0131 v\u0259 k\u00f6rp\u0259nin v\u0259ziyy\u0259ti a\u011f\u0131r olmad\u0131\u011f\u0131 halda ayr\u0131lmamal\u0131d\u0131rlar. T\u00f6vsiy\u0259l\u0259rd\u0259 daha sonra t\u0259hsil v\u0259 m\u0259sl\u0259h\u0259t, h\u0259mya\u015f\u0131d d\u0259st\u0259yi v\u0259 t\u0259lim ke\u00e7mi\u015f tibb i\u015f\u00e7il\u0259rinin ev\u0259 ba\u015f \u00e7\u0259km\u0259l\u0259ri d\u0259 daxil olmaqla ail\u0259 d\u0259st\u0259yinin t\u0259kmill\u0259\u015fdirilm\u0259si \u0259ks olunub.<\/p>\n","protected":false},"excerpt":{"rendered":" \u201cB\u00fct\u00fcn vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259r f\u0259sadlarla qar\u015f\u0131la\u015fmasa da, erk\u0259n do\u011fu\u015f q\u0131sam\u00fcdd\u0259tli v\u0259 uzunm\u00fcdd\u0259tli sa\u011flaml\u0131q probleml\u0259rin yaranmas\u0131na s\u0259b\u0259b ola bil\u0259r\u201d. Bunu S\u0259hiyy\u0259 Nazirliyinin m\u00fct\u0259x\u0259ssis-eksperti, neonatoloq-reanimatoloq B\u0259xtiyar Zeynalov nazirliyin sosial media hesablar\u0131na vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015flarla ba\u011fl\u0131 g\u0259l\u0259n suallar\u0131 cavabland\u0131rark\u0259n deyib. – B\u0259xtiyar m\u00fc\u0259llim, hans\u0131 do\u011fu\u015flar vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015f hesab olunur? – H\u0259r il t\u0259xmin\u0259n 15 milyon k\u00f6rp\u0259 vaxt\u0131ndan \u0259vv\u0259l (37-ci tamamlanan hamil\u0259lik h\u0259ft\u0259sind\u0259n \u0259vv\u0259l) do\u011fulur. Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259, x\u00fcsus\u0259n d\u0259 \u00e7ox erk\u0259n do\u011fulanlarda b\u0259z\u0259n sa\u011flaml\u0131q probleml\u0259ri yarana bil\u0259r. Bu k\u00f6rp\u0259nin vaxt\u0131ndan n\u0259 q\u0259d\u0259r \u0259vv\u0259l d\u00fcnyaya g\u0259ldiyind\u0259n as\u0131l\u0131d\u0131r: vaxt\u0131ndan son d\u0259r\u0259c\u0259 erk\u0259n…<\/p>\n","protected":false},"author":2,"featured_media":573502,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[1],"tags":[],"aioseo_notices":[],"gutentor_comment":0,"rttpg_featured_image_url":{"full":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/03\/5_2.jpg",620,413,false],"landscape":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/03\/5_2.jpg",620,413,false],"portraits":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/03\/5_2.jpg",620,413,false],"thumbnail":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/03\/5_2-500x280.jpg",500,280,true],"medium":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/03\/5_2-548x365.jpg",548,365,true],"large":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/03\/5_2.jpg",620,413,false],"1536x1536":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/03\/5_2.jpg",620,413,false],"2048x2048":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/03\/5_2.jpg",620,413,false],"post-thumbnail":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/03\/5_2-240x172.jpg",240,172,true],"advps-thumb-one":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/03\/5_2.jpg",620,413,false]},"rttpg_author":{"display_name":"V\u00fcsal Rafiqo\u011flu","author_link":"https:\/\/arantv.az\/?author=2"},"rttpg_comment":0,"rttpg_category":"C\u0259miyy\u0259t<\/a>","rttpg_excerpt":"\u201cB\u00fct\u00fcn vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259r f\u0259sadlarla qar\u015f\u0131la\u015fmasa da, erk\u0259n do\u011fu\u015f q\u0131sam\u00fcdd\u0259tli v\u0259 uzunm\u00fcdd\u0259tli sa\u011flaml\u0131q probleml\u0259rin yaranmas\u0131na s\u0259b\u0259b ola bil\u0259r\u201d. 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