{"id":658713,"date":"2023-11-20T12:21:07","date_gmt":"2023-11-20T08:21:07","guid":{"rendered":"https:\/\/arantv.az\/?p=658713"},"modified":"2023-11-20T12:21:07","modified_gmt":"2023-11-20T08:21:07","slug":"h%c9%99kim-vaxtindan-%c9%99vv%c9%99l-dogulanlar-h%c9%99kim-mut%c9%99x%c9%99ssisl%c9%99rin-daimi-n%c9%99zar%c9%99ti-altinda-olmalidirlar-foto","status":"publish","type":"post","link":"https:\/\/arantv.az\/?p=658713","title":{"rendered":"H\u0259kim: \u201cVaxt\u0131ndan \u0259vv\u0259l do\u011fulanlar h\u0259kim-m\u00fct\u0259x\u0259ssisl\u0259rin daimi n\u0259zar\u0259ti alt\u0131nda olmal\u0131d\u0131rlar\u201d – FOTO"},"content":{"rendered":"

\u201cVaxt\u0131ndan \u0259vv\u0259l do\u011fulanlar h\u0259kim-m\u00fct\u0259x\u0259ssisl\u0259rin daimi n\u0259zar\u0259ti alt\u0131nda olmal\u0131d\u0131rlar\u201d.<\/p>\n

Bunu S\u0259hiyy\u0259 Nazirliyinin m\u00fct\u0259x\u0259ssis-eksperti, neonatoloq R\u00fcst\u0259m H\u00fcseynov deyib.<\/p>\n

– R\u00fcst\u0259m m\u00fc\u0259llim, \u00f6nc\u0259 bilm\u0259k ist\u0259rdik ki, hans\u0131 k\u00f6rp\u0259l\u0259r vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f hesab olunur?<\/strong><\/p>\n

– Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259r hamil\u0259liyin 37-ci tam h\u0259ft\u0259sind\u0259n az m\u00fcdd\u0259td\u0259, y\u0259ni hamil\u0259liyin 260-c\u0131 g\u00fcn\u00fcnd\u0259n \u0259vv\u0259l do\u011fulmu\u015f u\u015faqlard\u0131r. D\u00fcnyada h\u0259r il t\u0259xmin\u0259n 15 milyon k\u00f6rp\u0259 vaxt\u0131ndan \u0259vv\u0259l do\u011fulur. Bu, orta hesabla h\u0259r 10-cu do\u011fulan u\u015faq dem\u0259kdir. \u00dcmumilikd\u0259 vaxt\u0131ndan \u0259vv\u0259l do\u011fulma b\u00fct\u00fcn do\u011fulan u\u015faqlar\u0131n 8-12%-ni t\u0259\u015fkil edir.<\/p>\n

– \u00d6lk\u0259mizd\u0259 bununla ba\u011fl\u0131 hans\u0131 t\u0259dbirl\u0259r apar\u0131l\u0131r?<\/strong><\/p>\n

– Az\u0259rbaycanda 2015-ci il yanvar ay\u0131n\u0131n 1-d\u0259n hestasiya ya\u015f\u0131 22 h\u0259ft\u0259d\u0259n, \u00e7\u0259kisi 500 qramdan yuxar\u0131 do\u011fulan k\u00f6rp\u0259l\u0259r d\u0259 bu qrupa aid edilir.<\/p>\n

\u00d6lk\u0259mizd\u0259 vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f u\u015faqlara d\u00f6vl\u0259t t\u0259r\u0259find\u0259n y\u00fcks\u0259k s\u0259viyy\u0259d\u0259 diqq\u0259t v\u0259 qay\u011f\u0131 g\u00f6st\u0259rilir. M\u00fcvafiq d\u00f6vl\u0259t proqramlar\u0131nda, yeni perinatal konsepsiyada vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015flara x\u00fcsusi yer ayr\u0131l\u0131r. Neonatologiya sah\u0259sind\u0259 ciddi ir\u0259lil\u0259yi\u015fl\u0259r qeyd olunur, m\u00fc\u0259ssis\u0259l\u0259rd\u0259 maddi-texniki bazan\u0131n m\u00f6hk\u0259ml\u0259ndirilm\u0259si \u00fc\u00e7\u00fcn kifay\u0259t q\u0259d\u0259r yard\u0131m g\u00f6st\u0259rilir, kadr potensial\u0131 art\u0131r\u0131l\u0131r.<\/p>\n

Bundan \u0259vv\u0259lki ill\u0259rd\u0259, t\u0259qrib\u0259n 15-20 il \u00f6nc\u0259 vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015flara xas olan, m\u00fcalic\u0259sind\u0259 ciddi \u00e7\u0259tinlikl\u0259r qeyd olundu\u011fu x\u0259st\u0259likl\u0259rin m\u00fcasir d\u00f6vr\u00fcm\u00fczd\u0259 h\u0259lli yollar\u0131 m\u00fcmk\u00fcn olub. M\u0259s\u0259l\u0259n, m\u00fcxt\u0259lif m\u00fc\u0259ssis\u0259l\u0259rimizd\u0259 bu qrup u\u015faqlarda c\u0259rrahi \u0259mliyyatlar\u0131n apar\u0131lmas\u0131 (nekrozla\u015fan enterokolit, qida borusunun atreziyas\u0131 v\u0259 s. il\u0259 ba\u011fl\u0131), t\u0259n\u0259ff\u00fcs sistemi il\u0259 ba\u011fl\u0131 x\u0259st\u0259likl\u0259r \u00fc\u00e7\u00fcn \u0259v\u0259zedici terapiyaya aid surfaktant preparat\u0131n\u0131n istifad\u0259 olunmas\u0131, h\u0259m\u00e7inin m\u0259rk\u0259zi sinir sisteminin inki\u015faf\u0131 \u00fc\u00e7\u00fcn istifad\u0259 olunan, t\u0259n\u0259ff\u00fcs\u0259 d\u0259st\u0259k olan kofein sitrat\u0131n t\u0259tbiq olunmas\u0131 buna n\u00fcmun\u0259dir.<\/p>\n

– G\u0259l\u0259c\u0259kd\u0259 bu u\u015faqlar hans\u0131 tibbi probleml\u0259rl\u0259 qar\u015f\u0131la\u015f\u0131rlar?<\/strong><\/p>\n

– Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259 f\u0259sadlar\u0131n \u0259ks\u0259riyy\u0259ti orqan v\u0259 sisteml\u0259rin yetkinsizliyi il\u0259 \u0259laq\u0259dard\u0131r. A\u011f\u0131rla\u015fmalar\u0131n yaranma riski vaxt\u0131ndan \u0259vv\u0259l do\u011fulman\u0131n d\u0259r\u0259c\u0259si, h\u0259m\u00e7inin vaxt\u0131ndan \u0259vv\u0259l do\u011fulman\u0131n s\u0259b\u0259bi analarda olan infeksiyalar, \u015f\u0259k\u0259rli diabet, arterial hipertenziya, preeklampsiya v\u0259 s. il\u0259 birba\u015fa ba\u011fl\u0131d\u0131r.<\/p>\n

H\u0259yat\u0131n\u0131n ilk g\u00fcnl\u0259rind\u0259 yaranm\u0131\u015f t\u0259n\u0259ff\u00fcs probleml\u0259ri g\u0259l\u0259c\u0259kd\u0259 a\u011fciy\u0259rl\u0259rd\u0259 spesifik d\u0259yi\u015fiklikl\u0259rl\u0259 ba\u011fl\u0131 bronx-a\u011fciy\u0259r displaziyas\u0131n\u0131n inki\u015faf\u0131na s\u0259b\u0259b olur.<\/p>\n

\u00dcr\u0259k-damar hemodinamikan\u0131n x\u00fcsusiyy\u0259tl\u0259rini, m\u0259d\u0259-ba\u011f\u0131rsaq sisteminin, qaraciy\u0259rin, sidik ifrazat sistemi orqanlar\u0131n\u0131n yetkinsizliyi il\u0259 ba\u011fl\u0131 probleml\u0259ri d\u0259 qeyd etm\u0259k laz\u0131md\u0131r. Bel\u0259 u\u015faqlarda vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015flar\u0131n anemiyas\u0131 inki\u015faf ed\u0259 bil\u0259r. Qar\u015f\u0131s\u0131n\u0131n al\u0131nmas\u0131 \u00fc\u00e7\u00fcn profilaktik t\u0259dbirl\u0259r h\u0259yata ke\u00e7irilm\u0259lidir. Vaxt\u0131ndan \u0259vv\u0259l do\u011fulma il\u0259 ba\u011fl\u0131 k\u00f6rp\u0259nin s\u0259hh\u0259tind\u0259ki probleml\u0259r spesifik xarakter da\u015f\u0131y\u0131r. Onlardan vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015fun retinopatiyas\u0131 (ROP) 31 h\u0259ft\u0259d\u0259n \u0259vv\u0259l do\u011fulmu\u015f v\u0259 b\u0259zi dig\u0259r vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259rd\u0259 yarana bil\u0259n g\u00f6z x\u0259st\u0259liyidir. Bu, g\u00f6z\u00fcn arxas\u0131ndak\u0131 torlu qi\u015fa adlanan toxumaya t\u0259sir ed\u0259n problemdir. K\u00f6rp\u0259 b\u00f6y\u00fcd\u00fckc\u0259 ROP (y\u00fcng\u00fcl formalar\u0131) b\u0259zi hallarda \u00f6z-\u00f6z\u00fcn\u0259 ke\u00e7\u0259 bil\u0259r. Ancaq k\u00f6rp\u0259 bu m\u00fcdd\u0259td\u0259 m\u00fct\u0259madi olaraq m\u00fctl\u0259q oftalmoloq n\u0259zar\u0259tind\u0259 olmal\u0131d\u0131r. B\u0259z\u0259n korlu\u011fun qar\u015f\u0131s\u0131n\u0131 almaq \u00fc\u00e7\u00fcn t\u0259cili m\u00fcalic\u0259 v\u0259 m\u00fcdaxil\u0259 t\u0259l\u0259b olunur. \u018fg\u0259r vaxt\u0131nda m\u00fcalic\u0259 olunmazsa, u\u015faqda ciddi geriy\u0259d\u00f6nm\u0259z f\u0259sadlar ba\u015f ver\u0259 bil\u0259r. E\u015fitm\u0259 il\u0259 ba\u011fl\u0131 pozulmalar\u0131n ola bil\u0259c\u0259yi n\u0259z\u0259r\u0259 al\u0131nmal\u0131d\u0131r, bu s\u0259b\u0259bd\u0259n vaxt\u0131nda audiometriya m\u00fcayin\u0259si olunmas\u0131 vacibdir. \u00dcmumiyy\u0259tl\u0259, vaxt\u0131ndan \u0259vv\u0259l do\u011fulanlar h\u0259kim-m\u00fct\u0259x\u0259ssisl\u0259rin (nevroloq, oftalmoloq, audioloq, psixoloq, endokrinoloq, ortoped) daimi n\u0259zar\u0259ti alt\u0131nda olmal\u0131d\u0131rlar.<\/p>\n

– Vaxt\u0131ndan \u0259vv\u0259l do\u011fu\u015flar\u0131n qar\u015f\u0131s\u0131n\u0131 almaq \u00fc\u00e7\u00fcn n\u0259 etm\u0259k olar?<\/strong><\/p>\n

– \u018flb\u0259tt\u0259, m\u00fcvafiq t\u0259dbirl\u0259ri h\u0259yata ke\u00e7irm\u0259kl\u0259 bu c\u00fcr do\u011fu\u015flar\u0131n say\u0131n\u0131 azaltmaq m\u00fcmk\u00fcnd\u00fcr. Bel\u0259 ki, q\u0131z u\u015faqlar\u0131n\u0131n sa\u011flam fiziki inki\u015faf\u0131na, yeniyetm\u0259lik d\u00f6vr\u00fcnd\u0259ki x\u00fcsusiyy\u0259tl\u0259rin\u0259 diqq\u0259t yetirilm\u0259lidir. Onlar\u0131n inki\u015faf m\u0259rh\u0259l\u0259l\u0259rind\u0259 rastla\u015fd\u0131\u011f\u0131 s\u0259hh\u0259ti il\u0259 ba\u011fl\u0131, qar\u015f\u0131s\u0131 al\u0131nmal\u0131, profilaktik t\u0259dbirl\u0259r h\u0259yata ke\u00e7irilm\u0259lidir. Hamil\u0259lik d\u00f6vr\u00fcnd\u0259 ilk h\u0259ft\u0259l\u0259rd\u0259n qad\u0131n\u0131n h\u0259kim n\u0259zar\u0259tind\u0259 olmas\u0131, m\u00fct\u0259madi laz\u0131m olan m\u00fcayin\u0259l\u0259rd\u0259n ke\u00e7m\u0259si vacibdir. Erk\u0259n do\u011fum riski yarand\u0131\u011f\u0131 halda d\u00f6l\u00fcn m\u00fchafiz\u0259si \u00fc\u00e7\u00fcn b\u0259zi profilaktik t\u0259dbirl\u0259r apar\u0131lmal\u0131d\u0131r.<\/p>\n

Hamil\u0259lik m\u00fcdd\u0259tind\u0259 qad\u0131na t\u0259tbiq olunmu\u015f profilaktik t\u0259dbirl\u0259r, m\u0259s\u0259l\u0259n d\u00f6l\u00fcn a\u011fciy\u0259rl\u0259rinin yetkinliyi (RDS profilaktika) \u00fc\u00e7\u00fcn hormonal terapiyan\u0131n t\u0259yin olunmas\u0131, qan\u0131n m\u0259nfi rezus faktoru il\u0259 ba\u011fl\u0131 immunokonfliktin qar\u015f\u0131s\u0131n\u0131 alan d\u0259rman preparatlar\u0131n\u0131n verilm\u0259si v\u0259 s. vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259nin b\u0259zi probleml\u0259rinin qar\u015f\u0131s\u0131n\u0131 almaqda k\u00f6m\u0259k olur.<\/p>\n

– Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015flar\u0131n sa\u011flaml\u0131\u011f\u0131na aid son ill\u0259r \u0259rzind\u0259 tibb elminin hans\u0131 nailiyy\u0259tl\u0259rini qeyd ed\u0259 bil\u0259rsiniz?<\/strong><\/p>\n

– Bu istiqam\u0259td\u0259 \u00f6lk\u0259mizd\u0259 m\u00fct\u0259madi olaraq i\u015fl\u0259r apar\u0131l\u0131r. Postsovet m\u0259kan\u0131nda vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015flar\u0131n m\u0259rk\u0259zi sinir sisteminin x\u00fcsusiyy\u0259tl\u0259rini \u00f6yr\u0259nm\u0259k \u00fc\u00e7\u00fcn elektroensegfaloqrafiya (EEQ) m\u00fcayin\u0259si respublikam\u0131zda ilk olaraq S\u0259hiyy\u0259 Nazirliyi Elmi-T\u0259dqiqat Mamal\u0131q v\u0259 Ginekologiya \u0130nstitutunda t\u0259tbiq olunub. Qeyd etm\u0259k laz\u0131md\u0131r ki, EEQ m\u00fcayin\u0259si t\u0259k beyin z\u0259d\u0259l\u0259nm\u0259l\u0259rini deyil, beyin qab\u0131\u011f\u0131n\u0131n differensasiyas\u0131 \u0259sas\u0131nda h\u0259l\u0259 kliniki \u0259lam\u0259tl\u0259r meydana \u00e7\u0131xmam\u0131\u015f beynin yetkinlik d\u0259r\u0259c\u0259sini qiym\u0259tl\u0259ndirm\u0259y\u0259, k\u00f6rp\u0259nin g\u0259l\u0259c\u0259k inki\u015faf\u0131n\u0131 proqnozla\u015fd\u0131rma\u011fa imkan verir.<\/p>\n

Son ill\u0259rd\u0259 is\u0259 neonatal skrininql\u0259r (\u00fcr\u0259yin EXO KQ m\u00fcayin\u0259si, g\u00f6z\u00fcn ROP m\u00fcayin\u0259si, e\u015fitm\u0259nin t\u0259yini, genetik neonatal skrininq) t\u0259tbiq olunub. M\u0259qs\u0259d kliniki \u0259lam\u0259tl\u0259rd\u0259n \u0259vv\u0259l x\u0259st\u0259likl\u0259rin t\u0259yin edilm\u0259sidir. Vaxt\u0131nda g\u00f6r\u00fcl\u0259n t\u0259dbirl\u0259r g\u0259l\u0259c\u0259k sa\u011flaml\u0131\u011f\u0131n zaminidir.<\/p>\n

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\u201cVaxt\u0131ndan \u0259vv\u0259l do\u011fulanlar h\u0259kim-m\u00fct\u0259x\u0259ssisl\u0259rin daimi n\u0259zar\u0259ti alt\u0131nda olmal\u0131d\u0131rlar\u201d. Bunu S\u0259hiyy\u0259 Nazirliyinin m\u00fct\u0259x\u0259ssis-eksperti, neonatoloq R\u00fcst\u0259m H\u00fcseynov deyib. – R\u00fcst\u0259m m\u00fc\u0259llim, \u00f6nc\u0259 bilm\u0259k ist\u0259rdik ki, hans\u0131 k\u00f6rp\u0259l\u0259r vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f hesab olunur? – Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259r hamil\u0259liyin 37-ci tam h\u0259ft\u0259sind\u0259n az m\u00fcdd\u0259td\u0259, y\u0259ni hamil\u0259liyin 260-c\u0131 g\u00fcn\u00fcnd\u0259n \u0259vv\u0259l do\u011fulmu\u015f u\u015faqlard\u0131r. D\u00fcnyada h\u0259r il t\u0259xmin\u0259n 15 milyon k\u00f6rp\u0259 vaxt\u0131ndan \u0259vv\u0259l do\u011fulur. Bu, orta hesabla h\u0259r 10-cu do\u011fulan u\u015faq dem\u0259kdir. \u00dcmumilikd\u0259 vaxt\u0131ndan \u0259vv\u0259l do\u011fulma b\u00fct\u00fcn do\u011fulan u\u015faqlar\u0131n 8-12%-ni t\u0259\u015fkil edir. – \u00d6lk\u0259mizd\u0259 bununla ba\u011fl\u0131 hans\u0131 t\u0259dbirl\u0259r apar\u0131l\u0131r? – Az\u0259rbaycanda 2015-ci il yanvar ay\u0131n\u0131n 1-d\u0259n…<\/p>\n","protected":false},"author":2,"featured_media":658714,"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\/11\/korpe.jpg",620,413,false],"landscape":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/11\/korpe.jpg",620,413,false],"portraits":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/11\/korpe.jpg",620,413,false],"thumbnail":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/11\/korpe-500x280.jpg",500,280,true],"medium":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/11\/korpe-548x365.jpg",548,365,true],"large":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/11\/korpe.jpg",620,413,false],"1536x1536":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/11\/korpe.jpg",620,413,false],"2048x2048":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/11\/korpe.jpg",620,413,false],"post-thumbnail":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/11\/korpe-240x172.jpg",240,172,true],"advps-thumb-one":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/11\/korpe.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":"\u201cVaxt\u0131ndan \u0259vv\u0259l do\u011fulanlar h\u0259kim-m\u00fct\u0259x\u0259ssisl\u0259rin daimi n\u0259zar\u0259ti alt\u0131nda olmal\u0131d\u0131rlar\u201d. Bunu S\u0259hiyy\u0259 Nazirliyinin m\u00fct\u0259x\u0259ssis-eksperti, neonatoloq R\u00fcst\u0259m H\u00fcseynov deyib. – R\u00fcst\u0259m m\u00fc\u0259llim, \u00f6nc\u0259 bilm\u0259k ist\u0259rdik ki, hans\u0131 k\u00f6rp\u0259l\u0259r vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f hesab olunur? – Vaxt\u0131ndan \u0259vv\u0259l do\u011fulmu\u015f k\u00f6rp\u0259l\u0259r hamil\u0259liyin 37-ci tam h\u0259ft\u0259sind\u0259n az m\u00fcdd\u0259td\u0259, y\u0259ni hamil\u0259liyin 260-c\u0131 g\u00fcn\u00fcnd\u0259n \u0259vv\u0259l do\u011fulmu\u015f u\u015faqlard\u0131r. D\u00fcnyada h\u0259r il t\u0259xmin\u0259n 15 milyon k\u00f6rp\u0259…","_links":{"self":[{"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/posts\/658713"}],"collection":[{"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/arantv.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=658713"}],"version-history":[{"count":0,"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/posts\/658713\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/media\/658714"}],"wp:attachment":[{"href":"https:\/\/arantv.az\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=658713"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/arantv.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=658713"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/arantv.az\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=658713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}