sindrom vnezapnoy smerti mladentsev (svsm)

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presentation title, 32 pts xxiii kongress pediatrov rossii «aktualnie problemi pediatrii» varianti nazvaniya: sindrom vnezapnoy smerti mladentsev (svsm) (0-365 dney) sindrom vnezapnoy detskoy smerti (svds) (0-5 let) sindrom vnezapnoy smerti grudnogo rebenka (svsgr) (29 – 365 dney) «crib death», «cot death» - smert v kolibeli sindrom vnezapnoy smerti mladentsev (sids – sudden infant death syndrome) sindrom vnezapnoy vnutriutrobnoy neob'yasnimoy/neojidannoy smerti (angl. sudden intrauterine unexplained/unexpected death syndrome, siuds) i sindrom vnezapnoy smerti mladentsev rassmatrivat kak ediniy kompleks s obshim opredeleniem kak «vnezapnaya smert ploda posle 25-y nedeli gestatsii ili rebenka v vozraste do odnogo goda, kotoriy yavlyaetsya neojidannim i ostaetsya neob'yasnimim posle tshatelnogo rassledovaniya, vklyuchayushee osmotr mesta smerti, provedenie patologoanatomicheskogo issledovaniya v tom chisle ekstraembrionalnix struktur» ottaviani g. 2016 xxiii kongress pediatrov rossii «aktualnie problemi pediatrii» pervie 6 mes jizni vnutrennie faktori genetika vozdeystvie kureniya i narkotikov vo vremya beremennosti anomalii razvitiya mozga nedonoshennost vnutriutrobnoe ogranichenie rosta etnicheskaya prinadlejnost vneshnie faktori …

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ivorojdennix detey s massoy tela ot 2000 do 2500 grammov 6,4 na 1000 jivorojdennix detey s massoy tela ot 1500 do 2000 grammov 7,5 na 1000 jivorojdennix detey s massoy tela menee 1500 grammov xxiii kongress pediatrov rossii «aktualnie problemi pediatrii» xxiii kongress pediatrov rossii «aktualnie problemi pediatrii» xxiii kongress pediatrov rossii «aktualnie problemi pediatrii» xxiii kongress pediatrov rossii «aktualnie problemi pediatrii» meri po preduprejdeniyu svds: shag 1 – son na spine: polojenie rebenka vo vremya sna - na spine shag 2 – ukladivat rebenka spat na tverduyu poverxnost shag 3 - ubrat iz detskoy krovatki myagkie predmeti i nezakreplennie postelnie prinadlejnosti shag 4 – otkazatsya ot kureniya vo vremya beremennosti shag 5 – spat na otdelnoy krovati, no v neposredstvennoy blizosti ot rebenka shag 6 – priderjivatsya grudnogo vskarmlivaniya shag 7 – izbegat peregreva rebenka shag 8 – podderjivat kampaniyu «back to sleep» («son na spine») xxiii kongress pediatrov …

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i detey pervogo goda jizni ot vneshnix prichin nad smertnostyu ot svsm. analiz strukturi smertnosti mladentsev ot vneshnix prichin v respublike komi viyavil, chto tri chetverti zanimayut asfiksiya (50%) i ubiystva (25%). 75% sluchaev mexanicheskoy asfiksii svyazani s narusheniem organizatsii bezopasnogo prostranstva sna rebenka pervogo goda jizni (son v odnoy krovati s roditelyami, ispolzovanie dlya sna rebenka neprisposoblennix mest, nalichie myagkix igrushek v krovati i dr.). za period s 1997 po 2017 gg. v respublike komi (rk) v kachestve zaklyuchitelnogo patomorfologicheskogo diagnoza svsm bil priznan v 142 sluchayax iz 1924 detey, umershix do goda. takim obrazom, v srednem 7 detyam pervogo goda jizni v rk ejegodno smert bila diagnostirovana kak svsm (r95 mkb-10). udelniy ves svsm ne svyazan s pokazatelyami ms 10 vklad svs v ms (%) 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 3.9 3.2 6.4 …

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vat doljna bit pustoy: uberite myagkie igrushki i postelnie prinadlejnosti iz krovatki; predlojite pustishku na moment zasipaniya i sna. uberite pustishku, esli malish ee poteryaet; izbegayte kureniya, upotrebleniya alkogolya i narkotikov vo vremya beremennosti i posle rojdeniya rebenka; izbegayte peregreva; beremennie jenshini doljni regulyarno nablyudatsya; deti doljni bit priviti v sootvetstvii s rekomendatsiyami amerikanskoy akademii pediatrii i tsentra po kontrolyu i profilaktike zabolevaniy; ne ispolzuyte domashnie kardiorespiratornie monitori kak strategiyu snijeniya smertnosti ot svsm; personal meditsinskix organizatsiy, okazivayushix meditsinskuyu pomosh novorojdennim detyam, doljni podderjat i smodelirovat rekomendatsii po snijeniyu riska svsm s rojdeniya; sredstva massovoy informatsii i proizvoditeli doljni sledovat rekomendatsiyam po bezopasnomu snu v svoix soobsheniyax i reklame; prodoljayte kampaniyu "bezopasniy son", sosredotochiv vnimanie na vsex sposobax snijeniya riska svyazannix so snom smertey mladentsev, vklyuchaya svsm, udushe i drugie neprednamerennie sluchai smerti. pediatri, semeynie vrachi i vse meditsinskie rabotniki, osushestvlyayushie uxod za detmi pervogo goda jizni doljni aktivno uchastvovat …

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ii kongress pediatrov rossii «aktualnie problemi pediatrii» odin – bez roditeley, bratev i sester bez bortikov bez podushki bez igrushek i drugix prinadlejnostey bez odeyala podushki, odeyala, bamperi i drugie myagkie postelnie prinadlejnosti uvelichivayut risk vnezapnoy smerti mladentsa v 5 raz ne zavisimo ot polojeniya vo sne i v 21 raz pri polojenii vo sne na jivote hauck fr, herman sm, donovan m, iyasu s, merrick moore c, donoghue e, et al. 2003 chowdhury rt. nursery product‑related injuries and deaths among children under age five. washington, dc: u.s. consumer product safety commission, 2014 odeyala i bamperi ne rekomenduyutsya k ispolzovaniyu moon ry, 2016 mitchell ea, blair ps., 2012 thach bt, rutherford gw, harris k., 2007 scheers nj, woodard dw, thach bt., 2016 xxiii kongress pediatrov rossii «aktualnie problemi pediatrii» risk-ustranenie vs risk-minimizatsiya …vrachi obyazani predostavlyat semyam ob'ektivnie, tochnie i aktualnie fakticheskie dannie, kotorie vklyuchayut kak preimushestva, tak i riski, svyazannie …

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presentation title, 32 pts xxiii kongress pediatrov rossii «aktualnie problemi pediatrii» varianti nazvaniya: sindrom vnezapnoy smerti mladentsev (svsm) (0-365 dney) sindrom vnezapnoy detskoy smerti (svds) (0-5 let) sindrom vnezapnoy smerti grudnogo rebenka (svsgr) (29 – 365 dney) «crib death», «cot death» - smert v kolibeli sindrom vnezapnoy smerti mladentsev (sids – sudden infant death syndrome) sindrom vnezapnoy vnutriutrobnoy neob'yasnimoy/neojidannoy smerti (angl. sudden intrauterine unexplained/unexpected death syndrome, siuds) i sindrom vnezapnoy smerti mladentsev rassmatrivat kak ediniy kompleks s obshim opredeleniem kak «vnezapnaya smert ploda posle 25-y nedeli gestatsii ili rebenka v vozraste do odnogo goda, kotoriy yavlyaetsya neojidannim i ostaetsya neob'yasnimim posle tshateln...

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