Anthropometric data of the child. Technique of carrying out anthropometric measurements in children of a healthy age. Ministry of Health Protection of Ukraine

Methodology anthropometric vimiryuvan children Rіznogo vіku

MINISTRY OF HEALTH PROTECTION UKRAINI

NATIONAL MEDICAL UNIVERSITY

imeni O.O. THE BOGOMOLTSIA

METHODOLOGICAL VKAZIVKI

FOR SELF-ROBOT STUDENTS

WHEN PREPARED TO PRACTICAL (seminars) EMPLOYMENT

1. Relevance by those:

Anthropometric measurements of children as they see the vaccination clinic in Yaoundé, Cameroon

Low growth is a frequent problem of suspicious protection of health in children, and anthropometric changes are corny tools for further diagnostics. early diagnostics... The problem didn’t get into the Cameroonian situation, so they took the price for it.

In order to take a short look, I will be able to eat in healthy children, in order to introduce the vaccination class, and to show the importance of anthropometric vimirv in every child's medical and sanitary assistance. Three of our results are in the form of robotic vaccination, so that we are more likely to grow up in healthy children as they review our vaccination class. In such a rank, anthropometric measures are recommended and guilty of being guilty in keen minds to look after the children for early diagnostics, in order to ensure the growth and safety of children.

rіven physical development v childishє one of the active indicators will become healthy. Physical development is a labial indicator, which is easy to change against the incessant, unfriendly bureaucrats, especially the minds of the middle class. Yak sukupnist sign, which characterize the health of the body in the new stages, the level of physical development, one of the most important indicators of the social health of the population. Therefore, the assessment of the level of physical development of a child is an unrecognizable element of control over the health of the child and the loan is an important place in the practical activity of a pediatrician.

Vimiryuvannya masi tila on cups of medicine

The devastation of childhood is a widespread problem of community health protection in low-income countries with low income, especially in Asia and Africa for the first time from the Sahari. Strus growing up is tied with the advanced cognitive and physical vada, ailing and mortality. Suboptimal growth є sensitive and easy to see as an indicator of underperformance of any health problems in children under 5 years of age.

Most of the deaths are tied to the potential of weak and peaceful malnutrition, and not to serious malnutrition. In practice, the inconsistency of growth is often not diagnosed, some children are often haphazardly respected and do not see themselves in the presence of extravagant medical attention, but people who come in are often nasty to re-start or not re-start. Any inaccuracies can lead to unnecessary consulting supplies and necessary consultations. In such a rank, last and accurate anthropometric estimation Growing children will fall early and quickly become involved in diagnosing health problems.

2. Specific goals:

Demonstrate the order in case of koristuvanna different species adjusting for vimiruvannya masi.
ovolodіty with cuffs and technology of carrying out somatometry: growth of mass, growth and circumference of the head and breast cancer ditini;
klasifіkuvati attach for vimіryuvannya dozhini tila children of the Rizny Vіku
memorize the updated documentation for the appearance of the masi, the growth and the circumference of the head and the breast of the child;

3. Basic training course.

Evaluate the standard of health care for children, as a guide to our vaccination class, and to show the importance of anthropometric health in general medical and sanitary assistance. Vaccination is carried out 3 times per week. The program of immunization in Cameroon has been expanded and has been assigned to the group from 0 to 11 months. In Cameroon, the administrator will have to fix it in 6 months, or to synchronize with the vaccine against bark and fever after 9 months, two for up to 5 years.

We have undergone a vaccination revision and have indicated the names, vik, become, vaga and circumference of the middle shoulder. Twenty chotiri children, for which one or more of the specified parameters did not appear in the registries, they did not appear in the past. The middle circumference of the upper arm of the Vimirian bull is up to the closest 1 cm with a normal line without stretching. Pіd hour tsikh vimіrіv children bully razdіlenі. The middle age of children becomes 7 months old.

By starting the laws of change in proportions of body in children of a healthy lifestyle

2. Latin language Use Latin-based terminology 3. Normal Physiology

4. Zavdannya for independent robots from the hour of preparation to busy.

The price of the most widely used indicator for growing up to grow up and growing small children in medical institutions... In Kenya, the width of the lack of wagons became 1 and 3 times in different groups from 0 to 5 months and from 6 to 59 months as a matter of fact.

To find out, in the regions, when the indicator of width is developing, it goes down from 2 to 3 times, during the change -36 times, so as in the developed countries the indicator of width, according to the estimates, to go down from 6 to 9 times

Early child and preschool age

I will look at the region of Africa, the breadth, for estimates, has been increased in Africa for the first day from the Sahari by 9 hours, and in Africa - by 25 hours. According to the forecasts, for Central Africa it is necessary to speed up by 15 hours; 5 vidsotkiv, Pivdenna Africa; and 6 vidsotkiv - in Zakhidniy Afritsi. Tilki in Pivnichniy Afritsa predicted speed from 5 to 2 vids.

4.1. An organizational card for independent robots over basic literature during preparation to practical employment

- individual development of the body 2. Anthropometry- the prevalence of methods and receptions for the purpose 3. Zrostomir- an attachment for vimіryuvannya dozhini tila.

4.2. Theoretical meals before busy:

1. The designation of the understanding "physical development".

Win viyavlyak short-term officials of growing and seasonal changes in food supplies or short-term shortages of food supply for hospitality. We have a pre-owned warehouse for 261 children from up to 30 months in Uganda, only 2 children are bully vitracheny.

The whole world of Latin America is not practically dull, but in Asia it is more widespread in Asia. In the middle of Africa, there are not such high rivnіv vrat, as in Asia, there is a wish of the common African lands, and also the Chad from Central Africa to demonstrate the supremely high rіven vrat, to find something, not in the Asian lands. The breadth of vitrati in the cich lands becomes more than 10 miles in the towns and villages, and the breadth in the Mali becomes more than 20 miles.

2. You will see the attachments for vimiruvannya masi tila and dozhini tila.

3. Technique of carrying out somatometry: vimiruvannya massi, growth and circumference of the head and breast tissue of the child.

4. Storing graphs for assessing the physical development of a child: masi tila to viku; Spіvvіdnoshennya dozhini tіla to masі tіla, viznachennya ІМТ (index masi tila).

Mid shoulder circumference

The number of children vvazhayutsya even oversized in height in the proportion of 2% of the time spent on the harvest of young children in Yaoundé. Tsi children vvazhayutsya even higher for a vіkom. Tse is also a provincial child mortality. It is important to note that obesity in cich children was uncomfortable.

New standards accept a principled punishment for bi-pidhid, signs for describing how all children are guilty of growing, and not more, I will describe how children grew up in the singing hour and in any moment. It is important to note that in the Danish hour of standardization, the index of weight for children is up to five years old, but it is especially important for monitoring the growing epidemic of child obesity. Another key characteristic of the new standard is the fact that I will establish my breast health as a biological “norm” and dumb which is the standard for healthy growth.

4.3. practical robots(Zavdannya), how to get busy

1.Volodytiyu technology respected children in children up to 1 rock and older than 1 rock.

2. Ovolodіti technіkoyu vimіryuvannya dіzhiny tіla children іznіnі vіku.

3.Volodyty technology to change the circumference of the head and breast;

4. Ovolodіti technіkіyu zapovnennya graphіkіv for assessment of physical development.

Methods for assessing physical development

The foremost control diagrams of the boules are based on adult and vapid children, who are both breastfeeding and one-off children. The control curves were not readily available for every hour until the child was obese. In general, the width of the vagina deficiency, the growth and growth became 7%, 7% and 6%, according to the opinion. Being a retrospective prelude to the data from the restrіv, it was unfortunate that the children were thrown into a low whale during the populace, but they didn’t reach their ever-growing age, and quietly, who had problems with strumming abnormalities. hospitality Such as diareya, which can be inserted into the picture.

Zm_st those: Physical development of children early vik as a criterion for assessing the social and economic development of the surrounding region, land. Monitoring the physical development of children of the early age of the VOOZ engaging in one of the most effective visits, which are good medical advisors Also, there is a decrease in the level of mortality and illness in children of the early age.

You want to bring your children for vaccination by mothers, if you see the stench, that the child is healthy, or at least not hostile ailment, Yak a feverish woman, diarrhea or infection dikhalnyh nobles... In addition, from the registries there was no possibility of evaluating the svyazyvannya or saying, while children may have anthropometric parameters, or even lower than the standard values for viku. Uninvolved in their preparation, most often medical practitioners do not interpret anthropometric measurements when I write down.

Our last show, that we are confident in growing up, to the children who are traveling abroad, as they see our vaccination clientele. It’s very good, and there’s some smack to allow early detection and proper management of anomalies. The application of anthropometric parameters on the control curves will allow the personnel, who need vaccination, to return to the pediatrician for an assessment of the assessment before the hour of the review, children with parameters are even lower than the standard values for the test. The course of the preliminaries was carried out through the appearance of the all-national zonal assessment of the anthropometric status and related health problems in Bahrain schoolchildren from 6 to 18 years.

Physical development- the dynamic process of growth (improvement of the age and mass of life, around the parts of the child) and the biological maturation of the child in the development period, the most important criterion for assessing the future of health and early development

Physical development of children is the process of changing the morphological and functional powers of the body, as well as those of the country in development vіkovі period This is a reserve of physical strength, vitality and quality of service. The pace of physical development on the cutaneous stage of ontogenesis is based on individual features, social factors, and the region of living is too small.

A cross-sectoral study was carried out for the anthropometric status of schoolchildren, and they start in cob, middle and middle state schools in all populated areas of Bahrain. For the vibrator of the vibrator of the boole, a bogatosteenev scheme of the vibrator was used, as a multi-cluster simple methods vipadkovo ї vibіrki. Anthropometric measurements included the height, length, circumference of the middle shoulder and the thickness of the fold of the hip on two dylyankas. vivedenimi anthropometric indicators buli index of masi tila and area of hand muscles.

At that hour, yak tovshchina skіnіv shkіri bula vishche at Bahraini pіdlіtkіv from our fellow American colleagues, m'yazova m'yaz Bula is significant lower. There is a need for a new term program to be accepted. Anthropometry is used to characterize the growth and stock of the body. Kroki zrostannya - price indicators will grow more important for the distribution of programs entrusted. - Prior to the provision of food in Bahrain, there are boules of hunting and vibration. Ten years, according to the National Regulations for the Development of Middle Children in Bahrain, showed that the middle index of the number of children in the population is ≥13 years old, but not among other American colleagues, but the reason for both children’s life.

anthropometry– Supremacy of methods and receptions of vimiryuvannya, I will describe the human body in its entirety and its surroundings. Vaughn allows you to give a complete description and assessment of the physical development of people.

Anthropometric assessment is still widely used in medicine. One of the first procedures to be seen for the folk of the new child is the whole anthropometric dosage. I best serious illness it is often diagnosed itself when negative anthropometric changes are established. Tsim was informed of respect for anthropometry not only among medical workers, but among the wider population of the population.

The authors caught on to the drive of the growing tendency of obesity, especially among women, and voiced the need for a program. A series of preliminaries was held at the great and representative vibrational schools from Bahrain and during the period from 6 to 18 years from all the populations of the regions of the country and made one of the components of a complex anthropological study.

Physical development graphs

We will describe it beforehand with a transverse one. The whole population - boys and girls from Bahrain on the cob, middle and middle іvnya in state schools in 11 populations of districts in Bahrain. Information about children at a time of ≥10 rocky Bula was taken for an additional service, and at that hour the father was finished for the young children. Vіk children buv revisions from school recordings і recordings stretching out a lot of rocks.

Masa tila nemovlyati. From the moment of the people up to three times to spend on the cup wagons, the time of day is spent for children.

technology well-known: Spotschatka zvazhutsya pelushka. Vaughn is put so that the edge of the pellet does not hang from the tray. Ditina lay down on the wide part of the tray with her head and shoulder girdle, with slickers - on the vuzka part of the tray. Ditina can be placed either on a wide part of the tray, or on a vuzka part. The indicated weight is known from the other side of the weight, de є nachki, the lower weight needs to be changed only in the obvious on the lower scale of the nest. If you write down the weight, the weight is set to zero. To make a wagi child, it is necessary to show a wagi virahuvati wagu pelushka.

Ministry of Health Protection of Ukraine

For a vibrator vibrator, a bunch of backward access to parts of a vibrator, like combining a multi-cluster and simple vibrating method. The cluster was vibrated in two last stages: in the first place, for the growth of schools in the skin region in proportion to the size of the region, and in another way, for the selection of scholars in proportion to the number of education schools in the area. By virtue of the vision of the number of scientists from the skin level, the boule was selected in a specific rank from the older classes.

Batkivske throughout the year is required for the inclusion of scholarships in doslіdzhennya. The shape of the іnformed zgoda of the bull was sent to our father's children. Mayzhe all the fathers nadal signed the form of the zgody. For other children, bully otrimanі vimіryuvannya visoti, vagi, circumference of the middle shoulder and tovschini skіn-ball. All revisions were carried out three times and the average value was re-established. Vimіryuvannya visoti and vagi were carried out using an additional digital electronic scale. Vagi buli were converted to the accuracy and calibrated by the Fachivts to the ear of Polish robots and Polish robots.

value Masi tila senior children to carry out vrantsi natchesertse on special medical cars with an accuracy of up to 50 grams. In the middle of the area, there is an extra-large vagina in front of the stretched baby. The shown vagina is so, as if well-known children of the early age.

The average weight of lads in populations becomes 3200 - 3400g, and for women less - 3100-3300 r. Masa tila premature babies become 2500 g and lower. With a stretch of the first days, the life of the new-born masa will decrease by 150-300 g (transient ( physiological) decline in mass) І to become close to 5 - 9% of the mass in the population. The change is lower by 10% (up to 300 g), to be used as a pathological second mass. The physiological decline in mass was overwhelmed by the onset factors:

- viparovannya vologue from shkіri and when dikhanna;

- mumification of the umbilical cord surplus;

- lack of food and drink in the first days of life;

- blotting in cold waters, plodded before the hour of flatness;

- tolerable hunger;

- to meconium, sich.

Renovation of cob oil in newborns has two options:

І. Ideal (or Buden's type): the consumption of mass up to 3-4 days and the renewal of the cob until 7-10 days of life (25% of the new population).

II. Common type (type of Piss): consumption of oil for 3-4 days with a minimum of 3 days and for general updates on cob up to 12-15 days (in 70-75% of children).

DOVZHINA TILA. From the bottom up to the size of the baby from nig to the head when lying in the position, horizontally. Vertical vimir ts'go zmiru, standing zvetsya zrostannya. Dovzhina was the singing world of the image of the growth of the organism.

Dovzhinu tila at the children of the first rock life in the position of lying behind a special height at the viglyadі of the board with a centimeter scale. The head of the child is guilty of lying down to the untidy level of the height. The head is fixed so that the lower edge of the ear canal and the upper edge of the last auditory canal were on the same level. The legs of the child are straightened by light onslaught on the knees. The crumbling bar of growth is scrupulously kept up to the babies. Become a rugged and unruly planks to make a child grow up. The accuracy is estimated to be ± 0.5 cm.

If a child is less than 2 years old and there is no opportunity to change the growth of a child, in the position of lying down, in such a way, the growth of growth is carried out in the vertical position, and until the result of the reduction, it is necessary to add 0.7 cm.

Have older children viku zrostannya vimіryuєtsya behind the additional vertical height with a sliding stool. Before the child's vim_ryuvannyam, it is necessary to take a swell. Ditina stand on the maidan with her back to the scale. The scale is worthy of the scale, between the patches and the little ones. Dytina is guilty of standing upright, she lives under tension, five at a time, her socks are mischievous. The head is fixed in the same rank - the lower edge of the ear canal and the upper edge of the ear canal were located at the same level. The ruchoma plank is fixed to the upper point of the head without pressure. The growth of children from 1 to 3 years is carried out by the same height meter only from the top of the wall to increase the growth of the sedentary. To carry out the indicators of the growth rate according to the scale.

Circumference of the head and breast vimіryuyut behind additional centimeter lines.

For viznachennya head circumference impose a centimeter line backwards along the most prominent points of the line, in front - along the above-mentioned arcs. An ear of a centimeter line is maє buti in liviy rutsi. It’s not easy to pull the hour before it’s stretched.

vimiryuvannya chest circumference to spend with the nymovlyat in the position of the bed, for the older children - in the position of the standing position. Ditina is guilty of being in peace, hands down. An ear of a centimeter line is found in livi rutsi zbok pakhvi. Behind the line is carried out along the bottom edge of the areola. Have girls with rozvinenny pectorals In the front, the line is carried out along the fourth rib above the thoracic valleys in the transition of the breast from the breast tissue to the zalose.

The circumference of the head of the newborn should be 34-36 cm. The circumference of the breast of the newborn should be 33 - 35 cm. In children up to 3 months of age, the indicators of the circumference of the head change the indicators of the circumference of the breast. In the last 3 months, the indicators are getting worse and by stretching the living life, they are overtaking the indicators of the circumference of the chest wall.

The results are entered before the latest graphs. There is also a possibility to start the trend of physical development of a child for a period of an hour and to identify the problem of physical development. In the overwhelming majority of the child's health and growth at the standard rates, the growth of the child's health and growth

Physical development graphs

The dermal child is guilty of her own graph, so that the assessment of the physical development and the results are adequately medically guarded.

For females and lads of the graphic design of physical development and for handiness, we can use mothers of different colors. It is important to vikoristovuvati graph of the physical development of a child for a general status, some boys and girls develop in a rational way.

On the skin graph of the seat curves. Curves, on the graph of the physical development of the child, add to the interpretation of the indicators of the physical development of the child.

The line, designated 0 on the skin graph, by the median, represents the mean value. The Іnshі lines vіznachіyut standartіvіdnіlnyya, which will lead to the visibility of the indicator of physical development in accordance with the standard.

Lines of standard views (CO) on the graph of physical development of the child may be positive (1, 2, 3) or negative (M1, M2, M3) values.

Graph dovzhina tila / zrist / vik

The standard indicator of growth or growth is always seen in the child's life. Dovzhina tila v horizontal position babies (lying down) grow up in children from 0-2 years old, grow up in an upright position of a child (standing) from children from 2-5 years old. The value of the indicator for a given age / growth for a given vik will show, for a given vik, I will add a child for a given vik for the moment I look around. This is an indicator of additional help to help children to grow up and to be very strong for their own age. A high growth rate is a problem, behind a vignette of endocrine disruptions.

On the graph, on the horizontal axis, the value of vik is displayed, and on the vertical axis - the value of increase / growth in centimeters. Vіk children viznachatsya in the main cities of the people up to 3 months; in the next months - from 3 to 12 months; і in the main rock and in the months - nadal.

In order to apply the value of a certain amount / growth for a given vik, follow:

1) On the horizontal axis of the outward direction, the values of the higher tendencies, months and times and months. Place the points of value on the vertical lines (and not between the vertical lines). For example, when children are 5.5 months, the value is applied to the mark for 5 months (and not between 5 and 6 months).

2) On the vertical axis of the direction of power, the value of the body / height. The points of value should be placed on either side of the horizontal lines. For example, if the child should become 60.5 cm, apply the value to the clinker with horizontal lines.

3) Writing points for the results of two or more glances, it is necessary to draw points in a straight line in order to create a curve and beat a dynamo.

4) Reverse the correct placement of the points on the graph, and, if necessary, repeat the anthropometric measurements. For example, the child is not guilty of being less guilty, but the meaning of the child is not as important when looking around in front of you. In general, one of the messages was wrong. This requires a clear understanding of the methods of anthropometry.

Graph of masa tila / vik

The value of the oil for the given vik

In order to apply the value of the oil for the given slip:

On the horizontal axis of the outward direction, the value is in the upper regions, in the months and in the months. Dots and values should be placed on vertical lines (but not between vertical lines).

On the vertical axis of power, the value of the body. Dots and values should be placed on a horizontal line.

Writing points for the results of two, or more, looking around, taking a straight line, so that you can get a curve and beat the dynamism.

Schedule of spіvdnoshennya masa tila / dovzhina tila / zrist / vik

The graph of the age of maturity until the end of the day / growing up of additional help for children with a very low weight and of children from the high age of maturity until the end of life / growing up, as you can see

On the whole graph, on the horizontal axis, the value of the child is displayed, or the height in centimeters, and on the horizontal axis - the mass in kilograms.

In order to put on the graph the value of the maturity until the end of the day / growth of the slid:

On the horizontal axis of the outward direction, the value is even greater than growth. Place the points of meaning on the vertical line. It is necessary to round the value to the nearest whole centimeter.

Apply the value on the vertical axis. Place the dots of value on any of the horizontal lines.

Writing indications of spiwdnoshennya massi tila to increase til / growth in two or more glances, from'ednati points in a straight line, sobuduvaty curve and pachiti dynamiku.

Graphic index of mass tila / viku

The index of mass (IMT) is used for screening for overworld and obesity.

As a rule, the ІМТ graph for a given vik shows the results, similar to the results of the graph of the communication of masi to the level of growth / development of the child.

On the whole graph on the horizontal axis, the meanings are displayed in the upper regions, in the months, in the rocks and in the months.

IMT is placed on the vertical axis.

The index of weight is based on the formula: the value of weight for growth in a square (kg / m 2). The zrostannya indicator must be converted into metric. Round up the result to ten.

In order to put on the graph the indicator of the index of masi tila child for a given vik, next:

On the horizontal axis of the outward direction, the value is in the upper regions, in the months and in the months. Place the points of value on the vertical lines (and not between the vertical lines). On the vertical axis of power, the IMT value. Place the points of meaning on the horizontal line or between the lines.

Pislya plotted points for the results of two, or more, looking around from the straight line, so that the curve is curved and the dynamo is played.

Materials for self-control:

1. Food for self-control:

For what parameters is the assessment of physical development carried out?
What is the "physical development" of the child?
What kind of anthropometry?
Technique of vimiryuvannya masi tila, dovzhini tila and keel heads and breast cells.
Yaka middle masa tila novonarodzhenoi ditini?
What is the "physiological decline of the mass"?
Health indicators in head circumference and breast cancer
Graphs of physical development. Meta їх vedennya. Zapovnennya rules.

2. Test for self-control

1.Weighing the child, when appropriate to the stationary, should be carried out using the following method:

A. At the time of the appointment of the hospital. B. In the same dose, signs of liquor.

C. Type of food. D. constitutional type of child.

E. Chi is properly organized food at home.

2. The average weight of a new-born boy to become (in grams):

A. 3000 - 3100 B. 3100-3200 C. 3200-3400 D. 3400-3600 E. 3600-3900

3. Introduce masu, yak on premature babies (in grams):

A. 3000 B. 2900 C. 2800 D. 2600 E. 2400

4. Imagine on any day of life to renew the masa tila at the new child of the ideal type update:

A. 2-3 B. 3-4 C. 4-5 D. 6-7 E. 7-10

5. Provide all correct indications:

The main reasons for the physiological loss of the power of the newborn:

A. Hyperaldesteronism

B. Formation of lactation in the mother.

C. Vrata vodu through shkіra і legenі at dikhanna

D. Mumification of the umbilical cord

E. Seeing Mecon and Sech.

6. Physical development - tse:

A. Dynamic process of growth

V. Biological maturity of a child in the period of childhood.

C. Dynamical process of growth (increase in age, masi tila, additional parts of tila and іn.) І biological maturation of a child in the development period

D. Results of measuring anthropometric indicators.

E. The meaning of the child's biological life.

Respected newborn children in hospitals to spend:

A. Pislya skin year. V. Vrantsi and in the evenings. S. 1 time for doba at any hour.

D. Once every 3 days. E. 1 time per day.

Pour into the physical development:

A. Biological factors. V. Social factors.

S. Biological and social officials. D. Political factors.

E. Everyone is outraged.

A full-term newborn child has a head circumference and a breast bone circumference:

A. Odnakovі. B. Approximately the same.

C. Perevazhaє head circumference. D. Perevazhaє circumference of the breast.

10. To the main parameters of physical development, include:

A. Masu tila, dovzhinu tila, frequency of movement, frequency of heart rate, circumference of the chest wall.

V. Masu tila, dovzhinu tila, the circumference of the breast and the circumference of the head.

S. Zhiznennuyu umnіst of legends, masu tila, dozhinu tila.

D. Frequency of dichannia, frequency of heart rate, circumference of breast tissue.

E. Masu tila, dozhinu tila, frequency of dichannia, frequency of heart rate

ETALONI VIDPOVIDEY:

1	2	3	4	5	6	7	8	9	10
V	Z	E	E	B, C, D, E	Z	V	Z	Z	V

Zavdannya for self-control:

1. At the reception of a child hospital, the child received 6 months with a diagnosis of bronchitis. Medical nurses need to conduct anthropometric measurements. Begin the last day of the day.

2. Near the canopy booth of the mother of the New Nation dyvchinka, who was born with masoyu tila 3150 g, on the 3rd day of life I knew that the masa tila ditini became 2950 r Mom was sturbovan. Please explain to the mother of the child

Etalonie of views:

1. Po-perche, vstanovimo masu tila ditini: on the tray the vag is dockable, the child vikladaєmo on the vagi with the head on the wide part of the tray. By and large, the meaning of the baby is at once with the pelush, for which the bulk of the pel is needed to be seen.

In a different way, the child's head will be smashed to the child's head: the child is viciously on the height of the child, the head of the child is scrupulously pressed to the untidy bar of the height. The head fiksuєmo so, the lower edge of the ochnytsi and the upper edge of the last auditory canal were located on the same level. We straighten the legs of the child with light pressure on the knees. The crumbling bar of growth is shilno prіzhіmaєmo until p'yat babies. Become a rugged and unruly planks to make a child grow up.

2. The decrease in the weight of the child by 200 g (6%) є physiological and increased by the advancing factors: mumіfіkatsіya umbilical cord surplus; lack of food and drink in the first days of life; blues in the midst of the waters, poured out before the hour of flatness; to tolerable hunger; to mekonii, sich.

Basic literature:

V.G. Maidannik, V.G. Burlai. Your ditina (look that vikhovannya). - Kiev 2004.-298 p.
Workshop on pediatrics of propaedeutics with a watchful eye for children. - Kiev 2002. Knowledge of Ukraine. Maidannik V.G., Duka K.D., Burlai V.G.

3. T.V. Capitan Propedeutics of childish ailments with close eye to children. - Vinnytsia. - 2006.

4 A. N. Buraya, I. A. Golovko, V. S. Tikhomirova / practical to take to look after the healthy and sick child. - Moscow. - +1982.

5. Mazurin A.V., Zaprudne A.M., Grigor'ev K.I. / Looking beyond the children. - "Medicine" Moscow - 1998

6.A.V. Tokar, V.I. Jemile and ін. / Dovidnik for medical nurses - Kiev 2002

7.S.P. Vinnikova, I. M. Digalo and ін. / Practical tips for a pediatric nurse - Rostov-on-don "Fenix" 2002.

Dodatkova Literature:

R.V. Tonkova-Yampilska. T.Ya. Chertok, I.N. Alferova / Fundamentals of medical knowledge. - Moscow. - one thousand nine hundred and sixty one
Grebeniv A.L., Sheptulin A.A., Khokhlov A.M. The basics of the out-of-the-box look for ailments. - M: Medicine, 1999 ..
P.G. Zhuchenko, N.S. Pushkar, I.A. Sitnik / Antenatal protection of the fetus that looks after the new population. - Kiev. 1 983
1. Fundamentals of medical knowledge and methods of treatment according to Devidson / per. from English At 2 T. -Kiyiv: "Kobza",

For assessing the physical development of the vicorist, it is the leading rank of the anthropometric vimiryuvan (spr, va, razmіri okremikh parts tila and іn.).

Vimiryuvannya to the growth of children on the first rotsi of life . Vimiryuvannya is vibrated with a special stadiometer near a wide board with a size of 80 cm and a width of 40 cm. On one side of the board, there are pads in centimeters. At її the cob є neruchoma has a transverse bar. In the end of the scale, there is a cross bar, it is easy to read on the centimeter scale.

Legs are guilty of being straightened by light onslaught of the left hand on the knee; right hand to bring the crumbling bar of the height up to the next level.

Become a child with rugged and unruly planks. The accuracy of such vimiryuvan is ± 0.5 cm.

Vimiryuvannya growing up of older children. Vimiryuvannya vibrate with a height meter, which is a wooden board with a height of 2 m 10 cm, a width of 8 - 10 cm and a height of 50x75 cm ) for vimіryuvannya dozhini tіla seated. According to the new kovzak, the plank is 20 cm wide. At the level of 40 cm, from the bottom to the vertical end, the lava is attached to the height of the sedentary.

respect children From the moment of population up to 2-3 rock_v on cup wagons with the maximum allowable weight up to 20 kg (Fig. 23.3). Wagons are stored from a tray and a beam of wagons with two scales of pods: the lower one - in kilograms, the upper one - in hundredth parts of a kilogram. The yoke has a vag є a protivaga. If Terezi is not of the same importance, then carefully turn the puck (microguint) to push it to you, or see yourself, to the showers.

technology well-known: Spotchka zvazhuyut pelushka. Place the baby on the wide part of the tray with his head and shoulder girdle; If you can plant a child, then you can plant it with children on a wide part of the tray, legs - on a university part. Putting the child on the vagi and the knowledge of them is possible only when the legs of the vag are closed, standing up to the scale of the vag. Indicators of vagina are known from that side of the weight, de nachki or virіzki. Let me write down the weights to set to zero, and the set of tereziv - to the zapobizhnik. To make a baby's vagina, it is necessary to show the baby's vagina. Accuracy ± 10 mg.

Head circumference vimіryuyut with a centimeter line, yaku to lead backward through the most visible point of the tidal hillock, and in front - along the above-mentioned arcs (Fig. 23.5).

The size of the great dzhereltsya in infants begins, from the middle of one side to the other, opposite, but not according to diagonals (from Kuta to Kuta).

To adjust the height of the head, set an anthropometer or a special compass, one end of which is placed on the head, and the other one - on the most prominent part of the head.

To characterize the physical development of a child, there is a great value in the assessment of the peculiarities of the breast and belly, as well as the development of a child.

The circumference of the breast vimіryuyut in the camp of calm (Figure 23.6). Apply a line backwards under the shoulder blades, and in front - along the navkolosovy gurts. In puberty girls, draw a line in front of the fourth rib. For children of the first fate, spend their lives lying down, and for older children - standing up (hands are lowered, dichannya is calm).

Vimіryuvannya breasts should be carried out at the height of inhalation, in case of repeated vidih and in case of calm dichanna.

For this purpose, the anteroposterior and transverse diameter of the thoracic clitine should be reduced by using a special compass. When the anteroposterior diameter is wide, one leg of the compass is placed at the lower end of the sternum, and the lower end of the sternum, and at the bottom of the spine of the ridge. To determine the transverse diameter of the compass, set the middle groin line on the lower edge of the sternum.

abdominal circumference vimіryuyut on the level of the navel. As long as they live a meaningful improvement, it is important to carry out a striking action in the area of the greatest possible success. The abdominal circumference of a healthy child is guilty of being vimiryuvatisya until the age (of great importance for the assessment of the physical development of a child's belly is not possible). In a sick child, it is also necessary to have a non-recurrent vimir buva if there is a sign of illness, if there are snakes in the abdomen (ascites, puffiness, flatulence, etc.)

dozhinu tuluba Visually start from the spinous outgrowth of the cervical ridge to the tip of the coccygeal cyst. In small children, the vimir tulub should be held in the position on the boat, in the older children - in the position of standing: the centimeter line, when not guilty, is applied to the surface of the back.

Vimiryuvannya kintzivok... Dovzhinu kіntsіvok vimіryuyut anthropometry Martin, and when every day - a snake centimeter line.

I'll give my hands vimіryuyut from the acromion to the end of the third finger; to the end of the shoulder - from the acromion to the top lіktyovoy slope; Dozhinu beforeplіchchyа - from a lіktyovy hillock to the middle of the wrist.

shoulder circumference start on the area of the greatest development of the two-headed meat (upper third of the shoulder). Vimіryuvannya should be carried out two times: the match when the hands are completely lowered and the muscles are weakened, and when the muscles are stressed. To ask the child to lift his hand to the level of the shoulder, and, having zignuvshis in lіkti, it is possible to strain the muscles.

I'll get my legs vimіryuut from the great whirligig stegna to the level of pіdoshvi; dozhinu stegna - from the great spindle to the knee-shaped hillock; to the dinner of the homily - from a colony hillock to the ankle. The circumference of the quilting is approximately at the level of the crotch in the widest part of the quilting; Carry out the vimiryuvalnuyu line horizontally without a middle fold.

the circle of the homily start on litkovy meazah, At the same time, the most obsyagu.

23.2. Evaluation of the physical development of children of the healthy age.

Physical development of a child All-time organization of health protection (OOH) is the primary indicator of the health status of a child and population, and indicators of the physical development of children in the early period as a criterion of the regional assessment Monitoring of the physical development of children in the early period of the United Nations Educational Institution of Public Health is introduced by one of the most effective visits, which are provided by medical practitioners to reduce the level of mortality and illness in children of the early age. Assessment of physical development of a child up to 3 rocks held at the "Norm Growth" workshop, which was broken up by WHO in 2006 and was recommended, as an international standard for physical development of children in all countries, independently of ethnic affiliation, social and economic status and type. Dani norms (standards) of physical development of children of the early age are required to be victorious:

For medical practitioners: as an effective tool for screening assessment of the physical development of children of the early age for the timely detection of newcomers according to the norms and incapacity, consultation of fathers, and the situation in different types of consumption

Organizers of health protection: as a tool for organizing the need for the development of state and regional programs, direct to the implementation of the child's right to normal physical development, support thoracic treatment, Ensuring rational consumption, increasing availability and quality medical aid to children and mothers;

Fathers: as a tool, which allows seven at once with the medical practitioners, it is more effective to monitor the physical development of the child, the importance and the need to display additional medical recommendations on the basis of the best available

Assessment of physical development is carried out with skin ligamentous medical prophylactic examination of the child. medical nurse vikonuyutsya anthropometric vimіryuvannya (well-known, vimіryuvannya dozhini / growth and head circumference). Otrimanі danі is applied to the general graphs of physical development, as it is remembered okremo for lads and children. It is possible to start the trend of physical development of the child in the singing period of an hour and to identify the problem of physical development. It is also necessary to pay respect to the dynamics of performances for the period of watching over the child.

Assessment of physical development of senior children It can also be carried out at the presentation of the results of anthropometric measurements, as well as on the basis of individual indicators of children with the normative ones. For a wide variety of vicarious methods, the method of organizational design is based on empirical formulas and the method of anthropometric standards. The method of organizational design based on empirical formulas is based on the knowledge of the basic laws of growth and growth, head and breast cancer. Slide to mean that this method will further bring closer the picture of the physical development of a child and rather victoriously by pediatricians.

The method of anthropometric standards is accurate, the estimates of individual anthropometric values are to be compared with the normative ones up to and including the status of the child. Check regional tables of standards of two types: sigmal (parametric) and central (nonparametric).

Sigmal standard method... the essence given method polyaga in the context of the skin recognition with the average (standard) data, broken down on the basis of the mass anthropometric conditions of the children of the child. The results of the introduction of anthropometric data with the standard allow the assessment of skin signs of okremo.

With a hundred shortcomings given to the method, those who are dermal signs are estimated okremo, without interconnection with other indicators.

Method of central standards... The essence of the method of polarity is in the offensive one: all the results in the form of the same sign of growth in the visceral gradation in the view of the ordered row. The whole range of ordering is a row, which will cover the entire range of the number of signs, to be divided into 100 intervals. Getting into them may be equal to the same range of values, ale ranges of such central intervals in absolute terms are not identical. The central tendency of the ordered series of є fifty centiles is median. Name for the characteristics of the rospelling can not produce all 100, but deprived of 7 fixed centiles: 3rd, 10th, 25th, 50th, 75th, 90th, 97th.

Intervals between central possibilities are called central intervals (corridors). The whole method is not mathematical, and that is more beautifully characterizing the variability of the series in biology and seedlings in medicine. Winning to endure the simplicity of the vicarians, not the vicarious ones, in the world, allowing the assessment of interconnections between the different anthropometric indicators, and the fact that they are widely victorious in the light. In the overwhelming majority of the types of growth at the standard rates of growth, the growth of strength and development / growth is indicative of the deterioration in the country of health and the analysis of the situation in relation to the stagnant conditions of growth.

Control food

1. Anthropometric evaluation and special features of the conduct of the children of the child.

2. Features of the assessment of the physical development of children in the development of a child.