剖腹产对儿童神经认知发展的影响

V. Lupu, I. Miron, Anca Adam Raileanu, Elena Jechel, Anca Lavinia Cianga, Ana Maria Laura Buga, I. Stârcea, Ileana Ioniuc, Adriana-Maria Mocanu, Ancuța Lupu
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引用次数: 0

摘要

从维克多-马林(Victor Marin)的名言--"结束是一个糟糕的开始 "开始,这篇叙述性综述旨在提请人们注意围产期对儿童在旅程开始时的平衡和随后的演变所产生的影响。近十年来,关于胎儿娩出类型所引起的平衡失调的医学文献得到了有力的发展。其中包括肠道或肺部的菌群失调,这些实体经常被认为是导致过敏性疾病、自身免疫性疾病、心血管疾病、胃肠疾病、代谢性疾病、肾脏疾病或神经系统疾病的诱因。神经认知的完整性对于儿童向青春期和成年期的最佳过渡以及心理-社会融合都具有重要意义。因此,我们将在下文中阐述当前有关神经系统发育的考虑因素,并强调其因出生类型而异。我们希望达到的实际目的是,提高人们对剖腹产不良影响的认识,在不存在医疗问题的情况下,不鼓励选择剖腹产,从而减轻神经系统疾病给患者和家庭以及全球医疗系统造成的负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Cesarean Delivery on Childhood Neurocognitive Development
Starting from the words of Victor Marin - "the end is a bad beginning", this narrative review aims to draw attention to the impact played by the perinatal period on the balance and subsequent evolution of the child at the beginning of the journey. The medical literature of the last decade is strongly developed regarding the homeostatic imbalances induced by the type of delivery of the fetus on it. Among these we briefly state intestinal or pulmonary dysbiosis, entities frequently incriminated in escalating the predisposition towards the development of atopy, autoimmune, cardio-vascular, gastrointestinal, metabolic, renal or neurological diseases. Neurocognitive integrity is defined by its importance both in terms of the child's optimal transition to adolescence and later to adult life, as well as in its psycho-social integration. We will therefore develop in the following current considerations regarding the development of the neurological system, emphasizing its variability depending on the type of birth. The desired practical purpose is to raise awareness of the unwanted effects of cesarean section, to discourage its choice when medical considerations are not in question and thus to reduce the burden induced by neurological disorders both on the patient and the family, as well as on the global medical system.
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