Родничок у детей. Маленький и большой родничок. Раннее и позднее закрытие родничка, причины и последствия

Детский родничок — это характерная особенность черепа ребенка грудного возраста, мягкий участок на голове в области соединения нескольких костей. Родничков на головке всего четыре, но два из них — боковые — к рождению у доношенного ребенка закрыты.

Малый родничок имеет форму треугольника, находится на затылке и обычно полное закрытие родничка у детей происходит к 3 месяцам.

Большой родничок (на темечке) имеет ромбовидную форму. Родничок у детей имеет размер приблизительно 2 х 2см. В 3-4 месяца детский родничок может иметь размер 1х1 см. Большой родничок у детей постепенно закрывается. Закрытие родничка происходит к 12-18 месяцам. В норме этот родничок у детей кажется плоским, хотя может немного надуваться, когда ребенок плачет, пульсировать в ритме сердца.

Состояние родничка ребенка помогает в оценке самочувствия. При постановке диагноза размер родничка у детей играет косвенную роль, и только помогают врачу следить за состоянием здоровья и развитием ребенка. Но маме полезно знать некоторые „сигналы", на которые необходимо обратить внимание, чтобы вовремя рассказать врачу.

  • Запавший родничок у детей — обычно сигнал того, что крохе нужна дополнительная жидкость (следствие сильного поноса или частой рвоты).
  • Если детский родничок продолжительное время находится в выпуклом состоянии, то это может свидетельствовать о повышенном внутричерепном давлении, что также требует немедленного обращения к врачу.
  • Раннее закрытие родничка у ребенка, требует обязательного медицинского наблюдения, так как может свидетельствовать о поражении центральной нервной системы.
  • Позднее закрытие родничка — сигнал рахита.
  • Увеличенный родничок у новорожденных при рождении может быть следствием недоношенности или нарушения окостенения.

Закрытие родничка у младенцев зависит от фосфорно-кальциевого обмена, которое во многом определяется тем, как питалась мама во время беременности. Если мама слишком увлекалась поливитаминами и богатыми кальцием молочными продуктами, роднички у ребенка малые, достаточно плотные и быстро закрываются. Слишком раннее закрытие родничка у детей нежелательно.

Также закрытие родничка оказывает влияние на развитие мозга, ограничивая его в объеме роста. Если раннее зарастание родничка вызвано избытком кальция, то его недостаток приводит к слишком позднему закрытию. Причем, как раннее закрытие родничка, так и позднее — тревожный сигнал. Низкое содержание кальция в организме, связанное с недостаточным поступлением витамина D, приводит не только к позднему закрытию родничка, но и к рахиту. А это означает изменение костной ткани, нарушение походки ребенка, искривление ножек. Малыш беспокоен, плохо спит, часто и обильно потеет, у него лысеет затылок.

В норме большой родничок имеет размер, составляющий 1-3 см. Если детский родничок больше, это может свидетельствовать о нарушении оттока жидкости из боковых желудочков мозга в результате кислородного голодания плода во время беременности, родовых травм, инфекционных заболеваний. Кроме того, больше нормы родничок бывает у детей с неправильным обменом веществ, эндокринными патологиями (например, недостаточная функция щитовидной железы), с различными пороками развития (такими, как болезнь Дауна), а также у недоношенных детей.

Зачастую молодые родители боятся прикасаться к детскому родничку. Нужен ли какой-то особый уход за родничком? Мягкое поглаживание головки младенца рукой или расческой не может повредить мембрану детского родничка, она прочная. А вот погружать младенца в воду в ванне, «нырять» при большом родничке детские неврологи не советуют. Через большой родничок на мозг будет влиять разница давлений, атмосферного давления и — давления под водой.

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Комментарии


  1. Добрый день.Подскажите пожайлуста что означает диагноз СЕК 2ст.Большое спасибо.




  2. Добрый день! Подскажите ребенку 2 года большой родничок не зарос  1Х1, сделали 2 раза нейросонографию-ребенок абсолютно здоров. выписали кальций. С чем это может быть связано?


  3. здравствуйте.подскажите пожалуйста,ребенку 2 месяца,невропатолог говорит,что родничек быстро закрывается см.на см.что это означает,и что надо делать?спасибо


  4. Добрый день. Подскажите пожалуйста. ребенку 6 месяцев, родничок уже почти закрыт, что это означает и надо ли пройти какое-то обследование, если да то какое? в 2 месяца были на нейросонографии сказали незначительные изменения, проводили лечение.


  5. Здравствуйте,подскажите пожалуйста,ребёнку только 2месяца, а родничок еле прощупывается.Что означает и что надо делать?спасибо


  6. Здравствуйте! Скажите пожалуйста,нашей девочке год и 2 месяца,а родничок все еще большой...что нам нужно делать?спасибо большое!!


  7. Здравствуйте!Подскажите, моей дочери через месяц 2 года, а родничок до сих пор не зарос.Невропатолог говорит что у нее такая особенность.У дочери и правда крупная голова.Зубы появились рано и уже на данный момент их 22.Всю прошлую зиму пили Д3.Что же с нами не так, подскажите, пожалуйста!Заранее спасибо!


  8. здраствуйте!скажите пожалуйста нам 2 месяца говорят что у нас маленький родничок,можно ли применять витамин д3 и какие последствия от маленьких родничков


  9. Добрый день! Подскажите пожайлуста нам 4 месяца ходили на очередной осмотр к врачу он сказал что маленький родничек 2 на 2. в 3 месяца невропотолог сказал что все хорошо.


  10. Здравствуйте подскажите у моего сына родничек 1,5х1,5 см, поставили диагноз ишемия мозга, сделали узи в 1 месяц все в порядке, только структура мозга слева неоднородная, невропотолог сказала продолжать пить энцефабол до 2-х месяц. Что это значит и на что может сказать на ребенке, какие нибудь есть признаки как распознать что с ним что то не так?


  11. Раннее закрытие родничка у ребенка, требует обязательного медицинского наблюдения, так как может свидетельствовать о поражении центральной нервной системы.
    Имейте совесть. Бедных мамаш и так запугивают малограмотные неврологи (а ведь клятву Гиппократа давали). Если и даете такую информацию, то давайте в полном объеме и в соответствии с последними исследованиями. Я лично знаю не одного ребенка с ранним или поздним закрытием родничка. И ВСЕ нормальные. Сейчас существует много методов, чтобы на самых ранних стадиях выявить отклонения и начать их лечить. У меня двое детей с ЭТИМ. И одна внучка. Все нормальные, умные, одна даже гений. Поэтому, если пишите, поконкретней: Раннее закрытие - 3 мес.? Нет - это тоже норма.


  12. Добрый день. Подскажите пожалуйста. ребенку 3 месяцев, родничок уже почти закрыт. Врачи лечят её луминалом и верешпероном, типо создавая рахитизм. На сколько ето вредно и опасно для малышки? И к чему может привезти преждевременная закрытие большого родничка? Заранее спосибо.


  13. здравствуйте! ребенку 6 мес. врачи сказали, что очень большой родничок. развитие ребенка в норме. скажите какой размер родничка считается нормой в 6 мес. спасибо


  14. здраствуйте!моему сыну 2 года, но у нас до сих пор не закрытый родничок. Скажите пожалуйста с чем это может быть связано.


  15.   здравствуйте! ребенку 6 мес. врачи сказали, что очень большой родничок. развитие ребенка в норме. скажите какой размер родничка считается нормой в 6 мес. спасибо


  16. Здравствуйте!моему ребенку 8 месяцев сказали закрылся родничок,нормально это или надо пройти обследование и лечение, если да то какое?


  17. умоляю помогите.моему сыну 5 месяцев и сегодня врач сказал что большой родничек.сказали сделать.страшно ли это


  18. Здравствуйте. Моему ребенку 3 месяца. Родничок уже совсем маленький 0,5*0,5. Это опасно? Можно ли принимать витамин Д? Внутричерепного давления нет. Заранее спасибо.


  19. у дочери маленький родничок от рождения всего 0,5 см, нам 3 мес. и родничок уже закрывается, прописали Д3 от рахита, голова кривая и лысина есть, можно ли пить Д3 с таким родничком?


  20. Нам 8,5 мес на затылке стираются волосы педиатр прописала пить витамин D но при этом у нас почти закрылся родничок, так же у нас ППЦНС и ВЧГ, незнаю давать витамин или нет???


  21. Здравствуйте!сынышке 1 месяц,невролог сказал,что большой родничок,а не объяснил,что это значит!!!???


  22. Большой или маленький родничок - это один из многих параметров оценки развития маленького ребенка, при котором большую роль играют анатомические особенности ребенка.  Если на ряду с этим больше жалоб нет: ребенок хорошо спит, у него хорошие рефлексы, хороший аппетит и правильное питание (наличие кальция и витамина Д в рационе) нет повода для излишнего беспокойства. Врачи оценивают ребенка и это их работа. Залысины часто появляются в результате стирания мягких волосиков во время сна, если ребенок спит в одном положении. Попробуйте положить ребенка на животик. Будьте просто внимательней к поведению ребенка. Точные и сухие сантиметры не заменят материнский инстинкт, довертись себе, и любите своего малыша.


  23. Здравствуйте, скажите, нам год почти, а родничок где-то 4-5 мм, может ли быть это какой то паталогией


  24. Дорогая Юлия, очень трудно оценить ребенка по одной фразе. Уточните у мамы, как заростал родничек у Вас и у отца ребенка. Страйтесь наблюдать за малышом внимательно и раскажите о беспокойствах Вашему педиатору. Я верю, он сможет Вас успокоить и оценить Вашего малыша правильно.


  25. Добрый день. Ребенку 1 год 1 месяц, очень большой родничек 2 на 2 см. Это нормально? Родничек очень сильно пульсирует. Это нормально? Спасибо.


  26. Ребенок родился с маленьким родничком. Пьем д3. Что если закроется раньше времени.


  27. Добрый день!нам 6мес родничек 2,2:2,2см говорят большой родничек.в это мес мы не набрали вес,хотя кушаем хорошо-грудное молоко и начала давать кашки,Д3 пьем,ночью спит хорошо просыпается два раза кушать.по ребенку я ничего не наблюдаю тревожного,а врач уже второй месяц говорит что большой родничек,предлогает пить ферменты.помогите пожалуйста..спасибо


  28. Здравствуйте!моему ребенку 3месяца малый родничок не закрылся!опасно ли это?


  29. Моему племянику 6 дней отроду,у него зарос родничёк.К чему это может привести? и нужно ли бить тревогу? Что делать? Посоветуйте.









  30. Моему племянику 6 дней отроду,у него зарос родничёк.К чему это может привести? и нужно ли бить тревогу? Что делать? Посоветуйте.









  31. Здравствуйте! Подскажите пожалуйста, моему сыночку 5 месяцев, а размеры родничка где-то 5х3 см. Это нормально? Все остальное в норме, кушает с аппетитом грудное молочко, спит тоже хорошо, капризничает только когда требует еду. Это опасно? Есть повод переживать?


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