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7/17/2019 Curs Crestere Oct 2015
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CRESTEREA SI DEZVOLTAREA
COPILULUI
DR.
CARMEN ZAPUCIOIU
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DEFINITIE
Transformarea morfofunctionala si psio!intelectuala la care este supus or"anismul#in momentul conceperii si pana lamaturitate
Fenomen cu #eterminare multifactoriala
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FACTORII CARE INFLUENTEAZACRESTEREA SI DEZVOLTAREA
I$ E%O&ENIII$ ENDO&ENI
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FACTORII E%O&ENI
'$ Alimentatia
! mamei in timpul sarcinei
su(nutritia ) #ismaturitate
! em(riopatii ! fetopatii
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alimentatia su"arului in primele * luni #e +iata
! factori #e crestere in laptele matern,sufi#ro-ila.a/ taurina/ fact$epi#ermal0
! factori #e protectie antiinfectioasa in L1
-alimentatia su"arului #upa +arsta #e * luni-Carente alimentare ) proteice2 tul($ en.imatice/ormonale/
e#eme
! lipi#ice! "luci#ice! saruri minerale! +itamine
! aport e-cesi+ alimentar ! o(e.itate
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3$1e#iul "eo"rafic
!Con#itiile #e microclimat! aer! soare! lumina! temperatura! umi#itate! presiune atmosferica
! ra.e ultra+iolete! no-e cimice! ra#iatii
-Clima e-cesi+a talie mica
-Clima temperata talie normala
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4$ Factorii socioeconomici
-Conditii de locuit-Pregatirea profesionala a parintilor-Venitul parintilor-Respectarea regulilor de igiena
-Moriditatea infectioasa si para!itara-Dina"ica sociala
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5$ Factorii afecti+!e#ucati+i
NANIS1UL PSI6OSOCIAL
-Climatul familial-1o#ul in care copilul este acceptat in
familie ! lea"an-Interactiunea parinti ) copil
-Alaptarea 2 san ) (i(eron-1o#ul in care familia se preocupa #e
e#ucarea copilului
-Frec+entarea "ra#initei
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7$ E-ercitiile fi.ice
-Masa#e-$i"nastica
Acti+ea.a circulatia
Cresc aportul #e O3
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II$ FACTORII ENDO&ENI
'$ &enetici! ere#itatea
! (oli cromo.omiale
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%AC&ORII $ENE&ICI '
- Influentea!a - ()*
- se e+pri"a doarin "ediu fa,orail
Conditiile
socioecono"ice potdepasi pe cele
genetice
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TALIA FINALA
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Greu de explicatDiversifcarea
precoce aalimentatiei
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Sindrom Turner
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Boala Morquio
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Sindrom Hurler
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Sindrom Down
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Hipotonia
pre!ent la ))* din
ca!uri la na/tere.Aceasta deter"in o0nt1r!iere a de!,oltrii"otorii2 care 0ns sepoate a"eliora cu
,1rsta.
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Sindrom Klinefelter
47 xxy
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3$ Factorii ormonali ai cre8terii
a$ 6ormonul somatotrop ipofi.ar ,S$T$6$0
! rol 9n multiplicare celular:;
! ac
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Ro(ert >a#lo? ,'@'!'@5B0 celmai 9nalt om #in
lume ,3/3 m/ 33B "0 .
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($ Tiro-ina 8i triio#otironina
! sunt su( control talamo!ipofi.ar! ac
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c$ Paratormonul2
! controlea.: omeosta.ia Ca;
! inter+ine 9n calcifierea
sceletului$
#$ Insulina2 ! 9n sinte.a proteinelor/ ac$ "ra8i/"lico"en$
e$ Corti.onul2
! efect ne"ati+2 sca#e num:rul #e celule;
! efect po.iti+2 fa+ori.ea.: matura
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f$ 6ormonii an#ro"eni ) testosteronul 2
! ini
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Factori ormonali-Intrauterin
-
Placentari care tra+ersea.a placenta
$onadosti"uline 3&4
Prolactina 5..3&4 glucocorticoi!ii
"ineralocorticoi!ii
insulina
4. tiroidieni
- 6or"oni fetali - 3&4 7 influenta redusa
- 6or"oni "aterni 7 influenta "ai "are
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4$ Factori patolo"ici
8Goli "enetice8Goli meta(olice8Goli malformati+e
8Goli infectioase cronice8Goli cronice ) renale
! car#iace ! epatice ! sin#roame #e mala(sor(tie ! muco+isci#o.a
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ALTI FACTORI CARE INFLUENTEAZACRESTEREA SI DEZVOLTAREA
- SO1N ' se fie respectat 9999- in ti"pul so"nului profund se secreta
3&4 si prolactina- In ti"pul so"nului parado+al 7 cu ,ise si
"iscari oculare2 cand se produce o
parali!ie a corpului- :a!ele unui so"n un la ,arsta adulta
se pun in pri"ii ; ani de ,iata
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8 - In timpul +ietii intrauterine so"nulfetusului nu se sincroni!ea!a cu al "a"ei.
- La +arsta #e @ luni so"nul se apropie de aladultului cu so"n profund in pri"a parte a
noptii si perioade de so"n superficial cu
tre!iri scurte in a doua parte a noptii.
- *!'3 ani so"n prodund cu terori nocturne2
enuresis 2 so"na"ulis"
- A#olescentul' "odificari de so"n prin"odificari 6or"onale si de co"porta"ent
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Le"ile cre8teriiO(ser+area caracteristicilor "enerale normale ale cre8terii a sta(ilit
le"i "enerale2
a0 Le"ile alternan
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ETAPELE DEZVOLTARII COPILULUI
. IN&RAU&ERINA
e"rionara
fetala;. E- ? >-@ ani
- p. scolar "are=puertate
- ? @-B ani
- p. adolescenta - (-;)
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1ETODE DE APRECIERE A DEZVOLTARII
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1ETODE DE APRECIERE A DEZVOLTARIIFIZICE A COPILULUI
Deter"inarea periodica a '- greutate ' nor"al2 pre"atur2 dis"atur
- talie
- peri"etre
- pliuri cutanate- circu"ferinta ratului
- indici antropo"etrici
- in,estigatii iologice paraclinice
- criterii functionale '
- toleranta digesti,a- toleranta infectioasa
- de!,oltarea psi6o"otorie
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Dentitia
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______________________________________________
&EMPORARA........55..DE%INI&IVA
_______________________________________________Incisi,i "ed. inf55555. - ( luni55555.. - ( ani
Incisi,i "ed. sup5555..( 7 ) luni55555.. - ( ani
Incisi,i laterali55555..) -; luni55555..> 7 F ani
Molari I55555555..( 7 ; luni55555) 7 ; ani
Canini 55555555... ( 7 ; luni55555.F 7 ani
Molari II55555555.; 7 @) luni55555) 7 @ ani
Molari I5555555555555555555. 7 > aniMolari II5555555555555..55555; 7 @ ani
Molari III555555555555555555.> - ;; ani
GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG
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DEZVOLTAREA NEUROPSI6ICA A COPILULUI
NOU NA3CU&
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NOU 7 NA3CU&
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Refle+ Moro
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Refle+ de apucare pal"ara
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Refle+ de apucare
plantara
R fl d l t
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Refle+ de apucare plantara
Refle+ :ainsHi
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&onicitate "usculara Refle+ de cautare
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Refle+ de suctiune
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Refle+ de pasire
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Refle+ de catarare
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-Po!itie "ai rela+ata2 pedalea!a pe rand cu picioarele-Ridica u"erii si capul-$angureste-&ipa 7 de foa"e2 durere2 ucurie2 ooseala2 indispo!itie-Za"este la ; luni
-E+pri"a placere - ne"ultu"ire
2 luni
3 l i
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3 luni
-Po!itie "ai rela+ata-3ustine capul-Vede oiecte la @)-) c"-Este sensiil la ,ocea "a"ei-Rade !go"otos
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4 luni
-3e #oaca cu "ainile-Pri,este lateral-&ine o #ucarie cu degete-E"ite ,ocale i!olate
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5 luni
-Intinde a"ele "aini dupa o
#ucarie-Deoseeste persoanele straine
de cele apropiate-Ridica singur capul de pe planul
patului
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6 luni
7 luni
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-Pronunta clar silae i!olate-E+pri"a ucuria si tristetea-I"ita persoanele din #ur
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8 luni
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VORBIREA LA
SUGAR
1
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10 luni
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10 luni
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1 an
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1 an 6 luni
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VORBIREA LA
COPIL
2
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; ani
-Urca si cooara scarile tinut
de "aini-"a!galeste cu creionul
-control sfincterian diurn
@ ani-Cunoaste @ po!itii spatiale-3tie poe!ii si"ple-Repeta @ cifre dupa e+a"inator-Ji"a# construit gra"atical
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375 ani
375 ani
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375 ani
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576 ani
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7 ani
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