Padera mimba oyambirira: amachititsa, matenda, kapewedwe, mankhwala

Padera - ndi osati zoopsa thupi mkaziyo, komanso makhalidwe. Pachifukwa ichi, yotsatira linapangidwa mfundo zambiri za matenda osiyanasiyana, zizindikiro, chithandizo, ndi kupewa mimba lachibadwa.

Padera mimba oyambirira - ichi ndi wachisoni kwambiri, ndipo mwatsoka, zachilendo. Malinga ndi kafukufuku, mimba mkazi aliyense chitatu uli kutsazikana mwa masabata oyambirira khumi. Ambiri a iwo akudutsa padera popanda kudziwa anali ndi pakati. Ndipo ena mwa imfa mwina mwana wosabadwa kunena kale pa anafunsira poyamba ndipo analangiza kupita ku kusunga.

Mankhwala mimba imatengedwa Impact osachepera pa ntchito za uchembere wabwino ndi thanzi la mkazi. Nkofunika kuti muphonye tsiku lomalizira ndi.

Kuchotsa mimbayo sangathe kuona ndi mkazi magawo oyambirira. Amodzi limangolembedwa debited mwezi kuzengereza, kenako profuse magazi amayamba, amene anatsagana ndi kumverera kwa zowawa. Pamene mwana wosabadwayo ndi kwathunthu kunja, magazi ndi ululu anasiya mkazi Pankhaniyi mwina konse mkaziyo anali ndi pakati.

Ngati mwana wosabadwayo si kwathunthu chimene chikubweretsa magazi yaitali, akazi amakonda kukopeka ndi katswiri yemwe akuti padera. madokotala ambiri kubwezeretsa thupi wamkazi, zitachitika zimenezi zinafotokozedwa mankhwala kuchipatala.

zifukwa

Zimayambitsa padera akhale motere:

• Mahomoni kulephera.
• Majini kuvutika.
• matenda opatsirana.
• RH china.
• Mankhwala.
• Ngozi.
• Mimba kale.

Kuopseza kuchotsa mimbayo mu trimester chachiwiri kwambiri yafupika. Malinga ndi kafukufuku, lachiwiri trimester padera amapezeka akazi okha iliyonse makumi asanu.

Motero, tikambirana mwatsatanetsatane zimayambitsa pamwamba wa padera.

kulephera mahomoni

Mu mahomoni yaikazi ndi zinthu zoyenera ndi chofunika kuti ndondomeko yachibadwa mimba. Nthawi zina, kulephera maziko m'thupi angachotsedwe kutha. Akatswiri kudziwa progesterone ngati timadzi zofunika kwambiri zimene zingamuthandize kukhalabe mimba. Ngati kupanda limapezeka yake, akazi chinafotokoza timadzi mu mawonekedwe a mankhwala, chifukwa cha mwana wosabadwayo amalowerera kupulumutsa.

Komanso, chitetezo cha mwana wosabadwayo amakhudza androgen bwino. Ndi overabundance awo mu thupi la mkazi wapakati kumabwezera mmbuyo ntchito yopanga timafunika ndi progesterone, ndipo ndi kuopseza padera.

matenda opatsirana

Pokonzekera mimba, mkazi ayenera kuyamba alipo mankhwala onse a matenda aakulu. Komanso, tikulimbikitsidwa kupewa matenda opatsirana. Ndipotu, ngati alowa m'thupi yaikazi ndi wothandizila causative kungawonjezere kwambiri kutentha, kuti inunso imfayo padera.

A chiopsezo osiyana kwa mwana wosabadwayo ndi matenda amene opatsirana kudzera mu kugonana. Choncho, makolo tsogolo pokonzekera mimba ayenera ndisanabadwe ndi mayesero kwa matenda amenewa. Chifukwa chakuti mtundu wa matenda akugwa kwa mwana wosabadwayo kupyolera mu magazi, nthawi zambiri, pamaso pa kudwala ndi matenda padera.

kuvutika majini

gawo mkango wa padera zonse zimachitika chifukwa cha zimenezi. Madokotala muyimbe kuti 73% ya chiwerengero. Masiku ano, chinthu ichi chimagwira ntchito yaikulu. mankhwala zosaoneka, kuipitsidwa nyukiliya, wowonongeka chilengedwe - awa zinthu zonse tsiku ndi tsiku pa thupi wamkazi.

Monga lero, kukonzekera mimba, akazi ambiri amayesa kusiya phokoso wowonongeka mzinda ndi nthawi kuti chilengedwe yoyenera kwambiri. Ngakhale kuti zinthu izi ndi zovuta kuthetsa, amagwirizana ndi masinthidwe a iwo ankaona cholowa, ndi mimba yotsatira zingakhale bwino.

RH chinthu

Chinthu Ichi ndi nthawi amakwiya mimba kale mu magawo oyambirira. Pachifukwa ichi, ngati mkazi ali RH zoipa ndi munthu - zabwino zimenezi zingakubweretsereni ndi Rhesus-nkhondo ndi, monga Motero, padera.

Pakali pano, mankhwala waphunzira kuthana ndi vuto ili chiyambi cha thupi wamkazi wa progesterone. Choncho zipatso kutetezedwa dongosolo aukali wamkazi m'thupi. Komabe, mu nkhani iyi, vuto angakhalepo padera.

mankhwala

Akatswiri amalangiza pa nthawi ino kupewa kumwa mankhwala, makamaka mu magawo oyambirira. Nkofunika kuthetsa analgesics onse ndi mahomoni. Ndi osafunika ntchito ndi maphikidwe wowerengeka kuti alipo ngati zosakaniza hypericum, nettle, cornflower ndi parsley.

stressors

Mwadzidzidzi chisoni, mikangano m'banja, kapena nkhawa pa ntchito - zovutitsa onse padera mu mimba msanga. Ayenera kuchepetsa kapena ngati n'kotheka, kupewa zochita za zinthu izi. Yofunika kwambiri mu kupanga malo womasuka kwa mkazi ngwa munthu. Ngati simungathe kupewa kanthu zinthu nkhawa, madokotala ndiye mankhwala ndi mankhwala osawopsa sedative.

zizolowezi zoipa

Ngakhale pamaso mimba, muyenera kusiya kumwa mowa ndi kusuta fodya. Kusuta akhoza kusokoneza dongosolo mtima wa mwana wosabadwayo. Ndi bwino kumanga dongosolo coherent kudya wathanzi, ndi ya mchere wofunika ndipo mavitamini. M'pofunikanso kusintha dongosolo la tsiku.

kuvulala

Kuphatikiza pazifukwa pamwamba, padera mimba oyambirira angachititse mantha amphamvu, kusiya, kapena kunyamula zinthu zolemera. Choncho m'pofunika kuchita zinthu mosamala pazipita.

Mimba m'mbuyomu

mfundo imeneyi sikuti ntchito kuwopseza amayi achichepere, komanso mavuto aakulu chinthu m'tsogolo. Nthawi zina, mimba kungachititse kuti sterility ndi chifukwa cha padera kobwereza.

Kupeza Vuto

Padera - ndi matenda multifactorial imene odwala ambiri izi pamodzi ndi tizilombo toyambitsa matenda angapo nthawi imodzi. Chifukwa cha ichi, anthu odwala Kupenda ayenera kukhala wopambana ndipo zikuphatikiza kwa zasayansi zamakono onse, malangizo ndi njira yachipatala.

Mu njira ya kafukufuku osati anakhazikitsa zimayambitsa padera, komanso imawunikidwa boma la ziwalo zoberekera kuteteza zina pakutchulidwa wa okhumudwa.

Penyetsetsani pamaso mimba

mbiri m'gulu pamaso pa kuukonza somatic, khansa, matenda majini ndi kuvutika neuroendocrine. mbiri matenda amatilola kuti adziwe kupezeka kwa tizilombo, matenda yotupa maliseche, makamaka kusamba ndi ubereki ntchito (mimba lachibadwa, pobereka, mimba), mankhwala ndi opaleshoni ena, matenda matenda.

Pamene anali kumupima matenda anachita bwinobwino ziyenera a khungu, pammero ndipo mlingo wa kunenepa, malinga ndi thupi misa index. Malinga girsutnogo digiri wofunitsitsa hirsutism, pafupifupi chikhalidwe cha ziwalo, komanso udindo m'chiuno. Popeza kapena pamaso pa ovulation, boma zinchito za mazira kusanthula Malinga kalendala kusamba ndi kutentha thumbo.

Laboratory ndi njira malangizo a kufufuza

Matenda a padera wapangidwa maphunziro zotsatirazi:

• Gisterosalpinografiya - ikuchitika pambuyo kuzungulira msambo masiku 17-13, kumatha adhesions intrauterine, malformations la chiberekero, m'bale Cin.
• US - detects kukhalapo kwa adenomyosis, cysts, fibroids uterine, amayankha udindo wa thumba losunga mazira ndi. Azindikiritsa endometrial hyperplasia endometrial tizilombo ting'onoting'ono, aakulu endometritis.
• Infection mosamala - kumafunikanso tosaoneka Kupenda swabs ukazi, urethral, endocervical zoona bacteriological wa khomo lachiberekero ngalande okhutira, PCR diagnostics, ofufuza HIV chonyamulira.
• Mahomoni kuphunzira. Umachitika pa 5 kapena tsiku 7 wa kuzungulira pa chikhalidwe cha menses zonse mu akazi ndi oligo-amenorrhoea ndi - patsiku. Tsimikizani nkhani 17 oksiprogesterona, DHEA-sulphate tochepa, testosterone, FGS, LH, prolactin. Progesterone zingadziŵike okha odwala ndi mkombero nthawi zonse: mu gawo loyamba la kayendedwe ka masiku 5-7 mu gawo lachiwiri la kuzungulira - pa 6-7 tsiku kuwuka mu kutentha thumbo. Mu akazi ndi hyperandrogenism adrenal anagwira mayeso ang'ono ndi dexamethasone kudziwa mulingo woyenera achire mlingo.
• Kudziwa chiopsezo cha padera, m'pofunika kudziwa kukhalapo kwa chitetezo cardiolipin, odana hCG ndiponso tione mbali ya dongosolo hemostasis.
• Kukayikitsa kudwala endometrial ndi / kapena endometrial kudwala ikuchitika pansi pa ulamuliro wa hysteroscopy matenda curettage.
• Kukayikitsa adhesions kupanikizika ndi mafupa a chiuno yaing'ono, mapaipi kudwala, endometriosis, pa mazira skleropolikistoznyh ndi chiberekero myoma wasonyeza ntchito laparoscopy.
• Kupenda amuna kumaphatikizapo kudziwa mbiri cholowa, kukodzedwa umuna kusanthula pamaso pa somatic ndi neuroendocrine matenda, ndiponso kuukonza mfundo yotupa ndi m'thupi.

Mukamaliza apeza kuchititsa kabwerebwere zimayambitsa padera, woikidwa zovuta kwa njira achire.

Kudzifufuza pa mimba

Anaziika kwa Pregnancy ayenera kuyamba mwamsanga pambuyo pakuwonekera kwake, ndi tichipeza njira zotsatirazi kafukufuku:

• Khama la DHEA ndi DHEA-sulphate.
• Zodziwitsa mtima wa hCG m'magazi.
• Akupanga chindodo.
• Ngati ndi kotheka, uphungu ndikuphunzitsidwa ndi zamaganizo.

kupewa

Malinga ndi kafukufuku zowerengera pafupipafupi mimba mowiriza 1 mu mimba 300. Ngakhale kuti Mwina wa padera amachepetsa ndi kuwonjezeka mu nthawi, chithunzi ndi mozungulira 30% mu trimester lomaliza. Komanso, nthawi zambiri zimachitika kuti kubadwa azionera padera mu akazi zimachitika mobwerezabwereza. Chifukwa, matenda - kabwerebwere padera (chithandizo ayankhidwa m'munsimu).

Zimayambitsa matenda zosiyanasiyana nthawi zambiri kuti yobereka isanakwane kapena kupita padera amachititsa zovuta wawo wonse. Komabe, zochita zawo akhoza kukhala mwina yotsatana kapena munthawi yomweyo. Mkazi ali ndi ntchito yotopetsa molumikizana ndi zimamuchulukira mantha ndi thupi kapena udindo otsika umoyo ndi zachuma, basi akulowa chiopsezo.

Komanso, zinthu zimene zimawonjezera imabwera kudwala, ayenera monga a shuga, matenda a impso, mphumu, mtima ndi matenda mtima, mankhwala zonse kuledzera, kumwa mowa, fodya. Ngati mkazi ali ndi zosokonezeka mimba kapena wolemedwa mbiri obstetrical, izo limanenanso zinthu chiopsezo mimba mowiriza mofuna kapena kupita padera. Nkofunika kukumbukira kuti yaing'ono nthawi mowiriza mimba kungakhale limagwirira zamoyo zamphamvu zokhazokha, pachifukwa ichi, padera - uwu si nyengo yachisanu ikupita mimba wotsatira zinalephereka.

Ndipotu, kupewa padera yafupika mfundo zazikulu ziwiri:

1. Panthawi yake mosamala thupi la akazi ndi amuna.
2. Healthy moyo.

Nkofunika kudziwa pamaso pa munthu matenda otengera chikhalidwe, matenda, kuchititsa kusanthula umuna ndi chithandizo chokwanira cha mavuto onse.

Pamaso mkazi kuika vuto zovuta. Kuyenera Mukalongosola ngati pali somatic, neuroendocrine, khansa, nanga bwanji pathologies cholowa.

Komanso monga pa phunziro kupewa bwanji uchembere wabwino ndi ntchito kusamba, likukhalira pamaso pa kunenepa ndi digiri ake Akuti chikhalidwe cha khungu.

Ndi bwino kukaonana ndi Kupenda malangizo. Hysterosalpingography nkhani ndithu, imene theka lachiwiri la kuzungulira kusamba. Chifukwa, osatha kuti akaone ngati wodwalayo ali ndi kudwala intrauterine. Zotsatira za ultrasound m'chiuno akhoza oterewa pamaso pa endometriosis, fibroids, cysts, komanso kuti aone boma la thumba losunga mazira ndi.

Nkofunika kufufuza smears ku mkodzo, ndi ngalande wa khomo pachibelekeropo ndi nyini. kafukufuku m'thupi ndi zofunika kuchita mu zoyambirira za kuzungulira kusamba. Inunso muyenera kuganizira atayezetsa kuti adzaphatikizapo magawo coagulation. Izi kudziwa kukhalapo kwa chitetezo monga odana HCG, antikardoiolipinovyh ndi lupus.

chithandizo

Chithandizo cha imfa mimba kumachitika mu ndondomeko izi: chizindikiritso ndi wotsatira Kupha cholingacho.

Chifukwa chimodzi n'chakuti matenda a mwana wosabadwayo, kumene kumachitika chifukwa cha matenda a amniotic madzimadzi kapena latuluka malowedwe a tizilombo toyambitsa matenda. Pankhaniyi mowiriza mimba kumachitika ntchito kenako uterine amayamba chifukwa cha kuledzera pachimake kapena chotupa msanga wa zimagwira ntchito zosiyanasiyana, omwe amayamba ndi kusintha kapangidwe ka zimagwira ntchito zosiyanasiyana pansi zochita za matenda. Chithandizo imeneyi kungakhale bwino, kutha mwanayo kukana zinthu zoipa kumawonjezera ndi zaka gestational.

The mulinso kupewa matenda pazikhalanso kufunsa m'thupi yemwenso ndi, kuyambira timadzi akusowa kungachititse kuti kukonzanso pathological wa endometrium ndi wakuta ake, chomwenso ndi ankaona kuti chofunika kuchotsa mimba. Hyperandrogenism (pathological boma) amadziwikanso yodziwika ndi chikhalidwe m'thupi ndipo akhoza kukhala chifukwa cha mimba lachibadwa.

Kuthi kapena kobadwa nako organic kudwala cha ziwalo zoberekera dongosolo, nayenso, chifukwa cha padera. Komanso, zimayambitsa matenda pazikhalanso zimamuchulukira maganizo, nkhawa, zochita za mankhwala munthu, matenda a mitundu yosiyanasiyana, moyo kugonana pa mimba.

Ngakhale matenda a kobwereza padera n'zotheka kusokoneza mowiriza mofuna kuti akhoza kwambiri kudula pansi chikhalidwe cha akatswiri zonse anaziika ndi kupewa mabuku.