TB ndi mimba: mimba chifuwa cha TB, TB woyembekezera, TB, zimakhudza mimba

Posachedwapa, TB ankaona kuti ndi umboni kwambiri mimba kubadwa yokumba. Koma chifukwa zikamera wa mankhwala atsopano ndi diagnostics lero, inu angapulumutse mwana wosabadwayo ndi kukhalabe thanzi la mayi. Akazi ndi kukalembetsa ndi pulmonologist kapena wina katswiri yoyenera.

TB ndi mimba

Kuchititsa kuyendera mabuku ndi kuvomerezedwa kwa amayi apakati, chifukwa uyamiko kwa Iye, anapeza matenda, amene anakhala owopsa kwa mwanayo. The chikhalidwe ambiri a akazi Akuti mwa kupenda magazi ndi x-ray Kupenda banja ndi mwamuna angakuthandizeni kudziwa ngati mkazi wakubala alowa kudwala matenda a m'mapapo kapena ayi. kukhwimitsa kwenikweni umalimbana kupewa chifuwachi. Izi ndi matenda oopsa kwambiri, zomwe mukhale aliyense wokhalapo, kaya ndi wolemera ndi ntchito. anthu ambiri ali ndi matenda osati kudziwa ichi, popeza ngakhale magazi alibe kudziwa izo. The matenda zambiri pa zaka boma matalala ndipo adamulowetsa pa nthawi ya kuchepetsa chitetezo chokwanira.

Pakati physiologically yafupika ntchito ngozi, ndipo ali kuti atengeke mavairasi.

Kumbukirani kuti mimba ndi TB m'mapapo mwanga ndi chikhalidwe zoopsa, chifukwa maziko a matenda ayamba mavuto aakulu ndi kudwala ndi padera angagwe. Chiopsezo kufala kwa matenda mayi osachepera mwana koma kuti achotse kwathunthu zosatheka.

Gawo

Pali muyezo winawake amene anagawa matenda:

- udakali anafooka;
- mawonekedwe a m'mapapo mwanga kapena extrapulmonary;
- pulayimale ndi sekondale, komanso n'kukhala - kobadwa nako.

Pa nthawi imene magawo oyambirira a chifuwachi anali wapezeka mu mayi woyembekezera, khalidwe la mayi woyembekezera ayenera chinkhoswe osati azamba-gynecologist, koma TB katswiri.

Amakhulupirira kuti ngati matenda isanafalikire mu chifuwa, ndiye chiopsezo kwa mwana wosabadwayo ndi kochepa zotsutsana ndi mitundu extrapulmonary. Nthawi zambiri, ndi mimba ndi kutsazikana kubadwa masiku asanakwane, ana kuoneka ofooka ndi kulandira mphambu osachepera pa Apgar.

zizindikiro

Ngati matendawa amakhudza mtima mu trimester 1, ndondomeko izi pafupifupi alibe zizindikiro matenda. chikhalidwe chopweteka chifukwa kawopsedwe, amene ankaona chifukwa chachikulu cha matenda anachedwa.
Nthawi zambiri chidawoneka kudwala:

- kudya osauka;
- kufooka yaikulu;
- Kuchepetsa thupi.

TB mimba, zizindikiro mu trimester 2 chitani popanda kusintha kulikonse, woopsa zokwanira, popeza thupi kale kuyambira kufalitsa njira infiltrative ndi zowononga.

zifukwa

Pa nthawi ya gestation yoopsa dongosolo endocrine limodzi ndi opareshoni rearrangement.

Kusintha kumachitika:

- mu njira kagayidwe kachakudya;

- chitetezo ndi dongosolo hematopoietic.

thupi amalandira kupsyinjika ndithu, chifukwa kwenikweni pamaso pa malonda kagayidwe kachakudya yoopsa. Nthaŵi zambiri ambiri mfundo zoopsa. Chifukwa cha ichi, matenda ya khateyo chifukwa matenda chachikulu ndi tizilombo.

TB zambiri zimakhudza pa mimba mu trimester 1, ngakhale kuti akhoza kudwala nthawi iliyonse. Pachiopsezo ndi akazi miyezi 6 yoyambirira postpartum. Nthawi imeneyi, ndi yoyamwitsa yogwira ndi mwana akupitiriza akalandireko kwa mayi zigawo zikuluzikulu zonse zofunikira kukula, kotero thupi sichitha kuti uwonongeke.

Amene ndingapeze funsani?

TB ndi mimba amafuna nawo madokotala angapo. Ngati anaona pa zizindikiro Muzisamala, m'pofunika kufunsa gynecologist wanu. Iye kufunsa mafunso, imene tingadziwire kuganiza pamaso pa matenda.

1. Pali toxemia?

2. yaitali Kodi vuto zimachitika ndi kapepala kupuma?

3. Matenda a Chimfine ndi SARS zidatunsidwa mu miyezi posachedwapa?

4. sakuyenda matenda kapena ayi?

Ngati dotolo amaganiziridwa matenda, wodwalayo zina anayamba kuchita ndi TB dokotala, katswiri m'mapapo, otolaryngologist ndi dokotala. Mu akazi ndi TB nthawi zambiri anabadwa ana athanzi monga intrauterine chotupa ali osowa. Kuyamwitsa mwana amaloledwa okhawo odwala amene anafooka mawonekedwe a matenda.

zotsatira

Malinga ndi kafukufuku, ngati pali ndondomeko chifuwa chachikulu, mu mayi woyembekezera taonera kuwonjezeka mu pafupipafupi magazi m'thupi. Komanso matenda kumayambitsa oyambirira ndi mochedwa gestosis ndi amniorrhea. Pa nthawi yomweyo 46% ya amayi apakati palibe mavuto TB m'mapapo mwanga. Asanakwane ntchito kumachitika kokha 6% ya milandu. Postpartum chithunzi cha akazi awa chikuchitika bwino.

diagnostics

X-ray bwinobwino komanso pachifuwa X-ray, ndi zofunika kwambiri pa nthawi ya mimba. Koma nthawi zina, madokotala zina anaika njira zimenezi. ZIMAKHALA Doctor ndithudi ndidzapempha mkazi za Mwina kukhudzana ndi matenda odwala, natisunthitsa kale ngati mimba chifuwa cha TB ndipo nthawi izo kungakhale kovuta ndi zotsatira zoipa. Ngati dokotala zomveka kuganiza kuti kuli matenda, ndi kuvomerezedwa kuchita X-ray Kupenda chofunika, kaya utali. Pa nthawi imeneyi akakhala wolungama chiopsezo, ngati akuchedwa matenda kumayambitsa aggravation za moyo ndi zotsatira sizingasinthe. Pa nthawi ya kafukufuku miyezo wapadera zoteteza ntchito kuteteza mwana wosabadwayo ku chikoka cheza.

Mu kusanthula magazi amaganiziridwa pamaso pa matenda kuli kovuta, kuyambira milingo apamwamba leukocytes, ESR ndi kuchepetsedwa hemoglobin zimayenera kukhala zachindunji kwathunthu kwa amayi apakati, komanso matenda.

Kubvomereza vuto matenda chifukwa zizindikiro achotsa, kawirikawiri zokwanira iwo okha matenda pamaso kumaliseche m'chipatala. Mimba TB lymph oopsa, monga matenda kuli kovuta kudziwa ndipo anatumikira zambiri kusokonezedwa ndi mavairasi ena, monga mononucleosis.

chithandizo

Mu nkhani ya zikufunika mwamsanga mankhwala mankhwala antimikrobakterialnymi. Pomwepo akafunsa kuti, zimakhudza awo pa mwana, monga TB ndi mimba - awiri mfundo zosiyanasiyana kwathunthu. Mwa zigawo zonse zomveka teratogenic mwini "Streptomycin". Ndi zoopsa chifukwa zingayambitse kumva kutayika mwana. Choncho, ndi contraindicated kwa amayi apakati.

Ena mankhwala ngakhale mkatikati mwa latuluka, koma alibe chotsatira pa mwana wosabadwayo.

mankhwala TB pa mimba mankhwala kawirikawiri ankamunyamulira:

- "Rifampicin".

- "INH".

- "Ethambutol".

Mankhwalawa amaonedwa chabwino kwa akazi omwe ali ndi mwana, iwo kufufuzidwa ndi odziwika Laboratories lonse. Pamodzi ndi iwo amakonda kulemba vitamini B6, monga izo mwangwiro likugwirizana zotsatira achire.

adokotala kujambula dera zofunika monga mwa malangizo ndi malamulo a mankhwala. Iwo ayenera kumvetsa kuti matenda si ankachitira, ndi zoopsa kwambiri kwa mayi ndi mwana kuposa zosakaniza kupanga. Kumene, TB ndi mimba - zimakhala zovuta, kotero nthawi wavala mkazi ayenera kuyang'aniridwa zonse ndi azamba-gynecologist ndi TB. mankhwala owonjezera ayenera kuperekedwa mosamala.

Nthawi zambiri, odwala amene anaukitsidwa matenda amenewa, kwasanduka m'chipatala katatu pa nthawi yonse.

Hazard kwa mwana wosabadwayo

Mimba chifuwa cha TB m'mapapo mwanga ndipo pa nthawi matenda si owopsa kwa mwana m'mimba. Iwo ankakhulupirira kuti placental chotchinga moti kwa tizilombo, choncho nthenda zambiri kumachitika pa nthawi ya kubala. Pali kuchotserapo, pamene mwana wabadwa kale ndi ziwalo bwanji. Mayi amene wakhala akudziwika mawonekedwe yogwira matenda, tenga mwanayu ndi kudzipatula mpaka kuchira bwino.

kusokoneza

Pakali pano, kuteteza kutenga mimba n'zotheka ambiri akazi ndi kachilombo TB, ngati mwadongosolo ankachitira ndi kulitsatira akatswiri. Panthawi yake kuzindikira ndi ndime ya njira zonse achire limakupatsani kusunga mwana odwala ndi dongosolo zochepa fibronodular svezhevyyavlennymi melkoochagovogo njira, komanso hematogenous-mwiniwakeyo m'mapapo mwanga TB.

Komabe, usokoneze wasonyeza:

- matenda a msana mu thupi lithe mkubwela kwa M'mimbamo ya;
- zoopsa m'chiuno kupanga fistulae kapena abscess;
- fibro-cavernous m'mapapo mwanga TB, akuwuka chifukwa cha mtundu uliwonse wa matenda;
- ndi matenda a bondo, m'chiuno ndi mawondo mafupa.

Mu kukhalapo mwa zizindikiro kwa mimba, ndondomeko zimenezi ziyenera kuchitidwa mu magawo oyambirira (pamaso 12 masabata). Mimba mu nthawi wotsatira si yoyenera, nthawi kumathandiza kuti kupitirira ndi exacerbation la matenda.

kubadwa

Akazi amene kudzapereka thupi lithe, ovuta kwambiri kubereka kuposa wathanzi. Panthawi kuledzera nthawi zambiri amapezeka zoyesayesa ofooka ndi lalikulu kutaya magazi. The ndondomeko yokha amatenga nthawi yochepa. Ndi matenda, mwana mwachibadwa. Kugwiritsa forceps ndi gawo cesarean bwino chifukwa cha mankhwala. Maonekedwe getsi mwana ayenera kutenga malo mu chipatala wapadera. Ngati ngati kulibe, ndodo kuchipatala ayenera analidziwitsa pasadakhale kufika umenewu mtima. Mkazi, nthawi zonse kuvala nkhope chigoba kupewa kufalitsa HIV.

Pa nthawi ya maonekedwe a mwanayo chofunika kuchita kupuma kokoka. Koma ngati dotolo kawirikawiri amagwiritsidwa ntchito antispasmodic ndi ululu mankhwala.
Ngati mankhwala chinaperekedwa kwa wodwala m'njira yake ndipo anali kuyang'aniridwa zonse akatswiri, kuopseza kuti moyo wake ndi mwana pa nthawi ya ndondomeko generic amachepa.

Mimba mankhwala a chifuwa chachikulu

Mkazi aliyense amene ankadwala matenda amenewa ndipo akukonza kubadwa kwa mwana, ayenera kusamalira kwambiri thanzi lawo. matenda ndi cholepheretsa youmba bwino, ngati pali kuthekera yaikulu ya zopindika chitukuko yoopsa. Choncho ndikofunika kukaona TB ndi gynecologist ndi kupeza malangizo awo pamaso panu ndi pakati. Muzichita mapulani sitingakayikire kale kuposa zaka ziwiri pambuyo chithandizo. Ichi ndi chifukwa thupi ayenera kuti achire ndi kupeza mphamvu. Ngati mulibe kutsatira dokotala ayamikira, matenda zambiri akubwerera pa nthawi ya gestation, chifukwa chitetezo chokwanira amachepetsa. Mu nkhani ya waledzera Ndi bwino kuti alandire pachifuwa X-ray.

Mimba chifuwa cha TB m'mapapo mwanga n'zotheka ndi zambiri umatha ndi ziyende bwino, koma onsewa ndi wapadera, ndi miyeso achire ndi munthu madokotala.

Mu nkhani zambiri zabwino, pambuyo zonse mankhwala matenda mwana kubadwa sikuchita mavuto ndi zotsatira za matenda akale chiyani sikungawononge thanzi ndi moyo wa mwanayo. N'chifukwa chake m'pofunika mayesero onse m'nthawi yake zoona wathunthu.

kaonedwe

matenda oyambirira ndi mwambo yake ya mankhwala kupereka zotsatira zabwino chitukuko yoopsa ndi yobereka wotsatira. Nthawi zambiri, ana ndi amayi odwala anabadwa wathanzi, kupatula kuipitsidwa ndi chifukwa mavuto pathological ndi latuluka, komanso ngati nthawi kufuna aliyense okha. Kawirikawiri matenda pambuyo pobereka ndondomeko ya Mayi amene ali ndi chifuwa chachikulu mimba. Zotsatira zake osati yabwino kwambiri, koma, malinga ndi akatswiri, si koyenera kuyamwa mwana mayi. The kuchotserapo milandu komwe akazi zowawa mitundu chachikulu kwambiri matenda ndi zoipa. Ngati mayi wapakati ndi mwaonapo oyambitsa, mwana katemera ndi BCG ndi kuloledwa yoyamwitsa. Atabatizidwa nane kuchipatala ndi mayi wa membala kumene anapanga anthu akhale moyang'aniridwa nthawi zonse akazi ndi chipatala mwana ndi dispensary TB.