Extragenital kudwala mu amayi apakati: kapewedwe, mankhwala. Mmene mimba extragenital

Chimwemwe chokondweretsa monga mimba yomwe yayitalikira, mwatsoka, ikhoza kusokoneza nthawi zina zosangalatsa. Mwachitsanzo, zikhoza kuwonjezereka matenda aakulu omwe amapezeka m'mbuyo mwa kusintha kwa mahomoni. Ndipo kungoganizira za chikoka cha matenda osapatsirana pa mimba, mukhoza kupirira ndi kubereka mwana wathanzi, popanda kuika thanzi lanu kapena moyo wanu.

Kodi chiopsezo cha amayi oyembekezera ndi chiyani?

Matenda onse, syndromes ndi zikhalidwe za amayi omwe ali ndi pakati, zomwe siziri zazimayi komanso zosokoneza mavuto, zimagawidwa m'magulu amodzi, omwe amatchedwa "matenda opatsirana" (EGP).

Izi zikupempha funso lodziwika bwino: kodi pali amayi ambiri omwe ali ndi pakati omwe ali ndi matenda owonjezera? Ziwerengero pambaliyi sizothandiza kwambiri. Monga momwe chiwonetsero chimasonyezera, chiwerengero cha amayi omwe akudwala matenda aakulu chikukula chaka chilichonse. Pakadali pano, pafupifupi 40 peresenti ya mimba ilibe mavuto. Kuopsezedwa kwa kuchotsedwa kwa mimba ndi mochedwa toxicosis ndi mavuto awiri omwe amadziwika kuti ali ndi matenda owonjezera. Koma kupatula pawo pali matenda ena, omwe ali a EGP.

Matenda omwe amaphatikizidwa mu lingaliro la "matenda osadziwika":

• Matenda a m'mimba ovuta kwambiri ;
• Matenda oopsa;
• Myocarditis;
• Kulephera kwa mtima;
• Rumatism;
• Matenda a chiwindi;
• Matenda a impso;
• Matenda osakaniza;
• Matenda a tsamba la m'mimba;
• Matenda opuma;
• Matenda a chiwindi ndi matenda.

Tidzasiya ndi kulingalira mwatsatanetsatane magulu onse a matenda. Izi zidzakuthandizani kumvetsetsa momwe mimba ndi kubereka zimapangidwira matenda osadziwika ndipo ndi zofunikira ziti zomwe ziyenera kuthandizidwa payekha.

Matenda a mtima

Matenda a gululi amapezeka 2-5% mwa amayi apakati. Ngati atapezeka ndi matenda aliwonse a mtima, amayi omwe ali ndi pakati ayenera kulankhulana mwamsanga ndi wodwalayo. Malingana ndi zotsatira za mayesero, adotolo adzasankha ngati angagone kapena kusokoneza mimba.

Ngati palibe mankhwala oopsa omwe amachititsa kuti munthu asapitirire kutaya mtima, kuti adziwe kuti ali ndi kachilombo koyambitsa matenda a mtima wa 3rd grade, komanso kuti ali ndi vuto la mtima komanso dyspnea. Zikatero, ndizofunika kokha mankhwala othandizira odwala, omwe angathandize kukhalabe bata kwa mayi ndi mwana wam'tsogolo.

Rheumatism pa nthawi ya mimba

Ngati vutoli likuchuluka kwambiri, vuto lakutenga mimba kumakhala lovuta kwambiri. Ngati vutoli likuwonetsedwa mu trimester yoyamba, palipangidwe kuti kuthetsa mimba, chifukwa chaichi, mankhwala osagwirizana ndi kukula kwake kumayambiriro oyambirira akufunika.

Ngati matenda osadziwika ngati mawonekedwe a rheumatism adziwonetsera pa nthawi yoposa masabata makumi awiri ndi awiri, zimakhala zotheka kukhala ndi chitetezo komanso kusunga moyo wa mwana wamtsogolo.

Komabe, kupezeka kwa matendawa mu 40% ya milandu ikuphatikiza ndi kuchepa kwa toxicosis, kotheka fetus hypoxia ndi kuoneka koopsa kochotsa mimba. Ana obadwa kumene amakonzedwanso mwapadera ku chifuwa ndi matenda opatsirana.

Kuthamanga kwa magazi

Mimba kumayambiriro kwa ziwalo zobisika zapachilendo monga matenda oopsa kwambiri. Kuwonjezeka kwa magazi kumayambitsa kubereka msinkhu msinkhu kapena kukhala chimodzi mwa zifukwa zomwe zimayambitsa kusokonezeka koopsa. 40% mwa amayi apakati omwe ali ndi matenda oopsa omwe amavutika kwambiri ndi matendawa, amatha kudwala poizoni, zomwe zimayambitsa fetus hypoxia.

Ngati palibe vuto lililonse lopanda vutoli, kusokonezeka kwapadera, kusokonezeka kwa ubongo, "kuthamanga kwa magazi" (matenda opatsirana) komanso "kutenga mimba" ndizogwirizana. Chinthu chokhacho, mmayi wam'mbuyomu ayenera kuzindikira momwe ntchito ndi mpumulo zimakhalira, komanso kuchepetsa kumwa mchere (osapitirira 5 mg patsiku).

Kusokoneza

Kuchepetsa kuthamanga kwa magazi pamene ali ndi mimba kumakhala koopsa kwambiri kuposa kuwonjezeka kwake. Azimayi omwe ali ndi matenda opatsirana amtundu wa hypotension ali pangozi yaikulu yochotsa mimba nthawi iliyonse. Angakhale ndi mavuto okhudzana ndi vuto losalimba komanso kupatukana kwa placenta, komanso mavuto a kubadwa. Kuonjezerapo, pangakhale kuchedwa pa chitukuko cha mwana wosabadwa chifukwa cha kusauka kwa magazi mu placenta.

Arrhythmia

Pali mitundu itatu yambiri ya matenda: mafinya oopsa, extrasystole ndi paroxysmal tachcarcardia.

Matenda a atrial ndi owopsa kwambiri, chifukwa angapangitse kukhumudwa mtima ndi mtima kulephera. Komanso, ndi matendawa, pali kufala kwakukulu: kufala kwa amayi - 50%, amayi - 20%. Choncho, ngati mankhwala ophera tizilombo toyambitsa matenda amawoneka, chigamulo chimaperekedwa pa kubereka kwa gawo la zakudya, kubadwa kwachibadwa sikuletsedwa.

Kafukufuku wambiri samafuna chithandizo chapadera ndipo sawonetsa ngozi yaikulu. Monga malamulo, amachitika mu miyezi yotsiriza ya mimba (itatu ya trimester), ndipo maonekedwe ake akukwiyitsa ndi kukweza chisangalalo ndi chisangalalo pamtima pakubereka.

Paroxysmal tachcarcardia ndi yosavomerezeka ndipo imasiyana mosiyanasiyana. Zizindikiro za matendawa zikhoza kukhala chizungulire, zofooka, kupweteka mumtima, mseru. Pofuna kusintha vutoli, nthawi zambiri zimagwiritsidwa ntchito.

Matenda a impso ndi ziwalo zobwezera

Amayi oyembekezera m'mimba mwa ziwalo zobereketsa nthawi zambiri amadziwonetsera ngati urolithiasis kapena pyelonephritis.

Urolithiasis

Zimaphatikizidwa ndi ululu m'munsi kumbuyo, kusasangalatsa komanso kudula panthawi ya kukodza. Kuwonjezera pamenepo, kunyoza, kusanza, kudzimbidwa kungabwereke, ndipo ngati pyelonephritis, malungo ndi kusintha kwa kutupa m'magazi kumawonedwa.

Mosasamala kanthu za nthawi ya mimba, opaleshoni ya opaleshoni ikhoza kulamulidwa ngati kuli kofunikira. Ngati, pambuyo pa khalidwe lawo ndi njira ya mankhwala opatsirana, ntchito ya impso ibwezeretsedwa, mimba imakhalabe.

Pyelonephritis yogwira mtima kwambiri

Kawirikawiri, matendawa amapezeka pakapita masabata 12, ngakhale amatha kuona nthawi yonse yomwe ali ndi mimba. Izi zimaphatikizapo matenda ndi chiwombankhanga.

Chithandizo chikuchitika kuchipatala pogwiritsa ntchito mankhwala osokoneza bongo. Kumapeto kwa mankhwalawa, amayi apakati akuyenera kutenga mankhwala ochotsa zomera (ma teas, ndi zina zotero).

Ngati palibe vuto, mimba yambiri ndi kubereka ndizochibadwa.

Glomerulonephritis

Glomerulonephritis ndi matenda osakanikirana, pomwe nthawi yaitali mimba imakhala yotsutsana, chifukwa imayambitsa kukula kwa ubongo.

Mwamwayi, pakati pa amayi oyembekezera matendawa ndi osowa kwambiri - m'modzi yekha mwa zikwi chikwi.

Matenda a kapangidwe ka m'mimba

Matenda osakanikirana ndi matenda okhudza m'mimba sikutanthauza kuti ali ndi pakati. Azimayi omwe ali ndi gastritis, duodenitis kapena ngakhale chilonda cham'mimba, namwino wotetezeka ndi kubereka mwana wathanzi.

Chinthu chokha chomwe chingakhale vuto kwa mayi wapakati ndi reflux. Chifukwa cha iwo, mayi wam'tsogolo ali ndi kupweteka, komwe kumawonjezeka mwezi uliwonse mpaka kubadwa komweko. Komanso, mayi wapakati angasokonezedwe ndi kudzimbidwa kosatha.

Kawirikawiri, maonekedwe a kupweteka kwa mtima amapezeka kuchokera pa sabata la 20 mpaka 22 la mimba, koma nthawi ino nthawi ndi nthawi imadutsa. Pakati pa masabata makumi atatu, mkazi aliyense wachitatu akudandaula za iye, ndipo poyandikira kubadwa chiwerengerochi chikuwonjezeka, ndipo zizindikiro zosasangalatsa zimapezeka mu amayi atatu omwe ali ndi pakati omwe ali ndi anayi.

Ponena za kudzimbidwa, nambala yawo imapitanso kumapeto kwa mimba. Kulandira chikhalidwe choterocho ndi chovuta kwambiri, chifukwa chikhoza kuvulaza moyo wabwino wa mayi woyembekezera ndipo zimakhudza ntchito yogwira ntchito ya mimba ya chiberekero. Kulimbana kwakukulu panthawi yachisamaliro kungayambitse chiberekero cha chiberekero ndikupangitsa kuti mimba isayambe msanga.

Njira yaikulu komanso yothandiza kuthetsera mavutowa ndi chakudya chapadera, chomwe chimaphatikizapo mankhwala omwe ali ndi zotsatira zochepa (beets, prunes, chinangwa cha tirigu, etc.), komanso bifidobacteria (kefir).

Matenda a dongosolo la kupuma

Kuzizira, monga lamulo, sikumayambitsa vuto lalikulu kwa mayi wokhala ndi mwana wake. Koma ndi bronchitis ndi chibayo, zinthu zimakhala zochepa kwambiri.

Chimake choopsa komanso chachilendo

Bronchitis imadziwika ndi kuwonongeka kwa mchira ndipo ndi matenda opweteka. Zimaphatikizidwa ndi ululu m'chifuwa, chifuwa cholimba, ndipo nthawi zina, zizindikiro za kuledzera thupi.

Matenda otchedwa bronchitis sakuyenera chifukwa chake kukhala ndi mimba sikungatheke. N'zotheka kukhala ndi mavuto ochepa monga dyspnea ndi katundu wochepa kapena kupuma kwa digiri yoyamba. Koma pasanapite nthawi ndi bwino kuganizira kuti kutenga mimba koteroko kudzakhala kovuta.

Panthawi ya chitukuko cholephera kupuma kwa digiri yachiwiri kapena yachitatu, chisankho chimapangidwira kuthetsa mimba kuti asunge umoyo ndi moyo wa mkaziyo.

Chifuwa chachikulu komanso chachikulu

Chibayo ndi matenda opatsirana opatsirana omwe amakhudza mapapo. Zimaphatikizapo kutentha kwa thupi ndi zizindikiro zina, malingana ndi mtundu wa tizilombo toyambitsa matenda komanso zomwe amayi omwe ali ndi pakati amakhala nazo.

Kuchekera kwa amayi oyembekezera omwe ali ndi matenda osapatsirana monga chibayo ndilololedwa! Chithandizo chikuchitidwa motsogoleredwa ndi wodwala komanso katswiri wamagetsi.

Mphumpho ya bronchial

Zizindikiro zozizwitsa za matendawa ndizowonongeka zomwe zimachitika usiku kapena m'mawa ndipo zimaphatikizapo chifuwa cholimba ndi dyspnea ya mtundu wopuma . Kuwombera kumathera ndi kutulutsidwa kwa kachilombo kakang'ono ka purulent sputum.

Mphumu yamphongo yamtundu wochepetsetsa sizisonyezero yakuchotsa mimba, koma ikhoza kuyambitsa kubadwa msanga, kuchepa kwa toxicosis, kugwira ntchito mwakachetechete ndi kutaya magazi panthawi yobadwa.

Matenda a chiwindi

Chifukwa cha kuphwanya mavitamini pachiwindi cha estrogen, matenda aakulu monga cirrhosis ndi chiwindi cha chiwindi angayambitse infertility. Ngati mimba ikadalipo, mwayi wa zotsatira zake zabwino ndizochepa. Zikatero, nthawi zambiri zimatha ndi kuperewera kwa mayi, kubadwa kwa ana akufa, komanso kufa kwa amayi ambiri pa nthawi ya kubadwa. Kuonjezera apo, panthawi yoyembekezera, mayi akhoza kukhala ndi chiwindi chosalimba.

Ngati kuwonjezereka kwa matenda aakulu kumapezeka musanafike sabata la 20, mimba imasokonezeka. Ngati masabata makumi asanu ndi awiri apita, ndiye kuti zonse zitheka kuti zitheke, popeza kuchotsa mimba kungangowonjezera mkhalidwewo.

Ngati matenda aakulu a chiwindi sakulakwira panthawi yomwe ali ndi mimba, palibe chisonyezero cha kusokonezeka kwake ndipo chiwerengero cha zotsatira zake ndi chimodzimodzi ndi amayi abwinobwino.

Matenda a Endocrine

Matenda owopsa kwambiri a endocrine amatenga shuga, thyrotoxicosis ndi hypothyroidism. Tiyeni tilowe mwatsatanetsatane pa aliyense wa iwo.

Matenda a shuga

Matendawa ndi osakwanira okwanira insulini kapena osakwanira, zomwe zimayambitsa kusagwirizana kwa zakudya komanso matenda osokoneza bongo. M'tsogolomu, pakhoza kukhala kusintha mu ziwalo ndi ziphuphu za thupi.

Matenda a shuga amadziwonetsera mwa mawonekedwe a kulemera, kusokonezeka kwa masomphenya, khungu loyera, polyuria, ludzu. Kuti mudziwe bwinobwino za matendawa, nkofunika kuti mutenge mayesero a shuga, komanso urinalysis.

Azimayi omwe ali ndi matenda a shuga pa nthawi yomwe ali ndi mimba ali kuchipatala kuchipatala osachepera katatu: pazigawo zoyambirira, mkati mwa masabata 20-24 ndi masabata 34-36.

Matenda a shuga (onse opatsirana) ndipo kutenga mimba kumagwirizana. Matendawa sali chizindikiro chochotsa mimba, ndipo kubadwa kwa mwana kumaloledwa onse ndi njira zachilengedwe komanso pogwiritsira ntchito gawo lachisumbu.

Chinthu chokha chimene chiyenera kuganiziridwa: Mzimayi wapakati amayenera kuyesedwa ndikuyesedwa ndi madokotala maulendo 2-4 pamwezi.

Thyrotoxicosis

Matendawa amagwirizana ndi kusintha kwa chithokomiro: kuwonjezeka kwake ndi kutentha kwake. Zimaphatikizapo thyrotoxicosis ndi kupopera kolimba, kutuluka thukuta, kutopa mofulumira, kumverera kwa kutentha, matenda okhudza kugona, kunthunthumira kwa manja ndi kuwonjezereka kwa magazi. Chotsatira chake, matendawa amachititsa kuti toxicosis ndi kuperewera kwapadera.

Ndi mtundu wofatsa wa thyrotoxicosis, mimba ndi yachilendo, ndi mawonekedwe apakati ndi olimba chisankho chimapangidwa za kusokonezeka kwake.

Pa nthawi yoberekera, njira zonse zofunikira zimatengedwa kuti zitha kupewa magazi.

Hypothyroidism

Matendawa amathandizanso kuti chithokomiro chikhale chosawonongeka, chomwe chachitika chifukwa cha opaleshoni kapena zofooka zapachiyambi.

Pakati pa hypothyroidism, pakhoza kukhala kusokonezeka-kusokonezeka kapena mtima wamtima syndromes, komanso kusintha kwamasamba ndi khungu. Matendawa sali bwino kwambiri kwa mwana wam'tsogolo: akhoza kukhala ndi matenda osokoneza bongo kapena akutha msinkhu.

Pamaso pa matenda opatsirana ndi oopsa, mimba ndi kubala zimatsutsana.

Matenda opatsirana

Kupezeka kwa matenda a tizilombo pa nthawi ya mimba kungapweteke osati kokha umoyo wa mayi wamtsogolo, komanso mwana wake wam'tsogolo.

SARS ndi fuluwenza

Monga tafotokozera pamwambapa, matenda opatsirana opatsirana kwambiri (ARV) alibe mphamvu yaikulu pa chitukuko ndi thanzi la mwana. Koma pamene chimfine chimalowa mu chimfine, pali ngozi ya mavuto, zomwe zingayambitse kusokonezeka kwa mimba. Makamaka, izi zikugwiritsidwa ntchito ku mtundu woopsa wa matendawa m'miyezi itatu yoyamba ndi yachiwiri ya mimba, chifukwa imakhala ndi chiwopsezo pamatumbo.

Rubella chikuku

Kupewa kwa rubella yowonjezera kuyenera kuchitidwa musanayambe mimba. Ndilo katemera wodzitetezera, womwe umachitika ngakhale ali mwana kapena unyamata.

Vuto la rubella la chimanga limatha kulowa m'katikati mwa masentimita makumi asanu ndi awiri (16), kuti agwiritse ntchito embryotoxic ndi matatogenic zotsatira pa mwanayo. Pachifukwa ichi, zovuta zowonongeka zingathe kuwonetseredwa ngakhale kwa ana a amayi omwe sanagwidwe, koma anangowakumana ndi anthu omwe anali ndi rubella.

Matendawa ali ndi zizindikiro zotsatirazi: kuwonjezeka kwa mitsempha ya m'mimba, kutentha kwa malungo, thrombocytopenia, matenda a articular, hepatomegaly.

Chikuku mu trimester mimba kumasonyeza kuti kuchotsa mokakamizidwa ake.

nsungu

HSV (nsungu simplex HIV) amatha umalowa mu nsengwa ndi kuwononga dongosolo chapakati mantha, mtima ndi yoopsa chiwindi. Chifukwa cha zimenezi, mwana akhoza kwanthawi mu chitukuko maganizo kapena calcifications mu ubongo, microcephaly.

Ambiri oopsa HIV mu trimester, monga mavuto mpaka kalekale pa mwana wosabadwa ndi kufunika pakamwa mimba. Herpes mu trimester chachitatu chofunika kwa Kaisara gawo mwadzidzidzi.

Chithandizo cha extragenital kudwala mu amayi apakati

Monga momwe taonera, mfundo kudwala extragenital zikuphatikizapo zosiyanasiyana matenda. Choncho, zikuonekeratu kuti njira imodzi chithandizo izo kulibe. Zonse mankhwala zofunika zachokera mtundu wa matenda, ukulu wake, kukhalapo kapena kusapezeka kwa exacerbations mwa aliyense trimesters ndi zina zotero.

Kodi mankhwala ayenera kumwedwa ngati pali extragenital kudwala? Ngati padera yoikidwiratu mankhwala ena, matenda, tizilombo matenda yotupa - zosiyana. Palibe omva medicate. Only dokotala udindo (gynecologist, internist, m'thupi yemwenso, etc.) adzakhala lakuti kutenga lingaliro ndi kusankha phwando mankhwala a.

Kuteteza EGP

Kuteteza extragenital kudwala makamaka kudziwa matenda zotheka aakulu. Pa nthawi imene ena zimadziŵa ndi mavuto ena exacerbation pa mimba ya matenda angakhale anadabwa weniweni. N'chifukwa chake obstetricians ambiri amalangiza chokuchititsani dokotala Kupenda zonse ngakhale pamene kulera mwana.

Mfundo ina - ndi mimba yokha. Pamaso pa extragenital zikhoza kuthetsedwa kapena contraindicated. Ndipo milandu loyamba ndi lachiwiri (ngati mkazi anakana kuchotsa mimbayo) m'pofunika kulembetsa ndi choyenera cha akatswiri ndi kupita kukaona izo osachepera 1 nthawi pamwezi. Izi zidzathandiza kuti muzindikire maonekedwe a mavuto zotheka ndi kuthetsa iwo.

Komanso, pakati kangapo kupereka hospitalization anakonza. Sikuti kuwapatsa n'cholinga kuwateteza ku mavuto obwera chifukwa cha chawo ndi mwana wawo wosabadwa.

Kuyatsa mimba pako, kukhala wathanzi!