Matenda Intrauterine: zimene adzakumane ndi chochita

Mkazi aliyense mimba trimester yoyamba ya kuvomerezedwa mayesowo, kuzindikira kukhalapo zotheka matenda opatsirana zokhudza chitukuko tsogolo la mwana wosabadwayo. Koma, mwatsoka, osati aliyense amadziwa kuti zikhoza kukhala zoopsa kwa mwana wothandizila opatsirana.

M'zaka khumi zapitazi bwino khalidwe lomwe kuwonjezeka matenda intrauterine, kuchititsa imfa yoopsa. Malinga ndi kafukufuku, pafupifupi 45% ya amayi onse wobereka zaka pa nthawi ya kafukufuku chowululidwa nsungu simplex HIV ndi cytomegalovirus. Mu 55% ya akazi anaulula microflora yachibadwa.

Kodi intrauterine matenda?

Intrauterine matenda - matenda opatsirana kwa mayi kupita kwa mwana pa mimba kapena pobereka. Waukulu zinanso chinthu ndi matenda aakulu impso ndi mafupa a chiuno.

matenda Intrauterine n'koopsa malingana m'badwo gestational, makhalidwe a chitetezo chokwanira cha mwana wosabadwayo ndi mtundu wa matenda. Kuopsa waukulu amachokera chachikulu cha matenda, monga mayi sangathe kulimbana ndi matenda.

Tizilomboto lalikulu kuchititsa aakulu yoopsa kuvutika ndi SARS - zovuta chikukhudza: chikuku (R), toxoplasmosis (Kuti), nsungu (H) ndi cytomegalovirus (C).

matenda opatsirana pogonana (STDs) monga chlamydia, ureaplasmosis, chinzonono, ndi trichomoniasis mikroplazmoz, poyerekeza ndi TORS- zovuta, palibe zotupa kwambiri wosabadwa intrauterine.

Kuwonjezera pamenepo, ngozi yaikulu mwana wosabadwa ndi HIV, matenda a chiwindi (B ndi C), chindoko.

Zimayambitsa matenda yoopsa

Chifukwa chachikulu matenda ndi matenda mayi. Komabe, pali njira zina zamatenda:

• Pa biopsy wa nsengwa ndi (platsentotsentrez)
• Pa puncture ndi adani a madzimadzi amniotic (amniotsentrez)
• Pamene anayambitsa kudzera zotengera za kukonzekera latuluka
• njira zosiyanasiyana ntchito kafukufuku wa mwana wosabadwayo, kapena latuluka

Njira kachilombo yoopsa

1. M'mwamba njira ya matenda. mabakiteriya njiru kukwera kuchokera kumaliseche kwa chiberekero, kumene kugwa mu Kakhungu amniotic ndi madzi. Infection akhoza kufalitsa kudzera kachilombo mnzake umuna.
2. Njira kunsi kwa matenda ndi kukhudzana ndi matenda kuchokera m'mimba mwa chiberekero. Izi bwino zimayamba ndi abscess yamchiberekero kapena appendicitis.
3. Hematogenous njira. Ngati wambirimbiri mabakiteriya kapena HIV ndi zofala magazi a mayi, nthenda kumachitika mwa mitsempha ya magazi ndi magazi.

diagnostics

matenda Intrauterine amawapeza ndi pamisinkhu yosiyanasiyana mimba ndipo pambuyo pa kubadwa. The njira waukulu kudziwa kumene kuli tizilombo toyambitsa matenda, ndi kuona za mkazi wa pakati. Magazi mayeso, mkodzo, malovu ndi khomo lachiberekero akusonyeza pamaso pa immunoglobulins (G ndi M) kusonyeza matenda yaikulu kapena kumwa.

Small titer immunoglobulin G limasonyeza Katemera wotsiriza wa mimba (i.e., anachiritsidwa ku kapena matenda akale). Chulukitsani titers wa immunoglobulin G kapena M mawonetseredwe limasonyeza reinfection wa mayi oyembekezerayo.

IgG- gM- - limasonyeza pakalibe matenda

IgG + gM- - wachita kale anasamutsa asanazolowere matenda

IgG- GM + - matenda chachikulu

IgG + GM + - zisadzachitikenso ndipo pa matenda chachikulu kukhala chitetezo chokwanira

Atabadwa, mwana wongobadwa kumene mukumwa MAGAZI, meconium, mkodzo ndi madzimadzi cerebrospinal, ngati n'koyenera. Funsani nthumwi causative matenda kudziwa tilinazo opha tizilombo, umene uli yabwino kwa chithandizo zina za mwanayo.

Mmene mwana wosabadwayo

Si chinsinsi kuti matenda intrauterine angathe kuutsa yaing'ono akuti padera kapena anaphonya mimba. Izi zikhoza kukhala chifukwa malformations kwambiri kapena kuchuluka uterine kamvekedwe.

Komanso, matenda intrauterine zingachititse minofu aakulu kuwonongeka ndi chiwalo :. kutupa mapapo, chiwindi, kapepala m'mimba, khungu, ubongo, etc. Dziwani kuti matenda akhanda mwana kumachitika kutchulidwa kuposa wamkulu.

M'pofunikanso kukumbukira kuti zosavuta, asymptomatic matenda mayi, mwina zimawononga yaikulu chitukuko yoopsa.

Mu magawo oyambirira (pamaso 12 masabata), intrauterine matenda, mavuto amene ndi osadalirika, angachititse imfa yoopsa. Pamisinkhu ina angathe matenda aakulu, monga kudzikundikira madzimadzi a mu ubongo. Ngati matenda zinachitika asanabadwe, matenda amapezeka mu sabata loyamba pambuyo pobereka.

matenda Intrauterine amachititsa placental insufficiency: chakhungu yobereka mpweya ndi zakudya, kuchepetsa kupanga timadzi udindo kukhalabe mimba ndi kuchepa katundu antimicrobial wa latuluka lapansi.

Kodi kuchita?

kuzindikira mwamsanga matenda akhoza kuchepetsa chiopsezo cha kuchuluka, kupitiriza mimba ndi kubereka mwana wathanzi. Pofuna kupewa yoopsa matenda ndi mankhwala opha tizilombo ntchito, yomwe ikuchitika mu trimester chachiwiri. wothandizila antibacterial zotchulidwa dokotala, akhoza kuchepetsa kufala kwa matendawa ndiponso kupewa zotsatira zake oopsa mwana osabadwa. Komanso mankhwala kuti kusintha placental kufalitsidwa, zakudya yoopsa ndi kuchepetsa uterine kamvekedwe.