Kulakwila magazi pa mimba: zimayambitsa, zizindikiro, chithandizo

Pakuti kulanda chakudya ndi mpweya kuchokera kwa mayi kuti mwana wosabadwayo Yankho latuluka. Chifukwa cha zimenezi ophatikizana awiri zovuta dongosolo mtima. Mmodzi wa iwo zikugwirizana ndi latuluka kuti mtsempha wamagazi ndi uterine, ndi zina - ndi chingwe umbilical. Pankhaniyi, nsengwa akutumikira monga malire amene amateteza mwanayo ku mavairasi ndi zinthu zoipa. Zimachitika kuti pa US pali kusokonezeka kwa magazi woyembekezera, kumene kungakhudze chitukuko cha mwana.

Doppler

Dzina zachilendo ndi yodziwira kudziwa kudwala aliyense wa magazi mu mitsempha ndi mitsempha. Motero, zida apadera anamanga dopplerograms, omwe amasonyeza pafupipafupi kusiyana pakati pa anatumiza chizindikiro akusonyeza. Research amachitika mode muyezo kapena mtundu sanjira, ndiye, kayendedwe ka magazi kudzera mitsempha ya chimaonetsedwa mtundu. Njira otsiriza limakupatsani msanga molondola kudziwa ngakhale pang'ono kuphwanya utero-placental magazi.

Doppler imagwiridwa atagona pa nsana wanu kapena mbali. Pa nthawi yomweyo kumbali yanu mukhoza kupeza chifukwa chenicheni chifukwa pa nsana wa pakati ambiri akuyamba kamvekedwe, n'zothandiza matenda osiyanasiyana. Katswiri chimakwirira kusanthula gawo gel osakaniza n'kuyamba kuyendetsa kachipangizo pomwepo.

phunziro ili kutumikiridwa kwa amayi apakati, pamodzi ndi woyamba (masabata 18-22) ndipo chachiwiri (masabata 32-34) mosamala. Iwo akhoza kuchitika pa nthawi wapakatikati pamene anasonyeza.

Zimayambitsa magazi

Kudziwa kulephera otaya dongosolo, akatswiri ndi akazi ultrasound ndi Doppler velocimetry. Zimenezi zimathandiza kuona ziwonongeke mu zotengera magazi, younikira kuchuluka kwa mpweya ndi zakudya analandira mwa mwana wosabadwayo.

Nthawi zambiri, amayi oyembekezera mukudabwa chifukwa pali kuphwanya magazi pa mimba. zifukwa zazikulu boma:

• zaka A mkazi (molawirira kwambiri kapena M'malo mwake, mochedwa).
• A kusiyana kakang'ono pakati pa kubadwa.
• Preeclampsia (toxemia wa mimba mochedwa).
• Neoplasms mu chiberekero (monga fibroids), kudwala myometrium endometriosis.
• Shuga.
• Oopsa.
• vuto la impso.
• matenda Intrauterine chifukwa matenda tizilombo akazi.
• Angapo mimba.
• Ambiri mimba kapena kupita padera.
• Magazi m'thupi (kusowa kwa ayironi).
• Latuluka previa.
• Rhesus-nkhondo.
• mavuto magazi clotting chopatsa mapangidwe magazi kuundana.

Mlingo wa matenda otaya magazi

Pa nthawi, pali kusiyana atatu kudwala. Mlingo woyamba lagawidwa subspecies awiri: 1a (kulemala uteroplacental magazi) ndipo 1b (magazi mavuto pakati pa mwana wosabadwayo ndi latuluka). Pa mlingo wachiwiri muli mavuto ndi machitidwe onse ( "chiberekero - latuluka" ndiponso "latuluka - wosabadwa"). digiri Chachitatu kuwaika akazi omwe anali mavuto aakulu ndi magazi.

Gawo loyamba la matenda amenable kuti kusintha kwa mankhwala, ndi chifukwa mwana wathanzi. Nthawi zina, pali chiopsezo imfa perinatal.

Mitundu ya insufficiency placental

Ngati muli kusunga mwana awulule kuphwanya magazi, madokotala zambiri oterewa "placental insufficiency". Mimba, kudwala izi ndi zachilendo ndipo ingakhale yopweteka kwambiri kapena yokhalitsa. Mawonekedwe pachimake amatha kuonekera mwadzidzidzi, pa nthawi iliyonse, chifukwa cha mwana wosabadwayo akukumana hypoxia ndi tingafe. Izi ndi zotheka ndi msanga placental abruption, placental infarction, mapangidwe magazi kuundana.

Mawonekedwe aakulu ambiri pachimake. Kawirikawiri pambuyo masabata 13, monga taonera trimester lachitatu. Chifukwa ndi ukalamba msanga wa latuluka lapansi. Malinga ndi kukula kwa matenda imalipidwa, decompensated, subcompensated, yapadera.

Pamene kulipidwa siteji ya mwana akupitiriza bwinobwino, monga kusintha kuchotsedwa zimagwirira kuteteza thupi wamkazi. Mu kudwala decompensated sanalinso kupirira mavuto, ndi chifukwa kuti mwana wosabadwayo zimawonedwa akusowa mpweya, kukula retardation ndi wonongeka za mtima. Subcompensated siteji ya matenda kumabweretsa akuchedwa kukula kwa mwanayo, komanso imfa yake zotheka. Mawonekedwe zovuta kwambiri imatengedwa yovuta placental insufficiency. Zilibe nthawi zambiri kwambiri, kwache imbaendesa munthu ku isanayambike imfa mosalephera mwanayo.

Zizindikiro zazikulu za matenda

Malinga mtundu wa matenda a magazi zingaoneke mu zosiyanasiyana zizindikiro zake. Kulipidwa placental insufficiency pa mimba sasonyeza yokha, kuphunzira za yekha pa ultrasound lapansi. Mu decompensated mawonekedwe pachimake ndi kuwonekera perturbations kusintha mwana: iye amayendapo ncacikuru, ndi zochepa kwambiri. Pankhaniyi, ndi kofunika kupitiriza diso pa chizindikiro ichi (patsiku zipatso kuyenera nthawi osachepera 10).

Monga mbali zina zimacedwa kukula m'mimba, akusowa kapena owonjezera madzimadzi amniotic. Mosadalira izi simukhala yotsatira, kotero muyenera kukaonana ndi adokotala kuti mungawononge kusintha miyezo. Zimachitika kuti magazi chisokonezo silipita preeclampsia - mochedwa toxicosis mimba. Iwo akhoza kuwonjezeredwa zizindikiro zilipo a kuthamanga kwa magazi, lakuthwa kunenepa, edema, mkodzo excretion zomanga thupi.

The chizindikiro yoopsa kwambiri insufficiency placental - maonekedwe a magazi kuchokera ngalande kubadwa, amagwirizana ndi abruption placental. Pamene ngati boma kokha akatswiri ambulansi.

chithandizo matenda

Ngati mkazi limasonyeza bwino magazi kukhuthala kapena chizolowezi thrombosis, nthawi zambiri ali ndi nthenda yotaya magazi chisokonezo. Mimba, mankhwala zotchulidwa yekha ndi dokotala, pambuyo pa zonse ndi kukonzekera kwambiri. Nthawi zambiri mankhwala osokoneza bongo monga "Kurantil", "Trental" ndi "Hofitol". Iwo woonda magazi ndi kusintha kayendedwe ake kudzera mitsempha ya.

Nthawi zambiri, amayi apakati ndi Kwalamulidwa "Kurantil" imene imagwiritsidwa ntchito obstetrics kwa zaka zoposa 15. Mankhwala uzigwirizana ndi ntchito yake - kuteteza matenda a magazi chifukwa dilution ake, si kupanga kuundana ndi amathandiza kupanga zipangizo zatsopano magazi, bwino chitetezo cha m'thupi.

Komanso, kufunika ndi "Trental" - mankhwala ndi ofanana ndi zochita za "Curantylum". Komabe, lili ndi ubwino lalikulu: mankhwala si kuonjezera ziwiya mtima ndi mosalekeza akumasula mankhwala yogwira pasanathe maola 12.

Zimachitika kuti mkazi ali ndi pang'ono kuphwanya magazi pa mimba. Chithandizo mu nkhani iyi ikuchitika "Hofitol" - mankhwala ndi mchere ndi chomera zigawo (mwachitsanzo, madzi m'munda atitchoku masamba). Iye ali pang'ono diuretic zotsatira ndipo sikukuvulaza chiwindi.

The njira ya mankhwala madigiri zosiyanasiyana Zamatenda ndi Zoyambitsa

Mlingo woyamba wa matenda amatenda utsogoleli wa mankhwala omwe bwino magazi. Madokotala nawonso kuchititsa Doppler ndi cardiotocography (kugunda) wa mwana wosabadwayo mu mphamvu. Research ayenera kuchitidwa mu masiku 1-2 nthawi 7. Ngati mphamvu zabwino mkaziyo kubala mwana asanabadwe. Ngati zizindikiro pansi m'pofunika kuchita kafukufuku tsiku, pofuna kupewa inasinthiratu ndi kusunga pangozi Kaisara gawo pa nthawi. Mu yachibadwa yoopsa yobereka chitukuko akhoza ikuchitika mwachibadwa.

kuphwanya magazi kalasi 2 pa mimba ndi mankhwala. Amagwiritsidwa ntchito mankhwala ndi amodzi mwa yoyamba Komabe, mkazi adzapatsidwa mwayi chikuonetseratu. Madokotala liyang'anire kusintha mu thupi ndi kugwira yobereka oyambirira ngati n'koyenera.

digiri Chachitatu sangakhoze anachiritsidwa chifukwa zotsatira sizingasinthe kuonekere. Pankhaniyi akatswiri si pangozi moyo wa mwanayo, ndipo adzaika ntchito mwadzidzidzi.

kupewa

Mkazi aliyense mphamvu kuti mwanayo adakula ndipo anayamba palibe zosokonezeka. Kuchita izi, iye anayenera yang'anani zakudya zanu; zikhale zambiri mavitamini, mchere, mapuloteni ndi mankhwala ena ofunika. Ngati mayi wapakati sikuti amadwala kutupa, izo ayenera kumwa tsiku osachepera 1 lita imodzi ya madzimadzi (makamaka madzi).

Nkofunika kulamulira kulemera - phindu pamene kusunga mwana akhoza kukhala munthu pazipita makilogalamu 10. Ena amai akuyenera kupewa mankhwala, kukhazikitsa magazi pakati pa mayi ndi mwana wosabadwayo. Iye akuchenjeza kuphwanya magazi pa mimba. Kumbukirani kuti moyo wa mwanayo chingatithandize kusunga njira yolondola oyang'anira ntchito ndi kugwirizana yake ya mankhwala.