Chirwere chekare chisina kukwana mumadzimai ane pamuviri: kudzivirira, kurapwa. Migumisiro yehutachiona husina simba pakuzvitakura

Chiitiko chakadai chakadai sehutano hwakamirira kwenguva refu, zvinosuruvarisa, zvinogona kusvibisa dzimwe nguva zvisingafadzi. Semuenzaniso, zvinogona kuva kuwedzera kwezvirwere zvisingaperi mushure mekuchinja kwehomoni mumuviri. Uye kungofunga nezvekuvhiringidza kwehutano husina kunaka pakuzvitakura, unogona kubudirira nekutsungirira uye kubereka mwana ane utano, pasina kuisa utano hwako pachako kana hupenyu.

Chii chinonzi extragenital pathology muvakadzi vane pamuviri?

Zvirwere zvose, syndromes nemamiriro emukadzi ane pamuviri, izvo zvisiri zvechimiro uye zvisingaiti zvinetso zvisingagadziriswi, zvinorongwa mune rimwe boka, iro rinonzi "extragenital pathologies" (EGP).

Izvi zvinokumbirisa mubvunzo wakanyatsojeka: pane vakadzi vakawanda vane pamuviri vane chirwere chechirwere chekare here? Nhamba idzi munyaya iyi haisi kunyaradza zvikuru. Sezvakaratidzwa zvinoratidza, nhamba yevakadzi vanotambura nezvirwere zvisingaperi iri kukura gore negore. Kusvika iye zvino, inenge 40% yehutano husina matambudziko. Dambudziko rekuregererwa kwepamuviri uye kucherekera toxicosis ndiyo matambudziko maviri anowanzozivikanwa pakuonekwa kwehutachiwana hwechirwere. Asi kunze kweiwo kune dzimwe zvirwere, izvo zvakare ndezveEGP.

Zvirwere zvinosanganiswa mupfungwa ye "extragenital pathology":

• Anemia yezinga rakakura ;
• Arterial hypertension;
• Myocarditis;
• Heart defects;
• Rheumatism;
• Chiropa chechiropa;
• Chirwere chepyo;
• Zvirwere zvinokonzerwa nehutachiona;
• Zvirwere zvemuviri wepamuviri;
• Zvirwere zvokuputika;
• Viral hepatitis uye utachiona.

Tichamira uye tifunga nezvimwe zvikamu zvezvirwere zvezvirwere. Izvi zvinobatsira kunzwisisa zviri nani kutora pamuviri nekuberekwa kunobata zvirwere zvisingabatsiri uye zvipi zvinokosha zvinofanira kutorwa munyaya imwe neimwe.

Zvirwere zvemwoyo yematambudziko

Zvirwere kubva muboka iri zvinowanikwa mu2-5% yevakadzi vane pamuviri. Kana zvikaonekwa chero zvirwere zvepfungwa, mukadzi ane pamuviri anofanira kufambidzana nevarapi vomunharaunda. Kubva pamigumisiro yemisheni, chiremba achasarudza kuti angava nemimba here kana kuvhiringidza pamuviri.

Kana pasina chiremera chakanyanya chechirwere chekare (kukura kwekushaya kukwana kwema 3 rd grade nekuwedzera kwema moyo uye dyspnea nemitoro shoma kana kuti zororo), saka hakune zvimwe zvazvinodiwa zvekutapukira kwemucheche. Mumamiriro ezvinhu akadaro, chete chirwere chinoda kurapwa chinosarudzwa, chinozobatsira kuchengetedza kugadzikana kweamai uye remangwana mwana.

Rheumatism panguva yekuzvitakura

Muchiitiko chekuwedzera kwe rheumatism, nyaya yekuwedzera kukwegura inova yakaoma kwazvo. Kana dambudziko racho richiratidzwa mumutatu wekutanga, sarudzo inogadziriswa kugumisa kuberekwa, sezvo muchiitiko ichi, zvinodhaka zvisingaenderani nehuwandu hunobudirira mumatanho ekutanga anodiwa.

Kana hutachiona husina kukwana huri maitiro erheumatism hwazviratidza pachedu kwemaawa anopfuura makumi maviri nemasere, zvinoita kuti zvive nyore kuva nehutano hwakachengeteka apo uchichengetedza hupenyu hwomwana anotevera.

Zvisinei, kuvapo kwechirwere ichi mu40% yematambudziko kunosangana nekuguma kwe toxicosis, zvichida fetal hypoxia uye kuonekwa kwekukwanisa kubvisa pamuviri. Vacheche vanochecheche vanewo zvakagadziriswa zvakakwana kune zvipembenene uye zvirwere zvinotapukira.

Hypertension

Kuberekwa pamusana pehutachiona hwechirwere chechirwere muhutano hwehuwandu hwehutano hwakanyanya. Kuwedzerwa kweropa kunogona kukuvadza kuberekwa nguva isati yasvika kana kuva chimwe chezvikonzero zvinokonzera kuparara. 40% yevakadzi vane pamuviri vane hypertension vanotambura kubva pakupedzisira toxicosis, izvo zvinogona kukonzera fetal hypoxia.

Mukusabatwa kwezvinetso zvipi zveshoko rekushaya kukwana, kukanganiswa kwepachikafu, kuora kwepfungwa zvinokanganisa, "hypertension" (zvose zvinokonzerwa nehutachiona) uye "pamuviri" inowirirana pfungwa. Chinhu chimwe chete, mumamangwana mune ramangwana rinofanira kuita zvakanyanyisa kuona maitiro ekushanda nekuzorora, uyewo kugadzirisa kushandiswa kwemunyu (kwete kupfuura 5 mg pazuva).

Hypotension

Kuderedza ropa mukati mekuita pamuviri hakuregi njodzi kudarika kuwedzera kwayo. Vakadzi vane hutachiwana hwechirwere chechirwere muhutano hwe hypotension vari pangozi yakawanda yokubvisa pamuviri nguva dzose chero nguva. Vanogona kunge vane matambudziko anokonzerwa nekushaya simba uye kuparadzana kwepentecenta, uyewo zvinetso zvekuberekwa. Mukuwedzera, pangangodaro kunonoka mukukudziridza kwechi fetus nekuda kweropa risina kufamba mumapententa.

Arrhythmia

Kune zvitatu zvakasiyana-siyana zvechirwere: hutachiona hwefridhi, extrasystole uye paroxysmal tachycardia.

Atrial fibrillation ndiyo inonyanya kuipa, nokuti inogona kutungamirira kukanganisa mwoyo uye mwoyo kukanganisa. Uyewo, nehosha iyi, kune huwandu hwekufa kwevanhu: perinatal - 50%, vanaamai - 20%. Nokudaro, kana chirwere chepriyuta chiri kuonekwa, chisarudzo chinoitwa pakuendeswa nechikamu chekushaya chirwere, kuberekwa kwezvisikwa kunorambidzwa.

Extrasystoles kazhinji haadi chirwere chakakosha uye hazviiti dambudziko guru. Semitemo, inowanikwa mumwedzi yekupedzisira yekudzivirira (yechitatu trimester), uye kutaridzika kwayo kunovhiringidzika nekusimudza diaphragm uye kufara mupfungwa panguva yekuberekwa.

Paroxysmal tachycardia inowanzoshamisa uye inopesana nemafungiro akanaka. Zviratidzo zvechirwere zvinogona kuva chizivo, utera, kurwadziwa mumoyo, kusuruvara. Kuti uvandudze mamiriro acho ezvinhu, zvinowanzoshandiswa.

Zvirwere zveputsvo uye nhengo dzomuviri

Chirwere chisina kukwana mumadzimai ane pamuviri munharaunda yezvibereko zvekuvhenekera kazhinji zvinowanzoonekwa muchimiro che urolithiasis kana pyelonephritis.

Urolithiasis

Icho chiri pamwe chete nemarwadzo ari mumucheto kumashure, kusagadzikana uye kutsemuka panguva yekuzorora. Mukuwedzera, kusuruvara, kurutsira, kuvhiringidzika kunogona kuitika, uye munyaya ye pyelonephritis, fever nekuputira kuchinja muropa kunoonekwa.

Pasinei nenguva yepamuviri, mabasa ekuvhiya anogona kunyorwa kana zvichidiwa. Kana, mushure mekufamba kwavo uye nedzidzo remishonga inodhaka, hutano hwehvo hunodzorerwa, pamuviri unoramba uripo.

Acute gestational pyelonephritis

Kazhinji kacho, chirwere ichi chinoitika panguva inenge inenge mavhiki gumi nemaviri, kunyange zvazvo inogona kuonekwa panguva dzose yekuzvitakura. Izvi zvinokonzerwa nehutachiona hunofambidzana nefivha uye chills.

Kurapa kunoitwa muchipatara uchishandisa antibacterial drugs. Pakupera kwechirwere chekurapa, vakadzi vane pamuviri vanofanira kutora uroantiseptics yemiti yakasikwa (teas renal, nezvimwewo).

Kana kusavapo kwematambudziko, kuberekwazve uye kuberekwa kunowanzoitika.

Glomerulonephritis

Glomerulonephritis chirwere chakakomba chechirwere chekare, panguva iyo kuwedzerwa kwekuita pamuviri kunopesana, sezvo kunotungamirira kukurudzirwa kwekushaya simba.

Nenzira yakanaka, pakati pevakadzi vane pamuviri chirwere chacho hachiwanzovi - mune imwe chete nyaya kubva kune chiuru.

Zvirwere zvegumbo rekudya

Chirwere chekare chinenge chiri chechirwere chemuviri wepamuviri hachisi kupesana kwekuita pamuviri. Vakadzi vane gastritis, duodenitis kana kunyange peptic ulcer, mukoti akachengeteka uye vanozvara mwana ane utano.

Chinhu chimwe chete chinogona kuva dambudziko kumukadzi ane pamuviri hachina kufanana. Nemhaka yei, amai vane ramangwana vane kupera, izvo zvinowedzera nemwedzi mumwechete kusvika pakuzvarwa. Mukuwedzera, mukadzi ane pamuviri angangodedzererwa nekugumburwa kwekusingaperi.

Kazhinji, kutaridzika kwepfungwa kunowanikwa kubva pamusi we20 kusvika ku22 wekuzvitakura, asi panguva ino inoitika nguva uye inokurumidza kupfuura. Penguva yemavhiki makumi matatu, mukadzi mumwe nomumwe wechitatu anonyunyuta pamusoro pake, uye pedyo nekuberekwa nhamba iyi inowedzera, uye zviratidzo zvisingafadzi zvinowanikwa mumadzimai matatu ane pamuviri kubva kune mana.

Nezvekudzivirira, ipapo nhamba yavo inowedzerawo kusvika kumagumo ekudzivirira. Kubvuma mamiriro ezvinhu akadaro kwakanyanya kusingadi, sezvo kunogona kukuvadza hutano hwehutano hwomudzimai ane pamuviri uye hunoita chisungo chekugadzirisa chemuviri wechibereko. Kusimba kwakasimba panguva yekuzvidzivirira kunogona kukonzera inzwi rechibereko uye kutungamirira kuguma kusati kwatanga kuberekwa.

Nzira huru uye inobudirira yekubvisa matambudziko ari pamusoro apa ndeyekudya kwakakosha, izvo zvinosanganisira michero ine zvishoma zvingaita (beet, prunes, gorosi bran, etc.), uye bifidobacteria (kefir).

Zvirwere zvemapfupa ekufema

Kuita ushamwari, sekutonga, hakuiti kukanganisa kukuru kumukadzi ane pamuviri uye mwana wake. Asi nekronchitis uye pneumonia, zvinhu zvishoma zvishoma.

Yakanaka uye isingagumi

Bronchitis inoratidzika nekukuvadza kune bronchial mucosa uye chirwere chinoputira. Inosangana nemarwadzo mubhokisi, kuora kwakasimba, uye mune dzimwe nguva, zviratidzo zvekudhakwa kwemuviri.

Chronic bronchitis haisi chikonzero nei kuramba uchiita pamuviri hakugoneki. Zvinokwanisika kuva nematambudziko maduku nenzira ye dyspnea ine mitoro shoma kana kuperevedza kwekufema kwedigiri yekutanga. Asi zvisati zvaitika zvakakosha kufunga kuti kubata kwakadaro kuchava kwakaoma.

Muzviitiko zvekufema kusakundikana kwekufema kwechipiri kana yechitatu kuchikoro, sarudzo inogadziriswa kugumisa kuberekwa kuitira kuchengetedza hutano nehupenyu hwomukadzi.

Yakanaka uye isingaperi pneumonia

Chirwere chinonzi chirwere chinoputika chinopararira chinokanganisa mapapu. Inofambidzana nefivha yepamusoro uye zvimwe zviratidzo, zvichienderana nemhando yehutachiona-pathogen uye zvinoitwa nemukadzi ane pamuviri.

Hospitalization yevakadzi vane pamuviri vane chirwere chechirwere chisina kukwana mumhando yepineumonia inomirira! Kurapa kunoitwa pasi pekutarisirwa kwechiremba uye chiremba-gynecologist.

Bronchial asthma

Zviratidzo zvakajeka zvechirwere ichi zvinorwiswa nekugumburwa kunoitika usiku kana mangwanani uye zvinopedzerwa nekukanda kwakasimba kwakasimba uye dyspnea yemhando yekudzivirira . Kurwisa uku kunoguma nekutengesa kwechidiki che purulent sputum.

Bronchial asthma muhupenzi uye ine mwero haisi iyo inoratidza kubvisa pamuviri, asi inogona kutungamirira pakuzvarwa nguva isati yasvika, kucherechedza toxicosis, kushanda kwakanaka uye kubuda ropa panguva yekuzvarwa.

Zvirwere zvechiropa

Pamusana pekutyora kwekuita mukati mechiropa chewesrogen, zvirwere zvisingaperi zvakadai se-cirrhosis uye hepatitis zvinogona kukonzera kushaya. Kana kuve nepamuviri kuchiripo, mikana yemigumisiro yayo yakanaka inokosha. Mumamiriro ezvinhu akadaro, inowanzoguma nokupererwa pamuviri, kuberekwa kwevakafa, uye nepamusoro pekufa kwevabereki panguva yekuzvarwa. Mukuwedzera, panguva yekuzvitakura, mukadzi angava nechiropa chisakundikana.

Kana kuwedzera kwezvirwere zvisingaperi kwakagadziriswa vasati vhiki ye20, mimba inopwanyika. Kana mavhiki anopfuura makumi maviri akapfuura, zvino zvose zvinogoneka zvinoitwa kuti zviwedzere, sezvo kubvisa pamuviri kungangowedzera mamiriro acho ezvinhu.

Kana chirwere chechirwere chisingagoneki chisina kuwedzera munguva yekuzvitakura, hapana chinoratidza kukanganisa kwayo uye chikamu chemigumisiro yakabudirira inenge yakangofanana nevakadzi vane utano.

Endocrine zvirwere

Zvirwere zvinowanzoitika pakupedzisira zvekudya zvinosanganisira chirwere cheshuga, thyrotoxicosis uye hypothyroidism. Ngatitangei kugara mune zvakawanda pamusoro peumwe neumwe wavo.

Diabetes mellitus

Chirwere chacho chinoratidzika kuti hachina kukwana kwe insulini kana kuti haina kukwana kwakakwana, zvichiita kuti kusawirirana kwemakhahydrates uye zvinetso zvemagetsi. Mune ramangwana, pangave nekushanduka munhengo uye maviri emuviri.

Diabetes mellitus inoratidzika nenzira yekurema, kuora mwoyo, ganda rinopisa, polyuria, nyota. Kuti uwane hutano hwakanaka hwechirwere ichi, zvakakosha kutora miedzo yehuga yeropa, uye urinalysis.

Vakadzi vane chirwere cheshuga panguva yekuzvitakura vanopfigirwa muchipatara kanenge katatu: pamatanho ekutanga, mushure memavhiki makumi maviri nemaviri uye pamasabata 34-36.

Chirwere cheshuga mellitus (zvose zvechirwere chekare) uye kubata pamuviri kunowirirana zvakakwana. Chirwere chacho hachisi chiratidzo chekubvisa pamuviri, uye kuberekwa kwomwana kunobvumirwa zvose nenzira dzechisikigo uye nekushanda kwechikamu chekusiya.

Chinhu chimwe chete chinoda kufungwa nezvazvo: mukadzi ane pamuviri anofanira kutora miedzo uye anoongororwa nevanachiremba kanenge ka4-4 pamwedzi.

Thyrotoxicosis

Chirwere chacho chinosanganiswa nekuchinja muhutano hwetachiona: kuwedzera kwahwo uye kushaya simba. Icho chiri pamwe chete ne thyrotoxicosis neine simba rakasimba, kutuka, kuneta kwakakurumidza, kunzwa kwekupisa, kushungurudzika kwehope, kudedera kwemaoko uye kuwedzerwa ropa. Somugumisiro, chirwere ichi chinogona kukuvadza zvakanyanya toxicosis nekuparara.

Nechimiro chinyararire che thyrotoxicosis, pamuviri isiri yemazuva ose, uye chimiro chakasvibirira uye chinorema chisarudzo chinoitwa pamusoro pokuputsa kwayo.

Panguva yekuberekwa, matanho ose anodiwa anotorwa kuti arege kubuda ropa.

Hypothyroidism

Chirwere chacho chinobatanidzwawo nekushaya simba kwehutachiona hwehutachiona, hwakasimuka nekuda kwekupindira kwekuvhiya kana kuora kwekuzvarwa.

Munguva ye hypothyroidism, pangangodaro kune kushandiswa-kutengesa-kuora mwoyo kana kushaya mwoyo kwepfungwa, pamwe nekudhindwa uye ganda rinoshanduka. Zvirwere hazvisi nani zvinoratidzirwa mumwana anouya: anogona kuva neukwepa hutachiona kana kusara shure kwekukura kwepfungwa.

Muhupo hwehutano hwakanaka uye hwakaoma, pamuviri nekuberekwa kunopesana.

Viral zvirwere

Kuvapo kwehutachiona hwehutachiona panguva yekuzvitakura kunogona kukuvadza kwete hutano hwemangwana amai, asiwo remangwana revana.

SARS nemafuta

Sezvambotaurwa pamusoro apa, kuvharidza kwepachirwere chetachiona (ARVI) hazvina matanho makuru ekubudirira uye hutano hwemucheche. Asi kana hutano hunobuda huchienda kune furu, pane ngozi yezvinetso, izvo zvinogona kukonzera kusagadzikana kwepamuviri. Kunyanya, izvi zvinoshanda kumunhu wakaoma wechirwere mumatatu ekutanga uye wechipiri ekuzvitakura, sezvo ane tatogogic inogadziriswa pamucheche.

Rubella measles

Kuchengetedzwa kwebrigella yecidgenital kunofanira kuitwa musati watanga kuberekwa. Icho chinotarisirwa kuvhara muviri nguva dzose, iyo inoitwa kunyange muhucheche kana kuyaruka.

Iyo yeropuira rubella chirwere inokwanisa kupinda nepasecenta uye, kwenguva inenge kusvika masvondo makumi matanhatu, kuti ibudise embryotoxic uye matatogenic effects pamucheche. Muchiitiko ichi, kuberekwa kusina kunaka kunogona kuonekwa kunyange muvana veavo vanaamai vasina kurwara, asi vakangosangana nevanhu vakanga vane rubella.

Chirwere chacho chinoratidzwa nezviratidzo zvinotevera: kuwedzera lymph nodes, kupera kwenguva refu, thrombocytopenia, articular syndrome, hepatomegaly.

Rubella ari trimester pamuviri rokutanga kunoratidza kuti kugumiswa kwake rokumanikidzirwa.

herpes

HSV (herpes simplex utachiona) anokwanisa zvinopfuura placenta uye kukuvadza nezvebasa tsinga, mwoyo uye fetus chiropa. Somugumisiro, mwana asati aberekwa anogona lag mu kukura mupfungwa kana vane calcifications muuropi, microcephaly.

Most ngozi utachiwana rokutanga trimester, sezvo ane irreparable migumisiro pamusoro mwana asati aberekwa uye kudikanwa zvakamboda kukanganisa pamuviri. Herpes rechitatu trimester ndiye chinodiwa kuti pakaita caesarean chikamu.

Mabatirwo extragenital zvokurwara vakadzi vane pamuviri

Sezvataona, pfungwa extragenital zvokurwara rinosanganisira zvakasiyana siyana zvirwere. Saka, zviri pachena kuti imwe nzira chete yokurapa nayo haako. zvakafanira kurapa All inobva Chirwere, ayo zvakaoma kwazvo, kuvapo kana kusavapo exacerbations zvayo trimesters uye zvichingodaro.

Ndezvipi mishonga zvinofanira kutorwa kana paine extragenital zvokurwara? Kana nokupfupfudzika akagadza vamwe zvinodhaka, chirwere, nemavhairasi, anogumbura zvirwere - zvakasiyana nokure. Hapana nyaya kuva kuzvipira medicate. Chete vakuru chiremba (gayinakorojisiti, internist, endocrinologist, etc.) anofanira kodzero kutora chisarudzo uye kugadza negashiro mushonga.

Prevention EGP

Kudzivirira extragenital zvokurwara kuchikonzerwa kuziva zvichibvira chisingaperi zvirwere. Panguva apo vamwe vanonyatsoziva zvose zvoutano zvinetso vamwe exacerbation panguva pamuviri ane chirwere kungava kushamisika chaizvo. Ndokusaka obstetricians zhinji angarayira narwo yokurapa kuongorora zvizere kunyange panguva nokuronga mwana.

The rakatevera pfungwa - the pamuviri pachayo. In pamberi extragenital rinogona kugadziriswa kana ari contraindicated. Zvino wekutanga uye wechipiri kacho (kana mukadzi akaramba kugumiswa pamuviri) zvakafanira kunyoresa yakakodzera nyanzvi uye kushanyako kanenge 1 nguva pamwedzi. Izvi zvichabatsira kuti kuona chimiro zvichibvira yematambudziko uye kuvabvisa.

Uyezve, pamuviri kanoverengeka kupa vakaronga muchipatara. Hazvina zvakakodzera kuvapa kukwira kuti muvadzivirire pane akaipa nemigumisiro zvose pachavo vavo mwana.

Kubatidza yenyu pamuviri, utano!