Intrauterine chirwere: chii kutarisira uye zvokuita

mukadzi wese mimba iri trimester munhu fanira vanopfuura vaongo- rokutanga, kuziva zvinoita kuvapo zvinotapuriranwa chokuita neramangwana kukura azvarwa. Asi zvinosuwisa kwete vose anoziva zvakawanda zvinogona kuva nengozi nokuti mwana asati aberekwa rwarisa nevamiririri.

Mumakore okupedzisira makore gumi zvakajeka kuitika kuwedzera intrauterine chirwere, kuitisa fetus rufu. Maererano nenhamba, paavhareji, 45% yevakadzi ose zera panguva yacho kuongorora kwakaratidza herpes simplex utachiona uye cytomegalovirus. Muna 55% yevakadzi yakaratidza wenguva microflora.

Chii intrauterine hweHIV?

Intrauterine chirwere - nechirwere chinopfuudzwa kubva mai utachiona kuti mwana pavanenge vakazvitakura kana pakusununguka. The chikuru predisposing chinokonzera chirwere cheitsvo uye chiuno.

Intrauterine chirwere kunogona kuva nengozi zvichienderana gestational zera, hunhu kutapata ari mudumbu uye mhando chirwere. Huru ngozi inobva huru chirwere, sezvo amai haisi kukwanisa kukurira chirwere.

Chikuru utachiona hwakakura anokonzera zvakakomba fetus abnormalities ndiro SARS - yakaoma kuitika: rubella (R), toxoplasmosis (To), herpes (H) uye cytomegalovirus (C).

Pabonde (STDs) izvo zvinosanganisira chlamydia, ureaplasmosis, mwandabvu, uye trichomoniasis mikroplazmoz, richienzaniswa TORS- yakaoma, hapana maronda ve- intrauterine mudumbu.

Mukuwedzera, chikuru ngozi kune mwana vari HIV, hepatitis (B uye C), njovhera.

The zvinokonzera fetus chirwere

The chikuru chinokonzera chirwere ari chirwere mai. Zvisinei, pane dzimwe nzira chirwere:

• Munguva biopsy pamusoro placenta (platsentotsentrez)
• Panguva ponji chete kubatwa zviri Líquido mvura (amniotsentrez)
• Kana akasuma kuburikidza midziyo placenta kugadzirira
• Various operative tsvakurudzo nzira mudumbu kana placenta

Nzira chirwere fetus

1. Zvichikwira nzira chirwere. Pfini Mabhakitiriya neWekumusoro kubva nyinyo kusvika dumbu, apo kuwa muna Líquido Kamudzira uye mumvura. Chirwere anogonawo kupararira kuburikidza neutachiona dzisingaoneki naye.
2. The pasi nzira chirwere ndiyo kuonana hweHIV kubva mudumbu kupinda dumbu. Izvi zvinogona kukonzerwa ovarian pute kana appendicitis.
3. Hematogenous nzira. Kana yakawanda utachiona kana utachiwana kwakapararira muropa raamai, utachiona kunoitika kuburikidza neropa uye neropa midziyo.

Diagnostics

Intrauterine chirwere kunokwanisa kuonekwa sapanguva siyana zvokukura pamuviri uye pashure pokuberekwa. Nzira huru kuona pamberi utachiona, ndiwo kuongorora mukadzi pamuviri. Blood bvunzo, weti, mate uye remuromo, vanoratidza kuvapo immunoglobulins (G uye M) ichiratidza chikuru utachiona kana wava kusvutazve.

Small titer immunoglobulin G inoratidza wokupedzisira majekiseni anodzivirira kuti pamuviri (i.e., vakaporeswa panguva kana kare chirwere). Yakawedzera titers pakati immunoglobulin G kana M kuratidzwa inoratidza reinfection mukadzi pamuviri.

IgG- gM- - inoratidza kusavapo chirwere

IgG + gM- - akaita kare akatamisira kutapata nechirwere

IgG- GM + - chepuraimari chirwere

IgG + GM + - dzokororo uye panguva chikuru chirwere kuva kutapata

Azvarwa, mwana achangoberekwa dziri kutora nemiedzo ropa, meconium, weti uye cerebrospinal fluid kana zvakakodzera. Kuziva pamusoro causative mutumwa chirwere yokuziva aikanganiswa nemishonga, riri akanakira humwe kurapwa mwana.

Zvinoitika azvarwa

Hapana chakavanzika intrauterine chirwere anokwanisa kumutsa chiduku rokuti nokupfupfudzika kana kurashikirwa pamuviri. Izvi zvingava nokuda kwazvo malformations kana kwakawedzera uterine matauriro.

Uyezve, intrauterine noutachiona kunogona kukonzera chakakomba kukuvara rinenge nenyere :. kuzvimba mumapapu, chiropa, nemudumbu, ganda, uropi, etc. Zvinokosha kucherechedza kuti achangoberekwa zvirwere mwana kuitika raidudzwa kupfuura ari mukuru.

Zvinokosha kuyeuka kuti nyore, asymptomatic chirwere muna mai, zvinogona nezvakwakaipira zvazvinoita fetus.

In tanga (asati 12 mavhiki), intrauterine noutachiona, zvakaipira zviri nezvimwewo, anogona kukonzera fetus rufu. Papera At mumatanho zvingamuka chirwere chakakomba, chakadai kuunganidza mvura muuropi. Kana chirwere yakaitika asati aberekwa, utachiona rikaitika vhiki yokutanga pashure pakukurukura.

Intrauterine chirwere kunokonzera placental insufficiency: vasingadzoreki chokuendesa okisijeni uye zvinovaka muviri, kunoderedza kugadzirwa mahormone anokonzera kuramba pamuviri uye kuchiderera inorwisa utachiona ehupfumi ari placenta.

Zvokuita?

Early kuonekwa chirwere kunogona kuderedza ngozi kuwanda, kuti murambe pamuviri uye kubereka mwana ane utano. Kuitira kudzivisa fetus chirwere pamwe asingaurayiwi kurapa rinoshandiswa, iro rinoitwa rechipiri trimester. Antibacterial yomuchipatara chairayirwa chiremba, unogona kuderedza mukana wokutapukirwa uye asashandiswe migumisiro yakaipa chaizvo mwana asati aberekwa. Also varayire mishonga kuti kuvandudza placental kuparadzirwa, fetus zvokudya uye kuderedza uterine matauriro.