Kuberekwa pamuviri kunowanikwa mu15-20% yevana vose vanotarisira. Ichi chirwere chiri pamwe nekuwedzera kweropa, edema, kuputsa kwetsvo. Kurwiswa kwakadaro kunopesana nekuita gestation uye kunokonzera kufa kwevabereki.
Chii chinonzi gestosis mukuzvitakura?
Gestosis vanachiremba vanoshevedza chirwere ichi, umo kune kuputsa kwebasa rezvikamu zvakawanda zvezvikamu (chiropa, mafungiro, nervous system, yemwoyo). Chirwere ichi chinoratidzira chikamu chechipiri chezera remakore. Maererano neizvi, tsanangudzo ye "late toxicosis" inowanzoshandiswa - mukuzvitora iyi inowanzomiririra. Zvinofanira kuonekwa kuti chirwere chacho chinonyanya kunyanya kuvakadzi vaimbove, vasati vaita pamuviri, matambudziko ehutano. Iyi nyika inoita kuti:
- chiropa chiropa;
- itsvo uye urinary system zvirwere;
- chirwere chemwoyo yematambudziko.
Toxicosis pakupera kwekuita pamuviri - zvikonzero
Hazvina maturo kupindura, nekuda kwechinhu chine gestosis panguva yekuzvitakura, pakupedzisira, vanachiremba havagone. Pano nhoroondo iyi, pane mazano akawanda ekuvandudzwa kwechirwere muvakadzi vane pamuviri:
- Iyo nguruve ndiyo dzidziso yevinculum. Maererano naye, chirwere chacho chinonzi neurosis. Iyo inokura pamusana pokuputsa kwemaitiro ekubatana kweavo cerebral subcortex uye cortex. Izvi zvinokonzera kukanganisa kwevascular system, kupararira kweropa.
- Endocrine dzidziso. Vatsigiri varo vanopikisa kuti kuputsa kwehutano hwekutonga, kusakwanisa kwehutachiona hunoita kuti kuve nekushandurwa mubasa rezvinyorwa zve endocrine. Yakagadziriswa nezvinhu zvipenyu zvinokanganisa inzwi remidziyo uye visiketi yeropa.
- Genetic theory. Maererano nemashoko ekuti geneticists akashandura tsananguro pakati pevakadzi vane pamuviri vane gestosis, chirwere ichi chinowanzoitika kune vakadzi vane amai vane zvirwere zvakadaro.
- Placental theory. Inobva pakuvandudzwa kwekuchinja mumusangano wevascular we chiberekero, iyo inopa feedcenta. Iyi mamiriro ezvinhu anoita kuti kusunungurwa kwezvinhu zvinoshandisa zvinokanganisa kushandiswa kwechimiro chemuviri wemavumbi emuviri waamai.
Ndeipi nguva yekupedzisira toxicosis inotanga?
Vakadzi vane hanya nezveramangwana recheche uye chirongwa chekuita chikwata kune vose, kazhinji vanofarira mubvunzo uyu, panguva ipi neipi yekupedzisira toxicosis pakuberekwa kunoitika. Vanachiremba vanopindura vhiki makumi maviri, asi cherechedzai kuti mimba yese inenge yakasarudzwa, saka chirwere chinogona kukura mberi. Semuenzaniso, maererano nezvinoonekwa navanachiremba, hutachiona hunoitika pakutanga kana huri nemimba yakawanda uye yakaoma zvikuru (zviratidzo zvokutanga zvinowanikwa kare pavhiki 16).
Kuwedzerwa kwegestosis mumubhedha unotevera kunopera zvakaderera. Panguva imwecheteyo, nyore nyore chirwere ichi chakaitika uye gare gare kukura kwayo kwaionekwa, mukana wekuvandudzwa kwehutano nehutano hwekudzokorora huri pasi. Nengozi yakawedzerwa ye gestosis inoonekwa apo:
- kutakura kwezvibereko zviviri kana kupfuura;
- ane makore masere kusvika makumi maviri uye anopfuura makore makumi matatu;
- kuvapo munhoroondo yaamai yekuputsa kwakadaro.
Ndeipi ngozi yekutora toxicosis munguva yekudzivirira?
Chirwere chetachiona chinokanganisa hutano hwekuita muviri, hutano hwemukadzi akaremara. Vanaamai vanguva yakareba vanokura kushungurudzika mubasa remiitiro yakawanda yomuviri. Chiitiko chikuru chinowira paitsvo, chiropa, mapapu, nhere system. Kutaura, zvii zvinetso zvinokwanisika pakupedzisira kusvika ku toxicosis yekuzvitakura, zvakakosha kugovera:
- kuora kwemaonero;
- kugadzira thrombi;
- cerebral edema ;
- heart failure ;
- kupera simba kwemuviri.
Mukuwedzera, toxicosis mumagumo anotevera ane simba pamagadziro ekuita gumbo pachake. Maererano nekucherechedza kwechiremba, nekanyoro kusvika pakuenzanisa gestosis, preterm labor inowanikwa mu10% yematambudziko, uye mumatambudziko akaoma nguva yakawanda yezvinetso zvekuzvitakura zvinosvika 20%. Kuita zvechisimba kunowanzoita kukanganisa kunokonzera zvishoma, izvo zvinokuvadza nekugadzirisa kwakakwana kwegadziriro yekubata.
Kuenzanisa kwekupedzisira kusvika kuidhiyo yekuita pamuviri
Kutevedza, kuenderana nechinangwa chekusimudzirwa, kwakakamurwa kuva mhando mbiri:
- Gestosis yakachena - kazhinji inowanikwa pamasvondo makumi matatu nemaviri ekupedzisira uye gare gare, inotora kubva pa1 kusvika kuvhiki masere. Kuita zvechisimba kunonyanya - kunowanikwa mumadzimai ane pamuviri akanga asina kumbova nezvinetso zvehutano. Iyo hutachiona inotanga zvishoma nezvishoma, zviratidzo zvakajeka hazvipo. Kune dema shoma yemakumbo, kuwedzera kusingagumi muropa, mukati memuti kune zvikamu zveproteine. Kuchinja mukati mechiropa, kupumha uye kushambadzira hazvipo.
- Kusanganiswa gestosis. Inotangira mberi kupfuura yakachena, yakapoteredza vhiki ye20, ine nguva refu (masvondo matanhatu). Inogona kuratidzirwa nenzira dzakasiyana, zvichienderana nemamiriro emhando yehutano hwegestosis yakasimuka. Kazhinji sechinhu chinopesera ndezvekuti:
- chirwere cheshuga mellitus ;
- kidyo chirwere;
- utachiona hwezvirwere;
- kukanganisa kwechiropa.
Ko kucherecherwa kwekodhi kuonekwa sei pakuberekwa?
Apo gestosis inowanikwa panguva yekuzvitakura munguva inotevera, zviratidzo zvekuputsa kungave kusipo. Muchikamu chekutanga chechirwere, vakadzi vanogona kuona kuvhara nguva dzose, kuwedzera salivation, uye kurutsa. Zviratidzo izvi zvinowedzera nekusava nemanzwiro, kuputsa kwemazwi: kunhuwira, kunhuwa. Pakati pezviratidzo zvikuru zvinokubvumira kufungidzira gestosis panguva yekuzvitakura:
- edema;
- arterial hypertension;
- chimiro cheprotheni mumucheka wakanyanyisa.
Kubata Gestosis - Dhigirii
Zvichienderana nezviratidzo zve gestosis panguva yekudzivirira chiremba anogadzirisa, chii chiri chigadzirwa chechipatara, chiri tsika yekusiyanisa zvikamu zvinotevera zvehutano hwehutano:
- Dropsy yemukadzi ane pamuviri. Inozivikanwa nechitarisiko cheEdema, iyo inogona kufungidzirwa nekushaya simba kweminwe. Zvakakosha kufunga kuti kuwedzera kukura hakusi nguva dzose kunobatanidzwa ne gestosis. Iyo kuchengetedza mvura mukati memuviri kunowanzopesana nemamiriro ekuwedzera kwekugadzirwa kweprogesterone, kuwedzera kwezvirwere zvisingaperi (varicose veins).
- Chikamu chechipiri ni nephropathy. Zvinokurudzirwa nechepamusoro pemarara. Iyo inoratidzwa nekuwedzera mumutoro uri paitsvo, kuwedzerwa kweropa.
- Preeclampsia. Mukuwedzera kune zvakataurwa pamusoro apa zvinoratidzira zvirwere (kukwirira kweropa, kuvhara), pane protein mumuguta . Iyi nhanho inofambidzana nekushaya ropa kweropa kuuropi, musoro wakanyanya. Izvozvo zvinokonzera kusvika kusvika 160/110 mm Hg. Art. uye yakakwirira.
- Eclampsia ndiro danho rechina re gestosis. Anozivikanwa nekuputsa basa rezvizhinji zvenhengo dzomukati, kutaridzika kwekugumburwa, zvinogona kukonzerwa nezvinhu zvakasiyana-siyana: izwi rakapinza, chiedza, kushungurudzika. Kurwisa kunotora 1-2 maminitsi.
Kutevedza toxicosis - chii chaunofanira kuita?
Nzira yekurapa gestosis mukuzvitakura - inotsanangura chete chiremba. Kurapa kwechirwere ichi kunobva pakubviswa kwechikonzero chinokonzera, kumira kwechiitiko chemukadzi ane pamuviri. Muzhinji, chirongwa chekubatsira mukadzi ane pamuviri ane chirwere chakafanana chinobva pa:
- kuregererwa kwezviitiko uye kunetseka mamiriro ezvinhu;
- kubudirira kwehutano hwehutano hwomukadzi ane pamuviri;
- kutevera fetus.
Gestosis - madhiragi ekurapa
Nechinangwa chokukurumidza kubvisa gestosis panguva yekuzvitakura, kurapwa kwechirwere, vanachiremba vanosarudza chirongwa chemunhu mumwechete regimen. Chinangwa chekusimudzira hutano hunovhiringidzika mumuviri wemangwana amai, zvisingaverengi kukura kwezvinetso zvekuzvitakura. Pakati pemapoka anoshandiswa kakawanda anoshandiswa nemishonga ye gestosis:
- antiplatelet agents uye anticoagulants: Trental, Heparin;
- hepatoprotectors: Essentiale, Karsil;
- zvinyorwa: kuiswa kwevhirierian, motherwort, kugadzirisa;
- zvinodhaka zvinoderedza kuwedzera kweropa: Euphyllin, Dibasol, Nifedipine, Verapamil.
Gestosis - kudya
Kubvisa zvachose toxicosis pakupera kwekuita pamuviri, pamwe chete nokutora mishonga, mukadzi anofanira kutevera kudya. Muzvokudya zvinofanira kusanganisira zvimwe zvibereko, miriwo, mabriji. Pakati pevakakurudzirwa:
- cranberry;
- mazambiringa;
- avocado;
- viburnum;
- citrus fruit.
Kuti abvise gestosis panguva yekuzvitakura, mapuroteni zvokudya anofanira kunyanya kudya. Izvo zvine mafuta akawanda uye makhahydrates, zvakakosha kubvisa. Zvokudya zvinofanira kutorwa muzvikamu zviduku, nguva inenge iri pakati pemiti inofanira kuva maawa maviri. Kana pane kusagadzikana kwakasimba kune dzimwe tsvina, zvakanakisa kushandisa ndiro dzinotonhora. Maminitsi makumi matatu vasati vadya, musanwa mvura, maji. Nhamba yezvinwiwa zvinodhakwa zuva nezuva inofanira kuva 1.5-2 litita.
Nzira yekudzivirira sei gestosis panguva yekuzvitakura?
Kuchengetedza kugadzirisa gestosis panguva yekuzvitakura kunofanira kutanga pakurongwa. Kuongororwa kwakakwana, kurapwa kwezvirwere zvisingaperi zvinokonzera kusabvisa kusuruvara kwavo pavanotakura mwana. Zvakakosha kutanga chirwere. Kana mukadzi akambofungidzirwa kuti anonoka kuora mwoyo panguva yekuzvitakura, zviratidzo zvaro zvinonzi zita remusoro, iwe unofanira kubva waona chiremba. Kuchengetedza kuchengetedza gestosis pazvino pamuviri kunotora:
- kunyatsoteerera zuva rega rega;
- kurega kuita basa, miitiro yakaipa;
- kudya kwakakodzera.