Gestosis - zizindikiro

Gestosis ndi matenda oopsa kwambiri, omwe amapezeka mwa amayi okhaokha. Matendawa amakhudza pafupifupi gawo limodzi mwa atatu mwa amayi omwe ali ndi mwana, ndipo nthawi zambiri matendawa amadutsa palokha patatha masiku angapo atabadwa. Chodabwitsa chimenechi chimatchedwanso toxicosis, chomwe chingakhale chakumayambiriro kapena mochedwa. Kawirikawiri, matendawa amayamba chifukwa cholemera kwambiri panthawi yomwe ali ndi mimba, chifukwa pafupifupi akazi onse omwe ali ndi "zovuta" sangathe kudzikana okha ponena za chakudya. Poyamba komanso asanafike kumapeto kwa trimester yachiwiri, mayi wapakati amatha kumva bwino, chifukwa chidzalo chake sichingatheke. Koma pamene mawuwa akufika pa trimester yachitatu, ndiye mayi wamtsogolo angatchedwe kolobok.

Kukwanira kwathunthu sikungowonongeka chabe, komanso kumawopseza kuti amayi ambiri chifukwa cha kulemera kwakukulu akhoza kukhala ndi gestosis. Koma kwa amayi ambiri omwe ali ndi pakati, zizindikiro za matendawa sizimayankhula chilichonse, ndipo zimapitirizabe kukhala ndi chikhalidwe choyenera. Monga lamulo, zizindikiro za gestosis zimawoneka kale mu trimester yachitatu, pamene thupi la mkazi limakhudzidwa ndi kusintha kwakukulu, monga chifukwa chake amadwala kutupa thupi lonse.

Edema yotereyo ikuwonekera chifukwa cha mapangidwe a zinthu mu placenta, zomwe zimatha kupanga mabowo mumitsuko. Izi zimayambitsa kutuluka kwa plasma ndi madzi kudzera m'magazi, omwe amachititsa maonekedwe a edema. Koma zizindikiro zoyambirira za gestosis zikhoza kuwonetsedwa osati nthawi yomweyo, monga mwa amayi ena mwina sangawoneke pakuyang'ana koyambirira, pamene ena amakula kwambiri. Kuti mudziwe momwe amayi omwe ali ndi atsikana amadziwira, madokotala amawayeza pa nthawi iliyonse yowunika.

Zizindikiro za gestosis mu theka lachiwiri la mimba

Mimba pa nthawi ya mimba nthawi zambiri imawoneka mochedwa, maonekedwe omwe amasonyezedwa ndi zizindikiro zotsatirazi:

1. Kuwonjezeka kwa kuthamanga kwa magazi pamwamba pa 140/90 mm Hg. Izi zingathe ndipo sizikudziwa, koma kupwetekedwa mtima, kupwetekedwa mtima ndi masomphenya owonetsa kumasonyeza kusinthika koipa kwambiri.
2. Maonekedwe a mapuloteni mu mkodzo, omwe amadziwidwa ndi madokotala pakadutsa mayesero musanayambe kukonzekera. Chochitika ichi chikusonyeza kuphwanya kwa impso, popanda zomwe gestosis samawonekera.
3. Kutha kwadzidzidzi komwe kumatha kuchitika m'mavuto aakulu a gestosis.
4. Chipinda cha placenta .
5. Kutha kuchedwa ndi imfa ya mwana wakhanda.

Pafupifupi 90 peresenti ya matendawa, matendawa amayamba patapita masabata 34 a mimba ndipo amadziwika kwambiri ndi amayi apamwamba. Komanso, chiopsezo cha gestosis chimawonjezeka ndi kutenga mimba zambiri komanso kubereka kwa mwana wochepera zaka makumi awiri kapena kuposerapo zaka makumi atatu ndi zisanu. Nthawi zina pangakhale nthawi yoyamba ya matenda, pamene ikuwonekera pa nthawi ya masabata makumi awiri. Pankhaniyi, gestosis ndi yovuta kwambiri, ndipo zizindikiro zoyamba za matendawa zimatchulidwa momveka bwino.

Zifukwa za mochedwa gestosis

Zomwe zimayambitsa matendawa sizinakhazikike. Koma ndizodziwika bwino kuti pulasitiki imakhala ndi gawo lalikulu pa chitukuko cha gestosis, matenda omwe amachititsa kuti magazi a chiberekero awonongeke. Ndipo kuwonjezera kuyenda kwa magazi ku chiberekero, placenta imayambitsa njira yomwe imalimbikitsa kuwonjezereka kwazitsulo, zomwe zimapangitsa kuti ziwiya zikhale zochepa. Koma zimadziwika kuti mitsempha yaing'ono yamagazi imakhudza mmene ntchito ya ubongo ndi impso zimakhudzira, popeza ziwalo izi zimaperewera magazi osakwanira. Kuonjezerapo, pamene madzi alowa m'magazi, amayamba kukhala ocheperapo ndipo amapanga magazi, omwe amachititsa kuti mitsempha ikhale yotseka.

Ndicho chifukwa chake, ngati mayi wapakati ali ndi zizindikiro za kumapeto kwa gestosis, nthawi yomweyo amamupatsa chithandizo chokwanira kuti asungitse mwanayo ndi ubwino wabwino wa mayi woyembekezera.