Mimba m'mimba imapezeka 15-20% mwa amayi onse oyembekezera. Matendawa akuphatikizapo kuwonjezeka kwa kuthamanga kwa magazi, edema, kuphwanya impso. Kuphwanya kotereku kumakhudza kugonana komanso kumayambitsa imfa ya amayi.
Kodi gestosis ndi chiyani mimba?
Gestosis madokotala amawatcha matendawa, omwe pali kuphwanya ntchito za machitidwe ambirimbiri a ziwalo (chiwindi, impso, dongosolo lamanjenje, mtima). Matendawa ndi ofanana ndi theka lachiwiri la zaka zosangalatsa. Malingana ndi izi, tanthawuzo la "latexicosis" nthawi zambiri limagwiritsidwa ntchito - mukutenga izi ndizovuta kumvetsa. Tiyenera kuzindikira kuti matendawa amayamba makamaka kwa amayi omwe analipo kale, asanakwatidwe, matenda. Chikhalidwe ichi chimayambitsa:
- matenda a chiwindi;
- matenda a impso ndi urinary;
- matenda a mitsempha ya mtima.
Toxicosis kumapeto kwa mimba - zifukwa
Ndizosayenerera kuyankha, chifukwa cha zomwe zili ndi gestosis pa nthawi ya mimba, mochedwa, madokotala sangathe. Pa chifukwa ichi, pali ziphunzitso zambiri za chitukuko cha azimayi oyembekezera:
- Zingwezi ndizovomerezeka ndi vinculum. Malingana ndi iye, matendawa ndi mtundu wa mphuno. Amayamba chifukwa cha kuphwanya njira yogwirizanirana ndi ubongo wa correx ndi cortex. Izi zimayambitsa kuswa kwa mitsempha yambiri, magazi.
- Chiphunzitso cha Endocrine. Othandizira ake akutsutsa kuti kuphwanya malamulo, kulephera kwa kayendetsedwe ka kayendetsedwe kake kumabweretsa kusintha kwa ntchito za matenda a endocrine. Zokwanira ndi zinthu zamoyozi zimakhudza kamvekedwe ka zotengera ndi mamasukidwe akayendedwe a magazi.
- Nkhani ya chibadwa. Malingana ndi zomwe akatswiri a sayansi ya zamoyo anapeza pofufuza mozama pakati pa amayi apakati ndi gestosis, matendawa nthawi zambiri amapezeka mwa amayi omwe amayi awo amavutika ndi matenda amenewa.
- Chiphunzitso chapamwamba. Zimachokera ku chitukuko cha kusintha kwa chiberekero cha chiberekero, chomwe chimadyetsa placenta. Izi zimayambitsa kumasulidwa kwa zinthu zowonongeka zomwe zimasokoneza kayendedwe kake ka thupi la thupi la mayi.
Ndi liti pamene kuchedwa kwa toxicosis kumayambira?
Azimayi amene akuda nkhaŵa za tsogolo la mwanayo komanso njira yothandizira ali ndi kachilombo kaŵirikaŵiri, kawirikawiri amakhala ndi chidwi ndi funsoli, panthawi yomwe akuchedwa toxicosis mimba imafika. Madokotala amayankha masabata makumi awiri, koma zindikirani kuti mimba iliyonse ili ndi zenizeni, kotero kuti matendawa akhoza kuyamba kale. Mwachitsanzo, malinga ndi zomwe madokotala akunena, matendawa amayamba kale ngati ali ndi mimba yambiri ndipo zimakhala zovuta (zizindikiro zoyamba zimapezeka kale sabata 16).
Nthawi zambiri gestosis mu mimba yotsatira imachepetsedwa. Pa nthawi yomweyi, mliriwu unayamba kuchitika mosavuta ndipo patapita nthawi chitukuko chake chinawonetseredwa, mwayi wa kukula kwa matenda ndi kugwiritsidwa ntchito mobwerezabwereza. Kuopsa koopsa kwa gestosis kumachitika pamene:
- kubereka zipatso ziwiri kapena kuposa;
- zaka zosachepera 20 ndi zoposa zaka 35;
- Kukhalapo kwa mbiri ya amayi ya zolakwira zoterezi.
Kodi chiopsezo cha poizoni pochedwa mimba ndi chiyani?
Matenda a chifuwa amakhudza kwambiri njira yogonana, mkhalidwe wa thanzi la amayi oyembekezera kwambiri. Amayi am'tsogolo amayamba kusokonezeka mu ntchito ya machitidwe ambiri. Kukhudza kwakukulu kumagwera pa impso, chiwindi, mapapo, dongosolo lamanjenje. Kuwuza, ndi zovuta zotani zomwe zingatheke kumapeto kwa toxicosis za mimba, nkofunika kugawa:
- kuwonongeka kwa masomphenya;
- mapangidwe a thrombi;
- chisokonezo cha edema ;
- mtima ;
- kutaya thupi kwa thupi.
Kuonjezera apo, toxicosis pamapeto amatha kukhala ndi zotsatira zowonongeka. Malinga ndi zomwe madokotala amanena, pogwiritsa ntchito gestosis yochepa, ntchito yoyamba imakhala 10%, ndipo nthawi zambiri vutoli limakhala la 20%. Chiwawa nthawi zambiri chimabweretsa chisokonezo chochepa, chomwe ndi choopsa mwa kusokoneza kwathunthu njira yothandizira.
Chizindikiro cha mochedwa toxicosis cha mimba
Latexicosis yochedwa, malingana ndi kayendedwe ka chitukuko, yagawidwa mu mitundu iwiri:
- Gestosis yoyera - kawirikawiri imachitika pamasabata 36 mimba ndipo kenako imatha masabata 1 mpaka atatu. Chiwawa ndi chachikulu - amapezeka ndi amayi apakati omwe kale analibe matenda. Matendawa amayamba pang'onopang'ono, zizindikiro zowala sizipezeka. Pali edema yaing'ono ya miyendo, kuwonjezeka kosalekeza kwa magazi, mu mkodzo pali zizindikiro za mapuloteni. Kusintha kwa chiwindi, kupuma ndi kayendedwe kozungulira sikupezeka.
- Gestosis yothandizana. Zimayamba kale kuposa zoyera, kuzungulira sabata la 20, zakhala ndi nthawi yaitali (masabata asanu ndi limodzi). Ikhoza kuwonetseredwa m'njira zosiyanasiyana, malingana ndi chiyambi cha matenda a gestosis omwe adayamba. Kawirikawiri ngati chinthu chokhumudwitsa ndi:
- shuga ;
- matenda a impso;
- matenda amkati;
- kuphwanya chiwindi.
Kodi kuchepa kwa toxemia kumawoneka bwanji mimba?
Pamene gestosis imapezeka panthawi yomwe mayi ali ndi pakati, zizindikiro za kuphwanya zikhoza kukhala palibe. Mu magawo oyambirira a chisokonezo, amai amatha kuzindikira chizungulire, kuwonjezeka kwa salivation, ndi kusanza. Zizindikiro izi zimaphatikizidwa ndi kusakhazikika kwa maganizo, kuphwanya kwa mphamvu: kulawa, kununkhiza. Zina mwa zizindikiro zazikulu zomwe zimakupangitsani kuganiza kuti gestosis pa nthawi ya mimba:
- edema;
- matenda owopsa;
- maonekedwe a mapuloteni mu mkodzo wosakanizika.
Gestosis yobereka - digiri
Malingana ndi zizindikiro za gestosis pa nthawi ya mimba dokotala akukonzekera, chithunzichi ndi chiani, ndizozoloŵera kusiyanitsa ndondomeko zotsatirazi:
- Dropsy wa mayi wapakati. Wodziwika ndi maonekedwe a edema, omwe angakayikiridwe ndi kusowa kwala zala. Ndikoyenera kuganizira kuti kuwonjezeka kotupa sikukugwirizana ndi gestosis. Kusungunuka kwa thupi kumachitika motsutsana ndi chiwerengero cha kukula kwa progesterone, kuwonjezereka kwa matenda aakulu (varicose mitsempha).
- Gawo lachiwiri ndi nephropathy. Zimayambira kumbuyo kwa mdima. Amadziwika ndi kuwonjezeka kwa katundu pa impso, kuwonjezeka kwa kuthamanga kwa magazi.
- Preeclampsia. Kuwonjezera pa zizindikiro zam'chipatala pamwambapa (kuthamanga kwa magazi, kutupa), pali mapuloteni mu mkodzo . Gawo ili likuphatikizidwa ndi kuperewera kwa magazi ku ubongo, mutu waukulu. Kuthamanga kwa magazi kukufika kufika 160/110 mm Hg. Art. ndi apamwamba.
- Eclampsia ndi gawo lachinayi la gestosis. Wodziwika ndi kuphwanya ntchito za ziwalo zambiri zamkati, maonekedwe a kugwidwa, angayambitsidwe ndi zinthu zosiyanasiyana: phokoso lakuthwa, kuwala, nkhawa. Kuukira kumatenga mphindi 1-2.
Zotsatira za toxicosis - choti muchite chiyani?
Mmene mungachitire gestosis mimba - imatanthauzira dokotala yekha. Thandizo la matendawa likuchokera pakuchotseratu chifukwa chomwe chimayambitsa vutoli, momwe zimakhalira ndi chikhalidwe cha amayi omwe ali ndi pakati. Kawirikawiri, njira yothandizira amayi oyembekezera omwe ali ndi matenda ofanana ndi awa:
- kusalidwa ndi zochitika ndi zovuta;
- kusintha kwa umoyo wa mayi wapakati;
- kufufuza mwanayo.
Gestosis - mankhwala ochiritsira
Pofuna kuthetsa msanga gestosis pa nthawi ya mimba, chithandizo cha matendawa, madokotala amasankha njira yothandizira munthu aliyense. Ndi cholinga chokhazikitsa njira zomwe zimasokonezeka mu thupi la mayi wamtsogolo, kupatulapo kukula kwa mavuto a mimba. Pakati pa magulu omwe amagwiritsidwa ntchito kawirikawiri pamagestosis:
- antiplatelet agents ndi anticoagulants: Trental, Heparin;
- hepatoprotectors: Essentiale, Karsil;
- zokhazokha: kulowetsedwa kwa valerian, motherwort, sedative;
- mankhwala osokoneza magazi: Euphyllin, Dibasol, Nifedipine, Verapamil.
Gestosis - zakudya
Pofuna kupewa mankhwala a toxicosis pakatha mimba, komanso kumwa mankhwala, mayi ayenera kutsatira chakudya. Mu zakudyazi muyenera kuphatikizapo zipatso, masamba, zipatso. Zina mwazinenedwa:
- kiranberi;
- mphesa;
- peyala;
- viburnum;
- zipatso za citrus.
Pofuna kuthetsa gestosis pa nthawi ya mimba, zakudya zamapuloteni ziyenera kukhala chakudya. Zomwe ziri ndi mafuta ambiri ndi zakudya, ndizofunika kuzichotsa. Chakudya chiyenera kutengedwa m'zigawo zing'onozing'ono, kusiyana pakati pa mlingo ayenera kukhala maola 2-3. Ngati pali kusagwirizana kwakukulu kwa fungo linalake, ndibwino kugwiritsa ntchito mbale zozizira. Mphindi 30 musanadye, musamamwe madzi, timadziti. Voliyumu ya zakumwa zoledzera patsiku ayenera kukhala 1.5-2 malita.
Kodi mungapewe bwanji gestosis pa nthawi ya mimba?
Kukonzekera kukonza gestosis pa nthawi yomwe mimba iyenera kuyamba panthawi yokonza. Kufufuza kwathunthu, kuchiza matenda opatsirana kumapangitsa kuti asiye kupweteka kwawo pamene akunyamula mwana. Ndikofunika kuyamba mankhwalawa. Ngati mkazi akuganiza kuti ali ndi toxemia mochedwa panthawi yomwe ali ndi mimba, zizindikiro zake zimatchulidwa pamwambapa, nthawi yomweyo muyenera kufunsa dokotala. Kukonzekera bwino kwa gestosis pa mimba yamakono imati:
- kumatsatira mwambo wa tsiku ndi tsiku;
- kuchotsedwa pa zochitika zathupi, zizoloŵezi zoipa;
- zakudya zabwino.