Kawirikawiri akapita kukaonana ndi dokotala pa nthawi yomwe ali ndi mimba, amayi amtsogolo amamva kuchokera kwa akatswiri monga "hypertonic uterine myometrium" (mwa anthu - kamvekedwe ka chiberekero). Matendawa nthawi zambiri amachitika poyamwitsa msanga , kumayambiriro koyamba. Komabe, izi sizikutanthauza kuti zizindikiro za uterine tone zomwe zimawonedwa pa nthawi ya mimba sizingatheke mu 2 trimester. Tiyeni tiwone bwinobwino vutoli ndikufotokozera momwe mkazi angadziwire kuti mu trimester yachiwiri ali ndi chiberekero cha chiberekero.
Kodi ndi zizindikiro zotani za chiberekero chomwe chimachokera mu trimester yachiwiri?
Choyamba, tiyenera kukumbukira kuti chodabwitsa ichi ndi chifukwa cha kupanikizika kwambiri kwa mitsempha ya chiberekero. Izi zikhoza kuwonedwa nthawi zambiri, kupsinjika maganizo, kupsinjika maganizo.
Mosiyana ndi trimester yoyamba, pamene matenda oopsa a chiberekero a myometrium makamaka amapezeka chifukwa cha kuphwanya kwa progesterone ya hormone, mu 2 trimester chodabwitsa ichi ndi zotsatira za moyo wosayenera wa mimba kapena mphamvu yowonjezera thupi.
Ngati tilingalira zizindikiro zowonjezereka za chiberekero cha trimester, ndiye izi:
- kupweteka kwapakhosi makamaka m'mimba pamunsi, kuyenda m'dera la lumbar;
- mimba yolimba ;
- kumverera kolemetsa mmunsi kumbuyo.
Ngati muli ndi zizindikiro za mtundu wa uterine myometrium mu trimester yachiwiri, amayi oyembekezera ayenera kukaonana ndi dokotala.
Kodi madokotala amatha kuzindikira bwanji chiberekero chomwe chimapezeka mu trimester yachiwiri ya mimba?
Njira yoyamba yogwiritsira ntchito matenda, imene madokotala amagwiritsa ntchito pofufuza mimba yokhala ndi pakati, ndiyo kuperewera kwa mimba. Zikatero, mimba ndi yovuta kuigwira. Kufufuza kotereku kumangowonjezera kungolakwa.
Kuti mudziwe zambiri zokhudza matendawa komanso njira yochizira, njira yowunikira monga tonusometry imagwiritsidwa ntchito. Pachifukwachi, dokotala amagwiritsa ntchito chipangizo chapadera chokhala ndi sensa yomwe imaonetsa kukula kwake kwa minofu ya minofu.
Mukamaliza ultrasound, mumatha kuona mosavuta izi. Panthawi imodzimodziyo, pazenera la pulogalamuyi, madokotala amalemba chiwerengero chonse (chiwerengero) kapena kuderako kwa msinkhu wa chiberekero.
Kodi chithandizo cha matenda oopsa kwambiri a chiberekero ndi chiyani?
Pokambirana za momwe chiberekerocho, chomwe chimasewera m'chaka chachiwiri, chimaonekera, tidzakambirana njira zazikuluzikulu za mankhwalawa.
Choyamba, tiyenera kukumbukira kuti ngati mu 1 trimester chonchi chitha kuonedwa ngati chifukwa cha mahomoni kusintha, zomwe sikutanthauza thandizo kwa madokotala, ndiye chachiwiri, kuwonjezeka kwa tonus wa uterine myometrium sangakhale yachizolowezi. Choncho, mayi woyembekezera ayenera kumvetsera maganizo ake nthawi zonse komanso pamene mphamvu yokoka kapena ululu umapezeka m'mimba ya m'munsi, m'pofunika kumauza mayi wotsogolera za matendawa.
Pankhani ya chithandizo cha matenda oopsa kwambiri a chiberekero, ndiye mbali yofunikira ya kupuma kwa bedi komanso kuchepetsa thupi. Chifukwa cha chithandizo chamankhwala chomwe nthawi zambiri chimatchulidwa antispasmodics,
Nthawi zonse, chochitika chomwecho chikuphatikizidwa ndi kupweteka kapena kutchulidwa kovuta kupweteka, mayi wapakati amatumizidwa ku chipatala. Mfundo yonse ndi yakuti vutoli lingathe kutsogolera, kupititsa padera padera, ndi kubereka msanga pamapeto pake.
Udindo wapadera wapatsidwa kuti tipewe uterine tone, zomwe zimaphatikizapo kuyang'anitsitsa ulamuliro wochuluka pa nthawi ya kubala kwa mwana: kuchepa thupi, kuthetsa kupsinjika maganizo, kusamalira ulamuliro wa tsikulo, ndi zina zotero.