Toxicosis chikhalidwe ichi chimatchedwa kokha chifukwa chakuti chikukhudzana ndi mimba ndipo itatha. Ndipo moyenera imatcha gestosis. Pafupi ndi toxicosis mochedwa panthawi ya mimba, ndi chiyani chomwe chimaperekedwera ndi momwe mungachilirire, ndipo tidzakambirana mmunsimu.
Kodi gestosis ndi chiyani?
Osati kwenikweni kuchedwa kwa toxicosis kudzaphatikizidwa ndi kunyoza ndi kusanza. Tiyeni tiwone zowonjezera, wake - toxicosis - mkazi sangathe kumverera ndikumverera bwino. Icho ndichinyengo! Zizindikiro zake zazikulu: mapuloteni mu mkodzo, kuthamanga kwa magazi ndi kutupa. Ndipo chimodzi cha izo ndikwanira kuganiza kuti chinachake chiri choipa.
Mwachitsanzo, kutupa. Zimayambira chifukwa cha madzi omwe amagazi amagazi (plasma) kuchokera m'mitsempha ya magazi kupita minofu. Edema palokha ndilofala kwa amai pa malo "okondweretsa". Koma chinthu chimodzi ndi pamene miyendo imangoyambira madzulo, ndipo m'mawa zonse zimadutsa. Ndipo chinthu chinanso, pamene kutupa kumakhala kwamuyaya, nsapato sizimakhala wamaliseche, nkhope, manja, ndi mphete yaukwati ndi yolimba kuzungulira chala. Ngati kutupa kubisika, kupezeka kwawo kungathe kuwonjezeka mofulumira, kuwonjezeka kwa mchira kuposa masentimita 1 pa sabata ndipo kuchepa kwa mkodzo wa maora 24. Puloteni mu mkodzo amawoneka chifukwa chomwecho monga kutupa - mapuloteni a magazi amalowa mu khoma, ndipo impso zimayamba kuchotsa mthupi.
Kuthamanga kwa magazi kwa theka lachiwiri la mimba ndi koopsa chifukwa kumaphatikizidwa ndi mpweya wa mitsempha ya m'magazi. Ndipo izi zikutanthauza kuti munthu wamng'ono sangapeze mpweya wokwanira ndi zakudya kuchokera mu thupi la mayi. Chifukwa cha intrauterine hypoxia (mpweya wa njala), kuchepa kwa msinkhu ndi kulemera kwake kwa mwana, ndipo muzovuta kwambiri mwanayo angamwalire. Zoopsa ndizopitirira 140/90, mu mabuku akunja - 160/110. Kusintha koteroko kwa mayi wakuthupi kungayambitse kumutu, chizungulire, kufooka, phokoso m'makutu, kunyoza, kusanza, "kukuwuluka kwa ntchentche pamaso pako."
Miyeso ya mochedwa toxicosis
Madzi akugwa. Kapena mophweka - kutupa. Kupanikizika sikupitirirabe ndipo kuyesa mkodzo sikumayambitsa kukayikira. Nthawi zambiri madokotala amalimbikitsa kumwa mowa pang'ono komanso kupereka chakudya cha mchere. Koma malingaliro kwa madziwa tsopano ayambitsanso. Zikuoneka kuti m'mayi amene ali ndi mimba yokhala ndi matupi a m'thupi, modabwitsa, alibe madzi okwanira, amasiya ziwiyazo kupita m'thupi. Choncho, tiyenera kumwa. Koma mchere ndi mdani weniweni amene amasunga madzi m'thupi. Ndipo simukusowa chakudya cha mchere, komanso kupewa zakudya zomwe zili ndi mchere wochuluka. Ngati kutupa sikunatengedwe, akhoza kupita ku nephropathy.
Nephropathy. Izi si zokhazokha, koma komanso kuthamanga kwa magazi, komanso kusintha kwa mkodzo. Komabe, zizindikirozi zingakhalepo mwaokha, kapena palimodzi. Ndikofunika kuyeza kuchuluka kwa mkodzo wotulutsidwa, ndipo ngati nthawi zonse imachepa, zimasonyeza kukula kwa matendawa. Vuto la kukhala ndi nephropathy ndi labwino mwa iwo omwe, popanda mimba, anali ndi vuto ndi impso, kupanikizika. Ndipotu, kutenga mimba ndizomwe zimayambitsa matenda ambiri. Nephropathy yosiyana moopsa ndi yoopsa kwa mwana ndi mwanayo. Choncho, musaganize kukana kulowa kuchipatala. Makamaka kuyambira nthefropathy ikhoza kupita ku pre-eclampsia.
Preeclampsia. Kuwonjezera pa zonsezi, pamtunda uwu pali mutu waukulu, chisokonezo cha maso kapena ululu mmimba. Pali kunyoza, kusanza, kukwiya, kusayanjanitsika, kutaya mtima, kusowa tulo, kapena, kugona, kukumbukira kungathe kusweka. Pofufuza magazi, chiwerengero cha mapuloteni amachepa, ndiko kuti, magazi coagulability amachepa, kuwonjezera, chiwindi chachitetezo chimakhala chosowa.
Eclampsia. Kusokonezeka, kutaya mtima, kuthamanga kwa magazi, kusokonezeka kwa machitidwe onse akuluakulu ndi ziwalo. Kuwoneka kwa kugunda kungayambitse kupweteka kapena vuto, ngakhale "zopanda pake" zoterezi zimangokhala ngati phokoso ndi kuwala. Mzimayi amatha kuzindikira, kupuma kumaima, ndipo minofu ya thupi lonse imayamba kuchepa mthupi mwawo (mwachitsanzo, kwa nthawi yaitali). Kuwombera kumatenga mphindi 1-2, pambuyo pake mkaziyo amayamba kukumbukira, koma sakumbukira zomwe zinachitika. Mutu wake umapweteka, ndipo amamva kuti akusweka. Nthawi zina kugunda kumatha kutsatizana.
Choopsa kwambiri n'chakuti eclampsia ingayambitse magazi, ubongo wam'mimba komanso imfa ya fetus. Nthawi zambiri zimakhalapo nthawi yobereka, nthawi zambiri pakapita nthawi komanso panthawi yoyembekezera. Nthawi zambiri, pofuna kupulumutsa moyo wa mayi ndi mwana, gawo loyambirira kapena yobisala likuchitika. Komabe mochedwa toxicosis panthawi yoyembekezera ndi yoopsa chifukwa cha zotsatira zake. Akazi akhoza kukhala ndi matenda aakulu a impso ndi matenda oopsa kwambiri.
N'chifukwa chiyani zili choncho?
Lingaliro limodzi ndi lomalizira la madokotala zokhudzana ndi zomwe zimayambitsa kutuluka ndi kukula kwa gestosis sikunapezekebe. Zaka zoposa 20 zapitazo, nyuzipepala ya zamankhwala ku America inalonjeza poyera kuti idzaikapo chipilala pamphepete mwa kampani ya yunivesite ya Chicago kwa munthu amene angadziwe kuti mimba ya mimba yayamba bwanji. Panalibenso chipilala. Pali zifukwa zokha zomwe zimawonjezera chiopsezo cha gestosis:
- ali ndi zaka zoposa 40 ndikuchepera zaka 20;
- umoyo: gestosis amavomerezeka kwambiri mwa amayi omwe amai awo pa nthawi ya mimba ali ndi vutoli;
- matenda opatsirana am'thupi (impso, mtima, chiwindi), matenda oopsa, shuga;
- kunenepa kwambiri;
- Mimba yambiri ndi polyhydramnios;
- Kumapeto kwa toxicosis kunali nthawi ya mimba yapitayi;
- mimba yapitayo;
- nkhawa.
Koma, mwatsoka, ngakhale mayi wathanzi alibe inshuwalansi motsutsana ndi latexicosis. Mwadzidzidzi, akhoza kuyamba mpaka kumapeto kwa mimba, pamasabata 34-36. Madokotala amalongosola izi mwa kulephera kwa njira zowonongeka za thupi chifukwa cha kuwonjezeka kwa nkhawa, nkhawa, kusowa kwa zakudya m'thupi kapena kutentha.
Tidzachita chiyani?
Pewani kuzipatala ndi maonekedwe a kuchedwa kwa poizoni panthawi ya mimba, kusiyana ndi kudwala matendawa, sichidzapambana. Ndipotu, pokhapokha panthawi ya chipatala, mukhoza kudziwa kuti mayi ndi mwana ali ndi chikhalidwe chotani. Kuonjezera apo, odwala oterewa amasonyeza mtendere wamtendere. Chifukwa chake, nthawi zambiri amatchulidwa valerian ndi motherwort. Ngati mukufuna kuchepetsa kuthamanga kwa magazi, antispasmodics amagwiritsidwa ntchito. Kutaya kwa mapuloteni kumaphatikizidwa ndi mapuloteni okonzekera, ndi kuchepa kwa madzi ndi madzi. Mayi ayenera kuyang'anitsitsa optometrist, kotero kuti udindo wa fundus ukhoza kuweruza kukula kwa ziwiya. Pa milandu yoopsa, pamene mankhwala sakuthandiza, mayi wapakati amatumizidwa kuti apite mwamsanga kuti asatenge eclampsia.
Kodi mungadziteteze bwanji?
Gestosis imakhudzidwa ndi 16% mpaka 20% ya amayi apakati. Pofuna kupeŵa kupeza ziwerengerozi, yambani kuyang'ana njira zosavuta zowononga. Pa zokambirana za amayi, amayi onse omwe ali ndi pakati amapemphedwa nthawi zonse kuti ayese mkodzo komanso kuyesa magazi. Akazi amachita kupukuta mano awo: ndani angafune kupikisana kuchipatala m'mawa. Makamaka mukakhala bwino. Nthawi yotsatira, pamene malingaliro oterowo akuchezerani, kumbukirani kuti mochedwa toxicosis silingadziwonetse. Ndipo kusanthula kwa panthaŵi yake kungathandize kuyamba kuyamba kuchipatala msinkhu.
Kuyeza nthawi zonse kumathandiza kuti muone kutupa kobisika. Kuyambira pa masabata pafupifupi 32, kulemera kwa amayi oyembekezera ayenera kuwonjezeka ndi pafupifupi magalamu 50 patsiku, kapena 350-400 magalamu pa sabata, kapena makilogalamu 1.6-2 pamwezi. Pa mimba yonse, mayi, makamaka, ayenera kupeza 12-15 kilograms. Inde, kuti thupi lirilonse liri lokha, ndipo kuwonjezerapo kwa zizindikiro sikukuwonetsa nthawi iliyonse matenda. Koma ziyenera kuganiziridwa kuti chiopsezo cha chitukuko chake ndi zizindikiro zotero chikuwonjezeka.
Nthawi zonse muyese mzere wa chiwindi - izi zidzalola kuzindikira kutupa mu nthawi. Ndipo musaiwale kuchepetsa chizindikiro chachitatu choopsa - kuthamanga kwa magazi. Ndibwino kuti tichite zimenezi panyumba, nthawi zonse ndi manja onse awiri. Dokotalayo pa zokambirana za amayi, ndithudi, adzachitanso mayendedwe olamulira. Koma, poyamba, mwa anthu ena, ndi chisangalalo kapena mantha a dokotala, vuto limatha kulumpha pokhapokha muyeso. Chachiwiri, ndi kosavuta kuchepetsa mavuto omwe mumakhala nawo. Musaiwale kuti mudziwe dokotala wanu za momwe mumayendera.
Kawirikawiri, omwe ali pachiopsezo chotenga mochedwa toxicosis, nkofunika kukambirana izi ndi dokotala kumayambiriro kwa mimba, komanso bwino, asanabadwe. Choyamba, izi zimagwira ntchito kwa odwala matenda a mtima, nephritis ndi pyelonephritis, kuthamanga kwa magazi, zotupa m'mimba mwa chiberekero, myoma, kunenepa kwambiri, zovuta zosiyanasiyana mu dongosolo la endocrine. Ngati amayi anu kapena mlongo wanu akudwala gestosis ya amayi apakati, ndiye kuti chikho ichi sichikulephera. Ndipo mochuluka kwambiri ngati gestosis ili mu mimba yanu yapitayi.
Komabe, kuyambira mochedwa toxicosis ndi matenda osadziŵika bwino, muyenera kudziteteza, ngakhale amayi abwino kwambiri. Choyamba, chitetezeni ku nkhawa ndi nkhawa. Kuti mukwaniritse mtendere wamphumphu, sikuletsedwa kugwiritsa ntchito amayiwort ndi valerian. Gonani maola 9 pa tsiku, khalani mogwirizana ndi boma, idyani ndi ora, ndipo madzulo - muziyenda mumlengalenga.