Makhalidwe a miyezi iwiri kapena itatu yoyamba. Musati mumusokoneze iye ndi matenda omwe ali achilendo kwa pafupifupi amayi onse omwe amayembekezera ana. Kawirikawiri amadzitcha ndekha, nthawi zina amasanza m'mawa, koma samakhudza momwe mayiyo aliri ndipotu safuna chithandizo chapadera. Matenda oyambirira a toxicosis amasiyana ndi matenda chifukwa chakuti kusanza kumabwereza kangapo patsiku. Akatswiri amatcha kuti kusanza kosavomerezeka kwa amayi apakati. Zimaphatikizapo kuledzera kwa thupi, makamaka chiwindi chimakhudzidwa. Kufooka kumakula, kuthamanga kumafulumira, kutentha kwa thupi kumatuluka, khungu limakhala louma. Mayi wam'tsogolo amalephera kwambiri. Kufunika kuchipatala kumafunika.
Gestosis (mochedwa toxicosis)
Matendawa ndi ofanana ndi atatu otsiriza a mimba. Iye ali ndi magawo angapo: pamene matendawa akukula, wina amapita mu wina. Pa gawo loyambirira, amayi amtsogolo adzakhala akutukumula pamilingo, manja komanso kenako pamaso pake. Monga lamulo, iye akuuzidwa zakudya, zomwe zimalimbikitsa kuti musamadye zokometsera ndi mchere, kumwa mochepa ndi kutenga nthawi ndi nthawi ndikukonzekera nokha kutsegula masiku. Pachigawo chachiwiri cha gestosis (nephropathy), kuthamanga kwa magazi kumayambira kutsogolo kwa edema, ndipo mapuloteni amawoneka mkodzo. Koma ngakhale amayi omwe akuyembekeza amamva bwino, amalangizi amalimbikitsidwa, tk. Nthepropathy imatha kupita mwamsanga kusanayambe-eclampsia, yomwe imayambitsa eclampsia - siteji yotsiriza ya gestosis, pamene mkazi wataya chidziwitso ndipo ziphuphu zake zimayamba. Chomwe chimayambitsa preeclampsia ndi eclampsia sichifotokozedwe bwino. Monga lamulo, pre-eclampsia imayamba pambuyo pa sabata la 30 la mimba. Mankhwalawa amatha kukhala ndi ziwalo zambiri, kuphatikizapo chiwindi.
Gulu la ngozi
- zaka (zoposa 35 zaka);
- ngati banja likanakhala ndi chilango chisanachitike;
- matenda a impso, shuga, lupus;
- multiple pregnancies;
- kuthamanga kwa magazi patsogolo pa mimba;
- onenepa kwambiri.
Mimba yovuta
Pali zovuta zambiri zosawerengeka za mimba zomwe zimawonetsa kuchepa kwa chiwindi. Zimakhala zoopsa kwa mayi ndi mwana wamtsogolo. Kuzindikira kwadzidzidzi kwa matendawa ndi zifukwa zake ndikofunikira poyang'anira nkhani za kuyang'anira mimba ndikuwonetseratu zotsatira zake.
Chotestasis ya intrahepatic ya amayi apakati
Matendawa amapezeka nthawi zambiri ndipo amagwiritsidwa ntchito pokhapokha ndi mimba. Zimayambitsidwa ndi chiwindi cha thanzi la mayi wokhala ndi mimba yapamwamba ya mahomoni achikazi, omwe amachititsa kuti ndondomeko ya bile ikhale yopangidwira komanso yothetsera bile exretion. Pali umboni wosonyeza kuti cholestasis ndi yowonjezereka kwa amayi amene agwiritsira ntchito njira zothandizira pakamwa pamimba asanakhale ndi mimba. Matendawa si olowa. Zomwe zimachititsa kuti mitundu yambiri ya cholestatic ichitike ndi mahomoni a chiwerewere amatha kufalikira. Kachilombo ka intrahepatic kamatha kuthandizidwa nthawi iliyonse ya mimba, koma nthawi zambiri imapezeka mu II 1st trimester. Kawirikawiri, masabata 1-3 pambuyo pa kubereka, matendawa amatha. Njira zothetsera cholestasis ya intra-hepatic ya amayi apakati siilipo.
Zizindikiro
Chizindikiro chachikulu cha matendawa ndi khungu lopweteka, limene jaundice lingathe kumangirizidwa. Pa milandu yowopsa kwambiri, kunyoza, kusanza, kupweteka m'dera la epigastric, nthawi zambiri hypochondrium, komanso kufooka, kugona, kugona tulo, kungasokoneze.
Zimakhudza bwanji mimba?
Ndi matendawa, chiopsezo cha kubereka msinkhu chikuwonjezeka. Makanda nthawi zambiri amavutika ndi hypoxia mosiyana kwambiri. Matendawa akuphatikizapo kuyendetsa bwino pakati pa mimba, yomwe imakhala ndi mankhwala osokoneza bongo, kuyang'anira mosamala mwanayo, komanso ngati kuli kotheka, kupereka chithandizo choyambitsanso poyamwitsa.
Mafuta ambiri a chiwindi a amayi apakati
Zovuta, koma mwatsoka, matenda omwe sapezeka omwe angathe kuchitika panthawi yoyembekezera. Zimakhudzana ndi zofooka za majini mu metabolism of fatty acids mu mayi ndi fetus. Matenda, monga lamulo, amayamba mu II 1 trimester, nthawi zambiri - atatha kubereka. Kawirikawiri, matendawa amachitika kwambiri, ali ndi mimba yambiri, komanso panthawi ya chitukuko cha preeclampsia ndi eclampsia. Palibe njira zothetsera chiwindi chachikulu cha chiwindi. Ndi kukula kwa chiwindi chachikulu cha mafuta, mimba imatha kusokonezeka, kawirikawiri ndi gawo la chakudya. Kupereka kwa panthaŵi yake kumapulumutsa moyo wa mayi ndi mwana.
Zizindikiro
Pali kunyoza, kusanza, kupweteka m'mimba, komanso kufooka kwakukulu. Kuwonjezeka kwa chiwindi kufooka kungayambitse jaundice, matenda otsekemera magazi, kutuluka kwa magazi, kuchepa kwa shuga.
Chiwindi cha hepatitis
Gulu limeneli limaphatikizapo matenda a chiwindi omwe amayamba ndi matenda a tizilombo. Kusiyanitsa pakati pa chiwindi cha hepatitis A, B, C, D, E. Hepatitis E sichipezeka kwambiri ku Russia. Mavairasi onse a chiwindi amachititsa chiwindi chachikulu cha matenda a chiwindi pambuyo pa matenda, omwe nthawi zambiri amawopsa. Hepatitis A ndi E ndi mawonekedwe ovuta ndipo nthawi zambiri zimapangitsa kuti ayambe kuchira. Mavairasi B, C ndi D ndiwo omwe amachititsa kuti chiwindi chikhoza kuwonongeka. Pachifukwa ichi, mtundu waukulu wa matendawo umakula. N'zotheka kudwala ndi matenda a hepatitis A ndi E, pogwiritsa ntchito madzi oledzera komanso chakudya chodetsedwa, komanso ngati osasunga zoyenera ndi zoyenera. Hepatitis B, C, D imafalitsidwa ndi kuikidwa magazi a zamagazi owonongeka ndi mankhwala, jekeseni, ndi mano a mano. Kudwala ndi matenda a hepatitis B, C, D kumawonekera pa kugonana ndi wokondedwayo. Hepatitis B, C, D ingaperekedwe kwa mwana.
Matenda a chiwindi
Monga lamulo, chiwindi choopsa cha chiwindi chimayambitsa matenda, nthawi zambiri, kusintha kwa mawonekedwe osatha.
Zizindikiro
Kutupa, kusanza, kulemera kwa epigastrium, kutentha thupi, kufooka, kukwiya, kuyabwa kwambiri, minofu yamdima ndi khungu lakasu.
Chikoka pa mimba ndi kubala
Mimba zosayembekezereka zokhazikika komanso kubadwa msanga. Pa nthawi ya kubadwa komanso nthawi yoyambirira yobereka, chiopsezo cha magazi chimakula.
Mphamvu pa mwanayo
Zambiri zimadalira zaka zowonongeka zomwe mkazi amakhala ndi matenda a chiwindi. Kuopsa kwa chiopsezo cha mwana kumakula ndi matenda mu 3 trimester, komanso ngati kuwonongeka kwa placenta. Hepatitis B, C, kapena D kawirikawiri mwana amatenga kachilomboka panthawi yoberekera, ngati yatuluka pakhungu kapena mu chiberekero nthawi zambiri. Kuteteza matenda a chiwindi mwa ana obadwa kumene kumachitika patangotha maola 24 kuchokera pamene atabadwa kudzera mu katemera: katemera ndi hyperimmune gamma globulin.
Matenda a chiwindi
Kwa odwala omwe ali ndi matenda a chiwindi, kutenga mimba sikungakhudzidwe ndi matendawa ndipo sikuika pangozi kwa mayi wamtsogolo. Panthawi imeneyi, matendawa nthawi zambiri amadziwika ndi ntchito zochepa komanso zovuta zambiri. Kukhalapo kwa kachilombo koyambitsa matenda a chiwindi mwa amayi amtsogolo sichikhudza nthawi ya mimba komanso zotsatira zake. Matenda a chiwindi amachititsa kuti munthu asatengeke komanso asamayambe kubereka.
Zizindikiro zazikulu
Kuwongolera, kukulitsa kwa chiwindi, kutambasula kwa nthata. Jaundice ndi matenda a chiwindi amayamba kuchepa - ndizovuta kwambiri chifukwa cha matendawa.
Kuopsa kwa matenda a mwanayo
Njira zothandizira matenda a mwana wakhanda omwe ali ndi matenda a chiwindi omwe amatha kukhala ndi matenda a chiwindi ndi ofanana ndi momwe amachitira matendawa. Kutenga kumatha kuchitika makamaka makamaka panthawi yobadwa. Nthawi zambiri - mu utero. Kupewa matenda a mwana wakhanda amene ali ndi matenda a chiwindi amathandizidwa ndi katemera m'masiku oyamba atabadwa.
Kodi ndikuyamwitsa?
Azimayi omwe ali ndi matenda a chiwindi a A, B ndi C omwe amatha kusamalidwa akhoza kuyamwa. Kudyetsa zachilengedwe sikuwonjezera chiopsezo cha matenda a ana obadwa kumene. Koma ndikofunikira kuyang'anitsitsa kukhulupirika kwa minofu ndi chiwalo cha kamwana. Pamaso pa ming'alu m'magazi, kuwonongeka kwa mkaka wa mchenga kuyambira pachifuwa kwa nthawi inayake iyenera kutayidwa. Tsopano tikudziwa kuti matenda a chiwindi ndi otani pamene ali ndi mimba.