Amayi ambiri apakati amadziwa bwino toxicosis. Koma n'chifukwa chiyani zimayambira ndipo, chofunika kwambiri, tingathe bwanji kulimbana nacho?
Zizindikiro zowonongeka za amayi omwe akuyembekezera nthawi yoyamba ya kuyembekezera kwa mwana - kudandaula, kufooka, kugona. Odwala matendawa amachititsa kuti matendawa akhale oyambirira kwambiri, omwe amapezeka mwa amayi m'masabata khumi ndi awiri oyambirira a mimba. Amayi am'tsogolo amamva chisoni, amakhala opusa, amakwiya, amatha kusanza kangapo patsiku, nthawizina kuwonjezeka salivation (mpaka 1.5 malita patsiku!). M'miyezi yoyamba, mayi akhoza ngakhale kutaya pang'ono.
Mankhwala oyambirira a toxicosis amakhudza osati mkazi yekha, vutoli limakhudza kukula kwa mwanayo. Chowonadi ndi chakuti poyeretsa mobwerezabwereza thupi ndikutayika, zomwe zikutanthauza kuti kulowera kwa zakudya kwa mwana wakhanda kumasokonezeka. Koma tsopano ndi mapangidwe a ubongo!
Kodi nchiyani chomwe chimayambitsa oyambirira toxicosis? Ngakhale kuti pali maphunziro ochuluka, zomwe zimayambitsa zochitika izi sizidziwikabe. Kuwombera amayi oyembekezera kumagwirizanitsidwa ndi poizoni wa thupi ndi mankhwala oopsa a metabolism. Amakhulupiliranso kuti akhoza kugwirizanitsidwa ndi kuwonetsedwa kwa thupi la mayi la mankhwala a fetus. Mwinamwake chikoka chachikulu pa kuyambika koyambirira kwa toxicosis chimayesedwa ndi zifukwa zamaganizo (kusokonezeka, kusowa tulo, mantha a mimba ndi kubala). Chofunika kwambiri pa chitukuko cha matendawa ndi kuphwanya mgwirizano wa pakati pa zizindikiro za mitsempha ndi ziwalo za mkati.
Mndandanda wa mahomoni opangidwa ndi placenta umaphatikizapo placental lactogen. Amakhudzidwa kwambiri ndi metabolism (metabolism) - amachititsa kuti mafuta azigwiritsidwa ntchito komanso amachepetsa kaphatikizidwe ka mapuloteni m'thupi la mkazi. Choncho, kuwonjezeka kwa kupezeka kwa amino acid, kupita ku "zomangamanga" za tizilombo ta ana. Chotsatira chake, chigamulo ndi fetus "zimayendetsa" thupi la mayi, zomwe zimawathandiza kukwaniritsa zosowa zawo. Izi zimapangitsa kuti thupi lisagwirizane ndi "malo atsopano". Kawirikawiri, toxicosis ya hafu yoyamba ya mimba imapezeka kwa amayi omwe ali ndi matenda aakulu a m'mimba, chiwindi, asthenic syndrome.
Mukufunikira chithandizo?
Mu moyo wa tsiku ndi tsiku, poyambira toxicosis ndiyomwe imakhala yachilendo: Ndani, amati, kuchokera kwa amayi pa nthawi yomwe ali ndi pakati sali odwala? Musadzitonthoze. Ngati zomwe zimatchedwa kuti zizindikiro zenizeni za mimba - kunyoza, kusiya, kusanza - kuonjezera, kumafuna kuthandizidwa ndi dokotala! Onetsetsani kuti mufunsane ndi dokotala wodziletsa matenda a zachipatala. Chithandizo cha mankhwala oyambirira a toxicosis chikuchitika pa zokambirana za amayi. Kawirikawiri, mankhwalawa anayamba m'kupita kwa nthawi amakulolani kuthetsa mavuto mwamsanga. Pa nthawi yomwe ali ndi mimba, mseru ndi kusanza zingakhale zosachepera 2-3 pa tsiku m'mawa, nthawi zambiri pamimba yopanda kanthu. Komabe, chikhalidwe cha mkazi sichitha. Monga lamulo, mu amai ambiri pamasabata 12-13, kusuta ndi kusanza kumasiya.
Ngati kusanza kumachitika katatu patsiku, ngati chilakolako chicheperachepera, kulawa ndi zowawa zimasintha, ngati kuphulika kumafikira lita imodzi patsiku, ngati kulemera kwa thupi kuchepa, izi ndizoopsa kwambiri. Pali toxicosis ya chiŵerengero chofewa, chodziŵika bwino komanso chachikulu. Mphamvu yachangu imatsimikiziridwa ndi kusanganikirana ndi kusokonezeka mu njira zamagetsi, kusintha kwa ntchito za ziwalo zofunika kwambiri ndi machitidwe.
Chochita ndi toxicosis? Ndikofunika kukaonana ndi dokotala yemwe adzakulozerani kuchipatala (kafukufuku wa magazi ndi mkodzo, mayesero a sayansi) ndipo perekani mankhwala. Chithandizo cha amayi apakati omwe ali ndi toxicosis chaulere amatha kuchitidwa pamtundu wapansi, mwa mitundu yoopsa - kuchipatala. Chifukwa cha nthawi yochepa ya mimba, madokotala amagwiritsa ntchito njira zopanda mankhwala kuti asamalire physiotherapy, phyto-andromatherapy, kupopera mankhwala, kuteteza thupi kuti asatengere zotsatira za mwana.
Njira yothandiza kuchiza matenda oyambitsa toxicosis ndi immunocytotherapy. Njirayi ndi yakuti mayi wokhala ndi khungu lamagazi amayamwa ndi lymphocytes (mwamuna wake). Pamaso pa immunocytotherapy, mwamuna ayenera kufufuzidwa chifukwa cha matenda (hepatitis B ndi C, HIV, syphilis). Kupititsa patsogolo umoyo wa mayi wodwala kumapezeka, kawirikawiri pambuyo pa maola 24.
Mankhwala osokoneza bongo kwa oyambirira toxicosis ndi ovuta. Mankhwala osokoneza bongo amatha kugwiritsa ntchito mankhwala osokoneza bongo ndipo amaletsa gag reflex, njira yowonjezeramo mankhwala, kubwezeretsa kutaya kwa madzi, mchere komanso m'malo mwa zakudya zomwe zimadya nthawi zonse. Thandizo lamakono likupitirira mpaka kumaliza kwathunthu kwa chikhalidwe.
Ndi koopsa bwanji toxicosis oyambirira? Ndi matenda owopsa komanso ochepa, matendawa amakhala abwino, koma mankhwala ndi oyenera. Kusanza kwakukulu kwa amayi apakati kumapangitsa kufunikira kufunsa funso kuti akhalebe ndi mimba, chifukwa chikhalidwe ichi chimasokoneza thanzi la mkazi.
Mitundu ina
Tonsefe timagwiritsidwa ntchito poyanjana ndi mseru ndi kusanza ndi toxicosis kwa theka lachiberekero la mimba, koma nthawi zina mawonetseredwe ena amakumananso. Dermatoses (pruritus, eczema) zimachitika pazigawo zosiyana za mimba ndipo zimatuluka pamodzi ndi izo. Kuwotchera kungadziteteze ku malo ochepa a khungu kapena kufalikira mthupi lonse, kuchititsa kusokonezeka ndi kusowa tulo. Pankhaniyi, nthawi zonse ndizofunika kutulutsa matenda ena pamodzi ndi pruritus.
Mankhwala a feteleza a amayi apakati (cholestatic hepatosis) nthawi zambiri amayamba mu theka lachiwiri la mimba, ndipo nthawi zoyambirira ndizochepa. Amakhulupirira kuti kuchuluka kwa ma hormoni a chiwerewere m'thupi la mkazi nthawi ya kuyembekezera mwana kumayambitsa kuchulukitsa bile. Pankhani iyi, chitetezo cha bile chiri choletsedwa. Ichi ndi matenda oopsa. Koma ngati matenda aakulu kwambiri amatha kubisa pansi pa chigoba cha mankhwala oopsa, mankhwalawa ndi ofunika.
Nthaŵi zambiri, njira zamakono zamakono zimathandizira mayi wokonzekera kuthana ndi mavuto onse okhudzana ndi toxicosis oyambirira. Chinthu chachikulu ndikukayikira kuti izi ndizovuta, ndipo tsiku lidzafika pamene onse adzatha.