Extragenital Pathology a mata masu juna biyu: rigakafin, magani. Effect ciki extragenital

Irin wannan farin ciki taron, a matsayin dogon-jiran ciki, da rashin alheri, iya yi inuwa a wasu m lokacin. Alal misali, yana iya zama exacerbation na kullum cututtuka a tsakiyan hormonal canje-canje kwayoyin. Kawai idan akai la'akari da tasirin extragenital Pathology na ciki, za ka iya samu nasarar kawo, kuma bã ta haihuwa, to da lafiya baby ba tare da risking su kiwon lafiya, ko ma rayuwarsu.

Mene ne extragenital Pathology a mata masu juna biyu

All cututtuka, syndromes, da ciki mace wanda ba ya sa a pelvic kuma ba su obstetric rikitarwa hada guda tara da aka kira "extragenital Pathology" (EGP).

Wannan roka da ma'ana tambaya: nawa mata masu ciki da extragenital Pathology? Statistics a cikin wannan yanki shi ne ba sosai da kwantar da hankali. Kamar yadda yi nuna, yawan mata na fama da kullum cututtuka, kawai tsiro tare da kowane wucewa shekara. Don kwanan wata, kawai game da 40% na ciki faruwa ba tare da wani rikitarwa. Barazana ashara da kuma marigayi toxicosis - biyu daga cikin na kowa matsalolin da cewa an ruwaito a cikin extragenital Pathology. Amma kuma su akwai sauran cututtuka da kuma kasance a cikin EGP.

Cututtuka wanda suke kunshe a cikin lokaci "extragenital Pathology":

• anemia, mai tsanani digiri .
• hauhawar jini.
• myocarditis.
• zuciya lahani.
• rheumatism.
• cutar hanta.
• koda cuta.
• connective nama cuta.
• cututtuka na gastrointestinal fili.
• numfashi cututtuka.
• kwayar hepatitis da kuma cututtuka.

Bari mu bincika a cikin mafi daki-daki, kuma kowane daga cikin kungiyoyin da cututtuka. Wannan zai taimaka wajen fahimtar yadda da daukar ciki da na haihuwa da extragenital Pathology da kuma wani na musamman da matakan da za a dauka a kowane hali.

Cututtuka na zuciya da jijiyoyin jini tsarin

Cututtuka a cikin wannan kungiyar faruwa a 2-5% na mata masu juna biyu. A taron na wani cututtukan zuciya da ciki ya kamata nan da nan tuntubar wani gundumar likita. Bisa ga sakamakon da safiyo da za'ayi, likita zai yanke shawara game da yiwuwar daukar ciki, ko ta sokewa.

Idan babu mai tsanani extragenital Pathology (ci gaban zuciya rashin cin nasara 3-4 sa tare da palpitations da nakasa daga 'ya'yan numfashin a kan kadan aikinsa, ko a sauran), babu abubuwan da ake bukata domin ashara da tayin da aka ba. A irin haka ne, kawai zaba cikin zama dole magani, wadda za ta taimaka kula da kwanciyar hankali a jihar na uwa da ba a haifa ba baby.

Rheumatic zazzabi a lokacin daukar ciki

A cikin hali na m rheumatism, batun da tsawaita na ciki yakan sosai sharply. Idan matsalar bayyana a farko trimester, da yanke shawara a kan ƙarshe na ciki, kamar yadda a cikin wannan hali, da zama dole shirye-shirye ne m tare da ta nan gaba da bunkasuwa a farkon matakai.

Idan extragenital Pathology a cikin nau'i na rheumatism, ya tabbatar da wani lokaci fiye da 24 makonni, ya zama zai yiwu ga lafiya magani da ceton rayuwar yaro.

Duk da haka, da gaban da cuta a cikin 40% na lokuta tare da wani marigayi toxicosis, fetal hypoxia kuma zai yiwu zuwan babban hadarin da ashara. Jariri guda suna musamman predisposed zuwa nasaba da cututtuka.

hauhawar jini

Pregnancy da extragenital Pathology a cikin nau'i na cutar hawan jini ne da na kowa. Karuwan jini zai iya sa wanda bai kai ba haihuwa ko zama daya daga cikin Sanadin placental abruption. 40% na mata masu juna biyu da suka yi a hawan jini, da wahala daga manifestations na marigayi yawan guba, wanda zai iya sa fetal hypoxia.

A babu wani rikitarwa kamar jijiyoyin zuciya insufficiency, placental abruption, cerebrovascular hatsarori, "hauhawar jini" (kamar yadda extragenital Pathology) da kuma "ciki" - shi ne quite m Concepts. Abinda wani expectant uwa ya zama zai yiwu don tsayar da tsarin mulki na aikin da kuma sauran, kazalika da rage yin amfani da gishiri a abinci (ba fiye da 5 MG da rana).

hypotension

ragewan jini a lokacin daukar ciki daukawa kasada na ba kasa da ta karuwa. Mata tare da extragenital Pathology a cikin nau'i na hypotension a babban hadarin da maras wata-wata da zubar da ciki a kowane mataki. Suna iya samun matsaloli dangantawa da disturbances a cikin attaching da detaching mahaifa, kazalika da rikitarwa a haihuwa tsari. Bugu da kari, akwai iya zama wani bata lokaci ba a fetal ci gaba saboda matalauta jini ya kwarara a cikin mahaifa.

arrhythmia

Akwai uku main iri da cutar: atrial fibrillation, wanda bai kai lashe da paroxysmal tachycardia.

Atrial fibrillation ne mai hatsari, tun saboda shi zai iya ci gaba zuciya kasawa da kuma zuciya rashin cin nasara. Har ila yau, a wannan cuta akwai manyan yawan mace-mace: perinatal - 50% na iyaye - 20%. Saboda haka, yanke shawara a kan isar da caesarean sashe bisa ganewa na atrial fibrillation, halitta haihuwa da aka haramta.

Beats yawanci ba ya bukatar musamman da magani da kuma ba za a iya gudanar da yawa hadari. Kamar yadda mai mulkin, shi ne lura a karshe watanni na ciki (na uku trimester), da kuma bayyanar da aka jawo da kiwon da diaphragm da kuma wani tunanin arousal a lokacin haihuwa.

Paroxysmal tachycardia ne sosai rare, kuma yana da wata reflex yanayi. Bayyanar cututtuka da cutar na iya zama dizziness, wani rauni, zafi a cikin zuciya, tashin zuciya. Don inganta yanayin amfani sedatives.

Koda kuma urinary gabobin

Extragenital Pathology a mata masu juna biyu a yankin na urinary gabobin da aka fi sau da yawa gani a cikin nau'i na koda duwatsu ko pyelonephritis.

urolithiasis

Yana yana tare da low ciwon baya, rashin jin daɗi da kuma kaifi sha raɗaɗin a lokacin urination. Bugu da kari, akwai iya zama tashin zuciya da amai, maƙarƙashiya, kuma a cikin akwati na pyelonephritis - zazzabi da kuma kumburi canje-canje a cikin jini.

Ko da kuwa da tsawon ciki, tiyata iya sanya a matsayin da ake bukata. Idan bayan zaben kuma cikin shakka daga miyagun ƙwayoyi far, koda aikin da aka mayar, ciki an kiyaye.

M gestational pyelonephritis

Mafi sau da yawa cutar faruwa a cikin tsawon game da 12 makonni, ko da yake yana kuma iya faruwa a lokacin daukar ciki. Wannan yana tare da extragenital Pathology zazzabi da kuma jin sanyi.

Jiyya ne da za'ayi a wani asibiti da yin amfani da antibacterial kwayoyi. A ƙarshen shakka ya kamata ka kula da ciki uroantiseptiki shuka asalin (koda teas da sauransu. D.).

A cikin rashi na kara rikitarwa na ciki da na haihuwa ne na al'ada.

glomerulonephritis

Glomerulonephritis - mai tsanani extragenital Pathology, wanda aka contraindicated a lokacin daukar ciki da tsawaita, kamar yadda take kaiwa zuwa cin gaban na koda gazawar.

Sa'ar al'amarin shine, rashin lafiya, a ciki mata ne rare - daya kawai daga dubu.

cututtuka na narkewa kamar fili

Extragenital Pathology na cututtuka na gastrointestinal fili ba contraindication zuwa ciki. Mata da suka kasance gastritis, duodenitis ko cutar miki, a amince daukawa da kuma kai da lafiya baby.

Abinda ya iya zama da matsala ga mata masu ciki, - reflux. Saboda su, a nan gaba uwa bayyana ƙwannafi, wanda qara kowane wata har zuwa haihuwa. Bugu da kari, ciki iya damemu da kullum maƙarƙashiya.

Yawancin lokaci da bayyanar ƙwannafi auku tare da 20-22 makonni na gestation, amma a wannan lokacin shi ne lokaci-lokaci da kuma wuce da sauri. Domin wani lokaci na 30 makonni a kan shi tanã kai ƙãra na kowane uku mata, amma kusa da haihuwa, da wannan lambar qara, kuma m bayyanar cututtuka lura a uku daga hudu mata masu ciki.

Amma ga maƙarƙashiya, su lambar kuma qara zuwa karshen ciki. Hana irin wannan yanayin ne sosai a ke so, kamar yadda zai iya worsen da sauran harkokin kiwon lafiya na ciki da kuma shafar contractility na tsokoki na mahaifa. A karfi ƙagauta a lokacin hanji ƙungiyoyi na iya haifar da igiyar ciki sautin da kai ga wanda bai kai ƙarshe na ciki.

Babban kuma mafi inganci hanyar yin kawar da matsalolin da aka bayyana a sama ne na musamman rage cin abinci, wanda ya hada da kayayyakin da cewa suna da wani sakamako kananan slabyaschee (gwoza, prunes, alkama bran da t. D.) Kuma bifidobacteria (kefir).

numfashi cututtuka

The kowa sanyi yawanci ba sa gwaji cutar da ciki mace da mata tayin. Amma tare da mashako da kuma ciwon huhu, da halin da ake ciki shi ne dan kadan muni.

M kuma na kullum mashako

Mashako ne halin da raunuka da mucous membrane na bronchi, kuma shi ne wani mai kumburi cuta. Ya bi da zafi a cikin kirji, m tari, da kuma a wasu lokuta, mai tsanani bayyanar cututtuka na maye.

Kullum mashako ba wani dalili na ci gaba da daukar ciki ne ba zai yiwu ba. Shi ne kuma zai yiwu gaban qananan rikitarwa kamar shortness na numfashi tare da kadan danniya ko numfashi gazawar da farko digiri. Amma, a gabãnin haka yana da daraja idan akai la'akari da cewa wannan ciki zai zama da wuya.

A lokuta da numfashi gazawar second- ko uku-mataki yanke shawara a kan zubar da ciki ajiye mace ta rayuwa da kuma kiwon lafiya.

M kuma na kullum ciwon huhu

Ciwon huhu ne wani mai kumburi cutar da ke shafar cikin huhu. Yana yana tare da zazzabi da kuma sauran cututtuka, dangane da irin cutar, da causative wakili da kuma dauki ga shi a ciki jiki.

Arin na mata masu ciki da extragenital Pathology a cikin nau'i na ciwon huhu ne m! Jiyya ne da za'ayi a karkashin kulawa na likita da obstetrician.

Bronchial fuka

Fili bayyanar cututtuka da wannan cuta ne fuka-haren da cewa faruwa da dare ko da safe da kuma suna tare da wani karfi bushe tari, kuma shortness na numfashi expiratory irin. Ƙare hari expectoration na karamin adadin surkin jini sputum.

Bronchial fuka a cikin m zuwa matsakaici nau'i ne ba da wani nuni ga ƙarshe na ciki, amma tana iya zama wani dalili na preterm haihuwa, marigayi toxicosis, rauni aiki da kuma zub da jini a lokacin haihuwa da tsari.

hanta da cutar

Saboda da inactivation na hanta cuta estrogen kullum cututtuka kamar cirrhosis da kuma hepatitis, zai iya sa rashin haihuwa. Idan ciki ne har yanzu faru, yiwuwar ne quite kananan shi a m sakamako. A irin haka ne, sau da yawa results a cikin wanda bai kai ba haihuwa, haihuwar matattu yara, kazalika da high yawan masu juna biyu da mutuwar a lokacin haihuwa da tsari. Bugu da kari, kan bango na ciki a mata iya fara inganta hanta gazawar.

Idan ƙarin tsanani na kullum cututtuka da aka gano kafin 20th mako na ciki da aka katse. Idan ya kasance fiye da 20 makonni, sa'an nan ya aikata duk abin da zai yiwu tsawanta shi a matsayin zubar da ciki zai iya kawai tsananta halin da ake ciki.

Idan na kullum cutar hanta ba ya dada tabarbare a lokacin daukar ciki, da alamomi a gare ta ƙarshe, kuma babu kaso na nasara sakamako ne kusan guda kamar yadda a cikin m mata.

endocrine cututtuka

Mafi na kowa endocrine cututtuka sun hada da ciwon sukari, hyperthyroidism da hypothyroidism. Bari mu more daki-daki a kan kowane daga cikinsu.

ciwon sukari mellitus

A cutar halin rashin yawa na insulin ko rashin inganci, sakamakon wani carbohydrate rashin ha} uri da kuma na rayuwa cuta. A nan gaba akwai iya zama canje-canje a cikin gabobin da kyallen takarda.

Ciwon sukari mellitus bayyana kanta a cikin irin nauyi asara, hangen nesa da hasara, itchy fata, polyuria, ƙishirwa. Ga cikakken ganewar asali da cutar ya kamata a gwada wa jini sukari da kuma urinalysis.

Mata da ciwon sukari a lokacin daukar ciki an shigar da zuwa asibiti a kalla sau uku: a cikin na farko lokaci a cikin 20-24 makonni da kuma 34-36 makonni.

Ciwon (as extragenital Pathology) da kuma ciki ne quite m. Da cutar ba mai nuni ga zubar da ciki, da kuma sosai haihuwar jariri da aka jiyar da matsayin halitta hanya, da kuma tare da taimakon wani caesarean sashe.

Abinda ya kamata a yi la'akari: da ciki mace tafii da gwaje-gwaje da kuma sha likita jarrabawa akalla 2-4 sau wata daya.

thyrotoxicosis

Cutar da ake dangantawa da canje-canje a cikin thyroid gland shine yake: shi qara da kuma Hyperactivity. Tare da hyperthyroidism palpitations, sweating, gajiya, zafi filasha, barci disturbances, tremor na hannãyenku, kuma Ya ƙãra jini. A sakamakon haka, da cutar zai iya sa wani karfi toxicosis da ashara.

Domin m nau'i na hyperthyroidism ciki ne in mun gwada al'ada, tare da matsakaici to mai tsanani nau'i na yanke shawara a kan ta ƙarshe.

A lokacin saukarsa tsari ne shan dukan matakan da za su taimaka kauce wa m zub da jini.

hypothyroidism

Cutar da ake kuma hade tare da mai illa thyroid aiki, wanda ya tashi a sakamakon aikin tiyata da suke nakasar lahani.

A lokacin hypothyroidism iya samun rayuwa da kuma hypothermic ko zuciya da jijiyoyin jini syndromes, kazalika da anti-mai kumburi hanyoyin kwantar da hankali da kuma fata canje-canje. Cuta ba hanya mafi kyau rinjayar da a nan gaba yaro: ya iya samun haihuwa lahani ko fada a shafi tunanin mutum da ci gaba.

A gaban matsakaici to mai tsanani siffofin ciki da na haihuwa contraindicated cuta.

kwayar cututtuka

A gaban kwayar cututtuka a lokacin daukar ciki zai iya cutar da ba kawai don nan gaba kiwon lafiya na uwa, amma kuma ta nan gaba baby.

SARS da kuma mura

Kamar yadda aka ambata a sama, m na numfashi kwayar cutar (Ari) yana kadan tasiri a kan ci gaba da kuma jihar kiwon lafiya da tayin. Amma lokacin da sanyi gudana a cikin mura, akwai wani hadarin rikitarwa, wanda zai iya sa zubar da ciki. Wannan ya shafi musamman mai tsanani nau'i na da cuta a cikin na farko da na biyu awo na ciki, kamar yadda yana da teratogenic effects on tayin.

Jamus kyanda

Rigakafin extragenital kamar yadda rubella ya kamata a yi kafin daukar ciki. Shi ne m na yau da kullum lamba, wanda aka gudanar da baya a cikin shimfiɗar jariri ko samartaka.

rubella cutar iya haye Mahaifa, kuma har zuwa 16 makonni don samar da tayin embryotoxic da teratogenic effects. A wannan yanayin, nakasar malformations iya lura ko da a cikin yara daga waɗanda uwaye suke ba da lafiya, amma kawai a lamba tare da mutanen da rubella.

A cutar halin da wadannan cututtuka: kara girman Lymph nodes, shafe tsawon zazzabi, thrombocytopenia, articular ciwo, hepatomegaly.

Rubella a farko trimester ciki ne mai nuni ga ƙarshe na ta wajibi.

herpes

HSV (herpes simplex virus) ne iya shiga cikin mahaifa da kuma haifar da lalacewar da tsakiya m tsarin, zuciya da kuma fetal hanta. A sakamakon haka, ba a haifa iya nawa a shafi tunanin mutum da ci gaban ko da calcifications a cikin kwakwalwa, microcephaly.

Mai hatsari cutar a farkon trimester, kamar yadda yana da irreparable effects a kan haifa ba, kuma da bukatar su katse ciki. Herpes a cikin na uku trimester ne kafin for gaggawa caesarean sashe.

Jiyya na extragenital Pathology a mata masu juna biyu

Kamar yadda muka gani, manufar extragenital Pathology hada da wani iri-iri cututtuka. Saboda haka, ya bayyana sarai cewa guda Hanyar magani ta ba ya wanzu. All dole far dogara ne a kan irin cuta, da mai tsanani, gaban ko babu exacerbations a kowane awo da sauransu.

Abin da magunguna ya kamata a dauka idan akwai extragenital Pathology? Idan ashara nada wasu kwayoyi, dauke da kwayar cutar, kwayar, kumburi cututtuka - ne quite daban-daban. A wani hali a kai-medicate. Kawai alhakin likita (likitan mata, internist, endocrinologist, da dai sauransu) za'a bashi taken dauki wani mataki da kuma sanya liyafar da wani magani.

rigakafin EGP

Rigakafin extragenital Pathology ne da farko don gane yiwu kullum cututtuka. A wani lokaci a lokacin da wasu ne Masani game da dukan kiwon lafiya da matsaloli ga wasu exacerbation a lokacin daukar ciki na wata cuta na iya zama wani real mamaki. Wannan shi ne dalilin da ya sa da yawa obstetricians shawara sha cikakken kiwon lafiya jarrabawa ko a lokacin yaro shiryawa.

Batu na gaba - da ciki kanta. A gaban extragenital shi za a iya warware ko an contraindicated. Kuma a cikin na farko da na biyu lokuta (idan mace ƙi ƙarshe na ciki) shi wajibi ne ka yi rajista tare da ya dace masu sana'a da kuma dole ziyarci shi a kalla 1 lokaci da watan. Wannan zai taimaka wajen lura bayyanar yiwu rikitarwa da kuma kawar da su.

Bugu da kari, ciki sau da dama ya bayar da shirya asibiti. Ba lallai ba ne don ba su up domin kare su daga cikin illar da duka biyu da kansu da ba a haifa ba baby.

Haske your ciki, zama lafiya!