I-Myometrium Hypertension in Pregnancy: Izizathu, unyango, iziphumo

Ukunciphisa isibeleko yimeko eqhelekileyo, njengayiphi na enye imisipha. Xa i-contracts ye-muscle ivumelwano, i-uterus isetayileni, oko kukuthi, ngokuxhatshazwa, uxinzelelo lwalo lwangaphakathi luyanda. Xa ukhulelwe, uxinzelelo lwengcinezelo luyabonakala kuninzi lwabasetyhini kwaye alubangazilimaza kwimpilo, kodwa kwezinye iimeko imeko yingozi xa ithwele umntwana, idinga uviwo olukhethekileyo kunye nonyango.

I-Myometrium ingcinezelo yomsindo ngexesha lokukhulelwa kudinga ingqwalaselo eyongeziweyo, kuba kuxhomekeke kwimeko yesisu sokuthi umntwana uxhomekeke kwi-oxygen kunye nezondlo. Kwiindonga zangaphambili nangaphandle, i-myométrium yomshushu ophezulu yimbangela yemithambo yegazi ehambisa, apho i-oksijini ingena kumntwana.

Izizathu

Ngoviwo oluqhelekileyo kwi-ofisi ye-gynecologist, ukuxilongwa okufana nokuphambana rhoqo kwesibeleko kwenziwa rhoqo. Ukugqithisa kwesi sibonakaliso kungabi nengozi okanye, ngokuchasene, kuyingozi kwimpilo yengomama nomntwana. Izizathu zeetoni zingafani kakhulu. Umzimba wesetyana ngexesha lokukhulelwa uphinde waqulunqwa kwaye usebenza ngokungafaniyo, kungekho njalo. Ukuziphatha kwesibeleko kuchaphazelekayo kwimiba yangaphandle nangaphakathi:

• Izifo zesisu;
• Ubukho bezifo ezingapheliyo;
• Ubume obungavumelekanga besisu;
• Ukungasebenzi;
• Ukuphindaphinda ukukhipha isisu okanye ukusebenza kwi-uterus;
• Imikhwa emibi;
• Ubuthongo obubi, iimeko ezixinzelelekileyo;
• Isiqhamo esikhulu ;
• Iiprosts ezininzi ze-ovarian;
• Polyhydramnios.
• Ukuzaliswa kwesisu ( ubukhulu obuncinci , ukungaphuhliswanga).

Isizathu esinokuchanekileyo sinokumiselwa emva kokuhlolwa kwe-ultrasound. Ugqirha umisela ukuhanjiswa kweemvavanyo zegazi ukuchonga izinga lamahomoni.

Ekuqaleni kokukhulelwa

I-myometrial ingozi yokukhulelwa ekuqaleni kokukhulelwa kubonisa ukuba umzimba womfazi uvelisa i-progesterone enganeleyo okanye kukho i-hormone yamadoda.

Isizathu sokwanda okwandayo kwesibeletho kwi-trimester yesibini ngu:

• I-fatabolism engafanelekiyo;
• Uxinzelelo oluqhubekayo;
• Ukusebenza ngokweqile ngokomzimba;
• Izifo ezivuthayo zenkqubo yokuzala;
• Ukunqongophala kweMagnesesi;
• Ubukhulu bomntwana obukhulu;
• Ukukhulelwa kwamaninzi.

I-toxicosis eninzi, ehamba kunye nokuhlanza ngokugqithiseleyo, ikhokelela ekuqhekekeni kwezihlunu ezininzi, kubandakanywa nesisu. Into eyingozi kakhulu enokuhamba kunye nokukhulelwa yi-Rh syndrome, eyabangela ukukhishwa kwe-fetus, uphawu olucacileyo lwolu luhlobo lwe-myometrium ye-uterine.

Kukho izizathu ezenza ithoni eyongeziweyo, engekho yingozi, umzekelo, i-gas eqinile kwintlungu. Iimvakalelo ezibuhlungu zidibaniswa neegesi ezincinci kwiindonga zesibindi. Kule meko, kufuneka ukhuphe ngaphandle kokutya kwesantya esidliwayo esinamagatsha anamanzi.

Iimpawu zeetoni ezongeziweyo

Nayiphi na ibhinqa liya kuba nokukwazi ukubeka ingcinezelo yentsholongwane, ikakhulukazi kumanyathelo okuqala okukhulelwa. Awudingi i-gynecologist ekhokhelwayo:

• Ukunyamezela iintlungu, ezifana nezo zenzeka ngexesha lokuya esikhathini;
• Ukuxakeka kwi-bottom of the esiswini;
• Ubuhlungu kwi-back back, enikela kwi-sacrum;
• Spotting, kodwa kungekho rhoqo.

Kwimimiselo kamva, ngenxa yezi zizathu zonke, ukuqina kwesisu kusetyenziswa.

Unyango lwe-myometrium

Ukuba ngexesha loviwo bekufunyenwe ukuba ithoni ye-uterine ye-myometrium ayifaki ngokusongela ubomi kunye nempilo yowesifazane kunye nomntwana, unyango lwenziwa ekhaya. Kwiimeko ezinzima, umama ozayo uyathunyelwa esibhedlele. Ukufumana unyango lwangaphandle, oku kubhaliweyo:

• "Papaverine";
• "Hayi-Shpa";
• "Magne B ₆ ";
• Uhlobo oluthile;
• Imveliso equkethe i-magnesium: "Partusisten", "iBricanil" kunye ne "Ginipral".

Wonke amayeza anqunywe ngugqirha, ngexesha lokusebenzisa kwawo, imeko iyahlolwa, uxinzelelo lwegazi, ishukela legazi kunye ne-palpitation. Zonke ezi zonyango zisetyenziselwa ukuqeda iimpawu zentlungu kunye nokunciphisa imeko yowesifazane okhulelweyo.

"Magne B ₆ " thabatha iipilisi 1-2 imihla ngemihla, ngelixa udla, uninzi lwamanzi. Thatha isiza kufuneka sibe phantsi kweliso logqirha. Iyeza liyanciphisa izinga lesinyithi egazini, kwaye oku kubangela ukuba i-anemia. Imiphumo emibi ibonakaliswa ngolu hlobo lwesiphithiphithi, ukunqunyulwa, ukunyanzelisa, ukuhlanza.

Ngenxa yokuntuleka kweprogesterone kumanyathelo okuqala okukhulelwa, amalungiselelo e-hormone anqunyelwe ukugcinwa kwalo - iDufostan okanye i-Utrozhestan. Kubalulekile ukuba ukhumbule ukuba kuphela ugqirha onokumisela kwaye akhansele unyango, ekubeni kufuneka uyeke ukuthatha imithi ye-hormone kancane.

Unyango kwimizuzu yesibini neyesithathu

Kwi-trimester yesibili, izidakamizwa ezinamandla kwaye zisebenzayo, umzekelo, "Ginipral". Ukuba kukho umngcipheko wecandelo le-placenta, iyeza alisebenzisi. Ngekota yesithathu, umntwana ukhule ngokwaneleyo, kodwa kukho ukukhulelwa kwengqondo njengento yokugqithisa ngokugqithiseleyo. Nasi sigqibo esiphuthumayo senziwa ukukhuthaza ukuzala okanye ukucima isahlulo ukuze ungaphumeleli umntwana kwaye ulondoloze ubomi bomama.

Unokunciphisa intlungu ngokuguqa ngesitulo kwaye uhamba ngokukhawuleza kuzo zonke ezine. Intloko iphakanyiswa phezulu. Emva koko, kufuneka ugobe ngobumnene, njengentaka, ukuya kweso sifundo, i-chin elula esifuba. Emva ko msebenzi ufanele uhlale phantsi kwindawo ekhululekile, welula imilenze kwaye uphumule.

Unyango esibhedlele nokuxilongwa

I-tone ekhulayo yesibeleko iqinisekiswa ngokulula ngokuhlolwa rhoqo kunye nomzimba wezifo zogqirha , ugqirha uyava i-fossil yesisu. Ibhinqa lilele emqolo wakhe ngexesha lokulumka (uviwo), ukuguqa imilenze yakhe emagqabeni kunye namadolo ukuze kunciphise uxinzelelo esiswini.

Kodwa indlela echanekileyo kunye ne-rasporraschenny - ukuhlolwa kwe-ultrasound (ultrasound). Ukukhangela kuya kugqiba iqondo lokuphuhliswa kwezilwanyana. Kukho amalungiselelo akhethekileyo, i-myometers okanye i-tonusometers. Izixhobo ezinjalo aziqhelwanga ngokuqhelekileyo kwiimeko ezinzima, kuba i-pathology ingabonwa lula ngezinye iindlela.

Isigqibo sokubhedlelelwa esibhedlele sithathwa njengesigqibo sokugqibela, xa ukukhulelwa kuqale kunzima okanye zonke iinzame zenziwe ukuba zikhulule umsizi, kodwa ingozi yempembelelo ayitshintshi i-myometrium. Eli bhinqa linikezelwa ngokuphumla ngokupheleleyo esibhedlele, ugqirha uyongamela imeko yomama kunye nomntwana ozayo kwaye uthatha amanyathelo kuyo nayiphi na inguqu ekuphatheni kwesibeleko.

Esibhedlele, "iMagnesia" inqunywe ukuba ijoyi yeesram. Ukuphathwa ngomlomo:

• Magnesium gluconate;
• Magnesium citrate ;
• I-Magnesium orotate ;
• I-magnesium ye-Lactate;

Xa kwenzeka ukuphulwa komsebenzi wezintso, amayeza awayikiweyo okanye asetyenziswe ngokucophelela ngokunokwenzeka.

Ungazinceda njani ngeentlungu zentlungu?

Uxinzelelo lwengxowankulu ye-myometrium: yintoni oyenzayo? Okokuqala kukho konke kufuneka uthathe indawo ekhululekile kwaye uphumule, uphefumle ngokukhawuleza nangokuzithoba. Kunconywa ukusela isondlo, umzekelo umama. Ukuthabatha amayeza ukusuka kwizwi elongeziweyo lesisu, intlungu kufuneka idlule imizuzu eyi-15-20. Ukuba oku kungenzeki, kufuneka ubize i-ambulensi.

Iziphumo zengcinezelo yokhuseleko lomhlaza

Kwezinye iimeko, uxinzelelo lwe-uterus luyinyaniso yokwenene yokukhulelwa, oku kunokukhokelela ekuzalweni kwangaphambi kokuzalwa okanye ekuphumuleni. Iimpahla ezixinezelekileyo zivame ukuba zenze i-hypoxia (ukungabi niselo kwe-oksijeni) okanye i-fetal hypotrophy (ukula ngokukhula).

I-Myometrium hypertonia ingakhokelela kwimiphumo elandelayo:

• Ukubeletha ixesha elide;
• Isibonakaliso secandelo lesondlo;
• I-Postpartum hemorrhages.

Isibeleko asikwazi ukuzihlaziya, ngoko, esibhedlele ugqirha uyabukela ithoni yakhe. Ukuba ibhinqa liphelile kwaye ayikwazi ukuzala, isigqibo senziwe malunga necandelo lesahara ukuze ugcine umntwana.

Ukuba kuthe kwavela ukuba i-myometrium ayifanelekanga, ibangela iingxaki ezininzi, ngoko kubalulekile ukujonga ukuziphatha kwakho kwezempilo kunye nesisu. Ukuba ihlala iqinile kwaye uziva uhlungu, kufanele ufune uncedo kumgqirha. Oku kuya kukusindisa kwiinkathazo ezininzi kwaye kukuvumela ukuba unyamezele umntwana ophilileyo.

Iingxaki:

• I-Pathology ingabangela ukuphuphuma kwesisu;
• Ukuvimbela ukuphuhliswa komntwana;
• Ukuphazamiseka kweplantal.

Inomogeneous myometrium

Iimpawu ezibonakalisa ukuba i-myometrium yowesifazane ayifaniyo - inzwa ebuhlungu kwisisu esezantsi, ukukhulelwa kwamanzi. Eli lizwe livela ngenxa yempembelelo yezi zinto zilandelayo:

• Ukuhluleka kweHormon;
• Ukukhipha isisu kunye nokunye ukukhutshwa kwe-intrauterine;
• Ubuninzi bokukhulelwa ezininzi;
• Ixinzelelo kwigobolondo lwangaphakathi lombele.

Amanyathelo okukhusela

Ukuphepha iingxaki ezininzi ezinxulumene nokuzala umntwana, ukukhulelwa kufuneka kucetywe. Kubalulekile ukuyilungiselela ngexesha, ukuba uphando, kwaye uqhube ikhosi yokunyanga kwezifo ezingapheliyo.

Ibhinqa ngalinye kufuneka libhalise kunye nentetho yabasetyhini ngaphambi kweveki le-12 yokukhulelwa kwaye rhoqo ukutyelela umthinteli-gynecologist, ayikho indawo yokutyelela iklinikhi yangasese apho umyeni ohlawulayo uya kuqhuba uviwo.

Kubalulekile ukuqinisekisa ukulala okufanelekileyo nokuphumla kwekhwalithi, ukutshintsha ukusuka emsebenzini onzima ukuya emsebenzini olula, ukukhuphela ngaphandle kokunyuka kwengqondo nokuxinzezeleka komzimba.

Isimo esiphezulu sokuthintela ukubonakala kwe-uterine yongcinezelo yongcinezelo yimeko yokuziphatha ngokucophelela kwimpilo yomntu kunye nokuhlolwa okucwangcisiweyo ngumjobi wezifo zentsholongwane. Le meko ithathwa njengesongelo lokupheliswa kokukhulelwa, ngoko kubalulekile ukufumana uncedo lwezokwelapha ngexesha elifanelekileyo.