Ashara a farkon daukar ciki: Yanã, ganewar asali, rigakafin, magani

Ashara - yana da ba kawai jiki rauni ga mace, amma kuma a halin kirki daya. Yana da wannan dalilin, da wadannan labarin da aka harhada a matsayin mai yawa bayanai game da ganewar asali, Yanã, cututtuka, da magani, da kuma rigakafin maras wata-wata zubar da ciki.

Ashara a farkon ciki - wannan ne mai matukar bakin ciki da kuma, da rashin alheri, quite na kowa. A cewar statistics, kowane takwas mace ta ciki ne kare cikin na farko goma sha biyu makonni. Mafi yawansu suna faruwa ta hanyar mai ashara ba tare da sanin sun kasance ma'abũta ciki. Kuma wasu daga cikin yiwu asarar wani tayin cewa tuni a farkon shawarci kuma rika tafi domin ya ceta.

Magani da zubar da ciki ne dauke da akalla tasiri a kan haihuwa aiki da kuma kiwon lafiya na mace. Yana da muhimmanci ba miss da wa'adin.

Ƙarshe na ciki ba za a iya gani da wani mace a farkon matakai. Jinkirtãwa ake kawai kuɗin da aka biya wata-wata a jinkirta, sa'an nan profuse zub da jini zai fara, wanda yana tare da ji na zafi. Lokacin da tayi ne Mafi fita, da zub da jini da kuma zafi tsaya, da mace a cikin wannan harka iya taba sani ba ta da ciki.

Idan tayin ba gaba daya abin da ke haifar da shafe tsawon zub da jini, mata sukan iya kõma zuwa wani gwani wanda ya ce ashara. Mai likitoci mayar da mace jiki, bayan irin wannan taron wajabta likita far.

dalilai

A Sanadin ashara iya zama kamar haka:

• Hormonal gazawar.
• Halitta munanan.
• Cututtuka.
• RH factor.
• Magunguna.
• Rauni.
• Zubar da ciki a baya.

Da barazana da karewa daga ciki a karo na biyu trimester rage muhimmanci. Bisa kididdigar da, a karo na biyu trimester ashara ya auku ne kawai a kowace hamsin mata.

Saboda haka, mu tattauna a more daki-daki sama Sanadin ashara.

hormonal gazawar

A cikin mace hormones da sikẽli madaidaici ne kafin ga al'ada ciki tsari. A wasu lokuta, mai gajiyarwa, a wani hormonal bango iya haifar da rashin lafiya. Masana sun gano progesterone matsayin mai da muhimmanci sosai hormone abin da ake bukata domin tabbatar da ciki. Idan rashin shi da aka samu a dace hanya, mata suna wajabta da hormone a cikin nau'i na magunguna, a sakamakon tayin kulawa don ajiye.

Bugu da kari, da aminci da tayin rinjayar androgen balance. Tare da su overabundance a cikin jikin mace mai ciki damuarn samar da estrogen da progesterone, kuma shi ne ma da barazana da ashara.

cututtuka

A cikin shiri domin daukar ciki, da wata mace yana bukatar daukar duk samuwa far na kullum cututtuka. Bugu da kari, shi ne shawarar kauce wa cututtuka. Bayan duk, idan ta shiga cikin mace jiki ne causative wakili zai iya kara yawan zafin jiki, da kuma tsokane ashara.

A raba hadarin da tayin ne cututtuka da cewa suna daukar kwayar cutar ta hanyar jima'i lamba. Saboda haka, a nan gaba iyaye a cikin shiri domin daukar ciki ya kamata a yi kariya da kuma gwaje-gwaje domin wadannan cututtuka. Saboda a gaskiya wannan irin cututtuka da dama zuwa tayin ta cikin jini, a mafi yawan lokuta, gaban Pathology kuma kamu ashara.

kwayoyin munanan

Zaki ya share dukan rashin faruwa ga wannan dalilin. Doctors kiran lambar don 73% na jimlar yawan. A duniya ta yau, wannan factor taka wata babbar rawar. Inganci kayayyakin, rediyoaktif samu, najasa yanayi - duk wadannan kullum ayyukan a kan mace jiki.

Kamar yadda na yau, shirya domin daukar ciki, da yawa mata kokarin barin m najasa birni, kuma ku ciyar da lokaci a cikin mafi dace yanayi. Duk da cewa wadannan dalilai ne ba sauki kashe, hade tare da maye gurbi na su ba su dauke hereditary, na gaba ciki na iya zama nasara.

RH factor

Wannan factor ne kusan ko da yaushe tsokani zubar da ciki riga a farkon matakai. Saboda wannan dalili, idan wata mace ne RH korau da wani mutum - tabbatacce, wannan halin da ake ciki na iya fararwa wani Rhesus-rikici da kuma, kamar yadda wani sakamako, ashara.

Don kwanan wata, magani ya koya a magance wannan matsalar ta hanyar da gabatarwar da mace jikin progesterone. Kamar wancan ne da 'ya'yan da aka kare daga m mace rigakafi da tsarin. Duk da haka, a wannan yanayin, matsala na iya tashi ashara.

magunguna

Masana sun bayar da shawarar a wannan lokacin don kauce wa shan magunguna, musamman a farkon matakai. Yana da muhimmanci a kawar da duk analgesics kuma ji ba gani. Shi ne ma a ke so a yi amfani da da kuma jama'a da girke-girke da suke ba a matsayin sinadaran hypericum, nettle, cornflower da faski.

stressors

Kwatsam baƙin ciki, husuma, da jayayya a cikin iyali, ko danniya a wurin aiki - duk wadannan Sanadin ashara a farkon daukar ciki. Ya kamata a rage girmanta ko, idan zai yiwu, don kauce wa mataki na wadannan abubuwan. An muhimmiyar rawa a samar da wani yanayi annashuwa ga mace kawai ne ga wani mutum. Idan ba za ka iya kauce wa mataki na danniya da dalilai, da likitoci sa'an nan rubũta a m magani mai kantad da hankali kwayoyi.

pernicious halaye

Ko kafin ganewa, dole ne ka daina shan barasa da kuma daina shan taba. Shan taba zai iya adversely shafi zuciya da jijiyoyin jini tsarin da tayin. An shawarar gina wani jiwuwa tsarin na lafiya cin abinci, tare da wani sa na da muhimmanci ma'adanai da kuma bitamin. Shi ne kuma dole don daidaita domin na rana.

raunin da ya faru

Bugu da kari zuwa sama dalilai, ashara a farkon daukar ciki zai iya sa wani karfi tura, sauke, ko dagawa nauyi abubuwa. Saboda haka ya zama dole su yi aiki tare da iyakar taka tsantsan.

Abortions a baya

Wannan shawara ba kawai amfani don tsorata mata matasa, amma kuma a hakikanin factor matsaloli a nan gaba. A wasu lokutta, da zubar da ciki zai iya kai wa ga sterility kuma hanyar maimaita ashara.

diagnosing

Ashara - shi ne mai multifactorial cuta a cikin wanda da yawa marasa lafiya shi ne a hade tare da mahara pathogens lokaci guda. Saboda wannan dalili, marasa lafiya jarrabawa ya zama m, kuma sun hada da duk zamani dakin gwaje-gwaje, instrumental da kuma na asibiti hanyoyin.

A cikin shakka daga cikin binciken da ba kawai ya kafa Sanadin ashara, amma kuma kiyasta Jihar da haihuwa tsarin don kara hana abin da ya faru na irin wannan jiha.

Sauraron yadda ake gudanar da ciki

A tarihin hada gaban somatic tsaftacewa, da ciwon daji, kwayoyin cuta da kuma neuroendocrine munanan. Gynecological tarihi yale mu mu tantance gaban kwayar cutar, kumburi cututtuka na genitalia, musamman hailar da kuma haihuwa ayyuka (maras wata-wata abortions, haihuwa, zubar da ciki), hanyoyin kwantar da hankali da kuma sauran tiyata, gynecological cuta.

A lokacin da na asibiti jarrabawa yi jarrabawa, kima na fata, thyroid, da kuma mataki na kiba, daidai da jiki taro index. A cewar girsutnogo niyya mataki na hirsutism, kiyasta yanayin kayan ciki, kazalika da pelvic matsayi. A rashi ko gaban ovulation, da aikin jiha na ovaries bincikar bisa hailar kalanda da rectal zazzabi.

Laboratory da kuma instrumental hanyoyin gudanar da bincike

Ganewar asali ashara aka yi sama da wadannan karatu:

• Gisterosalpinografiya - za'ayi bayan da hailar sake zagayowar 17-13 kwanaki, gusar intrauterine adhesions, malformations na mahaifa, CIN.
• Amurka - detects gaban adenomyosis, cysts, igiyar ciki fibroids, bincika matsayi na ovaries. Bayyana endometrial hyperplasia endometrial polyps, na kullum endometritis.
• Kamuwa nunawa - shi ya shafi microscopic jarrabawa da bakin farji swabs, urethral, endocervical da bacteriological jarrabawa na mahaifa canal abun ciki, PCR ganowa, da bincike kan cutar m.
• Hormonal binciken. Aka gudanar a ranar 5th ko 7th ranar zagayowar ranar da yanayin na yau da kullum sananniya a mata da oligo-amenorrhoea da - a kan wani ba rana. M abinda ke ciki 17 oksiprogesterona, DHEA-sulfate, cortisol, testosterone, FGS, LH, prolactin. Progesterone za a iya ƙaddara kawai a marasa lafiya tare da na yau da kullum da sake zagayowar: a cikin rukunin farko na sake zagayowar for 5-7 kwana a karo na biyu lokaci na zagayowar - at 6-7 ranar Yunƙurin a rectal zazzabi. A mata da adrenal hyperandrogenism kwashe kananan gwajin tare da dexamethasone domin sanin mafi kyau duka warkewa kashi.
• Domin sanin hadarin ashara, shi wajibi ne domin sanin gaban cardiolipin antibodies, anti-hCG da kuma bincika fasali na hemostasis tsarin.
• Tuhuma da endometrial Pathology da / ko endometrial Pathology ne da za'ayi karkashin iko da hysteroscopy bincike curettage.
• Tuhuma da adhesions danniya a cikin kananan kafafuwa, Pathology bututu, endometriosis, a skleropolikistoznyh ovaries da mahaifa myoma nuna gudanar laparoscopy.
• Jarrabawa na maza ya hada da kayyade hereditary tarihi, kumbura maniyyi analysis, gaban somatic da neuroendocrine cututtuka, da kuma tsaftacewa da kumburi da rigakafi da dalilai.

Bayan ka gano haddasa yawan ashara haddasawa, nada hadaddun na warkewa matakan.

Jarrabawa a lokacin daukar ciki

Sanya ido ga Pregnancy kamata a fara nan da nan bayan da ya faru, da kuma ta kunshi wadannan bincike hanyoyin:

• Tabbatar da dalilin da DHEA da DHEA-sulfate.
• Lokaci-lokaci da dalilin da hCG a cikin jini.
• Ultrasonic scanning.
• Idan dole, bayar da shawarwari tare da wani ilimin da kuma psychologist.

rigakafin

A cewar ilimin kididdiga data mita kwatsam zubar da ciki ne 1 a 300 ciki. Duk da cewa da yiwuwa ashara rage-rage tare da karuwa a cikin lokaci, adadi ne a kusa da 30% a cikin last trimester. Har ila yau, shi yakan faru ne cewa bai kai ba haihuwa da kuma ashara a mata faruwa akai-akai. A sakamakon haka, a ganewar asali - sabõda ashara (magani da za a tattauna a kasa).

A Sanadin wannan cuta ne bambance bambancen a mafi yawan lokuta su bai kai ba bayarwa ko ashara sa su hadaddun dukan. Duk da haka, su mataki na iya zama ko dai bi da bi, ko na lokaci daya. Mace da ciwon wannan muhimmin aiki a tare da tare da juyayi da kuma jiki obalodi ko low zamantakewa da tattalin arziki matsayi, ta atomatik shiga cikin hadarin.

Bugu da kari, abubuwan da ƙara da alama na Pathology, dole ne sun hada da ciwon sukari, koda cuta, asma, cardiac da jijiyoyin bugun gini cututtuka, na yau da kullum, abin mãye da kwayoyi, barasa, taba hayaki. Idan mace da ciki da rikitarwa ko nauyaya obstetrical tarihi, shi ma yana nufin hadarin dalilai kwatsam zubar da ciki ko ashara. Yana da muhimmanci a tuna cewa kananan lokaci maras wata-wata zubar da ciki zai iya zama da nazarin halittu ginshikai na zabin yanayi, saboda wannan dalilin, ashara - wannan ba harbinger na m m ciki.

A gaskiya ma, cikin rigakafin ashara an rage wa biyu babban maki:

1. Dace jarrabawa na jiki na mata da maza.
2. Lafiya salon.

Yana da muhimmanci domin sanin gaban wani mutum ta cutar hereditary yanayi, cututtuka, gudanar da wani maniyyin bincike da kuma cikakken magani daga dukan matsaloli.

Kafin wata mace da aka sa wa wani mafi rikitarwa matsala. Ya kamata a bayyana ko akwai somatic, neuroendocrine, da ciwon daji, abin da game da hereditary pathologies.

Har ila yau, a matsayin wani ɓangare na rigakafin binciken yadda haihuwa da kuma hailar aiki, shi dai itace gaban kiba da ta digiri kiyasta yanayin fata.

A bu mai kyau tuntubar da instrumental jarrabawa. Hysterosalpingography ne quite m, wanda aka gudanar a karo na biyu da rabi daga cikin hailar sake zagayowar. A sakamakon haka, kasa don a san ko haƙuri yana da wani intrauterine Pathology. Sakamako na pelvic duban dan tayi iya gane asali gaban endometriosis, fibroids, cysts, kazalika da tantance jihar da ovaries.

Yana da muhimmanci, don su bincika smears daga mafitsara, da cikin canal na cervix da farji. Hormonal bincike ne kyawawa su yi a farkon rabin na hailar sake zagayowar. Kana bukatar kuma ka yi tunanin mutum mai jini gwajin da za su hada da coagulation sigogi. Wannan zai ƙayyade gaban antibodies kamar anti-hCG, antikardoiolipinovyh da lupus.

magani

Jiyya na ciki da asarar faruwa a cikin wadannan jerin: ganewa da kuma m kawar da dalili.

Dalili aya shi ne kamuwa da cuta da tayin, wanda ya auku a sakamakon kamuwa da cuta daga ruwar ko mahaifa shigar azzakari cikin farji na pathogens. A wannan yanayin maras wata-wata da zubar da ciki na faruwa a baya igiyar ciki aiki jawo a sakamakon m maye ko wanda bai kai ba katsewa na membranes, wanda aka sa ta wani canji a cikin tsarin membranes karkashin mataki na cututtuka. Jiyya a cikin wannan halin da ake ciki na iya zama nasara, a matsayin yaro ta ikon tsayayya korau dalilai qara da gestational shekaru.

The matakan domin rigakafin wannan cuta ya kamata hada da shawara tare da wani endocrinologist, tun hormone rashi iya kai wa ga pathological sake fasalin kudin na endometrium da ta? Ãr, wanda aka kuma dauke shi a bukata kafun ga zubar da ciki. Hyperandrogenism (pathological jihar) kuma halin da hormonal yanayi da zai iya zama sanadin maras wata-wata zubar da ciki.

An samo ko nakasar kwayoyin Pathology na haihuwa tsarin gabobin, ma, shi ne dalilin ashara. Bugu da kari, cikin Sanadin wannan cuta ya kamata hada da m obalodi, danniya, da ayyuka na mutum kwayoyi, cututtuka na daban-daban iri, jima'i rayuwa a lokacin daukar ciki.

Ko da a cikin ganewar asali na maimaita ashara yiwuwar maras wata-wata katsewa da shi zai iya muhimmanci yanke karkashin yanayin m kula da kwararru da kuma m rigakafin.