Kiwon lafiya, Cututtuka da kuma Yanayi
Gestational pyelonephritis a ciki. Jiyya na gestational pyelonephritis
A lokacin daukar ciki, da yawa mata fuskanci matsalar lafiya kamar gestational pyelonephritis. Wannan Pathology ya auku, saboda kamuwa da cuta a cikin koda. Kumburi tare da m majiyai. 'Yan mata neman dace magani, da tsoron cutarwa sakamakon kwayoyi a kan tayin. A gaskiya, wannan sakaci iya adversely shafi jariri.
Overview
Pyelonephritis - shi ne wani kumburi tsari a koda da cewa tasowa a sakamakon kamuwa da cuta. Mata a matsayin da laulayi mafi cutar saboda matalauta kwarara daga fitsari da kuma pinched shaye tashar girma mahaifa. Pyelonephritis bayyana ta a kaifi Yunƙurin a zazzabi, m rashin jin daɗi a cikin lumbar yankin. Don yãƙi kamuwa da cuta, likitoci kullum bayar da shawarar maganin rigakafi. Tare da ta dace lura da wani expectant uwa da kyau dama na ciwon lafiya baby.
Mene ne daban-daban gestational pyelonephritis? Lokacin da ciki na karuwa da juna wucewa rana cikin mahaifa yana sanya matsa lamba a kan kewaye gabobin. Sau da yawa sosai da na pinched kaina ureter. Yana da tashar ta hanyar abin da fitsari gudana daga koda ga mafitsara da kanta. Inda hakan ya aiwatar tsokani ta stagnation kuma koda kara girma. Irin wannan yanayin hali na ciki. Wani lokacin ta hanyar mafitsara kamuwa da cuta ke shiga cikin koda, da matalauta outflow na ruwa ni'imar da wannan tsari.
Idan wani expectant uwa kafin daukar ciki pyelonephritis aka gane a cikin kullum form, kuma a yanzu ya ci gaba gestational, hadarin da rikitarwa shi ne quite high. Irin wannan mata ya kamata a kullum lura da wani likita da kuma tsananin bi duk da dokokinta.
Nau'in gestational pyelonephritis
Cutar na iya faruwa a kowane trimester na ciki, haihuwa a cikin irin wannan yanayin ne suka kamu da sosai da wuya. Yawancin lokaci Pathology tasowa a farkon rabin lokaci. Kwararru da yawa sanyã wannan ga jiki ta rashin iyawa to da sauri daidaita da sabon yanayi.
Ware m kuma na kullum nau'i na cutar. Mafi sau da yawa a lokacin daukar ciki akwai wani biyu version da cutar, wanda za a iya gano ta hanyar wata halayyar canji a cikin abun da ke ciki na fitsari. Ya yi wuya a jiyya, da kuma a wasu lokuta shi ne dalilin da karewa daga ciki.
Gestational M pyelonephritis bayyana karfi maye daga cikin jiki, amma ba barazana ga rayuwa da tayin a cikin mahaifa. A cikin wani hali, da lura da wannan cuta ya kamata a kusata da matuqar muhimmancin. Cuta a 16-24 makonni na ciki, ba tare da la'akari da halin yanzu tsari, zai iya sa ashara.
Likitoci ma ware firamare da sakandare pyelonephritis. A cikin farko idan, cutar na faruwa a kan bango na alheri, cewa shi ne, ba tare da wani preconditions a kan wani ɓangare na sauran sashin jiki tsarin. Biyu bambance-bambancen da cutar halin gaban surkin jini mayar da hankali daga abin da skid pathogens ba kawai a cikin kodan, amma kuma a cikin huhu da kuma jima'i gabobin da mata. Tare da kaifi tabarbarewar kiwon lafiya za ka iya magana game da ci gaban da kwamin na tara yanayi.
A rarrabuwa da cutar rinjayar kawai da zabi na dabara da kuma warkewa matakan. Its pathogenesis kasance iri guda a duk lokuta.
Babban Sanadin cutar
A ciki mace a kusa da karshen na farko da trimester jini estradiol taro ƙaruwa sharply, kuma progesterone matakan. Wadannan canje-canje hormonal shafi cikin tonus na mafitsara tsoka, kofuna da kuma kafafuwa da koda. fitsari da kwarara ne slowing sauka, akwai reflux. Duk wadannan canje-canje kara matsa lamba karuwa a cikin size of cikin mahaifa a kan urinary fili, akwai stagnation. Irin wannan abin kwaikwaya taimaka wa shigar azzakari cikin farji na pathogens da m haifuwa. Kwayoyin cuta (Streptococcus, Proteus, enterococci) aka hankali tãyar da matakin na koda da kuma tsokane su kumburi.
Gestational pyelonephritis kamu a lokacin daukar ciki ba ko da yaushe. Na musamman muhimmancin ne: na rigakafi da tsarin da mace, mutum hormonal bambance-bambance. Masana sun gano dalilai da dama bayar da tasu gudunmuwar da ci gaban da cuta:
- Kafin ciki bacteriuria.
- Reflux.
- Munanan da kodan da kuma mafitsara m matakin.
- Kullum ailments.
- Urolithiasis.
Bugu da kari, a karkashin wasu rarrabe fasali na ciki (kunkuntar kafafuwa, polyhydramnios, manyan 'ya'yan) hadarin pyelonephritis an karu da sau da yawa.
Abin da cututtuka nuna a Pathology?
- Mutane da yawa mata ta gunaguni ne sau da yawa ba a nan, da kuma pathological canje-canje suna gano a lokacin awon gwaji (farin jini Kwayoyin da kwayoyin cuta a cikin fitsari). Lokacin da shuka ne yawanci ƙaddara da m girma na E. coli, akalla - aureus.
- Gestational pyelonephritis a mata masu ciki zai iya a tare da ciwo mai tsanani a cikin lumbar yankin, rashin jin daɗi ƙaruwa tare da shafe tsawon zaman on your feet.
- A lokacin exacerbation zafin jiki yakan.
- M urination ne na hali na al'ada ciki. A cikin hali na pyelonephritis zũciyõyinsu iya zama wajibi, da kuma zama sosai m urination.
- M cututtuka da tauraron dan adam - hawan jini.
- kumburi da kafafu a mata a jihar da aka dauke al'ada. An ba ko da yaushe hade da Pathology na urinary tsarin. Irin wannan bayyanar cututtuka iya nuna tsangwama daga venous outflow. Kumburi a pyelonephritis yawanci qara, akwai puffiness da fuska.
- Ciwon kai, gajiya, jin rauni da safe - duk wadannan siffofin kawai gaba da na asibiti hoto.
A pyelonephritis ne mai hadarin gaske ga mata masu ciki?
Wannan cuta ne gestational pyelonephritis, bayyanar cututtuka na wanda muka dauke sama, ta atomatik shiga wani ciki lady a hadarin. Me ya sa? A kumburi tsari a cikin jiki qara load a kan zuciya da jijiyoyin jini tsarin da kuma kodan. A 30% na mata da ganewar asali tasowa preeclampsia (toxemia na marigayi).
A wannan yanayin da muhimmanci tabarbarewa.Idan da jini wurare dabam dabam a cikin kodan, kwakwalwa, mahaifa. Jini ya yi kauri, da kuma adadin oxygen a cikinsa rage-rage. Duka wannan yana nuna a cikin sinadirai masu matsayi da tayin da mace.
Babban illar hada da wadannan kwararru a wannan cuta:
- Da barazana da katsewa - ya fi na kowa wahala na gestational pyelonephritis.
- Sakacin haihuwa.
- Mahara zub da jini.
- Placental abruption.
- Anemia.
Bayyanar wani wahala dogara, yafi a kan tsanani daga kumburi da kuma dace magani ga likita.
Gestational pyelonephritis a ciki: effects on tayin
A kumburi tsari a cikin kodan sau da yawa yana da wani sakamako a kan jariri a cikin mahaifa. A kullum rashin oxygen da kuma muhimman abubuwan gina jiki sakamakon a tamowa da tayin. Wannan yana nufin cewa wani yaro da aka haife rauni, kuma tare da kadan nauyi. Aƙalla da rabi daga cikin lokuta likitoci suka ce hypoxia. A 30% na mata tare da wannan ganewar asali an haife wanda bai kai jarirai.
Daga cikin sauran rikitarwa sau da yawa faruwa: hypothermia fetal intrauterine kamuwa da cuta, asphyxia yayin CNS.
ganewar asali da cuta
A mafi muhimmanci da kuma m gwajin ga wannan cuta ne da fitsari gwajin. A gaban kumburi nuna babban adadin leukocytes, gaban pathogenic kwayoyin, bayyanar gina jiki.
A jini kuma iya zama alamun cututtuka (karuwa da leukocytes da ESR). Don gane da irin kwayoyin da ya haddasa ciwon kumburi, da likita daukawa fitsari al'ada a kan Flora kuma ji na ƙwarai to wasu maganin rigakafi. Bisa ga sakamakon wannan gwajin gwani iya rubũta magani da cewa shi ne ya dace ba da mace.
Har ila yau, ganewar asali ya shafi rike duban dan tayi. Bayan gudanar da bincike yawanci bayyanãwa ciki sassa na fadada da kara a koda Gabar masu girma dabam. A likita dole ne dole a tabbata cewa gestational pyelonephritis ba nuna a kan jihar da jariri a cikin mahaifa. Don yin wannan, sanya fetal duban dan tayi, CTG da Doppler.
Yadda za mu bi pyelonephritis a mata masu juna biyu?
Idan wani expectant uwa lura bayyanar cututtuka hade tare da kumburi da kodan, ya kamata ba tare da bata lokaci ba don su nemi taimako daga likita. Dace ganewar asali da kuma ingancin magani na rage hadarin mahaukaci fetal ci gaba, ware da yiwuwar zubar da ciki.
Da farko mata suna karfafa don ake kira positional far. Yana da nufin rage matsawa na ureters da hanzari na kwarara daga fitsari. Mata masu ba da shawarar barci a kan baya, mafi alhẽri ya zabi wani zaɓi a gefen hagu. A lokacin da rana, ya kamata zauna Bozeman matsayi da kuma zama a cikin wannan wuri domin akalla minti 10. A wannan lokaci, za ka iya karanta wani littafi, aiki a kan kwamfuta, ko wasa da wani mazan yaro.
Jiyya na gestational pyelonephritis ma ya shafi canza sha tsarin mulki. Idan babu tsanani edema da kuma hawan jini, adadin ruwa cinyewa a cikin wani yini za a iya ƙara har zuwa biyu zuwa uku lita. Wannan na iya zama ya fi kowa ba carbonated ruwa, da 'ya'yan itace, ko jelly. Daga cikin karfi shayi da kuma kofi ne mafi alhẽri a wani lõkaci ba up.
Mutane da yawa diuretic ganye a lokacin daukar ciki ne cikakken contraindicated. An haramta amfani da bearberry, licorice, faski. Mafi sha Cranberry / Cranberry 'ya'yan drinks, daga Birch ganye. A real godsend ga mata da yawa a jihar da irin wannan ganewar asali - a decoction na hatsi. Wannan kayan aiki ba ya kara sautin na mahaifa, amma yana da anti-mai kumburi mataki da ya hana maƙarƙashiya. Nunarsa dole dauki gilashin hatsi, zuba lita na ruwa, Boiled m for game da sa'o'i biyu, sa'an nan lambatu. Decoction ya kamata a bugu sau uku a rana kafin ainihin abinci.
Abin da kwayoyi iya sanya likita?
Far gestational pyelonephritis hada da antibacterial da anti-mai kumburi magani. A amfani da yawa maganin rigakafi da kuma wasu uroseptikov a lokacin daukar ciki ne cikakken contraindicated, wanda ƙwarai dagula zabi na kwayoyi. A cikin wani hali, da dabara na yaki da wannan cuta ya so wani likita a asibiti, kamar yadda duk mata suna asibiti tare da wannan ganewar asali ne m.
A farko trimester mahaifa da ake kira shãmaki aiki ne yawanci ba generated har karshen. A wannan lokaci, akwai wani muhimmin mataki na alamomin babbar tsarin na yaro, don haka sakamakon da miyagun ƙwayoyi ne a ke so. Idan canje-canje suna gano kawai a cikin bincike na fitsari, mafi m, za su iya iyakance sama shawarwari. A cikin hali na aiki kumburi, wanda yana tare da zazzabi da kuma jin zafi, shi ne a yarda a yi amfani da penicillins (kwayoyi "amoxicillin", "Amoksiklav").
Daga na biyu trimester a yarda wa cephalosporin maganin rigakafi ( "Supraks", "Cefazolin"), macrolides ( "Vilprafen" "Sumamed"). A cikin watan biyar na nufin "Gentamicin 'da ake amfani (da wani aiki mai kumburi tsari) ne tsananin a kan takardar sayen magani.
Jiyya gestational pyelonephritis ma kwakwalwa a disintoxication far, da yin amfani da bitamin gidaje da kuma sedatives. Musamman hankali ne ya biya zuwa rigakafin fetal hypoxia. A cikin m bukatar mu mayar da fitsari da kwarara ta cikin catheter da ureteral stenting.
Abin yana bukatar canja a rage cin abinci?
Musamman hankali ne ya biya zuwa da magani daga cututtuka na rage cin abinci na wata ciki. Doctors bayar da shawarar a ware m (kayan yaji, tafarnuwa, albasa) da kuma pickled kayayyakin (cucumbers, tumatir, namomin kaza). Ga wasu lokaci, ina da ba up kofi gaba daya dakatar da barasa.
Don kauce wa ruwa riƙewa a cikin jiki, likitoci rika rage gishiri amfani. Wannan shawarwarin shi ne musamman gaskiya na mata tare da hawan jini.
Rage cin abinci domin gestational pyelonephritis daban-daban bitamin yanayi. Mata su kasance a cikin wani wuri ci more 'ya'yan itatuwa da kayan lambu a cikin su raw siffan, sanya su ruwan' ya'yan itace. A kyau zabi suna dauke kiwo kayayyakin (low-mai gida cuku da kuma kirim mai tsami). A lokacin dawo da rage cin abinci ya kamata sarrafa meatless gina jiki kayayyakin (cewa gishiri-ruwa kifi, kaza nono).
m matakan
Don hana ci gaban gestational pyelonephritis, mata masu ne musamman da muhimmanci a hada a kullum na yau da kullum 'yan maki:
- Matsakaici jiki aiki. Doctors bayar da shawarar yin short fannin kowace rana (game da 1 hour).
- Special darussan ga mata masu ciki. Yau, da yawa wasanni cibiyoyin gudanar da azuzuwan ga mata a jihar, saboda abin da Qarfafa baya tsokoki da kuma inganta sautin na duk kayan ciki tsarin.
- Tare da wani tarihi na cututtuka na urinary tsarin wajibi ne don tsayar musamman rage cin abinci, na inganta da ya kwarara daga fitsari.
- A ranar da aka bada shawarar a sha yalwa da ruwaye.
- Komai cikin mafitsara ya kamata a kalla sau daya a kowace uku zuwa hudu.
Hankali da nasu kiwon lafiya da rigakafin gestational pyelonephritis - jingina da kyau haihuwar jaririn. bai kamata a yi sakaci a matsayin insidious cuta. Lokacin na farko da bayyanar cututtuka kamata shawarci likita da kuma daukar matakan kawar da cutar. Zauna lafiya!
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