Pathological na farko lokacin: magani. Na farko lokaci - yana da ...

Na farko lokacin - a yaƙi, a ciki a lokacin daukar ciki, tare da kadan zafi da tashin hankali a cikin tsokoki. Su sababbu. Irin wannan yãki ne precursors na ceto. Karkashin al'ada yanayi, na farko mataki na aiki ya dauki lokaci game da 6-8 hours. Duk da haka, a wasu lokuta, wannan zamani za a iya jinkirta. Wannan zai iya faruwa ga dalilai daban-daban. A wannan yanayin akwai wani abnormality na aiki, bukata nan da nan baki na likitoci. Tun lokacin da sakamakon da doguwar na farko zamani zai iya zama sosai tsanani duka biyu uwa da yaro: daga karfi discontinuities a cikin uwa tasa, da kawo karshen tare da mutuwa da tayin.

A ra'ayi na pathological na farko lokacin

A Physiology kowane mutum mace. A wasu lokuta, wannan zamani za a iya jinkirta ga dama hours, da kuma wani lokacin a 'yan kwanaki. Wannan take kaiwa zuwa depletion na mata, da asarar barci, da jari a lokacin da haihuwa na matsananci gajiya. A wannan yanayin, akwai wani pathological farko da mataki na aiki, wato, da prenatal lokaci, wanda dade. An halin sababbu m contractions, wanda ba ba Yunƙurin ga canje-canje a cikin cervix, kuma kawai deplete mace ta jiki.

Jigon da anomalous na farko lokacin

za mu iya bayyana ainihin jigon Pathology kamar haka:

• Physiological na farko lokacin da aka jinkirta.
• Qara sautin na myometrium.
• Ciki cervix taqaitaccen.
• Akwai ragi na ƙananan igiyar ciki kashi.
• Muscle zaruruwa shirya a da'ira, kuma karkace transversely.

dalilai

Matsayin mai mulkin, da pathological na farko lokacin ne gaban disturbances a cikin jiki uwãyensu ne. Babban dalilai za a iya raba uku kungiyoyin:

Likitan mata:

• A gaban polyhydramnios ko oligohydramnios.
• Mahara ciki.
• A 'ya'yan itace mahaifar daukan ba daidai ba wuri (breech gabatar).
• Mahaifa yana yi ne low.

psychoemotional:

• Mace ji tsoro na haihuwa.
• Korau yanayi.
• Neuroses kuma mai tsanani wani tunanin danniya.
• Jiki gajiya marasa lafiya.
• Age nulliparous mata (tsoron sakamako na aiki a ma farkon ko marigayi ciki).

physiological:

• Kada iyaye mata kunkuntar kafafuwa.
• A baya can yi a utero tiyata (scarring bayan caesarean et al.).
• Katsalandan ga endocrine tsarin (kiba, anorexia, da dai sauransu).
• Labile juyayi tsarin.
• Cututtuka na koda, zuciya, hanta, da sauransu. Gawan.
• kumburi daga cikin mahaifa.
• Preeclampsia.
• Mahara abortions.
• Ashara da tayin.

cututtuka

Pathology prelimirnogo lokaci taimakawa wajen gano wadannan cututtuka:

• Mahaifa a cikin shiri da kuma na farko lokacin painfully rage, yayin da contractions ba yau da kullum. Su na iya faruwa duka biyu lokacin da rana kuma da dare. A ba ya fara harkokinmu na dogon lokaci.
• Karuwan sautin na zauna cikin mahaifa, kuma ta excitability.
• da cervix ba a lura, shi ya kasance mai yawa da kuma tsawo.
• Gabatar da wani ɓangare na tayin da aka ba guga man da kananan kafafuwa mace.
• Saboda igiyar ciki hypertonus wuya ta aiwatar da palpation tayin.
• Ya zauna cikin mahaifa na dogon lokaci rage-rage monotonically. A ƙarfi da kuma mita na contractions ba su canja. Forerunners da na farko lokacin dogon lokaci a cikin yanayi.
• The mace akwai tabarbarewar a kwakwalwar, ta zama tearful da kuma m, ta na da rashin amincewa a cikin nasara kammala ceto.

Pathology iri

Pathological na farko zamani zai iya zama na biyu iri:

• A cikin farko idan da igiyar ciki tsokoki ba annashuwa, da tsoka zaruruwa na mahaifa m da "balagagge" wuyansa, oligohydramnios, lebur membranes.
• A karo na biyu idan, da cervix ne "m", yana da wani m siffar, gabatar da wani ɓangare na tayin ba m zuwa ƙofar a kananan kwari. Mafi sau da yawa, irin wannan halin da ake ciki an lura a perenashivanii tayin.

duration

Duration anomalous na farko lokacin dangane da mutum halaye na kowace mace na iya bambanta daga 6 hours zuwa 24-48 hours. Ga wasu mata, zai ɗauki wasu kwanaki.

da zai yiwu sakamakon

Pathological na farko lokacin a mafi yawan lokuta take kaiwa zuwa rikitarwa a lokacin haihuwa. Mutane da yawa masu juna biyu harkokinmu gudana abnormally. A musamman:

• Harkokinmu rauni. A wannan yanayin, halin da rashin ƙarfi daga igiyar ciki contractions, dogon jinkiri tsakanin contractions, da cervix dilates sannu a hankali, inganta fetal jinkiri.
• Diskoordinirovannaya harkokinmu. Yana bayyana erratic contractions daga cikin mahaifa sassan. Babu aiki tare a cikin ƙanƙancewa da shakatawa na mutum sassan. A sakamakon yakin da suna tare da ciwo mai tsanani, ne m, kuma sababbu, cewa exhausts da uwa tasa, da ta sa ta shakata.
• Harkokinmu fitowa hanzari. Domin wannan anomaly ne halin da karfi sosai, kuma m contractions kuma turawa. A sakamakon haka, ceto ne sosai azumi (har zuwa 5:00). Wannan zai sa mu katsewa daga cikin farji da kuma perineum a mata masu ciki ne, mai tsanani zub da jini. A tayin iya ci gaba hypoxia. Rapid ceto na iya haifar da haihuwa rauni da tayin.
• igiyar ciki tetanus - a rare anomaly. A wannan yanayin, a yanayin da ya zauna cikin mahaifa ne gaba daya annashuwa. Yana faruwa a taron na mahara auna bugun zuciya a sassa daban daban na cikin mahaifa. Yana take kaiwa zuwa rushewa daga igiyar ciki contractions kuma tasha bayarwa. A tayin iya ci gaba hypoxia, wanda zai iya haifar da cardiac cuta.

Iya samar da tsanani sakamakon da mahaukaci kwarara daga aiki:

• Untimely kau na ruwar.
• Fitowan a farkon fadace-fadace na meconium, wanda ke nufin "wuya" da tayin.
• M bayarwa.
• Forceps.
• Mai tsananin mahaukaci zub da jini.
• A cikin zubar lokaci, masu tasowa, surkin jini-cututtuka.
• Fetal hypoxia da haihuwar jariri, tare da sosai cardiac ko jijiyoyin zuciya jijiya cuta.

bincikowa da

Idan ka zargin cewa na farko lokacin gudanar abnormally, ka nan da nan ga wata obstetrician-likitan mata. Ya ya yi wani waje jarrabawa. Palpation taimaka wajen gane ko rashin matsayi da tayin. Idan 'ya'yan itace ba ya ragu, shi ya nuna gaban Pathology na aiki. Har ila yau, a kan Pathology za a iya hukunci da gaban da karfi tashin hankali na tsokoki daga cikin farji, ya zauna cikin mahaifa na haihuwa rashin ci gaba da kuma spasms.

A na farko lokacin tushen bincike Pathology ne na asibiti da kuma awon karatu a kammala da rage erythrocyte acetylcholinesterase aiki, kara jini matakan da hormones adrenaline da noradrenaline.

Zai yiwu wani binciken kayan aiki. Don yin wannan, sa cardiotocography. Tare da shi za ka iya rikodin da ƙarfi, kuma duration na contractions.

Pathological na farko lokacin: magani

Lokacin da m cervix kuma babu m ci gaban aiki lura juna perenashivanie ciki. Far zai sa'an nan a nada a kan tushen da pathogenesis cuta. Manufar magani zai gaggauta habaka ripening aiwatar da ya zauna cikin mahaifa. Iya amfani da irin wannan jiyya:

• Elektroanalgeziya.
• Elektrorelaksatsiya mahaifa.
• Jiyya tare medikametov: antispasmodics, analgesics, prostaglatinov E2.

Idan haƙuri an kiyaye tsanani gajiya da ya karu nervousness, ta aka nada a matsayin magani domin miyagun ƙwayoyi-jawo barci. Har ila yau, rubuta fitar sedatives.

A tabbatacce magani sakamako da aka nuna a cikin kaifi farkon na yau da kullum contractions. Ko ripening jiki domin haihuwa. Lokacin da ya zauna cikin mahaifa ya zama "balagagge", da fetal mafitsara da aka bude da kuma a cikin sa'o'i biyu na yau da kullum da contractions fara. Idan harkokinmu ba za a fara, to, intravenously gudanar prostaglandins.

Lokacin da m magani tare da sauran rikitarwa (obstetrical tarihi, da manyan size da tayin, breech gabatar, OPG-preeclampsia, fetal hypoxia saman) ya yi gaggawa Caesarean sashe.

Kusanta ne a wurin gudanar da mata masu juna biyu da suka lura da pathological na farko lokacin

Akwai ra'ayoyin biyu:

• Complete sauran.
• Shigar da na aiki ta amfani da oxytocin.

Duka hanyoyin da ake nufi kawar da take hakki na aiki. M sakamako lura a 85% na lokuta. A lokacin da zabar da hanyar daukan la'akari da wadannan siffofin na Pathology:

• Da har na haƙuri ta tashin hankali da kuma gajiya.
• Dalilin da wani wahala.
• A zabi na hanya, wanda shi ne mafi m ga mãsu haƙuri da obstetrician.

A lokacin da zabi tsarin cikakken sauran ciki batu, shi ne gudanar intramuscularly 0,015 g na morphine. Sa'an nan secobarbital cikin 0.2 g Wannan wani zaɓi ne tasiri isa. Yawanci, bayan shudewar gwamnatin morphine haƙuri barci ga sa'a daya. Bayan 4-5 hours da hutawa, a lokacin da tikis jiki warke, wata mace tana farkawa ba tare da wani abin haihuwa ãyõyi, ko dai a cikin aiki aiki.

A lokacin da zabi na biyu waƙa, Ina nufin, ruri daga oxytocin kamata kauce wa bude membranes. Cesarean sashe ne wajaba kawai a mafi tsanani lokuta.

rigakafin

Major m matakan domin hana Pathology na farko lokacin ne:

• Dace shawara na obstetrician.
• Bayarwa dukkan dole ƙididdiga.
• Yin umarnin likita game da yanayin da iko.
• M da kuma ta jiki shiri na mata masu ciki domin haihuwa.

M obstetrician kamata ci gaba da iko da mata suke a hadarin da ya faru na wannan cuta. Wato nulliparous karkashin yana da shekaru 17 shekaru da kuma bayan shekaru 30, kazalika da matan da suka yi da cutar daga wasu gabobin (hanta, koda, zuciya).

Saboda haka, pathological na farko lokacin ne daya daga cikin iri na anomalies na aiki aiki. Yana auku quite sau da yawa. Duk da haka, godiya ga zamani magani, 85% na dace baki na likitoci bayarwa karshen amince. Saboda haka, a lokacin da farko alamun cuta ya kamata nan da nan a tuntuɓi mai m obstetrician-likitan mata. A sakamakon mahaukaci na farko zamani zai iya zama sosai tsanani, har da fetal hypoxia na wani kasawa a cikin kayan ciki da mutuwa. Daidai wajabta magani don taimaka ajiye rayuwa na biyu uwa da yaro.