Kutaya pathupi pathupi - kodi ndibwino kuti tisaye mtima?

Mawu akuti "kuperewera kwapakhomo" m'zinthu zolepheretsa amagwiritsidwa ntchito pofotokozera momwe zinthu ziwiri kapena zingapo zingathetsere mzere. Pa nthawi yomweyi, kuphwanya kukhoza kuchitika panthawi yochepa komanso mu 2-3 trimesters. Tiyeni tikambirane bwinobwino izi, tifotokoze zifukwa.

Chizoloŵezi chokhala ndi mimba pang'onopang'ono - zimayambitsa

Kuzindikira kwa madokotala a mtundu uwu kumawonetsa nthawi zambiri pamene njira yobereka mwana imasokonezedwa pa nthawi yomweyo 2 kapena nthawi zambiri mzere. Pozindikira kuti pali zolakwika, zifukwa zomwe zimakhala zosiyana, madokotala amatha kuona bwinobwino momwe ziwalo za mkazi wakhanda zimakhalira. Malinga ndi zomwe achipatala amanena, matendawa amayamba chifukwa cha:

1. Chromosomal zosavomerezeka. Pafupifupi 60 peresenti ya kusokonezeka kwa nthawi yogonana ndi chifukwa chake. Zina mwaziphuphu za trisomy ndi 18, 22, 14, 15, ma chromosomes. Matendawa nthawi zambiri amachititsa kuperewera kwapadera pa sabata 12.
2. Zosintha zokhazokha. Pafupifupi 80 peresenti ya amayi omwe ali ndi vutoli ndi chitukuko cha interferon-gamma potengera ma antigen a fetus omwe alipo. Ndikoyenera kudziwa kuti kuchepa mobwerezabwereza kumawonjezera ma antibodies omwe amakhudza ma envulopu a m'mimba mwa magazi a mayi.
3. Zinthu zovuta. Zikatero, kupanga zinthu zomwe zili mbali ya chitetezo cha mthupi kumatchulidwa. Komabe, pali kuchepa kwa mitsempha ya magazi ya placenta, yomwe imadyetsa mwana.
4. Matenda a mahomoni. Pali mitundu yambiri yogwiritsira ntchito mankhwala osokoneza bongo omwe amachititsa kusokonezeka: kuwonjezereka kwapakati pa mahomoni amtundu wa abambo, hyperprolactinaemia, kusokonezeka kwa chithokomiro cha chithokomiro.
5. Matenda a anatomic a mawonekedwe a ziwalo. Malingana ndi chiwerengero cha chiwerengero, zosayembekezereka pa chitukuko cha njira yobereka zimabweretsa chitukuko cholakwika m'mabvuto 12%.
6. Matenda opatsirana opatsirana pogonana. Zina mwa matenda opatsirana omwe amachititsa kusokonezeka kwa mimba nthawi iliyonse: mycoplasmosis , chlamydia, ureaplasmosis.
7. Zotsatira za zinthu zakunja (zoopsa zantchito, mowa, nicotine).

Kusamala za mimba yoyambirira

Kutaya padera kumayambiriro kawiri kawiri kawiri kumatchulidwa ndi atsikana omwe ali ndi mahomoni osakhazikika. Kuonjezerapo, zifukwa zotsatirazi zimayambitsa kusokonezeka kwa ndondomeko ya kugonana pachiyambi pomwe:

• chromosomal zosayembekezereka m'mimba;
• mitundu yosiyanasiyana ya toxicosis ;
• zosaoneka bwino m'thupi la ziwalo zoberekera (kumangika pambuyo pobereka bwino sizingatheke chifukwa cha chiberekero cha uterine).

Kusadziŵa kutenga mimba pamapeto

Kulimbitsa boma, kuimika kwazinthu pazinthu zam'tsogolo, kumayambitsa kukula kosavuta kwa zolakwika m'ma 2 ndi 3 trimesters. Komabe, n'zosatheka kutilekanitsa kwathunthu. Panthawi yovuta kwambiri, kuperewera kwapadera kumayamba, zomwe zimayambitsa izi zingakhale zotsatirazi:

• kuperewera kwapadera - kuphwanya njira zopangidwira ndi kukula kwa malo a mwana, ntchito yake;
• kusadziŵa kwa chibelekero ñ kutsegula kwa khola lachiberekero kaŵirikaŵiri kumayambitsa mimba yokhazikika ndi kubadwa msanga pamapeto pake;
• matenda opatsirana pogonana
• gestosis - chikhalidwe chotsatira ndi chitukuko chotchedwa edema, kuwonjezeka kwa kuthamanga kwa magazi.

Kuzindikira kupititsa padera

Kupezeka kwa "kuperewera kwapakhomo" kumapangidwa ndi dokotala potsatira zotsatira za kufufuza kwakukulu. Kuzindikira za kuphwanya uku kumaphatikizapo:

• kukambirana kwa chibadwa;
• Ultrasound kapena MRI ya ziwalo zouma;
• kuposcopy wa chiberekero cha uterine;
• kuyesa magazi kwa mlingo wa mahomoni (TSH, FSH, progesterone, LH);
• kuyesa magazi kwa cytomegalovirus, herpes;
• Smears kuchokera ku urethra ndi umuna;
• endometrial biopsy;
• kuyesa magazi kwa matupi a antispermal;
• kukayezetsa kuti adzalandire cholowa kwa thrombophilia.

Chizoloŵezi chokhala ndi mimba mocheperapo - mankhwala

Mukapeza "kutaya pathupi", mankhwala amayamba pambuyo pa chifukwa cha wodwalayo. Njira yothandizira imadalira mwachindunji chomwe chinachititsa kuti matendawa asokonezeke. Njira yopangira mankhwala imapangidwa ndi dokotala payekha pambali pa zotsatira za kafukufukuyo. Kawirikawiri njira ya mankhwala ndi yaitali, ili ndi magawo angapo.

Choncho, ngati mkazi ali ndi kusintha kwa thupi m'thupi lomwe limayambitsa kupititsa patsogolo mimba yomwe yatenga, chithandizochi chimaphatikizapo kuthandizira kuti athetse. Chifukwa cha zofooka za mitsempha ya m'mimba mwa dera lachiberekero, madokotala amapanga matabwa apadera omwe amachititsa kuti chiberekero chisatsegulidwe, kuteteza kubereka msanga. Choncho n'zotheka kupeŵa mavuto, kuteteza mwanayo.

Ndi kusintha kwa mahomoni, maziko ochizira matendawa ngati kupititsa padera mimba ndi njira yothandizira maantibayotiki. Progesterone kusakwanira nthawi zambiri kumayambitsa chitukuko chochotsa mimba. Pankhani ya zovuta zowonongeka zomwe zimapangitsa kuti kusokonezeka kwa mimba kulibe kanthu, njira yokhayo yotulukira ndi IVF pogwiritsira ntchito ejaculate kapena dzira.

Mimba yosadziwika - kuyang'ana lero

Gulu la hemostasis ndi kuperewera kwapadera ndi njira yodziwira bwino matendawa, pozindikiritsa thrombophilia. Ndili ndi matendawa, pali chiwerengero cha majekeseni opangira magazi. Chifukwa chake, kuthamanga kwa magazi kumachepa. Kawirikawiri matendawa ndi olowa. Kuphatikiza pa matenda ngati chizoloŵezi chosiya mimba, chibadwa cha matendawa chingayambitse:

• kupweteka kwa intrauterine;
• kusakwanira;
• mochedwa toxicosis.