Ukutheleleka Intrauterine: yini ongayilindela ukuthi yenzeni

Njalo owesifazane owayezithwele senyanga wokuqala saziso pass ukuhlolwa, ukukhomba khona kungenzeka kwezifo ezithathelwanayo ezithinta ukuthuthukiswa esizayo umbungu. Kodwa, ngeshwa, akubona bonke uyazi kangakanani kungaba yingozi ngoba umntwana ongakazalwa izinto ezithwala izifo.

Phakathi nale minyaka eyishumi edlule ngokucacile ukukhuphuka umkhuba ukutheleleka intrauterine, eqhuba ukufa fetus. Ngokwezibalo, ngokwesilinganiso, 45% wabo bonke abesifazane bakwa-ukuzalwa ubudala ngaleso sikhathi Inhlolo-vo yembula herpes simplex virus futhi cytomegalovirus. Ngo-55% abesifazane wembula microflora evamile.

Kuyini intrauterine ukutheleleka?

ukutheleleka Intrauterine - isifo ngobulili kusukela umama onegciwane enganeni ngesikhathi besakhulelwe noma lapho bebeletha. The main ungalokothi uphuze isici isifo sezinso chronic ukhalo.

ukutheleleka Intrauterine kungaba yingozi ngekuya yobudala sokukhulelwa, izimfanelo amasosha omzimba umbungu kanye nohlobo ukutheleleka. Ingozi main livela eyinhloko igciwane, njengoba unina akakwazi ukubhekana nalesi sifo.

I lwegciwane ezinkulu abangela kwezinso ezinzima fetus kuyinto SARS - eziyinkimbinkimbi, ehlanganisa: rubella (R), toxoplasmosis (Ukuze), i-herpes (H) kanye cytomegalovirus (C).

Izifo ezithathelwana ngocansi (STD) okuyinto zihlanganisa chlamydia, ureaplasmosis, isipatsholo, futhi trichomoniasis mikroplazmoz, uma kuqhathaniswa nabangu TORS- eziyinkimbinkimbi, akukho izilonda sina sombungu intrauterine.

Ngaphezu kwalokho, ingozi main umntwana ongakazalwa HIV, i-hepatitis (B no-C), ugcunsula.

Izimbangela ukutheleleka fetus

Imbangela enkulu yokutheleleka ungenwa umama. Nokho, kukhona ezinye izindlela ukutheleleka yilezi:

• Ngesikhathi biopsy umzanyana (platsentotsentrez)
• Phakathi wokubhoboza ne bamba amniotic fluid (amniotsentrez)
• Lapho wethula ngokusebenzisa izitsha amalungiselelo placenta
• izindlela zocwaningo tekusebenta abahlukahlukene umbungu noma umzanyana

Izindlela ukutheleleka fetus

1. indlela phezulu ukutheleleka. amagciwane ezinonya anyukele avela emomozini ukuze kwesibeletho, lapho ukuwa ulwelwesi amniotic futhi emanzini. Gciwane lingase futhi isatshalaliswa itheleleke isidoda umlingani.
2. Indlela phansi ukutheleleka kuyinto contact nge amagciwane esiswini esibelethweni. Lokhu kungadalwa ithumba wesibeletho noma appendicitis.
3. indlela Hematogenous. Uma semali amagciwane noma igciwane luvame egazini likamama, ukutheleleka kwenzeka ngokusebenzisa imithambo yegazi kanye igazi.

ukuhlola

ukutheleleka Intrauterine sitholakale njengoba emazingeni ahlukahlukeneko wendlela ukukhulelwa nangemuva kokuzalwa. Indlela eyinhloko ukuthola khona kwamagciwane, iyona luhlolo nokuthumba owesifazane owayezithwele. Igazi test, umchamo, ngamathe futhi wesibeletho, bonisa khona immunoglobulin, ayisiza (G-M) ebonisa ukutheleleka okuyisisekelo noma kokushelela.

Small titer immunoglobulin G likhombisa yokugoma lokugcina abakhulelwe (ngamanye amazwi, waphulukisa noma ukutheleleka esidlule). Yandisa titers ka immunoglobulin G noma M ukubonakaliswa kubonisa bathelelane yowesifazane okhulelwe.

IgG- gM- - kubonisa ukungabi khona kwezifo

IgG + gM- - kwake idluliselwe amasosha omzimba nezifo

IgG- GM + - ukutheleleka okuyisisekelo

IgG + GM + - Ukuphinda futhi ngesikhathi ukutheleleka okuyisisekelo ukuthuthukisa amasosha omzimba

Ngemva kokuzalwa, umntwana osanda kuzalwa nazo ukuthatha ukuhlolwa kwegazi, meconium, umchamo kanye cerebrospinal fluid, uma kunesidingo. Ukukhomba ejenti causative lesi sifo ukucacisa ukuzwela nemithi, okuyinto ezikahle okunye ukwelashwa ingane.

Imiphumela embungwini

Akusiyo imfihlo ukuthi ukutheleleka intrauterine uyakwazi avuse kwesisu encane eside noma isisu aphuthelwe. Lokhu kungase kube ngenxa kombungu ezinzima noma ukwanda kwemithwalo lesizalo ithoni.

Ngaphezu kwalokho, ukutheleleka intrauterine kungabangela umonakalo ezinzima izicubu nogwali :. Ukuvuvukala emaphashini, isibindi, pheshana emathunjini, isikhumba, ubuchopho, njll Kuyaphawuleka ukuthi izifo umntwana osanda kuzalwa zenzeka kunalaba ku omdala.

Kubalulekile nokukhumbula ukuthi kulula, isifo asymptomatic e unina, kungase umonakala nomthelela ekukhuleni fetus.

Okwakuhlalwa kuzo lapho kusaqalwa (ngaphambi kwe-12 amasonto), ukutheleleka intrauterine, ngemiphumela okuyizinto ezingalindelekile, kungabangela ukufa fetus. izigaba kamuva Ngezinye angagcina ezifweni ezimbi, ezifana ekuqongeleleni uketshezi ebuchosheni. Uma ukutheleleka kwenzeka ngaphambi kokuzalwa, ukutheleleka kwenzeka ngesonto lokuqala emva kokubeletha.

ukutheleleka Intrauterine kubangela esingamahlalakhona esinomhlapho: ukulethwa kahle ka umoya-mpilo nezakhi kunciphisa ekukhiqizweni kwama-hormone ubophezelekile ukunakekela sokukhulelwa futhi wehlise izakhiwo elwa namagciwane umzanyana.

Yini okumelwe uyenze?

Ukusheshe ukutheleleka kunganciphisa ingozi lwempi, ukuze uqhubeke ukukhulelwa futhi ubelethe ingane ephile saka. Ukuze ukuvimbela ukutheleleka fetus elashwe antibiotic esetshenziswa, okuyinto eyenziwa engxenyeni yezinyanga ezintathu yesibili. ejenti elwa namagciwane udokotela, kunganciphisa ingozi yokutheleleka futhi kuvimbele imiphumela yayo emibi umntwana ongakazalwa. Futhi anikeze isiguli imithi ukuthi nokujikeleza kwegazi esinomhlapho, umsoco fetus ukunciphisa lesizalo ithoni.