Zokugula Extragenital kwabesifazane abakhulelwe: zokuvimbela, ukwelashwa. Umthelela sokukhulelwa extragenital

umcimbi okunjalo ajabule, njengoba ukukhulelwa eside elindelwe, ngeshwa, bakwazi siwele komunye zikhathi edabukisayo. Ngokwesibonelo, kungase kube exacerbation izifo ezingamahlalakhona kwezinhlansi hormone izinguquko umzimba. ucabangela ithonya zokugula extragenital yokukhulelwa kuphela, nikwazi ukuthwala ngempumelelo futhi ubelethe ingane enempilo ngaphandle kokubanga impilo yabo noma ngisho nokuphila kwabo.

Kuyini zokugula extragenital kwabesifazane abakhulelwe

Zonke izifo, syndromes, futhi owesifazane okhulelweyo ongenayo ukugqoka okhalo futhi akuzona yezinkinga azoya zihlanganisa iqembu elifanayo ukuthi liye labizwa ngokuthi "zokugula extragenital" (EGP).

Lokhu unxusa umbuzo okunengqondo: abesifazane abaningi kanjani okhulelwe zokugula extragenital? Izibalo kule ndawo akuyona akuve kududuza. Njengoba umkhuba ubonisa, isibalo sabesifazane abaphethwe yizifo ezingamahlalakhona, kuba ukhula kuphela unyaka ngamunye. Kuze kube manje, cishe 40% kuphela abakhulelwayo senzeka ngaphandle nanoma yiziphi izinkinga. kwesisu usongelwa futhi toxicosis ngasekupheleni - amabili izinkinga ezivamile abikwe zokugula extragenital. Kodwa ngaphandle kwabo kukhona ezinye izifo zona futhi basonta EGP.

Izifo okuyinto afakiwe nase-elithi "zokugula extragenital":

• kwegazi, degree ezinzima ;
• nomfutho wegazi ophezulu;
• myocarditis;
• ukukhubazeka inhliziyo;
• rheumatism;
• isifo sesibindi;
• isifo sezinso;
• zezinzwa isifo izicubu;
• yezifo pheshana emathunjini;
• nezifo zokuphefumula;
• ukusha kwesibindi kohlobo ezibangelwa amagciwane kanye nezifo.

Ake sihlole kabanzi futhi ngamunye amaqembu izifo. Lokhu kuzosiza ukuba uqonde kangcono ukuthi ukukhulelwa nokubeletha nge zokugula extragenital futhi iyiphi izinyathelo ezikhethekile okumele zithathwe esimweni ngasinye.

Izifo uhlelo senhliziyo nemithambo yegazi

Izifo kuleli qembu zenzeka 2-5% abesifazane abakhulelwe. Esimeni iyiphi senhliziyo isifo sokukhulelwa kufanele ngokushesha nodokotela wesifunda. Ngokusekelwe imiphumela ukuhlola eyenziwa, udokotela uzokwenza isinqumo mayelana nokwenzeka sokukhulelwa, noma ukuphazamiseka yayo.

Uma kungekho zokugula ezinzima extragenital (ukuthuthukiswa yinhliziyo 3-4 grade nge palpitations kanye iphika ku ukuzikhandla ezincane noma uphumule), azikho izimfanelo for the kwesisu-fetus is hhayi. Ezimweni ezinjalo, akhethiwe kuphela ekwelapheni ezidingekayo wezokwelapha, ozokusiza sihlale sizinzile isimo umama nengane engakazalwa.

imfiva Rheumatic ngesikhathi sokukhulelwa

Endabeni rheumatism acute, indaba prolongation yokukhulelwa liphuma ngokucijile kakhulu. Uma inkinga ivela senyanga yokuqala, isinqumo ukukhipha izisu, njengoba kulokhu, amalungiselelo adingekayo azihambelani ukuthuthukiswa zakusasa kusaqalwa.

Uma zokugula extragenital efomini rheumatism, kwaba isikhathi eside kunalesi amasonto 24, kuba nokwenzeka ukwelashwa iphephile ekusindeni kwengane.

Nokho, ukuba khona lesi sifo-40% amacala ephelezelwa obhekwe okungenzeka ingozi eliphezulu kwesisu toxicosis ngasekupheleni, hypoxia fetus. Newborn elifanayo ikakhulukazi beyizidlova komzimba kanye nezifo ezithathelwanayo.

nomfutho wegazi ophezulu

Ukukhulelwa ne zokugula extragenital efomini-high blood pressure, kuvamile. igazi Ukwandiswa ingcindezi kungabangela wazalwa kungakabi isikhathi noma ngomunye izimbangela abruption esinomhlapho. 40% abesifazane abakhulelwe baye baba high blood pressure, uhlushwa kuwukubonakaliswa ubuthi ngasekupheleni, okungase kubangele hypoxia fetus.

In the ukungabikho nanoma yiziphi izinkinga njengoba esingamahlalakhona senhliziyo, abruption esinomhlapho, izingozi cerebrovascular, "kwegazi" (njengoba zokugula extragenital) kanye "ukukhulelwa" - kuyinto imiqondo ngempela ehambisanayo. Into kuphela umama okhulelwe kufanele kwenzeke ukuba bagcine umbuso lomsebenzi futhi ukuphumula, kanye umkhawulo ekusetshenzisweni sikasawoti ukudla (hhayi ningi than 5 mg ngelanga).

hypotension

ukwehlisa umfutho wegazi ngesikhathi sokukhulelwa kunezakho izingozi hhayi ngaphansi kuka izithelo zalo. Abesifazane kanye zokugula extragenital ngesimo hypotension engozini enkulu isisu nokuguqulwa kunoma yisiphi isigaba. Bangaba nezinkinga ezihlobene yokuphazamiseka ukuthanda futhi detaching yi-placenta, kanye yezinkinga inqubo ebeletha. Ngaphezu kwalokho, kungase kube ukubambezeleka kwengane esiswini ngenxa yemikhuba emibi ukugeleza kwegazi e-placenta.

arrhythmia

Kunezinhlobo ezintathu eziyinhloko zesifo: fibrillation atrial, amabhithi singakafiki isikhathi paroxysmal tachycardia.

fibrillation atrial iyona ayingozi kakhulu, kusukela ngenxa kungagcina inhliziyo ukuntula futhi senhliziyo. Futhi kule isifo kukhona isibalo esikhulu ngokwempilo yangenyama: perinatal - 50% umzali - 20%. Ngakho-ke, isinqumo kwezidingo Ukubeletha phezu ukuthola fibrillation atrial, nokubeletha zemvelo akuvunyelwe.

Beats ngokuvamile akudingi ukwelashwa okukhethekile futhi azinakugcinwa ingozi kakhulu. Njengomthetho, it is ebonwe ezinyangeni okugcina enkathi yokukhulelwa (senyanga yesithathu), futhi ukubukeka kwaso kwabangela ngokuvusa diaphragm futhi ukuqhanyelwa ngokomzwelo ngesikhathi sokubeletha.

tachycardia Paroxysmal ivelakancane futhi nemvelo reflex. Izimpawu zesifo kungaba isiyezi, ubuthakathaka, ubuhlungu enhliziyweni, isicanucanu. Ukuze uthuthukise isimo sedatives ajwayele ukusetshenziswa.

Sezinso futhi urinary izitho

zokugula Extragenital kwabesifazane abakhulelwe endaweni kwezitho urinary uvame ukubonakala ngesimo ezinso noma pyelonephritis.

urolithiasis

It kuhambisana ukhwaliti ubuhlungu emuva, ukungakhululeki kanye nezinhlungu abukhali ngesikhathi ukuchama. Ngaphezu kwalokho, kungase kube isicanucanu, ukuhlanza, ukuqunjelwa, futhi esimweni pyelonephritis - imfiva kanye nezinguquko ukuvuvukala egazini.

Kungakhathaliseki isikhathi yokukhulelwa, ukuhlinzwa ingase yabelwe njengoba kudingeka. Uma ngemuva kokhetho kanye inkambo yokwelapha izidakamizwa, umsebenzi kwezinso kubuyiselwa, ukukhulelwa inakekelwa.

Acute pyelonephritis sokukhulelwa

Ngokuvamile lesi sifo kwenzeka esikhathini mayelana 12 amasonto, nakuba kungase futhi zenzeka ngesikhathi sokukhulelwa. Lokhu kuhambisana extragenital zokugula imfiva kanye Ukugodola.

Ukwelashwa Kwenziwa esibhedlela ngokusebenzisa izidakamizwa elwa namagciwane. Ekupheleni inkambo okufanele zinakekele abakhulelwe umsuka uroantiseptiki isitshalo (zezinkambi kwezinso nokunye. D.).

In the ukungabikho yezinkinga obengeziwe yokukhulelwa nokubeletha ijwayelekile.

glomerulonephritis

Glomerulonephritis - a zokugula ezinzima extragenital, okuyinto contraindicated ngesikhathi sokukhulelwa prolongation, njengoba kuholela ukuthuthukiswa ukwehluleka kwezinso.

Ngenhlanhla, ukugula kubantu besifazane abakhulelwe akuvamile - eyodwa kuphela kwayinkulungwane.

yezifo ipheshana yesisu

zokugula Extragenital izifo yaleli pheshana emathunjini akuyona contraindication ekukhulelweni. Abesifazane abakade kolwelwesi, duodenitis noma isifo isilonda, ithwala ngokuphepha futhi abahambisele ukuba nomntwana ophile kahle.

Into kuphela ukuthi kungaba inkinga kwabesifazane abakhulelwe, - Reflux. Ngenxa yabo, umama esizayo livela isilungulela, okwandisa njalo ngenyanga waze wabeletha. Ngaphezu kwalokho, ukuthi ukukhulelwa kuphazamisa ziphazamisa ukuqunjelwa ezingalapheki.

Ngokuvamile ukubukeka isilungulela kwenzeka nge amasonto 20-22 esesibelethweni, kodwa ngalesi sikhathi kuba gqwa sihamba ngokushesha. Ukuze isikhathi esingamasonto 30 kuso ekhononda zonke abesifazane abathathu, kodwa eduze ekuzalweni, kule nombolo kwandisa, futhi izimpawu ezingemnandi ebonwe ezintathu kwamane nabesifazane abakhulelwe.

Njengoba for ukuqunjelwa, phakathi kwabo kukhona kwandisa ngasekupheleni sokukhulelwa. Vimbela isimo esinjalo kuyinto engathandeki kakhulu, njengoba kungaba kubi kakhulu impilo jikelele ukhulelwe futhi kuthinte contractility kwemisipha kwesibeletho. A zingaphazamisi eqinile phakathi wamathumbu ukunyakaza kungadala lesizalo ithoni phila isivumelwano se kwesikhathi sokukhulelwa.

Indlela eyinhloko futhi ephumelela kunazo zonke yokusiza abantu bahlukane nazo izinkinga ezichazwe ngenhla kuyinto olukhethekile lokudla, okubandakanya imikhiqizo ezinethonya slabyaschee ezincane (beetroot, asithena, kakolweni bran futhi t. D.) Futhi bifidobacteria (kefir).

izifo zokuphefumula

Umkhuhlane ngokuvamile akulimazi ezinkulu owesifazane okhulelweyo sombungu. Kodwa nge ukucinana kwemigudu yokuphefumula kanye nenyumoniya, isimo kancane nakakhulu.

Ukucinana kwemigudu yomoya emaphashini oyingozi futhi ezingalapheki

Ukucinana kwemigudu yomoya emaphashini libhekene izilonda ulwelwesi lwamafinyila ze- bronchi, futhi kuyinto isifo ukuvuvukala. Ubizwa ephelezelwa ubuhlungu esifubeni, ukukhwehlela enobudlova, futhi kwezinye izimo, izimpawu ezinamandla lokudakwa.

ukucinana kwemithambo yomoya emaphashini akusona isizathu njengoba liqhubeka sokukhulelwa akunakwenzeka. Libuye khona kungenzeka yezinkinga ezincane ezifana iphika nokucindezeleka ezincane noma nokuvaleka kwemigudu yokuphefumula bezinga lokuqala. Kodwa ngaphambili kuhle ukucabangela ukuthi lokhu sokukhulelwa kuyoba nzima.

Ezimweni zokuphefumula ukwehluleka lesibili noma lesithathu-degree isinqumo isisu ukuze asindise sowesifazane kanye nezempilo.

pneumonia oyingozi futhi ezingalapheki

Isifo samaphaphu kuyinto i ukuvuvukala izifo ezithathelwanayo esithinta amaphaphu. It kuhambisana imfiva kanye nezinye izimpawu, kuye ngohlobo igciwane, i-ejenti causative futhi ukusabela kuso umzimba abakhulelwe.

Esibhedlela labesifazane abakhulelwe zokugula extragenital efomini pneumonia Kuphoqelekile! Ukwelashwa wenziwa khona ngaphansi kokuqondisa udokotela obelethisayo.

isifuba somoya bronchial

Izimpawu ezisobala yalesi sifo kukhona ukuhlaselwa kwakhe isifuba somoya ezenzeka ebusuku noma ekuseni ahambisana isifuba esomile ezinamandla, iphika expiratory hlobo. Iphela kuhlasela expectoration esincane purulent isikhwehlela.

isifuba somoya bronchial e abanomoya efomini ngokulinganisela akuyona inkomba ukukhipha izisu, kodwa kungaba ibe imbangela preterm lokuzalwa, toxicosis ngasekupheleni, abasebenzi ababuthakathaka futhi opha phakathi kwenqubo ebeletha.

isifo sesibindi

Ngenxa inactivation kuphazamiseka hepatic estrogen izifo ezifana isifo sokusha kanye ne-hepatitis, kungabangela inkinga yokungabi nenzalo. Uma ukukhulelwa namanje iphutha, ematfuba mncane impela ke umphumela omuhle. Ezimweni ezinjalo, ngokuvamile kuphumela wazalwa kungakabi isikhathi, ukuzalwa izingane ezifile, kanye iphesenti eliphezulu lokufa komama phakathi kwenqubo ebeletha. Ngaphezu kwalokho, sinombono kwabakhulelwe abesifazane usungaqala ukuthuthukisa yokwehluleka kwesibindi.

Uma okubi kakhulu izifo ezingamahlalakhona ziye zatholakala ngaphambi kwesonto lama-20 okukhulelwa iphazamisekile. Uma-ke kuye kwaba amasonto angaphezu kuka-20, kusho kutsi konkhe lokusemandleni abo kute baphile isikhathi eside ke njengoba isisu kungaba senze isimo sishube.

Uma isifo sesibindi esingelapheki akuyona yashubisa ngesikhathi ekhulelwe, izinkomba for uphelela futhi akukho iphesenti nomphumela yimpumelelo cishe kuyafana abesifazane enempilo.

izifo endocrine

Okuvame kakhulu izifo endocrine isifo sikashukela, i-hyperthyroidism kanye hypothyroidism. Ake eminye imininingwane ngamunye wabo.

ngifundise ngesifo sikashukela

Lesi sifo libhekene amanani ukungadli insulini nobe kusebenta singenele, okuholela ukungabekezeleli carbohydrate kanye disorder umzimba. Ngokuzayo kungase kube noshintsho kwezitho nezicubu.

Ngifundise ngesifo sikashukela kuzibonakalisa ifomu of kwesisindo, umbono ukulahlekelwa, isikhumba silume, polyuria, ukoma. Ukuze ukusazi ngokunembile isifo esikuphethe lesi sifo kufanele uhlolelwe i-kashukela futhi urinalysis.

Abesifazane abanesifo sikashukela ngesikhathi ukhulelwe esibhedlela okungenani izikhathi ezintathu: ngesikhathi sokuqala emasontweni 20-24 futhi amasonto 34-36.

Isifo sikashukela (njengoba extragenital zokugula) nokukhulelwa abasakwazi ehambisanayo. Lesi sifo akuyona inkomba isisu, futhi basungulwa ingane kuvunyelwe ngendlela ejwayelekile, futhi ngosizo section caesarean.

Into kuphela ukuthi kufanele kubhekwe: owesifazane okhulelweyo kufanele athathe ukuhlolwa futhi ibhekane ngihlolwa izikhathi okungenani 2-4 ngenyanga.

thyrotoxicosis

Lesi sifo ezihambisana nezinguquko kule ndlala yegilo: ukhula futhi hyperactivity. Ehamba hyperthyroidism palpitations, ukujuluka, ukukhathala, ukushisa komzimba, sokulala thuthuva, eliqhaqhazelayo izandla, bese ukhulisa blood pressure. Ngenxa yalokho, lesi sifo kungabangela toxicosis eqinile futhi yisisu.

Ukuze sibi hyperthyroidism ekhulelwe okuvamile, ngokulinganisela efomini okunzima isinqumo uphelela.

Phakathi nenqubo ukwehla ukuthatha zonke izinyathelo ezidingekile azosiza ukugwema ukopha ezingaba khona.

i-hypothyroidism

Lesi sifo buhlobene futhi umsebenzi yegilo kahle, esadaleka ngenxa ukuhlinzwa noma ukukhubazeka azalwa nako.

Phakathi hypothyroidism bangezwa syndromes umzimba kanye hypothermic noma zenhliziyo, kanye zokwelapha eqeda ukuvuvukala kanye nezinguquko isikhumba. Izifo akuyona indlela engcono kakhulu kuthinta futhi phezu ingane esizayo: abe yokuzalwa bekhubazekile noma lag sokukhula kwengqondo.

Ephambi kwezinduna ngokulinganisela amafomu okunzima yokukhulelwa nokubeletha contraindicated isifo.

izifo ezibangelwa amagciwane

Ukuba khona izifo ezibangelwa amagciwane ngesikhathi sokukhulelwa kungabangela ukukhubazeka ukulimaza hhayi kuphela empilweni ikusasa unina, kodwa futhi umntwana wakhe wesikhathi esizayo.

SARS kanye Umkhuhlane

Njengoba kushiwo ngenhla, sibi zokuphefumula igciwane lohlobo (Ari) has akuthonye ukuthuthukiswa kanye nesimo sempilo umbungu. Kodwa lapho abandayo agelezela umkhuhlane, kunobungozi yezinkinga, okungase kubangele isisu. Lokhu kusebenza ifomu ikakhulukazi kabi sifo trimesters lokuqala nelesibili yokukhulelwa, njengoba kunemiphumela teratogenic embungwini.

isimungumungwane German

Prevention extragenital njengoba rubella kufanele kwenziwe ngaphambi kokukhulelwa. Kuyinto lokugoma saziso isimiso, esiqhutshwa emuva ebuntwaneni noma usakhula.

rubella igciwane akwazi ukuwela placenta futhi amasonto 16 ukunikela embryotoxic umbungu nemiphumela teratogenic. Kulokhu, kungenzeka kombungu esizalweni waphawula ngisho izingane zalabo omama ungaguli, kodwa nje nabantu nge-rubella.

Lesi sifo libhekene zimpawu ezilandelayo: i-lymph lakhulisiwe ISIZINDA, imfiva isikhathi eside, thrombocytopenia, articular syndrome, hepatomegaly.

Rubella e senyanga yokuqala ekhulelwe inkomba ekunqanyulweni yokuqeqeshelwa wakhe.

herpes

HSV (i-herpes simplex virus) uyakwazi ukungena placenta futhi umonakalo isimiso sezinzwa esiyinhloko, inhliziyo futhi isibindi fetus. Ngenxa yalokho, umntwana ongakazalwa Zingase zisale sokukhula kwengqondo noma ube calcifications ebuchosheni, microcephaly.

Iningi igciwane eyingozi senyanga yokuqala, njengoba kunemiphumela ungalungiseki ku umntwana ongakazalwa futhi isidingo uphazamisa sokukhulelwa. I-Herpes e yokuthathu yesithathu luyimfuneko esiphuthumayo section caesarean.

Ukwelashwa zokugula extragenital kwabesifazane abakhulelwe

Njengoba sesibonile, umqondo zokugula extragenital kuhlanganisa ezihlukahlukene nezifo. Ngakho-ke, kuyacaca ukuthi indlela eyodwa ukwelashwa ingekho. Zonke yokwelapha edingekayo kusekelwe uhlobo lwesifo, namandla aso, khona noma ukungabi khona exacerbations kunoma yiziphi trimesters nokunye.

Yini imithi okufanele zithathwe uma kukhona zokugula extragenital? Uma kwesisu esimisiwe ezinye izidakamizwa, esithathelanayo, viral, Izifo ukuvuvukala - awafani. Akunakusetshenziswa ukuzisebenzela medicate. Kuphela udokotela wemfanelo (wezifo zabesifazane, wemithi yangaphakathi, endocrinology, njll) uzakuba nelungelo ukuthatha isinqumo futhi imise yokwamukela umuthi.

Prevention EGP

Prevention extragenital zokugula ngokuyinhloko ukuhlonza kungenzeka nezifo ezingamahlala khona. Ngesikhathi lapho abanye bayazi kahle zonke izinkinga zezempilo abanye exacerbation ngesikhathi sokukhulelwa yesifo kungaba ukumangala yangempela. Yingakho obstetricians eziningi ukweluleka ahlolwe ngokugcwele yezokwelapha ngisho phakathi ukuhlela ingane.

Iphuzu olandelayo - ukukhulelwa uqobo. Ephambi kwezinduna extragenital ke zingaxazululeka noma is contraindicated. Futhi amacala lokuqala nelesibili (uma Lona wesifazane wala waphetha ukukhipha izisu) kubalulekile ukubhalisa esifanele professional kanye kufanele uvakashele okungenani 1 isikhathi ngenyanga. Lokhu kuzosiza ukuqaphela ukubukeka yezinkinga kungenzeka futhi ukuze akuqede.

Ngaphezu kwalokho, abakhulelwe izikhathi eziningana ukuba anikele esibhedlela okuhleliwe. Akubalulekile ukuba uziyeke ukuze bazivikele imiphumela emibi, bona kanye umntwana babo abangakazalwa.

Khanyisa ukhulelwe, ibe nempilo!