Isifo sofuba kanye Ukukhulelwa: sokukhulelwa silandela isifo sofuba, isifo sofuba ngesikhathi sokukhulelwa, isifo sofuba, umthelela sokukhulelwa

Muva nje, i-TB wawubhekwa njengendawo liyisibonelo sina ngoba isisu nenkaba yokufakelwa. Nokho, sibonga ukuvela zokwelapha ezintsha nokuhlola namuhla, ungagcina i-fetus futhi silondoloze empilweni kamama. Abesifazane kumele ibhaliswe nge Pulmonologist noma omunye uchwepheshe ezifanele.

Isifo sofuba kanye Ukukhulelwa

Kwenziwe ukuhlolwa olunzulu kuphoqelekile abesifazane abakhulelwe, ngoba ngenxa yakhe, wathola lesi sifo, okuyinto kamuva abe yingozi for umntwana. Isimo jikelele abesifazane Kulinganiselwa ngokuhlaziya igazi x-ray Ukuhlola umndeni umyeni kungasiza ukunquma ukuthi obelethayo engena ingozi yokuba isifo samaphaphu noma cha. Izinyathelo ezinjalo ngokuyinhloko okuhloswe ngaso nokuvimbela isifo sofuba. Lesi isifo esiyingozi kakhulu, okuyinto ingaba khona phi ntu, kungakhathaliseki isikhundla sakhe emphakathini nomsebenzi. Abantu abaningi abathwala lesi sifo hhayi ukuqaphela lokhu, ngoba ngisho ukuhlolwa igazi awayiboni ke. Lesifo ngokuvamile kakhulu eminyakeni esimweni ithule futhi ivuselelwe ngesikhathi nokwehlisa amasosha omzimba.

physiologically abakhulelwe kwenza yonke imisebenzi yokuphepha, futhi ziyashesha kakhulu amagciwane.

Kumele kukhunjulwe ukuthi ukukhulelwa nge isifo sofuba yamaphaphu yisimo kuyingozi, ngoba isizinda isifo ziqala eziyingozi pathology kanye ukuphuphuma kungase kwenzeke. Ingozi yokudlulisa lesi sifo kusuka kumama kuya enganeni okungenani kodwa ukubekela eceleni kungenzeki ngokuphelele.

ngezigaba

Kukhona izimfuneko ezithile ukuthi ihlukaniswe lesi sifo:

- asebenzayo futhi angasebenzi;
- uhlobo yamaphaphu noma extrapulmonary;
- zamabanga aphansi naphezulu, kanye lingandile - azalwa nako.

Ngesikhathi lapho kusaqalwa sofuba kubonakele ku umama okhulelwe, ngokuziphatha kowesifazane okhulelwe kufanele bakwenze hhayi kuphela Udokotela Wabesifazane, kodwa-TB onguchwepheshe.

Kukholakala ukuthi uma lesi sifo itholakala esifubeni ke ingozi embungwini incane njengoba kuqhathaniswa amafomu extrapulmonary. Ngokuvamile, ukukhulelwa enjalo inqanyulwa wazalwa kungakabi isikhathi, izingane ababonakala bebuthaka futhi wamukele amaphuzu okungenani phezu Apgar.

izimpawu

Uma lesi sifo sihlasela bekezela ngaphakathi the senyanga 1st, le nqubo cishe akanayo izimpawu emtholampilo. isimo esibuhlungu kungenxa ubuthi, okuyinto kubhekwa imbangela eyinhloko uphethwe imisiwe.
Ngokuvamile obonakala njengenhlangano zokugula:

- imnyama;
- ubuthakathaka ebanzi;
- Ukuncipha esisindo.

Isifo sofuba ekukhulelweni, izimpawu e senyanga 2nd ukuqhubeka ngaphandle noma yiziphi izinguquko, esiyingozi ngokwanele, njengoba umzimba iyaqala kakade ukusakaza izinqubo infiltrative futhi elimazayo.

izizathu

Ngesikhathi sokukhulelwa fetus endocrine uhlelo kuhambisana ukusebenza rearrangement.

Izinguquko zenzeka:

- e izinqubo umzimba;

- omzimba bese hematopoietic uhlelo.

Umzimba ithola ingcindezi enkulu, ngenxa ngokuyinhloko yokubakhona imikhiqizo fetus umzimba. Ngokuvamile umphumela uba ezandayo engcupheni. Ngenxa yalokhu, lesi sifo ongase aphathwe yisifo ngenxa ukutheleleka okuyisisekelo by nezilwanyana ezincane.

Isifo sofuba ngokuvamile kuthinta ngesikhathi sokukhulelwa e senyanga 1st, nakuba abantu bayagula nganoma yisiphi isikhathi. Engozini bangabesifazane kuqala 6 izinyanga kwangemva kokubeletha. Phakathi nale nkathi, i ibele iyasebenza, futhi ingane uyaqhubeka ukuthola kusukela umama zonke izakhi ezidingekayo ekukhuleni kwayo, ngakho umzimba asiyeki buthaka.

Ubani Ngingxhumana?

Isifo sofuba kanye nokukhulelwa zidinga iqhaza odokotela abaningana. Uma wabona ngaso izimpawu asolisayo, kubaluleke kakhulu ukuba ahlole wezifo zabesifazane yakho. Ngeke ukubuza imibuzo, lapho kuthathwa khona lesi sifo.

1. Kukhona toxemia?

2. inkinga zenzeka isikhathi esingakanani kanye ipheshana zokuphefumula?

3. Flu futhi SARS zihanjiswe ezenzeke ezinyangeni zamuva?

4. sawohloka isimo sezempilo noma cha?

Uma udokotela esolwa isifo, isiguli okwengeziwe ziqala ukubhekana udokotela TB, iphaphu onguchwepheshe, Otolaryngologist futhi udokotela ohlinzayo. Ngo abesifazane abane-TB zivame ozalwa banezingane eziphile kahle njengoba lesion intrauterine akuvamile. Ibele uvunyelwe kuphela kulezo ziguli abaye ifomu ngasebenzi lesi sifo.

umphumela

Ngokwezibalo, uma kukhona inqubo tubercular, e umama okhulelwe waphawula ukwanda imvamisa igazi. Futhi isifo kuholela amniorrhea ekuseni futhi gestosis sekwephuzile futhi. Ngesikhathi esifanayo 46% abesifazane abakhulelwe Awekho yezinkinga isifo sofuba yamaphaphu. Preterm zabasebenzi kwenzeka kuphela u-6% amacala. Kwangemva Kokubeletha isithombe laba besifazane senzeka kahle.

ukuhlola

-X-ray luhlolo, kanye nesifuba ze-X ray, kuyatuseka kakhulu ngesikhathi sokukhulelwa. Kodwa kwezinye izimo, odokotela bangase baqhubeke ukhethe lezo zinqubo. Doctor abanolwazi nakanjani uzocela owesifazane mayelana okungenzeka ukuxhumana izifo ogulayo futhi idluliselwe ngaphambili njengoba ukukhulelwa silandela isifo sofuba futhi okwamanje ke kungase kubabangele imiphumela engemihle. Uma udokotela kuyoba kunengqondo ukucabanga ngokuba khona kwalesi sifo, kuphoqelekile ukuba afeze-X-ray luhlolo liyadingeka, kungakhathaliseki ubude. Kulesi sigaba kwakuyoba ukulungisiswa ingozi, njengoba ukubambezeleka uphethwe kuholela okubi kakhulu ukuthi lesi simo siyaphuthuma futhi imiphumela engelapheki. Ngesikhathi inhlolovo izinyathelo ezikhethekile zokuzivikela zisetshenziselwa ukuvikela i-fetus ethonyeni ngemisebe.

Ekuhlaziyeni wegazi khona esolwa sifo cishe kungenakwenzeka, ngoba amazinga aphakeme leukocyte, ESR kanye elithwala umoya-mpilo encishisiwe acace ngokuphelele kwabesifazane abakhulelwe, kanye lesi sifo.

Ukuhlonishwa inkinga isifo ngoba izimpawu kusulwe, njalo ngokwanele it is kuphela kutholakala ukuthi uphethwe yini ngaphambi osenyameni evela esibhedlela. Ukukhulelwa sofuba lymph eziyingozi, njengoba lesi sifo kunzima ukuthola futhi wakhonza bangasiduduza kudidaniswe nezinye virus, njengengculaza mononucleosis.

ukwelashwa

Uma kwenzeka isidingo ukwelashwa ngokushesha izidakamizwa antimikrobakterialnymi. Ngokushesha kuphakamisa umbuzo wokuthi umthelela ingane, njengesifo sofuba nokukhulelwa - kukhona imiqondo emibili ahlukahlukene ngokuphelele. Phakathi zonke izingxenye evumelekile teratogenic ungumnikazi "streptomycin". Kuyingozi ngoba kungabangela ukulahlekelwa kukuzwa e ingane. Ngakho-ke, it is contraindicated kubantu besifazane abakhulelwe.

Ezinye izindaba zika-izidakamizwa yize ukungena ngokusebenzisa yi-placenta, kodwa akudingeki senza okufanayo-fetus.

ukwelashwa kwe-TB ngesikhathi sokukhulelwa izidakamizwa ngokuvamile eyenziwa:

- "rifampicin".

- "INH".

- "Ethambutol".

Le mithi ezibhekwa ephephile kwabesifazane bayahamba ukuba nomntwana, bona uhlolwa laboratories international owaziwa. Ndawonye nabo ngokuvamile linqume B6 njengoba kahle sigcwalisa umphumela zokwelapha.

Udokotela ukupenda wesifunda kudingeka ngokulandela imiyalelo kanye nezidingo izidakamizwa. Kufanele kuqondwe ukuthi isifo singelashwa, kuyingozi kakhulu ngoba umama nengane kuka zokwenziwa izithako. Yiqiniso, isifo sofuba kanye nokukhulelwa - kunzima njalo, ngakho ngesikhathi egqoke Owesifazane kumelwe kwenziwe ngaphansi kokuqondisa njalo i Udokotela Wabesifazane neSifo Sofuba. Yonke imithi eyengeziwe kufanele sinikezwe ngokuqapha.

Ngokuvamile, iziguli ekhuliswe kokutshelwa ngokukhubazeka kwengane, njalo esibhedlela kathathu phakathi naso sonke isikhathi.

Hazard ezingenzeka embungwini

Ukukhulelwa ngemva isifo sofuba yamaphaphu futhi ngesikhathi lesi sifo hhayi eyingozi nomntwana esizalweni. Kukholakala ukuthi esinomhlapho isithiyo esingangeneki kwezilwanyana ezincane, ngakho ukutheleleka avame kwenzeka ngesikhathi kwezidingo. Kukhona okuhlukile, uma ingane izalwe kakade nge izitho abathintekayo. Unina, owayekwazi likhombe ifomu asebenzayo lesi sifo, uthabathe umntwana ukuhlukanisa ke kuze alulame ngokugcwele.

kokuphazamiseka

Kuze kube manje, kulondolozwe sokukhulelwa kungenzeka inombolo enkulu abesifazane itheleleke nge sofuba, uma ehlelekile iphathwa futhi eqaphela ongoti. ukuqashelwa esifike ngesikhathi futhi ukudlula zonke izinqubo zokwelapha ikuvumela ukuba ugcine ingane in iziguli zokwakheka elinganiselwe fibronodular svezhevyyavlennymi melkoochagovogo izinqubo, kanye hematogenous-eqonda isifo sofuba yamaphaphu.

Noma kunjalo, uphazamisa kuboniswe:

- I-izifo yomgogodla ngendlela esebenzayo nge obhekwe ngalo ingaphakathi;
- ukuhlukumezeka okhalo ukwakha fistulae noma ithumba;
- fibro-cavernous isifo sofuba yamaphaphu, okuzovela ngenxa noma yiluphi uhlobo isifo;
- by isifo kwedolo, hip nasemaqakaleni amalunga omzimba.

Phambi yezinkomba isisu, le nqubo kumele kwenziwe kusaqalwa (ngaphambi kwe-12 amasonto). Ukukhipha isisu esikhathini okwalandela akulungile, njengoba ngokuvamile kunomthelela ebangeni lelilandzelako nekunika exacerbation lesi sifo.

lokuzalwa

Abesifazane abakhipha ukwethula ifomu asebenzayo, esinzima nakakhulu ukuba babelethe kuka enempilo. Okwamanje lokudakwa Avame ukutholakala imizamo ababuthakathaka futhi ezinkulu ukopha. Inqubo ngokwaso kuthatha isikhathi esingaphansi. Nalesi sifo, ingane nalo ngokwemvelo. Ukusebenzisa esebenzisa nesigaba cesarean Kunconywa ngezizathu zezokwelapha kuphela. Ukubukeka enganeni ukukhanya kufanele ngempela ukuthatha indawo esibhedlela esikhethekile. Uma lokho ababekubheka njengemininingwane alikho, izisebenzi zasesibhedlela okufanele aziswe kusengaphambili ukufika isiguli ezinjalo. Owesifazane, njalo ukugqoka buso ubuso okuze igciwane.

Ngesikhathi ukubukeka ingane liyadingeka ukwenza ukuphefumula umzimba. Kodwa njengoba udokotela wayevame ukusebenzisa imithi antispasmodic futhi ubuhlungu.
Uma impatho wanikwa isiguli ngendlela esifike ngesikhathi futhi kwaba ngaphansi ebhekiwe ongoti, usongo ekuphileni kwakhe futhi ingane ngesikhathi inqubo ejwayelekile ziyancipha.

Ukukhulelwa emva ekwelapheni isifo sofuba

Njalo owesifazane owayehlushwa isifo okunjalo futhi ihlela le ukuzalwa komntwana, kufanele uyinaka impilo yabo. Lesi sifo uyisithiyo esikhulu esibangela ukungabi ukwenza imizamo yimpumelelo, njengoba kukhona kungenzeka enkulu fetus ukuthuthukiswa zamehlo. Ngakho-ke kubaluleke kakhulu ukuvakashela TB futhi udokotela wezifo zabesifazane uphinde uthole iseluleko sabo phambi kwakho esizicabangelayo. Zibandakanye ukuhlela kungaba akukho ngaphambili kuka kweminyaka emibili emva kokwelashwa. Lokhu kungenxa yokuthi umzimba udinga sokusukuma futhi sithole amandla. Uma ungahambisani udokotela izincomo, lesi sifo ngokuvamile ibuyisela ngesikhathi sokukhulelwa, ngoba amasosha omzimba incipha. Endabeni ka izimpawu ezisobala kutuswa ukuba ibhekane esifubeni X-ray.

Ukukhulelwa ngemva isifo sofuba yamaphaphu kungenzeka futhi ngokuvamile iphela lokhu kwakuyoba nomphumela omuhle, kodwa uma ingane ngayinye yehlukile kwenye, futhi izinyathelo zokwelapha abangodokotela ngabanye.

Endabeni omuhle kakhulu, ngemva ikhambi umnyuziki ukugula izinyane lokuzalwa kwenzeka ngaphandle yezinkinga nemiphumela lezifo esidlule musa kuthinte impilo nenhlalakahle kwengane. Yingakho kubalulekile ukuba kudlule bonke ukuhlolwa ngendlela esifike ngesikhathi neluhlolo ephelele.

ukuba nombono ongafani ngeke

ekuhlonzweni nasekwelashweni Ukuqalwa ngesikhathi esifanele ukwelashwa ahlinzeke umphumela omuhle wokukhula kwengane esiswini futhi ukulethwa okwalandela. Ngokuvamile, izingane kufanele umama ogulayo ozalwa enempilo, ngaphandle ukungcoliswa kungenxa yezinkinga sokugembula nge placenta, kanye ngesikhathi noma yimiphi imizamo ngokwabo. Ngokuvamile ukutheleleka kwenzeka emva inqubo nokubeletha kukamama onesifo sofuba ekukhulelweni. Imiphumela akuzona evumayo kakhulu, kodwa, ngokusho kongoti, akudingekile ukuba wean umntwana nonina. Okukhishiwe ezimweni lapho abesifazane baphathwa amafomu ezinzima iningi isifo nokubi. Uma umuntu wesifazane okhulelwe is hhayi waphawula bacilli, ingane zigonywe nge BCG futhi bavunyelwe ukuba ibele. Ngemva kokuba esibhedlela nge unina ilungu esanda eyenziwe umphakathi kufanele kube ngaphansi ebhekiwe abesifazane futhi emtholampilo ingane sofuba Dispensary.