Ukwephula ukugeleza kwegazi 1 Lizinga sokukhulelwa: Izimbangela ezingenzeka, Izimpawu, Sifo Nokuselapha

Phakathi nenkathi yokukhulelwa umzimba wentombi uqala kabusha. Ngakho-ke, ngalesi sikhathi, ngakho-ke kubalulekile ukugcina kokubuyekezwa isimo kwabesilisa umbungu. Njengoba izibalo wezokwelapha abe impela inani elikhulu labesifazane abakhulelwe kufanele ukuphazamiseka igazi. Engeziwe kwegazi, esadaleka emzimbeni, kudinga ukuhlale ebhekiwe of onguchwepheshe. ukwephulwa yakhe kungaholela kokufa ezingenzeka embungwini, futhi kungenzeka kunoma yisiphi sokukhulelwa. Zama ukuqonda ukuthi kungani igazi okhathazekile ageleze ngesikhathi sokukhulelwa.

Nasi theory

Wonke umuntu uyazi ukuthi placenta uba ukuhlobana phakathi emzimbeni womuntu wesifazane bese umbungu. Kulesi simiso eziyinkimbinkimbi ezimbili zama-kwegazi - esinomhlapho ne-fetus. Noma ikuphi ukwephulwa omunye wabo kungaholela nemiphumela kunalokho ngeshwa, kuhlanganise nokwenza ezihlukahlukene nezifo. Kobukhulu inkinga ihlola udokotela.

Kulokhu, owesifazane ngesonto 30 yokukhulelwa, kumelwe nakanjani zidlule ultrasound ukuhlola ezikhethekile, okuyizinto ngokucacile izitsha ebonakalayo igazi umzanyana e isithombe ezintathu-ntathu. Uma kukhona noma yikuphi ukuphula isivumelwano, udokotela ngempela bheka it njengoba ushintsho ubudlelwane kwezendawo umama izithelo-esinomhlapho kwegazi. Lesi isimo esiyingozi kakhulu emzimbeni, njengoba kukhona ukucindezeleka umsebenzi zokuphefumula nokuthuthukiswa umbungu imiswe okwesikhashana.

degree of ukwephulwa

Medicine likhombe degrees ezintathu nokugasela ngamandla kwalesi sifo. The elula kubhekwa idigri yokuqala lapho kahle kwegazi akukafiki namagugu awo ezibucayi. Kulokhu, lo hemodynamics umbungu lisesimweni egculisayo. Ukwabela ukwephulwa uteroplacental ukugeleza kwegazi A 1 degree kanye enganele izithelo-esinomhlapho kwegazi B 1 degree.

Izinga lesibili libhekene Ukuwohloka liningi igazi ezingenzeka embungwini. Ngo-50% amacala kukhona ukwehla kwezinga esiphezulu ukuhamba kwegazi ngokusebenzisa valve inhliziyo, futhi ukuhlukumeza siyenzeka ku-fetus kanye lesizalo imithambo.

Kaningi esikhathini esifushane lesibili degree uphendulela in wesithathu. Kulokhu, ukugeleza kwegazi cishe angabe esehlela ezingenzeka embungwini, okungabangela ukuba hypoxia. Amathuba wehlise e-diastolic blood flow le-aorta, futhi kwezinye izimo kungase zinyamalale ngokuphelele.

izizathu

Uma kwakuba khona ukwephulwa we 1st degree ukugeleza kwegazi ngesikhathi ekhulelwe, izimbangela eziholela khona, ingase ibe khona ehlukile. Ziningi izinto ezingezinhle kungathinta yi-placenta, hhayi kuphela ngesikhathi lasungulwa, kodwa futhi ngolunye usuku. Prakthiza Medical ikhomba zamabanga aphansi naphezulu ukwehluleka kwegazi, ngenxa yalokho iphazamisa ukusebenza umzanyana, usekhonza njengomshumayeli wesikhathi ezokuthutha, ovikelayo mzimba, umzimba kanye endocrine isitho.

Ngakho, ukugeleza kwegazi ukuphazamiseka 1 Lizinga sokukhulelwa singenzeka ngenxa yezizathu ezilandelayo:

• izimila esibelethweni;
• ukukhubazeka kwezakhi zofuzo;
• imiphumela isisu;
• isilulu samafayela;
• nomfutho wegazi ophezulu;
• adrenal futhi yegilo isifo;
• kwezinso kwesakhiwo;
• ukungasebenzi hormone;
• toxicosis ngasekupheleni ;
• thrombosis, isifo sokuqina kwemithambo yegazi;
• sikashukela.

Uma isikhathi akusho ukulungisa zokugula, ukuthi ngemva kwamasonto 6 lokwephulwa ezincane ukugeleza kwegazi uyakwazi ukuhambisa esigabeni sesithathu. Lapho inkinga ibanjiwe ku ngesonto 30 udokotela namanje isikhathi esanele ukuba bathathe izinyathelo ezifanele ukuze ubuyisele evamile ukugeleza kwegazi.

izimpawu

Noma yimuphi zokugula libhekene isithombe yayo emitholampilo, ngakho udokotela ungenza esiphethweni esifanele. Ngenxa yokungabi bikho kwemiphumela hemodynamic e ushintsho ukusebenza nge placenta, yingakho isithelo aqale ukuhlushwa. Ukuze-ke ngo izinombolo elinganiselwe ekuqaleni ukungena izakhi ezidingekayo nomoya-mpilo, kanti excretion okwehlisa imikhiqizo umzimba. Isiqala ukubonakala izimpawu hypoxia fetus, okuholela intrauterine ukuthuthukiswa kwalo okwesikhashana.

Ngakho, uma kwakukhona ukuhlukumeza kwegazi ukugeleza ngesikhathi sokukhulelwa, lokhu izimpawu isimo zimi kanje:

• palpitations inhliziyo;
• ukunciphisa noma ukunyusa yezimoto umsebenzi we-fetus;
• Ukungafani esiswini ivolumu ethize yobudala sokukhulelwa.

izici ezinjalo ngokuvamile kuphakama lapho decompensated esingamahlalakhona esinomhlapho. Uma ukwephulwa of lesizalo ukugeleza kwegazi ngesikhathi sokukhulelwa 1 noma 1 B degree, lezi zimpawu azikakabi obonakala njengenhlangano hemodynamics inzuzo. Ivame itholwe ngenkathi ukuhlolwa zokuxilonga.

ukuhlola

Ukubonisa ukugeleza kwegazi ukuphazamiseka A 1 degree ngesikhathi sokukhulelwa, kumele uphase uchungechunge yokuhlolwa, ngawo ukusungula uhlobo nezinga lokuziphatha noma yiziphi izinguquko, futhi ukunquma isimo umbungu. Kulokhu, lo dokotela sinquma indlela yenqubo elandelayo:

• ukuhlolwa igazi hormone ezifana estrogens, human chorionic gonadotropin, progesterone;
• cardiotocography;
• ultrasound;
• Doppler.

Kwezinye izimo, lo dokotela kakade ngesikhathi sokuhlolwa uyakwazi ukuthola ukuhlukumeza wasesukuma ukugxila izinga inhliziyo yengane, okuyinto zibalwa phakathi auscultation. Kodwa imiphumela ezinokwethenjelwa kunazo etholakala emva izifundo laboratory nowezinsimbi.

ukwelashwa

Kahle lesizalo-esinomhlapho igazi ukugeleza iyiphi degree kufanele aphathwe. Ngo izinyathelo jikelele zokwelapha okuhloswe ngaso zokugula hhayi okunye wathuthuka. Hemodynamics ezivamile kuphela uma kwenzeka ukuthi ukwephula i-ukugeleza kwegazi B 1 degree.

Lapho sokukhulelwa kuqhubeka abanokukhubazeka, sebenzisa amathuluzi ehlukene ukuze ngithuthukise isimo sakhe umbungu. zokwelapha olandelanayo isetshenziswa ngokuyinhloko. kokungenela Steel kungenzeka kuphela uma yezinkinga izinkomba ezibalulekile. Lapho normalizing lo kahle ukugeleza kwegazi kusetshenziswa iqoqo izinyathelo - pathogenetic, futhi lingaze ukwelashwa etiotropic.

imithi

Ezimweni eziningi, ukugeleza kwegazi ukuphazamiseka 1 Lizinga sokukhulelwa is kushintshwe ngosizo izidakamizwa. Ekuboneni izimpawu kokuqala kahle ukwelashwa sinenkonzo yokunakekela iziguli emakhaya. Okuningi ezinzima ukwehluleka kwegazi zidinga esibhedlela.

Ngoba impatho wasebenzisa izidakamizwa ezilandelayo:

• antispasmodics - "Eufillin", "Cha-spa";
• Senhliziyo - "Aktovegin";
• ejenti antiplatelet - "Kurantil";
• amavithamini namaminerali - "ascorbic acid", "Magne B6";
• gepatoprotektory - "Hofitol", "Essentiale";
• tocolysis - "Partusisten", "ginipral";
• kuthuthukisa kwegazi - "Trental";
• antihypoxants - "Instenon";
• "ATP" - umzimba.

Ngokuvamile, yokuthuthukisa ukuziphatha ezimbili izifundo ukwelashwa - ngokushesha kwatholakala ukuthi unesifo futhi ngesikhathi amasonto 32-34. Ngemva kwalokho, udokotela enquma indlela kwezidingo. Lokhu kubalulekile ikakhulukazi uma kwegazi sifo ezinzima. Uma ukwephula wegazi izizukulwane 1 degree eyenziwa ngokwemvelo.

ukwelashwa kuhlinzwa

Uma igazi ligeleze ukuphazamiseka uphinyiswa, kwenziwe esimweni esiphuthumayo. Endabeni ukwehluleka ukwelashwa ngoludala, ngisho esimweni wamaphaphu iziyaluyalu isinqumo esithathwayo ezinsukwini ezimbili. Ngokuvamile eyenziwa Ukubeletha. Uma sihlelelwe sokukhulelwa esingaphansi kwamasonto angu-32, bese ukuhlola isimo umbungu nangamandla alo.

izinyathelo

Ukuze ugweme izimo zokucabanga okubangelwa isifo ezifana ukugeleza kwegazi ukuphazamiseka A 1 degree ngesikhathi sokukhulelwa, kumele kwenziwe izinyathelo. Owesifazane okhulelwe kufanele agweme ukudla aqukethe amavithamini abalulekile, micro- futhi macronutrients, amafutha, carbohydrate namaprotheni. Nsuku zonke, kufanele kudle okungenani 1.5 amalitha uketshezi, kodwa kuphela uma abahlushwa ukuvuvukala.

Kubalulekile futhi ukuba ulawule isisindo sakho. Phakathi nenkathi yokukhulelwa, le Kunconywa kwesisindo kumele singeqi 10 kg. Abesifazane basengozini imithi ukuziphatha zokuvimbela ekuxhumaneni izinhlelo kukamama futhi ingane ikhombisa futhi kuvimbele esiyingozi ngokwedlulele ukungasebenzi uteroplacental kwegazi. I indima ebalulekile eyadlalwa ngesikhathi esifanele kabusha indlela kwezidingo ukuphathwa. Kodwa kufanele sikhumbule ukuthi ngisho ukuqaliswa lezi zinyathelo akusho ngakususi nesenzakalo yezinkinga ezinzima zezinzwa.

isiphetho

Ngakho, kubalulekile ukuqapha ukugeleza kwegazi ekukhulelweni. Izimbangela iziyaluyalu kwegazi zingase zihluke. Into esemqoka - ukuba uqaphele impilo yabo, futhi ukuthola esifike isifo kuzosiza ukuvimbela nemiphumela engathi sína umntwana ongakazalwa.