Extragenital pathology i hapai wahine: Kāohiʻana, nohoʻana. Kanawai o ka hāpai keiki extragenital

Oia ka hauʻoli hanana, e like me ka lōʻihi-kali hāpai keiki, Eia naʻe, hiki ke maluna o kekahi kaʻawaʻawa loa ka manawa ihola. No ka laʻana, ka mea, e ia exacerbation o ka maʻi maʻi amid hormonal loli meaola. Wale e noonoo pono i ka aoao o extragenital pathology o ka hāpai keiki, e hiki ana ke hali, a hanau i ke olakino bebe me ka maopopo mua i ko lakou ola a hiki i ko lakou mau ola.

He aha ka extragenital pathology ma hapai wahine

All maʻi, syndromes, a me ka hapai wahine ka mea i komo i ka pelvic, a i ole obstetric complications loaʻa i ka ia pūʻulu e ua, ua kapaia "extragenital pathology" (EGP).

Kēia begs ka Logical nīnau: hapai wahine Pehea ka nui me ka extragenital pathology? 'Ikepili helu ma keia wahi mea ole loa hōʻoluʻolu. E like me ka hana pono E hoike mai, i ka helu ana o na wahine e loaa ana mai ka maʻi mai, wale ulu me kēlā hele makahiki. I ka lā, wale ma kahi o 40% o pregnancies i wahi me kekahi complications. Hooweliweli ana no hoi miscarriage a me ka hopena o toxicosis -ʻelua o ka mea i hoike ia ma extragenital pathology loa, he pono ole pilikia. Akā, heʻokoʻa ia ma laila i nā maʻi e hoi no i ka EGP.

Maʻi a i komo i loko o ka māpuna "extragenital pathology":

• anaemia, loa ka papahelu ;
• hypertension;
• myocarditis;
• naau mā;
• ka rumatika;
• ake maʻi;
• hakuʻala maʻi;
• connective'aʻaʻa maʻi;
• maʻi o ka gastrointestinal'āpana;
• naehana maʻi;
• mea hoʻomaʻi hepatitis a me nā mea palahēhē.

E mākou noʻonoʻo i hou au mamuli a me kela mea keia mea o ka pūʻulu o nā maʻi. Kēia e kōkua maopopo i maikaʻi aʻe ana i ka hāpai keiki, a nahunahu me ka extragenital pathology a me kekahi hana ana e e ia i loko o kēlā me kēia hihia.

Maʻi o ka mea'ōnaehana mānowai koko'ōnaehana

Maʻi i loko o kēia pae ana i loko o 2-5% o ka hapai wahine. Ma ka hanana o kekahi mea'ōnaehana mānowai koko mai hāpai keiki e koke nīnau i ka Apana kauka. Ma muli o ka hopena o ana haliia mai la mawaho, ke kauka, e hana i ka olelo hooholo e pili ana i ka manawa kūpono o ka hāpai keiki, a me kona haʻahaʻa.

Inā he mea ole loa extragenital pathology (ulu o ka naau hoʻokō 'ole' 3-4 papa me palpitations a me ka pokole o ka hanu ma ka palena haʻahaʻa exertion 'ole ma ka maha), eiaʻaʻohe elue no ka miscarriage o ka fetus ua ole. Ma na hoopii, wale wae i ka pono 'inikua lapaʻau, a e kōkua malamaʻi kumupaʻa i loko o ka moku'āina o ka makuahine a me ka unborn pēpē.

Rheumatic wela i hāpai keiki

Ma ka hihia o ka huʻi rumatika, ke kahe o ka prolongation o ka hāpai keiki e pii ai loa ia. Inā ka pilikiaʻia i loko o ka trimester mua, i ka olelo hooholo ma ka hoopau wale o ka hāpai keiki, e like me ia ma keia hihia, no ka mea hoomakaukau i incompatible i kona wā e hiki mai kūpono 'ana i loko o ke kakahiaka kahua o ka hoʻonaʻauao.

Inā extragenital pathology i loko o ka palapala o ka rumatika, hoao iho la ia i kekahi manawa hou aku 24 pule, e lilo ia i hiki i ka palekana lapaau me ka hoola i ke ola ana o ke keiki.

Naʻe, i ke alo o ka maʻi i loko o 40% o ka hihia pu ma ka hopena o toxicosis, fetal hypoxia a hiki Hekikai no kiʻekiʻe kamepiula o ke miscarriage. Keiki ia e pololei ai predisposed i allergies a me infectious maʻi.

hypertension

Hāpai keiki me ka extragenital pathology i loko o ka palapala o ke kiʻekiʻe ke koko, ka loa, he pono ole. Hoʻonuiʻia ke koko, hiki i premature hanau a lilo kekahi o na kumu o placental abruption. 40% o ka hapai na wahine, ka poe i loaa i ka kiʻekiʻe ke koko, e ae mai oe, mai hoike ana mai o ka hopena o kaʻawahia, a hiki i fetal hypoxia.

I ka wa e kaawale aku o kekahi complications like coronary insufficiency, placental abruption, cerebrovascular he ulia pakalaki, "Hypertension" (like extragenital pathology) a me "hāpai keiki" - Ua hana maʻalahi manaÿo. Ka mea wale nō mea i expectant makuahine e e hiki ke malama i ka? Eia o ka hana a me ka poe i koe, e like me ke kali i ka hoʻohana 'ana o ka paʻakai ma ka ai (i oi aku mamua o 5 mg no ka lā).

hypotension

hakumakuma ke koko, i hāpai keiki hāpai ka pilikia o ka ole emi ma mua o kona mea ulu. Women me extragenital pathology i loko o ka palapala o ka hypotension ma nui kamepiula o ka noho'na makaainana i ulu abortion ma kekahi kahua. Ka mea, ke i pilikia pili me ka haunaele ma ka mea pili loa, a detaching ke keiki, e like me ka pono me complications ma ka hānau kaʻina. Eia hou, aia i ia i kali hou aku i loko o fetal? Acaeoey, no ka ilihune koko pele i loko o ke keiki.

arrhythmia

Aia i ekolu papa kuhikuhiEʻano o ka maʻi: atrial fibrillation, premature kui iho oe a me paroxysmal tachycardia.

Atrial fibrillation o ka noho pilikia loa, no ka, no ka mea, hiki hoʻomōhala naʻau deficiency a me ka naʻau 'ole. ¶ A i loko o keia maʻi he mea he nui pakeneka o ka make: perinatal - 50% o ka makua - 20%. Nolaila, i ka olelo hooholo ma ka haawi ana caesarean Pauku ma luna o ka loaʻaʻana o atrial fibrillation, ma kona ano maoli ka nahunahu hanau ua pāpā.

Hole pele 'Aʻole e koi kūikawā lapaau, aʻaʻole hiki ke paa nui ana. E like me ka rula, ka mea, ua ike ia ma ka mahina hope o ka hāpai keiki (kolu o trimester), a me kona helehelena ua triggered ma ka hooulu ana i ka diaphragm a me ka 'ehaʻeha o arousal i hānau.

Paroxysmal tachycardia ka loa pohihihi keia, a mai ka reflex ano. Symptoms o ka maʻi hiki e pōniuniu, nawaliwali,ʻeha ma ka naʻau, nausea. No ka hoʻoikaika 'ana i keʻano mau i hoʻohana kiaha dala.

Hakuʻala a urinary nā loko

Extragenital pathology i hapai nā wāhine i loko o ka wahi o ka urinary nā loko ua loa pinepine ike i loko o ka palapala o ka hakuʻala pohaku a me pyelonephritis.

urolithiasis

Ua Ua pu ma ka haʻahaʻaʻeha hoʻi, discomfort a me kaʻoi eha i urination. Eia hou, aia i e nausea, ka luaʻi, constipation, a ma ka hihia o ka pyelonephritis - kuni, a me ka hoʻoʻino loli i loko o ke koko.

Ka nānā 'ana i ka lōʻihi like' ole o ka hāpai keiki, i ka lanakilaʻoki kino e like me ka pono. Inā ma hope o ka ke koho ana, a me ka papa o ka lāʻau Inc,ʻaʻa puʻuwai kuleana pili i ua hoʻihoʻi, hāpai keiki ua malamaia no.

Huʻi gestational pyelonephritis

Loa pinepine i ka maʻi i loko o ia lŘlŘ ka au o ma kahi o 12 pule, nae ka mea hiki kekahi hana ana i hāpai keiki. Keia ua pu ma extragenital pathology kuni, a me ka ole.

Lapaʻau ua lawe mai i loko o ka haukapila ma ka hoʻohana 'ana i antibacterial ai'. I ka pau ana o ka papa oe e lawe malama o ka hapai uroantiseptiki kanu me Kinohi (ʻaʻa puʻuwai kī, a no laila, ma luna o. D.).

I ka wa e kaawale aku o hou complications o ka hāpai keiki a me ka nahunahu hanau maʻamau.

glomerulonephritis

Glomerulonephritis - he nui extragenital pathology, i ua contraindicated i hāpai keiki prolongation, e like me ka mea hele aku ai i ka hooulu ana o kaʻaʻa puʻuwai ole.

Luckily, maʻi ma ka hapai wahine mea pohihihi - mai o ke tausani wale nō kekahi.

maʻi o ka digestive'āpana

Extragenital pathology o nā maʻi o ka gastrointestinal'āpana mea,ʻaʻole he contraindication i ka hāpai keiki. Women ka poe i noho gastritis, duodenitis a ulcer maʻi, pakele hāpai a lākou e hoʻopakele i ke olakino pēpē.

Ka mea wale nō mea i hiki ia i ka pilikia no ka hapai wahine, - reflux. No ka mea, o ka ia, he wā e hiki mai makuahine i Konakele. Heartburn, a maoli he na mahina mai a hiki i ka hanau ana. Eia hou kekahi, hāpai keiki i hoʻopilikia i ka maʻi constipation.

I hookuu i keʻano o ka heartburn ia lŘlŘ me 20-22 pule o ka gestation, akā, i kēia manawa ia mea papa'āweʻaweʻa kemika a hele koke. No ka manawa o 30 pule ma luna o ka mea complains o kela ekolu wāhine, akā, kokoke i ka hanau ana, i kēia helu maoli, a me kaʻawaʻawa loa symptoms malama i ka ekolu mai o ka eha hapai wahine.

Like no ka constipation, kā lākou helu kekahi maoli i ka hopena o ka hāpai keiki. Ole e like me ke ano o ka nui undesirable, e like me ka mea hiki worsen i ka pono ola o ka hapai keiki, a he aha ka mea i ka contractility o na nāʻiʻo o ka uterus. A ikaika hoʻi i hoka ai i na naau oʻu neʻe hiki i uterine leo, a alakai i premature hoopau wale o ka hāpai keiki.

I ka papa kuhikuhiE loa pono a me ka aoao o ka noho pakele o ka ho'ākāka 'ia ma luna o nā pilikia o ka kūikawāʻai, i nā huahana i i he uuku ia slabyaschee (beet, e paʻipaʻi i, palaoa bran a me ka' ole. D.) A bifidobacteria (kefir).

naehana maʻi

Ka mea, he pono ole ke anu ana, aole i i lula 'ino i ka hapai wahine a me kona fetus. Akā, me ka bronchitis a me pneumonia, ke kahua o iki nahae.

Huʻi a me ka maʻi bronchitis

Bronchitis ua wehewehe aku ma lesions o ka mucousʻili lahilahi o ka bronchi, a me ka mea he hoʻoʻino maʻi. He ua pū ma kaʻeha i loko o ka pahu, laweia cough, a ma kekahi mau hihia, loa symptoms o intoxication.

Maʻi bronchitis mea,ʻaʻole he kumu no ka mau nō lā hoʻi o ka hāpai keiki mea hiki ole. Ua mea no hoi e hiki ke alo o ka nīnūnē complications e like me pokole o ka hanu me ka palena haʻahaʻa stress a me naehana hanu ole o ke degere mua. Akā, mamua o ka hiki ia mea ke kumukuai o ka noonoo i keia hāpai keiki, e e pilikia.

Ma na hihia o naehana hanu ole second- paha kolu-ka papahelu hooholo ma abortion, e hoola i ka wahine ka ola a me ka ola.

Huʻi a me ka maʻi pneumonia

Pneumonia mea he hoʻoʻino infectious maʻi e loli ai i ka ia maʻiʻaʻai. Ua Ua pū ma ke kuni, a me nā symptoms, ke kaumaha ma muli o ka 'ano o ka mea hoʻomaʻi, ka causative hope, a me ka naoh ia ia ke hapai kino.

Hospitalization o hapai wahine me ka extragenital pathology i loko o ka palapala o ka pneumonia mea OAXA! Lapaʻau ua lawe mai ma lalo o ka hoʻomalu o ke kauka a me ka obstetrician.

bronchial asthma

Ahuwale symptoms o keia maʻi i ka asthma ino e hana i ka pō, a ma ke kakahiaka, a komo pū 'ia e ka ikaika maloo cough, a me ka pokole o ka hanu expiratory type. Ke Aloha pepehi expectoration o ka uuku nui o ka purulent sputum.

Bronchial asthma i ka mehana i ka lōpū palapala mea,ʻaʻole he PAaIEN no ka hoopau ana i hāpai keiki, akā, e hiki ke lilo i kumu o ke preterm hanau, ka hopena o toxicosis, nawaliwali ka hana a me ka kahe ana ke koko ma ka nahunahu hanau kaʻina.

ake maʻi

Aie i ka inactivation o hepatic kāna hana estrogen maʻi maʻi e like me cirrhosis a me ka hepatitis, hiki i infertility. Inā hāpai keiki ua no hanaia, ke pahiki mea he uuku ia i ka maikaʻi hoʻokūkū. Ma ia ano hihia, ia pinepine hualoaʻa ma premature hanau ana, hanau o na keiki make, e like me ka pakeneka kiʻekiʻe o maternal make i hānau kaʻina. Eia hou, e kū'ē i ke kāʻei kua o ka hāpai keiki i loko o na wahine e hoʻomaka e hoʻomōhala ake ole.

Inā ka aggravation o ka maʻi mai i ua wehe ae ia i mua o ka hebedoma 20th o ka hāpai keiki ua keʻakeʻa. Inā ka mea, ua i oi aku mamua o 20 hebedoma, a laila ka mea, i na mea a pau i hiki e hooloihi ia me he abortion hiki aggravate wale ke kulana.

Inā ua ole exacerbated maʻi ake maʻi i hāpai keiki, na nāʻikepili no kona hoopau wale, aʻaʻohe pakeneka o ka holomua hoʻokūkū mea kokoke i ka ia me ka ola o na wahine.

endocrine maʻi

Ka loa, he pono ole endocrine maʻi nā mimikō, hyperthyroidism a me ka hypothyroidism. E iā mākou hou au mamuli o kela mea keia mea o lakou.

mimikō mellitus

I ka maʻi ua wehewehe aku e lawa ponoʻole dala o ka insulina a lawa ponoʻole hopenaʻoi loa, kūpono ma ka carbohydrate intolerance a me metabolic kāna hana. I ka wā e hiki mai malaila i e loli ma nā loko, a nā'aʻaʻa.

Mimikō mellitus hoike mai ai ia ia iho i loko o ka palapala o ke kaupaonaʻana poino, hihio poho, itchyʻili, polyuria, ka makewai. No ka pololeiʻike, o ka maʻi e e ikea ai ke koko kō a me ka urinalysis.

Women me ka mimikō i hāpai keiki e hoʻokomo ai i ka haukapila i ka liʻiliʻi ekolu manawa: i ka loiloi mua manawa i loko o 20-24 pule a me 34-36 pule.

Mimikō (me extragenital pathology) a me ka hāpai keiki i loa hana maʻalahi. Ka maʻi mea,ʻaʻole he PAaIEN no abortion, a me ka loa hanau ana o ke keiki ua aeia mai me ke kino ala, a me ke kōkua o ke caesarean pauku.

Ka mea wale nō ka mea i pono e noʻonoʻo: ka hapai wahine e lawe i nā ho'āʻo ma, a undergo 'inikua ninaninau i ka liʻiliʻi 2-4 manawa i ka mahina.

thyrotoxicosis

I ka maʻi ua pili me ka loli ma ka thyroid gland: ia maoli a me ka hyperactivity. Pu ma ka hyperthyroidism palpitations, sweating, luhi, wela uwila, hiamoe haunaele, tremor o na lima, a mahuahua ke koko. E like me ka hopena, i ka maʻi hiki i ka ikaika a me ka toxicosis miscarriage.

No ka mehana ano o ka hyperthyroidism hāpai keiki, kŘpa a maʻamau, me ka lōpū i loa ano o ka hoʻoholo ma luna o kona hoopau wale.

Iloko o ke kaolo kaʻina mea e lawe ana i ka mea ana i e kōkua pale Loaʻaʻia kahe ana ke koko.

hypothyroidism

I ka maʻi ua hoi me kaʻole thyroid papa, a kū aʻela ia i ka hopena o keʻoki kino paha e congenital mā pili.

Ma hypothyroidism i ka mahina metabolic a hypothermic a mea'ōnaehana mānowai koko syndromes, e like me Anati-hoʻoʻino therapies a me ka ili loli. Maʻi i mea ole e loli ai i ka momona ala, a ma luna o ka wā e hiki mai keiki: hikiʻo ia i hanau mā a me lag i loko o ka noʻonoʻo 'ulu.

Ma ke alo o ka lōpū i loa ano o ka hāpai keiki a me ka nahunahu hanau contraindicated maʻi.

mea hoʻomaʻi nā mea palahēhē

Ke alo o ka mea hoʻomaʻi nā mea palahēhē i hāpai keiki hiki ke pilikia i ka wā e hiki mai ola ana o ka makuwahine,ʻaʻole wale nō, akā, i kona wā e hiki mai pēpē.

SARS a me ka maʻi palū

E like me ka olelo ma luna, huʻi naehana hanu mea hoʻomaʻi maʻiʻaʻai (ARI) loaʻa iki hopena ma ke ana a me ka moku'āina o ka ola o ka fetus. Akā, i ka wa a ke anu kahe ana i loko o maʻi palū, aia no he pilikia o complications, a hiki i abortion. Ua pili pakahi aku la ia hanahana loa ano o ka maʻi i loko o ka mua a me ka lua o ka trimesters o ka hāpai keiki, e like me ka mea i teratogenic 'ole ma o ka fetus.

Kelemāniaʻo Waimānalo

Kāohi extragenital like rubella E hanaʻia nō ia ma mua hāpai keiki. He OAXA oaeouee? Vaccination, a ua paʻa hoʻi i loko o kamaliʻi a me adolescence.

rubella mea hoʻomaʻi hiki i kela kapa o ke keiki, a no ka i ke 16 pule e hoʻolako i ka fetus embryotoxic a me teratogenic 'ole. Ma keia hihia, congenital malformations i e malama a hiki i ka poe mamo a ka poe makuwahine, ka poe i ole maʻi, akā, pono ma ka hui 'ana me kanaka me ka rubella.

I ka maʻi ua wehewehe aku ma ka kēia symptoms: ho'ākea lymph aka wahi, hooloihi ae i ke kuni, thrombocytopenia, articular maʻi pale, hepatomegaly.

'O Rubella measles i ka lā mua mua o ka hāpai'ana, he hō'ailona ia no kona ku'una pilikia.

Herpes

HSV (herpes simplex ma'i) hiki ke komo i ka placenta a ho'oweliweli i ke kikowaena pūpū, ka na'au a me ka ate o ka'ōpū. 'O ka hopena, hiki i ke keiki i hānau'ia ke waiho i hope ma ka ulu'ana i ka no'ono'o ai'ole e helu i ka lolo, microcephaly.

'O ka ma'i'oi loa loa i ka lā mua, no ka mea, he hana kūpono'ole i ke keiki e hiki mai ana, a me ka hāpai'ana, e ho'opilikia'ia. 'O ka Herpes i ke kolu o ka makahiki'ekolu lilo i mea e pono ai no ka ho'opi'i kūwaho'ana i ka māhele caesareana.

Ho'oma'o'ia no nā ma'i ho'opau o nā wāhine hānau

E like me kā mākou i ho'ākāka mua nei,'o ka mana'o o nā ma'i pilikino'ē a'e e komo ana i nā ma'i. No laila, ua maopopo e'a'ohe ala ho'okahi e mālama ai. Ho'oholo'ia nā kaulike a pau e pili ana i ke'ano o ka ma'i, ka nui o kona pa'akikī, ka hele'ana a me ka hala'ole o nā hō'ailona ma kekahi o nā mea kumukū'ai, a pēlā aku nō.

He aha nā lā'au e pono ai ia'u ke lawe inā'ike'ia nā ma'i pilikino? Inā miscarriage kohoia kekahi ai ', infectious, mea hoʻomaʻi, hoʻoʻino mai - e loaʻokoʻa. 'A'ole pono i kekahi ke hana i ka lā'au pono'ī. 'O ke kauka kūikawā wale nō (ke kaukōkōkō, ke kākōkō, ke ukukū'auhonua, a me nā mea'ē a'e) he kuleana no ia e ho'oholo a kau i ke kau'ana o kekahi lā'au a me kekahi lā'au'ē a'e.

Ke palekana'ana iā EGP

'O ka palekana ho'omalu'ana i nā ma'i o ka hemo'ana o ka ma'i keu ka mea mua e hō'ike ana i nā ma'i kūlohelohe hiki'ole. I kahi manawa e maopopo pono ai kekahi i nā pilikia o ka olakino, no nā mea'ē a'e,'o ka hō'ailona o kahi ma'i i ka wā o ke kōpiopio, he mea e kahaha loa ai. 'O ia ke kumu i mana'o'ia ai he mau kaukiko a me nā kālaihonua e hele i loko o ka ho'okolokolo lō'ihi a pau ma loko o ka manawa ho'olālā o ke keiki.

'O ka manawa e hiki mai ana ke hāpai. Ma ke alo o nā hō'ailona keu, hiki ke ho'oholo a hō'ole paha. A ma nā hihia mua a me nā hihia'elua (inā hō'ole ka wahine e ho'opau i ka'ōpū) pono pono e ho'opa'a inoa me ka mea kūikawā kūikawā a hele i laila ma kahi o ho'okahi manawa i ka mahina. Mālama kēia i ka hopena o nā pilikia i ka manawa a me ka ho'opau'ana.

Eia kekahi, hiki i ka wahine hāpai ke hā'awi i nā hale ho'olālā e ho'olālā'ia i nā manawa he nui. 'A'ole pono e hō'ole iā lākou, i mea e pale ai iā lākou iho a me kā lākou keiki mai ka hopena mai nā hopena maika'i.

'O ka ho'okalakupua iā'oe, e ola maika'i!