I ka nawaliwali o ka hana aayoaeuiinoe: mea, lalau mai, ka hopena a me Time]

He 'atikala e noonoo i ka nawaliwali o ka hana. E hai aku mākou iāʻoukou i loko o au mamuli e pili ana i na kumu, symptoms, 'ole a me ka hooholo ana o ka hana.

E Kû ke i ia mea. I ka nawaliwali o ka hana - o ka nele o ka ha awina o ka uterus. Ie haawi paʻakikī a me ka manawa-e hoopau ana i ka uterusʻino hoemi, ke cervix dilates i ka hana, a me ka hua hele loa lohi a me ka pilikia. Mai hooikaika aʻole e mau hele maikai, e like me ka mea e e, eia anomalies o ka hana hope. Ma kekahi o ia oe, e aʻo i ka nui au mamuli o keia Haawina.

Uterine 'oni'

Like ka nui me ka mea e kani kaumaha, akā, hana abnormalities e loa, he pono ole. Nā kumu no kēia kŰia mea loa lehulehu. Ano, e kamaʻilio pū mākou e pili ana i ka nawaliwali o ka hana kaʻina.

'O kēia kekahi o ka hiki' aʻe 'ana o ka hana. Me keiaʻike, o ka uterine hana, i mea e pono ai ka expulsion o ka fetus, ka mea, ua hoʻonāwaliwaliʻia. Kēia mea ma muli o ka:

• haahaa leo o ka myometrium;
• pohihihi keia contractions;
• nawaliwali ikaika hawewe ho'ēmi;
• prevalence o diastole;
• ka ho'ēmiʻana manawa mea ma hope o ka hoʻomaha au loa;
• hoolohi weheʻana o ka cervix;
• malama aku paipai 'o ka fetus.

I hou au mamuli symptomatology e e hōʻike i loko o kekahi pauku. Ano, ke haawi aku i kekahi 'ikepili helu. Kēiaʻike, i loko o obstetrics a me gynecology o ka loa kaulana, no ka mea, o ka loa pinepine complication o ka nahunahu hanau a me ke kumu o kekahi mau pathologies o nā makuwahine, a me ke keiki. 'Ikepili helu hōʻoia ana i oi aku mamua o ehiku hapahaneri o ka hanau i huikau ma ka nawaliwali o ka hana hope. A me kekahi mea: i kaʻike, ka loa pinepine na wahine i ka poe i me kā lākou mau keiki mua. E like me ka rula, i nā hanauna he nui i ole kekahi pilikia, akā, he mau hihia o diagnosing i ka nawaliwali o ka hana, a mahope ka nahunahu hanau.

kumu

Mākou wehewehe i keia nawaliwali o ka hana hope. Nā kumu ke e nui aʻe. Mākou e kaumaha i ka helu ia. Ke kumu no ka nawaliwali o ka hana i:

• morphological inferiority o ka uterus;
• hoi i emi kana hormonal hooponopono nōhie kaʻina;
• iaea ooieoeiiaeuiiai 'oni' ana o ka ua'emi ko nā hale;
• ekstragenital'nye maʻi;
• hypoplasia;
• fibroids;
• maʻi endometritis;
• adenomyosis;
• elua-pepeiaohao uterus;
• noho uterus;
• medabort;
• curettage;
• makeʻe kulana myomectomy;
• scars ma hope o lapaʻau o cervical ka'aʻaiawā (ina i ole haawi aku i ka wahine e hanau ana).

E hiki no hoi nana i kekahi o na kumu. I ka nawaliwali o ka tribal koa ke kānāwai ma muli o ia ka imbalance o nā kumumea i i ka hopena ma luna o ka hana. E like me ka mea i kēia maikaʻi aʻe:

• prostaglandins;
• estrogens;
• oxytocin;
• kalipuna;
• uao, a no laila, ma luna o.

He kūlana maikaʻiʻole:

• progesterone;
• makanekiuma;
• ke kūlana nā'ūhū a me nā uao.

He nui ka e hoailona oukou i na wahine e ae mai, mai kekahi mau kāna hana (vegetative-mail), ua pinepineʻalo me ka pilikia i ka nahunahu hanau. Oia aʻe 'nā:

• obesity;
• hypothyroidism;
• hypofunction o ka adrenal cortex;
• hypothalamic maʻi pale.

Nui 'ole ma ka makahiki a me ka nulliparous. Inā he kaikamahine ka loa opiopio, a me kona mau makahiki aku i 35 makahiki, i ka hana hiki e pilikia. Ua mea i nui, a me ka wā no i ka hoʻomaka 'ana o ka hana. I ka nawaliwali o ka uterus i ia i ke kumu o ka hooloihiia hāpai keiki, a me premature.

Inā hāpai keiki mea prolific, ia mea hiki keia pathology i hānau. A hiki aku ka mea, he mau hāpai keiki uterine hyperextension. Hyperextension hiki no hoi i hoʻomaka ai ka wā i kekahi hua nui paha polyhydramnios.

Pinepine me ka apuepue hanaʻalo wahi kaikamahine i kekahi wahi paiki pelvis ia mea i ke kumu o ka uterine hune hana. Ke kumu - ka disproportion ma waena o ka nui o pelvis ke keiki ka a me ka wahine.

Ke kumu, ua malie loa lehulehu, Eia naʻe, hiki ole ke kēia heluna o. Ano, koho i kekahi o ka loa Popular poʻe:

• luhi;
• noʻonoʻo stress;
• physical ha awina;
• no kou kino;
• hemahema o ka hiamoe ana;
• ka makau o ka nahunahu hanau;
• discomfort;
• ilihune malama ana o ka makuwahine, a laila, ma luna o.

Pela, e mea hiki ke classify i na kumu like penei:

• ʻaoʻao o kona makuwahine;
• hāpai keiki complications;
• mai i ke keiki.

ano

Uterine 'oni' hiki ke hana loa ma kekahi kahua o ka haawi. Ma keia manao, e hoʻoholo i ka līkaia no kekahi mau 'ano o ka nawaliwali:

• iniiaiie;
• kiʻekiʻe;
• nawaliwali ho'āʻo.

Mākou e kaumaha aku i ka uuku ka loiloi 'ia i loko o au mamuli kēlā me kēiaʻano kaawale.

Ke iniiaiie nawaliwali o ka hana ua wehewehe aku ma ka haahaa haʻawina contractions i loko o ke kahua mua o ka hana. Ka mea, ua nui loa nawaliwali, pōkole a me ka ole rhythmic. Importantly, i ka malama understated leo o ka uterus iloko o iniiaiie nawaliwali (emi o 100 mm o Hg. V.). Ma kēia kahua, he wahine hiki ole e diagnose i ka pilikia iho. Pehea oe i hana ia? Makuakane ku ei ka uaki no ka umi minuke, a helu i ka helu o kēia ho'āla kaua ma luna o kēia wā. Inā ka helu, aole ia i oi aku mamua o elua a me oe aneane mai i haha aku ia lakou, i kaʻike, i hookupaa iho la ia. Oe ke ana manawa a me kekahi kaua, ka mea pono e oi aku mamua o 20 kekona i loko o ka wa e kaawale aku o ka 'oni' uterine. Diastole, a hoʻomaha manawa, i ka waiho loihi ana kokoke alua. Like palpability contractions ke kamailio e pili ana i ka pilikia? Loa wale, ina ka mea, e painless paha maloboleznennye, i ka puʻe ma ka aoao o ka uterus mea,ʻaʻole i lawa ke wehe i ka cervix.

Secondary nawaliwali o ka hana ua wehewehe aku ma ka mea hoʻonāwaliwali maoli nō o ke kūpono o ka uterine hana. Ma mua ia kaua ke e maʻamau. Nā kumu o ka ia, e like me ia ma ka iniiaiie nawaliwali o tribal koa. Kekahi anakahi - ka Holomua o ka hōʻike 'ia' ana o uterine puu. Inā holomua ua i ike ma hope o elima a eono kenimika o ke kaikoeke, ua hiki, he kamailio e pili ana i ka mea kiʻekiʻe hypotonic uterine dysfunction.

Inā ka iniiaiie a me ka haumāna nawaliwali malama i ka umi pakeneka o ka hihia o adverse hanau a me ka ano o ka hanau mua, i ka nawaliwali o ka hanau ana-ia manawa i ka loa pohihihi (elua hapa haneri o nā hihia o ālai hana), a me ia mea typical no multiparous wahine paha ma ka obesity.

symptoms

Symptoms o iniiaiie nawaliwali o ka hana nā:

• hoemiia excitability o ka uterus;
• ua hoʻemi leo o ka uterus;
• hoemiia alapine (frequency) o contractions (i ia mau no ka umi minuke);
• pōkole lōʻihi like 'ole o nā contractions (i ka iwakalua kekona);
• ʻoki mana 'aʻole i oi aku i ka waiwai o ka 25 mm o Hg. Paukū.;
• he pōkole wā o ka contraction;
• hoopomaikai io hoʻomaha manawa;
• ole mālama mea ulu i loko o ka pinepine 'a me ka alapine (frequency);
• painless maloboleznennost paha contractions;
• Kali loli cervical kanu'ōiwi (mau nā hua'ōlelo, smoothing a me ke kaikoeke).

A pau i kēia hiki me ka nui loa hoomahuahua i ka pono manawa o ka haawi. Kēia, ma ka huli, meaʻino no ka makuwahine, a me ka keiki. Woman ma ka hana a me exhaustion, paha kakahiaka expulsion o ka wai.

Symptoms o ka haumāna nawaliwali.

• maʻule hou ihola nō pinepine 'kaua (paha a hiki lākou piha cessation);
• maʻule hou ihola nō leo;
• emi i ka excitability;
• ole Holomua ke kaikoeke uterine puʻu;
• hooki paipai 'o ka fetus ma ka hanau ana Canal.

Ua mea i emi pilikia ma mua o ka iniiaiie nawaliwali. Ke keiki ke ulu asphyxia, ole ia e make. No ka Mom ka mea pepehi uterine nā mea palahēhē paha i hānau trauma. Lōʻihi e ku poo o ke keiki i loko o ka hanau ana Canal i alakai i ke kahua o ka haematomas a fistula.

lapaʻau '

Ma keia pauku mākou, e kālele ana ma luna o diagnosing i ka pilikia o ka nawaliwali (iniiaiie a me nā haumāna) hana. I kaʻike, a iniiaiie nawaliwali ua kau ma luna o ka mea kēia manawa:

• emi ma ka ha awina o ka uterus;
• Hoemi i ka uku o ka smoothing o ka cervix;
• hoolohi 'ana o uterine puu kau;
• lōʻihi loihi hua;
• mahuahua hana.

He nui ka e hoailona oukou i ka nui hopena ma luna o kaʻike, i partogram (a mea kiʻi ano o ke genera). Kēia pakuhi hoʻomōakaaka a pau:

• 'ā'ī hamama;
• paipai 'ana i ka hua;
• lāʻau ikiʻai wale;
• puʻe;
• pēpē ka Kal;
• ke kaua, a no laila, ma luna o.

Inā he mea i holo i loko o cervical dilatation no, elua no hora, a ua maopopo hōʻike ma ka partograph, laila, i kēiaʻike.

ʻike, o ka haumāna nawaliwali ua nānā 'ana ma luna o kēia mau nā hoailona:

• partogram;
• CTG;
• hoʻolohe i ke Kal.

He mea pono e hōʻoia 'ia ka fetus i ole hoʻomōhala hypoxia. Aia nō kekahi mau pilikia generative kaʻina i symptomatically like i ka hana hoʻonāwaliwaliʻia. Mau nā:

• pathology ka mua manawa;
• diskoordinirovanie hana;
• clinically pilikia pelvis.

lapaʻau

Importantly, ka iapaau ana ua koho pākahi no kela a me keia hapai wahine. I ka hana maikaʻi kauka e lawe i ka mooolelo a pau i ka 'ikepili i ka mea, nona (ke ano o ka wahine a me ke keiki).

A maikaʻi laau no ka nawaliwali ka hana - heʻano hana hiamoe ka lapaʻauʻia. No keia mea, ua kūikawā hoomakaukau, i ka wahine hoomaha, alaila, hana e mahuahua ai.

Inā keia aole e hana, alaila, akoakoaia e puncture membranes. Ma hope iho o kēia kaʻina hana hana ia lilo nui aku, pili. It E e hoʻomaopopo i ka puncture ua hana wale ina mea makaukau i ka cervix.

I kekahi manawa, ua io i ka lāʻau stimulation kauka. Ano, ua pokole noonoo i ka "Miropriston" lāʻau e induce hana. E e ia ikaika i kēia ka lapaʻauʻia ma lalo o ka hooponopono ana o kauka. Ua inhibits progesterone, i ka mea he pono ia ma uterine hope.

haawi

Ināʻaʻohe koho mau hana, a me "Miropriston" e induce hana, i ke kauka ke hana i ka pilikia cesarean pauku. He aha kāu kiʻina hana i lawe mai ma mua o ka hana:

• lāʻau-ʻonou hiamoe;
• amniotomy;
• lāʻau stimulation.

Eia hou, ma laila e e hou nāʻikepili no kaʻoki kino. Aia o kekahi papa inoa o nā contraindications no ka hoʻokomo o ka hana (ololi pelvis, uterine me ka makaʻu no, ke ola-na olelo hooweliweli au, a no laila, ma luna).

Kāohi

Mākou hookolokolo aku la ia i loko o au mamuli o ka ninau o ka nawaliwali o ka hana. Lapaʻau lula no ka Kāohi ke haawi aku i obstetrician-gynecologist i mea kou hāpai keiki. Ka mea, e hai aku ia oe e pili ana i ka hiki complications i hānau, a i kino ai a me ka manaʻoʻike aʻo makuwahine. Ma waho rodostimulyatsii obligatory ma ka Kāohiʻana o ka hiki complications i loko o ka fetus.

waiwai

He aha e na complications o uterine 'oni'? No ka mum ka mea, hiki ia:

• i pēpē;
• fistulas;
• hiki maʻiʻaʻai.

No ke keiki, me ka i kēia complications:

• hypoxia;
• acidosis;
• lolo edema;
• ka make.

Na mea a pau hilinaʻi nui ma luna o ke kauka o ka mākaukau. 'Aʻohe hopena e ole e me ke stimulation akau, a me ka mōakāka ka mana kūlana o ke keiki a me kona makuwahine.

Outlook

Ano pokole e pili ana i ka luaÿi ÿana i ka nawaliwali o ka hana. E like me ka olelo mua, ka mea a pau hilinaʻi nui ma luna o ke kauka o ka professionalism a me ka manaʻoʻike ano o ka wahine. Mai Mai panic, a hoʻolohe i nā koi o ka poe akamai i. Complications mai ālai hana i pohihihi keia.

I ka papa o ka mea e hiki mai ana haawi

I ka nawaliwali o ka hana hope ma mua hanau mea ole i ka olelo aku i na mea e ae a pau, e hoomau aku like. N me ka haumāna nawaliwali mea a pau mawaena o na wahine i hanau i ke keiki mua. Ma ka liʻiliʻi pakeneka i ka mahina nawaliwali multiparas e lawe ana i-ia manawa.