Intrauterine maʻiʻaʻai: mea e manaʻo ai, a mea e hana

Kela a me keia hapai wahine i loko o ka trimester mua o ka OAXA hele e nana, e hōʻike i ka hiki mua o ka infectious maʻi i aloha ia i ka wā e hiki mai kūpono 'ana o ke fetus. Akā, Eia naʻe, i kela kanaka keia kanaka i ike i ka nui o ke ia mea no ka mea unborn keiki infectious konohiki.

Iloko o ka umi makahiki hope maopopo i nā mea kū mahuahua ma intrauterine maʻiʻaʻai, e mālama nei fetal make. Wahi a ka 'ikepili helu, ma ka awelika, 45% o nā wāhine o ka hanau keiki ana nā makahiki i ka manawa o ka anamanaʻo hoikeia herpes simplex mea hoʻomaʻi a me ka cytomegalovirus. I ka 55% o ka wahine hoikeia maʻamau microflora.

He aha ka intrauterine maʻiʻaʻai?

Intrauterine maʻiʻaʻai - he maʻi pū i hiki mai mailoko o kona makuwahine i ke keiki i loko o hāpai keiki a me ka nahunahu hanau. I ka papa kuhikuhiE predisposing ololi mea maʻi hakuʻala mai a me pelvis.

Intrauterine maʻiʻaʻai hiki e weliweli ke kaumaha ma muli o ka gestational makahiki, i ke ano o ka e hoʻonele o ka fetus a me keʻano o ka maʻiʻaʻai. I ka papa kuhikuhiE weliweli hele mai, mai ka iniiaiie o ka maʻiʻaʻai, e like me ka makuahine mea,ʻaʻole hiki ke Makuakane me ka maʻi.

Ka nui pathogen ma o na la loa fetal abnormalities o SARS - eiiieaen, ec: rubella (R), toxoplasmosis (I), herpes (H) a me ka cytomegalovirus (C).

Nā kiʻie hōʻikeʻike pū i hiki maʻi (STDs) i nā chlamydia, ureaplasmosis, gonorrhea, a me ka trichomoniasis mikroplazmoz, like me TORS- eiiieaen, i kaumaha lesions o intrauterine fetus.

Eia hou, i ka papa kuhikuhiE kamepiula a hiki i ka unborn bebe i HIV, hepatitis (B a me C), syphilis.

Nā kumu o ka fetal maʻiʻaʻai

I ka papa kuhikuhiE kumu o ka maʻiʻaʻai ua iho mailoko o makuwahine. Eia naʻe, loaʻa nō nāʻaoʻao o ka maʻiʻaʻai.

• I loko o ka biopsy o ke keiki (platsentotsentrez)
• Ma puncture me ka hopu ana o amniotic loli (amniotsentrez)
• I ka hoʻolauna ma ka ipu o ke keiki hoomakaukau
• Ke Kula Kaiapuni 'hana ana noiʻi ki ina hana like o ka fetus paha placenta

Aoao o ka maʻiʻaʻai fetal

1. Keu aku alanui o ka maʻiʻaʻai. Malicious koʻohune pii mai ka vagina a hiki i ka uterus, ma ka haule ana i loko o ka amnioticʻili lahilahi, a ma ka wai. Maʻiʻaʻai hiki no hoi, e halii mai ma iho mailoko o sperm hoapili ia.
2. Ka lalo ala o ka maʻiʻaʻai ka hui 'ana me ka maʻiʻaʻai, mai ka abdomen i loko o ka uterus. Ua hiki e kena ae la ia e ovarian abscess a appendicitis.
3. Hematogenous ala. Inā he nui nui o koʻohune a mea hoʻomaʻi mea prevalent i loko o ke koko o ka makuwahine, i ka maʻiʻaʻai ia lŘlŘ ma ke koko a me ke koko moku.

lapaʻau '

Intrauterine maʻiʻaʻai ua diagnosed like ma kekahi mau kahua o ka hoʻonaʻauao o ka hāpai keiki, a ma hope o ka hanau ana. I ka papa kuhikuhiE papa hana, e huai ae i ke alo o pathogens, o ka hookolokolo ana o ka wahine hapai. Koko hōʻike, mimi, tuha a me cervical, e hōʻike i ke alo o immunoglobulins (G a me M) hoike ana i ke iniiaiie maʻiʻaʻai paha relapse.

Small titer immunoglobulin G Hōʻike ka hope immunization o ka hapai (a laila, hoola iho la ma paha maʻiʻaʻai i hala iho nei). Mahuahua ana i loko o titers o immunoglobulin G a M hoike ana Hōʻike reinfection o ka hapai wahine.

IgG- gM- - Hōʻike i ka wa e kaawale aku o ka maʻi

IgG + gM- - ua mua Neʻe e hoʻonele i ka maʻi

IgG- GM + - iniiaiie maʻiʻaʻai

IgG + GM + - recurrence a me ka manawa iniiaiie maʻiʻaʻai hoʻomōhala e hoʻonele

Ma hope o ka hānauʻana, i ke keiki keiki i kekahi e lawe i ke koko o Kaoleioku, meconium, mimi a me cerebrospinal loli, ina he pono. 'Ike o ka causative Agena o ka maʻi, e hooholo i ka pā lonoaʻili i antibiotics, i mea maikaʻi no ka hou lapaau ana o ke keiki.

'Ole ma o ka fetus

Ua mea i uhi malu ia intrauterine maʻiʻaʻai mea hiki ke hoʻonāukiuki he uuku kau miscarriage a lilo abortion. Kēia paha e ukuia i ka loa malformations a mahuahua uterine leo.

Eia hou kekahi, intrauterine maʻiʻaʻai hiki i loa'aʻaʻa poino a me ka hui, :. li nui o na ia maʻiʻaʻai, akepaa, gastrointestinal'āpana,ʻili, lolo, etc. It mea waiwai 'ana i kumumanaʻo i ke keiki keiki maʻi ana oi haʻi ma mua i loko o ka makua.

He waiwai e hoomanao hoi i oluolu, asymptomatic maʻi i loko o ka makuahine, ka mea e detrimental hopena ma fetal ulu.

I ke kakahiaka nui kahua o ka hoʻonaʻauao (mua 12 pule), intrauterine maʻiʻaʻai, i ka hopena o ka i mea unpredictable, hiki i fetal make. Ma hope kahua o ka hoʻonaʻauao e hoʻoikaika loa mai, e like me hoʻomāhuahua o loli i loko o ka lolo. Inā ka maʻiʻaʻai ana i mua o ka hānauʻana, i ka maʻiʻaʻai ia lŘlŘ i loko o ka hebedoma mua ma hope o haawi.

Intrauterine maʻiʻaʻai ke kumu no placental insufficiency: hihia hoʻi haawi ana o oxygen a me ka mahuaola, ho'ēmi i kā ka? Iecaianoaaiiie o hormones kuleana no ka malama ana hāpai keiki, a emi iho i ka antimicrobial waiwai o ke keiki.

He aha e hana ai?

Kakahiaka nui ka loaʻaʻana o ka maʻiʻaʻai ke emi i ka pilikia o ka hoʻonuiʻana, e hoʻomau i ka hāpai keiki, a hanau i ke olakino bebe. I mea e pale aku fetal maʻiʻaʻai me antibiotic Inc ua hoʻohana 'ia, a ua lawe mai i loko o ka lua o ka trimester. Antibacterial konohiki i hoakaka ia ma kekahi kauka, ke emi i ka pilikia o ka maʻiʻaʻai, a pale aku kona kŘpuna 'ole ma o ka unborn keiki. No hoi i hoakaka ia lapaʻauʻia i ka hoʻoikaika 'ana placental holo, fetal kino, a emi uterine leo.