Postpartum paresis i ka bipi: lapaau. Obstetric complications ma ka bipi

Aia nō ia e lawe mai i hoike ma ka? Aneii o ka holoholona i ka helu o ka maʻi, ole-communicable,. Mau nā kia-partum paresis i ka bipi. Lapaʻau mea,ʻaʻole i nui ka manaʻo pohihihi a me ka meaʻaʻole pipiʻi. Aka hoi, i ka maʻi lawe nui poho. Ka hapa nui o nā mea a pau, ua lilo i ma luna o ua mau aina kahi holoholona? Aneii ua hoʻonohonoho 'ia e like me ka hana. Hihia a he hookahi poo i loko o ka uuku aina me ka nui loa e loli ai i ka ka puka waiwai o ke-i? Iecaianoaaiiuo.

Postpartum paresis i ka bipi

Loa, huʻi neurologic maʻi, i ua pu ma kekahi hapa lōlō o ke alelo, puʻu, mau lala, liʻiliʻi, mai a hiki i ka emiʻana o ka ike paka i ua kapaia postpartum paresis i ka bipi. pono hoʻomaka koke lapaau, e pale i ka make.

kamepiula pūʻulu

Ua Ua nō i hoʻokumu i ka kiko'ī kumu o ka maʻi. Ua ua ike i ka mea hoʻonāukiukiʻana mai o ka huʻi shortage o ke kalipuna i loko o ke kino o ka holoholona e kū'ē i ka backdrop o kaʻoi kulu i loko o ke koko kōpaʻa. Suckler bipi e kuhikuhi i kona ikehu a pau ma luna o ke kahua o ka fetus, me kalipuna. 'Aʻole he' O ke kaulikeʻai ma ka mea pōhaku waiwai hiki i ka waiū kuni i ka bipi.

Ke kamepiula pūʻulu kikowaena ka hapanui kiʻekiʻe-hua holoholona. Ma nā mea a pau likelihood, keia mea ku pono i ka mea e kiʻekiʻe e haawi i ko a koi nui dala o ke kalipuna. Ua pono-hānai holoholona, a e mai hookoe i ke kiaʻana i kānaʻai, hoi, eia ma kamepiula.

Kahi e hanaiiaʻi manawa, a me ka makahiki o ka 5-8 makahiki, i ka wa a ka bipi wahine mea ma ka piko o kona productivity, i anu, i ka pilina me kumumea o ka maʻi.

Symptoms o ka maʻi

Nō kāu, i ke kūpono 'ana o ka mai ia lŘlŘ i loko o ka muaʻekolu lā ma hope o ka poe ola, a me ka maʻalahi calving. Oiai, ma ka hana, o ka bipi wahine i hanau ma ka hapanui o na hihia e noi mai ana i ke kōkua a me ka 'uao o ke kanaka. Kākaʻikahi ka malama i ka hooulu ana o ka paresis mai kekahi mau pule i 1-2 mahina. Loa koe nae o ka hoike ana o ka maʻi i loko o suckler bipi, a ma ka hotele iho.

Ka mua na hoailona o ka hoouka kaua o ka maʻi.

• lethargy holoholona;
• ilihune ikaika loa ka makemake;
• i nui aʻe ana;
• kekahi 'jitter;
• aperistalsis rumen a me ka naʻau liʻiliʻi;
• eha pā lonoaʻili Uaʻaneʻane nonexistent.

Me ka nui mea hōʻemi i loko o ka bipi wahine hiki ole kiʻi i kona mau wawae. I Kekahi Mau a oweliweli ma i ka holoholona o: wāwae ka lehu ma lalo o kona opu, a huli aʻela kona poʻo ma kekahiʻaoʻao. Ai uma ano S-hoʻokino curvature. Ma ka hoʻopā o anu kapuai a me kona mau pepeiao, maka hapalua-paa a me na waimaka, o ka haumana i dilated. I loa hoopii, huina kino ka mahana e hina i ka pae ^{o ka} 35 -36 ^ma.

Ka holoholona ua i mālama urinary a me ka fecal excretion. I ka lōlō pharynx 'ōlelo hina mai o ka waha, profuse salivation ia lŘlŘ. Kekahi mau kanaka no ka pōkole manawa i loko o ka pīhoihoi moku'āina, hiki dramatically lulu oia i kona poo, a hoolei iho hoʻi kona kua. Flip, wili ae la i ko lakou mau niho, kuikui no i ke alo o ka pā, mooing ka leo nui. Ma hope o ka pōkole hana o ka bipi make ia, a hele aku i loko o kaumaha.

lapaʻau

Oe ke ole holo ai i ka bipi postpartum paresis. Lapaʻau hoomaka koke, ho'ēmi i kā make mai ka maʻi a hiki i 4%. No ka like, ina i hoʻokō 'ua laweʻia i loko o ka hora mua, pepehi 70% o nā holoholona.

Special i hoʻomākaukauʻia a mau loa aku ma nā mea a pau eha lobes o ka udder ua injected ma ka lewa nipples. No keia, ka mea i mālama '-malamaia lakou nei, 70% ethanol pāʻoihana. Ma mua o ke kaʻina hana sdaivayut bipi wahine i loko o dorsal-kīloi paʻewa kūlana. Air ua hoʻolauna ma ka mea o ka sterile waiu catheters. Ke ka pahu kui Ua lawe mai ma mua straightening na loko o kaʻili i ka udder. Mai poina e lomilomi i ke udder no ke ahiahi ea o ka makana.

E pale ea heleʻana i waho, ua nakinakiia i nipples ma ke kumu me ka lole wili a gauze holehole mai ai. Ma ia wahi, i hiki koe ka holoholona no 30-45 minuke. Inā ma hope o 8 hora i hana hou ana, i ka hana ua hai. Ma hope o ka bipi i loaʻa mai, i loko o 1-2 hora he hiki ke sdoit, kahi o ka lewa, mai ka udder ua i'uī.

Ma kahi o ka lewa ke komo ma 200-500 ml o hou waiū ma ka udder na mahele. Ua pono mau ia mai ka bipi ola.

E kōkua i ke ano o ka holoholona intravenously lawelawe 20% monakō koko pāʻoihana i 200 ml ka leo a me ka 10% kalipuna koloriside pāʻoihana i 150 ml. Subcutaneously lawelawe 10% pāʻoihana o ke caffeine. Paipaiʻeleu wili na aoao a me nā wāwae, hoʻi i wahīʻia i ka holoholona, wela enema ⁽ⁱ 45).

complications

Me ka kokololio a me ka loa mai o ka holoholona ola e olelo hooweliweli aku tympany, ka mea, o kekahi o na complications i ke kumu no postpartum paresis i ka bipi. Lapaʻau ho'ēmi i kā me ka makaʻu no puncture kui kele a trocar manoanoa, laila injected i loko o ka lua i 400 ml o ka 5% waiʻona pāʻoihana a me ihtiola i 40 ml o ka 40% formalin pāʻoihana.

I ole hihia hiki ole ke komo i ke kinowai lapaau ma ka waha ma muli o ia kekahi hapa lōlō o ka puu, ka mea hiki ke komo i loko o ka trachea.

Ke ana ia i 2-3 lā maopopo hoola holoholona me kekahi hopena no kona ola. Paha ka mea e loa e hiki hou, a malia o ka bipi wahine ma hope o calving kela manawa, e 'ike postpartum paresis.

Kāohiʻana o ka postpartum paresis

E pale i ka maʻi, hoopili aku i ka keia mau rula:

• mai ae overfeeding maloo manawa bipi ma lactation a me ka attenuation;
• pono kanaka hoʻoponopono i ka o hoʻonupaikini kaʻai ma luna o ke anakahi iki a me ka nunui;
• pono ai e malama ikaika, a me ka pakeneka o ka lohi loa kiaʻana i kānaʻai i ka holoholonaʻai;
• kanaka hoʻoponopono i ka 'eleu Launch o na bipi;
• holoholona i regularʻeleu hoounauna.

Mahiʻai no ka bipi e e hoʻolako pono me ka kūikawā nōhie pahu kahi o ka holoholona ua waiho ia ma ke alo o ka hotele. He mea hiki ole ia i loko o ka maternity paa, he kikoo.

No ka nui hoʻomāhuahua ai bipi mua ola mai postnatal paresis, hoʻolako i ia mau kāohi ana: palua, 7-10 lā ma mua o ke calving, lawelawe intramuscularly i ka wikamina D ₃ mahele lāʻau o 3-4 miliona Iu. Ke ration lawelawe kōpaʻa, 200-300 nā huna o ka la no kekahi mau lā ma mua, a ma hope calving.

obstetrical complications

Ka bipi hanau aneane mau pū i ka pilikia o complications. Kekahi o na kumu nui o ka hewa kulana o ka fetus i loko o ka uterus. hiki e kinai iho, a ke hanau make me ke kanaka i kupaluia. I kekahi manawa, i ka mooolelo hele ma luna o kekahi minuke, a kali no ka hoʻomalu 'aʻole i i manawa. Ia mea ke kumu ia mea nui i ke kookoo ma ka aina no ka bipi, ua ao mai la walaʻauʻana mākau o obstetrics. Ina no ke kōkua i hoakaka ia ma ka 'āwīwī, a hiki haunaele ma laila, he hoʻomalu pono nānā i nā holoholona, inā he pono, e hoolako hou kōkua' ole, e koho i kekahi papa o ka lapaau.

Prenatal ole postnatal zalezhivanie

Complications kēia mau genera lauwili ma ka oolea a me ka papa o ka manawa. Ka loa, he pono ole nā prenatal ole postnatal zalezhivanie. Ka mea mua i waiho i kekahi mau lā a me ka pule ma mua o ke calving. Ka lua o ka hihia ma hope o ka hanau ana.

I: wikamina deficiency, wikamina ia wā, osteomalacia, mea pōhaku pololi, rheumatic kuni, mau nawaliwali.

Symptoms: ke kaumaha ma muli o ka nń ku kumu ka mea, he AYEIE hoailona. No ka laʻana, make o ke kino hope hapa pā lonoaʻili me lesions o ka lumbar a sacral spinal kaula. Zalezhivanie hiki e ukali e loa complications: puʻe mai hehe, malnutrition, ke koko kaʻapu kōheoheo, kūpono i ka make ana o ka holoholona.

retentio

I hanau maluhia maalo ae la oia i ka membranes i loko o ka uterus hoopanee e ole aku ma mua o 8 hola. placenta auaiaea kali hou aku; hiki i complications nui, i ka holoholona infertility. Ke kumu no keia kŰia i e ka maʻi o ka uterus Muscle, placentaʻaihue i ole hapai pepeiaohao a premature panina o ka cervix, me ka nawaliwali ho'āʻo, a nele ia mau mea, infectious maʻi (brucellosis). A laila, hiki ke kena ae la OAAIeOO kali hou aku; ma ka wikamina deficiency, nele o nā minelala hao i loko o kaʻai a me ka nele o ke kaulike, nele o physical hoounauna i hāpai keiki hohonu a me ka pō hoʻomaka 'ana. Calving bipi i pau ai, a me ka vaginal pale aho me ka haoʻa ili, i kekahi manawa e holo ai i ke kahua hahi. Ināʻaʻole loa ninini i ka uterus mai ke keiki, ka mea hiki e putrefaction a me nā mea a pau kona hopena.

Eversion a me ka uterine prolapse

He manawa i excessive hoʻomaha no nāʻiʻo o ka uterus a me kona kākoʻo ligaments. Ke kumu paha e wehe 'ia nui o ke keiki, ka hua nui a mau hāpai keiki (hānau pāluaʻia, triplets) kokololio pōʻalo o ka fetus ma lalo o maloo hanau Canal. Manawa o ka hanana: ka nahunahu hanau, a me ka postpartum wā i loko o ke kakahiaka hola. Me ka hapa pohō (eversion) i ka holoholona mea restless, ma laila nā ho'āʻo. Rectal ninaninau apono 'oe, e hoao aku i ka hipa, e hoike ana e pelu ana ma luna o ke kino pa. Ma ka uterus a vagina akomi i wrenching uterine pu.

I piha hahana o ka uterus, mai ka vulva e kau ana na ohia-hoʻokino ho okumu, a hiki i ke kiʻekiʻe o ka hock. Ma ka ili o ka uterus mea kekahi manawa hiki e ike i ka hope inseparable. A laila uterus e pehu (haanou ana) ka uliuli, a me ke kahe ana ke koko hiki ke haehaeʻia. Iloko o ka postpartum au e e pūʻolo i loko o ka mua mau hola ma hope o calving. Kēia, e kōkua i ka manawa e hoʻolako i nā mea kōkua i ka holoholona a me ke pale aku irreparable hopena.

Kāohiʻana o ka postpartum complications

I calving bipi i hiki i wahi ole complications, mākou e e ao mua e pili ana i ke ola o ka hapanui makuwahine. ʻO kēia mau mea nui e e ia i loko o hookolokoloia'na lakou ia ma ka aina:

• bipi wahine, makaukau no penei kekahi, e lilo i ka awelike momona a me ka pono ola;
• ka mea, e loaa piha ai, 'O ke kaulike ka mahuaola, nā wikamina, macro- a me microelements, me kalipuna;
• E ole e ae overfeeding holoholona;
• i loko o ka hooilo-e hanaiiaʻi au mea pono e akahele hahai i ke ana wela i loko o ka pa-kahi holoholona i mālama;
• maopopo ku Launch haʻalele 'ana suckler bipi, pale ia mai ma-ka hanaʻino;
• e lawe kāohi ana, e pale aku i ka hiki hanana o ka maʻi.
  
  - e kali, a hoʻopau mai i kaʻai waiwai i loko o nā polokina i loko o kaʻai no ka 4-5 lā ma mua o ka calving, ina e pono ai;
  - komo i loko o kaʻai o ka suckler bipi chalk;
  - na holoholona pono i paʻa komo ai i ka paakai-palu ai nā'īlio;
  - e hoʻolauna i loko o kaʻai no ka 3-4 lā ma mua calving, a ma hope kōpaʻa;

• i loko o ka mahiʻai, e e kūkulu kūikawā pahu no ka loaa ana haawi o nā bipi (ina ka aina mea ole kūikawā maternity kekahi papa)

Ma hāpai keiki, mai kiola aku la i na holoholona i stressful wahi, i hiki, uunu nui, ka mea, ke i ka loli o milkmaids, loli ma kaʻai haku mele 'ana,' aʻe 'ana i kohu pono kūmau ma, i kekahi ole-maʻamau kulana home' ole i i kaua kipi ma ka halepapaa a ma ka wahi koke o na holoholona. Limahana pono e ao, a me ka iki loli i loko o ke ola kino ke ano o ka bipi koke hōʻike kauka holoholona hoʻomalu.

Bipi wahine ma hope o calving pono ole emi maliu a me ka malama. Kupono milking o na holoholona, o ka oi aku bipi wahine ina mea e kōkua pale li nui o ka udder a me ka pale mastitis. Insemination o nā bipi paʻa ma luna o ka mua lua paha i hoʻohālua ma hope o calving. Inā ka holoholona ua nee kalapona e lawe ana (e hoʻomaka noho haumāna kahi hōmona) a, ina he pono, e hoonoho i ka papa o ka nohoʻana.

? aneii bipi

No ke ola a me ka viable hua pono, e mālama ana i ke ola kino a me ka pomaikai-io holoholona. ? Aneii bipi, e like me ka hana e ia i ka pomaikai ia oe Haʻalele i ka hana ma ka liʻiliʻi 90 bipi no 100 wahine. A laila, i ka hoʻokele waiwai e ua ulu ka waiwai mai ka kuai ana o ka opiopio holoholona. He He laina paakiki, a i hoihoi 'o ka hana.

No ka ola bipi lākou makuwahine, e ia i ka lā mua o ka hāpai keiki, e kiʻi i kekahi koena aku hoiʻai, i kela la i keiaʻeleu hoounauna. Pono e hoʻokō aina no ka bipi a me nā mea a pau rula zoohygienic.

O ka nui o ka olelo o ka holoholona mahinaai: haleʻuwī waiū, ai, haleʻuwī waiū a me ka ai. Ua hilinaʻi ma ka olelo o ka hoʻopaʻahao, a me kāu kiʻina hana o ka hānai kapu holoholona.