Ingozi yokukhipha isisu: izizathu, iimpawu, unyango .
Bahlula isongelo sokuphazamiseka zibe ngamaqela amabini. Ukuba ikhula ngaphambi kwexesha leveki ezingama-28, kuyingozi yokwanyusa isisu okanye ukuphuphuma kwesisu. Ukuba ixesha liyi-28-37 iiveki, sele isisongelo sokubeleka kwangaphambi kokuzalwa (umntwana osandul 'intsha angaphila kule miqathango).
Izizathu zokuphazamiseka
Ngokuqhelekileyo, ukupheliswa kokukhulelwa kwenzeka ngenxa yezizathu ezininzi. Ngamanye amaxesha kunzima ukufumanisa ukuba yayiyiphi indawo yokuqala, kodwa ukufumana amaqhinga athile ogqirha kubaluleke kakhulu. Kukho izizathu ezahlukeneyo zokusongela:
- Iingxaki zeHormonal
Ngokuqhelekileyo le nto yiphutha le progesterone, eliveliswa kwiiveki ezingama-16 kwindawo yomzimba ophuzi, emva kwe-placenta. Ngokuqhelekileyo kukho ukudibanisa kwe-estrogens kunye neprogesterone (i-hormone yokukhulelwa). Ngenxa yoko, i-endometrium ayiyi kuphuhliswa ngokugcwele kwaye iqanda lomntwana alukwazi ukufakwa ngokukhuselekileyo kwisibeleko. Kwisongelo lokuphazamiseka olukhokelela kunye nokugqithisa kwama-hormone wesini - kunye ne-androgens, eyanciphisa umxholo we-estrogens. Kwakhona, ukuba imisebenzi yamanye ama-hormonal (i-adrenal glands, i-pituitary gland, i-thyroid gland), echaphazela ngokuchanekileyo ukusebenza kwama-ovari, aphulwa, oku kuya kubangela ukongela ukuphazamiseka.
- Izifo ezifayo kunye neentsholongwane
Kwisongelo lokuphazanyiswa, izifo ezithathelwanayo kunye nokuvuvukala kwezesondo zesini (i-trichomoniasis, i-cytomegalovirus, ureaplasmosis, i-chlamydia kunye nabanye) ngokuyinhloko zibeka ityala. Amayeza achaphazelayo abangela ukuvuvukala kwizitho zangasese, aphakamise, aphelise imimbrane, abangela umonakalo, okhokelela ekusongeni ukuphazamiseka. Ukongezelela, kwandisa ingozi yokuphazanyiswa ngokuchaphazela i-placenta, ukuphazamisa ukutya okunomsoco kunye nokudala ukungaphumeleli kwintlalo. Izifo ezixhaphakileyo eziqhelekileyo (imiphunga ye-pneumonia, rubella, i-influenza) ayibalulekanga. Isizathu sokuphuphuma kwesisu kulo mzekelo kukuba ukungabikho kwamavithamini, i-hypoalia yobusana, ukuxhala, isifo somkhuhlane.
- I-Pathology ye-uterus
Izifo ezifunyenweyo (i-myoma kunye nabanye) okanye ukungabikho kokuzalwa komntwana wesisu kubangelwa yingozi yokuphazanyiswa. Oku kungenxa yokukhubazeka kwe-endometrium, ukungabikho kwama-hormone, ukwehla kwesakhiwo sesisu.
- Ukungasebenzi kakuhle kwe-Isthmicocervical
Ukubeka nje, umlomo wesibeleko ongaphantsi kwesisu. Ivela ngenxa yokungakwazi ukusebenza kwamanzi okanye ngenxa yokulimala komatshini (ukuphuphuma komlomo ngexesha lokubeletha, ukukhupha isisu).
- Ukungaqhelekanga kwe-Genetic
Njengomphumo wokungaqhelekanga kwemfuyo ye-fetus, kwafika ku-70% yamathambo angaphaya kokuqala. Ulwaphulo olunjalo lunokudibaniswa nobudlova, imiqathango engqongileyo yeemeko, izingozi zomsebenzi.
- Iimeko eziphambili ezikhulayo ngexesha lokukhulelwa
Ezi ziquka i-placenta previa, i-polyhydramnios, i-gestosis, njengesiphumo sokunikezelwa kwegazi kwi-placenta, i-fetus iqala ukubandezeleka, ekhokelela ekusongeni ukuphazamiseka.
- Izifo ze - Chronic somatic zebhinqa
I-Pyelonephritis, i-diabetes mellitus, i-hypertension, iintsilelo zentliziyo nazo zikhokelela ekusongeni nasekuphambeni kwegazi le-uteroplacental flow.
Iimpawu zokuphazamiseka
Ubuhlungu buphawu oluphambili lobungozi bokuphazamiseka. Ingaba yinto ehlukileyo: ukusuka kwixinzelelo kunye nokuxinwa. Ukwahluka kunye nokuhlala kwintlungu: kumqolo osezantsi, kwi-sacrum, kwisisu esezantsi. Ngomhla kamva, umfazi uqala ukufumana u-hypertonic - "ukutshatyalaliswa" kwesibeleko. Ngamanye amaxesha i-tone eyongezelelweyo yesisu isungulwe ngoncedo lwe-ultrasound, xa kungekho zikhalazo zentlungu. Kwenzeka ukuba yindawo (kwindawo ethile) okanye jikelele. Uphawu olunobungozi ngakumbi ukusuka kwinqanaba lomzimba, aluqhelekanga. Umlingani wokukhulelwa kwamanzi uyahluke: ukusuka ekugqobeni ukuya kumnene. I-Scarlet, ukukhutshwa okuqaqambileyo ngumqondiso wesithintelo seqanda lomntwana eliqhutyelwayo okwenzekayo okwangoku. Ukuba ukufihla kumnyama kumanzi, ngoko uthetha nge-old detachment yeqanda le-fetal, ngenxa yoko i-hematoma eyakhiwe kwaye yaqala ukungena.
Ukuphazamisa unyango
Ukuphumla ngokomzwelo nangokwenyama kuyisiseko sokuphatha ingozi yokuphazamiseka. Kule nto, misela i-sedatives (valerian, motherwort) kunye nokuphumla kombhede. Uxinzelelo lwentliziyo luyasusa ukususa i-spasmolytics: spazgan, papaverine, kodwa-spa. Kwimihla kamva, emva kweeveki ezili-16, i-tocolytics imiselwe, njenge: isisombululo sotywala, i-ginipral, i-partusisten. Ukuyeka ukuphuma kwegazi, i-hemostatics isetyenziswa (i-sodium etamzilate, i-dicinone). Kwiimeko zokunqongophala kwehommoni, iziyobisi ezithatha indawo yeprogesterone (iDufaston, Utrozhestan) isetyenziswe.