Isongo sokukhipha izisu: izimbangela, izimpawu, ukwelashwa .
Bahlukanisa usongo lokuphazamiseka zibe amaqembu amabili. Uma iqala ngaphambi kwenkathi yamaviki angu-28, kuyisongo sokukhipha isisu noma ukuphuma kwesisu. Uma leso sikhathi singamaviki angu-28-37, sesivele sisongela ukubeletha ngaphambi kwesikhathi (ingane engakazalwa ingaphila kule migomo).
Izimbangela zokuphazanyiswa
Ngokuvamile, ukuqedwa kokukhulelwa kubangelwa izizathu eziningana. Ngezinye izikhathi kunzima ukuthola ukuthi yiyiphi indawo yokuqala, kodwa ukuze kusetshenziswe amanye amaqhinga kadokotela kubaluleke kakhulu. Kunezizathu ezihlukahlukene zokusongela ukuphazanyiswa:
- Ukuphazamiseka kwamahomoni
Ngokuvamile lokhu kuyiphutha le-progesterone, elikhiqizwa kuze kube amasonto angu-16 emzimbeni ophuzi, ngemuva - i-placenta. Ngokuvamile kunezinhlanganisela zokuntuleka kwe-estrogens ne-progesterone (i-hormone yokukhulelwa). Ngenxa yalokho, i-endometrium ayiyikuthuthukisa ngokugcwele futhi iqanda lokubeletha alikwazi ukufakwa ngokuphepha esibelethweni. Ukwesabisa kokuphazanyiswa kuholela kanye nokudlula kwamadononi wesilisa wesilisa - androgens, okunciphisa okuqukethwe kwe-estrogens. Futhi, uma imisebenzi yamanye ama-hormonal (izigulane ze-adrenal, i-pituitary gland, i-gland gland), engathinte ngokuqondile ukusebenza kwama-ovari, aphulwa, lokhu kungabangela nosongo lokuphazanyiswa.
- Izifo ezithathelwanayo nezifo ezithathelwanayo
Esongweni lokuphazanyiswa, izifo ezithathelwanayo nezivuvukalayo ze-sex sphere (i-trichomoniasis, i-cytomegalovirus, ureaplasmosis, i-chlamydia nabanye) ngokuyinhloko zibeka icala. Ama-infectious agents adala ukuvuvukala ezithombeni zofuzo, avuke, ahlasele amakhanda, abangela umonakalo wawo, okuholela ekusongeni kokuphazanyiswa. Ngaphezu kwalokho, kukhulisa usongo lokuphazanyiswa ngokuthinta i-placenta, ukuphazamisa ukudla okunomsoco futhi kubangele ukukhubazeka okuthuthukiswayo. Izifo ezithathelwanayo ezivamile (i-pneumonia, i-rubella, i-influenza) ayibalulekile nakancane. Isizathu sokukhulelwa kwesisu kuleli cala ukungabi namavithamini, hypoxia yesisu, ukudakwa, umkhuhlane.
- Ukukhubazeka kwesibeletho
Izifo ezitholakalayo (i-myoma nabanye) noma izinkinga ezingezansi zomzimba nazo zibangelwa usongo lokuphazanyiswa. Lokhu kungenxa ye-pathology ye-endometrium, ukungabi nama-hormone, ukwehla kwesakhiwo sesisu.
- Ukungasebenzi kahle kwe-Isthmicocervical
Mane nje ubeke umlomo wesibeletho esingaphansi kwesisu. Ivela ngenxa yokuntuleka kwe-hormonal noma ngenxa yokulimala komshini (ukuhlukana komlomo wesibeletho ngesikhathi sokubeletha, ukukhipha isisu).
- Ukungahleleki kwesisu
Ngenxa yemiphumela engavamile yokuzalwa kwe-fetus, kufike ku-70% wezinsizwa zokuqala zangasese. Ukuhlukunyezwa okunjalo kungahlotshaniswa nokuzalwa, izimo ezingavumelekile zemvelo, izingozi zomsebenzi.
- Izimo zokugula ezikhulayo ngesikhathi sokukhulelwa
Lokhu kufaka phakathi i-placenta previa, i-polyhydramnios, i-gestosis, ngenxa yalokho igazi elihlinzekwa nge-placenta liphazanyiswa, umfanyana uqala ukuhlupheka, okuholela ekusongeni kokuphazanyiswa.
- Izifo ezingapheli zengqondo zomuntu wesifazane
I-Pyelonephritis, isifo sikashukela, i-hypertension, ukukhubazeka kwenhliziyo futhi kuholela ekusongeni nasekuphuleni kwegazi lokuphuma kwegazi.
Izimpawu zokuphazanyiswa
Ubuhlungu buyisignali esemqoka yokusongela ukuphazanyiswa. Kungaba ngemvelo ehlukile: kusukela ekujuleni okukhulu nokucindezelekile. Ukuhlukana nokuhlukumeza ubuhlungu: endaweni ephansi, e-sacrum, esezulwini esiswini. Ngosuku oluthile, owesifazane uqala ukuzwa hypertonic - "petrification" kwesibeletho. Ngezinye izikhathi ithoni ekhulayo yesibeletho isungulwa ngosizo lwe-ultrasound, uma kungekho izikhalazo zobuhlungu. Kwenzeka kube yendawo (kwisayithi ethile) noma jikelele. Ukwesaba okungaphezu kakhudlwana okuvela emthonjeni wesisu, akuvamile. Ubuningi bokukhishwa kwegazi kuhlukile: kusukela ekugqobeni kuya komnene. I-scarlet, ukukhishwa okukhanyelayo kuyisignali yamasondo e-fetal egg okwenzekayo okwamanje. Uma ukufihla kuyimvula emnyama, khona-ke kukhuluma ngomkhumbi omdala weqanda le-fetal, ngenxa yalokho i-hematoma eyakhiwe futhi yaqala ukungenalutho.
Ukuphazamisa Ukwelapha
Ukuphumula ngokomzwelo nangokwenyama yisisekelo sokwelapha usongo lokuphazanyiswa. Kuze kube sekugcineni, misela izidakamizwa (valerian, motherwort) nokuphumula kombhede. Ukushisa ngokweqile kwesibeletho kusiza ukususa i-spasmolytics: i-spazgan, i-papaverine, kodwa-i-spa. Ngezinsuku ezedlule, emva kwamasonto angu-16, ama-tocolytics anqunywe, njenge: isisombululo sotshwala, i-ginipral, i-partusisten. Ukuyeka ukuphuma kwegazi, i-hemostatics isetshenziswa (i-sodium etamzilate, i-dicinone). Ezimweni zokuntuleka kwe-hormone, izidakamizwa ezithatha indawo ye-progesterone (i-Dufaston, i-Utrozhestan) isetshenziswa.