Isimo sezinyanga ezimbili zokuqala ukuya kwezintathu zokukhulelwa. Ungamdibanisi ngezifo ezikhethekile cishe cishe wonke abesifazane abheke izingane. Ngokuvame ukuthi baziqhenya ngokwabo, ngezinye izikhathi bahlanza ekuseni, kodwa abathinti isimo esiphelele sowesifazane okhulelwe futhi abadingi ukwelashwa okukhethekile. I-toxicosis yesimanje yokuqala ihlukile kwezifo ngokuthi ukuhlanza kuphindwe izikhathi eziningana ngosuku. Ochwepheshe babiza lokhu ukuhlanza okungenakudlalwa kwabesifazane abakhulelwe. Kuhambisana nokudakwa okubukhali komzimba, ikakhulukazi isibindi sithintekile. Ubuthakathaka buqala, ukushaywa kwegazi kuyashesha, ukushisa komzimba kuphakama, isikhumba soma. Umama ozayo uzolahlekelwa isisindo. Ukunakekelwa kwemithi okudingekayo kuyadingeka.
I-gestosis (i-toxicosis ephuzile)
Lesi simo siyisici se-trimester yokugcina yokukhulelwa. Unezigaba eziningana: njengoba lesi sifo siphuthuka, esinye sidlula singene kwesinye. Esigabeni sokuqala, umama wesikhathi esizayo uzoba nokuvuvukala emilenzeni, izandla futhi kamuva ebusweni bakhe. Njengomthetho, unqunywe ukudla, lapho kunconywa ukuba ungadli okomnandi futhi usawoti, uphuze kancane bese uthatha isikhathi ngezikhathi bese uhlela ukuthi ulayishe izinsuku. Esigabeni sesibili se-gestosis (i-nephropathy), ukucindezelwa kwegazi kuphakama ngokumelene nesizinda se-edema, futhi amaprotheni abonakala emcinini. Kodwa noma ngabe umama olindelekile uzizwa kahle, kunconywa esibhedlela, tk. I-Nephropathy ingadlula ngokushesha futhi ingabonakali ibe yi-pre-eclampsia, okuyinto esongela i-eclampsia - isigaba sokugcina se-gestosis, lapho owesifazane elahlekelwa ukuqonda futhi amaqhwa akhe aqala. Iyini imbangela ye-preeclampsia ne-eclampsia engacacisiwe kahle. Njengomthetho, pre-eclampsia iqala ngemva kweviki lama-30 lokukhulelwa. I-toxicosis ezayo ihlasela izitho eziningi, kuhlanganise nesibindi.
Iqembu eliyingozi
- iminyaka (engaphezu kweminyaka engama-35);
- uma umndeni unecala lokuxoshwa ngaphambi;
- isifo sezinso, isifo sikashukela, lupus;
- ukukhulelwa okuningi;
- ukucindezeleka kwegazi ngaphambi kokukhulelwa;
- ukwedlula ngokweqile.
Ukukhulelwa okunzima
Kunezinkinga eziningi ezingavamile zokukhulelwa ezibonisa ukwehla okubukhali emsebenzini wesibindi. Zibeka ingozi yangempela kumama nomntwana ozayo. Ukubona okwesikhashana lesi sifo kanye nezimbangela zayo kubalulekile ekubhekaneni nezindaba zokuphathwa kokukhulelwa nokubikezela umphumela wayo.
I-cholestasis ye-intrahepatic yabesifazane abakhulelwe
Lesi sifo senziwa ngokungapheli futhi sihlotshaniswa kuphela nokukhulelwa. Kubangelwa isenzo esibonelweni esinempilo sowesifazane okhulelwe ophezulu izinga lama-hormone wesifazane wesifazane, okugqugquzela ukuthi izinqubo ze-bile zenziwe futhi ziqede i-bile exretion. Kukhona ubufakazi bokuthi i-cholestasis ivame kakhulu kubantu besifazane abaye basebenzisa izisu zomlomo ngaphambi kokukhulelwa. Lesi sifo asiyona ifa. Ukuphela kwesimo sezakhi zofuzo ngokusabela okungavamile kwe-cholestatic kuma-hormone wesifazane ocansini kuyadluliselwa. I-cholestasis ye-intrahepatic ingathinteka nganoma yisiphi isikhathi sokukhulelwa, kodwa ngokuvamile kaningi ku-II 1st trimester. Ngokujwayelekile, amaviki amathathu emva kokubeletha, lesi sifo sidlula. Izinyathelo zokuvimbela i-cholestasis ye-intra-hepatic yabesifazane abakhulelwe ayikho.
Izimpawu
Uphawu oluyinhloko lesi sifo luyisikhumba esinamahloni, lapho i-jaundice ingasetshenziswa khona. Ezimweni ezimbi kakhulu, isicanucanu, ukuhlanza, ubuhlungu esifundeni se-epigastric, kaningi kaningi ku-hypochondrium esifanele, futhi nokubuthakathaka, ukulala, ukuphazamiseka kokulala kungaphazanyisa.
Ithinta kanjani ukukhulelwa?
Ngalesi sifo, ingozi yokuzala ngaphambi kwesikhathi isanda. Izinsana ngokuvamile zihlushwa yi-hypoxia yokuqhathaniswa okukhulu. Lesi sifo kuhilela ukuphathwa okusebenzayo kokukhulelwa, okuqukethe ukwelashwa kwezidakamizwa, ukuqapha ngokucophelela kwe-fetus futhi, uma kunesidingo, kuqhuba ukuhlinzekwa kwangaphambi kwesikhathi ngesigaba sokudla.
I-fatty acute foly of women pregnant
Kunzima, kepha ngenhlanhla, isifo esingavamile esingenzeka ngesikhathi sokukhulelwa. Ihlotshaniswa nokukhubazeka kwezakhi zofuzo ku-metabolism of fatty acids kumama kanye nesisu. Izifo, njengoba umthetho, ziqala ku-II 1 st trimeter, ezimweni ezingavamile - emva kokubeletha. Ngokuvamile, lokhu kuphazamiseka kubonakala ku-primiparous, ngokukhulelwa okuningi, kanye nasendabeni yokuthuthukiswa kwe-preeclampsia ne-eclampsia. Izindlela zokuvimbela isibindi esinamafutha aphezulu azikho. Ngokuthuthukiswa kwesibindi esikhulu se-fatty, ukukhulelwa kuyaphazanyiswa ngokushesha, ngokuvamile ngenxa yesigaba sokudla. Ukulethwa kwesikhashana kuvumela ukulondoloza impilo yomama nengane.
Izimpawu
Kukhona ukucabangela, ukuhlanza, ubuhlungu esiswini esingaphezulu, kanye nobuthakathaka obujwayelekile. Ukuqhubeka kokuhluleka kwesibindi kungabangela i-jaundice, ukuphazamiseka kwegazi, ukuphuma kwegazi, ukunciphisa ushukela wegazi.
I-hepatitis ephilayo
Lesi sifo sihlanganisa nesifo sobindi esibangelwa ukutheleleka ngegciwane. Ukuhlukanisa phakathi kwesifo se-hepatitis A, B, C, D, E. I-Hepatitis E akuvamile kakhulu eRussia. Zonke izifo ze-hepatitis zidala ukushisa kwesibindi emva kokutheleleka, okuyinto evame ukungabi nalutho! I-Hepatitis A ne-E kuphela ifomu eliyingozi futhi ngokuvamile liholela ekubuyiseleni. Ama-Viruses B, C no-D abangela imbangela yokulimala kwesibindi esingapheli. Kulesi simo, isimo esibi sesifo sihlala singapheli. Kungenzeka ukuthi ugula nge-hepatitis A no-E, besebenzisa amanzi angcolile nokuphuza, kanye nokungahambisani nemigomo yokuhlanzeka nokuhlanzeka. I-Hepatitis B, C, D idluliselwa ngokumpontshelwa kwegazi elingenakunqotshwa nemikhiqizo yalo, imijovo, ngokusebenza kwamazinyo. Ukutheleleka nge-hepatitis B, C, D kwenzeka nakubathintana bocansi nomlingani ogulayo. I-Hepatitis B, C, D ingadluliselwa emntwaneni.
I-hepatitis ye-virus enamandla
Njengomthetho, i-hepatitis ye-viral acute iholela ekutholeni, ezimweni ezingavamile, ukushintshela kwifomu elingapheli.
Izimpawu
Ukucabangela, ukuhlanza, ukukhululeka epigastrium, umkhuhlane, ubuthakathaka, ukucasula, ukugwinya okukhulu, umchamo omnyama nomzimba ophuzi.
Ithonya ekukhulelwe nasekubelethweni
Ukulahleka okungahle kwenzeke kanye nokubeletha ngaphambi kwesikhathi. Ngesikhathi sokubeletha kanye nesikhathi sokuqala sokubeletha, ingozi yokuphuma kwegazi iyanda.
Ukuthonya ingane
Kuningi kuncike ekuguleni komzimba lapho owesifazane enesifo sofuba esibhedlela. Ingozi yokutheleleka kwengane ikhula ngezifo ku-3rd trimester, kanye nakumonakalo ku-placenta. I-Hepatitis B, C, noma i-D ngokuvamile kaningi umntwana usulelekile ngesikhathi ezalwa, uma ephuka esikhunjeni noma embranini emanzini, kaningi - ku-utero. Ukuvinjelwa kwesifo sofuba ezinsana kuzalwa kungakapheli amahora angu-24 emva kokuzalwa ngokugoma: umuthi wokugoma kanye ne-hyperimmune gamma globulin.
I-hepatitis engapheli
Kuziguli ezine-hepatitis engapheli, ukukhulelwa akuthinti inkinga yalesi sifo futhi akuyona ingozi kumama wesikhathi esizayo. Phakathi nalesi sikhathi, lesi sifo sivame ukubonakala ngemisebenzi ephansi kanye nokungabi khona kwezimo eziphuthumayo. Ukuba khona kokutheleleka ngegciwane lesandulela ngculaza kumama ozayo akuthinti inkambo yokukhulelwa kanye nomphumela wayo. I-hepatitis engapheli ayinakwandisa ingozi yokuhlukumezeka okungahambi kahle kanye nokuzalwa komntwana, futhi akuyona imbangela yokukhubazeka kokuzalwa okunganeni.
Izimpawu eziyinhloko
Ukunambitha, ukukhulisa kwesibindi, ukwandiswa kwesipere. I-jaundice ene-hepatitis engavamile ayivamile - kuphela ngokucindezeleka okukhulu kwesifo.
Ingozi yokutheleleka kwengane
Izindlela zokutheleleka kosana olune-hepatitis engapheli zifana nesimo esibi sesifo. Ukutheleleka kungenzeka, ikakhulukazi, ngesikhathi sokuzalwa. Ezimweni ezingavamile - ku-utero. Ukuvimbela ukutheleleka kwesana olune-hepatitis kunikezwa ngokugoma esikhathini sokuqala emva kokubeletha.
Ngingakwazi yini ukondla ngesifuba?
Abesifazane abane-hepatitis A, B kanye no-C abangasakwazi ukuncelisa. Ukudla ngokwemvelo akukwenyusa ingozi yokutheleleka kwezinsana. Kodwa kubalulekile ukuqapha ubuqotho bezinsipho kanye nezibilini zomuncu emlonyeni wengane. Ngaphambi kokuba kutholakale imifucumfucu egazini emanzini, ukulimala emanzini okubeletha ngesikhathi sokuncelisa kufanele kulahlwe. Manje siyazi ukuthi yiziphi izifo zesibindi ngesikhathi sokukhulelwa.