General tsananguro yechirwere
Aya ndiwo maratidziro panguva yekuzvitakura, anozviratidza muchimiro chekukanganisa mukushanda kwemaitiro kana nhengo dzemukadzi. Izwi iri rakaunzwa muna1996, yaimbonzi inonzi late toxicosis. Mumukadzi ane nhumbu, inotanga kuzviratidza kubva pavhiki makumi maviri uye inogona kusvika pamazuva 20-3 mushure mekusununguka.
Mhando dzegastosis
Gestosis inogona kuve yemhando mbiri: yakachena uye yakasanganiswa.
- 1 Yakachena gestosis inotanga pamavhiki makumi matatu nemashanu ekuberekwa uye inogona kupedza vhiki imwe kusvika ku35. Izvo zvinoitika chete kune vakadzi vasina kutambura nezvirwere chero nguva. Kutanga hakusi kukurumidza, hapana zviratidzo zvakajeka. Zvinogoneka kuzvimba zvishoma, hypertension uye zvishoma protein mushure mekuzvarwa muropa. Zviratidzo zvose zvinopera mukati memazuva maviri mushure mokusununguka. Kuchinja mumapapu, chiropa uye muhemostasis system hazvionekwi.
- 2 Yakasanganiswa gestosis inotanga pamasvondo makumi maviri, yakaoma, inogara kwemavhiki matanhatu. Inozviratidza nenzira dzakasiyana, zvese zvinoenderana nezvirwere zvemukadzi ane nhumbu. Izvi zvirwere zvinogona kuva: chirwere cheshuga mellitus, matambudziko neitsvo, gastrointestinal turakiti, chiropa, arterial hypertension, kufutisa, neurocircular dystonia, endogenous hutachiona. Kana zvabatanidzwa, pane zvinoonekwa: kushomeka kwepasita, edema, weti mapuroteni mazinga ari pamusoro peyakajairika, hypertension, kusagadzikana mune kuzvitonga, neuroendocrine masystem, mune hemostatic system, kuderera kwemauto emumuviri. Zvinetso zvinokwanisika: kune iyo fetus - kuremara kwekukura, kune mukadzi ane nhumbu - matambudziko akakomba neropa coagulation (coagulation).
Zvinokonzera gestosis
Kunyangwe ichi chiitiko chikaongororwa kakawanda, hapana mhinduro imwechete isina mubvunzo kumubvunzo wekuti: "Chii chiri kukonzera preeclampsia?" Masayendisiti akaisa pamberi pedzidziso inopfuura imwechete yezviitiko zvekunonoka toxicosis. Ngatikurukurei dzakakurumbira ndivo.
Vatsigiri corticosteroid dzidziso vanopokana kuti preeclampsia imhando yeurosis yemukadzi ane nhumbu, iyo inokanganisa hukama hwepanyama pakati peiyo subcortical kuumbwa uye necerebral cortex. Nekuda kweizvozvo, kune malfunctions muhurongwa hwemwoyo uye kuwedzerwa kweropa kwakakanganiswa.
Endocrine dzidziso inotaura kuti shanduko mukushanda kweiyo endocrine system inokonzeresa matambudziko mu metabolism mumatumbu uye neropa kupa kune nhengo dzemukati, pamwe nekukanganisa basa remoyo wemasisitimu.
Vatsigiri dzidziso yezvirwere tenda kuti zviratidzo zvese zvinoratidzwa mu gestosis zvinomuka nekuda kwehutachiona hwekudzivirirwa kwemuviri kune chaiwo (antigenic) fetus tishu, iyo immune system isingateerere kune yakajairika nhumbu.
Genetics ndokuisa pamberi dzidziso yavo. Mushure mekugadzirisa akawanda data, vakaona maitiro ekuwedzera kwehuwandu hwegestosis muvakadzi, mune mhuri avo amai vavo vakatamburawo nekunonoka toxicosis. Uye zvakare, ivo havana kuramba kuvapo kweiyo preeclampsia geni.
ushambadzi pfungwa dzenhema zvichibva pachokwadi chekuti shanduko inodiwa yemuviri mumidziyo yechibereko inofudza rukuvhute haipo panguva yekugwinya Nekuda kweizvi, muviri unoviga zvinoshanda zvinomutsa shanduko yakaipa mune yese yevascular system yemukadzi ane nhumbu.
Boka renjodzi
Boka renjodzi rinosanganisira vasikana vane nhumbu yakaitika pakutanga kupfuura makore gumi nemasere kana, nekusiyana, mukadzi wekutanga uye zera rake anopfuura makore makumi matatu nemashanu.
Vakadzi vane nhumbu dzakawanda uye vane nhoroondo yemhuri yekupedzisira toxicosis vari panjodzi ye gestosis.
Ngozi yemaitiro epamuviri ndeyekuvapo kwe: chisingaperi chirwere chinotapukira, autoimmune hosha (semuenzaniso, lupus erythematosus), huremu hwakawandisa, zvirwere zvetachiona, itsvo, chiropa, dumbu, chirwere cheBP uye chirwere cheshuga mellitus.
Zviratidzo zvegestosis
Zvinoenderana nekuratidzwa kwayo, gestosis yakakamurwa muzvikamu zvina: edema, nephropathy, preeclampsia mune mukadzi ane nhumbu uye eclampsia.
Edema inogona kuvanzwa kana kujekesa. Chekutanga, latema edema inoonekwa - inoitika mumatanho ekutanga egestosis nekuda kwekuchengetwa kwemvura mumatumbu. Urume uhu haugone kubviswa nema diuretics ari nyore. Kugamuchirwa kwavo kunogona chete kuwedzera mamiriro evanotarisira amai nemwana wavo mudumbu. Iwe haufanire kupa kuti gestosis iwe kana paine kuzvimba. Haasi ese edema ane hukama nehurwere uhu.
Nephropathy - itsvo chirwere, kutanga kubva pa20 vhiki yekubata, inogona kuva yakapfava, ine mwero uye yakaoma. Zviratidzo zvikuru zve nephropathy ndezvi: edema, hypertension (imwe yeakanyanya kuratidzwa kwegestosis, nekuti inoratidza kuomarara kwevasospasm) uye proteinuria (kuoneka kwemaprotein muropa).
Hypertension - uku ndiko kuwedzera kwehuwandu hweropa (iyo yekumusoro chiratidzo inowedzera ne30 mm, uye yezasi inosvetuka ne15 mm ye mercury)
Preeclampsia - danho rakakomba rekunonoka toxicosis, rinoitika mu5% yevakadzi vane nhumbu, vazhinji vacho vanowira pamusoro pekutanga. Kunze kwezviratidzo zve nephropathy, mukadzi ane nhumbu anotambura nemusoro wakakomba, huremu kumashure kwemusoro, kuda kurutsa uye kurutsa, matambudziko ekuona anoitika, uye kukwana kwekuona kwezviri kuitika kunogona kutadza. Nedhigirii yakaoma yepreeclampsia, maitiro eropa rakajairwa kune epakati system uye maseru ehuropi akavhiringidzwa, izvo zvinokonzeresa kusagadzikana kwepfungwa mumukadzi ane nhumbu.
Eclampsia - yakanyanya kuoma uye inotyisa nhanho yegestosis, iyo inoratidzirwa neyakaomarara yezviratidzo zvakaomarara: kubatwa kwemhasuru dzemuviri wese, nekuda kwekuti kumanikidza kunokwira zvakanyanya. Kusvetuka kwakadaro kunogona kumutsa kuputika kweiyo cerebral mudziyo, iyo inozotungamira kune sitiroko. Uye zvakare, kune tyisidziro huru yekubviswa kweiyo placenta. Izvi zvinogona kutungamira mukufa kwe fetus.
Gestosis inogona kuenderera nenzira isinganzwisisike, isina chiratidzo kwemwedzi yakati wandei, kana, zvakadaro, zviratidzo zvayo zvinogona kuzviratidza nemheni nekumhanyisa uye zvinotungamira kumhedzisiro.
Matambudziko ane gestosis
Zvisingachadzoreke zvinogona kuitika kana ukasateerera kuratidzwa kwechirwere. Muzviitiko zvakanakisa, labour inogona kutanga pamberi penguva (ipapo mwana anenge asati akurumidza uye asina kusimba). Kana iyo placenta inogona exfoliate kana fetal hypoxia inogona kuitika (zviitiko zviviri izvi zvinotungamira kurufu rwemwana). Zvakare, sitiroko, moyo, renal, hepatic kutadza kungangoitika, pulmonary edema inogona kuitika, iro ziso rinodzima. Nekudaro, iwe haufanire kuisa pangozi chero hutano uye hupenyu. Unofanirwa kungwarira zvakanyanya uye nekuchenjerera. Kuti uite izvi, zvakakodzera kucherechedza yakakosha mazuva ese regimen kune vakadzi vane nhumbu vane late toxicosis.
Regimen yemukadzi ane nhumbu ane gestosis
Mukadzi ane nhumbu anoda kutungamira mararamiro akadzikama, akapimwa. Kupa okisijeni kune fetus, zvinofanirwa kufamba mumhepo nyowani (kanenge maawa maviri pazuva).
Kana pasina zvinopesana, kudzikama, zvinotenderwa kushanyira dziva kana kuita yoga / kufema maitiro (kupfuura zvese, zvine hunyoro gestosis). Maitiro akadaro anoderedza kukwira kweropa, kugadzirisa kutenderera kweropa uye diuresis (huwandu hweti yakaburitswa), kubvisa kushushikana, uye kuwedzera mitsipa yeropa.
Kana iri kosi yakaoma, zororo remubhedha rinoratidzwa.
Iine chero nzira yekunonoka toxicosis, vakadzi vanofanirwa kurara kanokwana maawa masere usiku uye kuzorora maawa 8-1,5 masikati.
Zvirinani kusarudza dzekare mimhanzi kubva kumumhanzi.
Zvirinani kudzivirira mapoka makuru evanhu (kunyanya panguva yekutsamwa kweSARS nefuruu).
Kusvuta, kushandisa zvinodhaka uye zvinodhaka zvinorambidzwa!
Zvigadzirwa zvinobatsira zve gestosis
Panguva yegestosis, vakadzi vane nhumbu vanofanirwa kusanganisira michero yakawanda, ma berries nemiriwo mukudya kwavo.
Kubva pamabriji nemichero, miriwo nemiriwo, vakadzi vane pamuviri vanokurudzirwa kuti vawedzere pane zvavanodya:
- cranberries (ine diuretic, bactericidal, blood pressure lowering effect; inogona kudyiwa nehuchi kana shuga);
- mazambiringa (anowedzera mhedzisiro ye insulin mune chirwere cheshuga mellitus mumukadzi ane pamuviri, uye muto wayo unogona kushandiswa sechisikigo diuretic);
- avocado (inosimbisa immune system, inobatsira mu normalizing metabolism, ine shoma shoma yehuga, inoratidzwa kuti ishandiswe nevane chirwere cheshuga);
- viburnum (ine yakawanda yevhitamini C, ine diuretic, sedative effect);
- lemon (inoratidzirwa kushandiswa mune chero rudzi rwe toxicosis);
- maonde, apricots, nhema currants, plums, mapichisi (akarairwa amai kupererwa neropa);
- irgu (inoshandiswa kudzora kuwanda kweropa, ine spasms);
- lingonberries (michero uye mashizha anobatsira mukurapa itsvo, kubvisa kukwira kweropa, kuderedza kuzvimba);
- akasimuka chiuno, celery (ine mavitamini C, P, E, B - iwo anodikanwa zvakanyanya kune imwe nzira yekudzivirira);
- nhanga (inobvisa kuputika kwekurutsa, unogona kudya panguva yekutanga gestosis, inofamba zvakanaka nemon);
- parsley (inoshanda zvakanaka pakurwisa kudonha uye edema mune vakadzi vane nhumbu);
- chokeberry (inoderedza kuwedzera kweropa, zvirinani kuishandisa muchimiro chejamu kana chitsva chakadzvanywa muto);
- walnut (kunyanya mudiki, ine mamwe mavitamini P uye E, ayo anobatsira mukuchengetedza nhumbu).
Ne gestosis, zvinofanirwa kutevedzera zvinotevera nhanho dzehutano:
Iwe unofanirwa kudya muzvikamu zvidiki, iyo nguva yenguva pakati pekudya kwega kwega inofanira kunge iri 2,5-3 maawa (panofanirwa kuve ne5-6 yekudya yakazara).
Nekusashivirira kwakasimba kune akasiyana hwema, zviri nani kudya chikafu chinotonhora, uye zviri nani kuti usabatanidze ine moyo kana mvura yemidziyo, zvinokurudzirwa kuzvidya zvakasiyana.
30-45 maminetsi usati wadya, haugone kunwa mvura, majusi, jelly, makomputa, iyo huwandu hwakadhakwa haufanire kupfuura mamirilita zana panguva imwe.
Paunenge uchiwedzera uremu hunopfuura 0,5 kg pavhiki, zvinokurudzirwa kuti mukadzi ane pamuviri aronge zuva rekutsanya kamwe pavhiki (iwe unogona kudya 1 kilogiramu yemaapuro asina kunyoroveswa kana 1,5 mapaketi ekottage cheese uye bhegi rekefir ne2. % mafuta pazuva, kana iwe unogona kudya 0 kg yenyama yemombe yakabikwa pasina zvinonhuwira, asi negaka). Koriori yemukati yechikafu inodyiwa kwezuva rese haifanirwe kudarika 0,8 makorikori.
Izvo zvakakosha kuti utarise kunwa kwezvose zvinoyerera (zvakakosha kuti uzive kuti huwandu hwemvura yakabuditswa kubva mumuviri inofanira kuve yekuraira kwakakwirira kupfuura huwandu hwezvinwiwa zvese zvinwiwa pazuva). Iwe haufanirwe kunwa zvinopfuura 1.5 litita emvura pazuva (izvi zvinosanganisira kwete chete mvura, asiwo tii, masobho, compotes, kefir).
Nekunonoka toxicosis, zvirinani kubika makosi ekutanga mumiriwo muto kana mumukaka, uye ndiro dzechipiri dzinofanirwa kunge dzakabikwa, dzakabikwa kana dzakapiswa. Zvirinani kudya nyama yemhando dzisina mafuta uye yakabikwa kana yakabikwa.
Nhamba yefurafura yemunyu pazuva haifaniri kudarika 5-8 gramu (iyi mari inogona kuwedzerwa kusvika 15 gramu nekudya herring pate, sauerkraut kana pickled cucumber).
Kusimbisa kunofanira kunge kuri pakudya kweprotein. Mukuwedzera, amai vane pamuviri vanofanira kudya jellies, mbatatisi yakabikwa, jelly, mazai, zvigadzirwa zvemukaka, michero puree, pamwero, unogona kudya hove dzegungwa dzine mafuta (kuwana Omega-3).
Kwekudya chamangwanani zviri nani kubika porridge (oatmeal, mapira, buckwheat, semolina, pearl bhari). Zvinokurudzirwa kuwedzera mafuta mashoma emiriwo kana michero mitsva nemabriji kune porridge.
Mishonga yechivanhu yegestosis
Mune arsenal yemishonga yemagariro, kune nzira dzakawanda dzakasiyana dzekubvisa zviratidzo zve preeclampsia.
- Kuitira kudzikama inokurudzira kunwa infusions, decoctions uye tii yemindi, lemon balm, cyanosis, valerian mudzi uye calamus, motherwort mashizha, fireweed, parsley,
- Kubvisa fluid kubva munyama inokurudzirwa kushandisa sirika yechibage, cornflower, birch buds, pharmacy agaric, artichoke.
- Kudzikisa BP shandisa decoction ye viburnum, mhuka yemusango, hawthorn.
- Kuvandudza renal microcirculation shandisa fireweed, yakaturika birch, Canada yegoridhe.
- Kuchengetedza nhumbu Izvo zvinodikanwa kutora infusion yemashizha, maruva eacation uye calendula.
- Neanemia, mukadzi ane nhumbu anofanirwa kupihwa infusion yevhaver.
Iyi miriwo inogona kutorwa yega kana musanganiswa. Chero ipi yema decoctions inotorwa katatu pazuva kwe 3/1 mukombe.
Anorambidzwa mahebhu ekushandisa mune gestosis:
huswa hwebheya nzeve, licorice mudzi, inotapira clover, yekurapa sage, chamomile, horsetail.
Kudya zvine njodzi uye zvinokuvadza zvine gestosis
- mabhanana, mazambiringa;
- chikafu chekutenga;
- zvinonhuwira, zvinopfungaira, zvine munyu, zvine mafuta, chikafu chakakangwa;
- kofi, cocoa, yakasimba yakabikwa tii, soda, doro, zvinwiwa zvemagetsi;
- howa;
- maswiti, keke yechingwa, majarini;
- zvinonhuwira, zvinonhuwira;
- fekitori chikafu chemumagaba, masoseji, masoseji, mayonnaise, sosi;
- ine maGMO uye zvekuwedzera zvekudya.
Kudya chikafu chakadai kunogona kukonzeresa kufutisa, shuga yakawanda yeropa uye cholesterol yakawanda. Izvi zvichawedzera kushandura shanduko mukuumbwa kweropa, kuwedzera kweropa, kukanganiswa kweropa kune iyo placenta uye chikafu chemucheche, zvichitungamira kumatambudziko neitsvo, chiropa, moyo. Kana zvabatanidzwa nezvakagara zviripo zvekurapa, izvi zvinogona kutungamira kune zvakashata mhedzisiro.
Chenjerera!
Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!