Mukati
Chirungurira kunzwa kupisa, kurwadziwa, kana kuremerwa kumusoro kwedumbu kana kuseri kwebhonzo rezamu. Inotsamwiswa nereflux, ndiko kuti, kubudiswa kwegastric juice muguro. Iyo nzira inogona kuperekedzwa nekunzwa kuvava mumuromo, kusvotwa, kuremerwa mudumbu, mate, kukosora kana kuchema.
Kazhinji, iyo esophagus uye dumbu zvinoparadzaniswa zvakavimbika nemhasuru annular valve - iyo sphincter. Asi kazhinji pane mamiriro ezvinhu ekuti haagone kurarama nebasa rake.
Zvikonzero zvekushaya moyo panguva yekuzvitakura
Maererano nehuwandu, kuora mwoyo kunowanikwa ne20 kusvika ku50% (maererano nedzimwe nzvimbo - kubva pa30 kusvika ku60%) yevanhu. MuAsia, Africa neLatin America, nhamba iyi yakaderera kakawanda. Panguva yekuzvitakura, chirungurira chinoshungurudza kusvika ku80% yevakadzi.
Pane tsananguro huru mbiri dzeizvi.
Amai vane pamuviri vanoshingaira kubudisa progesterone, iyo "hormone yepamuviri". Basa rayo nderekuzorodza mhasuru dzese nemarunda ekuzvara mwana. Nokudaro, esophageal sphincter inotanga kutarisana zvakanyanya nebasa rayo. Chinhu chechipiri ndechekuti mwana ari kukura anomanikidza mudumbu. Izvo zvinosara kumirira nemoyo murefu kuberekwa kwake uye kuita symptomatic kurapwa. Asi pane zvikonzero zvakadaro zvekupisa kwemoyo panguva yekuzvitakura, apo kurapwa kwakanyanya kwezvinodhaka kana kuvhiyiwa kunodiwa:
- gastroesophageal reflux chirwere. Inobatanidzwa nekutyorwa kwegumbo remudumbu, kunyanya neabnormal peristalsis yesophagus uye kusununguka kusinganzwisisiki kwepazasi esophageal sphincter. Ikasiiwa isina kurapwa, GERD inogona kutungamirira kukutetepa kwegurokuro, kubuda ropa, uye maronda;
- hiatal hernia. Iyi tsandanyama inoparadzanisa chipfuva nedumbu. Sophagus inopfuura nepaburi mairi. Kana yakawedzera, ipapo chikamu chemudumbu chiri mubhokisi rechipfuva. Kubuda kwakadaro kunonzi diaphragmatic hernia. Inowanzoperekedzwa ne belching, ingress yemukati yemukati mukati memuromo mhango, marwadzo seangina pectoris - inoonekwa muchikamu chezasi che sternum uye ichienda kumusana, kuruboshwe uye ruoko.
- kuwedzera intra-abdominal pressure. Inogona kukonzerwa nekuwedzera kwechiropa kana spleen, pamwe chete nechirwere chinodzivisa pulmonary;
- chironda chiripo uye zvimwe zvirwere zvemudumbu, pancreas, gallbladder kana duodenum (gastritis, pancreatitis, cholecystitis, cholelithiasis, etc.);
- mapundu ezvakasiyana-siyana zvekugara uye mavambo.
Usapindira mukuzviongorora uye kuzvirapa. Apo kuora mwoyo kunoitika kanopfuura kaviri pavhiki (kunyanya kana kunouya nekuvhiringidzika kwehope uye kuzvidya mwoyo), ona chiremba. Iye achakuudza kuti ndedzipi bvunzo dzekuita uye ndedzipi nyanzvi dzakatetepa dzekubata.
Nzira yekubvisa sei kuora mwoyo panguva yekuzvitakura kumba
Kana pasina matambudziko ehutachiona, saka kurapwa kwakananga kwekupisa kwemoyo panguva yekuzvitakura hakudiwi. The obstetrician / gynecologist achakurudzira mishonga yekubvisa zviratidzo uye kugadzirisa mararamiro uye kudya.
Kazhinji, antacids inorayirwa (ine munyu we magnesium, calcium, aluminium, inoderedza hydrochloric acid, saka esophageal mucosa haina kutsamwiswa saizvozvo) uye alginates (kana inosangana nezviri mudumbu, inoumba chipingamupinyi chinodzivirira icho. haitenderi kuwandisa mugurokuro). Antisecretory mishonga inodzvinyirira kuumbwa kwehydrochloric acid mudumbu uye prokinetics inowedzera inzwi resophageal sphincter uye inokurudzira kuputika kwegurogus inoshandiswa panguva yekuzvitakura chete kana pane zviratidzo zvakasimba uye pasi pekutariswa kwachiremba nekuda kwengozi side effects.
Chekutanga trimester
Kuora mwoyo mukutanga kwekutanga kwepamuviri kunowanzobatanidzwa nekuwedzera kweprogesterone, saka hazvikuvhiringidzi zvakanyanya uye nokukurumidza inopfuura pachayo.
Chechipiri trimester
Kana kuora mwoyo panguva yekuzvitakura hakuna kunetseka pakutanga, saka pane mukana mukuru wekusangana nawo mushure mevhiki ye20. Munguva iyi, chibereko chinotanga kushingaira kukura uye kuisa simba kune nhengo dzepedyo. Dumbu harina pekutambanudza, saka kunyangwe huwandu hwechikafu hunogona kukonzera kufashukira uye kudzokera kugurokuro yakadyiwa.
Chechitatu trimester
Sezvo fetus inokura, chirungurira chinowedzera. Asi pedyo nekuberekwa, zvichava nyore zvishoma - chibereko chichadzikisa uye "kusunungura" mudumbu, progesterone icharega kubudiswa zvakanyanya.
Kudzivirira kupisa kwemoyo panguva yekuzvitakura
Kuwedzera kweprogesterone uye kukura kwechibereko zvikonzero zvinangwa zvisingagoni kuchinjwa. Asi pane mamwe matipi ekudzivirira kupisa kwemoyo panguva yekuzvitakura, izvo zvisingazokonzerese kusagadzikana.
Gadzirisa mararamiro ako:
- usakotama zvakanyanya, kunyanya mushure mekudya;
- usavata pasi imwe nehafu kusvika maawa maviri mushure mekudya;
- panguva yekurara, isa piro yechipiri kuitira kuti musoro wako uwedzere kupfuura dumbu rako;
- bvisa mabhanhire akaoma, corsets, zvipfeko zvakasimba kubva muwadhiropu;
- usasimudza simbi;
- kurega tsika dzakaipa (kusvuta, doro, kunwa tii yakasimba uye kofi yakawanda), kunyange zvazvo zvakakosha kuita izvi pasina kuora mwoyo panguva yekuzvitakura nokuda kwekukura kwemwana.
Rongedza kudya kwako:
- usadya zvakanyanya, zviri nani kudya zvishoma, asi kazhinji (kupatsanura yakajairika vhoriyamu mu5-6 doses);
- nyatsotsenga zvokudya;
- iva nechokwadi chokuti chikafu hachina kupisa uye kwete kutonhora zvakanyanya;
- kudya kwemanheru pasina nguva kupfuura maawa 2-3 asati avata;
- sarudza zvokudya nezvinwiwa zvakakodzera.
Ongorora, mushure mezvo kupisa kwemoyo kunoitika kakawanda uye kubvisa chinhu ichi. Izvo zvisingakanganisi mumwe munhu nenzira ipi zvayo, nokuti dumbu remumwe rinogona kuva mutoro unorema.