ILI lokacin daukar ciki

Yawancin lokaci, ƙwayoyin tsohuwar ƙwayoyin ciki a lokacin da ake ciki suna rufewa a cikin ƙaramin zobe, suna shakatawa a hankali a matsayin lokaci na bayarwa. A yayin da wannan ya faru ba tare da lokaci ba, cervix fara farawa da bayyana. A wannan yanayin, suna magana game da ci gaba da ischemic-rashin ƙarfi na jiki (ICI). Wannan cuta na faruwa a kimanin kashi 1-9 cikin dari na mata masu ciki, ciki har da 15-40% daga cikinsu suna fama da mummunar hasara, watau. 2 kuma mafi yawan ciki na baya sun ƙare a cikin ɓarna.

ILI a lokacin daukar ciki yana kaiwa ga fadada ƙwarƙwarar igiyar ciki, saboda sakamakon abin da tarin ciki na tayi ya faɗo, wanda ya ƙare tare da budewa. Bugu da ƙari, aikin aiki yana tasowa, wanda ke haifar da jinkirin ɓarna ko haihuwa.

Me ya sa ICI ke faruwa?

Babban abinda ke haifar da ci gaban ICI a lokacin ciki shine:

• ciwo na cervix (hawaye, raunin da ya faru) a lokacin haihuwar haihuwa ko tare da ƙetare wucin gadi na ciki;
• abubuwa masu ciwo a cikin ci gaba da gabobin haihuwa;
• canje-canje na aiki a cikin dysplasia nama na jiki, jituwa, da rashi na jima'i jima'i;
• dauke da IVF;
• tayin tayi, polyhydramnios, babban tayin.

Mene ne ainihin alamun NIH?

Kwayoyin cututtuka na ICI a lokacin daukar ciki an ɓoye ne a mafi yawan lokuta, saboda haka yana da wuya a ƙayyade cutar ta mace mai ciki a kansu. Sabili da haka a matakin farko na haifar da tayi (1 trimester) sun kasance babu cikakku. Daga baya, lokacin da zai yi daidai da halin da ake ciki yanzu, iyaye masu zuwa za su lura da bayyanar irin wadannan alamun ICI:

• bayyanar ƙananan adadin tabo;
• bayyanar mucous fitarwa tare da jini jini;
• zafi a cikin yankin lumbar na baya da kuma cikin ƙananan ciki;
• bayyanar ji na "raspiraniya" a cikin farji.

Duk da haka, a mafi yawancin lokuta, kamar yadda aka ambata, cutar tana da matukar damuwa, kuma don tantance cutar ta ICI a lokacin daukar ciki, likita yana yin nazarin kwayoyin tareda taimakon madubai, da kuma yin amfani da na'ura ta lantarki.

Sabili da haka, tare da raguwa na canal na mahaifa daga cikin mahaifa, masanin ilimin lissafin jiki zai iya gano wani abu mai mahimmanci daga cikin mahaifa, da kuma rage gajerun ƙwayar, da kuma buɗe tasharsa ta hanyar da ake ganin tudder fetal. Dangane da gaskiyar cewa a cikin mata masu tsattsauran ra'ayi za a iya rufe matakan pharynx na waje, an tabbatar da ganewar asirin ta hanyar duban dan tayi ta amfani da firikwensin transvaginal. Ana la'akari da waɗannan sharuddan:

1. Tsawon kogin. A makonni 24-28 yana daidai da 35-45 mm, kuma bayan makonni 32 na ciki - 30-35. Idan a tsawon makonni 20 zuwa tsawon kasa da 25 mm, to suna magana ne game da ci gaban ICI.
2. Gabatarwa na buɗewar V na cikin pharynx na ciki.

Ta yaya aka bi ICI?

A cikakke, akwai hanyoyi biyu na zalunta ICI lokacin daukar ciki:

• m;
• ra'ayin mazan jiya.

Na farko shi ne aikace-aikacen sutures zuwa ɓangaren mahaifa na mahaifa. Bugu da ƙari, ƙwaƙwalwar ƙwayar cikin mahaifa tana da ƙuntatawa ta jiki kuma an ware ɗayan waje na waje, wanda yana da muhimmanci rage rashin yiwuwar haihuwa. Lokaci na irin wannan aiki an saita shi ɗayan ɗayan, amma don kaucewa cigaban tsarin, likitoci sunyi kokarin gudanar da aikin har zuwa makonni 17 idan an gano laifin a farkon lokacin ciki, amma ba bayan makonni 28 ba.

Hanyar mazan jiya shine shigar da farfajiyar obstetric (ringin Meyer). Wannan nau'i na nau'ikan ya rage nauyin tayin kuma yana taimaka wa cervix riƙe shi. Shigarwa na garkuwa yana da tasiri kawai idan an yi la'akari da NIH ko a farkon sa. Tare da ciwo mai tsanani, ana amfani da wannan hanyar, maimakon haka, a matsayin mataimaki.