Kalmar "barazanar ɓacewa" da aka ambata a ƙarshen likita yana haifar da tsoro a nan gaba. A ungozoma suna gaggauta tabbatar da mata masu juna biyu cewa wannan batu ba ne kuma tare da ingantaccen karatun rubutu, yana yiwuwa a guje wa katse ciki.
Menene barazanar kawo karshen ciki?
Halin ƙaddamar da ciki shine haɗuwa da dalilai, hanyoyin da ba su dacewa da cutar ba wanda bai dace da tayin ba, tsarin gestation. A cewar kididdiga, kashi 20 cikin 100 na dukkan ciki masu zuwa za ta ƙare ne a cikin ɓarna. A wannan yanayin, katsewa zai iya faruwa a lokutan gestation daban-daban. Sau da yawa ana kiyaye shi a farkon makonni, a farkon farkon watanni.
Idan barazanar rashin zubar da ciki ya faru a cikin makonni 28 na ciki, masu tsatstsauran ra'ayi suna magana game da zubar da ciki ba tare da wata ba. Lokacin da aka gano yiwuwar tasowa wannan ilimin lissafi a wata rana, a cikin lokaci na makonni 28 zuwa 37, likitoci suna amfani da kalmar "barazanar haihuwa". Wannan shi ne saboda kasancewar yiwuwar nyar da jaririn, wanda aka haifa bayan makonni 28. A cikin yanayin zubar da ciki marar ciki na ciki a kan ɗan gajeren lokaci, mutuwar jariri ba zai yiwu ba.
Barazana na zubar da ciki - dalilai
Abubuwan da ke haifar da ci gaba da wannan pathology sun bambanta. Yayinda aka gano asali bayan zubar da ciki, likitoci ba su gudanar da lokaci don gano dalilin. Wannan ma'anar bayani ne ta hanyar mahalarta, yawancin dalilai da dama, a hada haɗarin haɗarin zubar da ciki. A yayin da ake la'akari da wannan matsala, likitoci sukan kira wasu dalilan da ke tattare da barazanar zubar da ciki:
- Kwayoyin halitta na tayin. Rashin ci gaba da rashin lafiya a cikin tsarin chromosomes, haɓaka a lambar su yana ƙaruwa da hadarin zubar da ciki. Sau da yawa, barazanar ta haifar da maye gurbi a cikin na'ura.
- Hyperandrogenia - ƙara yawan abun ciki a cikin jinin jima'i na jima'i. Tare da ilimin lissafi, akwai ragewa a cikin maida hankali akan estrogens da progesterone, wanda ke da alhakin ci gaba na ciki.
- Dysfunction na adrenal da thyroid gland shine - ƙara ko rage a cikin taro na hormones hada da su.
- Rhesus-rikici shi ne maganin da mahaifiyar Rh-negative take ɗauke da tayin, wanda jini shine Rh-tabbatacce.
- Gabatar da abortions a cikin anamnesis.
- Amfani da magungunan magani da cututtuka - ba tare da wani abu ba - cututtukan hormonal, analgesics, magani na magani (tansy, nettles, St. John's Wort) na iya kara haɗari na tasowa mummunar barazana.
- Raunuka ga ciki.
- Taimakon aikin jiki.
Bambanci yana da muhimmanci a lura da cututtuka. Dangane da barazanar zubar da ciki, an raba su zuwa:
- musamman - gonorrhea, chlamydia, trichomoniasis , toxoplasmosis;
- rashin fahimta - hepatitis, ciwon huhu, mura, appendicitis, pyelonephritis.
Barazana ga rashin zubar da ciki a farkon farkon watanni
Rashin barazana da kwanciyar hankali na farko da aka haifa yana da dangantaka da rashin daidaituwa a cikin tsarin hormonal. Sau da yawa, musamman a cikin mata yarinya da farko na tsarin gestation, akwai rashin karancin kwayar cutar hormone. Wannan abu yana da alhakin al'ada. A ƙarƙashin rinjayarsa, ci gaban kwayoyin halitta na myometrium yana ƙaruwa, wanda ya tara matakan mafi kyau don shigar da kwai fetal. Labaran ƙwayar cuta yana hana ci gaban al'ada na endometrium, sakamakon haka an katse ciki a kan ɗan gajeren lokaci.
A matsayi na biyu daga cikin abubuwan da ke haifar da barazanar ɓacewa a farkon farkon shekara ta uku, sune cututtuka masu yawa na tsarin haifuwa, cututtukan jima'i. Dangane da rashin karuwar rigakafi, wanda aka lura a farkon lokacin ciki, an tsara sharuɗɗa masu dacewa don sauyawa na tafiyar matakai, sluggish a cikin wani nau'i m. Daga cikin cututtuka da zasu iya rushe al'ada na al'ada:
- chlamydia ;
- gonorrhea;
- syphilis;
- ƙwayoyin mata .
Barazana ga rashin kuskure a karo na biyu
A mafi yawancin lokuta, barazanar ƙaddamar da ciki a karo na biyu na uku yana haɗuwa da cin zarafi na ciki na ciki mai ciki, kuma ba tayin ba. Sau da yawa, katsewar gestation a cikin tazarar makonni 13-24 yana faruwa ne sakamakon sakamakon rashin lafiyar mata masu juna biyu. Haka kuma cutar ta kasance tare da rashi a jikin baƙin ƙarfe, wanda shine ɓangare na hemoglobin. Tare da taimakon wannan abu, an kawo oxygen zuwa gabobin da kyallen takalma na tayin. Abun cutar zai iya haifar da yunwa na oxygen na karamin kwayoyin halitta, wanda ke da nasaba da rinjayar intrauterine - barazanar ɓarna.
Rashin tsangwama na ciki a tsakiyar kalma yana yiwuwa kuma saboda mummunar precent. Tare da irin wannan wuri na wuri na yaro, ɗaya daga gefuna yana kusa kusa da bakin ciki na mahaifa. A sakamakon haka, haɗarin rashin ciwon gurguntaccen ƙwayar ƙwayar cuta yana ƙaruwa, wanda zai iya haifar da hypoxia mai tsanani da kuma mutuwar tayi. Bugu da ƙari, za a iya la'akari da mummunar ta'addanci a sakamakon rashin lafiyar jiki-rashin ƙarfi na mahaifa. Tare da wannan batu, akwai ƙananan ƙwayar wuyan ƙwayar mahaifa, wanda za'a iya buɗewa daga jikin jikin jariri.
Barazana ga rashin zubar da ciki a lokacin haihuwa
Halin barazanar ƙaddamar da ciki a cikin lokuta na gaba shi ne rare. Bisa ga maganganun da likitoci suke amfani da su, ba zai wuce makonni 28 na gestation ba. Bayan wannan lokaci masu tsaurarru suna amfani da kalmar "haihuwa". Wannan ma'anar yana nuna cewa jaririn da ya bayyana a wannan lokaci yana da amfani. A cikin sharuddan baya, ƙaddamar da ƙaddara ya zo bisa ga ɗaya daga cikin al'amuran da suka faru:
- Raunin zubar da ciki - yana haɓaka da ƙara yawan sautin da ake ciki a cikin mahaifa, ƙananan zub da jini daga kogin mai ciki. Tare da dacewa da kulawa da gwani, ana iya ceton tayin.
- Zubar da ciki a cikin hanya - cin zarafin yana tare da raguwa ta tsakiya, an cire tayi daga tarin hankalin mahaifa. Ana fama da ciwo mai tsanani, jinin jini. Ba shi yiwuwa a ajiye ciki.
- Zubar da ciki ba cikakke - halin da aka saki ɓangare na tayin ko rupture na membranes. An cire tayin ta hanyar tiyata.
Barazana ga rashin zubar da ciki - bayyanar cututtuka
Yana da wuyar fahimtar barazanar katsewa ga mace mai ciki. A matsakaici, kashi 10-15 cikin 100 na duk wani nau'i na pathology suna tare da alamar cututtuka ko sluggish. Abu na farko da ya kamata a kula da mace mai ciki shine bayyanar kwatsam na jinya daga farji. Da farko zai iya zama 'yan saukowa a kan tufafi. Duk da haka, cikin lokaci, alamar cututtuka ta karuwa. Har ila yau matar ta rubuta wasu alamu na barazanar bacewa:
- jin nauyin nauyi, rashin tausayi, jin zafi a cikin ƙananan ciki;
- lalacewar zaman lafiya na kowa;
- rage yawan karfin jini;
- Nausea;
- vomiting.
Lokacin da aka bincika a kan kujerar gynecological, ana samun wadannan:
- Jakar mahaifa ba ta amsa tambayoyin ta ƙara sauti;
- da matsanancin sulcus an rufe ko dan kadan ajar;
- Akwai jini a cikin sashin jikin jini.
Bayarwa a cikin yanayin barazanar zubar da ciki
Rashin barazanar ɓacewa a farkon matakan ciki shine a koyaushe tare da bayyanar jini daga fili na jini. A mataki na farko, ƙararsa ƙarami ne, game da abin da aka lura da haila. Launi na fitarwa zai iya samuwa daga haske mai ja zuwa jini. Bisa ga lura da likitoci, a cikin kashi 12-13% na lokuta mai karfin jini yana haifar da ƙarshen ciki. Tare da zub da jini mai tsanani, akwai hadarin bunkasa zubar da jini a cikin mahaifa, wadda ke tare da:
- ciwon kai;
- vomiting;
- rage yawan karfin jini;
- blanching fata;
- ƙãra yawan zuciya;
- asarar sani.
Pain idan akwai barazanar zubar da ciki
Rashin barazanar ƙaddamar da ciki, da alamunta da aka tattauna a sama, kusan ci gaba ne tare da ciwo a cikin ƙananan ciki. Hakanan haɗin gwiwar yana haɗuwa tare da karuwa a cikin sautin na myometrium na uterine, wanda ya kara haɓaka. Wannan sabon abu yana tare da raɗaɗi mai tsanani, motsa jiki da halayyar mutum (ƙananan sau da yawa yana jawowa ko hawan). Tare da barazanar ɓarna, ana fama da ciwo a cikin yankin suprapubic, zai iya mayar da baya zuwa baya ko sacrum. Babban tsanani ba zai dogara da matsayin jikin ba.
Menene za a yi idan akwai barazanar zubar da ciki?
Lokacin da aka gano mace mai ciki da barazanar rashin barci, sai maganin ya fara nan da nan. An yi farfadowa a asibiti, yayin da tushensa ya dace da gado (a cikin lokuta mai tsanani, mace mai ciki tana hana ya fita daga gado). Hadarin zubar da ciki ya sa mutum ya damu da tsoro kuma ya ji tsoro a cikin wata mace, don haka wajibi ne a ba shi izinin kawar da shi. Doctors shawara su kasance kwantar da hankula idan dai kana bukatar ka tunani game da m.
Clinical shawarwari barazanar zubar da ciki
Wannan barazanar zubar da ciki a farkon matakai bai kai ga kawo ƙarshen ciki ba, likitoci sun bada shawara ga mata su kiyaye waɗannan sharuɗɗa:
- Ɗaukaka aikin.
- Karin hutawa.
- Cire danniya da damuwa.
- Ku guji jima'i.
- Kula da cin abinci maras calorie.
Kwamfuta idan akwai barazanar zubar da ciki
Dukkan kwayoyi a yayin da bazuwa ya kamata a umarce shi kawai ta likita. Masanin, la'akari da mummunan yanayin, yanayin lafiyar mace mai ciki, ya rubuta magungunan a cikin samfurin da ake bukata. Daga cikin kwayoyi da ake amfani da shi:
- antispasmodics (Papaverin, No-shpa, Drotaverin);
- gestagens (Dyufaston a barazanar zubar da ciki a farkon matakan taimaka wajen kawar da cututtuka);
- glucocorticoids (Dexamethasone, Metipred);
- hemostatics (Dicinon, Vikasol, Ascorutin);
- bitamin (folic acid, bitamin K, E).
An yi amfani da safe a cikin barazanar bacewa ba sau da yawa fiye da sauran gestagens. A wannan yanayin, likitoci sun yi amfani da amfani da su a fitilu. Ana tsara nau'i daban-daban da yawa da yawa, amma a mafi yawan lokuta, likitoci sun bi ka'idar da ke biyo baya:
- 1 zato tare da sashi na 200 MG kowace rana;
- 2 kyandirori kowace rana tare da sashi na 100 MG.
A lokacin da aka yi masa rigakafi tare da barazanar zubar da ciki
Yin maganin barazanar zubar da ciki a asibiti ya shafi amfani da kwayoyi masu guba. A wannan yanayin, ana amfani da kwayoyi kamar yadda aka ambata a sama, amma a cikin hanyar mafita. Irin wannan tsarin na gwamnati yana sa ya yiwu a cimma burin da zai iya farawa a farkon asibiti. Daga cikin kwayoyi da ake amfani dashi a cikin hanyar injections:
- Magnesium sulphate ;
- Ƙasashen;
- Ritodrin;
- Mai karɓa.
Yaya za a hana barazanar rashin kuskure?
Dogaro da kulawa da zubar da ciki ya fara a wani mataki na tsara ciki. Kafin zubar da hankali ga ma'auratan da ke da aure ya zama wajibi ne a shawo kan gwaji, don yin gwaje-gwaje, don yin gwagwarmayar maganin cututtuka.
Tsarin hankalin da aka tsara don kawar da barazanar ɓatawa sun haɗa da:
- rajista na dace don ciki;
- Biyan shawarar likita;
- kin amincewa da mummunan halaye;
- kawar da yanayin damuwa;
- ƙi daga nauyi jiki motsa jiki, horo na wasanni;
- daidaituwa na tsarin mulki na yini.