Dambudziko rokubvisa pamuviri: zvinokonzera, zviratidzo, kurapa .
Vanoparadzanisa kutyisidzira kwekukanganisa mumapoka maviri. Kana ikatanga mushure memasvondo makumi maviri nemasere, ihwo hutambudziro hwekubvisa pamuviri kana kupererwa. Kana nguva yacho iri mavhiki 28-37, inenge iri kutyisidzira kuberekwa kusati kwasvika (mwana asati asvika anogona kurarama mumashoko aya).
Zvinokonzera kukanganisa
Kazhinji, kubviswa kwepamuviri kunoitika nekuda kwezvikonzero zvakawanda. Dzimwe nguva zvakaoma kuziva kuti chii chakanga chiri kutanga, asi pakuwedzera mazano echiremba zvakakosha zvikuru. Kune zvikonzero zvakasiyana-siyana zvekutyisidzira kwekukanganisa:
- Hormonal disorders
Kazhinji kazhinji ichi chirema cheprogesterone, iyo inobudiswa kusvika masvondo makumi matanhatu mumutumbi wemiviri, mushure me-placenta. Kazhinji pane kusanganiswa kwekushayikwa kweexrogen uye progesterone (kubata mutezo hormone). Somugumisiro, endometrium haina kukura zvakakwana uye iyo fetal egg haigone kuiswa mukati momuviri. Kukutyisidzika kwekukanganisa kunotungamirira uye kuwedzera kwemashure evanhukadzi e-sexrogens, izvo zvinoderedza zvinyorwa zve estrogen. Uyezve, kana mabasa ezvimwe nhengo dzemahomoni (adrenal glands, pituitary gland, chirwere chetachiona), izvo zvisiri izvo zvinokanganisa kushanda kweivhai, inoputsika, izvi zvinogona kukonzera kutyisidzika kwekukanganisa.
- Zvirwere zvepachivha uye zvinotapukira
Mukutyisidzika kwekuvhiringidzika, zvirwere zvinotapukira uye zvinoputika zvevakadzikadzi zvepabonde (trichomoniasis, cytomegalovirus, ureaplasmosis, chlamydia nevamwe) ndivo vanonyanya kupa mhosva. Zvirwere zvinotapukira zvinokonzera kuputira mumakumbo edzimba, simuka, kuuraya maronda, kukonzera kukanganisa kwavo, izvo zvinotyisa kutyisidzika kwekukanganisa. Mukuwedzera, kuwedzera kutyisidzika kwekukanganisa kuburikidza nekukanganisa palacenta, kukanganisa fetal nutrition uye kukonzera kusagadzikana kwekukura. Zvirwere zvinotapukira zvinowanzobatwa (pneumonia, rubella, fenza) hazvina kukosha. Chinokonzera kupererwa pamuviri munyaya iyi kusava nemavitamini, fetal hypoxia, kudhakwa, fivha.
- Pathology ye chibereko
Zvirwere zvinowanikwa (myoma nevamwe) kana kuberekwa kusina kunaka kwechibereko chinokonzerwa nekutyisidzika kwekuvhiringidzika. Izvi zvinokonzerwa nehutachiona hwe endometrium, kushaiwa kwehomoni, kuderera kwechimiro chechibereko.
- Isthmicocervical insufficiency
Zvinyorwa zvishoma, chirwere chepachiviri chepachiviri chemuviri. Izvo zvinoitika nekuda kwehomoni insufficiency kana semagumisiro emagetsi (cervical ruptures panguva yekuberekwa, kubvisa pamuviri).
- Genetic kusagadzikana
Somugumisiro wezvakaberekwa zvizere zvemu fetus, kusvika kusvika makumi manomwe kubva muzana kubva pamatambudziko ekutanga asina kuitika. Kurwiswa kwakadaro kunogona kuenzaniswa nehutano hwakanaka, husinganzwisisiki yezvakatipoteredza, nengozi dzebasa.
- Mamiriro ezvinhu epamhuka anowedzera panguva yekudzivirira
Izvi zvinosanganisira placenta previa, polyhydramnios, gestosis, somugumisiro weropa iro mune placenta rinoparadzaniswa, fetus inotanga kutambura, inotungamirira kukutyisidzira kwekukanganisa.
- Chronic somatic zvirwere zvemukadzi
Pyelonephritis, chirwere cheshuga mellitus, hutachiona hwepfungwa, kukanganisa kwemwoyo kunotungamirirawo kutyisidziro uye kuputsa kwehutachiona hweropa hunopera.
Zviratidzo zvekukanganisa
Njodzi ndiyo chiratidzo chikuru chekutyisidzira kwekukanganisa. Inogona kuva yakasiyana-siyana: kubva kune yakasimba uye yakamanikidzika kuti iome. Kusiyana uye kunzvimbo yekurwadziwa: mumucheto wezasi, mu sacrum, mudumbu rezasi. Pazuva rakapera, mukadzi anotanga kuonana ne hypertonic - "petrification" yechibereko. Dzimwe nguva izwi rinowedzera rechibereko rinosimbiswa nekubatsirwa kwe ultrasound, kana pasina hurumende yekutambudzika. Zvinowanzoitika kune imwe nzvimbo (pane imwe nzvimbo) kana huwandu. Chiratidzo chinotyisa-kubuda ropa kubva pamagwatiro ekuberekwa, hakusi kudarika. Unhu hwekubuda ropa kunopesana: kubva pakunyarara kusvika kune unyoro. Soparlet, kubuda kwakachena chiratidzo chekusungwa kwema fetal egg iri kuitika panguva ino. Kana kuvharidzira kwasviba neropa, zvino rinotaura nezvechigamba chekare che fetal egg, sechikonzero chekuti hematoma yakaumbwa uye yakatanga kusina chinhu.
Interrupt Treatment
Kuzorora kwepfungwa uye kwepanyama ndiyo nheyo yekurapa kutyisidzika kwekukanganisa. Kumugumo uyu, sarudza sedatives (valerian, motherwort) uye mubhedha wezororo. Hypertension yechibereko chinobvisa kubvisa spasmolytics: spazgan, papaverine, asi-spa. Pakupedzisira mazuva, mushure memasvondo gumi nematanhatu, tocolytics inorayirwa, zvakadai se: sarudzo yewaini, ginipral, partusisten. Kuti asiye kubuda ropa, hemostatics inoshandiswa (sodium etamzilate, dicinone). Muzviitiko zvekushaya humoni, zvinodhaka zvinotsiva progesterone (Dufaston, Utrozhestan) zvinoshandiswa.