Unhu hwemwedzi miviri kusvika kumatatu ekudzivirira. Ingo musamuvhiringidza nezvirwere zvinoshamisa kune vanenge vakadzi vose vanotarisira vacheche. Kazhinji vanozvitaura ivo pachavo kushungurudza, dzimwe nguva vachirutsa mangwanani, asi havanzwisisi mamiriro ezvinhu akadai emukadzi ane pamuviri uye havanoda kurapwa kwakakosha. Ikozvino yekuti toxicosis inoparadzaniswa nehutano nekuti kushambidzika kunowanikwa kazhinji pazuva. Nyanzvi dzinoti izvi ndiko kusuruvara kusingabviri kwevakadzi vane pamuviri. Icho chiri pamwe chete nekudhakwa kwakanyanyisa kwemuviri, kunyanya chiropa chinoshandiswa. Kushaya simba kunowedzera, kupisa kunokurumidza, kutonhora kwemuviri kunomuka, ganda rinova rakaoma. Amai vemazuva ano vanorasikirwa nesimba. Zvinotenderwa nezvekurapa zvinotarisirwa.
Gestosis (late toxicosis)
Ichi chimiro chinoratidza hutatu hwekupedzisira kwekuzvimba. Ane zvikamu zvakasiyana-siyana: sezvo chirwere chinokura, imwe inopinda mune imwe. Pachitanga chekutanga, amai vanguva yemberi vachave vachikudza pamakumbo ake, maoko uye gare gare pachiso chake. Sezvo mutemo, inorayirwa kudya, umo inorayirwa kuti usadye zvinonaka uye munyu, inwa zvishoma uye kutora nguva kubva pane dzimwe nguva uye uronga kuti iwe udzikinure mazuva. Muchikamu chechipiri che gestosis (nephropathy), ropa redu rinomuka pakatarisana nekwakabva edema, uye mapuroteni anowanikwa mumurini. Asi kunyange kana amai vanotarisira vachinzwa zvakanaka, hospitali inokurudzirwa, tk. Nefropathy inogona kukurumidza kupinda uye isingabvumirwi kupinda mu-pre-eclampsia, iyo inotyisidzirawo eclampsia - danho rekupedzisira re gestosis, apo mukadzi anorasikirwa nekuziva uye matanho ake anotanga. Chii chinokonzera preeclampsia uye eclampsia haina kunyatsojekeswa. Sezvo mutemo, pre-eclampsia inokura mushure memakumi matatu evhiki yekuzvitakura. Kwapera nguva inonzi toxicosis inobata nhengo dzakawanda, kusanganisira chiropa.
Risk boka
- age (makore anopfuura 35);
- dai mhuri yacho yaiva nemhosva yekudzingwa;
- chirwere chepfungwa, chirwere cheshuga, lupus;
- multiple pregnancies;
- kuwedzera kweropa kusati kwaita pamuviri;
- overweight.
Kubata pamuviri wakaoma
Pane huwandu hwezvinetso zvisingawanzoitiki zvekudzivirira izvo zvinoratidza kupera kwakakosha muropa rechibasa. Zvinowedzera njodzi chaiyo kumangwana nemwana. Kuziva kwenguva pfupi chirwere chacho uye zvikonzero zvaro zvakakosha pakugadzirisa nyaya dzekudzivirira kubata pamuviri uye kufanotaura zvayo.
Intrahepatic cholestasis yevakadzi vane pamuviri
Ichi chirwere chinowanzoitika uye chinosanganiswa chete nekuzvitakura. Inokonzerwa nechiito pane chiropa chinotapira chemukadzi ane pamuviri wepamusoro yevakadzikadzi vemadhemoni evanhukadzi, izvo zvinoita kuti zvirongwa zvebumbi zvive nekudzivisa bile excretion. Kune humwe uchapupu hwokuti cholestasis inowanzoonekwa kune vakadzi vakashandisa mishonga yekudzivirira mumuromo vasati vaita pamuviri. Chirwere chacho hachisi nhaka. Kunongororwa kwemajeni chete kune chisarudzo chisina kujairika chinogadziriswa kumadzimai evanhukadzi zvepabonde chinoparadzirwa. Intrahepatic cholestasis inogona kuchinjwa chero nguva ipi zvayo yekuzvimba, asi kazhinji inowanikwa mu II 1st trimester. Kazhinji, masvondo matatu mushure mekuberekwa, chirwere chinopfuura. Nzira dzekudzivirira inha-hepatic cholestasis yevakadzi vane pamuviri haipo.
Zviratidzo
Chiratidzo chikuru chechirwere ndechechecheche, iyo jaundice inogona kugoverwa. Mumatambudziko akaoma, kushungurudzika, kurutsira, kurwadziwa munharaunda ye epigastric, kanowanzo mu hypochondrium yakanaka, uyewo kushaya simba, kukotsira, kukanganiswa kwehope kunogona kuvhiringidza.
Inobata sei pamuviri?
Nechirwere ichi, njodzi yekuberekwa kusati yasvika inowedzera. Vana vacheche vanowanzotambura ne hypo hypoia yekusiyana kwakasiyana. Chirwere ichi chinosanganisira kushanda kwekuita kwekuita pamuviri, iyo inosanganisira kurapwa kwemishonga, kunyatsongwarira kwe fetus uye, kana zvichidikanwa, kutungamira kare kutakura nechikamu chekudya.
Mafuta akakwana chiropa chevakadzi vane pamuviri
Zvakakomba, asi nerufaro, chirwere chisingawanzoitiki chinogona kuitika panguva yekuzvitakura. Iyo inobatanidza neine genetic kusakwana mune metabolism ye fatty acids muamai uye fetus. Zvirwere, sekutonga, zvinowedzera mu II 1 trimester, mune zvisingawanzoitika - mushure mokuberekwa. Kazhinji kacho, hutachiona hunoonekwa mukutanga, uye nemimba yakawanda, uyewo munyaya yekukura kwe preeclampsia uye eclampsia. Miitiro yekudzivirira mafuta akawanda echiropa haako. Nekuvandudzwa kwechiropa chakanyanya chiropa, kubata pamuviri kunongopedzisira kwakanganisa, kazhinji nekugadzirisa chirwere. Kutaura panguva yakakodzera kunobvumira kuchengetedza hupenyu hwemamai nemwana.
Zviratidzo
Pane kusuruvara, kurutsira, kurwadziwa mudumbu repamusoro, uyewo kushaya simba. Kuwedzera kwekushaya kwechiropa kunogona kukonzera jaundice, kuvhara ropa kweropa, kubuda ropa kwese, kuderera mune shuga yeropa.
Viral hepatitis
Iri boka rinosanganisira chirwere cheropa chinokonzerwa nehutachiona hwehutachiona. Kusiyanisa pakati pehepatitis A, B, C, D, E. Hepatitis E inonyanya kuwanikwa muRussia. Zvose zvipembenene zvehupatachi zvinokonzera kushaya hepatitis mushure mekutachiona, iyo inowanzotadza kuitika! Hepatitis A neE vane mafomu akaoma uye kakawanda vanoguma nekugadzirisa. Zvirwere zve Virusi B, C uye D ndizvo zvinokonzera kukura kwechiremera chechiropa chisingaperi. Muchiitiko ichi, chimiro chakaoma chechirwere chinova chisingaperi. Zvinokwanisika kurwara ne hepatitis A neE, vachishandisa mvura yakasvibiswa yekunwa uye zvokudya, pamwe chete kana zvisina kuchengetwa kwehutsanana nehutano hwehutano. Hepatitis B, C, D inoparidzirwa nekuwedzerwa ropa rakavhenganiswa nemakemikari uye zvigadzirwa zvayo, majekiseni, nemaitiro emeno. Kuvharirwa nehepatitis B, C, D inowanikwawo kune zvekuita zvepabonde nemurume ane HIV. Hepatitis B, C, D inogona kuendeswa kumucheche.
Acute viral hepatitis
Sezvo mutemo, acute viral hepatitis inoguma mukudzoka, mune zvisingawanzoitika, kuchinja kune fomu isingaperi.
Zviratidzo
Nausea, kurutsa, kuoma mu epigastrium, fivha, kushaya simba, kugumbuka, kushungurudza kwakanyanya, rima muto uye yellow skin.
Kuita pamuviri uye kubereka
Zvinokwanisika kuparadzaniswa kwepabonde uye kuberekwa kusati kwapera. Panguva yekuberekwa uye nguva yekutanga pashure pekupera, dambudziko rekubuda ropa rinowedzera.
Kufurira mwana
Zvakawanda zvinoenderana nezera rekuita zvepabonde apo mukadzi akabatwa nechipatara. Ngozi yehutachiwana hwemwana inowedzera nehutachiwana mu 3rd trimester, pamwe chete kana kune dambudziko kune placenta. Hepatitis B, C, kana D kakawanda kacheche inotapukirwa pakuberekwa, kana yakaputika paganda kana mucous membrane, kazhinji-mu utero. Kudzivirira hepatitis muzvitsva kunoitwa mumaawa makumi maviri nemasere mushure mokuberekwa kuburikidza nekupemerwa: chirwere uye hyperimmune gamma globulin.
Chronic hepatitis
Mune varwere vane chirwere chisingaperi chehepatitis, pamuviri haubatsiri chirwere chechirwere uye haisi mungozi kune amai vari mberi. Munguva iyi, chirwere ichi chinowanzoratidzwa nemabasa mashoma uye kushoma kwekuwedzera. Kuvapo kwehutachiwana hwehutachiwana hwehupatitis mune amai vane remangwana hahupi hunochinja nguva yekuzvitakura uye zvayo. Kurwara kwehupatachi hakuwedzeri njodzi yekuparara kwepabonde uye kuberekwa, uye handiyo iyo inokonzera kuberekwa kusagadzikana mucheche.
Zviratidzo zvikuru
Itching, kuwedzera kwechiropa, kuwedzera kwepleen. Jaundice ine chirwere chisingaperi chine hepatitis haigoneki - chete nekukurira kukuru kwechirwere.
Ngozi yehutachiwana hwemwana
Nzira dzehutachiona hwechicheche ane chirwere chekushaya chipatara chisingaverengeki chakangofanana nechimiro chakaoma chechirwere. Utachiona hunogona kuitika, kunyanya, panguva yekuzvarwa. Muzviitiko zvisingaiti - mu utero. Kudzivirirwa kwehutachiwana hwechecheche ane hepatitis inopiwa nehutachiona mumaawa ekutanga mushure mokuberekwa.
Ndingaita here kuti ndiyamwisa?
Vakadzi vane chirwere chisingaperi chine hepatitis A, B uye C vanogona kunwisa. Kudya kwechisiko hakuiti kuwedzera kungozi yekutapukirwa kwevacheche. Asi zvakakosha kutarisa kuvimbika kwezvikokovonho uye mumakumbo emumuromo wemwana. Muhupo hwekubuda ropa muzvikoti, kukanganisa mucosa mucheche kubva mukuyamwisa kwechimwe nguva kunofanira kurasikirwa. Iye zvino tinoziva kuti chii chiri chirwere chechiropa panguva yekuzvitakura.