Ko te ngoikore o te mahi mahi: take, hopearaa me matapae

Ka whakaaro tenei tuhinga i te ngoikore o te mahi. Ka korero matou ki a koutou i roto i te taipitopito e pā ana ki te take, tohu, ngā pānga me te taumira o te mahi.

Hei rawea, e ko te reira. Ko te ngoikore o te mahi - ko te kore o te mahi o te kōpū. Ie tuku uaua, me te wa-kai rite te kōpū kino iti, dilates te waha ki te mahi, me te haere te hua rawa puhoi, me te uaua. e kore e Reipa e haere tonu te pai, kia rite ki kia waiho ai, i reira he kōhikohiko o mahi mahi. I tetahi o ratou e ako ia koutou i roto i nui taipitopito i roto i tenei tuhinga.

tūpuku uterine

Ka rite ki te nui rite ai reira tangi pouri, engari e tino noa abnormalities mahi. He tino maha nga take mo tenei āhuatanga. Na ka kōrero tatou e pā ana ki te ngoikore o te tukanga mahi.

Tenei Ko tetahi o nga maumaui taea o te mahi. Ki tenei tātaritanga o uterine mahi, i te mea e tika ana mo te pana o te kukune, e ngoikore ai. Ko tenei tika ki:

• āhua iti o te myometrium;
• contractions onge;
• ngä tīwera ngoikore;
• nuinga o te diastole;
• wā whakaiti Ko tawhiti muri te wā whakangā;
• roa whakatuwheratanga o te waha;
• whakatairanga toitü o te kukune.

I roto i te atu tohutanga taipitopito ka kia te aroaro i roto i tetahi atu wāhanga. Na hoatu e matou etahi tatauranga. Tenei tātaritanga i roto i obstetrics me gynecology ko te tino rongonui, no te mea he mea he pōauautanga rawa auau o whakawhanau, me te take o ngā pathologies o rua whaea me te tamaiti. Tauanga whakau e faingataa neke atu i whitu ōrau o ngā whānautanga i te ngoikore o te mahi mahi. Na tetahi meka: he tino maha nga wahine nei e he ta ratou tamaiti tuatahi te tātaritanga. Ka rite ki te tikanga, te whakatupuranga haere, kahore tetahi uaua, engari i reira he take o Tātaritia te ngoikore o te mahi, me te whanau o muri.

take

faataa matou e tenei ngoikore o mahi mahi. Ko te take i taea e kia maha ngā āhuatanga. whakahere tatou ki te whakarārangi ratou. Ko te take mo te ngoikore o te mahi ko:

• mā'ulalo morphological o te kōpū;
• kore tikanga hormonal tukanga kano;
• tūpuku mahi o te hanganga io;
• mate ekstragenital'nye;
• hypoplasia;
• fibroids;
• endometritis ma'i;
• adenomyosis;
• kōpū e rua-wani;
• nohoanga kōpū;
• medabort;
• tīwani;
• myomectomy momo;
• tohu i muri i te maimoatanga o te horo te waha (ki te kahore te wahine i homai whanau).

Ka taea hoki te mōhio etahi o nga take. Ko te ngoikore o nga ope iwi taea puta tika ki te tāne i o āhuatanga e whai pānga i runga i mahi. Hei ngā te āhuatanga pai e whai ake nei:

• prostaglandins;
• estrogens;
• oxytocin;
• konupūmā;
• kaitakawaenga, me te pera i runga i.

Pēhia ngā:

• progesterone;
• konupora;
• ha'iriiri whākōkī me ētahi atu kaitakawaenga.

He mea nui ki te mōhio e wahine e mamae i etahi disorders (vegetative-utu), e maha fehangahangai ki te raruraru i roto i whanau. Taua maumaui ngā:

• mōmona;
• hypothyroidism;
• hypofunction o te uho adrenal;
• syndrome hypothalamic.

Nui te awe e tau, me te nulliparous. Ki te he te tino taitamariki he kotiro, ranei nui tona tau 35 tau, ka taea e te mau ohipa e uaua. He hoki mea nui, me te wā mo te tīmatanga i o mahi. pea te ngoikore o te kōpū te take o te hapūtanga roa, taimi halá, ranei.

Ki te he āna hapūtanga, ko reira taea tenei māuiuitanga i roto i whanau. A, no te reira te mea he hyperextension hapūtanga uterine maha. kia hoki Hyperextension puta ka te hua nui polyhydramnios ranei.

E mea pinepine i te mahi uaua fehangahangai kotiro iti rite te papatoiake kuiti ko reira ano hoki te take o te uterine mahi rawakore. Ko te take - te disproportion i waenganui i te rahi o papatoiake me te wahine o te tamaiti.

E tonu nga take maha rawa, kāore, e kore e taea te tatau. Na tīpako ara etahi o nga mea tino rongonui:

• rohirohi;
• ahotea hinengaro;
• mahi tinana;
• kai tōtika rawakore;
• kore o te moe;
• wehi o te whanautanga;
• hūhi;
• tiaki rawakore o te whaea, me te pera i runga i.

Ko te kupu, ko reira taea ki te whakarōpū i te take katoa e whai ake:

• taha o tona whaea;
• fifi hapūtanga;
• i te tamaiti.

momo

Ka taea e uterine tūpuku puta rawa i tetahi wā o te tuku. I roto i tenei whakaaro, faaoti i te reira ki te tohatoha i te tahi momo o ngoikore:

• tuatahi;
• Tuarua;
• ngana ngoikore.

whakahere matou he arotake iti i roto i te taipitopito i ia momo motuhake.

āhuatanga te ngoikore tuatahi o te mahi e contractions mahi iti i roto i te wā tuatahi o te mahi. He ratou rawa ngoikore, poto, me te kore e naki. Mea nui, ko te kitea reo understated o te kōpū i roto i ngoikore tuatahi (iti iho i te 100 mm HG. V.). I tenei wā, ki te wahine taea te tātari te raruraru ano. Me pēhea koe e rave i te reira? Iwi ki te karaka mō te tekau meneti, me te tatau i te maha o whawhai i runga i tenei wā. Ki te kore e te tau nui e rua me koutou e kore tata e ite ratou, ka whakapumautia te tātaritanga. Ka taea e koe te ine i te wā, me te kotahi te whawhai, me te mea neke atu i te 20 hēkona i te ngaro o te uterine tūpuku. Diastole, wā whakangā ranei, te atu tata rua. Ka rite ki taea contractions palpability kōrero e pā ana ki te raruraru? Tino noa, ki te he ongonoa maloboleznennye ranei ratou, e kore he nui ki te whakatuwhera i te waha te pēhanga ki runga ki te wahi o te kōpū.

āhuatanga ngoikore Tuarua o te mahi e te vaivai o te kaha o te mahi uterine. I mua i taua whawhai i taea e noa. Ko te take o te taua, pera i roto i te ngoikore tuatahi o ope iwi. Ko tētahi atu tohu - te ahunga whakamua o te whākinga o uterine korokoro. Ki te te kore kitea te ahunga whakamua i muri i henimita e rima e ono ranei o whākinga, ka maia tatou te kōrero e pā ana ki te tuarua pōrearea uterine hypotonic.

Ki te kitea te ngoikore tuatahi, me te tuarua i roto i te ōrau tekau o ngā take o te whanau kino, me te he āhuatanga o te whanau tuatahi, ko te ngoikore o te wā te whanau-iho tino onge (e rua ōrau o te wā katoa o te mahi i faaapiapi), a he mea angamaheni mo wahine multiparous ranei i roto i te mōmonatanga.

tohu

Tohu o te ngoikore tuatahi o te mahi ngā:

• excitability iti o te kōpū;
• te heke haere āhua o te kōpū;
• auau iti o contractions (ki runga, ki te rua mo te tekau meneti);
• roanga poto o contractions (ki runga, ki te rua tekau hēkona);
• tapahia mana e kore e nui ake te uara o te 25 mm HG. Tuhinga.;
• he wā poto o te hukihuki;
• atu wā okiokinga;
• kahore kitea hua i roto i te kaha me te auautanga;
• maloboleznennost ongonoa contractions ranei;
• huringa Pōturi hanganga waha (enei ngā shortening, whakaene me whākinga).

tenei katoa e taea e tino whakanui i te wa whānui o te tuku. Tenei, i roto i te tahuri, he kino hoki te whaea me te tamaiti. Wahine i roto i te mahi te rohirohi ranei, pea pana wawe o te wai.

Tohu o te ngoikore tuarua:

• whiti nga whawhai kaha (pea noa ratou mutunga oti);
• Ka whiti nga reo;
• whakaiti i te excitability;
• kahore korokoro haereraa whākinga uterine;
• mutu whakatairanga o te kukune i roto i te awa whanau.

Ko reira kahore iti mōrearea atu i te ngoikore tuatahi. kia whakawhanake te tamaiti asphyxia, kia mate ia ranei. Hoki mate uterine mōrearea a Mama pea ki te whētuki whanau. upoko tu roa o te tamaiti i roto i te awa whanau kia arahi ki te hanganga o haematomas fistula ranei.

tātaringa

I roto i tēnei wāhanga ka arotahi tatou i runga i Tātaritia i te raruraru o te ngoikore mahi (tuatahi, me te tuarua). whakanohoia te tātaritanga o te ngoikore tuatahi kei i runga i te pūtake e whai ake:

• iti i roto i te mahi o te kōpū;
• Whakaiti i te auau o te whakaene o te waha;
• whākinga roa o korokoro uterine;
• hua tawhiti roa;
• nui haere mahi.

He mea nui ki te mōhio e te pānga nui i runga i te tātaritanga kua partogram (whakamārama kauwhata o te puninga ranei). Mā tēnei tūtohi katoa:

• kaki tuwhera;
• whakatairanga o hua;
• he pini;
• pēhanga;
• mokowhiti o pēpi;
• whawhai a na i runga i.

Ki te kahore he ahunga whakamua i roto i te pītore waha mō te rua haora, e te mārama whakaaturia i roto i te partograph, ka hoatu tenei tātaritanga.

hāngai ana te tātaritanga o te ngoikore tuarua te i runga i enei tohu:

• partogram;
• CTG;
• whakarongo ki te mokowhiti.

Ko te tika tenei ki te whakarite kia kore i whakawhanake i te kukune hypoxia. He te tahi mau fifi generative tukanga e symptomatically rite ki te mahi ngoikore. Ko ētahi o ēnei:

• māuiuitanga wā tuatahi;
• diskoordinirovanie mahi;
• papatoiake hauora whāiti.

maimoatanga

Mea nui, tīpakohia te maimoatanga te takitahi hoki ia wahine hapu. A, no te e tango te rongoā rata ki pūkete te raraunga katoa e kua ia (huru o te wahine, me te tamaiti).

He rongoa pai mo te ngoikore mahi - he tikanga rongoā moe. Hoki tenei whakaaro he taka motuhake, okioki te wahine, ka kia whakapiki ake i mahi.

Ki te kore e tenei mahi, ka haere ki te poka, kiriuhi. I muri i tenei tikanga mahi riro te reira nui atu kaha. Me kï reira e whakamana te poka te anake, ki te he rite te waha.

I te tahi taime i haere tākuta ki te whakaongaonga tarukino. Na whakaaroa poto tatou i te "Miropriston" tarukino ki kaha ai mahi. kia tenei rongoā e tangohia tino i raro i te mātakitaki o taote. inhibits reira progesterone, e kua he pānga painga i runga i mahi uterine.

tuku

Ki te ki kahore kōwhiringa mahi, tae atu "Miropriston" kaha ai mahi, kia mahi i te tākuta he wāhanga cesarean whawhati tata. He aha ngā tikanga e kawea i te aroaro o te mahi:

• raau-piri moe;
• amniotomy;
• whakaongaonga tarukino.

I tua atu, i reira kia kia tohu atu mō te pokanga. He he he tetahi rārangi o contraindications mō te arataki o te mahi (papatoiake kuiti, uterine nawe, te ora-te whakawehi, a na i runga i).

ārai

te uiui e matou i roto i te taipitopito te pātai o te ngoikore o te mahi. aratohu Haumanu mō te ārai e taea te hoatu he-rata mātai obstetrician nei ko to koutou hapūtanga. kia korero te reira a koutou e pā ana ki te pōauautanga taea i roto i whakawhanau, me te whai whaea whakangungu tinana, me te hinengaro. Haunga rodostimulyatsii obligatory i roto i te ārai o pōauautanga taea i roto i te kukune.

pānga

He aha e nga pōauautanga o uterine tūpuku? Hoki māmā e taea e te reira:

• bruising;
• fistulas;
• mate taea.

Hoki te tamaiti, te whai ake pōauautanga:

• hypoxia;
• acidosis;
• edema roro;
• mate.

Tei mea katoa i runga i tohungatanga o te tākuta. Ki te whakaongaonga tika, me te mana mana mārama o te tamaiti me te whaea, e kore e kore nunu'a kia.

outlook

Na poto e pā ana ki matapae i te ngoikore o te mahi. Ka rite ki whakahuatia mua, te reira i katoa tei runga i ngaio o te tākuta, me te huru hinengaro o te wahine. Kaua e mataku, a ka whakarongo ki nga tūtohutanga o tohunga. he onge ngā raruraru i mahi i faaapiapi.

Ko te akoranga o te tuku i muri

e kore ko te ki te mea e ka puta atoa nga ētahi atu katoa te ngoikore o te mahi mahi i whanau tuatahi. He noa i roto i nga wahine e hoatu whanau ki te tamaiti tuatahi ngoikore te Paraimere, me te tuarua. I roto i te ōrau iti kia wheako multiparas ngoikore wā e mau ana-iho.