Isifo kunye Ukukhulelwa: ukukhulelwa emva sephepha, isifo ngexa lokukhulelwa, isifo sephepha, nefuthe ukukhulelwa

Kutshanje, TB, ithetha ukuba isalathiso kakhulu ukuba isisu nokuzalwa ngumntu. Noko ke, ngenxa ukuvela unyango ezintsha kunye uxilongo kuba namhlanje, ngoku ungagcina olungekazalwa nokugcina impilo kamama. Abasetyhini kufuneka babhaliswe kunye pulmonologist okanye enye ingcali efanelekileyo.

Isifo Ukukhulelwa

Lenze uhlolo olubanzi inyanzelekile ukuba abasetyhini abakhulelweyo, kuba Bulelani kuye, wafumana esi sifo, leyo kamva abe yingozi usana. Imeko jikelele yabafazi kuqikelelwa ngokuhlalutya igazi kunye x-reyi zoviwo usapho kunye nomyeni unokukunceda ubone enoba njengomfazi ozalayo Asikokungena ingozi yokuba nesifo semiphunga okanye hayi. amanyathelo ngokuyintloko ejoliswe yokuthintela isifo sephepha. Esi sisifo iyingozi kakhulu, nto leyo ukuze kubekho nawuphi na umntu, nokuba isikhundla sakhe ekuhlaleni kunye nomsebenzi. Abantu abaninzi abathwali sifo yaye akuyi kuba ekwazi oko, kuba nakuba uvavanyo lwegazi awayiboni kuyo. Usuleleko isikakhulu iminyaka ngeminyaka esimeni sokulala kwaye isebenza ngexesha lokuncitshiswa sifo.

physiologically Pregnant kwenza yonke imisebenzi zokhuseleko, yaye ezithandwa neentsholongwane.

Kufuneka kukhunjulwe ukuba ukukhulelwa nesifo sephepha yemiphunga yimeko eyingozi, ngokuba imvelaphi sifo aqale iingxaki ezinzulu kwaye kwegazi kunye isisu kunokwenzeka. Ingozi yokosulela kwe sifo ukusuka kumama isiya ubuncinane umntwana kodwa ingabandakanywa nzima ngokupheleleyo.

ngezigaba

Kukho imiqathango ethile KuloMgabuli le sifo:

- esebenzayo kunye engasebenziyo;
- oluthile pulmonary okanye extrapulmonary;
- eziziiprayimari neziziisekondari, kwakunye anqabe - bekhubazekile.

Ngelo xesha xa nisaqala sephepha kubonakele ku umama okhulelweyo, ukuziphatha yomfazi okhulelweyo kufanele bakwenze kuphela obstetrician-ugqirha, kodwa specialist TB.

Kukholelwa ukuba xa isifo yenzelwe esifubeni, ngoko ubungozi obunokubakho umbungu mncinane ngokuchaseneyo iintlobo extrapulmonary. Amaninzi, ukukhulelwa ngale buphelisiwe ukuzalwa ngaphambi kwexesha, abantwana bezehlela kwaye ufumane amanqaku ubuncinane kwi Apgar.

iimpawu

Ukuba sifo sichaphazela isigulane kwithuba leenyanga ezintathu 1st, le nkqubo phantse akukho naziphi na iimpawu lwezonyango kufuneka. kubuhlungu ngenxa yokudla, egqalwa oyena nobangela kokuxilongwa libaziseko.
Amaninzi wabonakalaliswa Pathology:

- imnyama;
- ubuthathaka omkhulu;
- Ukunciphisa ubunzima bomzimba.

Isifo sephepha ekukhulelweni, iimpawu kwi ezintathu 2 uqhubeke ngaphandle naluphi na utshintsho, ingozi ngokwaneleyo, ekubeni umzimba sele ukusasaza iinkqubo infiltrative nezonakalisayo.

izizathu

Ngexesha yokumitha inkqubo yonyango ezingekazalwa sikhatshwa umsebenzi ngokutsha.

Utshintsho zenzeke:

- kwiinkqubo metabolic;

- omzimba kunye nenkqubo hematopoietic.

Umzimba ufumana ubunzima obukhulu, ngenxa ngokuyintloko ubukho iimveliso foetal metabolic. Isiphumo saloo nto idla inani ubungozi. Ngenxa yoko, esi sifo lisenokuba ngenxa usulelo zaseprayimari amagciwane.

Isifo sephepha ezininzi eziqhele ichaphazela ngexesha lokukhulelwa kwithuba leenyanga ezintathu 1st, nangona bayagula nangaliphi na ixesha. Olusemngciphekweni amabhinqa kwiinyanga ezi-6 zokuqala Kukudandatheka. Ngeli xesha, i ibele esebenzayo kunye umntwana gqolo esiyifumana unina zonke amacandelo eziyimfuneko ukuze ukukhula kwayo, ngoko ke umzimba aliyeki ukuba buthathaka.

Ngubani na I qhagamshelana?

Isifo kunye nokukhulelwa zifuna inxaxheba oogqirha abaninzi. Ukuba waqaphela kwi iimpawu enobukhwele, kunyanzelekile ukuba dibana ugqirha wakho. Uya kukubuza imibuzo, apho sithi ubukho besi sifo.

1. Kukho toxemia?

2. kuye kwenzeka njani nini le ngxaki kunye iphecana sokuphefumla?

3. Flu and SARS Ngaba bafudukela kwiinyanga zakutsha nje?

4. simbi yokungaphili okanye akunjalo?

Ukuba ugqirha kurhanelwa kwisigulo, isigulane ngakumbi ukuqala ukujongana nogqirha TB, ingcali emiphungeni, otolaryngologist kunye ugqirha. Xa abasetyhini abane-TB zidla wazalwa abantwana siphilile sisilonda esidumbileyoesingaphakathi intrauterine kunqabile. Ibele kuvunyelwa kuphela abo izigulane ziye uhlobo engasebenziyo kwesi sifo.

ukusebenza

Ngokutsho manani, ukuba kukho inkqubo tubercular, xa umama okhulelweyo waphawula ukwanda nezihlandlo kwegazi. Kwakhona sifo kukhokelela kwangethuba gestosis kade kunye amniorrhea. Ngelo xesha linye 46% abasetyhini abakhulelweyo akukho zingxaki sephepha miphungeni. Njengokuzalwa kwenzeka kuphela 6% amatyala. Kwasemva umfanekiso aba bafazi kwenzeka kakuhle.

ekuxilongweni

iimviwo X-ray, kwakunye esifubeni X-reyi, kungakuhle kakhulu ngexesha lokukhulelwa. Kodwa kwezinye iimeko, oogqirha basenokuba amisele iinkqubo ezinjalo. Doctor abanamava ngokuqinisekileyo aya kubuza umfazi malunga amathuba zoqhagamshelwano zizifo abagulayo mazigqithiselwe ngaphambili njengokuba ukukhulelwa emva nesifo ngomzuzu kunokuba naxa ingumbandela ozaliswe ziziphumo ezimbi. Ukuba ugqirha iza kuba kusengqiqweni ukucinga ubukho besi sifo, oko kunyanzelekile ukuba enze uviwo X-reyi iyafuneka, kungakhathaliseki ukuba ubude. Kweli nqanaba iya kugwetyelwa umngcipheko, njengoko kokulibazisa ekufumaniseni ikhokelele ukuqhubela phambili kwale meko kunye neziphumo vuhlayiseki. Ngexesha le saveyi imiqathango eyodwa yokhuselo asetyenziselwa ukukhusela umbungu kwimitha impembelelo.

Ekuhlalutyeni igazi phambi ekucingelwa esi sifo phantse akunakwenzeka, ukususela kumanqanaba ephakamileyo leukocytes, ESR nokuncipha haemoglobin ngqo ngokupheleleyo abafazi abakhulelweyo, kwakunye ngenxa yesi sifo.

Ukunakanwa ingxaki sifo kuba iimpawu bucinyiwe, ngokufuthi ngokwaneleyo ukuba banesifo kuphela ngaphambi kokuba bekhululwe esibhedlele. Pregnancy isifo sephepha zamanzi yingozi, njengokuba esi sifo kunzima ukubona kwaye kumkhonza ngokufuthi uyakwazi mazingabhidaniswa ezinye iintsholongwane, ezifana mononucleosis.

unyango

Kwimeko intswelo unyango kwangoko amachiza antimikrobakterialnymi. Ngoko nangoko kuphakamisa umbuzo impembelelo yazo umntwana, ezifana nesifo sephepha kunye nokukhulelwa - kukho amagama ezimbini ezahlukeneyo ngokupheleleyo. Phakathi onke amacandelo esebenzayo eteratogenic ongumnini "streptomycin". Oku kuyingozi kuba oko kungabangela ukulahlekelwa umntwana. Ngoko ke, oko contraindicated abafazi abakhulelweyo.

Ezinye amachiza nangona ukungena ngenxa ngumkhaya, kodwa musa alinakusebenza enjalo ekukhuleni kosana olungekazalwa.

ngonyango lwe-TB ngexesha lokukhulelwa iziyobisi ndandingohlukani:

- "rifampicin".

- "INH".

- "Ethambutol".

La machiza zithathwa eyenzwe kubafazi abo baza kuba nomntwana, yokuba zitshekishwe neelabhoratri ezaziwayo-kakuhle ngamazwe. Kunye nabo badla ukumisela vitamin B6, njengoko likwancedisa isiphumo enyangayo ngokugqibeleleyo.

Ugqirha uya ukupeyinta wesekethe eziyimfuneko ngokwemiyalelo kunye neemfuno ichiza. Kufuneka iqondwe into yokuba esi sifo sithi singanyangwa, kuba kakhulu yingozi umama nomntwana ngaphezu izithako zokwenziwa ngakumbi. Kakade ke, isifo sephepha kunye nokukhulelwa - kusoloko kunzima, ngoko ngexesha enxibe mfazi kufuneka abe phantsi kweliso lomgadi i obstetrician-ugqirha kunye nesifo sephepha. Onke amachiza ezongezelelweyo kufuneka ilawulwe ngononophelo.

Kaninzi, izigulane ziye wakhuliswa isifo esinjalo, ngesiqhelo esibhedlele izihlandlo ezithathu ukwenzela ixesha lonke.

Ingozi olungekazalwa

Ukukhulelwa emva nesifo yemiphunga nezengekho ngexesha isifo ayikho yingozi usana esibelekweni. Kukholelwa ukuba placental isithintelo , kumane ezincane, ngoko ke usulelo ngokufuthi eyenzeka ngexesha lonikezelo. Kukho iimeko, xa umntwana ozelwe sele kunye amalungu achaphazelekayo. Unina, ngubani liqaphele uhlobo esebenzayo zesi sifo, umthabathe umntwana ayivalele de bachache ngokupheleleyo.

nokuphazamiseka

Ukuza kuthi ga ngoku, ukugcinwa ukukhulelwa kunokwenzeka inani elikhulu amabhinqa abosulelwe nesifo sephepha, ukuba baphathwe ngendlela ecwangcisekileyo waphawula ziingcali. Ukuqaphela ngexesha indlela zonke iinkqubo zonyango ikuvumela ukugcina usana izigulane namaqonga umda fibronodular svezhevyyavlennymi melkoochagovogo iinkqubo, kwakunye hematogenous-ziyithumele isifo sephepha miphungeni.

Sekunjalo, lo angaluphazamisa eboniswe:

- izifo yomqolo ngohlobo esebenzayo kunye kokufika lweHo-;
- kuhlukunyezwa zangasese ukwenza fistulae okanye ithumba;
- fibro-cavernous isifo sephepha pulmonary, ezivela ngenxa naluphi na uhlobo izifo;
- ngu usulelo edolweni, inyonga neqatha amalungu.

Xa ubukho okukhomba ukuba isisu, le nkqubo kufuneka yenziwe ekuqaleni amanqanaba (phambi-12 iiveki). Ukuqhomfa kwixesha elandelayo akufanelekanga, ngokufuthi inegalelo zokudlulela phambili exacerbation kwesi sifo.

ukuzalwa

Abasetyhini kunika ifom esebenzayo, kunzima kakhulu ukuba kuzala ngaphezu esempilweni. Okwangoku kunxilwe amaninzi zifumaneka iinzame ababuthathaka kunye nelahleko igazi enkulu. Inkqubo kukodwa kuthatha ixesha ngaphantsi. Nesi sifo, komntwana ngokwemvelo. forceps Ukusebenzisa kunye ngokuqhaqhwa kucetyiswa kuphela ngenxa yezizathu zonyango. Inkangeleko on ukukhanya baby kufuneka nakanjani zenzeke kwisibhedlele ekhethekileyo. Ukuba ezinjalo akakho ntoni, abasebenzi esibhedlele kufuneka baziswe kwangaphambili kokufika umntu onjalo. Mfazi, njalo kunxitywe imaski ubuso okuze le ntsholongwane.

Ngexesha yimbonakalo usana efunekayo ukwenza imithambo yokuphefumla. Kodwa njengokuba ugqirha wayedla amayeza antispasmodic kunye neentlungu.
Ukuba unyango wanikwa kwisigulana ngendlela ngexesha yaye zaba phantsi kweliso lomgadi iingcaphephe, isisongelo ebomini bakhe kunye usana ngexesha lenkqubo generic kuncitshiswe.

Ukukhulelwa emva unyango lwesifo sephepha

Wonke umfazi ubunzima sifo kwaye liceba kokuzalwa komntwana, kufuneka sinikele ingqalelo ngakumbi kwimpilo yazo. Esi sifo imiqobo enzima zinonophele yimpumelelo, njengoko kukho ithuba elikhulu yeziphene Palsy. Ngoko ke kubaluleke kakhulu ukuba utyelele i-TB kunye ugqirha kwaye ufumane iingcebiso phambi kwakho ukukhawula. Zibandakanye izicwangciso kubakho ngaphambi ngaphezu kweminyaka emibini emva konyango. Oku kungenxa yokuba umzimba kufuneka kwakhona size sifumane amandla. Ukuba ngaba ukuthobela iingcebiso ugqirha, isifo badla ubuyisela ngexesha yokumitha, ngenxa yokuba nezifo kunciphisa. Kwimeko iimpawu ezicacileyo kucetyiswa ukuba bangenele esifubeni X-reyi.

Ukukhulelwa emva TB yemiphunga lunokwenzeka kwaye idla iphela yabaneziphumo ezihle, kodwa kwimeko nganye yahlukile, kunye namanyathelo imithi oogqirha ngamnye.

Kule meko kakhulu entle, emva kwenzeka unyango ngokupheleleyo ukugula kid ukuzalwa ngaphandle iingxaki kunye neziphumo abanezigulo ezidlulileyo musa kuchaphazela impilo nentlalo-ntle umntwana. Yiyo loo nto kubalulekile ukuba kudlula zonke iimvavanyo ngendlela ngexesha yoviwo epheleleyo.

Outlook

Ukufunyaniswa kwangoko kunye lokwaluka kwangethuba unyango zinika isiphumo ezifanelekileyo Palsy kunye yokusiwa kwee. Amaninzi, abantwana unina abagulayo wazalwa esempilweni, ngaphandle ukungcoliswa kungenxa yeengxaki zophendlo lwezifo kunye ngumkhaya, kwakunye ngexesha naziphi na iinzame ngokwabo. Amaxesha amaninzi HIV kwenzeka emva kokuba inkqubo zokubeleka lukamama lowo isifo sephepha lokukhulelwa. Imiphumo akukho kakuhle kakhulu, kodwa ke, ngokutsho iingcali, akukho mfuneko izilumle umntwana nonina. Ezi nketho iimeko apho abafazi ubunzima iintlobo ezininzi kakhulu sesi sifo nokubi. Ukuba umfazi okhulelweyo anayenza bacilli, umntwana zigonywe BCG kwaye avunyelwe ukuba nokuncancisa. Emva kokuba bekhululwe kwiCandelo esibhedlele kunye unina lilungu elisandula yenziwe uluntu kufuneka abe phantsi kweliso lomgadi amabhinqa kunye kwiklinikhi yezempilo umntwana kunye nesifo sephepha lemithi.