Leengxaki Extragenital ku abasetyhini abakhulelweyo: yothintelo, unyango. Isiphumo ukukhulelwa extragenital

Loo isiganeko bonwabile, njengokuba ukukhulelwa elide-ilindelwe, ngelishwa, akwazi ukuba siwele zihlandlo ezingemnandi. Umzekelo, kusenokuba exacerbation lwezifo ezingapheliyo phakathi kwamadlala utshintsho ephilayo. kuqwalaselwa kuphela impembelelo leengxaki extragenital zokukhulelwa, uyakwazi ukuphatha ngempumelelo uze uzale umntwana onempilo ngaphandle kokufaka engozini impilo yabo okanye ubomi babo.

Yintoni leengxaki extragenital amabhinqa akhulelweyo

Zonke izifo, syndromes, yaye umfazi omithiyo ongenayo ungambathi zangasese kwaye na iingxaki yokubelekisa ziquka qela linye ethe ngokuba "kwezimilo extragenital" (EGP).

Oku icela lo mbuzo ubhalo: abafazi abaninzi kangakanani ndimithiswe kwizifo extragenital? Iinkcukacha-manani kule ndawo ayikho isenokunganambitheki xa uyicinga. Njengoko yokusebenza ibonisa, inani lwamabhinqa abaphethwe zizifo ezingapheliyo, ikhula kuphela kunyaka ngamnye. Ukuza kuthi ga ngoku, malunga-40% kuphela abakhulelweyo lwenzeka ngaphandle naziphi na iingxaki. ukuphuphuma esengozini kunye toxicosis kade - ezimbini ingxaki eziqhelekileyo eziye ingxelo zokugula extragenital. Kodwa ngaphandle kwayo kukho nezinye izifo kwakhona ilungu EGP.

Izifo ezifakwe kwigama elithi "ngezifo extragenital":

• anaemia, degree kakhulu ;
• wegazi;
• myocarditis;
• ngenhliziyo ukukhubazeka;
• rheumatism;
• isifo sesibindi;
• isifo sezintso;
• isifo kwizicwili;
• izifo nesiqephu zesisu;
• izifo zemiphunga;
• hepatitis wentsholongwane egazini kunye nezifo.

Makhe sihlolisise ngokweenkcukacha kunye ngamnye amaqela izifo. Oku kuya kunceda ukuba siqonde ngcono indlela ukukhulelwa nokuzala kunye kwegazi extragenital kunye nawaphi na amanyathelo awodwa aya kuthatyathwa kwimeko nganye.

Izifo nemithambo yegazi

Izifo kweli qela kwenzeka ngo-2-5% abasetyhini abakhulelweyo. Kwimeko apho naliphi na ukukhulelwa isifo sentliziyo kufuneka ngoko nangoko adibane nogqirha yesithili. Ngokusekelwe kwiziphumo zophando kuthwalelwa phandle, ugqirha uya kwenza isigqibo malunga amathuba okokuba ukhulelwe, okanye uphazamiseko yayo.

Ukuba akukho kwezimilo extragenital kakhulu (uphuhliso ukusilela kwentliziyo 3-4 grade kunye iyangongoza kwakunye nokubamba-bamba umphefumlo kwi amandla zincinane okanye ukuphumla), akukho zinto zifuneka kuqala ukuze Njengemfambilini olungekazalwa ayikho. Kwiimeko ezinjalo, ekhethiweyo kuphela unyango kuyimfuneko zonyango, nto leyo eya kukunceda ukugcina uzinzo imo umama nosana olungekazalwa.

samathambo ngexesha lokukhulelwa

Kwimeko rheumatism ludlule, umba isongezo lokukhulelwa liphuma kabukhali kakhulu. Ukuba ingxaki ibonakala kwi ezintathu yokuqala, isigqibo malunga nokupheliswa ukukhulelwa, njengoko kulo mzekelo, amalungiselelo ayimfuneko awahambisani kunye nophuhliso yayo elizayo xa usaqala.

Ukuba ngezifo extragenital ngohlobo rheumatism, yaba ixesha elide ngaphezu kwiiveki 24, kuba nokwenzeka ilunyango olukhuselekileyo wayixhalabelayo ubomi bomntwana.

Nangona kunjalo, ubukho besi sifo ngo-40% yamatyala ikhatshwe toxicosis kade, hypoxia ezingekazalwa kunye nesiqalo nokufika komngcipheko ophezulu kwesisu kunokwenzeka. efanayo Newborn ke ngokukodwa kubuphepha komzimba kunye nezifo ezosulelayo.

BP

Ukukhulelwa ne ngezifo extragenital ngohlobo uxinzelelo lwegazi kuqhelekile kakhulu. uxinzelelo lwegazi Ukwanda kunokubangela ukuzalwa ngaphambi kwexesha okanye abe ngomnye oonobangela abruption placental. 40% abasetyhini abakhulelweyo abaye baba uxinzelelo oluphezulu lwegazi, ubunzima ekubonakalisweni yetyhefu emva kwexesha, nto leyo kunokubangela hypoxia Palsy.

Xa kungekho nayiphi na iingxaki njengoko insufficiency coronary, abruption placental, iingozi cerebrovascular, "lwegazi" (Pathology extragenital) kunye "yokukhulelwa" - kukho amagama ngendlela ehambelanayo. Inye kuphela umama okhulelweyo kufanele kube lula ukubona ukuba urhulumente bomsebenzi wonke, ngokunjalo ukunciphisa ukusetyenziswa ityuwa ekutyeni (akukho ngaphezulu kwe-5 mg ngosuku).

hypotension

yandisa uxinzelelo lwegazi ngethuba lokukhulelwa okuhambisana angekho ngaphantsi kwe indyebo yalo. Abasetyhini ne ngezifo extragenital ngohlobo hypotension emngciphekweni omkhulu isisu ezizenzekelayo kulo nakweliphi na ibakala. Kusenokwenzeka ukuba neengxaki ezinxulumene ukuphazamiseka kwi luqalise kwaye ukungena ngumkhaya, kwakunye iingxaki kwinkqubo zokubeleka. Ukongeza, kusenokubakho ukulibaziseka Palsy ngenxa yegazi flow abangamahlwempu ngumkhaya.

arrhythmia

Kukho iindidi ezintathu ezingundoqo zesifo: fibrillation atrial, ibetha ngaphambi kunye paroxysmal tachycardia.

fibrillation Atrial yeyona iyingozi, ekubeni ngenxa ngayo ukuphuhlisa deficiency intliziyo kunye nokungaphumeleli intliziyo. Kwakhona kule sifo kukho ipesenti enkulu yokufa: osana - 50% yomzali - 20%. Ngoko ke, isigqibo kunikezelo licandelo Uqhaqho xa efumanise fibrillation atrial, ekubelekeni yendalo kuyathintelwa.

Ibetha ngokuqhelekileyo ayifuni unyango olukhethekileyo kwaye ayikwazi kuqhutywa ingozi kakhulu. Ngokuqhelekileyo, oko waphawula kwezi nyanga zokugqibela zokumitha (senyanga yesithathu); imbonakalo yawo kubangelwa ngokuvusa uvalo kunye nokuvuka ngokweemvakalelo ngethuba lokubeleka.

tachycardia Paroxysmal inqabile kakhulu kwaye indalo reflex. Iimpawu zesi sifo kunokuba nesiyezi, ubuthathaka, iintlungu entliziyweni, isicaphucaphu. Ukuphucula imeko nadlamkisayo ezisetyenziswa ngokuqhelekileyo.

Wezintso kwaye womchamo, amaziko

leengxaki Extragenital kwi abasetyhini abakhulelweyo kummandla amalungu wokuchama amaninzi kubonwa ngokohlobo amatye kwizintso okanye pyelonephritis.

urolithiasis

Oko kukhatshwa ziintlungu eliphantsi umva, ubuhlungu kunye neentlungu ezibukhali ngexesha ukuchama. Ukongeza, kusenokubakho isicaphucaphu, ukugabha, ukuqhina, yaye kwimeko pyelonephritis - umkhuhlane kunye notshintsho ukudumba egazini.

Kungakhathaliseki ubude ukukhulelwa, utyando ukuze bathunyelwa kuyimfuneko. Ukuba emva konyulo kunye ikhondo unyango ngamachiza, umsebenzi sezintso ibuyiselwe, ukukhulelwa siyagcinwa.

pyelonephritis Acute sokukhulelwa

Isikakhulu sifo kwenzeka kwixesha le-12 iiveki, nangona oko kunokuthi kwenzeke kwakhona ngexesha lokukhulelwa. Oku kuhambisana ngezifo fever extragenital kunye Ukugodola.

Unyango oluqhutywa esibhedlele ngokusebenzisa iziyobisi antibacterial. Ekupheleni kwale khosi kufuneka uthathe unonophelo imvelaphi uroantiseptiki sisityalo okhulelweyo (iti kwezintso, njalo njalo. D.).

Xa kungekho kubunzima obungaphaya ekhulelwe kunye nokuzalwa eqhelekileyo.

glomerulonephritis

Glomerulonephritis - a ngezifo kakhulu extragenital, nto leyo contraindicated ngexesha lokukhulelwa isongezo, njengoko kukhokelela kuphuhliso ukusilela kwezintso.

Ngethamsanqa, izigulo abasetyhini abakhulelweyo inqabile - omnye kuphela kwabaliwaka.

izifo lokugaya

ngezifo Extragenital izifo iphecana zesisu asiyonto contraindication nokukhulelwa. Ababhinqileyo abaye gastritis, duodenitis okanye isifo isilonda, ngokukhuselekileyo ithwala Sibahlangule umntwana onempilo.

Ekuphela kwento inokuba yingxaki kumabhinqa akhulelweyo, - reflux. Ngenxa yabo, umama elizayo ubonakala heartburn, nto leyo eyandisa nyanga zonke de wabeleka. Ukongeza, ukukhulelwa ukuze ukuphazamisa ukuqhina ezigulo ezondeleyo.

Ngokuqhelekileyo imbonakalo heartburn lwenzeka kunye kwiiveki 20-22 sokukhulelwa, kodwa ngeli xesha ke ngamaxesha athile idlule ngokukhawuleza. Ukuze ufumane ithuba leeveki 30 kuyo ikhalazela amathathu bonke abafazi, kodwa kufutshane ekuzalweni, eli nani kwandisa, kunye neempawu ezingemnandi waphawula ezintathu ngaphandle abane abasetyhini abakhulelweyo.

Ke ukuba kwesisu, inani labo kwandisa ekuyeni ekupheleni yokukhulelwa. Ukuthintela isimo esinjalo ayinqweneleki kakhulu, njengoko kungaba kubi impilo jikelele abakhulelweyo kunye kuchaphazela contractility ye izihlunu wesibeleko. A ngepali strong ngexesha ukuhamba kwesisu kunokubangela ithowuni zesibeleko kwaye kungakhokelela ekubeni nokupheliswa ngaphambi lokukhulelwa.

Indlela ephambili isebenzayo ukubatshabalalisa ngxaki zichazwe ngentla apha batye ukutya okuthile, leyo kuquka iimveliso ukuba abe slabyaschee sisiphumo esincinane (beet, uyawathena, ingqolowa kunye t. D.) Yaye bifidobacteria (kefir).

izifo zemiphunga

ngokuqhelekileyo umkhuhlane akubangeli umonakalo omkhulu umfazi omithiyo yemveku. Kodwa kwemigudu kunye nenyumoniya, le meko mandundu kancinci.

bronchitis Acute and ezingapheliyo

Yomoya luphawulwa izitshanguba le inwebu kwiinwebu le bronchi, kwaye sisifo arhabaxa. Uphelekwa iintlungu esifubeni, ukhohlokhohlo ngogonyamelo, kwaye kwezinye iimeko, iimpawu kakhulu kunxilwe.

bronchitis akukho sizathu zokuqhubekeka ukukhulelwa akunakwenzeka. Kwakhona ubukho kunokwenzeka yeengxaki ezincinane ezifana nephika noxinezeleko oluncinane okanye ukusilela yokuphefumla le isidanga sokuqala. Kodwa ngaphambili kubalulekile ucinga ukuba le ukukhulelwa iya kuba nzima.

Kwiimeko ngesigqibo ukusilela lesibini okanye lesithathu-degree yokuphefumla kwi isisu ukusindisa ubomi mfazi kunye nezempilo.

inyumoniya ebukhali and ezingapheliyo

Inyumoniya sisifo esosulelayo ukudumba ochaphazela emiphungeni. Oko kukhatshwa umkhuhlane kunye nezinye iimpawu, ngokuxhomekeke kuhlobo ntsholongwane, i-arhente causative kunye indlela isiqu ekhulelwe.

Esibhedlela kwabasetyhini abakhulelweyo kunye ngezifo extragenital ngohlobo yinyumoniya inyanzelekile! Unyango lwenziwa phantsi kweliso gqirha kunye obstetrician.

isifuba inyumoniya

iimpawu kwesi sifo zezona ukuhlaselwa sisifo ezithi zenzeke ebusuku okanye kusasa kwaye lukhatshwe ukhohlokhohlo owomileyo womelele, kwaye bamba umphefumlo expiratory uhlobo. Igcina kuhlasela expectoration nje encinci ubovu yesikhohlela.

isifuba inyumoniya kwi ngobulali ukuya kwifom ukumodareyitha asinto inkomba sokupheliswa zokukhulelwa, kodwa ibe ngunobangela njengokuzalwa wokuzalwa, toxicosis kade, abasebenzi buthathaka kunye nokopha ngexesha lenkqubo lokubeleka.

isifo sesibindi

Ngenxa inactivation ukuphazamiseka hepatic estrogen izifo ezingapheliyo ezifana kwesibindi kunye hepatitis, nezinokubangela ubudlolo. Ukuba lokukhulelwa nangoku kwenzeka, linokuba yi incinane kakhulu ukuba yabaneziphumo ezihle. Kwiimeko ezinjalo, oko kudla ngokuphumela ukuzalwa ngaphambi kwexesha, ukuzalwa abantwana abafileyo, kwakunye ipesenti ephezulu somama ngexesha lenkqubo lokubeleka. Ukongeza, kwimvelaphi ukukhulelwa kwabasetyhini angaqala ukuphuhlisa ukusilela esibindini.

Ukuba ukuqhubela phambili izifo ezingapheliyo baye bafumanisa phambi kwiveki yama-20 yokukhulelwa uphazamiseka. Ukuba sele kweeveki ngaphezulu kwe-20, ngoko wenza konke okusemandleni ukuze uyolule ibe isisu zingangunobangela kuphela meko.

Ukuba isifo sesibindi akukho mandundu ngexesha lokukhulelwa, kubonakala ukuba uphelele yaye akukho ipesenteji isiphumo ophumelelayo phantse ziyafana abasetyhini abasempilweni.

izifo yonyango

Eyona eziqhelekileyo izifo ezidalwe ziquka isifo seswekile, hyperthyroidism kunye hypothyroidism. Makhe iinkcukacha ngakumbi kumntu ngamnye kubo.

iswekile osegazini

Isifo luphawulwa izixa Intswela insulin okanye ukusebenza asanelanga, nto leyo wayengabunyamezeli ekudleni kunye disorder metabolic. Kwixesha elizayo kusenokubakho utshintsho Amalungu nezihlunu.

Diabetes sinwenwa esizibonakalisa ngohlobo ukwehla kobunzima, ilahleko mbono, isikhumba sakho silume, polyuria, linxano. Moshilongo oluchanileyo sifo kufuneka zihlolelwe eswekile yegazi kunye urinalysis.

Abasetyhini ne diabetes ngexesha ukhulelwe zilaliswe esibhedlele izihlandlo ubuncinane ezithathu: ngexesha lokuqala kwiiveki 20-24 neeveki 34-36.

Isifo seswekile (njengoko extragenital ngezifo) kwaye ukhulelwe kakhulu ehambelanayo. Isifo nto ayithethi ukuba isisu, kwaye kanye ukuzalwa komntwana kuvumelekile njenge ndlela yendalo, kwaye ngoncedo kwicandelo ngoqhaqho.

Inye kuphela ekumele ukuba kuthathelwe ingqalelo: umfazi okhulelweyo kufanele ukuba iimvavanyo kwaye bangenele iimviwo lonyango amaxesha ubuncinane 2-4 ngenyanga.

thyrotoxicosis

Esi sifo ezinxulumene notshintsho esinobubovu lengqula, oko kwandisa kunye ukungahlaliseki. Ehamba iyangongoza hyperthyroidism, ukubila, ukudinwa, komzimba, ukuphazamiseka kokulala, lafa izandla, kunye noxinzelelo lwegazi. Ngenxa yoko, esi sifo kunokubangela i toxicosis olomeleleyo kwezisu.

Kuba uhlobo mnene hyperthyroidism ukukhulelwa yinto eqhelekileyo kakhulu, kunye olungephi ukuya kakhulu lwe ngesigqibo uphelele.

Ngexesha lenkqubo ekuhleni kuthatha onke amanyathelo ayimfuneko eziya kunceda ukunqanda ukopha enokwenzeka.

hypothyroidism

Isifo kwakhona ezinxulumene nomsebenzi lengqula kakuhle, ezivele ngenxa utyando okanye bekhubazekile.

Ngexesha hypothyroidism bangafumana syndromes pathways kunye hypothermic okanye sentliziyo, ngokunjalo amayeza anti-ezithintela ukosuleleka kunye notshintsho ulusu. Izifo ayikho eyona ndlela ichaphazela yaye umntwana elizayo; angayifumana ekuzalweni okanye lag kuphuhliso engqondweni.

Phambi ngoncedo olungephi ukuya iintlobo kakhulu ekhulelwe naxa ezala contraindicated izifo.

amagciwane

Ukubakho amagciwane ngexesha lokukhulelwa banokubenzakalisa nje kuphela impilo elizayo kamama, kodwa usana lwakhe elizayo.

SARS kunye neAvian

Njengoko kukhankanyiwe ngasentla, etsolo usuleleko yokuphefumla lohlobo (ari) kube nempembelelo engephi kuphuhliso kunye nobume nempilo yosana. Kodwa xa kubanda eliya umkhuhlane, kukho umngcipheko iingxaki, esinokubangela isisu. Oku kusebenza fomu ingakumbi kakhulu kwesi sifo kwi trimesters yokuqala neyesibini zokukhulelwa, njengoko lineziphumo eteratogenic ekukhuleni kosana olungekazalwa.

injinana

Prevention extragenital njengoko rubella kufuneka lwenziwe phambi lokukhulelwa. Kuyinto ugonyo inyanzelekile yesiqhelo, ibanjwa umva ebuntwaneni okanye lokufikisa.

virus rubella awele ngumkhaya kwaye malunga neeveki ezili-16 ukunika embryotoxic mbungu kunye neziphumo yaManzi naMahlathi. Kulo mzekelo, malformations iziphene ukuze ibonakala naxa abantwana babo omama abangekho abagulayo, kodwa nje ukunxibelelana nabantu rubella.

Isifo luphawulwa mpawu zilandelayo: iindawo nkovu banzi, ifiva elide, thrombocytopenia, articular syndrome, hepatomegaly.

Rubella kwithuba leenyanga ezintathu yokuqala ye ukukhulelwa inkomba sokupheliswa ekunyanzelekileyo kuyo.

herpes

HSV (herpes simplex virus) uyakwazi ukungena ngumkhaya kwaye enze umonakalo kwinkqubo luvo, intliziyo zesibindi ezingekazalwa. Ngenxa yoko, umntwana ongekazalwa ukuze lag iqola ingqondo okanye ube calcifications ebuchotsheni, microcephaly.

Uninzi igciwane eliyingozi kwithuba leenyanga ezintathu yokuqala, njengoko lineziphumo noqhekeko kwi umntwana ongekazalwa kwakunye nemfuneko ukuphazamisa ukukhulelwa. Herpes kwithuba leenyanga ezintathu lesithathu yinto yokuqala efunekayo ukuze ngoqhaqho likaxakeka.

Unyango leengxaki extragenital amabhinqa akhulelweyo

Njengoko sele sibonile, ingqiqo leengxaki extragenital iquka iintlobo zezifo. Ngoko ke, kucacile ukuba indlela olunye unyango ukuba ayikho. Yonke Unyango kuyimfuneko isekelwe phezu uhlobo lwesifo, namandla aso, ubukho okanye ukungabikho exacerbations kuyo nayiphi na trimesters njalo-njalo.

Yiyiphi imithi kufanele kuthathwe xa kukho ngezifo extragenital? Ukuba kwesisu wamisa inxenye iziyobisi, ezosulelayo, egazini, izifo ukudumba - zahluke kakhulu. Xa kungekho icala self-medicate. Kuphela ugqirha onoxanduva (ugqirha, internist, endocrinologist, njalo njalo), liya kuba nelungelo ukuthatha isigqibo kunye ukuqesha yokwamkela isiyobisi.

Prevention EGP

Uthintelo extragenital ngezifo na ngokuyintloko ukuchonga izifo kunokwenzeka ezondeleyo. Ngelo xesha xa abanye bayazi kakuhle zonke iingxaki zempilo abanye exacerbation ngexesha lokukhulelwa yesifo inokuba isimanga yokwenene. Yiloo nto obstetricians abaninzi ukucebisa ukuba bangenele uviwo lonyango ngokupheleleyo naxa isicwangciso umntwana.

Ingongoma elandelayo - ukumitha ngokwayo. Phambi extragenital kokuba zisonjululwe okanye contraindicated. Kwaye kwezi meko yokuqala neyesibini (umfazi ukuba wala ukupheliswa khulelwa) kufuneka ukuba babhalise yobungcali efanelekileyo kufuneka ukuya kububona ubuncinane 1 xesha ngenyanga nganye. Oku kuya kunceda ukuphawula imbonakalo ingxaki enokwenzeka kunye nya.

Ukongeza, amaxesha abakhulelweyo eziliqela ukunikela esibhedlele ekucwangciselwa yena. Akukho mfuneko ukuze babanikele ukuze ubakhusele imiphumela emibi bona nosana lwabo olungekazalwa.

Khanyisa ukukhulelwa yakho, abe sempilweni entle!