Usulelo lwe-intrauterine: yintoni omele ulindele kwaye yintoni oyenzayo

Umfazi ngamnye okhulelweyo kwi-trimester yokuqala kufuneka ahlolwe, ebonisa ukuba kukho izifo ezithathelwanayo, ezichaphazela kakhulu ukuphuhliswa komntwana. Kodwa, ngelishwa, akuyena wonke umntu owaziyo ukuba yingozi kangakanani i-agents ezichaphazelayo ukuba zibe ngumntwana ozayo.

Kwiminyaka elishumi edluleyo, kuye kwaba khona umgangatho ocacileyo ekunyuseni kwintsholongwane ye-intrauterine ekhokelela ekufeni kwe-fetus. Ngokomlinganiselo wolwazi, ngokuqhelekileyo, i-45% yabo bonke abafazi abaneminyaka yobudala yokubeletha banesifo se -herpes simplex kunye ne-cytomegalovirus ngexesha loviwo. Ku-55% yabasetyhini abaqhelekileyo i-microflora ifunyenwe.

Yintoni isifo sengqondo?

Usulelo lwe-intrauterine luyisifo esivela kumama ogulayo kuye kumntwana ngexesha lokukhulelwa okanye ukubeletha. Into ephambili yokubangela isifo esingasasigxina kunye nesifo se-pelvic.

Usulelo lwe-intrauterine luya kuba yingozi ngokuxhomekeka kwithuba lokukhulelwa, iimpawu zokuzikhusela, imeko ye-fetus kunye nohlobo lwesifo. Ingozi enkulu ivela kusuleleko olususuleleko sulelo, kuba Umzimba womama awukwazi ukujamelana nesi sifo.

I-pathogen eyona nto ebangela ukukhula kwe-fetal developmental fetal isifo esiyi-SARS, esibandakanya i-rubella (R), i-toxoplasmosis (To), i-herpes (H) ne-cytomegalovirus (C).

Izifo ezidluliselwa ngesondo (STDs) ezibandakanya i-chlamydia, ureaplasmosis, i-gonorrhea, i-microplasmosis kunye ne-trichomoniasis, xa kuthelekiswa ne-SARS-complex, ayibangeli umonakalo omkhulu we-fetal intrauterine.

Ukongeza, i-HIV, i-hepatitis (C no-B), i-syphilis yingozi enkulu yengomso.

Iimbangela zokusuleleka koomntwana

Isizathu esibalulekileyo sentsholongwane ngumama ogulayo. Nangona kunjalo, kukho ezinye iindlela zokusuleleka:

• Ngexesha le-biopsy ye-placenta (i-placentocenter)
• Ngethuba lokupasa xa uthatha i-amniotic fluid (amniocentesis)
• Xa ilawulwa kwiinqanawa zamalungiselelo e-placenta
• Iinkqubo ezahlukeneyo zokupanda ukuhlola imeko yomntwana okanye i-placenta

Iindlela zokusuleleka Fetus

1. Ukwenyuka komendo wesifo. Iibhaktheriya ezinobungozi ziphuma ukusuka kwisisu ukuya kwisibeleko, apho zifaka khona iimbumba ze-amniotic kunye namanzi. Usulelo luyakwazi ukusasazeka kumlingane osetyhini osulelekileyo.
2. Indlela ephantsi yokusuleleka ngusulelo kwisisu esiswini esiswini. Oku kungabangelwa i-abscess ovarian or appendicitis.
3. Indlela engaqhelekanga. Kwimeko apho kuninzi inani leebhaktheriya okanye iintsholongwane ezithintekayo kwigazi lomama, usulelo luvela ngegazi kunye nemithambo yegazi.

Diagnostics

Usulelo lwe-intrauterine lufunyaniswa kokubili ngexesha lokukhulelwa, kwaye emva kokuzalwa komntwana. Indlela eyona nto evumela ukuba ukuchonga ubukho bezilwanyana-mzimba kuhlolwe umfazi okhulelweyo. Ukufunda ngegazi, umchamo, umsila kunye nomlomo wesibeleko, kubonisa ubukho be-immunoglobulins (G no-M) obonisa ukuphindaphinda okanye isifo sobungozi.

Incwadi encinci ye- immunoglobulin G ibonisa ukugonywa kwangaphambili kumfazi okhulelwe (oko kukuthi, isifo esinyanga okanye esichengisiweyo). Ukuhlanganiswa kwezihloko zeG okanye ukubonakaliswa kwe-immunoglobulin M kubonisa intsholongwane ephindaphindiweyo yowesifazane okhulelweyo.

IgG-gM- - ibonisa ukungabikho kwezifo

IgG + gM- - akukho ukhuseleko kwisifo esedlule

IgG-gM + - usulelo olusisiseko

IgG + gM + - kwakhona, kunye nokusuleleka kwintsholongwane, ukuphuhliswa kwe-immunity

Emva kokubeletha, umntwana osandul 'utsha uthabatha igazi, i-meconium, umchamo kwaye, ukuba kuyimfuneko, iimvavanyo ze-cerebrospinal fluid. Ukufumanisa i-agent ye-causative yesi sifo kuvumela ukucaca ukuvalelwa kwintsholongwane yemithi, echaphazela ukuba unyango olungaphezulu lomntwana.

Impembelelo kumntwana

Akukho mfihlelo yokuba ukusuleleka kwe-intrauterine kunokukhupha isisu okanye ukukhulelwa kwangoku ngexesha elifutshane. Oku kungakho ngenxa yeziphene eziphuhlisayo okanye uphuculo lwe- uterus.

Ukongezelela, ukusuleleka kwintsholongwane ye-fetus kungabangela umonakalo omkhulu kwizicubu kunye namalungu: ukuvuvukala kwemiphunga, isibindi, isisu, isisu, ingqondo, njl. Kufuneka kuqatshelwe ukuba umntwana osanda kuzalwa izifo zithethwa ngakumbi kunomntu omdala.

Kufanelekile ukukhumbuza ukuba inkambo elula, engabonakaliyo yesi sifo kumama, inokulimaza ekuphuhlisweni komntwana.

Kwizigaba zokuqala (ukuya kwiiveki ezili-12) ukusuleleka kwe-intrauterine, nemiphumo engabonakaliyo, inokubangela ukufa komntwana. Kwimimiselo kamva, i-pathologies enamandla iyakhula, umzekelo, ukuqokelela kwamanzi kwiingqondo. Ukuba isifo senzeke ngaphambi kokuzalwa, usulelo lubonakalisa ngeveki yokuqala emva kokuziswa.

Usulelo lwe-intrauterine lubangela ukungakwazi ukubeka amanzi : ukuhanjiswa kwe-oksijini kunye nezondlo kuphazamiseka, ukuveliswa kwama-hormone onoxanduva lokugcina ukukhulelwa kunciphisa kwaye izakhiwo ze-antimicrobial zeplascenta ziyancipha.

Yintoni endiyenzayo?

Ukufumanisa kwangaphambili intsholongwane kunokunciphisa umngcipheko wokusasazeka kwayo, ukugcina ukukhulelwa nokuzala umntwana onempilo. Ukuthintela usulelo lwe-intrauterine, unyango lwe-antibiotics lusetyenziswa, oluqhutywa kwi-trimester yesibini. Iziyobisi ezichasene ne-antibacterial, ezibekwe ngugqirha, zinokunciphisa umngcipheko wokusuleleka kunye nokukhusela umonakalo owenzayo kumntwana ongakazalwa. Nika izidakamizwa eziphucula ukujikeleza kwegazi, ukutya okunomntwana kunye nokunciphisa ithoni ye-uterine.