Kuchotsa mimba mobwerezabwereza: zoyambitsa zazikulu zisanu (ndi mayeso oti achitike)

Zamkati

• 1. Kusintha kwa chibadwa
• 2. Zovuta zamatenda
• 3. Endocrine kapena kagayidwe kachakudya kusintha
• 4. Thrombophilia
• 5. Zomwe zimayambitsa chitetezo cha mthupi

Kuchotsa mimba mobwerezabwereza kumatanthauza kupezeka kwa zisokonezo zitatu kapena zingapo motsatizana mosasamala za mimba isanakwane sabata la 22 la mimba, omwe chiwopsezo chake chimakhala chachikulu m'miyezi yoyamba yamimba ndikuwonjezeka ndi ukalamba.

Pali zifukwa zingapo zomwe zingayambitse kupezeka kwa kutaya mimba motsatizana, chifukwa chake kuyesedwa kwa banjali kuyenera kuchitidwa, mayeso azachipatala ndi majini ayenera kuchitika, ndikuwunika banja ndi mbiri yazachipatala, kuti mumvetsetse chomwe chimayambitsa vuto.

Kupezeka kwa kutaya mimba ndichopweteketsa mtima, chomwe chimatha kubweretsa zizindikilo zakukhumudwa ndi nkhawa ndipo, chifukwa chake, azimayi omwe amavutika ndikuchotsa mimba mobwerezabwereza, akuyeneranso kutsagana ndi katswiri wazamisala.

Zina mwazomwe zimayambitsa kutaya mimba mobwerezabwereza ndi izi:

1. Kusintha kwa chibadwa

Zovuta za chromosomal za fetus ndizomwe zimayambitsa kuperewera padera asanakwane milungu 10 ya mimba ndipo mwayi woti iwonso achuluke ndi zaka za amayi. Zolakwitsa zambiri ndi trisomy, polyploidy ndi monosomy ya X chromosome.

Kuyesa kosanthula kwa cytogenetic kuyenera kuchitidwa pazogulitsa kuchokera pakubweza kwachitatu motsatizana. Ngati kuwunikaku kuwulula zolakwika, karyotype iyenera kusanthula pogwiritsa ntchito magazi akutumphu azinthu zonse ziwiri za banjali.

2. Zovuta zamatenda

Zovuta za chiberekero, monga Mullerian malformations, fibroids, polyps ndi uterine synechia, zitha kuphatikizidwanso ndikuchotsa mimba mobwerezabwereza. Phunzirani momwe mungazindikire kusintha kwa chiberekero.

Amayi onse omwe amachotsa mimba mobwerezabwereza ayenera kuyezetsa chiberekero, pogwiritsa ntchito pelvic ultrasound ndi 2D kapena 3D transvaginal catheter ndi hysterosalpingography, yomwe imatha kuthandizidwa ndi endoscopy.

3. Endocrine kapena kagayidwe kachakudya kusintha

Zina mwa kusintha kwa endocrine kapena kagayidwe kachakudya kamene kangayambitse kupita padera ndi:

• Matenda ashuga:Nthawi zina, azimayi omwe ali ndi matenda ashuga osalamulirika amakhala pachiwopsezo chachikulu chotaya fetus kapena kupunduka. Komabe, ngati matenda a shuga amayendetsedwa bwino, sakuwoneka ngati chiopsezo chotsitsa mimba;
• Kulephera kwa chithokomiro: Monga momwe zimakhalira ndi matenda ashuga, azimayi omwe ali ndi vuto la chithokomiro chosalamulirika amakhalanso ndi chiopsezo chowopsa chopita padera;
• Kusintha kwa prolactin: Prolactin ndi mahomoni ofunikira kwambiri kusasitsa kwa endometrium. Chifukwa chake, ngati hormone iyi ndiyokwera kwambiri kapena yotsika kwambiri, chiopsezo chotenga padera chimakulanso;
• Matenda ovuta a Polycystic: Matenda a ovary a Polycystic adalumikizidwa ndi chiopsezo chowonjezeka chakuchotsa mimbayo, koma sizikudziwika kuti ndi njira iti yomwe ikukhudzidwa. Phunzirani momwe mungazindikire ndikuchiritsa polycystic ovary;
• Kunenepa kwambiri: Kunenepa kwambiri kumalumikizidwa ndi kuwonjezeka kwakukulu pachiwopsezo cha kutaya kwadzidzidzi kwa mimba m'nthawi ya trimester yoyamba;
• Luteal gawo limasintha komanso kuchepa kwa progesterone: Ntchito yogwiritsira ntchito corpus luteum ndiyofunikira pakukhazikitsa bwino ndikusamalira mimba kumaso kwake, chifukwa chofunikira pakupanga progesterone. Chifukwa chake, kusintha kwa kupanga kwa hormone iyi kumathandizanso kupezeka padera.

Dziwani kuti corpus luteum ndi chiyani komanso zokhudzana ndi mimba?

4. Thrombophilia

Thrombophilia ndi matenda omwe amachititsa kusintha kwa magazi ndikuwonjezera mwayi wamagazi wopangika ndikupangitsa thrombosis, yomwe imalepheretsa kuyika kwa mluza mchiberekero kapena kuyambitsa mimba. Nthawi zambiri, thrombophilia sichimadziwika pamayeso wamba amwazi.

Phunzirani momwe mungagwirire ndi thrombophilia mukakhala ndi pakati.

5. Zomwe zimayambitsa chitetezo cha mthupi

Pakati pa mimba, mwana wosabadwayo amaonedwa ngati thupi lachilendo ndi thupi la mayi, lomwe limakhala losiyana. Pachifukwa ichi, chitetezo cha amayi chikuyenera kusintha kuti chisakane mwana wosabadwa. Komabe, nthawi zina, izi sizimachitika, zomwe zimayambitsa kupita padera kapena kuvutika kutenga pakati.

Pali mayeso omwe amatchedwa machesi, yomwe imafufuza zakupezeka kwa ma antibodies motsutsana ndi ma lymphocyte a abambo m'magazi a mayi. Pofuna kuchita kafukufukuyu, magazi amatengedwa kuchokera kwa abambo ndi amayi ndipo, mu labotale, amayesedwa pakati pa awiriwo, kuti adziwe kupezeka kwa ma antibodies.

Kuphatikiza apo, kumwa mowa ndi kusuta fodya zitha kuphatikizidwanso ndi kuchotsa mimba mobwerezabwereza, chifukwa zimasokoneza mimba

Ngakhale nthawi zambiri zomwe zimayambitsa kuchotsa mimba mobwerezabwereza zimatha kudziwika, pali zinthu zina zomwe sizikudziwika.