Mvetsetsani chifukwa chake mafuta m'chiwindi ali ndi pakati ndiwofunika
Zamkati
Pachimake hepatic steatosis ya mimba, yomwe imawonekera mafuta m'chiwindi cha mayi wapakati, ndizovuta komanso zovuta zomwe zimawonekera m'gawo lachitatu la mimba ndipo zimabweretsa chiopsezo chachikulu kwa mayi ndi mwana.
Vutoli limapezeka makamaka pakubereka koyambirira, koma limathanso kupezeka mwa azimayi omwe ali ndi ana kale, ngakhale alibe mbiri yazovuta zam'mbuyomu.
Zizindikiro
Chiwindi steatosis pa mimba nthawi zambiri amapezeka pakati pa 28 ndi 40 sabata sabata la mimba, kuchititsa woyamba zizindikiro za nseru, kusanza ndi malaise, amene amatsatiridwa ndi ululu m'mimba, mutu, magazi m'kamwa ndi madzi m'thupi.
Pambuyo pa sabata loyamba la matendawa, chizindikiro cha jaundice chimawonekera, ndipamene khungu ndi maso zimasanduka zachikasu. Kuphatikiza apo, nthawi zina mayi wapakati amathanso kuthamanga kwambiri magazi ndikutupa mthupi.
Komabe, popeza zizindikilozi nthawi zambiri zimachitika m'matenda angapo, ndizovuta kuti mafuta azindikiridwe m'chiwindi koyambirira, zomwe zimawonjezera mwayi wokulitsa vuto.
Matendawa
Kuzindikira kwa vutoli ndi kovuta ndipo kumachitika nthawi zambiri kuzindikiritsa zizindikilo, kuyesa magazi ndi chiwindi, zomwe zimayesa kupezeka kwa mafuta mthupi lino.
Komabe, ngati sizingatheke kupanga biopsy chifukwa cha thanzi la mayi wapakati, mayeso monga ultrasound ndi computed tomography zitha kuthandiza kuzindikira vuto, koma sizimapereka zotsatira zodalirika nthawi zonse.
Chithandizo
Akangodziwika kuti chiwindi chodziwika bwino cha mimba, mayi ayenera kuvomerezedwa kuti ayambe kuchiza matendawa, omwe amachitika ndikutaya mimba kudzera pakubereka kwachizolowezi kapena kubisala, kutengera kukula kwa mlanduwo.
Akalandira chithandizo choyenera, mayiyo amakhala bwino pakati pa masiku 6 mpaka 20 atabereka, koma ngati vutoli silikudziwika ndikuchiritsidwa msanga, zovuta monga kapamba kapamba, khunyu, kutupa m'mimba, edema ya m'mapapo, matenda ashuga insipidus, kutuluka m'mimba kapena mimba ndi hypoglycemia.
Milandu yovuta kwambiri, chiwindi choopsa chimatha kuonekeranso asanabadwe kapena atabereka, ndipamene chiwindi chimasiya kugwira ntchito, kuwononga ziwalo zina ndikuwonjezera chiopsezo cha imfa. Zikatero, pangafunike kukhala ndikuyika chiwindi pambuyo pobereka, ngati limba likupitabe patsogolo.
Zowopsa
Chiwindi cha steatosis chitha kuchitika ngakhale mutakhala ndi pakati, koma zina zimawonjezera chiopsezo chokhala ndi vutoli, monga:
- Mimba yoyamba;
- Pre eclampsia;
- Mwana wamwamuna wamwamuna;
- Mimba yapasa.
Ndikofunika kuti amayi apakati omwe ali ndi zoopsazi azidziwa zosintha zilizonse zomwe zimachitika m'miyezi itatu yapitayi yamimba, kuphatikiza pakuchita chisamaliro chisanafike ndikutsatira mokwanira kuletsa pre-eclampsia.
Kuphatikiza apo, amayi omwe ali ndi chiwindi cha steatosis amayenera kuyang'aniridwa pafupipafupi m'mimba zikubwerazi, popeza ali ndi chuma chochulukirapo kuti athetse vutoli.
Pofuna kupewa zovuta panthawi yapakati, onani:
- Zizindikiro za preeclampsia
- Manja oyamwa atakhala ndi pakati akhoza kukhala owopsa
- Matenda a HELLP