Gestational pyelonephritis nepamuviri. Mabatirwo gestational pyelonephritis

Panguva pamuviri, vakadzi vakawanda zvoutano akadai gestational pyelonephritis. zvokurwara ichi kunoitika nokuda chirwere ari itsvo. Kuzvimba achiperekedzwa anorwadza nezvekufadza. Vakadzi vashoma vanotsvaka yakakodzera kurapwa, kutya pakukuvadza kunoita zvinodhaka ari mudumbu. Kutaura zvazviri, kuregeredza ichi kunogona kukanganisa mwana.

tsananguro

Pyelonephritis - chinhu kushoma munyika itsvo inoita kuti somugumisiro chirwere. Women panzvimbo vane susceptibility zvikuru kuti chirwere nokuda murombo chokubuda weti uye pinched chiutsi chiteshi kukura dumbu. Pyelonephritis kwakaratidzwa unopinza kuwedzera kupisa, kurwadza kusagadzikana mune lumbar nharaunda. Kuti tirwise chirwere, vanachiremba kazhinji vanokurudzira inorwisa mabhakitiriya. With kurapwa ane pamuviri vane mukana wokuva mwana ane utano hwakanaka.

Chii chakasiyana gestational pyelonephritis? Kana pamuviri iri kuwedzera zuva roga roga kuti dumbu anoisa kumanikidza akapoteredza nhengo. Kakawanda ini pinched pachangu ureter. Ndicho kupa weti runoyerera kubva itsvo kuti dundira pachayo. Tava kuderera muitiro chinokurwadzai ayo kurega kunotanga uye itsvo nedumbu. ezvinhu akadaro runowanzoitika pamuviri. Dzimwe nguva achishandisa dundira utachiona chinopinda kupinda itsvo, uye varombo water drainage wenyika Urume nyasha izvi.

Kana amai vane pamuviri asati pamuviri pyelonephritis akaonekwa mune chirwere chimiro, uye ikozvino kwakasimbiswa gestational, mukana yematambudziko zvakakwirira zvikuru. Vakadzi vakadaro vanofanira kugara muonekwe chiremba uye zvakasimba kutevera mitemo yayo yose.

Kupatsanura pakati gestational pyelonephritis

The chirwere chinogona kuitika chero trimester pamuviri, mwana mumugariro kunokwanisa kuonekwa chaizvo kashoma. Kazhinji zvokurwara ikabuda yokutanga hafu nguva. Vanamazvikokota vakawanda vanoti ichi kuti muviri hatigoni nokukurumidza ajairane ezvinhu matsva.

Govera chenjera uye chisingaperi chimiro chirwere. Kakawanda munguva pamuviri pane shanduro chirwere, izvo zvinogona kuonekwa achishandisa maitiro kuchinja Zvinoumba weti wechipiri. Iye zvakaoma kurapwa, uye mune zvimwe zviitiko ndicho chikonzero kugumiswa pamuviri.

Gestational yakakomba ingabatanidza pyelonephritis rinowanika kudhaka rakasimba muviri, asi kwete kukanganisa upenyu mudumbu mukati mudumbu. Chero zvazvingava, kurapa chirwere ichi anofanira akaswedera pamwe chakazara kukomba. Chirwere pane mavhiki 16-24 pamuviri, pasinei magetsi chimiro, anogona zvikonzere kubva kwepamuviri.

Doctors wo oga nesekondari pyelonephritis. Muchiitiko chokutanga, hosha kunoitika pazuva pakanyorwa zvakanaka, kureva, pasina preconditions pamusoro mamwe nenhengo dzawo. Second musiyano wezvinyorwa chirwere inozivikanwa nokuvapo purulent pfungwa iro skid utachiona kwete chete itsvo, asiwo mapapu uye nhengo dzakavandika zvevakadzi. Unopinza Kuipa utano unogona kutaura pamusoro pokumuka septic ezvinhu.

The kupatsanura chirwere chinobata chete pakusarudza nzira uye dzokurapwa matanho. pathogenesis Its rinoramba zvakafanana nguva dzose.

The kukonzera chirwere

Mukadzi ane pamuviri kumativi kuguma wokutanga trimester ropa estradiol wevasungwa inowedzera zvikuru, uye progesterone mumatunhu. Izvi hormone kuchinja kukanganisa tonus ari dundira tsandanyama, nemikombe uye chiuno itsvo. weti kuyerera iri kuderera, pane reflux. kuchinja zvose izvi zvinowedzera muedzo kuwedzera kukura dumbu pamusoro Urinary turakiti, pane kurega kunotanga. muenzaniso kwakadaro zvinobatsira kuti kupinda pakati utachiona uye kwavakazoita kubereka. Utachiona (Streptococcus, Proteus, enterococci) vari zvishoma nezvishoma vachamutsirwa pachiyero renal uye vakandizvidza kuzvimba yavo.

Gestational pyelonephritis chirwere panguva pamuviri hakusi nguva dzose. Zvikuru kukosha ndiwo: rokuzvidzivirira mukadzi, munhu wacho hormone kusiyana. Nyanzvi ziva zvinoverengeka muve kukura chirwere:

• Vasati pamuviri bacteriuria.
• Reflux.
• Abnormalities etsvo uye dundira chokuziva chechetere.
• Chisingaperi zvirwere.
• Urolithiasis.

Uyezve, pasi zvimwe zvinoita zviri pamuviri (wakamanikana chiuno, polyhydramnios, muchero guru) pangozi pyelonephritis iri yakawedzera kakawanda.

Ndezvipi zviratidzo zvinoratidza zvokurwara?

1. zvichemo Vakadzi vazhinji vari kazhinji ndisipo, uye Kumwe kuchinja kunotanga aonekwa panguva Murabhoritari kuvhenekwa (masero machena eropa uye utachiona vari weti). Kana Dyara Kazhinji pakutsvaga kukurumidza kuwedzera E. coli, dzinenge - aureus.
2. Gestational pyelonephritis vakadzi vane pamuviri angaperekedzwa kurwadziwa mukati lumbar nharaunda, kusagadzikana kunowandawo pamwe kwenguva refu kugara netsoka dzako.
3. Panguva exacerbation tembiricha inokwira.
4. Kuita weti kakawanda Ndiwo dzose pamuviri. Kana pyelonephritis zvido angava zvinokosha, uye kurwadza kwazvo weti.
5. Kakawanda zvirwere kwomwedzi - cheBP.
6. mumatenhere makumbo vakadzi rehurumende anonzi chakaipa. Hakusi nguva dzose chokuita zvokurwara nezvezvimwe zvinetso zvedundira. Zviratidzo kwakadaro zvingaratidza kuvhiringidza venous water drainage. Kuzvimba mu pyelonephritis kazhinji kunowedzera, pane puffiness chiso.
7. Nomusoro, kurukutika, kunzwa simba mangwanani - zvose zvinhu izvi chete mukwanisi zviri kunotoda mufananidzo.

The pyelonephritis ndiyo ngozi kuvakadzi pamuviri?

chirwere ichi ndicho gestational pyelonephritis, zviratidzo izvo dzatakurukura kumusoro, kwaita anopinda mudzimai pamuviri pangozi. Sei? Kushoma mumuviri kunowedzera mutoro kumwoyo neitsvo. Muna 30% vakadzi vane chirwere kuva preeclampsia (toxemia vachangobva).

In ichi yekudyidzana kuipa ropa kuparadzirwa munzvimbo itsvo, uropi, placenta. Ropa anova mikobvu, okisijeni mairi kunoderedza. izvi zvose zvinoratidzwa muviri mamiriro azvarwa uye mukadzi.

Huru Migumisiro zvinosanganisira zvinotevera unyanzvi ari chirwere ichi:

• Kutyisidzirwa dzongonyedzo - vakawanda kuomesa kwakaita gestational pyelonephritis.
• Rokusamhanyira pakuberekwa.
• Multiple kubuda ropa.
• Placental abruption.
• Kupererwa neropa.

Nezve kuomesa kunonyanya kubva kwokuomerwa kuzvimba uye nenguva kurapwa nachiremba.

Gestational pyelonephritis mu nhumbu: migumisiro pamusoro azvarwa

Kushoma munyika itsvo kazhinji ane zvainoita mwana ari mudumbu. The chirwere kushaya okisijeni uye zvinokosha zvinovaka muviri kunoguma zvokudya zvinovaka muviri ari mudumbu. Izvi zvinoreva kuti mwana anozvarwa simba uye zvishoma uremu. Inenge hafu kacho vanachiremba vanoti hypoxia. Muna 30% yevakadzi vane chirwere ichi vanozvarwa rokusamhanyira vacheche.

Zvimwewo yematambudziko zvinowanzoitika: hypothermia fetus intrauterine chirwere, asphyxia apo CNS.

kuongorora chirwere zvirwere

Anokosha uye anodzidzisa muedzo chirwere ichi ndicho weti bvunzo. Kuvapo kuzvimba kunoratidza vakawanda leukocytes, kuvapo pathogenic zvipenyu, chimiro mapuroteni.

Ropa zvinogona kuva zviratidzo zvirwere (zvibereko leukocytes uye ESR). Kuziva mhando utachiona kuti akaparirwa chokutsva, chiremba anotakura weti tsika pamusoro kasvisto uye aikanganiswa zvimwe nemishonga. Maererano migumisiro ichi bvunzo nyanzvi anogona mishonga kuti akakodzera kupiwa mukadzi.

Uyewo, chirwere kunosanganisira vakabata Ultrasound. Pamusoro kuongorora kazhinji zvinoratidza dzakawanda zvikamu rokuwedzera uye kuwedzera itsvo nhego hukuru. Chiremba anofanira hazvo nechokwadi chokuti gestational pyelonephritis haina vakafungisisa mamiriro mwana mukati mudumbu. Kuti aite izvi, ndipe fetus Ultrasound, CTG uye Doppler.

How kubata pyelonephritis vakadzi vane pamuviri?

Kana amai vane pamuviri vakaona zviratidzo chokuita kuzvimba itsvo, vanofanira pasina kunonoka kutsvaka rubatsiro kubva chiremba. Panguva Chaiyo chirwere uye unhu kurapwa kunoderedza ngozi kanganisika fetus, kudzivirira kubata pamuviri.

Chekutanga vakadzi vose vanokurudzirwa kuti anonzi positional kurapa. It ndehwokuti kuderedza compression pamusoro ureters uye kumhanyisa pakati aibuda weti. Vanaamai pamuviri havasi varumbidzwa kurara kumusana kwake, nani kusarudza nezvechisarudzo kurutivi rworuboshwe. Masikati, chinofanira kutora Belvedere chinzvimbo uye kuramba kuti chinzvimbo kwemaminitsi 10. Panguva ino, unogona kuverenga bhuku, kushanda pakombiyuta kana kutamba mwana akura.

Mabatirwo gestational pyelonephritis kunosanganisirawo kuchinja kunwa hwechiKomonisiti. Kana pasina chakakomba edema uye BP, uwandu emura zvaparadzwa rimwe zuva unogona ngazviwedzerwe kusvika maviri matatu litres. Izvi zvinogona rakajairika dzisiri carbonated mvura, michero kana mondo. Kubva simba tea kofi nani kwekanguva kurega.

Vazhinji miti diuretic panguva pamuviri iri zvachose contraindicated. Zvinonzi rambidzwa kushandisa bearberry, licorice, parsley. Best kunwa cranberry / cranberry muchero kunwa, bika Birch mashizha. A godsend chaiye vakadzi vazhinji vari hurumende pamwe chirwere chakadai - munhu decoction pamusoro oats. chokushandisa ichi hazvirevi kuwedzera mataurire dumbu, asi ane Anti-anogumbura chiito uye chinonditadzisa kupatira. Nokuti gadziriro yayo anofanira kutora girazi zviyo, dira fő mvura, akabika zvinyoronyoro kwemaawa anenge maviri, ipapo wopedza. Decoction inofanira wakanwa katatu pazuva pamberi chaiko kudya.

Ndezvipi zvinodhaka vave chiremba?

Zvipatara gestational pyelonephritis zvinosanganisira antibacterial uye Anti-anogumbura kurapwa. Kushandiswa inorwisa mabhakitiriya akawanda uye vamwe uroseptikov panguva pamuviri iri zvachose contraindicated, izvo zvinoomesa zvikuru kusarudza zvinodhaka. Chero zvazvingava, mazano ari pakurwisa zvirwere ichi anosarudza chiremba ari muchipatara, mutemo unoti sezvo vakadzi vose vari muchipatara kuongorora chirwere ichi.

In wokutanga trimester placenta anonzi chipingamupinyi basa inowanzopiwa asina vanowanika kusvikira pakuguma. Panguva ino, pane chinokosha padanho Bookmarks mikuru mugadziriro mwana, saka kubata zvinodhaka ndiko kunaka. Kana kuchinja aonekwa chete ari kuongorora weti, kazhinji, achakwanisa kutirambidza pamusoro audzwa. Kana basa kuzvimba, icho pamwe nefivha uye marwadzo, zvinonzi vakabvumirwa kushandisa penicillins (zvinodhaka "amoxicillin", "Amoksiklav").

Kubva chechipiri trimester kubvumirwa cephalosporin nemishonga ( "Supraks", "Cefazolin"), macrolides ( "Vilprafen" "Sumamed"). On mumwedzi wechishanu rinoreva "Gentamicin 'rinoshandiswa (pamwe chinoshingaira kushoma) ndiyo kunoparirwa mushonga.

Treatment gestational pyelonephritis anobvumawo munhu disintoxication kurapa, kushandisa vhitamini zvivako uye sedatives. Pfungwa iri rwakabhadharwa kuna kudzivirira fetus hypoxia. Mune chenjera vanofanira kudzorera weti aibuda kuburikidza anobudisa mushonga zvishoma nezvishoma uye ureteral stenting.

Chii anofanira kuchinja mune zvokudya?

Pfungwa iri rwakabhadharwa kuna pakurapa zvirwere zvokudya ane pamuviri. Doctors vanokurudzira kuti asava chenjera (inonhuhwira, gariki, hanyanisi) uye pickled zvigadzirwa (wemagaka, madomasi, howa). Kwenguva yakati, ndine kurega kofi zvinorambidzwa zvachose doro.

Kuti tidzivise mvura chengetedzo mumuviri, vanachiremba vari zano kuderedza munyu rinodyiwa. rutsigiro Izvi ndezvechokwadi kunyanya vakadzi vane cheBP.

Diet nokuti gestational pyelonephritis zvakasiyana vhitamini hunhu. Vakadzi vanofanira kuva tikwanise adye michero nemiriwo yakawanda avo mbishi chimiro, ndivaite muto. A sarudzo yakanaka vanoonekwa nomukaka zvigadzirwa (yakaderera-mafuta koteji chizi uye yakashapa ruomba). Panguva kupora Kudya kunofanira Siyanisai meatless mapuroteni mishonga (kuti munyu-mvura hove, huku zamu).

matanho

Kudzivirira kukura gestational pyelonephritis, vanaamai pamuviri zvikuru kuti zvinosanganisira wako zuva nezuva mashoma pfungwa:

1. Mwero kurovedza muviri. Doctors vanokurudzira kuti nokumbofamba ose zuva (anenge 1 awa).
2. Special muviri kuvakadzi vane mimba. Nhasi, mitambo dzakawanda nzvimbo vachiitisa zvidzidzo vakadzi rehurumende, nokuda iyo kunosimbisa shure tsandanyama uye anovandudza mataurire zvose zvomukati hurongwa.
3. With nhoroondo zvirwere nezvezvimwe zvinetso zvedundira zvakafanira kuchengeta chaiwo kudya, kunoita aibuda weti.
4. Zuva inokurudzirwa kuti tikanwa zvinwiwa zvakawanda.
5. Empty dundira inofanira kuva maawa kanenge kamwe ose matatu mana.

Nyatsotarisira pachavo utano hwavo uye kudzivirirwa gestational pyelonephritis - rubatso kuberekwa mwana zvakanaka. hakufaniri kuregwa sechinhu achinyengera chirwere. Kana kutanga zviratidzo vanofanira kuona chiremba uye kutora zvose matanho anodiwa kuti kubvisa chirwere. Stay utano!