Kupfupfudzika mukutanga pamuviri: hunokonzera, chirwere, dziviriro, kurapwa

Pamuviri - hazvina chete dambudziko panyama mukadzi, asi tsika imwe. Chikonzero ichi, nyaya inotevera rakanga rakanyorwa sezvo mashoko akawanda pamusoro nechirwere, hunokonzera, zviratidzo, kurapwa, uye kudzivirira vaingoerekana pamuviri.

Pamuviri mukutanga pamuviri - iri zvikuru, uye zvinonzwisa tsitsi, zvakajairika mazuva. Maererano nenhamba, mukadzi mumwe nomumwe worusere pamuviri iri wakagumiswa mukati vokutanga gumi mavhiki. Vazhinji vavo vari kuenda kuburikidza kupfupfudzika vasingazvizivi vakanga pamuviri. Uye vamwe inobvira kufirwa mudumbu richiti nechekare nomusi wokutanga akabvunza uye zano kuenda kuponesa.

Mishonga pamuviri ichaongororwa mudukusa nezvainoita okubereka nerevane utano womukadzi. Zvakakosha kuti usatadza wava.

Kugumiswa pamuviri hazvigoni kuonekwa mukadzi tanga. Kunonosa anongonzi debited pamwedzi kunonoka, uye ipapo kunonyengedza ropa kunotanga, izvo pamwe nokunzwa marwadzo. Kana embryo iri zvizere panze, kubuda kweropa uye kurwadziwa amira, mukadzi uyu mhosva kuzotadza kuziva akanga ava nepamuviri.

Kana mudumbu haasi zvachose chii chiri kukonzera kubuda ropa kwenguva refu, vakadzi vanowanzoyemura pedyo nyanzvi anoti kubva kwepamuviri. vanachiremba Most kudzorera hadzi muviri, pashure zvakadaro chiitiko waakaudzwa zvokurapa kurapa.

zvikonzero

The zvinokonzera kubva pamuviri angava sezvinotevera:

• Hormone kukundikana.
• Genetic abnormalities.
• Zvirwere zvinotapuriranwa.
• Kusapindirana kweropa chikonzero.
• Mishonga.
• Injury.
• Kubvisa Pamuviri kare.

Kutyisidzirwa kugumiswa pamuviri yechipiri trimester yekudyidzana ipfupi. Maererano nenhamba, yechipiri trimester kupfupfudzika kunoitika chete ose mashanu vakadzi.

Saka, isu funga zvakadzama pamusoro apa zvinokonzera kubva pamuviri.

hormone kukundikana

In hadzi hormone pakati nepakati chinhu chinodiwa kuti chakaipa pamuviri rikurumidze. Mune zvimwe zviitiko, kukundikana hormone kumashure kunogona Kuparara. Nyanzvi kuona progesterone sezvo hormone chinokosha chinodiwa kuchengetedza pamuviri. Kana kuishaya yakawanikwa nenguva nenzira, vakadzi vari ushandiswe kemikari muchimiro mishonga, semubairo ari mudumbu anokwanisa kuponesa.

Mukuwedzera, kuchengeteka mudumbu zvakunoita androgen mwero. With overabundance kwavo mumuviri mumwe mukadzi pamuviri kuchititadzisa kugadzirwa inonzi estrogen uye progesterone, uye zvakare kutyisidzirwa nokupfupfudzika.

zvirwere

In kugadzirira pamuviri, mumwe mukadzi anofanira kutora zvose iripo kurapa echirwere zvirwere. Uyezve, Zvinokurudzirwa kudzivisa zvirwere zvinotapuriranwa. Pashure pezvose, kana anopinda munhukadzi muviri ndiwo causative anogona kuwedzera tembiricha kwazvo, kuti nemiwo vakamutsa kusvodza mumiririri.

A vakaparadzana njodzi kuti mudumbu muri nezvirwere kuti kuburikidza kurara kuonana. Saka, vabereki ramangwana kugadzirira pamuviri inofanira firimu uye miedzo kuti zvirwere izvi. Nokuti uyu mhando kutapukirwa rinokundwa mudumbu kuburikidza neropa, kazhinji, kuvapo zvokurwara uye chirwere kubva kwepamuviri.

nemagene abnormalities

mugove kupfupfudzika ose weshumba kuitikira chikonzero ichi. Doctors vanodana nhamba kuti 73% of nhamba. Munyika yanhasi, chinhu ichi anobatsira rakakura basa. Substandard zvigadzirwa, radioactive hutachiona, yakasvibiswa zvakatipoteredza - zvose mabasa aya zuva nezuva munhukadzi muviri.

Muna nhasi, vachigadzirira pamuviri, vakadzi vazhinji vanoedza kusiya ruzha guta chakasvibiswa uye vanopedza iyoyo kupfuura zvakakodzera kwezvakatipoteredza. Pasinei chokwadi kuti izvi zvinhu hazvisi nyore kubvisa, chokuita kunotouraya vavo havana vaiona nhaka, rinotevera pamuviri kunogona kubudirira.

kusapindirana kweropa chikonzero

chinhu ichi ndiyo inenge nguva chinokurwadzai pamuviri kare mukutanga nezvishoma. Nokuda kwechikonzero ichi, kana mukadzi ari kusapindirana kweropa kunaka uye munhu - yakanaka, izvi zvinogona pave nekukurukurirana Rhesus-kupesana uye, sezvo zvakaguma nokupfupfudzika.

To musi, mushonga akadzidza kukurira dambudziko iri kuburikidza pakatanga munhukadzi mutumbi progesterone. Saka chibereko kudzivirirwa kubva vanotyaira hadzi zvirwere. Zvisinei, muchiitiko ichi, dambudziko angamuka kusvodza.

mishonga

Nyanzvi vanokurudzira panguva ino kudzivisa mishonga, kunyanya tanga. Zvakakosha kubvisa analgesics zvose uye mahormone. Chinhu chisingadiwi kushandisa uye chevarwere Quick kuti varipo pakugadzira Hypericum, yorukato, cornflower uye parsley.

zvinoshungurudza

Sudden kurwadziwa, kukakavara mumhuri, kana mupfungwa pabasa - izvi zvinokonzera ose nokupfupfudzika mukutanga pamuviri. Zvinofanira kushoma kana, kana zvichibvira, kudzivisa zvinoitwa izvi zvinhu. Basa rinokosha mukusika dzakadekara zvakatipoteredza mukadzi ndohwavo murume. Kana usingagoni kudzivisa kuitwa kunetseka zvikonzero, vanachiremba ipapo varayire runyoro kunyaradza zvinodhaka.

pernicious miitiro

Kunyange asati pamuviri, unofanira kurega nokutora doro uye kusvuta. Kusvuta anogona kukanganisa kumwoyo ari mudumbu. Zvinokurudzirwa kuvaka coherent hurongwa utano nokudya, aine kutaridza zvinokosha mamineral mavhitaminzi. Zvinokoshawo kuti kuchinja hurongwa zuva.

kukuvara

Kuwedzera pamusoro apa zvinhu, kupfupfudzika mukutanga pamuviri kunogona kukonzera simba kuvhunduka, inodonha, kana kusimudza zvinhu. Naizvozvo zvakafanira kuti kuita kunonyanyisa nokungwarira.

Pamuviri kare

nharo iri kwete chete kushandiswa kutyisidzira vakadzi vaduku, asiwo chaicho chinhu matambudziko mune ramangwana. Mune zvimwe zviitiko, kubvisa pamuviri kunogona kusabereka uye chikonzero idzokororo kubva kwepamuviri.

diagnosing

Pamuviri - ndiwo multifactorial chirwere umo varwere vakawanda izvozvo unobatanidzwa multiple utachiona panguva imwe chete. Nokuda kwechikonzero ichi, varwere zvatichaongorora kuva nzwisisika uye zvinosanganisira ano zvose rabhoritari yacho, richishanda uye sokuora nzira.

In weboka muongororo kwete chete akasimbisa zvinokonzera kubva pamuviri, asi vakafunga mamiriro dzokubereka nadzo zvimwe kudzivisa panowanikwa ezvinhu akadaro.

Rucherechedzo pamberi pamuviri

Nhoroondo zvaisanganisira kuvapo somatic chakagadziridzwa, kenza, masero zvirwere uye neuroendocrine abnormalities. Gynecological nhoroondo kunotibatsira kuona pamberi chaikonzerwa noutachiona, anogumbura zvirwere nhengo dzokubereka nadzo, kunyanya kumwedzi uye dzokubereka mabasa (kwatangwa pamuviri, mwana, pamuviri), dzokurapa nezvimwewo kuvhiyiwa, gynecological chirwere.

Munguva kurapwa kuongororwa akaita ongororo, tinyatsonzwisisa ganda, thyroid, uye ukuru kufutisa, zvichienderana ine indekisi body mass. Maererano girsutnogo akatsunga mwero hirsutism, inofungidzirwa mamiriro nhengo dzomukati, uyewo pelvic hweHIV. Kusavapo kana pamberi ovulation, ari kushanda mamiriro ose ovaries vakaongorora Maererano kumwedzi karenda netembiricha rectal.

Laboratory uye richishanda nzira kuongorora

Chirwere kubva pamuviri rinoumbwa zvinotevera zvidzidzo:

• Gisterosalpinografiya - kunze pashure kuenda kumwedzi kwemazuva 17-13, anobvisa intrauterine adhesions, malformations ari dumbu, nezvaCin.
• US - anoona kuvapo adenomyosis, cysts, uterine fibroids, anoyera chinzvimbo pakati ovaries. Akajekesa endometrial hyperplasia isiri yekenza endometrial polyps, chisingaperi endometritis.
• Chirwere kuongororwa - kunosanganisira nemaziso kuongorora kusangana nekutsi kwemukadzi swabs, urethral, endocervical uye bacteriological kuongorora remuromo Canal zvirimo, PCR Diagnostics, ongororo mutakuri utachiwana.
• Hormone kudzidza. Musi chechi5 kana 7th zuva kutenderera ezvinhu dzose varikutsika vakadzi vane oligo-amenorrhoea uye - musi pamamiriro zuva. Kutsunga mukati 17 oksiprogesterona, Dhea-sulfate, cortisol, testosterone, FGS, LH, prolactin. Progesterone inogona kutsunga chete varwere wenguva dzose kutenderera: rokutanga chokutambudzika kutenderera kwemazuva 5-7 ari danho rechipiri iri kutenderera - pa 6-7 akamuka zuva rectal tembiricha. In vakadzi adrenal hyperandrogenism vakatakura bvunzo duku dexamethasone yokuziva Zvakanyanya Kunaka Panguva Yepamuviri kuchirapa dose.
• Kuti tizive ngozi yokubva pamuviri yakakura, zvakakodzera kuona pamberi cardiolipin antibodies, Anti-hCG uye kuongorora zvaidiwa hemostasis hurongwa.
• Nokufungirana pamusoro endometrial zvokurwara uye / kana endometrial zvokurwara rinoitwa kutongwa hysteroscopy chirwere curettage.
• Nokufungirana kuti adhesions kunetseka vari chiuno duku, zvikwepa zvokurwara, endometriosis, panguva skleropolikistoznyh ovaries uye dumbu myoma dzakaratidza ishande laparoscopy.
• Kuongorora varume kunosanganisira kuziva nhoroondo nhaka, yakawedzera urume pachisara pamberi somatic uye neuroendocrine zvirwere, uye kunatsiridzwa pamusoro anogumbura uye zvirwere zvinhu.

Mushure waona kukonzera vanongogara zvinoguma nokupfupfudzika zvinokonzera, akagadza kunzwisisa kuti kuchirapa matanho.

Ongororo panguva pamuviri

Zvokuongorora nokuti Pregnancy kunofanira kutanga pakarepo pashure parinowanika, uye inoitwa zvinotevera zvokutsvakurudza nzira:

• Kutsunga Dhea uye Dhea-sulfate.
• Periodic Kutsunga hCG muropa.
• Ultrasonic kushanda pakuvheneka.
• Kana zvakakodzera, zano ane chiremba uye wepfungwa.

dziviriro

Maererano Statistical umboo kakawanda kuti vaingoerekana kubvisa pamuviri 1 muna 300 nenhumbu. Pasinei nokuti ndingangokuvara nokupfupfudzika shoma nokuwedzera nguva, nhamba yacho kumativi 30% rokupedzisira trimester. Uyewo, kakawanda zvinoitika kuti vakurumidze kubereka uye kupfupfudzika vakadzi kuitika kakawanda. Somugumisiro, chirwere - vanongogara kupfupfudzika (kurapwa ichakurukurwa pazasi).

The zvinokonzera chirwere ichi vari zvakasiyana-siyana kakawanda kuti vakurumidze pakukurukura kana kupfupfudzika kunokonzera yavo yakaoma yose. Zvisinei, chiito wavo anogona kunge sequential kana mawa. Mukadzi ane basa rinonetesa pavanoparidza huta uye mumuviri zadzisa kana yakaderera socio-oupfumi, kwaita anopinda ngozi.

Uyezve, zvinoita kuti vawedzere mukana wokuti zvokurwara, vanofanira zvinosanganisira chirwere cheshuga, hosha yeitsvo, asima, cardiac uye vascular zvirwere, kugara kudhaka zvinodhaka, doro, fodya utsi. Kana mukadzi ane pamuviri yematambudziko kana kuremerwa nhoroondo obstetrical, uyewo rinoreva zvinhu zviri pamuviri kana kupfupfudzika kwepamuviri pangozi. Zvakakosha kuyeuka kuti duku nguva vaingoerekana pamuviri zvingava zvipenyu mashandiro dzinongoitika selection, nokuda kwechikonzero ichi, nokupfupfudzika - ichi hachisi harbinger zviri nekutambira kundikana pamuviri.

Kutaura zvazviri, kudzivisa nokupfupfudzika ipfupi kuti pfungwa huru mbiri:

1. Panguva Chaiyo kuzviongorora muviri nevakadzi.
2. Healthy mararamiro.

Zvinokosha kuti tizive kuvapo munhu chirwere nhaka hunhu, zvirwere, kuitisa urume ongororo uye kwakakwana kurapwa vose matambudziko.

Pamberi mukadzi anofanira kuti zvakaoma zvikuru dambudziko. Zvinofanira yakajekeswa kana paiva somatic, neuroendocrine, kenza, chii pamusoro nhaka pathologies.

Uyewo sezvo chikamu Kudzivirira kudzidza sei dzokubereka uye kumwedzi basa, zvinoitika pamberi kufutisa uye dhigirii waro vanofungidzirwa ezvinhu ganda.

Zvinokurudzirwa kuverenga uye richishanda kuzviongorora. Hysterosalpingography rakanyatsojeka anodzidzisa, iro rakaitirwa yechipiri yezana kumwedzi. Somugumisiro, asingakwanisi kuziva kana murwere ane intrauterine zvokurwara. Kunobva pelvic Ultrasound anogona rokuongorora pamberi endometriosis, fibroids, cysts, uyewo kuongorora mamiriro ose ovaries.

Zvinokosha kuti kuongorora smears kubva urethra, mugero pamusoro cervix uye nyinyo. Hormone tsvakurudzo chinhu chinodiwa kuita muhafu yokutanga kumwedzi. Unofanirawo kufunga kuongororwa ropa kuti ichasanganisira coagulation parameters. Izvi achasarudza kuvapo antibodies akadai Anti-HCG, antikardoiolipinovyh uye lupus.

mabatiro

Mabatirwo pamuviri kurasikirwa rikaitika zvinotevera urongwa: kuzivikanwa kwaizotevera kubviswa chikonzero.

Chimwe chikonzero ndechokuti utachiona kubva mudumbu, kunoitika pamusana chirwere ari Líquido mvura kana placenta kupinda kuti utachiona. Muchiitiko ichi vaingoerekana pamuviri kunoitika vakazoroorwa uterine basa akaparirwa somugumisiro rikwanise kudhaka kana vakurumidze atsamwira kuti membranes, izvo zviri kukonzerwa nokuchinja sechivako membranes pasi chiito kutapukirwa. Treatment mumamiriro ezvinhu anogona kubudirira, sezvo mwana anogona kudzivisa kunaka zvinhu kunowedzera gestational zera.

The zviyero nokuti kudzivirira chirwere ichi kunofanira kusanganisira kubvunza ane endocrinologist, sezvo kemikari kukanganisika kungaita kuti pathological kugadzirisa endometrium yaro kuparadzwa, rinova vaiona kuva chinodiwa kuti pamuviri. Hyperandrogenism (pathological state) chiri dzinoratidzwa hormone hunhu uye zvinogona kukonzera vaingoerekana pamuviri.

Vawana kana vachiberekwa makemikari zvokurwara dzokubereka nadzo zvomukati, zvakare, chinokonzera nokupfupfudzika. Mukuwedzera, zvinokonzera chirwere ichi kunofanira kusanganisira pfungwa zadzisa, kushushikana, zviito munhu zvinodhaka, zvirwere zvemarudzi akasiyana-siyana, zvepabonde upenyu panguva yepamuviri.

Kunyange nechirwere pamusoro idzokororo nokupfupfudzika mukana vaingoerekana chidzivaidzo unogona yekudyidzana kuchekwa pasi ezvinhu kugara zvokuongorora nyanzvi uye misoro ekudzivirira.