Tibhii uye Pamuviri: pamuviri pashure tibhii, tiibhii panguva pamuviri, tibhii, kukanganisa pamuviri

Munguva ichangopfuura, TB kwainzi kuva dzakakomba chiratidzo kuti pamuviri uye chakagadzirwa pakuberekwa. Zvisinei, nemhaka chidzoke kwokurapa itsva uye Diagnostics kuti nhasi, unogona kuponesa fetus uye vaine utano mai. Vakadzi vane inyoreswe aine pulmonologist kana mumwe chiremba rakakodzera.

Tibhii uye Pregnancy

Kuitisa nzwisisika vaongo- mutemo unoti kuvakadzi vane mimba, nekuti nekuvongwa iye, vakawana chirwere, iyo gare gare akava ngozi mwana. The vakawanda nezvevakafa vakadzi zvinofungidzirwa nokuongorora ropa uye X-ray pakuongorora mhuri uye murume anogona kukubatsira kuona kana mukadzi ari kusununguka anopinda pangozi yokuita zvemapapu chirwere kana kwete. matanho akadai anonyanya nechinangwa kudzivisa tibhii. Ichi chirwere ngozi chaizvo, izvo muve chero munhu, zvisinei zvemagariro ake chinzvimbo uye basa. Vanhu vakawanda vari vatakuri chirwere uye kwete kungwarira ichi, sezvo kunyange bvunzo ropa hazvirevi wanikidza nayo. Utachiona zvinokonzerwa mumakore ari wakaderera ezvinhu uye kusashanda panguva rutapudzo kuti kutapata.

Pregnant physiologically kwakaderedza zvose vakachengeteka mashandiro, uye ivo vava kubatwa wanda.

Zvinofanira kurangarirwa kuti pamuviri vane pulmonary tiibhii chinhu mamiriro ngozi, nokuti pakanyorwa chirwere kutanga zvakakomba yematambudziko uye zvokurwara uye nokupfupfudzika zvingaitika. Ngozi kwemashoko chirwere kubva mai mwana zvishoma asi kuti asava zvachose hazviiti.

kupatsanura

Pane zvimwe zvinodiwa kuti akaparadzanisa chirwere ichi:

- basa uye vakaneta;
- mufananidzo pulmonary kana extrapulmonary;
- nesekondari, uyewo vashoma - vachiberekwa.

Panguva apo nzendo tibhii mangwanani yakanga dzakaonekwa muna amai vanepamuviri, maitiro mukadzi pamuviri anofanira kuroorana kwete chete obstetrician-gayinakorojisiti, asi TB mazvikokota.

Zvinofungidzirwa kuti kana hosha iri mupasi ari mubhokisi, zvino ngozi kune mudumbu iri shoma kusiyana extrapulmonary siyana. Kakawanda, izvozvo pamuviri iri wakagumiswa vakurumidze kubereka, vacheche sevasina simba uye kugamuchira risingamboshandisi mamakisi ari Apgar.

zviratidzo

Kana chirwere kunokanganisa murwere ari 1st trimester, izvi anenge asina zvekuchipatara zviratidzo. Chinorwadza ezvinhu imhaka toxicity, iyo anonzi chikonzero chikuru kunonoka nechirwere.
Most kazhinji kwakaratidzwa sezvo zvokurwara:

- murombo havi;
- nyanya simba;
- rutapudzo kurema muviri.

Tiibhii ari pamuviri, zviratidzo zviri 2nd trimester munobuda pasina kuchinja, ngozi zvakakwana, sezvo muviri ratova kutanga kuparadzira infiltrative uye dzinoparadza kwendangariro.

zvikonzero

Panguva gestation fetus kwemakemikari anobudiswa gadziriro iri vaine rearrangement oparesheni.

Changes kuitika:

- mu metabolic pezvakaitwa;

- zvirwere uye hematopoietic gadziriro.

The muviri anogamuchira wandei kugozha, nokuda zvikurukuru pamberi fetus metabolic zvigadzirwa. Zvinowanzoguma kuwedzera zvinoverengeka njodzi. Nokuda kwaizvozvi, chirwere anogona kuva nokuda chikuru utachiona tusingaoneki.

Tiibhii anowanzodanwa inobata pamuviri muna 1st trimester, kunyange vanogona kurwara chero nguva. Pangozi vakadzi rokutanga 6 mwedzi postpartum. Panguva iyi, kushingaira achiyamwa uye mwana anoramba kugashira kubva mai ose anodiwa zvinoriumba kuti kukura kwayo, saka muviri harimiri kuneteswa.

I Ndiani unogona kutaura?

Tibhii uye pamuviri zvinoda kutora chikamu vanachiremba vanoverengeka. Kana akaona ari kufungira zviratidzo, zvinokosha kuti mutange gayinakorojisiti wako. Achaita kubvunza mibvunzo, kuburikidza iyo tinogona kufungidzira pamberi chirwere.

1. Pane toxemia?

2. rinhiko rave dambudziko kuitika pamwe kufema turakiti?

3. flu uye SARS vakakurudzirwa mwedzi ichangobva kupfuura?

4. hwaipa utano ezvinhu kana kwete?

Kana chiremba vakafunga chirwere, murwere zvakare vanotanga kubata TB chiremba, zvemapapu nyanzvi, otolaryngologist uye chiremba. In vakadzi TB kazhinji akaberekerwa vana utano sezvo intrauterine lesion hariwanikwi. Achiyamwa anobvumirwa chete vaya varwere vave akaneta chimiro chirwere.

kushanda

Maererano nenhamba, kana pane tubercular chichiitwa, muna amai vanepamuviri yakati nokuwedzera kakawanda kupererwa neropa. Uyewo chirwere kunotungamirira mangwanani uye kunopera gestosis uye amniorrhea. Panguva iyoyowo 46% yevakadzi vane pamuviri vari hapana matambudziko anoitika pulmonary tibhii. Preterm basa rinowanikwa chete muna 6% dzokushungurudzwa. Postpartum mufananidzo vakadzi ava zvinoitika zvakanaka.

Diagnostics

X-ray ongororo, uyewo bhokisi X-ray, zviri anodiwa kwazvo panguva yepamuviri. Asi mune zvimwe zviitiko, vanachiremba vanogona vachiri ngaagadze nzira dzakadaro. Doctor ruzivo zvachose ndichakumbira mukadzi pamusoro ndingangokuvara kuonana nezvirwere vairwara uye Kutamiswa kwokutanga sezvo pamuviri pashure tibhii uye panguva iyoyo kunogona hwakazara migumisiro yakaipa. Kana chiremba achava musoro kufungidzira kuvapo chirwere ichi, hazvina madikanwa kuita X-ray ongororo kunodiwa, pasinei urefu. kuti panguva ino zvaizova anoruramiswa ngozi, sezvo kunonoka chirwere inosvitsa kusembura ezvinhu uye kusingarapiki zvabuda. Panguva yacho muongororo matanho chaiwo wokudzivirira zvinoshandiswa kudzivirira fetus kubva nemwaranzi simba.

Mune Kuongororwa kweropa vanofungidzirwa pamberi chirwere kwakaoma zvisingaiti, sezvo yakakwirira kwevari leukocytes, ESR uye kuderedzwa Chizenga dzakananga zvachose vakadzi vane pamuviri, uyewo nokuda chirwere ichi.

Kuziva dambudziko chirwere nekuti vakadzima zviratidzo, kakawanda zviri chete chirwere pamberi zvinoerera kubva kuchipatara. Pregnancy tiibhii node ngozi, sezvo chirwere ichi zvakaoma kuona uye vakashumira kakawanda kunogona kuvhiringidzwa nezvimwe nemavhairasi, zvakadai mononucleosis.

mabatiro

Kana vanoda pakarepo kurapa antimikrobakterialnymi zvinodhaka. Pakarepo zvinomutsa mubvunzo kuti kukanganisa kwavo mwana akadai tibhii uye pamuviri - vari vaviri zvachose siyana pfungwa. Pakati zvose dzinoshanda zvinoriumba teratogenic muridzi "streptomycin yakawanikwa". Hazvina ngozi nokuti zvinogona kukonzera kunzwa kurasikirwa nomwana. Saka, zviri contraindicated kuvakadzi vane mimba.

Vamwe mishonga kunyange kupinda napakati placenta, asi havana maturo akadaro azvarwa.

TB kurapwa panguva pamuviri kwaiwanzoitwa zvinodhaka:

- "Rifampicin".

- "INH".

- "Ethambutol".

zvinodhaka izvi vanonzi zvikuru vakadzi vari kuenda nomwana, ivo atariswa vanozivikanwa dzakawanda mumarabhoritari. Pamwe navo kakawanda varayire vhitamini B6, sezvo zvakakwana anotsigira kuti mishonga mugumisiro.

The chiremba kupenda anodiwa vematunhu maererano nemirayiridzo uye zvinodiwa zvinodhaka. Zvinofanira kunzwisiswa kuti hosha haina kurapwa, zviri zvikuru ngozi amai mwana pane chakaita zvokugadzirwa ingredients. Chokwadi, tiibhii uye pamuviri - nguva dzose zvakaoma, saka panguva akapfeka mukadzi anofanira kuva pasi kuramba pokudzora ane obstetrician-gayinakorojisiti uye Tibhii. zvinodhaka All okuwedzera anofanira kuzviita nokungwarira.

Kakawanda, varwere vakarerwa chirwere chakadaro, kwava muchipatara katatu kuti nguva yose.

Hazard kuti mudumbu

Pregnancy pashure pulmonary tibhii uye panguva iyo chirwere haisi ngozi kuti mwana ari mudumbu. Zvinofungidzirwa kuti iye placental chipingamupinyi kwegore risingapindiki kuti tupukanana tusingaoneki, saka chirwere kupfuura rinowanzoberekera panguva pakukurukura. Kune anosara kunze, kana mwana azvarwa kare pamwe kwakakanganisa nhengo. The mai, uyo akazivisa basa chimiro chirwere, tora mwana uye achipfigire kusvikira zvizere kupora.

chidzivaidzo

Pari, ndichengetedze pamuviri zvinogoneka mune vakawanda vakadzi utachiwana tibhii, kana zvakanyatsorongwa kurapwa uye chaichengetwa unyanzvi. Panguva Chaiyo pamutemo uye ndima yose kuchirapa nzira unokubvumira kuchengeta mwana pavarwere dzisina fibronodular idzodzo svezhevyyavlennymi melkoochagovogo pezvakaitwa, uyewo hematogenous-neakangwara pulmonary tibhii.

Kunyange zvakadaro, kudimburira akaratidzwa:

- nokuti zvirwere nomuzongoza mu chinoshingaira muchimiro nokuuya pamusoro mhango;
- pelvic kunotevera kuti aumbe fistulae kana pute;
- fibro-cavernous pulmonary tibhii, yomuka somugumisiro chero chirwere;
- nokuda chirwere of ibvi, hudyu uye neketani majoini.

In pamberi zvairatidza kuti pamuviri, izvi zvinofanira kuitwa tanga (asati 12 mavhiki). Kubvisa Pamuviri ari nekutambira nguva hakuna kukodzera, sezvo chinowanzoita kuti kuchinja uye exacerbation yacho chirwere.

pakuberekwa

Vakadzi kupa basa chimiro, zvakaoma zvikuru kuti kubereka pane utano. Panguva iyoyo pakati kudhaka kazhinji kuwana simba kuedza uye guru kurasikirwa neropa. The muitiro pacharo anotora shoma nguva. With chirwere ichi, mwana tarasika. Kushandisa forceps uye cesarean chikamu inokurudzirwa chete nokuda kwezvikonzero zvokurapa. Chitarisiko pamusoro chiedza mwana anofanira hazvo kuitika muchipatara chaiyo. Kana zvakadaro hakuwaniki, muchipatara mudonzvo anofanira nezvokudzokera chinotangira nokusvika murwere akadaro. Mukadzi, nguva dzose kupfeka kumeso kudzivisa kuparadzira utachiwana.

Panguva pakuonekwa mwana anofanirwa kuita kurovedza kufema. Asi sezvo chiremba aiwanzoshandisa antispasmodic uye marwadzo mishonga.
Kana kurapwa hwakapiwa murwere nenguva netsika uye zvakanga pasi dzose penhungamiro nezvokurara, kutyisidzira kwake upenyu uye mwana nenguva iri Generic muitiro kushoma.

Pamuviri mushure Mabatirwo tibhii

Mukadzi wose vakatambura chirwere chakadaro uye ari kuronga kuzvarwa kwemwana, achizoripa pfungwa utano hwavo. Hosha iri chipinganidzo chikuru anobudirira kutarisirwa sezvo paine mukana fetus urema makuru. Naizvozvo zvakakosha chaizvo kushanyira TB uye gayinakorojisiti uye kuwana mazano avo usati pamuviri. Batanidzwa nokuronga kuva yapfuura pane makore maviri pashure kurapwa. Izvi imhaka yokuti muviri anofanira kusimuka uye vawane simba. Kana iwe usina kutevedza nachiremba vanorumbidza, chirwere kazhinji anodzoka panguva gestation, nekuti kutapata kunoderedza. Kana zviratidzo pachena Zvinokurudzirwa kuti va- chipfuva X-ray.

Pregnancy pashure pulmonary tiibhii zvinokwanisika uye kazhinji rinopera yakanaka mugumisiro, asi chimwe nechimwe kunoshamisa, uye dzokurapwa nezviyero vari nomumwe n'anga.

In chinonyanya zvakanaka muchiitiko, pashure mushonga zvizere chirwere mbudzana kubereka kunoitika pasina matambudziko uye migumisiro zvirwere zvekare havana kukanganisa utano uye kugara zvakanaka mwana. Ndokusaka zvakakodzera kuti zvakaitika zvose miedzo zviri nenguva tsika uye kuongorora zvizere.

mataridzikiro

Early chirwere uye nenguva mharuro kurapwa zvinopa mukana mugumisiro fetus kwaizotevera pakusununguka. Kakawanda, vana vane mai kurwara akaberekwa utano, kunze pakusvibiswa imhaka matambudziko pathological pamwe placenta, uyewo panguva chero pakuedza pachavo. Kazhinji chirwere kunoitika pashure yokusununguka mutoo amai ane tibhii nepamuviri. Migumisiro havasi zvakanaka chaizvo, asi, maererano nenyanzvi, hazvina zvakakodzera kuti wean mwana kubva mai. The anosiyiwa ndivo zviitiko apo vakadzi vanotambura zvikuru kwazvo siyana chirwere uye zvakaipa. Kana mukadzi ane mimba haina kuchengetwa bacilli, mwana majekiseni pamwechete BCG uye abvumirwa achiyamwa. Pashure pokunge muchipatara pamwe amai richangobva akaita nhengo vanhu vanofanira kuva pasi kuramba pokudzora vakadzi uye mwana kukiriniki uye TB dispensary.