Zamkatimu
Kutentha kwapamtima ndikumva kutentha, kupweteka, kapena kulemera kumtunda kwa mimba kapena kuseri kwa fupa la pachifuwa. Zimayambitsidwa ndi reflux, ndiko kuti, kutuluka kwa madzi am'mimba mum'mero. The ndondomeko akhoza limodzi ndi kumva kuwawa m`kamwa, nseru, kulemera m`mimba, salivation, chifuwa kapena hoarseness.
Kawirikawiri, mimba ndi m'mimba zimasiyanitsidwa modalirika ndi valavu ya annular muscular - sphincter. Koma nthawi zambiri pamakhala vuto lomwe samatha kuthana ndi ntchito yake.
Zifukwa za kutentha kwa mtima pa nthawi ya mimba
Malinga ndi ziwerengero, kutentha kwa mtima kumakumana ndi 20 mpaka 50% (malinga ndi zina - kuchokera ku 30 mpaka 60%) ya anthu. Ku Asia, Africa ndi Latin America, chiwerengerochi ndi chotsika kangapo. Pa mimba, kutentha pamtima kumadetsa nkhawa mpaka 80% ya amayi.
Pali zifukwa ziwiri zazikuluzikulu za izi.
Mayi woyembekezera amatulutsa mwachangu progesterone, "hormone yoyembekezera". Ntchito yake ndikupumula minofu yonse ndi minyewa pakubala. Choncho, esophageal sphincter imayamba kupirira kwambiri ndi ntchito yake. Mfundo yachiwiri ndi yakuti mwana amene akukula amakakamiza m'mimba. Zimakhala kuyembekezera moleza mtima kubadwa kwake ndikuchita symptomatic mankhwala. Koma pali zifukwa zotere za kutentha pamtima pa nthawi ya mimba, pamene chithandizo chamankhwala choopsa kwambiri kapena opaleshoni chimafunika:
- matenda a reflux a gastroesophageal. Iwo amagwirizana ndi kuphwanya m`mimba thirakiti, makamaka ndi matenda peristalsis kum`mero ndi involuntary zosangalatsa za m`munsi kum`mero sphincter. Ikasiyidwa, GERD imatha kupangitsa kukomoka, kutuluka magazi, ndi zilonda zam'mimba;
- chophukacho chotupa. Minofu iyi imalekanitsa chifuwa ndi mimba. M'memo umadutsa dzenje mmenemo. Ngati chakulitsidwa, ndiye kuti mbali ina ya m'mimba ili pachifuwa. Kutuluka koteroko kumatchedwa diaphragmatic hernia. Nthawi zambiri limodzi ndi belching, ingress wa nkhani m`mimba mu patsekeke m`kamwa, ululu monga angina pectoris - kuonekera m`munsi mwa sternum ndi kupitirira mpaka kumbuyo, kumanzere phewa ndi mkono.
- kuchuluka kwapakati-m'mimba kuthamanga. Zitha kuchitika chifukwa cha kukulitsa kwa chiwindi kapena ndulu, komanso matenda oletsa m'mapapo;
- zilonda zam'mimba ndi matenda ena am'mimba, kapamba, ndulu kapena duodenum (gastritis, kapamba, cholecystitis, cholelithiasis, etc.);
- zotupa zosiyanasiyana kumasulira ndi chiyambi.
Osachita nawo matenda odzipatsira okha komanso kudzipangira mankhwala. Pamene kutentha kwa mtima kumachitika kawiri pa sabata (makamaka ngati kumabwera ndi kusokonezeka kwa tulo ndi nkhawa), onani dokotala. Adzakuuzani kuyezetsa koyenera komanso ndi akatswiri ocheperako omwe muyenera kulumikizana nawo.
Kodi kuchotsa kutentha pa chifuwa pa mimba kunyumba
Ngati palibe matenda pathological, ndiye mankhwala enieni kutentha pa chifuwa pa mimba si chofunika. Katswiri wa zachipatala / gynecologist adzalangiza mankhwala kuti athetse zizindikiro ndikupanga kusintha kwa moyo ndi zakudya.
Nthawi zambiri, maantacid omwe amaperekedwa (ali ndi mchere wa magnesium, calcium, aluminium, amalepheretsa hydrochloric acid, kotero kuti mucosa wa esophageal samakwiyitsidwa) ndi alginates (pamene amagwirizana ndi zomwe zili m'mimba, amapanga chotchinga choteteza chomwe chimayambitsa matenda a m'mimba). sichimalola kuchulukitsitsa kummero). Antisecretory mankhwala kuti kupondereza mapangidwe hydrochloric asidi m`mimba ndi prokinetics kuonjezera kamvekedwe ka esophageal sphincter ndi yotithandiza contraction kum`mero ntchito pa mimba kokha ngati pali zizindikiro okhwima ndi kuyang`aniridwa ndi dokotala chifukwa chiopsezo zotsatira zoyipa.
Choyamba trimester
Kupweteka pamimba mu trimester yoyamba ya mimba nthawi zambiri kumagwirizanitsidwa ndi kuwonjezeka kwa progesterone, kotero sikumakuvutitsani kwambiri ndipo mwamsanga kumadutsa palokha.
Second trimester
Ngati kutentha kwa mtima pa nthawi ya mimba sikunavutike pachiyambi, ndiye kuti pali mwayi wokumana nawo pambuyo pa sabata la 20. Panthawi imeneyi, chiberekero chimayamba kukula mwachangu ndikuyika mphamvu pa ziwalo zoyandikana nazo. Mimba ilibe potambasula, kotero ngakhale chakudya chokhazikika chingayambitse kusefukira ndikubwerera kummero wodyedwa.
Third trimester
Pamene mwana wosabadwayo akukula, kutentha kwa mtima kumakula kwambiri. Koma pafupi ndi kubereka, kudzakhala kosavuta - chiberekero chidzatsika ndi "kumasula" m'mimba, progesterone idzaleka kupangidwa mwakhama.
Kupewa kutentha pamtima pa nthawi ya mimba
Kuwonjezeka kwa progesterone ndi kukula kwa chiberekero ndi zifukwa zomwe sizingakhudzidwe. Koma pali malangizo ena oletsa kutentha pamtima pa nthawi ya mimba, zomwe sizidzabweretsanso kukhumudwa.
Sinthani moyo wanu:
- musapindike mwamphamvu, makamaka mukatha kudya;
- musagone patatha maola awiri ndi theka mutadya;
- pogona, ikani pilo wachiwiri kuti mutu wanu ukhale wapamwamba kuposa mimba yanu;
- chotsani malamba olimba, ma corsets, zovala zothina mu zovala;
- musakweze zolemera;
- kusiya zizolowezi zoipa (kusuta, mowa, kumwa tiyi wamphamvu ndi khofi wambirimbiri), ngakhale n`kofunika kuchita izi popanda kutentha pa chifuwa pa mimba kwa yachibadwa chitukuko cha mwana.
Sinthani zakudya zanu:
- osadya kwambiri, ndi bwino kudya pang'ono, koma nthawi zambiri (gawani voliyumu wamba mu Mlingo wa 5-6);
- kutafuna chakudya bwino;
- onetsetsani kuti chakudya sichitentha kwambiri komanso sichizizira kwambiri;
- kudya pasanafike maola 2-3 musanagone;
- sankhani zakudya ndi zakumwa zoyenera.
Unikani, kenako kutentha pamtima kumachitika nthawi zambiri ndikuchotsa izi. Zomwe sizimakhudza munthu m'njira iliyonse, chifukwa m'mimba mwa mnzake umakhala wolemetsa kwambiri.