Zamkatimu
Nthawi zambiri mumamva kuchokera kwa amayi omwe ali ndi udindo: "Ndikumva bwino, chifukwa chiyani akundithamangitsa kwa madokotala?". Izi zikutanthauza kuti kusanthula kumawonetsa kale zomwe sizinawonekere kunja. Chizindikiro chimodzi chofunikira kwambiri ndikuwonjezeka kwa mapuloteni mumkodzo pa nthawi ya mimba.
Mlingo wa mapuloteni mu mkodzo pa mimba
Pofotokozera zofufuza zambiri, jenda, zaka ndi thupi la wodwalayo zimaganiziridwa - pagulu lililonse pali malire awo ovomerezeka a zizindikiro zina. Mkhalidwewu ndi wofanana ndi momwe mapuloteni amakhalira mumkodzo. Momwemo, ziyenera kukhala palibe, kapena ziyenera kutsimikiziridwa pang'ono - mpaka 0,033 g / l pakutumikira kamodzi (30-50 mg / tsiku). Koma kwa amayi omwe ali ndi udindo, mpaka 150 mg ya mapuloteni mu gawo limodzi (0,15 g / l) ndi 300 mg ya mapuloteni tsiku lililonse (0,3 g / l) amaloledwa ngati palibe. Zizindikiro za matenda a genitourinary system ndi impso. Kupitirira malirewa kumafuna chisamaliro chapadera kuchokera kwa madokotala.
Zifukwa zowonjezera mapuloteni pa nthawi ya mimba
Ndikofunika kusiyanitsa pakati pa physiological and pathological proteinuria. Poyamba, tikukamba za vuto limene mapuloteni mu mkodzo sali chifukwa chodetsa nkhawa ndipo safuna chithandizo - mwachitsanzo, chifukwa cha kulimbitsa thupi, kupsinjika maganizo, hypothermia, zakudya zopanda thanzi.
Chachiwiri, mapuloteni mumkodzo angakhale chizindikiro cha matenda aakulu - kuchokera ku matenda opatsirana (kuphatikizapo chifuwa chachikulu), njira zotupa, urolithiasis ndi matenda ena a impso ku matenda a shuga ndi oncology.
Ngati kuchuluka kwa mapuloteni kumayendera limodzi ndi kuchuluka kwa kuthamanga kwa magazi ndi edema, pamakhala chiopsezo chokhala ndi zovuta zowopsa monga preeclampsia (kulephera kwa ziwalo zingapo ndi impso, chiwindi, mitsempha yamagazi kapena ubongo ndi kulephera kwa fetoplacental komwe kumasokoneza. kukula kwathunthu kwa mwana wosabadwayo) ndi eclampsia (convulsive syndrome yokhudzana ndi PE, yomwe imatha kupangitsa asphyxia, edema ya m'mapapo, kutulutsa magazi muubongo, kulephera kwa chiwindi ndi aimpso).
Izi ndizomwe zimayambitsa kudwala komanso kufa kwa amayi oyembekezera komanso obadwa kumene, ndipo ma pathogenesis ake sakudziwikabe. Ndicho chifukwa chake kuyang'anitsitsa mwadongosolo n'kofunika kwambiri - kuti musaphonye mabelu a alamu kumayambiriro kwa chitukuko cha zovuta.
Momwe mungadyetse mapuloteni ambiri pa nthawi ya mimba
Ndi kuyang'aniridwa ndi dokotala! Pamene mapuloteni amapezeka mumkodzo pa nthawi ya mimba, mankhwala amaperekedwa malinga ndi anamnesis, kufufuza mwatsatanetsatane, kuyesedwa kwa thupi ndi dokotala, kufufuza kwa mkodzo tsiku ndi tsiku, kuyezetsa magazi ndi zam'magazi, ultrasound (m'mimba, m'chiuno, mtima), ngati kuli kofunikira, maphunziro a immunological. Pokhapokha kukhala ndi chithunzi chonse cha thanzi la wodwalayo, katswiriyo adzasankha njira ya chithandizo - muzochitika zina, kudzakhala kotheka kupitilira ndi zakudya, kwina, mankhwala adzafunika, chachitatu, funso la opaleshoni yadzidzidzi idzayamba.
Masiku oyambirira
Mu trimester yoyamba, kusintha zakudya, regimen ndi katundu nthawi zambiri kumathandiza kuthana ndi kuchuluka kwa mapuloteni mumkodzo. Mayi angadziwe za vuto lake pakangotha mwezi umodzi kapena iwiri. Nthawi yonseyi, amadya monga mwachizolowezi ndikukhala ndi moyo wanthawi zonse, ndipo thupi silingathenso kupirira nyimbo yapitayi. Nawa malangizo atatu:
- kuchepetsa kudya zakudya zomanga thupi; kusiya zakudya zokometsera, zamchere, zamafuta ndi zosuta; yesetsani kuphika anthu awiri; kudya masamba, zipatso ndi zipatso zambiri;
- sinthani kugona ndi kugalamuka;
- musanyamule zolemera, khalani ndi mpumulo wabwino, yendani mumpweya watsopano, koma pewani kuyenda kwautali nthawi imodzi - kuchita masewera olimbitsa thupi mopitirira muyeso kumachepetsa kubwezeretsedwa kwa mapuloteni, ndiko kuti, kubwezeretsanso m'magazi.
Madeti ochedwa
Mu trimester yachiwiri ndi yachitatu, moyo wathanzi ndi wofunikanso, koma kuwonjezeka kwa mapuloteni sikungagwirizanenso ndi physiology, koma ndi matenda omwe akukula. Atakhazikitsa chifukwa chawo, dokotala adzapereka mankhwala oletsa tizilombo toyambitsa matenda, anti-inflammatory, sedative kapena mankhwala opweteka; mankhwala kuti normalize kuthamanga, ndipo nthawi zina sizingatheke kuchita popanda mankhwala.
Kupewa Kuchepetsa Kukwera kwa Mapuloteni
Monga momwe zimakhalira ndi chithandizo, palibe njira yapadziko lonse yopewera proteinuria - zonse zimadalira zomwe zimayambitsa kulephera. Pofuna kuti musawonjezere mapuloteni pa nthawi ya mimba, kupewa kumabwera kuti mukhale ndi moyo wathanzi, kuyezetsa nthawi yake, kukana kudziletsa komanso kutsatira malangizo a dokotala.
Mafunso ndi mayankho otchuka
Adayankha mafunso kuchokera kwa odwala Olga Bulgakova, dokotala-wachikazi, membala wa Association of Gynecologists-Endocrinologists of Our Country.
Posankha zakudya, ndikofunikira kumvetsetsa zomwe wodwala amafunikira mphamvu. Zoonadi, zidzakhala zapamwamba kwa mkazi yemwe amayenda kwambiri tsiku lililonse kapena ali ndi zochitika zina zolimbitsa thupi, komanso zochepa kwa yemwe nthawi zambiri amagona pabedi.
Pali malangizo ambiri - malire, kuwonjezera pa mapuloteni a nyama, kudya mchere, kupewa zakudya zambiri zosavuta, mwachitsanzo, makeke ndi maswiti (zimakhudza njira yotupa). Koma ndi dokotala yekha amene angathe kusintha zakudya. Zanenedwa kale kuti proteinuria imayamba chifukwa cha zifukwa zosiyanasiyana. Ndipo ngati, mwachitsanzo, ndi pyelonephritis, tikupempha kumwa madzi ambiri, ndiye muzochitika zina - zochepa, ndi matenda amodzi, zakudya zimayikidwa kuti ziwonjezere alkalinity, ndi zina - kuchepetsa.
Mfundo yogwiritsira ntchito kusanthula konseko ndi yofanana: chojambulacho chimagwera mumkodzo kwa masekondi angapo, pamene mtundu umasintha, mthunzi wotsatira umafananizidwa ndi sikelo pa phukusi.
Zingwe zoyezera zimagwiritsidwa ntchito pounika mwachangu m'zipatala ndipo ndizosavuta kuwunika kuchuluka kwa mapuloteni kunyumba, kuntchito kapena poyenda. Kawirikawiri zotsatira zake zimakhala zolondola, koma zolakwika chifukwa cha kusonkhanitsa kosayenera kwa mkodzo, kusagwirizana ndi malangizo kapena kusungirako zizindikiro za mayeso sikuletsedwa. Ndipo kumbukirani - amangosonyeza kupezeka kwa mapuloteni mumkodzo, ndipo dokotala yekha ndi amene angadziwe zifukwa za izi ndi matenda.