Mapuloteni mu mkodzo pa nthawi ya mimba
Mayi aliyense woyembekezera amayezetsa mkodzo pafupipafupi. Makamaka, kuti azindikire kuwonjezeka kwa mapuloteni mu nthawi. Timalongosola pamene mapuloteni mumkodzo pa nthawi ya mimba ndizochitika, ndipo ndi liti chifukwa chokhalira ndi thanzi labwino

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.

Kodi amayi apakati amafunikira kuyezetsa mkodzo kangati?
Ngati palibe zovuta, dokotala-wachikazi amalangiza kuyesa mkodzo musanayambe ulendo uliwonse. Ngati pali zovuta, ndiye kuti kuwonjezera pa mayeso ambiri a mkodzo, mungafunike mayeso malinga ndi Nechiporenko, malinga ndi Zimnitsky, bakposev, ultrasound ya impso. Kuyendera pafupipafupi kwa urologist kudzafunika, chifukwa chake, kuyezetsa pafupipafupi. Tsatirani malangizo a dokotala amene mwalembetsa nawo.
Kodi kusonkhanitsa mkodzo kwa mapuloteni pa mimba?
Zikuwoneka kuti kutolera mkodzo ndi njira yachizoloŵezi. Koma, mwatsoka, amayi nthawi zambiri amachita ukhondo wolakwika wa ziwalo zoberekera zisanachitike. Ngati pali zotsekemera, ndiye kuti kusanthula kudzawonetsa kale kukhalapo kwa mapuloteni. Choncho, muyenera kusamba bwino, kutenga mtsuko wosabala (makamaka wapadera wachipatala, osati "wopanga kunyumba" kuchokera ku chakudya cha ana, mwachitsanzo) ndikusonkhanitsa mkodzo. Ndiye ndikofunika kumutumiza kuti akafufuze mwamsanga, kuti apite ku labotale panthawi yolandira.
Kaya zotsatira za kusanthula zingakhale zolakwika?
Inde, monga kusanthula kulikonse padziko lapansi. Choncho, ngati wodwalayo ali wotsimikiza kuti anasonkhanitsa mkodzo molondola, ngati iye sadandaula kanthu, ndiye, ndithudi, ndi bwino kutenganso. Chifukwa ngati mkazi amathandizidwa pazidziwitso zabodza, zimamupweteka.
Kodi kuchuluka kwa mapuloteni mumkodzo kumakhudza kafungo ndi mtundu wake?
Chifukwa cha matenda ena, mkodzo umasintha fungo ndi mtundu, ukhoza kukhala wabuluu! Mapuloteni akawonjezedwa mumkodzo, amakhala opaque, mitambo, ndi kuchuluka kwake - frothy.
Kodi zizindikiro za proteinuria ndi ziti?
Zimadalira pazifukwa zomwe zidapangitsa kuchuluka kwa mapuloteni mumkodzo. Mwachitsanzo, ntchito ya proteinuria yomwe yabwera ndi kupita ingakhale limodzi ndi malungo kapena mavuto a mtima, pamene kuthamanga kwa magazi ndi edema kungasonyeze preeclampsia. Koma sipangakhale zizindikiro konse.
Ndani ali pachiwopsezo chokhala ndi proteinuria?
Zaka ndi chiwerengero cha obadwa zilibe kanthu. Proteinuria imatha kuchitika mwa msungwana woyambirira komanso kwa mayi wamkulu yemwe ali ndi ana atatu kapena anayi pambuyo pake. Zonse ndi zapayekha. Ndikofunikira mumkhalidwe wotani momwe mkodzo unalili poyamba, chifukwa mimba ndi chikhalidwe chomwe chimakhala chochepa kwambiri, chimasweka pamenepo. Ngati mkazi ali ndi pyelonephritis kapena njira zina zotupa, ngati anavulala impso kapena anomaly nawo (mwachitsanzo, impso imodzi yokha), ndiye kuti chiopsezo chotenga proteinuria chikuwonjezeka. Komanso, pali chizolowezi kwa odwala matenda oopsa.
Momwe mungasankhire zakudya zoyenera ndi mapuloteni ochuluka mumkodzo pa nthawi ya mimba?
Mapuloteni amafunidwa ndi mayi wapakati mulimonse, chifukwa chake minyewa ya mwanayo ikumangidwa. Chepetsani mapuloteni a nyama ndikuyang'ana kwambiri zamasamba. Mwachitsanzo, mu soya ndi zambiri kuposa nkhuku nyama. Mbeu zina, chimanga, masamba ndi zipatso monga mapeyala, broccoli, Brussels zikumera, katsitsumzukwa, sipinachi amakhalanso ndi mapuloteni ambiri.

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.

Momwe mungadziwire proteinuria kunyumba?
M'ma pharmacies, mutha kugula mizere yoyesera kuti mupeze mapuloteni mumkodzo kunyumba. Mtengo wawo umachokera ku ma ruble 120-400. Kusiyanitsa kwakukulu ndi kuchuluka kwa mayeso mu chubu losindikizidwa komanso m'dziko lopangidwa (Dziko Lathu, Germany, Korea, USA, Czech Republic, etc.).

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.

Siyani Mumakonda