Kalmar nan "zubar da ciki marar kyau" a cikin obstetrics yawanci ana amfani dasu zuwa ga matsalolin aiwatar da ciki, wanda ya sa katsewar ya faru har zuwa makonni 22. Wannan kwanciyar hankali na yau da kullum ba zai yarda da tayin ba har zuwa matukar girma, mutuwarsa ta auku. Yi la'akari dalla-dalla dalili akan abin da ya faru, alamu, hanyoyi na farfadowa.
Me ya sa rashin zubar da ciki ya faru?
Dalilin da yasa zubar da ciki ba tare da bata lokaci ba yana da wuya a gane ainihin abin da ya haifar da zubar da ciki. Daga cikin mahimman dalilai na wannan a farkon matakan gestation, likitoci sun kira abubuwan da ke faruwa a cikin kullun. Yawancin cututtuka masu yawa suna haifar da rashin lafiya a cikin tsarin yin amfani da intrauterine na jikin gabobi, sakamakon haka - rashin zubar da ciki a farkon mataki. Daga cikin wasu dalilai:
- rushewa daga tsarin endocrine - rashin ciwon kwayar cutar , hypothyroidism;
- cututtuka na mutimimune zuwa mata (maganin cutar antiphospholipid);
- Abubuwan da ke faruwa a cikin tsari na tsarin haifuwa - mahaifa bicornic , gaban septum a cikin kogin uterine;
- irin ƙwayoyin cuta da ƙwayoyin ƙwayar cuta kamar yadda ya kamata - mahaifa, adhesions, endometritis , adnexitis, oophoritis;
- gaban abortions a cikin anamnesis;
- matakai masu ciwo a jiki - chlamydia, mycoplasmosis, toxoplasmosis, mura, wanda zai iya faruwa bayan zane.
Hasarin ci gaba da zubar da ciki ba tare da bata lokaci ba ya karu a yayin da (maras lokaci ba da zubar da ciki):
- ƙetare al'ada;
- yawan ciki;
- Rhesus-rikici;
- gaban ciwon sukari cikin mace;
- ƙananan gazawa;
- rashi na folic acid a cikin jiki;
- gaban IUD a lokacin zane.
Rushewa a farkon ciki
Rashin barazanar zubar da ciki a farkon matakan gestation sau da yawa hade da cin zarafin aiwatarwa. A wannan yanayin, rashin cin nasara ya faru a mataki na gabatarwar kwai fetal cikin bango na mahaifa. A sakamakon haka, an lura da tsarin lalacewa, wanda zai kai ga mutuwar tayin na gaba. Bugu da ƙari, zubar da ciki marar kuskure a wani wuri na farko zai iya haifar da cuta ta hormonal. Matsayi mara kyau na hCG yana haifar da gazawar haɓakar juna a ciki a cikin mataki na rarraba.
Late rashin kuskure
Ba a kawar da barazanar zubar da ciki ba tare da bata lokaci ba a lokacin ciki, a cikin sharuddan bayanan baya haifar da zubar da ciki na ciki An haifar da shi sau da yawa ta hanya marar kyau ta tsarin gestation ko ta mace ba ta yarda da shawarwarin kiwon lafiya ba. Rashin yin aure a lokacin makonni 12-22 an kira karshen. Dalilin wahala shine:
- cututtuka na kullum na tsarin haihuwa;
- cututtuka na jijiyoyin genital - ureaplasmosis, chlamydia, gonorrhea;
- ciki da kuma rauni na ciki;
- cin zarafin ci gaban tayi.
Hanyoyin cututtuka na zubar da ciki maras lokaci
Yin magana game da alamun rashin karuwa a farkon matakan ciki, likitoci daga cikin alamun farko da aka kira jini. Tare da zubar da ciki, an cire nau'o'in kwakwalwa a jikin bango na uterine, wanda ya kasance da damuwa da amincin na jini, wanda yake tare da:
- jin zafi a cikin ƙananan ciki;
- tachycardia;
- blanching fata;
- dizziness;
- rashin ƙarfi;
- rage yawan karfin jini.
Matsayi na zubar da ciki maras lokaci
Dangane da abin da aka lura da hoto na asibiti a cikin wannan rikitarwa, ungozoma gane ɗayan matakai na rashin zubar da ciki:
1. Bayyana mummunar zubar da ciki ta hanyar ba da damuwa. Wannan mataki ya nuna babban haɗari na katsewa daga farkon gestation. A wannan yanayin, mace ta gyara bayyanar daidai da alamar bayyanar cututtuka:
- Cikakkar ciwo a cikin ƙananan ciki, bada a cikin baya baya;
- Ƙananan tabo daga farji.
Lokacin da mace ke nazarin likitan ilimin likitancin mutum, akwai ƙara yawan sautin na myometrium na uterine, wanda aka gyara tare da lakabi ta cikin bango na ciki. Cervix ba ta taqaitaccen a wannan mataki ba, an rufe matakan na ciki gaba daya, kuma girman jikin mahaifa ya dace da lokacin gestation. A lokacin da aka bincikar matsaloli a wannan mataki, sakamakon yana da kyau.
2. Fara zubar da ciki. Halitta da bayyanar sanyaya daga jini daga jikin jini. Yin jarrabawar mai haƙuri a cikin kujerar gynecological yana taimakawa wajen kafa yanayin pharynx, wanda an bude shi kaɗan. An fara fara zubar da ciki maras kyau tare da karamin budewa na cervix, amma ƙananan contractions na myometrium ba su nan.
3. Zubar da ciki a cikin hanya. A wannan mataki, likitoci sun bayyana bayyanar ƙwayar ƙwayar mahaifa. A wannan yanayin, yawancin kwayar haifuwa ta ragu - girman girman mahaifa ba ya dace da shekarun haihuwa. Bayan gwadawa, likita ya gyara budewa na waje da na ciki, kuma abubuwa na fetal tayi ko amfrayo suna a cikin kogin kogin koji ko kuma shinge.
4. Zubar da ciki bai cika ba. An bayyana lokacin jinkiri a cikin kogin cikin mahaifa na abubuwa daban-daban na fetal fetal, saboda rashin isassun ƙwayoyi na uterine, ƙulle ƙulli na uterine. A sakamakon haka, zubar da jini mai yaduwa na tsawon lokaci, yana haifar da asarar babban jini.
5. Kammala zubar da ciki. Yana faruwa a ƙarshen lokaci, tare da cikakkun saki na kwai fetal da mambobin embryonic. Yawan cikin mahaifa ya tafi da ƙarfi, kuma girmansa ya fi guntu fiye da lokaci. Tare da duban dan tayi, kwakwalwa sun bayyana, babu sauran nama a cikin rami.
Shin zubar da ciki ba tare da jini ba ne?
Idan akai la'akari da bayyanar cututtuka na ɓacewa a farkon matakan, dole ne a ce cewa a wasu lokuta, zub da jini yana iya zama bace. Wannan yana da wuya a tantance cututtuka. Hakanan halin da ake ciki yana yiwuwa tare da nau'in da bai cika ba, lokacin da ƙwarjin fetal bai fita daga cikin kogin cikin mahaifa ba. Doctors suna ciyarwa, ba tare da kamuwa da cuta ba - antibioticotherapia an nada.
Bacewa - me za a yi?
Lokacin da akwai zubar da ciwon ciki a cikin ciki, jinin jinin daga farji, rashin lafiyar jiki, mace mai ciki ta nemi shawara ga likita. Dangane da mataki na zubar da ciki, likitoci na inganta dabarun farfadowa. A mafi yawan lokuta, ya rage zuwa:
- kau da membranes, kyallen takalma daga kogin mai ciki - tsaftacewa bayan hijira aka nuna don zubar da ciki ba cikakke;
- sake sabunta ƙarar jini;
- rigakafi na kamuwa da cutar haihuwa (maganin kwayoyin cutar);
- Zubar da ciki yana yiwuwa tare da barazanar zubar da ciki, lokacin da yakin tayi bai faru ba.
Tashin ciki bayan rashin zubar da ciki
Bayan da bazuwa, an shawarci masu binciken gynecologists su guji tsara ciki. A wannan yanayin, ana bada shawara ga mata don amfani da maganin rigakafi don hana gestation na gaba. Yana buƙatar akalla watanni 6 don mayar da jiki. A wannan lokaci wata mace zata iya shirya shiri don shiri:
- da za a kula da shi don boyewa;
- Don wucewa ko kuma gudanar da inspections don kafa hanyar zubar da ciki.