Gestational pyelonephritis ma ka hāpai keiki. Lapaʻau o gestational pyelonephritis

Ma hāpai keiki, he nui na wahine 'ike ola pilikia e like me gestational pyelonephritis. Kēia pathology ia lŘlŘ no ka mea, o ka maʻiʻaʻai i loko o ka hakuʻala. Li nui pu ia e ola ka waiʻona ma ke. Mau wāhine imi 'āwīwī' inikua noonoo, makau i ka palapala 'ole o ka ai' ma ka fetus. I mea, ua ole ke kūlana maikaʻiʻole i ke keiki.

Overview

Pyelonephritis - mea he hoʻoʻino kaʻina i loko o ka hakuʻala e hoʻomōhala ana i like me ka hopena o ka maʻiʻaʻai. Women ma ka wahi i oi aku susceptibility i ka maʻi ma muli o kaʻilihune pele o ka mimi, a ae like nō Kanal a no ka maluhiluhi ulu uterus. Pyelonephritis hoike ma kahi nihinihi hiki e hoea ma ka wela, ola discomfort i loko o ka lumbar māhele 'āina. E kaua maʻiʻaʻai, kauka pele waiho aku antibiotics. Me ka pono lapaʻau o ka expectant makuahine i ka manawa e maikai ana i loaa ke ola i ke keiki.

He aha kaʻokoʻa gestational pyelonephritis? I ka hāpai keiki no ka hana ana me kela hele lā ka uterus e ukuhi i puʻe i ka puni nā loko. Loa pinepine au ae like nō au iaʻu iho ureter. He ka moana ma i mimi kahe aku mai ka hakuʻala a hiki i ka bladder iho. Ka meheu o ke kaʻina hoʻonāukiukiʻana mai o kona stagnation a me nā konāhua hoʻonui. Oia ke ano o ke typical hāpai keiki. I kekahi manawa, ma ka bladder maʻiʻaʻai komo i loko o ka hakuʻala, a me ka poe ilihune outflow o ka loli maluna kēia kaʻina.

Inā i expectant makuahine mua hāpai keiki pyelonephritis i diagnosed i loko o ka maʻi palapala, a me ka manawa ua ulu gestational, o ka pilikia o ka complications Ua kiʻekiʻe. Na wahine e e mau malama e ke kauka a me ka pololei ma hope i kona mau rula.

Mea Maluna o gestational pyelonephritis

I ka maʻi ke hana i loko o kekahi trimester o ka hāpai keiki, ka nahunahu hanau i loko o ia ke ano o ua diagnosed loa kākaʻikahi. IeAUPIIe, IAa IO pathology e hoʻomōhala ana i loko o ka mua hapalua wā. Ua nui na poe akamai i ke kaila kēia i ke kino o ka hikiʻole i koke ke hakuloli i ka hou ana.

Līkaia huʻi a me ka maʻi ano o ka maʻi. Loa pinepine i hāpai keiki, he mea he lua hoʻokolohua o ka maʻi, i hiki ke 'akomi i ma kekahi ano loli i loko o ka haku mele' ana o ka mimi. He mea paʻakikī i ka lapaau, a ma kekahi hihia o ke kumu no ka hoopau ana i hāpai keiki.

Gestational huʻi pyelonephritis mea akaka ikaika intoxication o ke kino, akā,ʻaʻole i ka hoʻoweliweli 'ana i ke ola o ka fetus i loko o ka opu. Ma kekahi hihia, e e kokoke i ka iapaau ana o keia maʻi me ka palena mamao koʻikoʻio. Maʻi ma 16-24 pule o ka hāpai keiki, irrespective o ka he palapala, hiki i miscarriage.

Kauka i kaʻawale iniiaiie a me ka haumāna pyelonephritis. Ma ka hihia mua, i ka maʻi ia lŘlŘ ma luna o ke kāʻei kua o ka maikaʻiʻana, i mea, me kekahi preconditions ma ka aoao o kekahi hui, nenoai. Lua o ka Lolina maʻi wehewehe aku ma ke alo o ka purulent pulakaumaka mai a ka skid pathogens ole wale i loko o nā puʻupaʻa, akā, i loko o nā maʻiʻaʻai a me ka 'īnea i nā loko o nā wāhine. Me kaʻoi mea hōʻemi o ke olaʻoe ke'ōlelo e pili ana i ka hooulu ana o septic ana.

Na Mea Maluna o ka maʻi e loli wale i ke koho ana o nā kaʻa mokulele a me ka pākōlea ana. Kona pathogenesis koe ka ia i loko o nā hihia.

I ka papa kuhikuhiE kumu o ka maʻi

A hapai wahine puni o ka pau ana o ka mea mua trimester koko estradiol lehulehu, piʻi pū ikaika, a me ka progesterone pae. Mau hormonal mea hou i ka tonus o ka bladder Muscle, na kiaha a me pelvis hakuʻala. mimi pele ua kāne i kāohi iho, eia reflux. A pau kēia mau loli hoomahuahua i ka'aloʻahiʻa mea ulu i loko o ka nui o ka uterus ma ka urinary'āpana, malaila stagnation. Oia kekahi kumu ka poʻea pau i ka anal o pathogens a me kā lākou mahope nā'ōlelo. Koʻohune (Streptococcus, Proteus, enterococci) i ke kiʻekiʻe o hoalaia i ke kiʻekiʻe o kaʻaʻa puʻuwai, a hoʻonāukiuki i ko lakou li nui.

Gestational pyelonephritis diagnosed i hāpai keiki mea,ʻaʻole e mau ana. Of mau ano nui i: ka'ōnaehana paleʻea'ōnaehana o ka wahine, ke kanaka hormonalʻokoʻa. Poe akamai i kuhikuhi i kekahi mau aʻe ka hoʻopukaʻana i ka kūpono 'ana o ka maʻi.

• Prior hāpai keiki bacteriuria.
• Reflux.
• Abnormalities o nā puʻupaʻa, a bladder innateʻilikai.
• Maʻi maʻi puʻuwai.
• Urolithiasis.

Eia hou, ma lalo o kekahi kiʻiona hiʻona o ka hāpai keiki (ololi pelvis, polyhydramnios, hua nui) i ka pilikia o ka pyelonephritis ua mahuahua ma kekahi mau manawa.

He aha symptoms hōʻike i ka pathology?

1. He nui na wahine i ka hoopii i pinepine ma kahi e, a ua 'akomi i ka loli pathological iloko o keʻena hoʻokolohua ikea ai (keʻokeʻo koko keena, a koʻohune i loko o ka mimi). I ka lulu ua ana nānā 'ia e ka kokololio ulu o E. coli, ma ka liʻiliʻi loa - aureus.
2. Gestational pyelonephritis i hapai wahine i ke ukali e loa kaʻeha ma ka lumbar'āina, discomfort piʻina me ka hooloihi ae i noho ma kou mau wawae.
3. Ma exacerbation mehana.
4. Pinepine urination mea typical o maʻamau hāpai keiki. Ma ka hihia o ka pyelonephritis makemake i e mau Kuleana, a e loa ola urination.
5. Pinepine maʻi ukali - kiʻekiʻe ke koko.
6. nani o nā wāwae i loko o nā wāhine i loko o ka moku'āina ua kuhi maʻamau. Ua UaʻAʻole mau pili me ka pathology o ka urinary nenoaiu. Oia symptoms e hōʻike mai ka pioloke o venous outflow. Haanou ana ma ka pyelonephritis ana maoli, he mea puffiness o ka maka.
7. Headaches, luhi, i ka manao o ka nawaliwali ma ke kakahiaka - a pau o kēia mau hiʻona hoʻokō wale i ka lapaʻau kiʻi.

Ke pyelonephritis Ua pilikia no ka hapai nā wāhine?

Kēia maʻi He gestational pyelonephritis, symptoms mākou no i i manaoia ma luna, 'akomi komo i ka hapai lede ma kamepiula. No ke aha? O hoʻoʻino kaʻina hana i loko o ke kino maoli o ka haawe ana ma luna o ka mea'ōnaehana mānowai koko'ōnaehana a me nā puʻupaʻaʻelua. I ka 30% o nā wāhine a me kaʻike, o ka ulu preeclampsia (toxemia o ka hopena).

Ma keia ano me ka nui loa deteriorates i ke koko holo i loko o nā puʻupaʻa, lolo, placenta. Koko i mānoanoa o ia mea, a me ka nui o ka o oxygen i loko o ka mea emi. A pau keia i ka lewa i loko o ka'aiaola kūlana o ka fetus, a me ka wahine.

I ka papa kuhikuhiE hopena maikaʻi 'ole loaʻa ka kēia mau hoʻomalu i loko o kēia maʻi:

• Ka hoʻoweliweli 'ana o haʻahaʻa - ka loa e like me ka complication o gestational pyelonephritis.
• Premature hanau.
• Mau kahe ana ke koko.
• Placental abruption.
• Anemia.

I ka helehelena o ka complication hilinaʻi nuiʻano nui ma luna o ka oolea o ka li nui, a 'eleu lapaau i ke kauka.

Gestational pyelonephritis ma ka hāpai keiki: 'ole ma o ka fetus

O hoʻoʻino kaʻina hana ma nā puʻupaʻa pinepine mai ka hopena ma luna o ke keiki i loko o ka opu. Ka maʻi muli o ka oxygen, a nui ka mahuaola hualoaʻa ma malnutrition o ka fetus. Kēia 'o ia hoʻi i ke keiki ua hanau nawaliwali, a me ka wahi i kaupaonaʻia. Kahi o ka hapalua o na hihia kauka olelo hypoxia. I ka 30% o nā wāhine a me keiaʻike, e hanau premature na kamalii uuku.

I waena o nā complications pinepine ana: hypothermia fetal intrauterine maʻiʻaʻai, asphyxia ko CNS.

ʻike, o ka maʻi

Ka mea nui a me ka informative hoao no keia maʻi o ka mimi hoao. Ke alo aku o ka li nui Hōʻike he nui helu o leukocytes, i ke alo o pathogenic meaola, i ke ano o ke kumuʻiʻo.

Ke koko hiki no hoi e na hoailona o nā mea palahēhē (mahuahua o leukocytes a me ESR). E kuhikuhi i ke 'ano o ka koʻohune i triggered ka li nui, ke kauka hāpai mimi moʻomeheu ma flora a me ka pā lonoaʻili i kekahi mau antibiotics. E like me ka hopena o kēia hōʻike hoʻomalu ke koi 'ia ka lapaʻauʻia i ka mea kūpono haawiia mai ai ka wahine.

Nō hoʻi,ʻike, kŰia paʻa ana ultrasound. Ma ka hoʻokolokolo 'ana i hōʻike mai na wahi e ae o ka? Aiey, a mahuahua ma ka hakuʻala hui, nui like' ole. Ke kauka Pono pono eʻoiaʻiʻo i ua ole lewa ka gestational pyelonephritis ma ka moku'āina o ke keiki i loko o ka opu. E hana i kēia, E hoʻomana aku fetal ultrasound, CTG a me Doppler.

Pehea e hana pyelonephritis i hapai nā wāhine?

Inā he expectant makuahine i kekahi symptoms pili me ka li nui o nā puʻupaʻa, e me ke kali, eʻimi i kōkua mai i ka kauka. 'Eleuʻike, a me kona mea e like lapaau ho'ēmi i kā ka pilikia o'āno'ē fetal? Acaeoey, hookaawale ia i ka manawa kūpono o ka abortion.

Mua o nā wāhine i hooluoluia mai ai e ai-kapaia positional Inc. Ua AIM e emi i ka mīkini'opihia o na ureters a me ka hoʻonui o ka pele o ka mimi. Expectant makuwahine i ole e waiho i ka hiamoe ma luna o kona kua, maikaʻi e koho i koho ma kaʻaoʻao hema. Iloko o ka lā, e noho Bozeman wahi, a noho i loko o ia oihana no ma ka liʻiliʻi 10 minuke. I kēia manawa, 'oe ke heluhelu i kekahi puke, hana ma ke kamepiula a pāʻani me ka keiki mua.

Lapaʻau o gestational pyelonephritis i komo ai hoʻololi inu? Eia. Ināʻaʻohe kaumaha edema a kiʻekiʻe ke koko, hiki ke hoonuiia i ka nui o ka wai a ka lukuʻia i ka lā i mau a hiki i ekolu nā lika. Kēia paha ia i ka loa, he pono ole ole-carbonated ka wai, i ka hua a me jelly. Mai ke kī a me ka kope ikaika mea maikaʻi no ka manawa e haawi mai.

He nui diuretic lau nahele i hāpai keiki ua loa contraindicated. Ua Ua papaia e hoʻohana i ka bearberry, licorice, parsley. Best e inu cranberry / cranberry hua kea, brew birch lau. A maoli godsend no ka nui wahine i loko o ka moku'āina me ia i kaʻike, - he decoction o ka busela. Kēia hoʻopololei 'aʻole e hoʻonui i ka leo o ka uterus, akā, ua Anati-hoʻoʻino hana, a ua ālai' constipation. No kona makaukau e lawe i ka aniani kiliala, ninini hano o ka wai, hoolapalapaia ahonui aku no, elua no hora, alaila, omo. Decoction E e inu,ʻekolu manawa i ka lā mua o ka maoliʻai.

He aha ai 'ke koho i kekahi kauka?

Inc gestational pyelonephritis ka loaʻa o antibacterial a me Anati-hoʻoʻino lapaau. I ka hoʻohana ana o na mea he nui antibiotics a me kekahi uroseptikov i hāpai keiki ua loa contraindicated, a nui complicates ke koho ana o ka ai '. Ma kekahi hihia, na nā kaʻa mokulele o ke kaua e kū'ē i kēia maʻi e koho i kekahi kauka i loko o ka haukapila, e like me nā mea a pau na wahine i hospitalized me keiaʻike, ka OAXA.

Ma mua trimester placenta ai-i kapaia o ke'ākeʻakeʻa mai kuleana pili i ua IeAUPIIe, IAa IO ole ua loaʻa a hiki i ka hopena. I keia manawa, he mea nui ka kahua o ka lepe nui nenoai o ke keiki, no laila, i ke kanawai o ka lāʻau mea undesirable. Inā loli i 'akomi i wale nō i loko o ka Ikepili o ka mimi, loa paha, e e hiki, e kali i ka luna koi. Ma ka hihia o kaʻeleu li nui, a ua hele pu me ia e kuni, a me ka eha, ka mea, ua 'ae' ia ka hoʻohana 'penicillins (ai' "amoxicillin", "Amoksiklav").

Mai ka lua o trimester ae e cephalosporin antibiotics ( "Supraks", "Cefazolin"), macrolides ( "Vilprafen" "Sumamed"). Ma ka lima o ka malama 'o ia hoʻi "Gentamicin' ua hoʻohana (me kaʻeleu hoʻoʻino kaʻina) mea pololei ma kuhikuhi.

Lapaʻau gestational pyelonephritis i kuhi he disintoxication Inc, ka hoʻohana 'ana o ka wikamina eiiieaenu a me kiaha dala. Mau noonoo ana ua uku a hiki i ka Kāohiʻana o fetal hypoxia. Ma ka huʻi Pono e hoihoi mimi kahe ma ka catheter a me ka ureteral stenting.

He aha pono e hoʻololi i kaʻai?

Mau noonoo ana ua uku a hiki i ka iapaau ana o ka maʻi o kaʻai o ka hapai. Kauka paipai aku e hookaawale ia huʻi (ʻala, kālika, onion) a me ka pickled huahana (kaʻukama, nā komako, Fish). No kekahi manawa, au i, e haawi aku i kope pau banned ka waiʻona.

E pale i ka wai ka mālama i loko o ke kino, e aʻo aku ai iā kauka e ho'ēmi i ka paʻakai hokii. Kēia hoike He oi loa oiaio o na wahine a me kiʻekiʻe ke koko.

ʻai no ka gestational pyelonephritis okoa wikamina ano. Women e ia i loko o ka oihana, eʻai hou hua a me nā lauʻai i loko o kā lākou mau maka palapala, e ia wai. A i waeʻia maikai, e manaoia haleʻuwī waiū huahana (haʻahaʻa-momona e eiooaa? Ka waiū a me ka vinega holika). Ma ke olaʻai e na¯ meatless kumuʻiʻo huahana (ia paʻakai-wai ka iʻa, ka moa umauma).

kāohi ana

E pale aku i ka ulu ana o gestational pyelonephritis, expectant makuwahine mea loa nui e hookomo i loko o kou kūmau ma kekahi mau kumu:

1. Pae lōpū physical ha awina. Kauka paipai aku e e pokole e hele ana i kela lā (ma kahi o 1 hola).
2. Special kino no ka hapai wahine. I kēia lā, he nui haʻuki-oaio? A hoʻomaka papa no nā wāhine i loko o ka moku'āina, ma muli o ia i Hoʻoikaika i ka ka hoʻi nāʻiʻo a me ka hoonui ae i ka leo o nā mea a pau i ka na nā loko nenoai.
3. Me ka mōʻaukala o ka maʻi o ka urinary'ōnaehana mea pono, e malama i ka kūikawāʻai, ka paipai 'ana i ke kahe o ka mimi.
4. I ka lā ua pono, e inu nui o fluids.
5. Empty ka bladder e ia ma ka liʻiliʻi koke aku o kela mea keia ekolu i eha hora.

Akahele noonoo i ko lakou mau ola, a me ka Kāohiʻana o gestational pyelonephritis - he hōʻailona o ka maikai hanau ana o ke keiki. E ole e malama ole e like me ka insidious maʻi. A hiki i ka loiloi mua symptoms e nīnau aku i ke kauka, a lawe nā mea a pau e pono ana, e hoʻopau i ka maʻi. E hoʻokaʻaʻike ola!