Pathological ka mua wā: lapaau. Ka mua manawa - e Aloha ...

Ka mua manawa i - ke kaua i loko o ka abdomen i hāpai keiki, pu e hōʻemi iki ka eha, a me ka hoʻopilikia i loko o nā nāʻiʻo. Ka mea, i ole. Oia kēia ho'āla kaua i precursors o ka haawi. Ma lalo o maʻamau rula, ka mua kahua o ka hana e lawe manawa e pili ana 6-8 hola. Eia naʻe, ma kekahi hihia, i kēia wā i e hoolohi. Kēia ke'ākoʻakoʻa no kela kumu. Ma keia hihia, he mea ka abnormality o ka hana, e noi koke 'uao o ke kauka. Mai ka waiwai o ka protracted ka mua wā hiki e mea nui no nā makuwahine, a me ka keiki: mai discontinuities ikaika i loko o ka makuahine, a me ka loa a me ka make ana o ka fetus.

I ka manaʻo o ka pathological ka mua wā

Ke physiology o kēlā me kēia wahine kanaka. Ma kekahi mau hihia, i kēia wā i e hoopanee no kekahi mau hola, a me kekahi manawa no kekahi mau lā. Ua hiki aku i ka depletion o nā wāhine, i ka lilo ana o ka hiamoe, i ka hoʻomāhuahua i ka manawa o ka hanau ana o ka lōʻihi luhi. Ma keia hihia, aia no he pathological ka mua kahua o ka hana, i mea, i ka prenatal wā, a mau ae. Ua Ua wehewehe aku e ole ola contractions, a e ole haawi ala i ka loli ma ka cervix, a deplete wale i ka wahine ka kino.

Ke ae pā o ka anomalous ka mua wā

ua hiki ka hoike i ka walaʻauʻana i loko o ka pathology like penei:

• Physiological ka mua wā ua hoolohi.
• Maoli i ka leo o ka myometrium.
• Kūloko cervix hoopokole.
• Aia mau ho'ēmi o ka lalo uterine Hoʻohana.
• Muscle olona, hoʻonohonoho i loko o ka poai nei, a me kaʻoni iho transversely;

kumu

E like me ka rula, o ka pathological ka mua wā o ke alo o ka haunaele ma ke kino makuwahine. Ke kumu nui hiki ke maheleia i ekolu pūʻulu.

OB:

• Ke alo aku o nā polyhydramnios a oligohydramnios.
• Mau hāpai keiki.
• I ka hua o ka opu i ka hewa kulana (breech hōʻike).
• Ke keiki mea haʻahaʻa.

psychoemotional:

• Wahine makaʻu o ka nahunahu hanau.
• Io naʻau i loko.
• Neuroses a me ka loa 'ehaʻeha o stress.
• Helu luhi nā mea maʻi.
• Age nulliparous wahine (ka makau o ka hope o ka hana i loko o kekahi kakahiaka a pō hāpai keiki).

physiological:

• Mai makuwahine pilikia pelvis.
• Mua i hana 'ia ma uteroʻoki kino (scarring ma hope o caesarean listen'ōlelo.).
• Ka hoʻohuikau 'ia o ka endocrine'ōnaehana (obesity, anorexia, etc.).
• Labile ko mākou hopohopo nenoaiu.
• Maʻi o ka hakuʻala, naau, ake, a me na mea e ae. Kino.
• li nui o ka uterus.
• Preeclampsia.
• Mau abortions.
• Miscarriage o ka fetus.

symptoms

Pathology prelimirnogo manawa e kōkua kuhikuhi i ke kēia symptoms:

• Uterus i loko o ka mea e hoomakaukau ai, a ka mua wā painfully hoemi, oiai contractions maʻamauʻole ai. nā i ka lā, a ma ka po, ka mea hiki ke kānāwai. In aʻole i hoʻomaka hana no ka lōʻihi manawa.
• Mahuahua leo o ka uterus a me kona excitability.
• ka cervix uaʻaʻole hoʻi i mālama, ka mea i koe anuanu a me ka lōʻihi.
• Ka hōʻike hapa o ka fetus ua i kaomi aku i ka poe uuku a pelvis wahine.
• No ka mea, uterine hypertonus paʻakikī e hoʻokō palpation fetus.
• Ke uterus no ka lōʻihi manawa emi monotonically. Ka ikaika a me ka alapine (frequency) o contractions mai e loli ana. Mua a me ka mua wā i lōʻihi-manawa ma ka ano.
• Ka wahine, he mea mea hōʻemi i loko o ka noʻonoʻo 'ana, ua lilo iho la tearful a me ka nanaina aku, ia mea he nele o ka hilinai i loko o ka holomua pau' ana o ka haawi.

pathologyʻAno

Pathological ka mua wā hiki ia i mau hoailona ia mea:

• Ma ka hihia mua i ka uterine nāʻiʻo i ole nanea wale, ke Muscle olona, o ka uterus like me "oʻo"'ā'ī, oligohydramnios, palahalaha membranes.
• I ka lua o ka hihia, ke cervix mea "ʻiliahi", i ka'ololaha kinona, ka hōʻike 'ana o ka fetus mea i pili i ka mea e komo ai i ka uuku pa holoi. Loa pinepine, e like me ke kahua ua malamaia ma perenashivanii fetus.

lōʻihi like

Duration anomalous ka mua wā kaumaha ma muli o na ano kanaka o kela a me keia wahine ke oko a mai ka 6 hola mai i 24-48 hola. No kekahi mau wāhine, ka mea i lawe mau lā.

ka hiki hopena

i hānau Pathological ka mua manawa i loko o ka hapanui manawa hiki aku ai i ka complications. He nui maternal hana kahe abnormally. I ka pau:

• Hana a nawaliwali. Ma keia ano, wehewehe aku ma ka nele o ka ikaika o ka uterine contractions,ʻanuʻu loa ma waena o contractions, ka cervix dilates lohi, hoʻolaulaha fetal lohi.
• Diskoordinirovannaya hana. Eia kahi mea akaka erratic contractions o uterus na Oihana. No hoʻononiakahi ma ka contraction a me ka hoʻomaha o kanaka pauku. E like me ka hopena o ke kaua i pu ma ka loa eha, ua pinepine a me ka ole, e exhausts i ka makuwahine, aʻo ia i kona hoʻonānea.
• Hana a puka hikiwawe loa. No keia anomaly ua wehewehe aku ma contractions a me ka hookuke loa ikaika a me kaʻoi. E like me ka hopena, e hānau ai ka loa e hookeai ai, (i ka 5:00). Kēia hiki alakai i rupture o ka vagina a me ka perineum ma hapai wahine, loa kahe ana ke koko. Ma ka fetus i hoʻomōhala hypoxia. Rapid haawi hiki i eha hanau o ka fetus.
• uterine tetanus - he ke nānā anomaly. Ma keia hihia, he ano kahi o ka uterus ka loa nanea wale. Ua paa ia wahi i loko o ka hanana o mau pacemakers i loko o nā wahi likeʻole o ka uterus. Ua hele aku ai i ka hoʻohuikau 'o ka uterine contractions a me ka holo ana e hānau ai. Ma ka fetus e ulu hypoxia, a hiki alakai i cardiac kāna hana.

E hoʻomōhala ka hopena nui o'āno'ē pele o ka hana:

• Untimely wehe 'o amniotic loli.
• Ka muli i ka kakahiaka kaua o ka meconium, a 'o ia hoʻi "ana ka poino maluna" o ka fetus.
• ʻoki lāʻau lapaʻau hānau.
• Forceps.
• Loa'āno'ē kahe ana ke koko.
• Ma ka postpartum au, ulu purulent-infectious maʻi.
• Fetal hypoxia a me ka hanau ana o ke keiki me ka hihia hoʻi cardiac a coronary artery maʻi.

lapaʻau '

Inā 'oe hāʻupu aʻe i ka ka mua wā holo abnormally, oe koke ike i obstetrician-gynecologist. He mea e hana i kekahi mawaho ninaninau. Palpation kōkua e hōʻike kiʻekiʻe paha haahaa kulana o ka fetus. Inā ka hua ua ole, Nakulukulu no, ka mea, i ka 'i ke alo o ka pathology o ka hana. Nō hoʻi ma luna o ka pathology hiki e hookolokoloiaʻi e au, ma ke alo o ka ikaika hoʻopilikia o nāʻiʻo o ka vagina, ke uterus no ka nahunahu immaturity a me spasms.

Ma ka mua manawa i ka nānā 'ana PalekanaEND_LINK pathology mea lapaʻau, a keʻena hoʻokolohua haʻawina, e hoʻopau hoemi erythrocyte acetylcholinesterase haʻawina, hoomahuahua i ke koko pae o ka hormones adrenaline a me ka noradrenaline.

Paha i kekahi mahele kila. E hana i kēia, e cardiotocography. Me ka mea e hiki ke hoʻopaʻa i ka ikaika a me ka lōʻihi like 'ole o ka contractions.

Pathological ka mua manawa: lapaʻau

I ka wā o kaʻiliahi cervix a me ka wa e kaawale aku o kuokoa? Acaeoey o ka hana malama kumu perenashivanie hāpai keiki. Inc, e laila, e hoonohoia ma ka kumu o ka pathogenesis o ka maʻi. Ka pahuhopu o ka lapaau, e hōʻeleu i ke oo ana kaʻina o ka uterus. E pili i na ohe.:

• Elektroanalgeziya.
• Elektrorelaksatsiya uterus.
• Iapaau ana me ka medikametov: antispasmodics, analgesics, prostaglatinov E2.

Inā ka hoʻomanawanui ua mālama loa luhi, a mahuahua nervousness, ua ua hoonohoia like me ka iapaau ana no ka lāʻau '-ʻonou hiamoe. Kekahi palapala mai kiaha dala.

A maikaʻi lapaʻau hoʻokūkū i ka lewa i loko o ka pahikaua hoʻomaka o mau contractions. A i 'ole oo i ke kino no ka nahunahu hanau. I ka wā o ka uterus lilo "oʻo", ua weheia, a loko o nā hola o ka maʻamau contractions hoʻomaka i ka fetal bladder. Inā hana e ole hoʻomaka, a laila, intravenously lawelawe prostaglandins.

I ka ineffective lapaʻau pu me nā complications (obstetrical mōʻaukala, ka nui ka nui o ka fetus, breech hōʻike, OPG-preeclampsia, fetal hypoxia luna) ka hanaia kekahi pilikia Caesarean pauku.

Hoʻokokoke mai ai i ka hooponopono ana o ka hapai na wahine, ka poe i malama i ka pathological ka mua wā

He mau hoʻokokoke mai:

• Piha koena.
• Hoʻokomo o ka hana me ka hoʻohana 'oxytocin.

Nā kiʻina hana i manaoia e hoʻopau 'aʻe' ana i ka hana. Maikaʻi hoʻokūkū mālama i loko o 85% o ka hihia. I ka wa koho o ka iaoiaeii i loko no o ka kēia mau hiʻona o ka pathology:

• I ka loa o ka hoʻomanawanui ka iini a me ka luhi.
• Ke kumu no ka i ka complication.
• Ke koho ana o ka papa hana, i mea oi pono no ke ahonui, a me ka obstetrician.

Ka wā koho i ke kokoke loa i kahi o ka piha koena hapai kumuhana, ka mea, ua lawelawe intramuscularly 0,015 g. O ka Morphine. Alaila, secobarbital i loko o 0.2 g. Kēia AOAIAaOO He mana nui iho la ia. Nō kāu, ma hope o ka hooko ana o ka Morphine ahonui hiamoe no kekahi hora. Mahope o 4-5 hola o ka poe i koe, i a me ka hooweliweli kino MOKUNA LXI, he wahine kāhea mai me kekahi mea a pau a me na hoailona hoi ma ka hanau ana, kekahi me kaʻeleu ka hana.

I ka wa koho o ka lua o ka Track, a laila, stimulation o oxytocin e pakele wehe i ka membranes. Cesarean pauku ua hoaponoia wale i loko o ka loa loa hihia.

Kāohi

Major kāohi ana no ka pale pathology ka mua au i:

• 'Eleu kuka o ka obstetrician.
• Delivery o nā mea a pau e pono kālailai.
• Hana kauka ka olelo ao e pili ana i ke ano a me ka mana.
• Manaʻoʻike a me ka physical hoʻomākaukau o hapai wahine no ka nahunahu hanau.

Kupono obstetrician E malama i ka mana o ka wahine e noho ana ma ka pilikia o ka hanana o kēia maʻi. O nulliparous ma lalo o ka makahiki o ka 17 makahiki, a ma hope o 30 makahiki, e like me na wahine, ka poe i ka maʻi o kekahi mau nā loko (akepaa, hakuʻala, naʻau).

Penei, ka pathological ka mua wā o kekahi o nāʻano o nā anomalies o ka hana hope. Ua lŘlŘ he pinepine. Eia naʻe, mahalo i ke kālā no lapaau, 85% o ka 'eleu' uao maluhia o nā kauka e hānau hope. Nolaila, i ka wa a ka mua hoailona o ka maʻi e koke e kelepona i ke akamai obstetrician-gynecologist. Ka hopena o ka'āno'ē ka mua wā hiki ia mea nui, a hiki i ka fetal hypoxia o kekahi hoʻolako 'ole i loko o kona kūloko ma nā loko, a me ka make. Pono hoakaka lapaʻau, e kōkua hoola i ke ola o nā makuwahine, a me ke keiki.