Tuberculosis a me ka hāpai keiki: hāpai keiki ma hope o tuberculosis, tuberculosis i hāpai keiki, tuberculosis, hopena ma ka hāpai keiki

More nei, TB Ua manaoia e e he nui PAaIEN no abortion a me kaʻimi hoʻopunipuni hanau. Eia naʻe, mahalo i ka muli o hou ohe. A me ka lapaʻau 'ana no i keia la, e hiki ke hoola i ka fetus, a malama i ke ola o ka makuwahine. Women i ia e kakau me ka pulmonologist a hoʻomalu i kekahi kūpono.

Tuberculosis a me ka hāpai keiki

Hoʻomaka i ka hulina nana mea OAXA no ka hapai wahine, no ka mea hoomaikai ia ia, loaʻa i ka maʻi, i hope lilo pilikia no ke keiki. Ke mau ano o na wahine ua oaeuiinoe ma ke kālailai i ke koko a me ka m-Ray hookolokolo o ka 'ohana a me kane ke kōkua ike ai i ko ka wahine ma ka hana komo i loko o ka pilikia o ka ulu akemāmā mai paha,ʻaʻole. Ia ana, ua kuhikuhi nona ma ka Kāohiʻana o ka tuberculosis. He He pilikia loa maʻi, a hiki mai i ka ia i kekahi kanaka maoli, nānā 'ole o kona nohona haʻahaʻa a me ka hope. He nui nā kanaka i nā moku halihali mokulele o ka maʻi, aʻaʻole eʻike nōʻo ia i kēia, mai ke ahiahi, he koko ho'āʻo 'aʻole e huai ae ia. Ka maʻiʻaʻai ka loa pinepine ma na makahiki i loko o ka moe ko moku'āina, a ua ho'ā 'ia paha i ka manawa o ka ho'ēmiʻana o ke hoʻonele.

Hapai physiologically hoemiia i ka palekana mana, a me ka mea, ua oi susceptible i nā mea hoʻomaʻi.

Ua pono e hoʻomanaʻo i hāpai keiki me ka pulmonary tuberculosis mea he mea ana, no ka mea, ke kāʻei kua o ka maʻi hoʻomaka complications kaumaha a me ka pathology a me miscarriage ke kānāwai. Ka pilikia o ka EYI o ka maʻi mai ka makuahine i ke keiki palena iki akā, e hookaawale ia pau ole.

Mea Maluna

Aia hoi he mau ana hoʻohālike i maheleia i kēia maʻi.

-ʻeleu a me ka AEeOEXAaI;
- i ka palapala o ka pulmonary paha extrapulmonary;
- iniiaiie a kiʻekiʻe, e like me rarer - congenital.

I kekahi manawa i ka wa a na kuʻina kakahiaka nui o ka tuberculosis i 'akomi i loko o ka expectant makuwahine, i ka hana o ka hapai wahine e e komo ole wale obstetrician-gynecologist, akā, TB hoʻomalu.

Ua ua manaoio ia ina ka maʻi ua IIeEeAIEUIeXAIIUE i loko o ka pahu, alaila, o ka pilikia a hiki i ka fetus Ua ka palena haʻahaʻa i kue i extrapulmonary pepa. Loa pinepine, ua 'ōlelo ia i ka hāpai keiki premature hanau, keiki ikeia nāwaliwali, a loaa i ka palena iki heluʻai ma luna o ka Apgar.

symptoms

Inā ka maʻi e loli ai i ka hoʻomanawanui i loko o ka 1st trimester, i kēia kaʻina aneane aʻole i kekahi lapaʻau hoailona. Ola ano mea ku pono i kaʻawahia, a ua noʻonoʻo i ka papa kuhikuhiE kumu o hoolohiʻike.
Loa pinepine hoikeia like pathology:

- ilihune ikaika loa ka makemake;
- nui nawaliwali;
- ka ho'ēmiʻana o ke kino ke kaumaha.

Tuberculosis ma ka hāpai keiki, na symptoms ma ka 2nd trimester puka me kekahi loli, pilikia nui, mai ke kino ano e hoʻomaka ana e hohola infiltrative a me ka luku nui keʻano o ka hanaʻana.

kumu

I ka manawa o ka gestation fetal endocrine'ōnaehana ua pu ma ka rearrangement hana.

Loli ana:

- ma metabolic keʻano o ka hanaʻana;

-'ōnaehana paleʻea a me ka hematopoietic nenoaiu.

Ke kino launa nui ke kanana nei, ma muli o kuhikuhi i ke alo o fetal metabolic huahana. Ke hualoaʻa He pinepine he ulu ka helu o ke kamepiula aʻe. No ka mea, o keia, ka maʻi e hoʻomōhala ma muli o ke iniiaiie maʻiʻaʻai ma microorganisms.

Tuberculosis loa olelo e loli ai i hāpai keiki i loko o ka 1st trimester, eia nae ka mea hiki ke kiʻi maʻi i kekahi manawa. At kamepiula nā wāhine i loko o ka mua 6 mahina postpartum. I loko o kēia wā hoʻomakaʻeleu lactation, a me ke keiki mau, e loaa mai ka makuahine, a pau i ka mea eiiiiiaiou no lākou ulu, nolaila, i ke kino, aole ia i hooki i ka e kuʻuʻia.

Owai la ka mea hiki au e kelepona i?

Tuberculosis a me ka hāpai keiki kauoha i ke komo ana o kekahi mau kauka. Inā keia i ka pala i hana kupua symptoms, ia mea mau Kuleana e nīnau i kou gynecologist. He e noi ninau, ma a mākou e lawe i ke alo o ka maʻi.

1. Aia ka toxemia?

2. Pehea lā ka lōʻihi o ua ka pilikia ana me ka ÷ naehana hanu'āpana?

3. maʻi palū a SARS Ua neʻe akula i loko o nā mahina?

4. deteriorated ola kino ano paha,ʻaʻole?

Inā ke kauka kēia maʻi, ke hoʻomanawanui hou hoʻomaka i ka hana me ka TB kauka, akemāmā hoʻomalu, otolaryngologist a me ka surgeon. Ma na wahine a me TB e pinepine hanau ola na keiki me intrauterine lesion mea pohihihi keia. Breastfeeding ua ae wale no ka poe e hoomanawanui i ka poe i Ua AEeOEXAaI ano o ka maʻi.

kanawai

Wahi a ka 'ikepili helu, ina he mea kekahi tubercular kaʻina hana, ma ka expectant makuahine kaulana i ka hua ma ka alapine (frequency) o ka anemia. I maʻi hiki aku ai i kakahiaka a me ka hopena o gestosis a me ka amniorrhea. I ka Ia manawa 46% o ka hapai wahine i ole complications o pulmonary tuberculosis. Preterm hana ia lŘlŘ wale ma ka 6% o ka hihia. Postpartum kiʻi o kēia mau wāhine i wahi pono maoli nō.

lapaʻau '

X-Ray keia hookolokolo ana, e like me ka pono me ka pahu X-Ray, ia mea loa kupono i ka manawa o ka hāpai keiki. Akā, ma kekahi hihia, kauka e nō hoonoho i mau kaʻina hana. Inā pilikia ka haumāna kauka maopopo leʻa, e noi aku i ka wahine e pili ana i ka pahiki o ka hui 'ana me loohia i ka mai a me ka hoolilo mamua me ka hāpai keiki ma hope o tuberculosis, a ma ka manawa e hiki e fraught me ka io hopena. Inā ke kauka e e kupono e lawe i ke ola ana o keia maʻi, ia mea OAXA e lawe mai X-Ray keia hookolokolo ana ua koi 'ia, ka nānā' ana i ka lōʻihi. Ma keia kahua ia makemake e hoaponoia kamepiula, e like me ka lohi ma kaʻike, hiki aku ai i ka aggravation o ka pilikia a me ka irreversible hopena. I ka manawa o ke anamanaʻo kūikawā aiiay ana e hoʻohana 'ia ka mālama i ka fetus mai pāhawewe keiki.

Ma ke Ka Ikepili o ke koko kēia alo aku o ka maʻi mea kokoke hiki ole, mai ke kiekie pae o leukocytes, ESR a hoemiia hemoglobin e pau loa ia i ho'ākāka 'i hapai wahine, e like me ka pono me no kēia maʻi.

Kuokoa ana o ka maʻi pilikia no ka holoiia symptoms, pinepine lawa ka mea, ua wale diagnosed mua hookuuia mai o ka haukapila. Hāpai keiki tuberculosis lymph pilikia, e like me keia maʻi mea ole, e huai ae, a ia malama pinepine hiki ke pioloke me nā nā mea hoʻomaʻi, e like me mononucleosis.

lapaʻau

I Ina o ka nele koke Inc antimikrobakterialnymi ai '. Koke hoala i ka ninau o ko lākou hopena ma luna o ke keiki, e like me tuberculosis a me ka hāpai keiki - e mau loa like manaÿo. I waena o nā mea a pau i pololei ia eiiiiiaiou teratogenic nona "Streptomycin". He mea no ka mea, hiki i lohe poho i loko o ke keiki. No laila, ka mea, ua contraindicated no expectant makuwahine.

Ke koena o na ai '' Aʻole nō naʻe komo iloko ma ke keiki, akā, e mai i na he kanawai ma ka fetus.

TB lapaʻau i hāpai keiki pinepine i lawe ai ':

- "Rifampicin".

- "INH".

- "Ethambutol".

Mau ai 'i manaoia ka safest no na wahine i ka poe i hele e i ka pēpē, ka mea i kulana kupono e pono-ike lahui keʻena hoʻokolohua. Pu me ia i koi 'ia pinepine wikamina B6, e like me ka mea hemolele complements ka pākōlea hopena.

Ke Kauka e pena i ka mea e pono ai kaapuni e like me ke kauoha a me ka pono o ka lāʻau. E hoʻomaopopo i ka maʻi ua i kamailio ana, ia mea ua nui aku kona pilikia i ka makuahine a me ke keiki ma mua o nā mea hoʻohui kemikala. O ka holo ana, tuberculosis a me ka hāpai keiki - ia mea mau paakiki, no laila, i pono ia ma lalo o ka ikaika nā limahana o ka obstetrician-gynecologist a me Tuberculosis i ka manawa o ke komo ana i ka wahine. All hou ai 'ai e haawiia mai me ka mālama nui.

Loa pinepine, e hoomanawanui i ka poe i ua hoala hou ia i kaʻike,, he mea maʻamau ka hospitalized ekolu manawa no ka wā holoʻokoʻa.

P ÷ ino i ka fetus

Hāpai keiki ma hope o pulmonary tuberculosis, a ma ka manawa o ka maʻi mea i pilikia no ka kamaiki i loko o ka opu. Ua Ua manaoio ia ia placental ke'ākeʻakeʻa mai impenetrable no microorganisms, no laila, i ka maʻiʻaʻai loa pinepine ia lŘlŘ i ka manawa o ka haawi. Aia mau 'ia, i ka wa a ke keiki e hānau ano me ka loli ana i nā loko. Ka makuahine, ka mea i hōʻike 'kaʻeleu ano o ka maʻi, lawe i ke keiki, a kaʻawale ia a piha ke ola.

haʻahaʻa

I ka lā, i ka mālama 'ana o ka hāpai keiki mea hiki i loko o ka helu nui o na wahine iho mailoko me ka tuberculosis, ina systematically ia a ua malamaia ia e hoʻomalu. 'Eleu i ka hoʻomaopopo pono a me ka hooholo ia ana o nā mea a pau pākōlea ke kaʻina hana e leie aku oe, e malama i ka bebe i loko o nā mea maʻi i kaupalena fibronodular me ka ho okumu svezhevyyavlennymi melkoochagovogo keʻano o ka hanaʻana, e like me hematogenous-hoʻolaha pulmonary tuberculosis.

Aka, i ka? A? Uaaiey hōʻike:

- no ka maʻi o ka spine i loko o kaʻeleu ano me ka Hekikai o ka lua;
- pelvic trauma e lilo fistulae paha abscess;
- fibro-cavernous pulmonary tuberculosis, ala me ka hopena o kekahi ano o ka mai;
- ma ka maʻiʻaʻai ana i ke kuli, ke ki kala a me na puupuu wawae ami.

Ma ke alo o na nāʻikepili no abortion, kēia kaʻina hana e halihaliia oia iwaho ma ke kakahiaka nui kahua o ka hoʻonaʻauao (mua 12 pule). Abortion ma ka hope manawa mea i kūpono, e like me ka pinepine ka poʻea pau i ka Holomua a me ka exacerbation o ka maʻi.

hanau

Women ka poe i lawe mai i kaʻeleu palapala, ua nui aku kona pilikia i ka hanau mua o ola. Ma ka manawa o ka intoxication e pinepine loaʻa nawaliwali ho'āʻo a me ka nui ke koko me keia poho. Ke kaʻina hana iho ai emi manawa. Me keia maʻi, ke keiki ke hele maoli ai. E ho ohana i forceps a cesarean pauku ua paipai 'inikua kumu wale no. Helehelena ma kamaiki malamalama e pono lawe wahi i loko o kekahi haukapila. Inā i loko o ka hakuʻole, e hoʻomaopopo 'ia ai e ka haukapila kookoo ma mua o ka hōʻeaʻana mai o ia i ka hoʻomanawanui. Ka wahine, mau kapa i ka maka ea paha e hōʻalo ai i ka hoʻolaha i ka mea hoʻomaʻi.

I ka manawa o ke ano o ke keiki ua koi 'ia e hana hanu kino. Akā, e like me ke kauka pinepine hoʻohana antispasmodic a me kaʻeha lapaʻauʻia.
Inā lapaʻau Ua haawiia mai i ka hoʻomanawanui i loko o ka 'eleu kūpono a me ka mea, ua ma lalo o ka ikaika hooponopono o hoʻomalu, i ka hoʻoweliweli' ana i kona ola, a me ka kamaiki i ka manawa o ka nōhie kaʻina i minimized.

Hāpai keiki ma hope o lapaʻau o tuberculosis

Kela wahine i hoinoinoiaʻe pela maʻi, a ua hoʻolala i ka hanau ana o ke keiki, e uku maikai noonoo i ko lakou ola. Ka maʻi mea he nui keʻakeʻa nei i ka holomua paipai ', me he mea he nui manawa kūpono o fetal? Acaeoey mā. No ia mea, ia mea koʻikoʻi e kipa i ka TB, a me ka gynecologist, a kiʻi kā lākou aʻo mua oe hāpai. Komo i loko o ka hoʻolālā hiki ia i mua o ka makahiki elua ma hope lapaau. Kēia mea no ke kino pono, e ola a me ka waiwai ikaika. Inā 'oe e ole hooko me kauka koi, i ka maʻi pinepine huli i ka manawa o ka gestation, no ka mea, e hoʻonele emi. I Ina o maopopo symptoms ka mea, ua pono e undergo umauma X-kukuna.

Hāpai keiki ma hope o pulmonary tuberculosis mea hiki, a pinepine welau a me ka maikaʻi hoʻokūkū, akā, kēlā me kēia hihia, ua kū hoʻokahi, a me ka pākōlea ana i kanaka kahuna lapaau.

Ma ka loa maikaʻi ha i, ma hope o piha hoolaia maʻi kao hanau ia lŘlŘ ole complications a me ka hopena o ka hala illnesses mai i pili i ke ola kino a me ka maikaʻiʻana o ke keiki. I mea no ke aha la ia mea e pono i kekahi, i na e ho'āʻo ai i loko o ka 'eleu kūpono a me ka piha ninaninau.

Outlook

Iʻike, a me ka 'eleu he lālā o ka iapaau ana i kekahi' ano hope o fetal? Acaeoey, a mahope haawi. Loa pinepine, nā keiki i maʻi makuahine hanau ola, koe wale no ka mea pono ke pathological pilikia a me ke keiki, e like me ka pono me i ka manawa o kekahi hoao ana lakou mea hoʻohaumia. Pinepine maʻiʻaʻai ia lŘlŘ ma hope o ka nahunahu hanau kaʻina hana o ka makuahine e loaʻa tuberculosis ma ka hāpai keiki. Ka hopena, ua ole loa maikaʻi, akā, e like me ka poe akamai, ia mea,ʻaʻole e pono ke keiki i ukuhiʻia i ke keiki, mai ka makuahine. Nā 'ia nā hihia kahi wahine e ae aku i ka loa hanahana loaʻano o ka maʻi a me ka hewa. Inā he wahine hapai ua i malama bacilli, vaccinated i ke keiki me BCG, a ae i ka breastfeeding. Ma hope o ua hookuu mai i ka haukapila me ka makuwahine o ka lānai hou i nā lālā hoʻi o ke kaiāulu e ia ma lalo mau hooponopono ana o na wahine i ka a me ke keiki ola? Aaieou a me ka tuberculosis dispensary.