Magungunan mahaifa a cikin mata masu ciki sun kasu kashi uku:
• kwayar cuta - kasancewar kwayoyin cuta a cikin urinary fili;
• kamuwa da ƙananan sassan urinary (cystitis, urethritis);
• kamuwa da cutar urinary na sama (pyelonephritis).
Mata sukan sha wahala sau biyar sau da yawa fiye da maza, kuma suna fama da rashin lafiya a cikin shekaru masu haihuwa. Me ya sa? Wani ɓangare na kuskure shine siffofi na al'ada na jikin mace: kasancewa da budewa a cikin kofa na farji (watau mafi girma don samun kamuwa da cuta). Bugu da ƙari, a lokacin lokaci na biyu na juyayi da kuma cikin lokacin gestation, gyaran gyaran halittu yana faruwa a cikin tsarin gaggawa na fitsari na mata, wanda ya rage rage juriya ga cututtuka.
An gano cewa hadarin ƙaddamar da kamuwa da urinary kamuwa da cuta shine mafi girma a cikin mata:
• da farko aka haifa a lokacin shekaru 28-30;
• masu shayarwa;
• wadanda suka kamu da wadannan cututtuka a baya;
• marasa lafiya da ciwon sukari mellitus;
• ciwon haɗari marar kyau ko rashin aiki na urinary fili.
Kamar yadda ka sani, an sanya babbar kaya a kan kodan lokacin daukar ciki - ayyukansu suna faruwa tare da tsananin damuwa. Dole ne su cire kayan jikin lalata daga jiki kuma su musanya ba kawai ga mace kanta ba, har ma da jaririnta. Duk da haka, ba tare da kallon shi ba, tsinkar ilimin lissafin jiki ba zai haifar da canje-canje a cikin kodan kuma suna jimre wa aikin ba. A cikin watanni na ƙarshe na ciki a cikin fitsari, akwai alamun gina jiki - wannan shine alamar farko game da yiwuwar gestosis.
Asymptomatic bacteriuria
An gano shi tare da taimakon bincike na fitsari a cikin kashi 2-7% na mata masu ciki, ko da yake ba a tabbatar da asibiti (saboda haka kalmar "asymptomatic"). Binciken ganewa yana nufin cewa akwai ciwon kwayar cuta na kwayan cuta a cikin urinary fili. Duk da rashin hotunan hoto, cututtukan kwayoyin cuta a lokacin daukar ciki sau da yawa (a cikin 20-30% na lokuta) ya haifar da ci gaban cystitis da pyelonephritis kuma yana buƙatar takamaiman magani.
Micstitis m
Irin wannan kamuwa da cuta na urinary a lokacin daukar ciki ba wuya a gano a cikin hankulan hankulan mummunan kumburi: saurin azumi, mai zafi. A cikin shahararren wallafe-wallafe yanzu an buga wasu shawarwari masu yawa game da yadda za a magance wannan bala'i. Don ƙaƙafa tsarin ƙwayar cuta, ba shakka, za ka iya. Amma wannan ba za a iya yi ba, musamman ciki! Kyakkyawan ƙwayar cystitis mai sauƙi ba zai iya shiga cikin wani nau'i na yau da kullum ba. Bugu da ƙari, kamar yadda yake tare da kwayoyin cutar asymptomatic, tare da cystitis, yana yiwuwa a hawa kamuwa da kodan da kuma inganta pyelonephritis.
Ƙananan pyelonephritis
A cikin cututtuka masu ciwo da cututtuka masu ɓarnawa, ƙwayar maƙarar kodan da tsarin kwasfa da-pelvic suna afuwa. Kyakkyawan wahala na ciki (a wannan lokacin da ake kira cututtukan kwayar halitta). Zai iya ci gaba zuwa ci gaban urosepsis kuma zai kai ga haihuwa.
Yana faruwa a fiye da kashi 12 cikin 100 na mata masu ciki (sau da yawa a cikin haifaffan ciki). A wannan yanayin, akwai mummunar tasiri a kan yanayin ciki da kuma kai tsaye a kan yaron - sau da yawa tare da gestosis, yana haifar da zubar da ciki, ba da yaduwar cutar tayi, rashin isasshen ƙwayar ƙasa.
Causes da pathogens
Matsayin kayyade a ci gaban ciwon urinary kamuwa da cuta a cikin mata masu ciki suna kunshe da ƙungiyoyi biyu - dalilai na anatomical da hormonal. An fara ne da makon bakwai, an kafa wani hydroureter na physiological - fadada tsarin calyx da tsarin pelvic da azzakari. Sabili da haka, jiki yana ƙoƙarin daidaitawa don karuwa a cikin ruwa mai gudana. Ƙarar ureter zai iya kai 200 ml, wanda zai taimaka wajen cin zarafin fitsari mai tsafta, da kuma riƙewa a cikin ureter, i.a. sharadi mai kyau don fitowar kwayoyin cuta.
Kwayar mahaifa ta ƙara girma, yana canja matsayi na mafitsara saboda lalacewa da squeezing. Matsayin da ke kusa da wuri na mai tsabta da farji, da dangi gluco-zuria (sukari a cikin fitsari) samuwa a cikin mata masu ciki, yana inganta sauƙin kamuwa da cutar fitsari da kuma yaduwar kamuwa da cuta ta hanya mai hawa. Girman isrogen yana ɗauke da raguwa a cikin ƙananan ƙwayoyin cutar, wanda zai iya taimakawa wajen cin zarafin urinaryar.
Duk waɗannan canje-canje a lokacin daukar ciki zai iya farawa a tsawon makonni takwas kuma ya kai ga ƙarshe a cikin makonni 18-20, rike da alamunta na tsawon makonni 2-3 bayan haihuwa. Da farkon rabi na biyu na ciki, wani cin zarafin sashin fitsari na iya faruwa saboda matsawa ga masu ureters tare da girman da ya dace da mahaifa. Squeezing ureter kuma zai iya haifar da bambancin varicose, thicker da kuma dan gajeren dama hakkin ovarian. Wadannan bayanan sun bayyana mahimmancin abin da ke faruwa na haɗin gwiwar hagu.
Babban magungunan ciwon urinary kamuwa da cuta a cikin duka masu ciki da marasa ciki shine E. coli (80-90% na lokuta), amma akwai wasu kwayoyin Gram-negative kamar Proteus da Klebsiella. Kwayoyin kwayoyin kwayoyin halitta basu da yawa. A cikin mata a lokacin da take ciki, da ƙwayar kumburi a kodan za'a iya haifar da fungi na gwanin Candida. Matsayi mai mahimmanci a cikin abin da ya faru na pyelonephritis an kuma buga shi ta mycoplasma, ureaplasma, trichomonads, kuma a cikin kashi 20 cikin dari na magungunan ƙwayoyin cuta.
Endotoxins na Escherichia coli sun haifar da sclerosis na ƙwallon ƙwallon ƙafa, ƙwaƙwalwar ƙwayar koda kuma nau'in abin da zai faru. Rashin kamuwa da cutar prostate ta ke faruwa ne ta hanya mai maimaita, samfurin dutse da ƙananan jinin jini a cikin fitsari saboda lalata su ta hanyar enzymes na microorganisms. Hanya na pyelonephritin gizon da aka samu ta hanyar fure-fure-furen ya fi tsanani, tare da ciwon kwayar cuta da kuma septicemia.
Ta yaya ake nuna pyelonephritis?
Hanyar da ke fama da cututtuka ta shawo kan hanyar kamuwa da cuta. Idan wannan hanya ce ta hanzari (tare da jini), alamar da ke cikin mafi yawan cututtuka na cutar ita ce. Idan wannan hanyar hanyar urogenital (ta hanyar fitsari), to, alamun daji na gida zasu rinjaye. Bayyana mummunar hawan gwiwar ƙwayar cuta yakan kasance a cikin 'yan kwanaki bayan da aka tsananta da tonsillitis na yau da kullum ko kuma gane wasu ƙwayoyin maganin (furunculosis, mastitis, da dai sauransu). Abin da ya sa ba za a iya gano cutar nan da nan ba. Ana samun sauƙi a cikin zazzabi, zafi, da kuma ciwo mai zafi, ciwon kai, zafi mai tsanani a cikin ƙasa, mafi sau da yawa a dama. Kwayoyin al'ada suna da alamun alamun bayyanar cututtuka: ƙura, dumburic phenomena, zafi a yankin lumbar. Abin da ake fama da shi yana ƙara karuwa, tare da kowane sabon tashi a cikin zafin jiki, zamu iya magana game da bayyanar sabon tsari a cikin kodan. Dama da damuwa ta hanyar motsa jiki, zubar da ruwa, yana ko'ina cikin jiki. Ya bayyana tachycardia, dyspnea. Tare da ragewa a saukar karfin jini, ƙwayar cuta ta jiki zai iya ci gaba.
Jiyya na m pyelonephritis
Yana da mahimmanci, tsawon (makonni 4-8). Lokacin da maganin maganin miyagun ƙwayoyi ya kamata ya la'akari da lokacin da za a yi ciki, da tsanani da tsawon lokacin cutar, bincike akan tsarin aiki na kodan da hanta, da jigilar magungunan mutum da yiwuwar canza su cikin madara. A cikin matsanancin mataki na cutar, kwanciyar gado yana da akalla kwanaki 4-6. Lokacin da zazzabi ya ƙare, ana amfani da tsarin tsarin aiki don inganta fitowar fitsari.
Yin amfani da farfadowa matsakaici: sau 2-3 a rana, matsayi na kafa gwiwa don minti 4-5; barci ne kawai a gefen, a gefen kishiyar koda da cututtuka. Abinci na musamman tare da ƙuntata gishiri ba'a buƙata. Idan babu harshenma, sha yalwa, har zuwa lita 2 kowace rana. Shawarar cranberry ruwan 'ya'yan itace, koda shayi, infusions na faski, horsetail, cowberry - shuka diuretics da antiseptics. Akwai wasu magungunan magunguna (musamman ma namifron), wanda a cikin aikin obstetrical suna da matukar muhimmanci wajen maganin pyelonephritis da sauran cututtuka na urinary fili.
Kwanan nan, ana amfani da mahimmancin bishiyar namifron na kamfanin Jamus "Bionorica AG", yana da cikakkun nauyin ayyukan. Daga cikinsu - maganin antiseptik, anti-mai kumburi, spasmolytic, antibacterial, diuretic. Ana amfani da Kanefron don magance pyelonephritis na gestational a farkon ciki. Tare da taimakonsa, ƙwaƙwalwar ƙwayar cuta ta yau da kullum, da maganin urolithiasis, da rigakafin rikitarwa na ciki, wanda ya haifar da saɓin tsarin aikin kodan. Kanefron ya dace a lokacin da aka soke maganin cututtukan kwayoyin yayin kula da cututtuka na urinary fili da kuma yin amfani da tsawon lokacin amfani da maganin maganin rigakafi. Babu wata illa mai cutarwa na miyagun ƙwayoyi.
Sakamakon sakamakon cututtuka
A lokacin daukar ciki da kuma aiwatar da aikawa kanta, matan da ke shan wahala daga pyelonephritis suna da wasu halaye. 6% na matan da ke fama da ciwon hawan gwiwar hawan gwiwar sunyi mummuna, 25% suna da hadari na haihuwa, 44-80% suna da mummunan cututtuka na mata masu juna biyu. Tsunuka da tayi na ciwon tayi yana dogara ne akan tsananin rashin ciwon kullun, ƙananan tsarin kamuwa da cuta.
Haihuwar yara sau da yawa suna da alamun alamun kamuwa da cuta da aka samu a utero. Saboda haka ilimin kodan da ke cikin mahaifa shine muhimmiyar tasiri wajen bunkasa ci gaban koda a cikin yaron (wanda ba ya da cikakkiyar nau'in kodayake, urinary system dysembryogenesis). Yayi amfani da hypoxia ta tayi, hypotrophy, da kuma kula da hankali ga tayin.
A cikin kwanakin baya, kashi 22-33 cikin 100 na mata wadanda ke fama da halayen gine-gine-gizon jiki suna haifar da cututtuka marasa lafiya. A ranar 4th, 12th da 14th bayan haihuwar, tsinkayuwa na iya zama mafi muni. A cikin kashi 20% na lokuta bayan bayarwa, za a iya rage yawan aikin na ginin.
Game da rigakafin da ciwon urinary a ciki
1. Shiryawa don ciki. Mai kulawa, mai ban mamaki, musamman idan a baya mace tana da alamun cutar ciwon urinary. Dikita zai gaya muku abin da jarraba ku buƙaci zuwa ga ma'aurata biyu kafin haifa yaro.
2. Kaddamar da dukkanin kamuwa da cuta a jiki.
3. Mai ciki mai ciki ya kamata ya rijista tare da asibitin mata a farkon lokacin da kuma lokacin dukan lokacin haihuwa ya bi duk shawarwarin likitanta, yayi gwaje-gwaje a lokaci kuma ya dauki wasu gwaje-gwaje. Don a kiyaye shi daga sanyi!