Barazana na zubar da ciki: haddasa, bayyanar cututtuka, magani .
Suna rarraba barazanar katsewa cikin kungiyoyi biyu. Idan yayi tasowa kafin mako 28, yana da barazanar zubar da ciki marar kuskure ko ɓatawa. Idan tsawon lokaci tsawon makonni 28-37 ne, an riga an barazana da haihuwa (wanda ba a taɓa haihuwa ba zai iya tsira a waɗannan sharuɗɗa).
Dalilin katsewa
Sau da yawa, ƙarshen ciki ya faru saboda dalilan da yawa. Wasu lokuta yana da wuya a ƙayyade ainihin abin da ya fara, amma don ƙarin ƙwarewar likita yana da matukar muhimmanci. Akwai dalilai daban-daban don barazanar katsewa:
- Hormonal cuta
Mafi sau da yawa wannan lahani ne na progesterone, wanda aka samar har zuwa makonni 16 a cikin jiki mai launin rawaya, bayan - ramin. Sau da yawa akwai haɗuwa da rashi na estrogens da progesterone (hawan ciki na ciki). A sakamakon haka, endometrium bai cika cikakke ba kuma baza'a iya gina kwai cikin fetal lafiya a cikin mahaifa ba. Don barazanar katsewa ya haifar da haɗari na hormones na namiji - androgens, wanda ya rage abun ciki na estrogens. Har ila yau, idan ayyuka na sauran kwayoyin hormonal (glanden gland, glanding glanding, gland gland), wanda a kaikaice shafi aikin ovaries, an keta, wannan zai iya haifar da barazanar katsewa.
- Kwayoyin cututtuka da cututtuka
A cikin barazanar katsewa, cututtukan cututtuka da cututtuka na jima'i (trichomoniasis, cytomegalovirus, ureaplasmosis, chlamydia da sauransu) suna da laifi. Magunguna masu cuta suna haifar da kumburi a cikin magungunan, tashi, ta rufe ƙwayoyin, haifar da lalacewarsu, wanda zai haifar da barazanar katsewa. Bugu da ƙari, ƙaddamar da barazanar katsewa ta hanyar maganin ƙwayar cuta, ta kawar da kayan abinci na tayi da kuma haifar da lalacewar ci gaba. Kwayoyin cututtuka (cututtukan zuciya, rubella, mura) basu da mahimmanci. Dalilin rashin zubar da ciki a wannan yanayin shine rashin bitamin, fetur hypoxia, maye, zazzabi.
- Pathology na mahaifa
Magunguna da aka samu (myoma da sauransu) ko nakasa na ciki na mahaifa suna maɗaurin barazanar katsewa. Wannan shi ne saboda irin yanayin da ake ciki na endometrium, da rashin haɗari, da ƙananan tsarin tsarin mahaifa.
- Isthmicocervical insufficiency
Sanya kawai, raguwa, ƙananan ƙwayar mahaifa. Yana taso ne saboda rashin isasshen hormonal ko sakamakon sakamakon raunin raunin injiniya (raunin jiki a lokacin haihuwa, abortions).
- Abubuwa da suka shafi halittu
A sakamakon cututtukan kwayoyin cutar tayin, har zuwa kashi 70 cikin dari na rashin kuskuren farko. Irin wannan hakki za a iya haɗuwa da ladabi, yanayi mara kyau, yanayin haɗari.
- Yanayin yanayin yanayi suna tasowa a lokacin haifa
Wadannan sun hada da previa, polyhydramnios, gestosis, sakamakon sakamakon jinin jini a cikin ramin jiki, tayin zai fara shan wahala, wanda zai haifar da barazanar katsewa.
- Na'urar cututtukan cututtuka na mace
Pyelonephritis, ciwon sukari mellitus, hauhawar jini, cututtukan zuciya kuma suna haifar da barazana da cin zarafin jini na jini.
Bayyanar cututtuka na katsewa
Abin baƙin ciki shine babban alama na barazanar katsewa. Zai iya kasancewa ta yanayi daban-daban: daga matsananciyar hankalin da ake ciki. Bambanci da kuma yanki na ciwo: a cikin kasan baya, a cikin sacrum, a cikin ƙananan ciki. A wani lokaci na ƙarshe, mace ta fara farawa ta hanyar hypertonic - "gagarumin abu" na mahaifa. Wani lokaci ana ƙara yawan ƙarar mahaifa tareda taimakon duban dan tayi, lokacin da babu wani gunaguni na zafi. Yana faruwa ya zama gida (a kan wani shafin) ko kuma gaba ɗaya. Alamar da ya fi hatsari - zub da jini daga gindin jikin, ba shi da kowa. Halin halin da ake ciki yana da banbanci: daga smearing zuwa m. Giraguwa, mai tsabta yana nuna alamar cirewar ƙwayar fetal wanda ke faruwa a wannan lokacin. Idan mugun abu ne mai zurfin jini, to, yana magana ne game da tsohuwar ƙwayar ƙwayar fetal, wanda sakamakon abin da hematoma ya kafa ya fara komai.
Tsar da Jiyya
Zuciyar jiki da kuma hutawa jiki shine dalili don magance barazanar katsewa. Don haka, ka rubuta ƙaddara (valerian, motherwort) da kuma barci. Hawan jini na cikin mahaifa taimaka wajen cire spasmolytics: spazgan, papaverine, amma-spa. A wasu kwanakin baya, bayan makonni 16, an ba da takaddun ƙwayoyi, kamar: maganin barasa, ginipral, partusisten. Don dakatar da zub da jini, ana amfani da hemostatics (sodium etamzilate, dicinone). A lokuta da raunin hormone, ana amfani da kwayoyi masu maye gurbin progesterone (Dufaston, Utrozhestan).