Hyperemesis gravidarum

Hyperemesis gravidarum yakanyanyisa, inoramba ichirutsa uye kurutsa panguva yekuzvitakura. Inogona kutungamira mukushaya mvura, kurasikirwa uremu, uye kusaenzana kwemagetsi. Morning chirwere chinyoro svoto uye kurutsa kunoitika mukutanga nhumbu.

Vazhinji vakadzi vane kumwe kusvotwa kana kurutsa (mangwanani kurwara), kunyanya mukati memwedzi mitatu yekutanga yepamuviri. Chikonzero chaicho chekusvotwa uye kurutsa panguva yekuzvitakura hachizivikanwe. Nekudaro, iyo inofungidzirwa kuti inokonzerwa nekukwira kunokurumidza kweropa rehomoni inonzi munhu chorionic gonadotropin (HCG). HCG inosunungurwa nepacenta. Hunyoro mangwanani kurwara kwakajairika. Hyperemesis gravidarium haina kujairika uye yakaoma.

Vakadzi vane hyperemesis gravidarum vane kusvotwa kwakanyanya uye kurutsa panguva yekuzvitakura. Inogona kukonzera kurasikirwa kwehurema kweanopfuura 5% yehuremu hwemuviri. Mamiriro acho anogona kuitika mune chero kutora pamuviri, asi zvishoma zvishoma kana iwe uri nepamuviri nemapatya (kana vamwe vana), kana kana uine hydatidiform mole. Vakadzi vari panjodzi yakanyanya ye hyperemesis kana vakambove nedambudziko mune dzakapfuura nhumbu kana vakajairwa kurwara kwekufamba.

Kurwara kwemangwanani kunogona kukonzera kuderera kwechido, kutsamwa kwakadzika, kana kurutsa. Izvi zvakasiyana neyechokwadi hyperemesis nekuti vanhu kazhinji vachiri kugona kudya nekumwa zvinwiwa imwe yenguva.

Zviratidzo zve hyperemesis gravidarum zvakanyanyisa. Zvinogona kusanganisira:

• Yakakomba, inoramba ichirutsa uye kurutsa panguva yekuzvitakura
• Kugadzira zvakawanda kupfuura zvakajairwa
• Kuonda
• Zviratidzo zvekushaiwa mvura kwemvura senge weti yakasviba, ganda rakaoma, kushaya simba, husina musoro kana kufenda
• Kuzvimbirwa
• Kusakwanisa kutora huwandu hwakaringana hwemvura kana chikafu

Mutapi wako wezvehutano achaita bvunzo dzepanyama. Ropa rako rinogona kunge rakaderera. Kupomba kwako kunogona kunge kwakakwirira.

Aya anotevera marabhoritari anoedzwa kuti aongorore zviratidzo zvekushaya mvura mumuviri:

• Yakazara kuverenga ropa
• Electrolyte
• Weti ketoni
• Kuonda

Wako mupi angangoda kumhanyisa bvunzo kuti uve nechokwadi chekuti hauna chiropa uye nematambudziko ematumbu.

Kubata pamuviri ultrasound kuchaitwa kuti uone kana uri kutakura mapatya kana vamwe vana. Ultrasound inotarisawo hydatidiform mole.

Kurwara kwemangwanani kazhinji kunogona kudzivirirwa nekudzivirira chikafu chinokonzeresa chinokonzeresa dambudziko uye kunwa mvura zhinji kana zviratidzo zvamira kuti ugare uine hydrated.

Kana kusvotwa kwako uye kurutsa zvikukonzera kushaya mvura, unozogamuchira zvinwiwa kuburikidza neIV. Iwe zvakare unogona kupihwa anti-nausea mushonga. Kana kusvotwa uye kurutsa kwakanyanya zvekuti iwe nemwana wako mungangove munjodzi, muchaendeswa kuchipatara kunorapwa. Kana iwe usingakwanise kudya zvakakwana kuti uwane zvinovaka muviri iwe nemwana wako munoda, unogona kuwana zvimwe zvinovaka muviri kuburikidza neIV kana chubhu inoiswa mudumbu mako.

Kubatsira kubata zviratidzo kumba, edza aya matipi.

Dzivisa zvinokonzera. Unogona kuona kuti zvimwe zvinhu zvinogona kukonzera kurutsa uye kurutsa. Izvi zvinogona kusanganisira:

• Dzimwe ruzha nemhere, kunyangwe redhiyo kana TV
• Mwenje yakajeka kana inopenya
• Mushonga wemazino
• Kunhuwirira kwakadai semafuta nezvinonhuhwirira zvekugezesa uye zvekushambadzira
• Kushushikana padumbu rako (pfeka mbatya dzakasununguka)
• Kutasva mumotokari
• Kutora mashawa

Idya nekunwa kana wagona. Tora mukana wenguva dzaunonzwa zvirinani kudya nekumwa. Idya zvidiki, zvinogara zvichidya. Edza yakaoma, bland chikafu senge maputi kana mbatatisi. Edza kudya chero chikafu chinokufadza. Ona kana iwe uchigona kutsungirira zvinovaka muviri Smoothies nemichero kana miriwo.

Wedzera zvinwiwa mukati menguva dzezuva kana iwe uchinzwa kushoma kusvotwa. Seltzer, ginger ale, kana zvimwe zvinwiwa zvinopenya zvinogona kubatsira. Iwe unogona zvakare kuyedza kushandisa yakaderera-dhayidhi ginger inowedzera kana acupressure mawoko mabhendi kurerutsa zviratidzo.

Vitamin B6 (isingasviki 100 mg zuva nezuva) yakaratidzirwa kudzikisira kushungurudzika mukutanga kwepamuviri. Kumbira mupiki wako kana vhitamini iyi ingakubatsira. Mumwe mushonga unonzi doxylamine (Unisom) wakaratidzirwa kuve unoshanda zvakanyanya uye wakachengeteka kana uchinge wasanganiswa neVitamin B6 yekuzorodza mukuzvitakura. Unogona kutenga mushonga uyu pasina mushonga.

Morning chirwere kazhinji hunyoro, asi hunoramba. Inogona kutanga pakati pemasvondo mana nemasere ekubata pamuviri. Inowanzoenda nemavhiki gumi nemasere kusvika gumi nemasere ekubata. Kusvotwa kwakanyanya uye kurutsa zvinogona kutanga pakati pemasvondo mana kusvika masere ekubata uye zvinowanzoenda nemavhiki gumi nemana kusvika gumi nematanhatu. Vamwe vakadzi vacharamba vachisvotwa uye kurutsa nhumbu yavo yese. Nekuzivikanwa kwakakodzera kwezviratidzo uye kunyatso kutevedza, kukomba kwakakomba kwemwana kana amai hakuwanzo.

Kurutsa zvakanyanya kunokuvadza nekuti kunokonzera kupera mvura mumuviri uye kuwedzera huremu husina kutsarukana panguva yekuzvitakura. Kazhinji, mukadzi anogona kunge achibuda ropa mukati medu kana mamwe matambudziko akakomba kubva pakurutsa nguva dzose.

Mamiriro acho anogona kuita kuti zviome kuramba uchishanda kana kuzvitarisira. Zvinogona kukonzera kushushikana uye kushushikana mune vamwe vakadzi izvo zvinomira shure mushure mekubata.

Fonera mupiki wako kana iwe uri nepamuviri uye uine kunyunyuta kwakanyanya uye kurutsa kana kana uine chimwe chezviratidzo zvinotevera:

• Zviratidzo zvekushaya mvura mumuviri
• Kutadza kushivirira chero zvinwiwa kwemaawa anopfuura gumi nemaviri
• Musoro wakareruka kana dzungu
• Ropa mumarutsi
• Marwadzo emudumbu
• Kurema kwehuremu kweanopfuura mashanu lb

Kushungurudza - hyperemesis; Kurutsa - hyperemesis; Morning chirwere - hyperemesis; Kubata - hyperemesis

Cappell MS. Matambudziko emimba panguva yekuzvitakura. Mune: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 48.

Gordon A, Rudo A. Kusvotwa uye kurutsa mune nhumbu. Muna: Rakel D, ed. Inobatanidza Mushonga. 4th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 54.

Kelly TF, Anochengetedza TJ. Zvirwere zvepamuviri pamuviri. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chits. 63.

Malagelada JR, Malagelada C. Nausea uye kurutsa. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

Salhi BA, Nagrani S. Zvinetso zvakakomba zvekuzvitakura. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 178.