Kuwotcha , kapena popanda kuthamanga, ndi chizindikiro chofala kwa anthu ambiri. Kuyamwa kungakhale chifukwa cha matenda a khungu, monga kutupa kwa khungu , kapena vuto la mankhwala, monga chiwindi kapena matenda a chithokomiro. Kuyamwa pa nthawi ya mimba kungayambitsidwe ndi matenda ochepa omwe amatha kukhala ndi pakati. Nthawi zina zimakhala zosiyana ndi mimba.
Mulimonsemo, kukhala ndi chiwombankhanga pa nthawi ya mimba kungapangitse nkhawa ndi nthawi yowopsya kwa amayi ambiri.
Pruritic Urticarial Papules ndi Mabala a Mimba (PUPPP)
PUPPP ndi mphutsi yowonongeka yomwe amayi amatha kukhala nayo pa nthawi ya mimba, ndipo imakhudza 1 pa 160 mimba. PUPPP kawirikawiri imachitika panthawi ya mimba yoyamba ya mzimayi m'chaka chachitatu ndipo imabweretsa kuphulika kwakukulu komwe kumafanana ndi mng'oma . Kuthamanga kumachitika kawirikawiri pa mimba ndipo kukhoza kugwirizana ndi kupsinjika kwa khungu kutambasula.
Chithandizo cha PUPPP chimaphatikizapo kumamwa antihistamines ndi topical steroids ; nthawi zina amamva mankhwala oyenera. PUPPP sichivulaza mwanayo, ndipo kuthamanga kumakhala kochepa mkati mwa masabata angapo atabereka.
Prurigo wa Mimba
Prurigo ya mimba ndi mtundu wina wa kuyabwa pa nthawi ya mimba, yomwe imakhudza amayi 1 mwa amayi 300 kuti akhale. Azimayi okhudzidwa amakumana ndi zovuta zowonongeka pamapiko ndi miyendo, ndipo nthawi zina pamimba.
Prurigo ikhoza kuchitika nthawi iliyonse panthawi yomwe mayiyo ali ndi mimba ndipo amachiritsidwa ndi zowonjezera mavitamini, steroids, komanso mankhwala oletsa antihistamines. Kuthamanga kawirikawiri kumatsimikizira posakhalitsa pambuyo pa kubereka koma kungabwererenso mtsogolo mtsogolo.
Cholestasis wa Mimba
Kuwomba kuchokera ku cholestasis wa mimba kumapezeka kachitatu kotchedwa trimester.
Zili zokhudzana ndi zomangira za bile zomwe zimayambitsa magazi m'magazi ndi ndondomeko ya biliary. Palibe kuthamangitsidwa komweku, koma amayi omwe athudzidwa amatha kuwona khungu (yellowing). Kutentha kumatuluka pambuyo pa kubereka koma kungabwererenso mtsogolo. Cholestasis imakhudza mwanayo, kumayambitsa vuto la ubongo komanso ntchito yanthaŵi yayitali. Ngati izi zitachitika, chithandizo chamankhwala chikufunika mwamsanga.
Herpes Gestationis
Herpes gestationis ndi mphutsi yochepa yomwe imapezeka pa nthawi ya mimba (yachiwiri ndi yachitatu) ndipo imakhudza 1 pa 50,000 mimba. Sizimayambitsa matenda a herpes HIV ; Kuthamanga, komabe, kumawoneka ngati herpes - ndi zotupa ndi ma vesicles zomwe zingapange mphete - ndipo zimapezeka makamaka pamimba, makamaka kuzungulira umbilicus (batani).
Chithandizo nthawi zambiri chimaphatikizapo minofu, komanso nthawi zina, corticosteroids. Nthaŵi zina, herpes gestationis imagwirizanitsidwa ndi kubereka msanga komanso kubereka kochepa, koma sizimakhudzanso mwanayo. Kuthamanga kwachilendo kawirikawiri kumabereka, ndiye kumathetsa posakhalitsa pambuyo pake, koma nkutha kudzakhalanso ndi mimba ya mtsogolo.
Pruritic Folliculitis ya Mimba
Pruritic folliculitis ya mimba nthawi zambiri imapezeka panthawi yachiwiri ndi itatu, yomwe imakhudza 1 pa 3,000 mimba.
Kuthamanga kwachangu komwe kumawoneka ngati ziphuphu kumapezeka pachifuwa, mikono, mapewa ndi kumbuyo. Chithandizochi chimaphatikizapo mankhwala opanga mavitamini monga benzoyl peroxide ndipo, nthawi zina, topical steroids ndi oral antihistamines. Kuthamanga uku kumatuluka mkati mwa mwezi umodzi kapena ziwiri pambuyo pa kubereka ndipo sikukhudza mwanayo.
Werengani zambiri zokhudza chithandizo cha chifuwa pa nthawi ya mimba .
Zotsatira:
Xia Y, Bray DW. Mimba ya Pruritic yokhudzana ndi mimba. Am Phys Physician. 2007 Oct 1; 76 (7): 1019-1020.
Walters J, Clark DC. Mpukutu wa Pruritic Pakati pa Mimba. Am Phys Physician. 2005 Apr 1; 71 (7): 1380-1382.
Donnelly AA, Butler RF. Msuzi Pakati pa Mimba. Am Phys Physician. 2005 Nov 15; 72 (10): 2075-2076.