Zitsanzo za Mimba Yopanda Mimba Ndiponso Yopweteka Mutu
Ngakhale pali zizindikiro zambiri zatsopano zomwe zimachitika panthawi ya mimba, monga kupweteka kwa thupi, kupuma kwa asidi, ndi kupweteka kumbuyo, pangakhalenso kuwonjezereka kapena kusintha kwa matenda omwe alipo.
Mwachitsanzo, migraines amatha kusintha pamene ali ndi mimba, makamaka m'chigawo chachiwiri ndi chachitatu. Mavuto ena, monga mavuto a m'mutu omwe ali osiyana kwambiri ndi mimba, amatha kukhalanso.
Kumvetsetsa Mutu Pakati pa Mimba
Poyesa mutu wanu, dokotala wanu adzachita mbiri yambiri. Angakufunseni mafunso okhudzana ndi matenda omwe muli nawo, monga kuthamanga kwa magazi kapena kupsinjika maganizo, kapena mukugwiritsa ntchito mankhwala kapena mankhwala owonjezera, monga mavitamini, caffeine, kapena laxatives.
Dokotala wanu adzafunsanso za momwe mutu wanu umakhalira, monga momwe uliri wolimba, utakhala utali wautali, kapena ngati pali zizindikiro zogwirizana ndi chifuwa kapena kusanza. Izi zimachitidwa kuti mudziwe bwinobwino, komanso kufufuza zizindikiro zowononga mutu ndi kulamula zoopsa zachipatala.
Zina mwazidzidzidzi zozizwitsa pamutu (zomwe zingasonyeze kuopsa kwa mutu pakati pa mimba) zomwe zimapereka chithandizo chamankhwala nthawi yomweyo ndi:
- "Mutu woipitsitsa wa moyo wanga"
- Masomphenya a Blurry
- Zizindikiro zokhudzana ndi ubongo monga zofooka kapena zofooka
- Kumutu ndi malungo ndi / kapena khosi lolimba
- Kumutu ndi kuthamanga kwa magazi ndi / kapena kutupa kwa miyendo ndi mapazi
- Mutu wokhudzana ndi kuchita, kugonana, kapena Valsalva
- Mutu wa mutu watsopano wa mutu wa migraine
- Sinthani kupweteka kwa mutu, pulogalamu, kapena kuuma
Mutu Kumutu Pakati pa Mimba
Matenda atatu omwe amayamba kupweteka kwambiri m'mutu ndi migraines , mutu wa mutu , komanso mutu wa mutu .
Ngakhale amayi angathe kuyamba matenda atsopano pa nthawi ya mimba, kawirikawiri matendawa alipo kale. Kuwonjezera pa migraines, kupweteka kwa mutu kumutu ndi kumutu kwa mutu kumakhalabe wolimba pa nthawi ya mimba.
Migraines ndizofala kwambiri pamutu pamene ali ndi mimba koma nthawi zambiri zimakhala zochepa kwambiri ndipo zimachitika mobwerezabwereza kuposa omwe ali kunja kwa mimba. Izi zinati, migraines ikhoza kukhala yoipitsitsa poyamba pa trimester yoyamba, makamaka ndi kusintha kwa ma hormone mu thupi ndi kuwonjezeka kwowonjezereka kochitika.
Pali umboni wina wa sayansi wakuti amayi omwe ali ndi migraine akhoza kukhala pachiopsezo chachikulu chokhala ndi preeclampsia ndi / kapena kubadwa, ngakhale kuti kufufuza kwina kuyenera kuchitidwa pofuna kuthetseratu ubalewu
Mutu wa Preeclampsia / Eclampsia
Preeclampsia ndi eclampsia ndizoopsa kwambiri zomwe zingachitike pakatha masabata makumi asanu ndi awiri (20) msana ndi / kapena pa nthawi yopuma. Preeclampsia imayambitsa kuthamanga kwa magazi ndi mapuloteni mu mkodzo.
Kuwonjezera pa kuthamanga kwa magazi kwambiri, preeclampsia yoopsa ingayambitse zizindikiro zotsatirazi:
- Mkopa waung'ono
- Matenda a chiwindi
- Masomphenya amasintha
- Chiwerengero chochepa cha mapaleti
- Kulepheretsa kukula kwa intrauterine
Eclampsia ndi chiwopsezo chachikulu ndipo chimapezeka pamene mkazi wagwidwa, khungu, ndi / kapena coma panthawi ya preeclampsia.
Pa preeclampsia ndi eclampsia, mutu ndi chizindikiro chofala ndipo amatha kufanana ndi migraine, yomwe imadziwika kawirikawiri ndi kupwetekedwa mtima komanso kupwetekedwa mtima ndi photophobia (kumvetsetsa kuunika) ndi / kapena phonophobia (kumvetsetsa).
Mosiyana ndi migraines, mutu wa mutu wa preeclampsia ukhoza kugwirizanitsidwa ndi zinthu zina zosautsa monga zolaula kapena maulendo awiri ndi zowawa m'mimba. Komanso, pamene migraines amayamba kuchitika kumbali imodzi ya mutu, mutu wa pre-eclampsia uli ponseponse.
Malinga ndi nkhani ya mutu wa mutu , amayi omwe ali ndi mbiri ya migraines amakhala ndi mwayi wambiri wokhala preeclampsia kuposa omwe alibe mbiri ya migraines.
Chithandizo cha preeclampsia ndi eclampsia chimaphatikizapo kubereka kwa mwanayo, kuphatikizapo magnesium sulphate, calcium channel blockers, ndipo mwina mankhwala oletsa kupweteka.
Idiopathic Intracranial Hypertension
Idiopathic Intracranial Hypertension (IIH) ndi matenda aakulu omwe amawoneka mwa amayi oposa omwe ali ndi zaka zobala ana. Zitha kuchitika pa nthawi iliyonse ya mimba.
IIH amachititsa mutu kukhala ndi masomphenya kusintha ndi matinitle tinnitus (pamene anthu akumva mawu ofanana omwe amafanana ndi mtima wawo). Anthu omwe ali ndi kachilombo kawiri kawiri adzakhala ndi ubongo wabwinobwino koma adzakweza mphamvu zaperepala zamadzimadzi pamene chiwombankhanga chimachitika.
Kuphatikiza apo, amayi omwe ali ndi IIH ali ndi papilledema, omwe amadziwika ndi kutupa kumbuyo kwa diso chifukwa cha kuwonjezeka kwa madzi m'thupi. Kwenikweni, chithandizo cha IIH chimafuna kuwonetsetsa kulemera kwa thupi kapena kuchepetsa kulemera kwa thupi ndi kuchepetsa kupanikizika kwapamwamba .
Nthawi zina mankhwala osokoneza bongo amayamba chifukwa cha matenda ena. Chomwe chimayambitsa chiopsezo chachikulu chachiwiri ndi matenda a ubongo , omwe amatha kupezeka panthawi iliyonse ya mimba, koma nthawi zambiri imakhala yovuta pa nthawi yobereka.
Reversible Cerebral Vascular Syndrome
Matenda a reversible cerebral vascular syndrome, omwe amadziwikanso ndi matenda a Call-Fleming, ndi matenda ena opweteka kwambiri omwe amayamba chifukwa cha mimba komanso amatha kubereka. Anthu omwe ali ndi matendawa amatha kufotokozera mutu wa bingu, womwe umakhala ululu, wadzidzidzi, komanso wopsa mtima.
Chifukwa cha matendawa sichikudziwika, koma chiyambi cha ululu amakhulupirira kuti chikugwirizana ndi kupopera kwa mitsempha mu ubongo. Chithandizo chili ndi makina a calcium, omwe ndi mankhwala a magazi omwe amathandiza kuchepetsa kapena kutsegula m'mitsempha ya ubongo.
Kumbukirani kuti ngati mkazi apita kuchipinda chodzidzimutsa ndi mutu wa bingu, njira yabwino kwambiri yothetsera kutaya kwa magazi ndi yofunika kwambiri musanamuyese mkaziyo kuti akhale ndi matenda osokoneza bongo.
Zifukwa Zina
Kuphatikiza pa matenda omwe ali pamutu omwe tatchulidwa pamwambapa, pali zina zomwe zingayambitse kupweteka kwa mutu, monga kukwapulidwa, kupweteka kwa meningitis, carotid kapena vertebral artery dissection, ndi pituitary apoplexy . Palinso zifukwa zowononga ngati sinusitis, kupweteka kwa mutu pambuyo pake , kapena kupweteka mutu kwa mankhwala .
Mawu Ochokera
Pamapeto pake, mutu waukulu m'mimba siwopsa. Komabe, ngati mukumva kupweteka mutu pamene muli ndi pakati, simungachepetse ndi mankhwala ophweka monga chimfine, kupuma, caffeine (ngati mumaganiza kuti mutu wa hafu ya caféine , kupuma, ndi / kapena chakudya) kapena ngati mutu wanu ukutsatira chitsanzo kapena imasonyeza zizindikiro zowononga mutu, onetsetsani kuti mwalankhula ndi dokotala mwamsanga.
Zotsatira:
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Kesler A, Kupferminc M. Idiopathic intracranial hypertension ndi mimba. Clin Obstet Gynecol. 2013 Jun; 56 (2): 389-96.
Lee MJ, Guinn D, Hickenbottom S. Kumutu kwa amayi omwe ali ndi pakati ndi omwe amatha kubereka. Mu: UpToDate, Lockwood CJ, Swanson JW (Ed), UpToDate, Waltham, MA, 2017.
Moustafa RR, Allen CM, Baron JC. Matenda a Call-Fleming okhudzana ndi kuchepa kwa magazi: zitatu zatsopano. J. Neurol. Neurosurg. Psychiatr. May 2008; 79 (5): 602-5.
Nappi RE, Albani F, Masewero G, Terreno E, Brambilia E, Polatti F. Kumutu kwa mimba panthawi yoyembekezera. Kupweteka kwa Mphuno Kumutu Mutu Rep. 2011 Aug; 15 (4): 289-94.