Ka Hortagga Mustaqbalka Taariikh Dhalasho

Waa maxay fursadaha aan u leeyahay in aan qaato wax kale oo imtixaan ah?

Haysashada ilmo dhicis ah ayaa keena caqabado badan oo jir ahaan iyo dareen ahaanba ah, sidaas darteed waa dabiiciyan - haddii aad ka fekereyso inaad ilmo kale qaadato - inaad la yaabto (ama laga yaabo inaad ka welwelto) khatartaada dhalashada bilaha hore.

Dhalashada hore ee umusha waa mid ka mid ah waxyaabaha ugu waaweyn ee keena dhalashada ilmo dharaar kale. Khatarta ayaa imaaneysa marka hooyooyinku qabaan wax ka badan hal ilmo dhicis ah, oo hoos u dhacaya marka hooyooyinku qabaan xilliga uurka waqtiga dhalmada ka dib.

Hooyo ka mid ah preemie waxay leedahay qiyaas ahaan 15% fursad ay ku heli karto mid kale; Hooyo oo haysatay laba prisies waxay haysataa 40% fursad ah in ay haysato mid kale, hooyadana seddex prisies waxay haysataa ku dhowaad 70% fursad ah dhalashada ilmo dhalasho oo kale.

Waxaa muhiim ah in la ogaado in tirooyinkani ay la xiriiraan hooyooyinka qabay ilays aan caadi aheyn . Hooyooyinka hawshoodii hore loo soo raray ama horay u dhalatay sababo caafimaad awgeed laguma darin daraasadaha.

Dabcan, inta ay kugu fiicantahay inaad ogaato xaqiiqda, waxaa laga yaabaa inaadan kaa dhicin go'aankaada inaad ilmo kale ku hesho xogta rasmiga ah. Sameynta waxa aad kartid si aad u yareeyso khatarta waa waxa aad diiradda saareyso.

Waxa aad sameyn kartid si aad uga hortagto marxaladda dhalmada ka dib

In kasta oo khatarta preemie kale ay tahay mid muhiim ah, oo leh hal preemie macnaheedu maahan inaad si kale u yeelan doonto. Waxyaabo badan oo halis ah ayaa la dhimi karaa ama la tirtiri karaa ka hor intaadan go'aansan inaad mar kale isku daydo.

Si kastaba ha ahaatee, waxaa habboon in la xuso in hooyooyinka caafimaad ahaan u muujiyay dhalmada ka horeysa inay halis dheeraad ah u yihiin dhalmada mustaqbalka ee mustaqbalka - sababtoo ah arrimo caafimaad oo isku mid ah oo keeney bixinta hore ee umusha. Mid ka mid ah daraasad laga bilaabo 2006 ayaa la ogaaday in ay tahay hooyada uurka leh ee uurka leh ee taariikhda hore ee caafimaad ahaan loo sheegay in ay noqotey marxalado dhalasho oo ah 2.5 jeer in ka badan kuwa aan waligood dhalanin dhalashada ka hor intii aaney ka badnayn 3.6 jeer oo laga yaabo in ay u dhawdahay taariikhda dhalmada ilmo-galeenka ah ee marka la barbar dhigo kooxda oo aan lahayn taariikhda dhalmada.

• Sug intaad uur yeelato: Haddii aad horay u lahayd preemie, khubarada ayaa kugula talinaya inaad sugto ugu yaraan 18 bilood ka hor intaadan isku dayin inaad mar kale uur qaaddo. Khatarta ah in la helo preemie labaad ayaa ka sarreeya marka uurku midba midka kale u dhowaado, iyo marka uu ka sii fogaado.
• Jooji sigaarcabka: Sigaar cabida waxay kordhisaa halista dhalmada ka hor. Joojinta sigaar-cabbidda inta lagu jiro uurka ama ka hor intaan la-guurka waa mid ka mid ah siyaabaha ugu wanaagsan ee lagu yareyn karo halista aad u leedahay dhalashada bilaha hore.
• Daawee caabuq hore: Caabuqa iyo infekshanku waxay door ka ciyaaraan dhalashada wakhtiga hore. Xidhiidhka dhabta ah lama caddeeyo, laakiin khubarada ayaa isku raacay in caabuqyada bakteeriyada inta lagu jiro uurka ay tahay in la daaweeyo goor hore. Hase yeeshee, antibiyootikada caabuqyada aan calaamadaha ahayn, inkastoo, laguma talin.
• Iska ilaali cunnooyinka yo-yo: Haweenka lumaya miisaanka weyn ee u dhexeeya uurka waxay leeyihiin halis weyn oo ah dhalmada bilaha ah inta lagu jiro uurka labaad. Dumarka leh qiyaasta jirka ee jirka ee ka yar 19.8 kg / m ² waxay sidoo kale halis ugu jiraan qaadista umusha, sidaas darteed u ilaali miisaanka caafimaadka leh.
• Maamul xaaladaha kale ee caafimaadka: Sonkorowga , cadaadiska dhiigga oo sarreeya, cudurada wadnaha, iyo kalyaha oo dhan ayaa kordhiya khatarta dhalmada bilaha ah. Maareynta hagaagsan ee xaaladahan waxay hoos u dhigi kartaa halista.

Dhaqtarka Takhasuska

Nasiib darro, sayniska caafimaadku ma helin hab hubaal ah si looga hortago 100% dhalmada ka hor. Inkastoo dhowrkii sano ee la soo dhaafay, haddana, baaritaan badan ayaa la sameeyay sida loo ogaado, looga hortago, oo loo joojiyo haweenka uur-ku-taalla , iyo qaar ka mid ah natiijooyinka la xaqiijiyay ayaa la soo sheegay.

• Ogaanshaha: Helitaanka dhawaanta ayaa ka caawisay awoodda dhakhaatiirta in ay sheegto in haweeney ay halis ugu jirto inay bixiso umul-raaca hore. Ultrasound-ka ilma-galeenka wuxuu leeyahay guulo weyn oo lagu ogaanayo calaamadaha hore ee uur-ku-dhalashada, waxaana loo isticmaali karaa bilowga 16 toddobaad. Daraasado kale oo ku saabsan dhiigga hooyada iyo dheecaanka siilka ayaa kaa caawin kara inaad saadaaliso khatarta si sax ah.

• Ka-hortagga progesterone: Isgoysyada toddobaadlaha ah ee progesterone hormoonka waxay ka caawin kartaa ka-hortagga dhalmada bilaha ah ee hooyooyinka horey u dhashay mar hore. Cirbadaha waxaa badanaa la bilaabaa inta u dhexeysa toddobaadka 16aad iyo 20aad ee uurka, waxayna sii wadaan ilaa 37 toddobaad.
• Ka-hortagga Serclage-ga: Sercade , ama stitch ee makaanka ilmagaleenka, ayaa loo isticmaalay sanado badan si looga hortago dhalmada bilaha ah ee haweenka qaatay hal ilmo-nololeed. Cilmi-baaristu waxay muujinaysaa in dabeecada la adeegsan karo ay caawin karto, iyo daraasado badan ayaa socda.
• Ka-hortagga nasashada sariirta iyo dawada: Inkastoo dhakhaatiirta ayaa si caadi ah u qori kara nasashada sariirta iyo daawooyinka haweenka muujiya calaamadaha uur-ku-taagga, baaritaanku weli wali ma helin in wax badan laga hortago dhalmada ka hor. Daraasado badan ayaa socda.

Ogaanshaha sida dhabta ah ee khatarta dhalmada wakhtiga hore iyo sida dhakhaatiirtu uga hortagi karaan ama u joojin karaan waqti hore waxay u sahli karaan inay uuraystaan ​​mar kale.

_Ilaha:

_{Ananth CV, Getahun D, ​​et al. Dib-u-soo-noolaansho aan caadi aheyn oo ka soo horjeeda dhalashada ilmo-caafimaadeedka hore. Am J. Obstet Gynecol. 2006 Sep; 193 (3): 643-650}

_{Xarumaha Xakameynta iyo Ka Hortagga Cudurrada. "Qaababka CDC: Waqtiga dhalmada ka hor." http://www.cdc.gov/Features/PrematureBirth}

_{Esplin, MD, Michael S., O'Brien, Ph.D., Elizabeth, Fraser, MPH, Alison, Kerber, PhD, Richard A., Clark, MD, Erin, Simonsen, RN, MSPH, Sara Ellis, Holmgren, MD, Calla, Mineau, PhD, Geraldine P., Varner, MD, Michael. "Qiyaasida Dib-u-soo-celinta Qaadashada Bixin Ba'an ee Preterm." Dhaqtarka iyo Ginecology Sept. 112: 516-523.}

_{Warqada Caafimaadka ee Medline Plus. "Ilmaha dhashay Ilmaha." http://www.nlm.nih.gov/medlineplus/ency/article/001562.htm}

_{Spong, MD, Catherine Y. "Saadaalinta iyo Ka Hortagga Dhalashada Dabiiciga ah ee Dib u Dhaca." Dhaqtarka iyo Ginecology Agoosto 2007 110: 405-415.}