Hurokkashi dar davrai homiladori

Davrai homiladori yake az davrahoi nihoyatan purmasuliyat dar hayoti har yak zan va marhilai muhim baroi ogozi hayoti kudak meboshad. Dar in davra har guna digarguniho ba salomatii zan ahamiyati buzurg dorad.

Hurrok dar davrai homiladori mushkiloti tibbi va ham ijtimoi meboshad. Dar in holat dar davrai homiladori ham zan va ham kudak azob mekashand. Hurrok padidai ovozi buda, ki paydoshaviash boisi latukubi gulu ba hamdigar hangomi guzashtani havo az boloi rohhoi nafaskashist. Gulu chandqadare, ki tang boshad, hamonqadar ehtimoli khurrok kashidan dar davrai khomiladori ziyod meshavad.

Dar holati ziyod tang budani  rohhoi nafaskashi, ehtimoli  paydoishi khurrok  faringeal, va holathoi purra qat gardidani nafas hast. Dar holati ziyod budani patologiya va ziyod budani tangii rohhoi nafaskashi khurrok dar davrai homiladori yake az nishonahoi insidodi apnoe meboshad.

Dar in holat zani homilador, dar majmu metavonad dar yak shab 2-3 soat nafas nakashad. Har yak holati apnoe gipoksemiyaro dar bar megirad (kamshavii oksigen dar khun).  Dahho va sadho holathoi apnoe dar yak shab khatari paydoishi gipoksiya i gipotrofiyai kudakro, preeklampsiya va  gipertenziyai arteriro ziyod mekunad.

Umuman zanhoe, ki dar davrai homiladori khurok mekashand va bemorii apnoe dorand, az  noorom va nabudani khob, khastagi va dardi sari pagohi, hamlahoi nafastangi dar shab, asaboniyat, ruzona khobolud budan shikoyat mekunand.

Sababhoi khurokkashi dar holati homiladori. Sababho metavonand bo tavri nazarras farq kunand:

Dar mavridi avval, khurrok pesh az davrai homiladori mavjud bud va dar davrai homiladori afzun gasht. Ehtimolan, in bemor  omilhoro pesh az homiladorshavi doshta ast:  vazni ziyodi, manahi khurdi ba qafo rafta , bemorihoi muzmini LOR.

Dav mavridi duvvum, vaqte, ki zan pesh az homiladori khurrok namekashid, va tahti ravandi gunogun dar davrai  homiladori khurok va sindromi panoe paydo shud .

Ba in holat yak qator ravandho musoidat mekunand:

Afzoishi vazni badan. Homiladori hamesha bo afzoishi vazni badan musoidat mekunad, binobar in, afzoishi vazni badani homilador az zaruriyathoi fizeologi beshtar hast. Faringi inkishof meebad, charbuho dar boftahoi narmi gardan cham meshavand, ki boisi fishurdasozii rohhoi nafaskashi az berun meshavand. Dar barobari in sokhtori gulu qobil ba nigoh doshtani charb hast, bo in vasila gulu tang meshavad, ki boisi paydoishi khurokkashi meshavad.

Sahmi nazarras dar paydoishi khurrok dar davrai homiladori omosi homiladoron meguzorad, bakhusus etiloli. Omoshoi etiloli hangomi yak qator bemoriho paydo meshavand: bemorii qalb, gestoz, preeklampsiya, va bemorihoi gurda. Inguna omosho beshtar ba nazar meoyand va vazni zanonro badtar mekunand boisi tang shavii rohhoi nafaskashi meshavand.

Omili assosi, ki boisi inkishof yoftani khurrok dar zanoni homilador megardad in «riniti homiladon» ast, ki basomadi paydoiyash az 5-40%, va on beshtar dar duyum/seyum semohai homiladori paydo meshavad. Alomathoi in bemori gunogunand az jumla: purshavii bini, atsazani, khorishi bini, ki boisi dushvorshavii nafaskashi tariqi binni meshavad.

Tabobati khurokkashi va indromi apnoe khobi homiladorho.

Intikhobi  usuli makhsus yo majmui usulhoi tabobati khurrokkashi va sindromi apnoe az yak qator  sababho  va sakhtgirii ikhtiloli nafaskashi vobasta ast. Hangomi sabuk budani sindromi apnoe, ki na on qadar khatarnok baroi kudaku modar ast rohi halli in mushkili tanho muntazir shudan ast. Bad az bomuvaffaqiyat anjom yoftani homiladori khurrok purra nopadid meshavad.

Hangomi az had ziyod budani vazni homila parhezi muayyan dar nazar girifta shudaast, ki boisi mahdud gashtani afzoishi vazni badan megardad.

Hangomi omosi (varamkunii) fizeologi mahdud kardani miqdori ob dar nazar girifta shudaast, makhsusan bad az nimai duyumi ruz. Samaranok va mahdud kardani istemoli namak.

Hangomi  omosi etiloli vobasta ba tashkhisi bemori tabobati makhsus guzaronida meshavad.

Dar davrai  riniti homiladori  imkoniyati rioyai  dasturhoi zerin ast:

• Hangomi khob mavqei bolotarro baroi khud ishgol namoed;
• Bugi garm metavonad kame holatonro sabuk gardonad. Hamomi garm kardan yakame dar holati hamomi garm boshed. Inchunin metavoned dar obi garm sarchoqro tar karda, ba ruyaton monda , kame nafas kashed;
• Ba biniaton qatrai halli izotonii tozaro chakoned AkvaMaris (0.9% hal taqriban 1 gram namak dar 1 litr ob). Bad az chand daqiqa atsa zaned;
• Tasiri har guna omili vusatro naguzored (dudi tamoku, bui qave, tagiroti nogahoni dar harorati havo);
• Tasmahoi vasekunandai binni istifoda bared «BrizRayt». In tasmachaho bar bolhoi bini chasponda nafaskashi bo biniro oson megardonand. Tasmachahoi mazkurro metavoned ham dar davomi ruz va ham dar davomi shab istifoda bared. In tasmachaho komponenti dorugi nadoshta zanoni homilador bemahdud onhoro istifoda burda metavonand. Istifoda burdani tasmachahoi «Briz Rayt» ba homiladoron  imkoniyat medihad ki az khurrokkashi khalos shavand.

Agar zani homilador  apnoei  vaznin tashkhis  karda boshad, ki   va   gipertoniyai arteriro dar bar megirad nishonahoi  preeklampsii dar kudak dar in holat tabobati shaddid  dar nazdi mutakhassis zarur ast.