Tshuaj "ginipral". Los rau hauv lub fetus

Great zoo siab ua tim yug cov niam txiv xav tus me nyuam! Tab sis, hmoov tsis, ntau khub niam txiv muaj kev nyuaj siab ntau ntau obstacles thiab txoj kev sib tw nrog txoj kev - xeeb tub ib tug me nyuam yog ib qho yooj yim, tab sis ua siab ntev rau nws thiab kom noj qab haus huv yog ntau npaum li cas yooj yim. Feem ntau cov poj niam cev xeeb tub rau txawv nkaus yog vim li cas, muaj tej yam teeb meem hem preterm tus me nyuam los yog nchuav me nyuam. Thiab ces yuav tsum tsis txhob tu siab qhov yuav tshwm ntawm gynecologists muab cov tshuaj "ginipral" thaum lub sij hawm cev xeeb tub.

Cov lus qhia rau kev npaj

Lub medicament niamntiav tocolytic nyhuv, nyob rau hauv uas relaxes lub uterine musculature. Cov kev siv thiab zaus ntawm contraction yog txo los yog txawm nres.

Xaiv ua yeeb yam nyob rau hauv lub beta-2 adrenergic receptors ntawm lub myometrium, cov tshuaj "ginipral" ntxim rau cov me nyuam hauv plab niamntiav suab tsis muaj. Lub plawv ua si thiab cov ntshav yuav khiav tau los ntawm leej niam thiab tus me nyuam muaj ib txwm muaj.
Raws li cov tshuaj no yog siv los? Raws li ib tug daws, nws ispoldzuetsya thaum lub sij hawm heev thiab mob tocolysis, nyob rau hauv lwm yam lus - yog thaum muaj ib qho mob ceev yuav tsum tau sai sai tsis txhob qhov pib ntawm zog cov txheej txheem. Ntxiv npaj "ginipral" thaum lub sij hawm cev xeeb tub yog tsa cov kws muaj txuj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, twb raws li ib tug txij nkawm txoj kev kho. Heev feem ntau muab tshuaj coj rau kev tiv thaiv, Yog hais tias muaj yog tsis muaj cuab tsos mob ntawm preterm zog los yog nchuav me nyuam - ib lub zos (non-exhaustive) uterine laus.

Cov tshuaj "ginipral" ntxim rau cov me nyuam hauv plab tsis tau, siv raws li nram no

Nyob rau hauv ib tug mob tocolysis (tshuaj):
- rau sai tsuj ntawm cov lus thaum lub sij hawm yug me nyuam, yog hais tias tus me nyuam yog raug teeb meem intrauterine asphyxia;

- nrog prolapse ntawm txoj hlab ntaws, raws li nyob rau hauv cov ntaub ntawv no muaj ib tug kev hem thawj ntawm intrauterine asphyxia tus me nyuam;

- ua ntej cov kev npaj rau phau ntawv kev sib hloov ntawm lub txiv hmab txiv ntoo, nyob rau hauv rooj plaub yog hais tias nws yog tsis thwj positioned (transverse kev nthuav qhia los yog hu ua pelvic);

- kom tsis muaj zog khwv nyob rau hauv daim ntawv ntawm cov kev npaj rau caesarean seem;

- nyob rau hauv thaum muaj xwm ceev no: rau braking qhov tus me nyuam yog tias tsim nyog operative tus me nyuam nyob rau hauv ib tug cev xeeb tub lub tsev kho mob lub tsev kho mob.

Nyob rau hauv ib tug loj heev tocolysis:

- mus suppress qhov pib ntawm preterm yug, yog hais tias koj twb smoothed lub ncauj tsev menyuam los yog lub qhov ncauj ntawm nws muab qhia tawm.

Nyob rau hauv ib tug ntev tocolysis:

- mus suppress preterm zog thaum cov lus pib, tab sis lub smoothness (shortening) ntawm lub ncauj tsev menyuam yog tsis tau, thiab (los yog) nws lub puab tsaig kaw.

Ntsiav tshuaj "ginipral" phiv los rau hauv lub fetus yog tsis rendering, siv rau cov txij nkawm kho tom qab Txoj kev lis ntshav-taw qhia kom paub ncua kev kawm ntawv ntawm ntxov ntxov yug, raws li zoo raws li cov kev hem thawj ntawm ntxov ntxov yug.

Zoo li ntau cov tshuaj, "ginipral" thaum lub sij hawm cev xeeb tub, muaj ib tug xov tooj ntawm contraindications:

- hyperthyroidism;

- ntau yam vascular thiab kab mob plawv: kab mob plawv, myocarditis, aortic stenosis , thiab lwm yam.;

- loj cov kab mob ntawm ob lub raum thiab lub siab;

- Thaum Ntxov detachment ntawm lub tsho me nyuam ;

- uterine los ntshav;

- yog hais tias muaj yog pub niam mis rau ib tug laus tus me nyuam;

- kaw glaucoma (tsa intraocular siab) ;

- intrauterine kab mob;

- ib tug muaj zog rhiab heev mus rau yeeb tshuaj thiab nws cov Cheebtsam.

Zoo li ntau lwm yam tshuaj, "ginipral" yuav ua rau ib tug ntau yam ntawm sab los: kiv kiv taub hau, mob taub hau, tachycardia, nce tawm hws, qhov tshwm sim ntawm kev mob nyob rau hauv lub sternal cheeb tsam, cem quav, xeev siab, ntuav, tsis tso zis tso zis, sawv nyob rau hauv cov ntshav qab zib, thiab kev tsis haum tshuaj .

Nws yuav tsum tau to taub hais tias cov tshuaj "ginipral", uas nws muaj tej yam nyob rau hauv lub fetus yog tsis tsim nyob rau hauv ib tug txoj kev tsis zoo, yuav tsum taw xwb tsim nyog, tab sis qhov no tsab xov xwm no rau kev taw qhia muab nrog cov khoom. Tsuas yog ib tug kws kho mob kom muab qhov yuav tsum tau ntau npaum ntawm cov tshuaj thiab txiav txim seb lub caij ntawm kev kho mob.