Amaprotheni emchameni ngesikhathi sokukhulelwa

Ungavame ukuzwa kwabesifazane abasesikhundleni: "Ngizizwa kahle, kungani bengijaha odokotela?". Lokhu kusho ukuthi ukuhlaziya sekuvele kukhombisa okungakabonakali ngaphandle. Esinye isignali enjalo ebalulekile ukwanda kwamaprotheni emcinini ngesikhathi sokukhulelwa.

Izinga lamaprotheni emchameni ngesikhathi sokukhulelwa

Lapho uhlaziywa ukuhlaziya okuningi, ubulili, ubudala kanye nesimo somzimba wesiguli kuyacatshangelwa - esigabeni ngasinye kunemingcele yabo evumelekile yezinkomba ezithile. Isimo siyefana nesimiso samaprotheni emchameni. Ngokufanelekile, kufanele ingabikho, noma kufanele inqunywe ngamanani amancane - kufika ku-0,033 g / l ekukhonzeni okukodwa (30-50 mg / ngosuku). Kodwa kwabesifazane abasesikhundleni, kufika ku-150 mg wamaprotheni ekukhonzeni okukodwa (0,15 g / l) kuze kufike ku-300 mg wamaprotheni ekuhlaziyweni kwansuku zonke (0,3 g / l) kuvunyelwe uma kungekho okunye. izimpawu zezinkinga ngohlelo lwe-genitourinary nezinso. Ukweqa lo mkhawulo kudinga ukunakwa odokotela.

Izizathu zokwandisa amaprotheni ngesikhathi sokukhulelwa

Kubalulekile ukuhlukanisa phakathi kwe-proteinuria ye-physiological kanye ne-pathological. Esimweni sokuqala, sikhuluma ngesimo lapho amaprotheni emcinini engeyona imbangela yokukhathazeka futhi ayidingi ukwelashwa - isibonelo, ngenxa yokuzikhandla ngokomzimba, ukucindezeleka, i-hypothermia, ukudla okungenakulinganisela.

Esimweni sesibili, amaprotheni emcinini angaba uphawu lwezinkinga zempilo ezingathi sína - ezifweni ezithathelwanayo (kuhlanganise nesifo sofuba), izinqubo zokuvuvukala, i-urolithiasis nezinye izifo zezinso zesifo sikashukela kanye ne-oncology.

Uma ukwanda kwamaprotheni kuhambisana nokwenyuka komfutho wegazi kanye ne-edema, kunengozi yokuba nezinkinga eziyingozi njenge-preeclampsia (ukwehluleka kwezitho eziningi ezinokukhubazeka kwezinso, isibindi, uhlelo lwe-vascular noma ubuchopho kanye nokungasebenzi kahle kwe-fetoplacental okuphazamisa ukusebenza kahle kwezinso. ukukhula okugcwele kwe-fetus) kanye ne-eclampsia (i-convulsive syndrome ehambisana ne-PE , ekwazi ukuvusa i-asphyxia, i-pulmonary edema, i-cerebral hemorrhage, ukwehluleka kwesibindi kanye nezinso).

Lezi zimo ziyimbangela enkulu yokugula nokufa komama kanye nababelethayo, futhi i-pathogenesis yabo ayikacaci. Yingakho ukuqapha okuhlelekile kubaluleke kakhulu - ukuze ungaphuthelwa izinsimbi ze-alamu ekuqaleni kwentuthuko yezinkinga.

Indlela yokwelapha amaprotheni aphezulu ngesikhathi sokukhulelwa

Ingaphansi kokuqondisa kukadokotela kuphela! Lapho amaprotheni etholakala emcinini ngesikhathi sokukhulelwa, ukwelashwa kunqunywa ngokusekelwe ku-anamnesis, inhlolovo enemininingwane, ukuhlolwa ngokomzimba ngumelaphi, ukuhlaziya okujwayelekile nokwansuku zonke, ukuhlolwa kwegazi okujwayelekile kanye ne-biochemical, i-ultrasound (isisu, i-pelvic, inhliziyo), uma kunesidingo, izifundo ze-immunology. Ukuba nesithombe esiphelele sesimo sempilo yesiguli kuphela, uchwepheshe uzonquma uhlobo lokwelashwa - esimweni esisodwa, kuzokwazi ukudlula ngokudla, kwesinye, imithi izodingeka, okwesithathu, umbuzo wokuthi kuzovela ukuhlinzwa okuphuthumayo.

Amadethi angaphambi kwesikhathi

Ku-trimester yokuqala, ukulungisa ukudla, irejimeni kanye nemithwalo ngokuvamile kuzosiza ukubhekana nokwanda kwamaprotheni emcinini. Owesifazane angathola ngesimo sakhe ngemva kwenyanga noma ezimbili. Sonke lesi sikhathi, uzodla njengenjwayelo futhi aphile ngendlela yakhe evamile, futhi umzimba ngeke usakwazi ukubhekana nesigqi sangaphambilini. Nawa amathiphu amathathu abalulekile:

• nciphisa ukudla kwakho amaprotheni ezilwane; yeka ukudla okubabayo, okunosawoti, okunamafutha nokubhemayo; zama ukupheka umbhangqwana; idla imifino eminingi, izithelo namajikijolo;
• lungisa ukulala nokuvuka;
• ungaphakamisi izinsimbi, uphumule kahle, uhambe emoyeni omusha, kodwa ugweme ukuhamba okude ngesikhathi esifanayo - umsebenzi owenziwe ngokomzimba ngokweqile unciphisa ukubuyiswa kwamaprotheni, okungukuthi, ukubuyiswa kwawo kabusha egazini.

Amadethi aphuzile

Ku-trimester yesibili neyesithathu, indlela yokuphila enempilo ibalulekile futhi, kodwa ukwanda kwamaprotheni kungase kungabe kusahlotshaniswa ne-physiology, kodwa ngezifo ezikhulayo. Ngemva kokusungula imbangela yabo, udokotela uzobeka imithi elwa namagciwane, anti-inflammatory, sedative noma ubuhlungu; imithi yokwenza ingcindezi evamile, futhi ngezinye izikhathi ngeke kwenzeke ngaphandle kwama-antibiotics.

Ukuvimbela Ukunciphisa Ukukhuphuka Kwamaprotheni

Njengokwelashwa, asikho isikimu somhlaba wonke sokuvimbela i-proteinuria - konke kuncike ezimbangela zokwehluleka. Ukuze ungakhulisi amaprotheni ngesikhathi sokukhulelwa, ukuvimbela kwehla ekugcineni impilo enempilo, ukuhlolwa okufika ngesikhathi, ukwenqaba ukuzithiba nokulandela imiyalelo kadokotela.

Imibuzo nezimpendulo ezidumile

Uphendule imibuzo yeziguli U-Olga Bulgakova, udokotela wezifo zabesifazane, ilungu le-Association of Gynecologists-Endocrinologists of Our Country.