Hauv kev xyaum ntawm obstetrician-gynecologist, muaj ntau yam xwm txheej uas yuav tsum tau daws tam sim. Qee cov tshuaj rau cov poj niam cev xeeb tub muaj qee cov npe ntawm cov kev mob tshwm sim, tab sis lawv tuaj yeem yog qhov tseem ceeb hauv kev kho mob. Cov tshuaj, uas yuav tau tham txog, tau qhab nia tsis sib haum xeeb tshuaj xyuas. "Ginipral" thaum cev xeeb tub yog kws kho mob tau sau tseg los tiv thaiv kev ua haujlwm ntau dhau ntawm lub tsev menyuam thiab kho hypertonicity. Rov ua dua nws tuaj yeem raug sau tseg kom tshem tawm qhov kev hem thawj ntawm kev yug ntxov ntxov. Tseem ceeb! Cov tshuaj tsis yog prophylactic, thiab cov ntsiav tshuaj yuav tsum tau noj nruj me ntsis raws li cov tshuaj noj. Cov tshuaj no muaj ntau yam contraindications, yog li kev noj tshuaj rau tus kheej tuaj yeem cog lus rau tus poj niam cev xeeb tub muaj teeb meem ntau, txog rau thaum yug ntxov lossis nchuav menyuam.
Kev cev xeeb tub: uterine tone
Tsis muaj leej twg tuaj yeem pom qhov kev kawm ntawm tus poj niam txoj haujlwm nthuav dav, txawm tias ua ntejnpaj cev xeeb tub, qhov tshwm sim ntawm cov teeb meem tsis suav nrog. Muab qhov kev ntxhov siab ntawm lub neej, kev noj zaub mov zoo thiab ib puag ncig zoo, cov niam uas xav tau tam sim no thiab tom qab ntawd ntsib qhov xwm txheej zoo li lub suab ntawm lub tsev menyuam. Nws tuaj yeem tshwm sim nws tus kheej mus rau qhov ntau dua lossis tsawg dua, tab sis yuav tsum tau ua sai sai, txwv tsis pub nws yuav hem kom nchuav menyuam. Ntawm lwm yam, lub cev nruj ntawm lub tsev menyuam tuaj yeem ua rau txoj kev loj hlob ntawm tus menyuam hauv plab, vim cov ntshav uas muaj cov as-ham tau muab rau nws me me.
Lub tswv yim ntawm kev nce uterine tone txhais tau hais tias qhov kev cog lus tas mus li los yog ncua sij hawm ntawm cov leeg ntawm lub cev. Nyob rau tib lub sijhawm, cov kws kho mob xav txog kev siv Ginipral ncaj ncees - thaum cev xeeb tub, nws ua haujlwm yuav luag tam sim, so cov leeg ntawm lub tsev menyuam. Nws tuaj yeem raug xaiv ob qho tib si rau lub sijhawm luv, thiab rau tag nrho ib nrab ntawm lub sijhawm, mus txog kev yug menyuam.
Yog vim li cas rau txoj kev loj hlob ntawm uterine tone tej zaum yuav:
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Ginipral thaum cev xeeb tub - yog vim li cas nws thiaj li tshuaj kab mob somatic.
- Isthmic-cervical insufficiency.
- YUterine fibroids.
- Uterine malformations.
- Immunological, endocrine thiab caj ces kab mob.
EndometriosisEndometriosis
Lwm yam cuam tshuam rau kev loj hlob ntawm hypertonicity:
- Tus cwj pwm phem - cawv, haus luam yeeb.
- Short cev xeeb tub pw.
- kev sib raug zoo ntawm tsev neeg.
- Kev ua haujlwm cuam tshuam txog qee yam kev pheej hmoo.
- Hnub nyoog txog 18 xyoo thiab tom qab 35 xyoo.
- mobkeeb kwm ntawm mob, rho menyuam.
- SARS thiab mob khaub thuas thaum cev xeeb tub.
Uterine tone: Yuav txiav txim li cas?
Thaum lub plab twb tshwm sim lawm, tus poj niam nws tus kheej tuaj yeem txiav txim siab lub sijhawm thaum lub tsev menyuam muaj zog.
Thaum tonus, cov tsos mob hauv qab no tau pom:
- kos mob hauv plab plab thiab hauv cheeb tsam lumbar;
- ncig mob;
- lub plab nyuaj, muaj qhov tsis xis nyob ntawm qhov nro.
Yog tias tag nrho cov kev tshwm sim no tshwm sim los ntawm cov ntshav los yog xim av tawm, qhov no yog qhov laj thawj tseem ceeb hu rau lub tsheb thauj neeg mob. Hauv tsev kho mob, tus kws kho mob gynecologist yuav kuaj xyuas qhov tsim nyog thiab sau ntawv kho mob. Nws tseem yuav piav qhia yuav ua li cas noj Giipral thaum cev xeeb tub.
Kev kuaj ntshav siab
Nrog kev kuaj qhov chaw mos, tus kws kho mob gynecologist tuaj yeem txiav txim siab lub suab ntawm lub tsev menyuam tau yooj yim. Tsis tas li ntawd, tus kws kho mob tshwj xeeb uas ua ib qho ultrasound tuaj yeem paub tseeb tias qhov contraction ntawm cov leeg nqaij. Lwm txoj kev kuaj mob yog ib qho cuab yeej tshwj xeeb rau kev ntsuas kev cog lus ntawm myometrium, tab sis nws tsis tau txais kev faib tawm dav, vim muaj cov txheej txheem nrawm dua los txiav txim siab lub xeev kev ntxhov siab ntawm lub tsev menyuam.
Kev mob plab hauv plab tsis yog ib qho kev qhia ntawm ib qho teeb meem: nyob rau hauv thawj ib nrab ntawm cev xeeb tub, qhov no tej zaum yuav yog vim lub ntuj loj hlob ntawm lub tsev menyuam thiab ncab ntawm cov leeg nqaij. Los ntawm qhov ntawd thiab mob.
Yuav ua li cas tsis ua nrog hypertonicity
Tau pom qhov uterine nro, tus kws kho mob yuav zoo liyuav muab cov ntsiav tshuaj "Ginipral". Nyob rau hauv ib tug cev xeeb tub yam ntxwv los ntawm ib tug muaj teeb meem chav kawm, pw so thiab ib tug tag nrho lub xeev ntawm so yog pom zoo. Koj tsis tuaj yeem koom nrog txhua yam haujlwm, txawm tias nws raug nqi dab tsi. Txwv tsis pub nruj:
- ua kev tawm dag zog lub cev lossis tawm dag zog (tseem tsis nco qab txog khaub ncaws, tu, ironing thiab lwm yam haujlwm hauv tsev);
- nqa qhov hnyav (tso siab rau qhov no rau koj tus txiv thiab cov neeg koj hlub);
- nyob hauv qhov chaw muaj neeg coob coob thiab kev thauj neeg coob dhau, taug kev ntev (siv so ntau zaus);
- mus rau lub tsev da dej (tseem tsis txhob da dej kub lossis da dej);
- kev sib raug zoo (tsawg kawg kev nkag mus tob);
- mus ncig mus sij hawm ntev, thiab ntau dua li flights.
Ceev, tsuas yog calm
Qhov laj thawj rau lub suab nrov ntawm lub tsev menyuam feem ntau tuaj yeem yog kev xav. Kev xeeb tub nws tus kheej ua rau muaj kev txhawj xeeb ntau rau tus poj niam, ntxiv rau, tus mob no hnyav dua los ntawm kev hloov pauv tseem ceeb hauv keeb kwm hormonal ntawm leej niam expectant. Kev tso tawm ntau dhau ntawm adrenaline rau hauv cov ntshav tuaj yeem ua rau muaj kev ntxhov siab hauv cov leeg ntawm lub tsev menyuam, qee zaum, tham nrog tus kws kho mob hlwb thiab noj tshuaj sedatives tuaj yeem pab kho qhov xwm txheej.
"Ginipral" thaum cev xeeb tub: vim li cas nws thiaj li tshuaj?
Txawm hais tias lub xeev lub suab tau tshwm sim thawj zaug lossis ntau zaus, tus kws kho mob yuav tsum kuaj xyuas. Nrog rau qhov qis qis qis, tus kws kho mob yuav qhia kom noj No-shpa antispasmodic. Kev ua txhaum loj dua raug tshem tawm nrog kev pab los ntawm ntau tustshuaj - "Magne B6", "Motherwort", tshuaj tiv thaiv kab mob, calcium blockers lossis "Ginipral" (kev tshuaj xyuas ntawm cov poj niam cev xeeb tub txog nws muaj ntau, thiab feem ntau zoo). Yog tias cov tshuaj sedatives (motherwort lossis valerian) tsis ua haujlwm, tus kws kho mob tuaj yeem sau tshuaj Trioxazin, Nozepam, Sibazol.
Thaum kuaj pom uterine hypertonicity thaum ntxov cev xeeb tub, cov kws tshaj lij tau sau cov tshuaj hormonal, txij li thaum lub sijhawm no cov ntaub so ntswg nruj yog txuam nrog kev ua txhaum ntawm hormonal keeb kwm yav dhau los ntawm leej niam expectant. Nyob rau hauv lub thib ob ib nrab ntawm lub sij hawm, los yog txawm me ntsis ua ntej, los ntawm 16-17 lub lis piam, cov kws kho mob siv cov tshuaj hnyav dua, piv txwv li, xws li Ginipral. Kev tshuaj xyuas ntawm kws kho mob txog nws yog qhov zoo. Cov kws tshaj lij tau sau tseg tias cov tshuaj no txo cov suab nrov, cuam tshuam ncaj qha rau cov hlab ntsha ntawm lub tsev menyuam thiab cov placenta.
Kev txais tos nta
Cov tshuaj yog siv nruj me ntsis raws li kws kho mob cov lus qhia. Cov chaw muag tshuaj muag cov ntsiav tshuaj thiab tshuaj Ginipral txhaj tshuaj. Cov kev tshuaj xyuas ntawm ntau tus neeg mob muaj cov ntaub ntawv hais tias cov tshuaj muaj txiaj ntsig zoo, nws tau pab ntau tus niam kom ua siab ntev rau cov menyuam mos noj qab haus huv. Nrog rau kev hem thawj ntawm kev nchuav menyuam, qhov kev kho no yog coj los ntawm peb lub hlis thib ob ntawm cev xeeb tub. Qhov kev txiav txim siab ntawm qhov tsim nyog ntawm kev teem caij, lub sijhawm ntawm chav kawm thiab qhov ntau npaum li cas yog los ntawm tus kws kho mob - txhua yam yog tus kheej nkaus xwb, vim nws nyob ntawm tus mob ntawm tus niam expectant.
Disadvantages of drug
Ua ntej yuav siv qhov no lossis qhov kev kho ntawd, koj yuav tsum ua tib zoo kawm cov lus qhia. Tsis txhob poob qhov pom ntawm cov lus pom zoo ntawm cov kws kho mob thiab lawvtshuaj xyuas. "Ginipral" thaum cev xeeb tub yog contraindicated nyob rau hauv cov ntaub ntawv hauv qab no:
- Ib tug neeg intolerance rau tus kheej Cheebtsam.
- Glaucoma.
- Kab mob ntawm cov hlab plawv.
- kab mob siab thiab raum.
- Asthma.
- Kev sib cais ntxov ntxov ntawm cov placenta.
- Tus kab mob hauv tsev menyuam lossis los ntshav hnyav.
Hyperthyroidism.
Qhov tseeb, cov tshuaj "Ginipral" ua rau muaj kev phiv thaum cev xeeb tub tsis yog ntau zaus, txawm li cas los xij, cov neeg mob tseem nco ntsoov qee qhov tsis zoo ntawm lub cev, xws li:
- xov xwm;
- kiv taub hau;
- tshee tshee;
- nrawm nrawm.
Txhawm rau tiv thaiv lossis tshem tawm cov xwm txheej tsis zoo no, cov tshuaj tau muab tshuaj raws li kev ua haujlwm ntawm lub plawv, suav nrog kev npaj cov poov tshuaj. Txij li thaum tus neeg sawv cev hauv nqe lus nug tuaj yeem ua rau muaj kev nce siab hauv siab, nce qib ntawm cov piam thaj hauv cov ntshav (raws li qee qhov kev tshuaj xyuas hais tias), Ginipral tau muab tshuaj kom zoo thaum cev xeeb tub, thiab saib xyuas cov ntshav siab thiab piam thaj hauv lub cev tas li.
Lub sijhawm tswj hwm thiab tshem tawm tshuaj
Cov tshuaj yuav kav ntev, mus txog ob peb lub hlis. Cov ntaub ntawv no tau lees paub los ntawm ntau qhov kev tshuaj xyuas. "Ginipral" thaum cev xeeb tub, raws li txoj cai, raug tso tseg ntawm 37-38 lub lis piam, uas yog, thaum tus me nyuam npaj txhij los yug.
Kom zam tau qhov ntawdCov teeb meem, cov kws kho mob qhia kom txo qis cov ntsev hauv cov zaub mov thiab cov kua dej haus (kom tiv thaiv o) yog tias ua tau.
Qhov tsis zoo ntawm cov tshuaj yuav ua rau hnyav dua los ntawm kev siv kas fes lossis tshuaj yej, yog li haus lawv ceev faj.
Nco ntsoov! Nws yog tsis yooj yim sua rau arbitrarily sau ntawv, cia nyob ib leeg tshem tawm cov tshuaj "Ginipral", qhov no yog fraught nrog irreversible txim. Nrog rau kev tshem tawm sai sai ntawm cov tshuaj, tshwj xeeb tshaj yog tias nws tau siv ntau zaus, kev hem thawj ntawm kev xeeb tub yuav rov pib dua.
Tshuaj "Ginipral": dropper thaum cev xeeb tub
Thaum muaj xwm txheej ceev, lawv mus rau txoj kev kho nyuaj - ua ntej, cov tshuaj tau muab tso rau hauv cov hlab ntsha (drip), tom qab ntawd hauv cov ntsiav tshuaj.
Rau kev tswj hwm txoj hlab ntshav, cov tshuaj tau npaj hauv cov piv txwv hauv qab no: 50 μg ntawm cov muaj pes tsawg leeg yog ntxiv rau 5% qabzib tov (500 ml). Ua ntej ua tiav cov txheej txheem, 2-3 teev ua ntej, pib noj cov ntsiav tshuaj, thawj 1 pc. txhua 3 teev, ces txo cov koob tshuaj rau 1 ntsiav tshuaj txhua 4-6 teev.
Muaj kev xav tias tom qab noj cov tshuaj no, qhov kev pheej hmoo ntawm cov teeb meem thaum yug menyuam nce, tab sis, hmoov zoo, qhov no tsuas yog lus dab neeg xwb, raws li kev tshuaj xyuas ntau dua. "Ginipral" thaum cev xeeb tub tsuas yog pab txo qis kev pheej hmoo ntawm kev yug ntxov ntxov, thiab thaum nws raug tshem tawm, qhov muaj peev xwm ntawm kev yug menyuam rov qab los.
