DO`STLARGA ULASHING:
Homiladorlikdagi kolestaz
Homiladorlikdagi xolestaz, aks holda «Akusherlik xolestazasi yoki jigar ichi xolestazi» deb nomlanuvchi nisbatan kam uchraydigan holat bo’lib, homiladorlikning 0,4-1% ta’sir qiladi. Bu faqat homiladorlik paytida yuzaga keladigan jigar kasalligi, ba’zi ayollar uni boshqalariga qaraganda ko’proq rivojlantiradi. Odatda ma’lum bo’lmasa-da, xolestazni boshdan kechirgan onalar uchun bu ularning homiladorlik zavqi va farovonligiga ta’sir qilishi mumkin.
Xolestazga nima sabab bo’ladi?
Safro tuzlari odatda o’t pufagidan oqadi, ular ovqat hazm qilish traktiga chiqarishga tayyor holda saqlanadi. Homiladorlik paytida yuqori darajadagi gormonlar bu jarayonni to’xtatadi, shunda safro tuzlari jigarda to’planib, qonga to’kiladi. Ichakka yo’naltirish o’rniga, ular terining ostiga yotqiziladi. Terining kuchli qichishi bu holatning ustun belgisidir.
Xolestaz ko’proq uchraydi
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Tarixda jigar kasalligi bo’lgan ayollar
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O’t toshlarini rivojlanishida tibbiy tarixga ega bo’lgan ayollar
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Ko’p homiladorlik
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Xolestaz bilan kasallangan onasi yoki opa-singillarining oilaviy tarixiga ega bo’lgan ayollar
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Og’iz orqali kontratseptiv tabletkalarni qabul qilishda terining qichishi (prurit) bo’lgan ayollar
Xolestazning belgilari
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Ayniqsa, uchinchi trimestrda yoki homiladorlikning kech davrida juda og’irlashishi mumkin bo’lgan terining qichishi. Döküntüle bog’liq bo’lmagan qichima, shuningdek, oyoq-qo’l ekstremitelerine tarqalishi mumkin, masalan, qo’llar va oyoqlar, shuningdek, magistralga ta’sir qilishi mumkin.
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Qo’l kaftlari va oyoq osti qismida kuchli qichishish.
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Safro tuzlari chiqarilishi tufayli quyuq rangli siydik.
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Kayfiyat va ruhiy tushkunlik kayfiyati, ayniqsa, qichishish bilan chalg’itishga olib keladigan bo’lsa.
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Uyqusizlik va uxlash tartibidagi o’zgarishlar.
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Ichak harakatlari rangining o’zgarishi, shuning uchun ular oqarib ko’rina boshlaydi. Buning sababi onaning najasida ajraladigan hazm qilinmagan yog ‘, bu holat «steatorreya» deb nomlanadi.
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Engil sariqlik (ko’zlari va terisi sarg’aygan).
Xolestaz qanday aniqlanadi?
Qonni tekshirish qon oqimidagi safro darajasini va jigarning qanday ishlashini aniqlaydi. Agar jigar funktsiyasi testlari g’ayritabiiy bo’lsa va safro miqdori me’yordan yuqori bo’lsa, demak bu fizik va tibbiy anamnez bilan birgalikda tashxisni ma’lum qilishga yordam beradi.
Xolestazni davolash
Davolash kolestazning darajasiga va har bir onaning o’ziga xos belgilariga qanday chidashiga bog’liq. Agar qichishish o’ta og’ir bo’lsa va uxlash bilan bog’liq muammolarni keltirib chiqaradigan bo’lsa, unda davolanish haqida o’ylash mumkin. Agar qichishish chidamli bo’lsa va onaning konforiga juda ta’sir qilmasa, u holda soat va kutish usuli odatda kafolatlanadi.
Ko’rib chiqilishi kerak bo’lgan yana bir narsa shundaki, davolanish homiladorlikning asoratlarini oldini olish uchun mo’ljallangan. Ehtimol, kolestaz tug’ilmagan chaqaloq uchun o’limga olib kelishi mumkin, shuning uchun uni kuzatib borish juda muhimdir. Xolestaz bilan kasallangan onalarga, ularning alomatlari, odatda, tug’ruqdan keyingi bir necha kun ichida o’tib ketishiga amin bo’lishlari mumkin. Buni bilish va yaxshi kayfiyatda bo’lish ko’plab ayollarga, hatto terisi shunchalik qichishganligi sababli noqulay bo’lsa ham, ijobiy munosabatni saqlashga yordam beradi.
Davolashning boshqa variantlariga quyidagilar kiradi:
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Qichishishni to’xtatish uchun teriga surtiladigan mahalliy kremlar. Ular steroidlarga asoslangan bo’lishi mumkin va ular turli xil losonlarni, hammomni emdiradigan kremlarni, kremlarni yoki yumshatuvchi vositalarni tanlashi mumkin.
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Sovuq hammom va dush; ba’zi ayollar o’zlarining hammomlarida muzdan foydalanib, yengillikka erishadilar. Faqat paxta va tabiiy tolalardan kiyinish ham yordam beradi va toshmalarning kuchayishini kamaytiradi. Tirnoqlarni qisqa va yaxshi kesilgan holda ushlab turish qo’shimcha terining shikastlanish ehtimolini kamaytirishga yordam beradi.
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Ursodeoksikolik kislotani davolash bu dori vositalaridan biridir. U safro tuzlari kontsentratsiyasini kamaytirish orqali ishlaydi, shuningdek, qichishishni kamaytirish va jigar faoliyatini yaxshilashga yordam beradi.
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Oddiy qon ivishiga yordam beradigan K vitamini tabletkalari shaklida buyuriladi.
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Xolestaz bilan kasallangan ona ko’pincha homiladorlikning 37-38 xaftaligida keyingi bosqichdagi asoratlarni kamaytirish uchun chaqiriladi. Ushbu qaror xarajatlar va foyda nisbati koeffitsientiga qarab diqqat bilan tortib olinadi. Erta tug’ilgan chaqaloqlarda bir qator asoratlar paydo bo’lishi xavfi bor, ayniqsa o’pkaning etukligi bilan bog’liq. Agar tashvish tug’diradigan bo’lsa, u holda steroid dorilar onaga beriladi, bu o’pkaning pishib etishiga yordam beradi.
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Ona uchun qichishish bilan kurashishda yordam beradigan antigistaminlar buyurilishi mumkin.
Xolestazni boshqarish
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Ona va uning bolasini sinchkovlik bilan kuzatib borish zarur.
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Jigar funktsiyasi va safro kontsentratsiyasini aniqlash uchun muntazam ravishda qon tekshiruvi buyuriladi.
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Xomilaning monitoringi va ro’yxatga olinishi mumkin. Bu onaning qonidagi safro tuzlarining yuqori darajasi tufayli bolani stress holatiga keltirmaslik uchun.
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Bolani sezaryen bilan etkazib berishni rejalashtirish mumkin.
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Ba’zida onada ultratovush tekshiruvi o’tkazilib, unda asosiy jigar kasalligi yoki o’t toshlari yo’qligi aniqlanadi. Agar mavjud bo’lsa, ular kolestazga o’xshash alomatlarni ko’rsatishi mumkin.
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Xolestaz bilan kasallangan onalar homiladorlik paytida jigar kasalliklari bilan shug’ullanadigan maxsus akusherlik shifokoriga yuborilishi mumkin.
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Agar safro tuzining darajasi ma’lum bir nuqtadan oshib ketsa yoki jigar funktsiyasi buzilib ketayotgan bo’lsa, u holda kasalxonaga kuzatuv uchun yotish zarur bo’lishi mumkin.
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Tug’ruq paytida homilani doimiy nazorat qilish zarur bo’lishi mumkin.
Xolestazning asoratlari
Tug’ilmagan chaqaloqlar onasining yuqori darajadagi safro tuzlari bilan kurasha olmaydi. Ularning muddatidan oldin kuzatuvga kiritilishi va ularni qanday boshqarayotganligini kuzatish muhimdir.
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Ba’zi onalar teriga va ko’z oqlariga sariq rang o’zgarishi bilan sarg’ayib ketishadi. Bu oddiy simptom emas.
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K vitaminining quyi darajalari qon ivish muammosiga olib kelishi, onaning va / yoki chaqalog’ining qon ketish ehtimolini oshirishi mumkin. Shu sababli, onalarga tug’ruqdan oldin yoki bola tug’ilgandan keyin qo’shimcha miqdorda K vitamini berilishi mumkin.
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Xomilalik bezovtalik, muddatidan oldin tug’ilish yoki o’lik tug’ilish xavfi.
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Agar u allaqachon sodir bo’lgan bo’lsa, kelajakda homiladorlikda kolestaz rivojlanish xavfi ortadi. Ba’zi manbalar xavfning 70% takrorlanib turishini ta’kidlamoqda.
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