Nthawi yokonzekera mimba yomwe ikubwera kwa mayi wamtsogolo ikugwirizana ndi maphunziro ambiri. Zina mwa izo, ndi kufufuza kwa chigawo ngati homocysteine. Talingalirani zinthu izi mwatsatanetsatane, tidziwa: chifukwa chiyani homocysteine yatsimikiziridwa pokonzekera mimba, ndi zizindikiro zotani zomwe zimapangitsa kuwonjezeka ndi kuchepa.
Homocysteine - kodi ndi chiyani ndi akazi?
Pamene atumiza mkazi kukafufuza, zomwe zimapanga mlingo wa homocysteine m'magazi, ndi kafukufuku wotani omwe amayi ambiri sakudziwa. Ichi ndi mankhwala a processing methionine (amino acid). Mlingo wa homocysteine m'magazi umakula pang'onopang'ono ndi ukalamba, komabe, pamene mimba imachitika, kuchepa kwake kumachepetsa (1 ndi 3 trimesters).
Mankhwala otchedwa Homocysteine mu kukonza mimba ndi ofunika kufufuza chifukwa cha zotsatira zake zoipa zomwe zimakhudza kugonana. Panthawi imeneyi, chinthuchi chimakhudza mwachindunji kugawidwa kwa placental, komwe kukula kwa intrauterine kamwana ndi msinkhu wake kumadalira. Madokotala akuwona kuti ndi koyenera kukhazikitsa chiwerengero cha homocysteine pa siteji yokonzekera mimba yomwe ikubwerayo kuti idzayankhe nthawi yake kuchepa kapena kuwonjezeka, ndi kutengapo mbali.
Kodi homocysteine amasonyeza chiyani?
Kuphunzira kuti homocysteine ndi ndani, amayi omwe angathe kukhala pamsinkhu wokonzekera mimba afunseni madokotala funso - kodi kusanthula kwachitika, ndi chiyani? Malingana ndi zotsatira, madokotala akupeza zokhudzana ndi momwe maselo amathandizira mu thupi la mkazi. Choncho, ngati kagayidwe kake ka homocysteine kakasokonezeka, kamakhala mu malo osungunuka, ndipo m'magazi a m'magazi. Pamwamba kwambiri, pakompyuta imakhala ndi mphamvu ya cytotoxic.
Chifukwa cha zoterezi, pangakhale kuphwanya kukhulupirika kwa makoma a zombo - malo awo amamasuka. M'malo a malo oonongeka, calcium ndi cholesterol amatha kukhala pamwamba pa zombo. Chifukwa cha kusintha koteroko, kupanga mapulani a atherosclerotic kumachitika. Izi zimawonjezera ngozi ya mitsempha ya magazi m'mitsempha ya magazi, yomwe imadzaza ndi chitukuko cha thrombosis pa nthawi ya mimba.
N'chifukwa chiyani mumatenga homocysteine pokonzekera kutenga mimba?
Mlingo wa homocysteine m'magazi umalola madokotala kuganizira za momwe maselo amachitira. Kuphulika kwa kagayidwe kake kamene kumawonjezera chiopsezo cha magazi m'mitsempha ya mitsempha. Kusintha uku kwodzala ndi kutseka kwa mitsempha yomwe ili mu placenta. Chifukwa chake, pali kuphwanya kukula kwa intrauterine kwa mwana panthawi yoyembekezera. Pofuna kupewa izo, madokotala akuyesera kuzindikira momwe angagwiritsire ntchito matendawa komanso momwe angapangidwire pachigawo chokonzekera.
Kusanthula kwa Homocysteine kwa kukonza mimba
Kuti mudziwe mlingo wa homocysteine pokonzekera kutenga mimba, madokotala amachititsa amayi kuwunika. Pachifukwa ichi, madokotala amalimbikitsa kuti apite kukayezetsa izi miyezi itatu isanayambe kukonzekera. Ngati mayi wam'tsogolo adakhala ndi vuto la matenda opatsirana mu thupi la homocysteine, phunzirolo lichitidwa pasanathe miyezi isanu ndi umodzi isanakwane tsiku loyembekezeredwa.
Homocysteine - kukonzekera
Pofuna kusanthula homocysteine panthawi yopanga mimba, m'pofunika kusunga malamulo angapo pokonzekera. Kuti muchite izi:
- Tsiku lina musanayambe kumwa magazi, m'pofunika kupewa zakudya zakumwa ndi zakumwa zoledzera.
- Patsiku lisanayambe kuphunzira, ntchito za thupi zolimbitsa thupi siziletsedwa.
- Maola 8-14 musanatengere chitsanzo cha magazi, amaletsedwa kudya, kumwa mowa (zosavuta, komabe madzi) zimaloledwa.
- Musasute fodya 30 mphindi isanakwane.
Homocysteine - momwe mungatengere?
Asanayambe kutenga homocysteine pokonzekera kutenga mimba, mayi amalandira chithandizo kuchokera kwa dokotala. Phunziroli limapangidwa m'mawa pa mimba yopanda kanthu. Kufufuza kumachitika mwa kutenga nyemba za magazi kuchokera mu mitsempha ya ulnar. Pofuna kudziwa homocysteine pokonzekera kutenga pakati, 2-5 ml mwa magazi amatengedwa, omwe amaikidwa mu khola lopanda kanthu, lolembedwa ndi kutumizidwa ku labotore. Zotsatira zingapezeke masiku awiri, malingana ndi ntchito ya chipatala.
Homocysteine - chizoloŵezi cha amayi pakukonza mimba
Mlingo wa homocysteine pokonzekera mimba ndi 10-11 μmol / l. Izi zimatengedwa monga chikhalidwe cha thupi. Kupotoka kumasonyeza kuphwanya, ndipo kumafuna kukhazikitsidwa kwazitsulo. Cholinga cha kukhazikitsidwa kwawo chimayambitsidwa payekha, kuganizira momwe dzikoli limakhalira ndi thupi lachikazi, kukhalapo kwa matenda osokoneza bongo komanso njira zowonongeka. Kutsata malangizidwe a zachipatala omwe analandila, kumathandiza kuthetsa kuthetsa mwamsanga, kulondola homocysteine, momwe chikhalidwe chake chimasonyezera pamwambapa.
Mkulu homocysteine pa kukonza mimba
Kawirikawiri kuwonjezereka kwa homocysteine kumakhala chifukwa chosalepheretsa mimba. Chifukwa cha ichi, kukonzekera kuyenera kuchitika pa siteji yokonza. Asanayambe kugwiritsira ntchito homocysteine, madokotala amayesetsa kufufuza bwinobwino kuti athetse chifukwa chake chikuwonjezeka. Ndondomeko ya momwe mungachepetsere homocysteine ikupangidwira kukumbukira zomwe zimachitika:
- Kuchepetsa mlingo wa ma vitamini B. Mmenemo, madokotala amatipatsa zakudya zomwe zimakhala ndi thiamine, pyridoxine, folic acid.
- Zotsatira za chikonga. Zinapezeka kuti kusuta kumapangitsa kuchuluka kwa homocysteine. Kuti muchepetse muyenera kusiya chikonga .
- Caffeine. Mukamamwa khofi, homocysteine yawonjezeka. Kuti muchepetse, muyenera kusiya kumwa.
- Mlingo wotsika wa masewera olimbitsa thupi. Zochita zolimbitsa thupi zimathandiza kuchepetsa homocysteine.
Homocysteine inatsika pokonzekera kutenga mimba
Kumvetsetsa momwe angachepetsere homocysteine pokonzekera mimba, ziyenera kunenedwa kuti nthawi zambiri zosiyana ndizo - kuchepa kwake. Ngati homocysteine imatsitsa pang'ono, izi sizikhoza kukhudza njira yobereka mwana. Nkhawa imayenera kukwapula pamene homocysteine yochepa kwambiri - 4.1 μmol / l ndi yotsika. Zikatero, madokotala amapereka mankhwala apadera kuti awonjezere mlingo wa mankhwalawo. Mayi wokonzekera yekha angathenso kuthana ndi chiwerengero cha homocysteine:
- Kuchepetsa kuchita masewera olimbitsa thupi - kutaya nthawi yophunzitsa masewera.
- Kumwa khofi m'mawa.