Benh than Tiet nieu khi mang thai

Tags: nguoi co lien quan, tang huyet ap, nguoi phu nu, co anh huong, tiet nieu, co thai, mang thai, bo may, benh than, Suy Than, mau, cau, san, giam, thuoc


Benh than Tiet nieu khi mang thai

Bo may tiet nieu va bo may sinh duc cua co the con nguoi co lien quan rat chat che voi nhau. Vi vay benh cua hai bo may nay co anh huong qua lai voi nhau rat lon.

Y hoc co truyen cung co cac thuat ngu: than am hu, than duong hu de chi su suy giam chuc nang sinh duc. Chung ta se cung ban den benh than - tiet nieu voi suc khoe sinh san.

Nhung thay doi o bo may tiet nieu khi mang thai

Khi phu nu co thai, y hoc quan sat thay rang hai than tang the tich, than dai them khoang 1cm va nang them khoang 4,5 g. Cac dai than va be than gian, dac biet o than phai. Nieu quan cung gian nhe do thai chen ep. Co the gap hien tuong trao nguoc bang quang - nieu quan. Dieu nay giai thich khi co thai phu nu de bi nhiem khuan tiet nieu. Sau sinh ba thang van con hien tuong nay.

Khi co thai, phu nu cung gap nhung thay doi ve huyet dong toan than va huyet dong tai than. 3 thang dau khi co thai, huyet ap giam do giam suc can mach mau ngoai bien de tang cung luong tim, dam bao tuoi mau tang dan cho dong mach tu cung, cung cap mau cho thai nhi phat trien binh thuong. The tich huyet tuong tang tu 30 - 50%, trong khi do dich to chuc ke tang it. Trong thay doi huyet dong tai than, y hoc nhan biet hien tuong loc cau than tang va luu luong tuoi mau than cung tang tu 30 - 50% trong thoi gian mang thai. Vi mau bi pha loang nen nong do albumin, ap luc keo va ap luc tham thau huyet tuong giam.

Y hoc cung cho rang khi mang thai co su bat thuong trong tong hop cac chat co tac dung co mach hay cac thu the co o vo than (renin, prostagladin...). Day la nguyen nhan chinh cua thay doi huyet dong tai than. Hau qua cua su thay doi huyet dong o phu nu co thai duoc the hien o ure huyet giam vi mau bi pha loang va tang the tich va dich o cac khoang, to chuc ke, (tang can, phu).

Benh than Tiet nieu khi mang thai

Khi mang thai co the mac benh gi o bo may tiet nieu?

Khi co thai, nguoi phu nu co the bi cac benh o bo may tiet nieu sau:

- Nhiem khuan tiet nieu

Nhiem khuan tiet nieu thap hay viem bang quang cap voi cac trieu chung: dai rat, dai buot, nuoc tieu sam mau. Khi lam nuoc tieu xet nghiem phat hien protein am tinh hoac vet nhung co nhieu hong cau va bach cau. Chi can dieu tri voi thuoc sunfamid hoac rau ngo, bong ma de.

Nhiem khuan tiet nieu cao hay viem than - be than cap voi cac trieu chung nhu sot cao, ret run, dai rat, dai buot, dai duc va nuoc tieu sam mau. Lam xet nghiem thay bach cau, hong cau va co the thay vi khuan, thuong la Escherichia Coli. Trong truong hop nay can dieu tri voi khang sinh nhom betalacmin. Khong dung khang sinh nhom aminoglucosid va quinolon vi gay doc cho than va co hai cho thai nhi.

Tin lien quan

* Dang mang thai bi mac benh lau co nguy hiem?

* Phu nu mang thai de bi viem loi

* Co nen quan he khi co thai?

- Tang huyet ap

Huyet ap dong mach tren 140/80 mmHg do thieu mau cuc bo rau thai. Benh tang huyet ap thuong gap o 3 thang dau, 3 thang giua hoac ba thang cuoi cua thai ky.

Trong dieu tri dung cac thuoc uc che trung uong giao cam, chen beta giao cam. Khong nen dung thuoc uc che men chuyen hoac thuoc chen canxi. Che do an nhat va dung thuoc loi tieu khong duoc khuyen cao vi co nguy co gay thieu mau rau thai de gay de non hoac thai chet luu.

Tien san giat hay nhiem doc thai nghen co the gap o phu nu tre co thai lan dau vao ba thang cuoi cua thai ky voi cac trieu chung phu nhieu, tang huyet ap va protein nieu nhieu. San giat voi cac con co giat toan than gay nhieu bien chung, ke ca tu vong cho san phu va thai nhi. Nguyen nhan cua bien chung nay la do giam cung luong tim, thieu mau cuc bo tu cung va rau thai. Day la nguyen nhan quan trong nhat.

Dong mau rai rac trong long mach. Neu xay ra tac cac tieu cau than se gay suy than cap nang. Them vao do nhung thap nien gan day, y hoc con dua ra hoi chung Hellp o phu nu co thai vao thang cuoi co tan mau, tang men gan, giam tieu cau va suy than. Day la bien chung rat nang, nguy co tu vong cao mac du duoc ap dung cac phuong phap dieu tri tich cuc, hien dai nhu loc mau lien tuc cham tinh mach - tinh mach.

Nhung bien chung o co quan sinh duc khi bi benh than - tiet nieu

Khi benh than - tiet nieu dac biet da co suy than o cac muc do, nguoi benh ca nam va nu deu bi giam ham muon tinh duc, kha nang co con it. O nu gioi se bi nhieu khi hu, gap nhieu tai bien san khoa hon nguoi phu nu khoe manh nhu: thong kinh, rong kinh, de non, tien san giat hoac san giat.

Nhung loi khuyen

Khi nu gioi bi thong kinh, da kinh, khi hu, say thai nhieu lan hoac vo sinh can kham benh de xac dinh co benh than va suy than hay khong.

Khi co thai, nguoi phu nu can kham thai dinh ky, day du theo doi can nang, huyet ap va protein nieu ket hop voi tham kham lam san, sieu am phu - san khoa de phat hien som nhung bat thuong ve than - san voi muc dich phong ngua, tien luong va xu tri kip thoi. Van de phu nu bi benh than - tiet nieu co thai can duoc xem xet. Neu bi viem cau than cap, soi than va duong tiet nieu nhung chua co suy than co the mang thai duoc. Neu bi hoi chung than hu tien phat, viem cau than luput dang dieu tri voi cac thuoc glucorticoid va thuoc giam mien dich, bi suy than vua va nang thi khong nen co thai, neu co thai can can thiep cho ngung thai som.

(Theo PGS Tran Van Chat - SK&DS)
Viet Bao

Tìm hiểu: nguoi co lien quan, tang huyet ap, nguoi phu nu, co anh huong, tiet nieu, co thai, mang thai, bo may, benh than, Suy Than, mau, cau, san, giam, thuoc

Xem Bản Tiếng Việt Có Dấu: Bệnh thận - Tiết niệu khi mang thai

Ban co the doc ban tieng Viet co dau cua bai viet Bệnh thận - Tiết niệu khi mang thai bang cach nhan chuot vao duong dan tren.

Lien he ve tin Benh than Tiet nieu khi mang thai

Nhan xet, hay lien he ve tin Benh than Tiet nieu khi mang thai co the gui bang duong dan o duoi. Ban nen gui kem tieu de bai viet Benh than Tiet nieu khi mang thai de lam tham khao. Bai viet nay thuoc chuyen de Tin suc khoe trong chuyen muc Suc khoe.

Cac tin khac:

Xem tiep ... Tin suc khoe
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