Istaqrar hamal hone per aurat mein mandarjah zeel tabdeelyan ya alaamat zahir hoti hain.
1- Haiz Ka Rukjana
istaqraar
hamal kay waqt aurat ko haiz yani mahwari aana band ho jati hai yeh
barhi alaamat hai, baaz auraton ko pehlay teen mah mein thorha buhat
aata hai, aur baaz ko sirf aik mah band honay kay baad phir shoro ho
jata hai, lekin yeh haqiqat hai keh aik dafa haiz band zaroor hota hai.
2-Matli Aur Qai Aana
Hamal
thahernay kay teen chaar haftay baad hamlah aurat ki tabiyat mein susti
aajati hai, gi matlane lagta hai, subha kay waqt khansi aati hai, aur
qai bhi aanay lagti hai, yeh halat 14-15 haftay rahti hai. Lekin baaz
auraton ko bachah jantay tak yahi halat rahti hai.
3-Pastanon Ki Tabdeli
Istaqrar hamal kay baad hamla ki pastanon mein numaya tabdili aati hai.
Chati
barhnay lag jati hai. Pastaanon kay ird gird kalay rung kay dairay ban
jatay hain pastanon mein doodh aanay lagta hai yeh khaas alaamat hai keh
aurat hamlah hai. Hamla kay cheray per siyahyan phail jati hain.
4-Andaam Nehani Ki Halat
Andaam
nehani se sufaid rung ki ratoobat nikalnay lagti hai. Raham ki jisamat
pahlay say barhi ho jaati hai istaqrar hamal say pahlay is ka size
2
½ inch hota hai aur wazan ½ pao ho jata hai. Raham barhtay barhtay
aathwain mahinay mien naaf say oper aajata hai. Naween mahinay mien
shikam tak aajata hai.
5- Shikam Ki Halat
Istaqrar
hamal kay chatay mahinay mein shikam ki deewar oper ko uthti hai. Is
mein tanaao aajata hai. Shikam ki deewar per zardi maa'l lakeerain
numayan hoti hain.
6- Jinion Ki Harkat
Bachay
ki paidaaish jinion kay barhnay say hoti hai, yeh hamlah kay pait mien
parwarish patay hain jinion 16-20 hafton mien harkat kanay lagta hai is
ki harkat maa'n kay pait per haath say mahsoos ki jasakti hai.
7- Thook Aur Peeshab
Hamlah
kay monh say bar bar thook aata hai munh pani say bhar jata hai, is kay
sath sath isay peeshab kasrat say aur bar bar aanay lagta hai, hamla ki
tabiyat bhojhal si mahsoos hoti hai, isay thakan aur thakawat rahnay
lagti hai.
Ectopic Pregnancy
Is
halut mien bacha uterus ki cavity ki bajaye kisi aur jagah ya ovary
mein growth karta hai. Jabkeh normal halut mein aurat ka fertilize andaa
uterus ki cavity mein moqeem hota hai. Aksar mushahida kia gia hai keh
taqreeban 89% is tarah ke cancer mein fertilized andaa felopin tube ki
andarooni satha per moqeem ho kar barhta hai aurat ke liye ye buhat
pacheedgian paida karta hai.
Causes (Asbaab)
Is
coundition ki wajah aurat ko pahlay pelvic diseases ho sakti hai pait
main appendix ke phatne ki wajah ho sakti hai tissues mein infection ho
sakti hai.
Clinical Features (Ilamaat)
Aurat
ko ghair normal bleeding shoro ho jati hai pait ke nichle hissey per
aik lumps ban jata hai aur dard hota hai agar ectopic pregnancy
Fallopian tubes kay andar ho to fallopian tubes phat jati hai. Aur
mareeza kay pait mein shaded dard hota hai blood pressure gir jata hai
aur mareeza ki halat serious hojati hai.
Laboratory Test
HCG hormones ki level kam hogi.
Ultrasound se pata chal sakay ga keh utérus ki cavity khali hogi.
Pelvice
ki laparoscopy ki jaye agar is kay andar bleeding ho to vagina kay
culdesac mein seringe kay zareeye khoon ko aspirate kia jaye. Jo peri
tonium mien bleeding ko zahir karta hai is se ectopic pregnancy ki
tashkhees ho jaye gi.
Treatment Ilaaj
Mareeza
ko foran hospital dakhil karwaya jaye. Laparoscope kay zareeye
Fallopian mien se tissues ko nikal dia jaye. Agar fallopian tube phat
chuki ho to ise mukammal tor par nikal dein.
Mareeza ko anti biotics
dein khoon ki kami poori karne ke liye blood transfusion ka intezam
karein. Agar pait ki cavity mein bleeding ho to condition intehai
serious hai. Mareeza ki intehai nighadasht ki jaye
Puerperal infection | Zachgi kay baad bukhar
Zachgi kay baad aura ton ko bukhar aur preshani aam hai. In ki teen hisson main taqseem karsakte hain.
1. maternity Blues
2. Post Partum Psychosis
3. Post Natal Depressive illness
1.
Zachgi kay do teen baad aura ton mien jazbaati napaa'edari, kharash
pazeeri aur anso'on ki takleef ho jati hai ye taqreeban 50% aura ton
mien hoti hai. Ye chand dinon mein theek ho jati hai.
2- post partum
psychosis 500-1000 mein se sirf aik baar hoti hai. Yeh delivery kay do
din baad shoro hoti hai aura ton mien preshani paida hoti hai aura ton
mien yeh shubhaat paida hote hain keh bache ki shakal kharab hai yeh koi
beemari hai ya koi hawai asar hai. Janoon paida hone se ise khialat
ubharte hain keh ya khood kashi karlain ya bache ko qatal kardain.
Zachgi
kay aik saal kay doran taqreeban 10 % maao'n ko yeh dabao hota hai keh
is kay sosraal walon ka kia salook hoga khawand ka rawayah kaisa hoga
yeh soch kar in ko bukhar sa rahta hai.
In halat kay ilawa delivery
kay baad andarooni infection ki wajah se aura ton ko bukhar hojata hai.
Yeh bukhar 100 F se ziada hota hai yeh bukhar mandarjah zeel jarasim ki
wajah se hota hai.
Strepetocus, E coli, enterococcus, peptostreptococcus waghairah.
Delivery
se pehlay pani ki jhillia'n phat janay se jarasim vagina se oper uterus
mien dakhil ho jate hain delivery kay doran zakhum aanay se infection
ho jati hai aur bukhar charh jata hai agar infection khoon mien dakhil
ho jaye to sakht bukhar hota hai pelvic ki wareedo'n mien zakham aane se
bukhar laga tar charta hai aur bawajood anti biotique kay istemal kay
kay istemaal kay taiz ho jata hai.
Laboratory Test
Mareezah
kay khoon, peeshab, balghum ka test kia jaye chaati ka x-ray lia jaye
servex aur utérusse troobatain lay kar in ka culture kia jaye in
testo'n se jarasim aur infection ka pat achale ga.
Treatment | Ilaaj
Mareeza
ko agar bukhar depression ki wajah se hai to ise anti depression dain
Citalopram, Fluozetin, Clomipramox mareezah ko dain. Khorak ki moqdaar
20-60 mg hai.
Ampicillin Injection 1gm bazarya wareed har 6 ghante
baad lagain. (Delacin C Inj) 600-900 mg bazaria wareed har 8 ghante baad
lagain.
Mareezah ki zahni pareshani dard karne kay liye ise tasali
dain keh Allah ne kina khoobsurat bachah dia hai. Is se sosraal wale,
waldain aur khawand sabhi behad khosh hain.
Dermatoses of pregnancy
Hamal kay doran jild mien choti choti tabdeelyan aati hain yeh char tarah ki hain.
1- hamal kay doran mukhtalif dhabay parna
2- Polymorphic Eruption of pregnancy
Is
tarah se surkh dhabbe pahli pregnancy kay aakhri semester mien nikalte
hain yeh chobhne wale aable hotay hain. Aur ghalban choti phunsian hoti
hain. Yeh amooman pait se shoro hote hain aur phir baazo'n aur raanon
tak phail jatay hain naaf per nahi hote.
Treatment
Is
condition ka ilaaj bland emollients aur lateef strides se kia jata hai.
Bache ki paidaish kay baad garmi danay gaib ho jate hain.