Mukati
Chikamu cheplacenta: chii icho?
Kusungwa kweiyo placenta, kana retroplacental hematoma, chinhu chisingawanzo asi chakakomba chinetso chekuzvitakura chinogona kukanganisa hupenyu hwemucheche, kana kunyangwe hwaamai vake. Kusava nesimba kwaro kunokonzeresa kuongororwa kwehypertension, njodzi yayo huru, uye kubvunza panobuda ropa shoma, chiratidzo chikuru.
Chii chinonzi placental abruption?
Iyo inonziwo retroplacental hematoma (HRP), placental detachment inoenderana nekurasikirwa kwekunamatira kwepacenta kumadziro echibereko. Icho chipingaidzo chekubereka, iyo hematoma yakaumbwa ichikanganisa kutenderera kwemamai-fetus. Inenge 0,25% yepamuviri inobata muFrance. Mhedzisiro yaro inosiyana zvichienderana nedanho repamuviri uye nekukura kwechikwata.
Zvinokonzera placental abruption
Izvo zvinoitika zvekuputika kwepasuru zvinowanzoitika nekukurumidza uye zvisingatarisirwe, asi kune, zvisinei, zvinhu zvine njodzi. Akakurumbira ndeaya:
- Lhypertension gravidarum uye mhedzisiro yayo yakanangana, pre-eclampsia. Nekudaro kukosha kwekuteerera kune kwavo zviratidzo: kusimba kwemusoro, kurira munzeve, nhunzi pamberi pemaziso, kurutsa, yakakosha edema. Uye kuteverwa panguva yako yese yekubata kuti ubatsirwe neyakajairika BP.
- Kusvuta uye cocaine kupindwa muropa. Vanachiremba uye vananyamukuta vari pasi pekuvanzika kwechiremba. Usazeze kukurukura nezvekupindwa muropa navo nyaya. Mishonga chaiyo inogoneka panguva yekuzvitakura.
- Kushungurudzika kwepamuviri. Kazhinji fetus inodzivirirwa kubva pamhedzisiro yekuvhunduka uye kudonha neamniotic fluid inoshanda seyabhegi yemhepo. Nekudaro, chero kukanganisa padumbu kunoda kurapwa.
- Nhoroondo yekuparara kwepashure.
- Kubata pamuviri mushure memakore makumi matatu nemashanu.
Zviratidzo uye kuongororwa
Kusungwa kwepascenta kazhinji kunoguma neropa rakasviba kurasikirwa kwakabatana nekurwadziwa mudumbu kurwadziwa, kuda kurutsa, kunzwa kwekushaya simba kana kunyange kurasikirwa kwekuziva. Asi kuomarara kwemamiriro acho hakuna kuenzana nekusimba kwekubuda ropa kana kurwadziwa kwepamuviri. Zviratidzo izvi saka zvinofanirwa kugara zvichitariswa seyambiro.
Ultrasound inogona kusimbisa kuvepo kwehematoma uye kuongorora kukosha kwayo asi zvakare kuona kushingirira kwekurova kwemoyo mu "fetus".
Matambudziko uye njodzi kuna amai nemwana
Nekuti inokanganisa kukosheswa kwakanaka kwe "fetus", kuputika kwepashure kunogona kukonzera kufa. in utero kana kusagadzikana kunodzokororwa, kunyanya neurological. Iyo njodzi inova yakakosha apo inopfuura hafu yenzvimbo yepamusoro inokanganiswa neuto. Kufa kwemadzimai kushoma asi kunogona kuitika, kunyanya zvichitevera kubuda kukuru kweropa.
Kutungamira kwekuparara kwepashure
Kana iyo diki iri diki uye ikaitika pakutanga kwepamuviri, zororo rakazara rinogona kubvumira iyo hematoma kugadzirisa uye nhumbu ienderere pasi pekutarisisa.
Mune fomu yayo yakajairika, kureva kuti inoitika mune yechitatu trimester, kuputika kwepasuru kazhinji kunoda chikamu chechimbichimbi chekuregedza kuitira kudzikisira kutambura kwe "fetus" uye njodzi yekubuda ropa kuna amai.