Mukati
Placenta accreta: chinetso chekucherechedza
Kusimwa zvisina kunaka kwe placenta
Iyo placenta accreta, increta kana percreta inofambirana nea nzvimbo isina kunaka ye placenta mukati mechibereko, anotsanangura kudaro Dr Frédéric Sabban, chiremba wezvekubereka muParis. Panzvimbo pekungobatanidzwa chete pamucheka wechibereko (kana kuti endometrium), iyo placenta inogara yakadzika zvakanyanya. Tiri kutaura nezvazvo placenta accreta apo placenta inoiswa zvishoma mu myometrium (uterine muscle), placenta kuwedzera kana yanyatsopinzwa mumhasuru iyoyo, kana percreta placenta apo "inodurura" kupfuura myometrium kune dzimwe nhengo.
Kubatanidzwa, chibereko chine vanga
Sekureva kwaDr Sabban, iyo inonyanya kuisa njodzi kune izvi placenta abnormality kuva ne chibereko chine vanga. Chokwadi ichibereko chine vanga rimwechete kana akawanda (s), semugumisiro wekuvhiya. Inogonawo kunge iri vanga nekuda kwekuvhiyiwa uterine anomaly (fibroid, intrauterine endometriosis, zvichingodaro) kana vanga rinobva pakuvhiya. Panguva yekubvisa pamuviri kana kubvisa pamuviri, a curettage inowanzoitwa. Zvinosanganisira kukwenya pamusoro pechibereko nechishandiso chokuvhiya kuti ubvise zvakasara zvepa placenta uye izvi zvinogonawo kukonzera vanga uye zvozotungamirira kune ichi chisina kujairika chechibereko.
Zvisinei, kuvapo kwe placenta accreta kana imwe yezvinobvamo zvayo zvishoma : inobata 2 kusvika 3% yevakadzi vane chibereko chine vanga. Ngozi yekuva nerudzi urwu rwekusagadzikana kwepa placenta zvakare haiwanzo kuwanikwa mune vamwe vakadzi.
Inowanikwa riini uye sei?
Pane zviratidzo zvishoma zvinoratidza placenta accreta. Zvakare, iyi pathology ye placenta kazhinji kunonoka kuongororwa, panguva ye3rd trimester yekuzvitakura kana pakupera kwepamuviri. Kazhinji yenguva, kuongororwa kunoitwa ne ultrasound kana pelvic MRI. Izvi zvinowanzoitika kubuda ropa pakupera kwenhumbu kana pakutanga kwekubara izvo zvinoratidza kuvepo kweiyo inomaly.
Kusununguka pasi pekutarisa kwechiremba
Kana panguva yekuzvitakura, placenta accreta haidi kuongororwa kwakakosha, inoda kutarisirwa kwakakosha panguva yekusununguka. Izvi zvinodaro nekuti njodzi huru kubva kuplacenta accreta ndeye kubuda ropa kubva pakuzvara, izvo zvinotyisidzira utano hwaamai. Kuti kuderedze matambudziko, timu yezvechiremba ichaita cesarean section. Sekureva kwaDr Sabban, nhumbu ine placenta accreta inoda a kuzvara kwakanyatsoitwa nemishonga, kuitira kuti murwere aisirwe ropa kana kubuda ropa kukuru.
Pashure pacho, vanachiremba vachakwanisa kupa zano kubviswa kwechibereko (hysterectomy) kana kuvhiyiwa kwekuchengetedza zvichienderana nechishuvo chemurwere chemimba itsva.