Izimpawu abruption esinomhlapho emazingeni ahlukahlukeneko, usizo lokuqala lalesi sifo

Placenta ngokuthi isitho esibalulekile kakhulu, okuyinto ekuqaleni lakhiwa kusukela cell efanayo ingane uqobo. Kufika amasonto 11-16, wabiza chorion villous igobolondo umbungu: villi yayo zingene ukushuba odongeni kwesibeletho, ingenele ingane mpilo nokudla, ukuhoxiswa imikhiqizo zokuphila ne-carbon yayo dioxide. Emva kwalesi sikhathi, bakha placenta ephelele, nakho has a lot of Lint, kodwa ngaphandle amandla, nayo yenza amahomoni (isib, progesterone), ezisiza ukuba alondoloze sokukhulelwa (ngaphambi kumiswa placenta okungukuthi umsebenzi lo luteum Corpus e esibelethweni).

I-placenta akanawo umsebenzi contractile, kodwa unamathele kwesibeletho - a imisipha futhi enkulu, okuyinto ngisho ngaphambi kosuku kokubeletha, lesi "ukuqeqeshwa" gqwa isikhathi esifushane, okuholela ukuncipha ezindaweni zayo ehlukile isikhathi esifushane. Ngokuvamile placenta uvuma lezinhlangano, akwenzeki lutho kukho, kodwa ngezinye izikhathi isimo siba khona nalapho ingxenye ezinkulu noma ezincane thereof ehlutshiwe kusukela odongeni lesizalo. Khona-ke izithelo ngokubekezela, kusukela siphukile amandla akhe. Ngaphezu kwalokho, kulesi simo kungaholela nasekufeni kukamama futhi ingane, ngakho-ke, esinomhlapho izimpawu abruption kufanele kubikwe, futhi abesifazane abakhulelwe, nemindeni yabo.

Kuyini esinomhlapho abruption?

Ngokuvamile, placenta kufanele bufakwe eduze kwaphezulu, okungukuthi phansi kwesibeletho - ngokuvamile ku kususwa udonga lwangemuva, kodwa ngezinye izikhathi kuba eduze ophumayo - umsele wesibeletho. Lokhu kubizwa ngokuthi yi previa placenta. Kungenzeka ephelele noma emaphakathi lapho isihlalo ingane itholakala nhlangothi zombili Imiphumela kwesibeletho, agqagqene okukhipha yilo. Kungase kube ukuthi placenta kancane nje kunalokho okudingeke. Lokhu placentation kuyisici ungalokothi uphuze kuze lamabutho.

Ngakho, ikhasi ngokuvamile itholakala noma umzanyana previa. On kanjani itholakala kuncike izimpawu of abruption esinomhlapho.

ukubonakaliswa uyophinde abancika izinto ezifana:

- Ngokuqhubeka lamabutho noma yena zingayeka yena;

- lapho kwaba khona ukwehlukana zayo kusukela odongeni lesizalo - maphakathi noma onqenqemeni;

- kunoma iyiphi izigaba besakhulelwe noma lapho bebeletha isungule isimo esinjalo: esinomhlapho abruption okwakuhlalwa kuzo lapho kusaqalwa, uma kusuka odongeni lesizalo wathutha ingxenye encane kakhulu yalo, has a Yiqiniso nokulinganisela Izibikezelo evumayo, kusukela ngaleso sikhathi endaweni yezingane uzoqhubeka akhule, futhi kungenzeka ukuthi isici ivaliwe futhi "ukukhula".

Yiziphi izimpawu kungabonakala nasemkhakheni nge abruption esinomhlapho?

The main izici ezintathu ezibhekwa:

1) wopha esithweni sakho sangasese okujula ezahlukene.

2) Ubuhlungu esiswini, ukuhlukana kwakhe aphansi.

3) Izici Zabantu ukuhlupheka umbungu: ukushaya kwenhliziyo imvamisa ushintsho, ukwanda noma wehlise motor umsebenzi wayo.

Izimpawu abruption esinomhlapho, kuye ngokuthi isimo sokucindezeleka, kukhona ezifana:

I. Uma ihlukane ka-placenta previa nge onqenqemeni, lapho ngokuyisisekelo kuphela ukopha, ubuhlungu, cishe ingekho. Uma flaked off ingxenye encane isithelo ayiphazamiseki.

II. Uma placenta kuyinto nomaphi lapho itholakala, it is ehlutshiwe imaphakathi, futhi iziteshi ukopha (ie, lamabutho-non-okuqhubekayo), kungabikho izimpawu. Lokhu kwakunjalo yowesifazane ezitholakele ku-ultrasound, noma kamuva, ngemva kokuba sekwenzekile, waqokomisa kancane igazi ensundu.

III. Uma lamabutho exfoliate ka-placenta ngokuvamile elisendaweni ingxenye yesifunda, kungenzeka ezimbili izimpawu ezintathu: ukopha futhi ubuhlungu. Uma unganqamuki umangozima, nezithelo aqale ukuhlushwa, ungaqala Kufinyeta futhi ukubeletha singakafiki isikhathi (noma ukuphuphuma, uma kuyintando - lamabutho umzanyana e senyanga yokuqala).

IV. Lapho kwakukhona lamabutho ka engxenyeni ephakathi ye-placenta, placenta yegazi zanqwabelana. Lokhu kubizwa ngokuthi yi hematoma retroplatsentarnoy. Kuyinto ngokwako, ngisho noma ukopha ime, placenta uyakwazi exfoliate ku. Ngenxa yalokho, ingxenye enkulu kungase ikhasi off, ngisho lonke placenta. Igazi lapho ezinjalo ihlukane ngokwengxenye akuyona njalo ivelele. Khona-ke izimpawu abruption esinomhlapho yilezi: ubuthakathaka, pallor, palpitations owesifazana, ezwa ubuhlungu lapho esiswini, kwesibeletho voltage, ingane yokuqala, ngokuvamile ehambayo, kungaleyo ukuzola nhlobo. Lapho bakhulelisa izindonga kwesibeletho igazi okuqhubekayo kusukela hematoma ubuhlungu inyuka, kwesibeletho ephumula. Uma igazi uthola indlela yokuphuma, ngulona logeleta aphume sangasese.

V-placenta kungaba izinhlayiya zeqhwa off futhi ngesikhathi sokubeletha. Khona-ke, futhi, kukhona ukopha, amahlule kungenziwa ikhishwe. Kwesibeletho elimele ephumula Kufinyeta, uma ingane ekhulayo iyahlupheka, khona-ke kumi cal amnyama - meconium. Lezi izimpawu kufanele nigubhe obstetricians

Yini okumele uyenze uma ucabanga uke ehlutshiwe placenta?

Uma kukhona osenyameni legazi ngesikhathi sokukhulelwa, noma ngabe kungcono nsundu "daub" kubalulekile ukuba afihle lokho ayikho evundlile futhi wazise udokotela wakho, ngubani nginibuka. Uma kukhishwa abomvu, kumele uya ngesikhathi esisodwa, musa ngisho uvuke yokugezela, qiniseka ngokuthi "ambulensi" ukuze kutholelwe nenduduzo esiphezulu. Uma ingane (by ultrasound) athuthukile evamile, ungenalo preeclampsia ezinzima noma yizifo ezingamahlalakhona, kuba kukhona amathuba eqinile ukuthi embhedeni esiqinile ukuphumula uyeka ukopha, bese usizo ifika. Ukopha uma abruption esinomhlapho akusho ukuthi ungakwazi uvuke, abe izinsuku ezimbalwa ukuya ethoyilethi, ngisho elele umkhumbi.