Chigawo cha Regional placenta previa - choopsya pa nthawi yomwe ali ndi mimba

The placenta ndi chiwalo chomwe chimathandiza kwambiri pa kukula kwa fetus. Phokoso limayamba kupanga panthawi yomwe mwanayo amamangiriridwa ku khoma la uterine, ndipo kale ndi masabata khumi ndi awiri a mimba zimatengera zakudya, kupuma, kusakaniza, kuteteza komanso kuteteza mahomoni.

Kawirikawiri placenta ili m'chigawo cha uterine fundus kapena kumbuyo kwa chiberekero ndi kusintha kwa makoma a mbali, mobwerezabwereza - pambali pakhoma lam'tsogolo. Koma pali matenda ngati placenta previa. Chigwachi, chomwe chili m'munsi mwa chiberekero, chimayendetsa mkati mwake kapena pang'ono. Malinga ndi izi, chigawo chokwanira (chapakati), chochepa komanso chochepa chapadera chimadziwika.

Puloteni yoyamba, pamene uterine pharynx imatsekedwa kwathunthu, sizodziwika. Gawo lapadera la placenta previa lingakhale lazing'ono ndi lomaliza. Kufotokozera pamtunda kwa placenta ndi malo a placenta, momwe mkati mwa mkati mumatsekedwa ndi gawo limodzi mwa magawo atatu; Mauthenga otsogolera - pamene magawo awiri mwa atatu ali otsekedwa. Ndi mankhwala ochepa a placenta, chiwalo chofunika ichi chili patali kwambiri kuposa masentimita asanu kuchokera mkati mwake. Koma chifuwa chachikulu chimaonedwa ngati chachitatu pa mimba ya mimba, isanafike nthawiyi pulasitiki ikhoza kuwuka.

Chifukwa chachikulu cha kufotokoza kwa placenta ndikuti mucous membrane ya chiberekero yakhala ikusintha zomwe zimalepheretsa kukonzekera bwino kwa dzira la umuna. Kusintha kumeneku kungabwere chifukwa cha kutayira, kutsegula kwa intrauterine spirals, matenda a endometrial chifukwa chochotsa mimba kapena intrauterine kuchotsa, uterine fibroids. Pazochitika zonse zomwe madokotala amadziŵa m'mapapo a placenta previa, 75% mwa amayi omwe ali ndi mimba mobwerezabwereza. Komanso zimakhudza kusalakwitsa kolakwika kwa mwana wosabadwayo kungakhale matenda a mkati mwa amayi apakati.

Chizindikiro cha kachipatala, chomwe chimatanthauzidwa ngati gawo lochepa la malo otchedwa placenta, ndi mitundu ina ya malo ake osayenera, akutuluka m'magazi achiberekero, limodzi ndi ululu. Zitha kuchitika nthawi zosiyanasiyana za mimba - m'miyezi itatu yoyamba, komanso asanabadwe. Chifukwa cha kutuluka kwa magazi chimakhala muchitetezo chochepa cha placenta. Makoma a chiberekero pa nthawi yomwe ali ndi mimba ali otambasula, ndipo placenta sichikhoza kutambasula, motero, imachotsa.

Ngati simutenga mankhwala oyenera nthawi yake, mwanayo amayamba kukhala ndi hypoxia, ndipo mayi woyembekezera akhoza kukhala ndi kuchepa kwa magazi m'thupi. Nthawi zina magazi amatha kuwononga zotsatira zake. Choncho, ngati azimayi amasonyeza kufotokozera, kumapeto kapena kumapeto kwa pulasitiki, m'pofunika kutsatira malangizo ake momveka bwino. Poyang'ana zodandaula za amayi omwe ali ndi pakati ndi zotsatira za ultrasound, iye adzapatsanso mpumulo wa bedi, kukonzekera kupatulidwa kwa chiberekero, ngati magazi amapezeka mobwerezabwereza - kuchipatala ndi kuchipatala kuchipatala. Kupereka kumeneku kumatheka kwambiri ndi gawo la mchere, koma malo omwe ali pamtunda wa placenta mumalo operekera zachirengedwe.