Hyperplasia wa placenta

The placenta ndi chiwalo chochepa kwambiri chomwe chimapezeka panthawi yoyembekezera. Amayamba kupanga pambuyo pa kukhazikitsidwa kwa dzira la umuna mu chiberekero, ndipo kawirikawiri njirayi imatsirizidwa ndi masabata 16 a mimba. Pakati pa mimba, placenta imapereka mpweya wa okosijeni ndi zakudya kwa mwanayo. Kutsimikiza kwa makulidwe a placenta chifukwa cha zotsatira za kufufuza kwa ultrasound kumapereka lingaliro la momwe zimakhalira bwino ndi ntchito zake.

Placenta Hyperplasia - Zimayambitsa

Kukula kwake kwa placenta kumafotokozedwa m'mabuku ambiri okhudza kuvuta. Ganizirani kukula kwa placenta kwa masabata. Kotero, mwachitsanzo, makulidwe a placenta pa 21, 22 ndi masabata 23 a chikwati ndi ofanana ndi 21, 22 ndi 23 mm. Pakatha masabata makumi awiri ndi atatu (30), nthawi yayitali, placenta imakhala 31 mm, 32 ndi 33, 32 ndi 33 mm, motero. Kukula kwa placenta kumachitika musanafike sabata la 37 la mimba ndikufika pa 33.75 mm, kenako kukula kwake kumatha, ndipo kumapeto kwa mimba, kumakhala kupatulira kwa 33.25 mm. Kuwopsya kwa placenta kapena hyperplasia kungakhale chizindikiro cha matenda osiyanasiyana.

Zifukwa za hyperplasia za placenta zikuphatikizapo:

• matenda a shuga m'mimba mwa mayi;
• Nkhondo ya Rhesus (ngati mayi woyembekezera ali ndi magazi a Rh, ndipo mwanayo ali ndi vuto);
• matenda aakulu a tizilombo toyambitsa matenda (pachimake choyambitsa matenda a tizilombo, fuluwenza);
• matenda opatsirana pogonana (mycoplasma, ureaplasma, chlamydia, toxoplasma, gonorrhea, syphilis);
• kuperewera kwa magazi m'thupi, ndi kuchepa kwa hemoglobin m'munsi mwa 80 g / l.

Kupezeka kwa placental hyperplasia ndi kukula (intervorsing space) ya MVP sikuyenera kuopedwa. Kuwonjezeka kwa MVP kumawombera - poyankha kuphulika kwa pulasitiki.

Hyperplasia ya placenta - mankhwala

Ngati mayi ali ndi kachilombo kowonjezereka kamene kamapezeka pa ultrasound, amayenera kubwereza ultrasound mu sabata, komanso amachititsa dopplerometry ( doppler kwa amayi apakati - kuphunzira za kutuluka kwa magazi mumtambo wa umbilical) komanso matenda a mtima (kuwonetsa chiwerengero cha ubongo wa mtima m'mimba). Maphunzirowa ndi ofunikira kudziwa momwe mwanayo alili komanso nthawi yomwe amadziwidwa kuti ayambe kuchepetsa kukula kwa intrauterine.

Ndi mankhwala osakanikirana otchedwa placental hyperplasia ndipo palibe chiwalo cha mwanayo, mankhwala sangakhale oyenera. Ngati phunziro lowonjezera likutsimikizira kuchepetsa kukula kwa fetus kwa fetus pamodzi ndi pulasitiki ya hyperplasia, mayiyo ayenera kuchipatala kuchipatala.

Ndibwino kugwiritsa ntchito mankhwala omwe amachititsa kuti microcirculation mu placenta (pentoxifylline, trental), mankhwala omwe amatsitsa magazi (curantil, cardiomagnet). Ndikofunika kugwiritsa ntchito mankhwala osokoneza bongo omwe amachititsa kuti mpweya ukhale wambiri. Kuchiza kwabwino kumakhala kofunikira. Kugwiritsiridwa ntchito kwa phospholipids yofunikira monga chinyumba cha maselo kumateteza chiwonongeko chawo. Mphamvu ya chithandizo idzawonjezeka ngati idzawonjezeredwa ndi mankhwala a vitamini E ndi folic acid.

Hyperplasia wa placenta - zotsatira

Kuwonjezeka kwa makulidwe a placenta kumabweretsa chikhalidwe chotchedwa fetoplacental insufficiency, zomwe zimasokoneza kutulutsa mpweya ndi zakudya kwa mwana, zomwe zimapangitsa kuchedwa kwa intrauterine kukula. Mwana yemwe ali ndi pakati pa hypoxia amatha kukhala ndi vuto lovuta.

Choncho, tinkalingalira zomwe zingayambitse, njira zozindikiritsira ndi kuchiza matenda a placental hyperplasia. Matendawa a mimba ndi othandizidwa kwambiri pokonza mankhwala. Ntchito yaikulu ya amayi omwe ali ndi pakati ndi yolembera pa nthawi yake pa zokambirana za amayi, komanso kukhazikitsidwa kwa malingaliro onse a dokotala kuti athe kuchiritsidwa ndi kuyezedwa.