Kuphulika kwa magazi pakapita mimba kungabweretse mavuto osayenerera kwa mwanayo. Kutaya intrauterine chitukuko, hypoxia, makhalidwe oipa osagwirizana ndi moyo komanso ngakhale imfa ya fetus - ili ndi mndandanda wa mavuto omwe angabwere chifukwa cholephera kugwira ntchito yoyenera ya amayi-placenta-child. Choncho, podziwa chimene chimachititsa kuti magazi azitha kutuluka panthawi yomwe ali ndi pakati, madokotala amayang'anitsitsa momwe chiwalochi chimayendera ndikuyesera kuganizira zonse zomwe zingayambitse chiopsezo pachiyambi cha mimba.
Zimayambitsa mavuto a magazi pamene ali ndi mimba
Aliyense amadziwa kuti placenta ndi chiwalo chapadera chomwe chimagwirizanitsa kayendedwe ka kayendedwe kawiri: kamwana ndi mayi. Cholinga chenicheni cha placenta ndi kupereka zakudya komanso chitetezo cha zinyenyeswazi. Kuwonjezera apo, thupi limasonyeza zinthu zomwe zimagwira ntchito zofunikira za thupi. Phalaphala imagwirizanitsa ndi mphamvu ya mayi ndi mwana wake, motero mitundu iwiri ya magazi: chimbudzi cha m'mimba ndi chiberekero. Ngati mmodzi wa iwo akuphwanyidwa, dongosolo lonse likuvutika, ndipo, motero, mwanayo.
Pali zifukwa zingapo zomwe zimayambitsa matendawa. Malinga ndi asayansi, ntchito yofunika kwambiri pakupanga chigawo chachibadwa, imayika mzere wambiri. Komabe, zinthu zina zimakhudzanso njirayi. Makamaka, gulu loopsya limaphatikizapo amayi omwe:
- anayamba kukhala moyo wa kugonana pachiyambi;
- anali ndi zibwenzi zambiri zogonana;
- adamwa mankhwala osokoneza bongo, kumwa mowa mopitirira muyeso komanso kusuta;
- ali ndi matenda aakulu;
- khalani ndi mbiri ya mimba zosavomerezeka , mimba yokhazikika ndi mimba .
Mitundu ya matenda a hemodynamic
Pali mitundu yambiri ya kuchepa kwapadera, iliyonse yomwe ili ndi zozizwitsa komanso zoopsa zake:
- Kusokonezeka kwa magazi pakapita mimba 1a digiri - vutoli limakhalapo chifukwa cha kukhala kosavuta kuuluka m'magazi, pamene muli pansi pa tsamba lopanda magazi. Pakati pa mimba, kufooka kwa magazi kumapangidwe 1a digiri sizowopsya ndipo imachiritsidwa mosavuta.
- Kuphwanya magazi pakapita mimba ya 1b digitala - pakadali pano matendawa amawonekera m'magazi otuluka magazi. Komabe, chikhalidwe cha mwana chikhalire chokhutiritsa.
- Kusokoneza kwa magazi mwa mimba ya madigiri 2 ndi 3 - zolakwika zazikulu pa ntchito zonse ziwiri, zomwe zimabweretsa zovuta, mpaka imfa ya chipatso.
Pofuna kupeŵa zotsatira zosasinthika komanso imfa ya mwana, kuphulika kwa magazi pakapita mimba kuyenera kudziwika panthaŵi yake. Kwa ichi, amayi amtsogolo akupanga ultrasound ndi dopplerometry. Mpaka lero, iyi ndiyo njira yokhayo, koma yothandiza kwambiri.