Malo abwino kwambiri a placenta ali pafupi ndi chiberekero, nthawi zambiri pa khoma lake kutsogolo, komanso mobwerezabwereza - kumbuyo. Si nthawi zonse kuti placenta ikhoza kugwirizanitsa ndikuyamba kukula bwino pamalo ano, ndiye chofunika kwambiri kwa mwanayo chimachokera kumbali yina pafupi ndi chiberekero cha chiberekero.
Malingana ndi malo omwe akugwirizanako, placenta imasiyanitsa:
- kukamba kwathunthu;
- kusamba pakati;
- kalankhulidwe kamodzi;
- kufotokozera kwapakati.
Mafotokozedwe a m'mphepete mwa placenta amatsimikiziridwa panthawi yachiwiri yokonzedwanso ya ultrasound, mpaka nthawi ino placenta ikhoza kusunthira ndikukwera ku malo oyenera kuchokera kulakwika poyamba. Komabe, chidziwitso chomaliza chingathe kukhala pafupi ndi kubereka. Matendawa amatchulidwa ngati ndemanga yochepa. Pachiwonetsero chapakati, uterine pharynx imatsekedwa pamphepete mwa placenta ndi pafupifupi theka lachitatu.
Chigawo cha Regional placenta previa - chimayambitsa
Zomwe zimayambitsa ndondomeko yazing'ono zingabisike mu umoyo wa mkazi. Chinthu chofala kwambiri chomwe chimachitika kale ndi matenda a chiberekero, kuchotsa mimba, komanso mavuto omwe ali nawo mimba yoyamba. Kuonjezerapo, nkhaniyi imapezeka mwa amayi amene atulukira kuti ali ndi uterine fibroids kapena ali ndi matenda obadwa mwa uterine. Endometriosis ikhozanso kuyambitsa kugwirizana kosayenera kwa placenta. Ndipotu, pakadali pano dzira la fetal linagwirizanitsidwa ku chigawo chimenecho cha chiberekero chomwe malo otetezeka kwambiri a endometrium anali. Malo osalakwika a placenta nthawi zambiri amalembedwa kwa amayi omwe ali ndi kubadwa kochuluka.
Kodi ndi chiwonongeko chotani cha m'mphepete mwa placenta?
Ndi nkhani ya m'munsi, mkazi akhoza kutuluka magazi. Pachifukwa ichi, kutuluka magazi kumayambira mosayembekezereka, popanda zowawa komanso zopweteka kwa amayi oyembekezera. Kawirikawiri, nthawi yoopseza imayamba mu trimester lachitatu pa masabata 28-32 atakwatirana kapena pa nthawi ya ululu.
Ndi maonekedwe olakwika a placenta, kuphatikizapo krai, kuopsezedwa kwa kuperewera kwa amayi kumapezeka nthawi zambiri. Zingathe kuwonetsedwanso m'mimba yopanda mphamvu - kutsika kwa magazi; ndipo kupititsa patsogolo kuchepa kwa magazi sikungathetsedwe. Kuonjezera apo, pokambirana mwachidule, mwanayo akhoza kutenga malo olakwika mu chiberekero cha uterine, chomwe chidzafuna kupaleshoni.
Zomwe zimayambitsa matendawa
Monga lamulo, mankhwala ena ochiritsira pakamwa sangagwiritsidwe ntchito. Mfundo zazikulu ndizopuma kwa amayi okhaokha. Izi siziphatikizapo kukweza zolemera. Kuchokera pa kugonana ndi kufotokozera kumapeto kwa placenta, monga ndi mtundu wina, ndi bwino kukana.
Ndipo komabe, ndi kufotokozera pambali, kuyang'anitsitsa kwachipatala nthawi zonse ndi kufufuza nthawi yake kumafunika. Zizindikiro zazikulu zomwe ziyenera kuyang'aniridwa ndi kuyesa kwa magazi kwa hemoglobin ndi coagulation. Ndiponsotu, ngati kuchepa kwa magazi kukukula, mkazi ayenera kupereka mankhwala omwe ali ndi chitsulo. Magazi a magazi ayenera kukhala achilendo ngati akumwa magazi. Kuponderezedwa kwa magazi kumayesedwa nthawi zonse. Ndipo, ndithudi, ultrasound, yomwe ingathe kudziwa molondola kusintha kwa malo a placenta.
Kubadwa ndi chiwonetsero cha pansi pamtunda
Chisankho cha momwe yobweretsera chidzachitikire chidzapangidwa ndi dokotala yemwe akupezekapo, komanso dokotala yemwe amatenga zobereka. Choncho, ndi bwino kulankhulana ndi amayi omwe ali ndi amayi asanakwane.
Kubadwa ndi kufotokoza kwapadera kwa placenta kungathe kuchitika mwachibadwa, ngati palibe zizindikiro zina zogwiritsira ntchito gawo lokonzekera . Ndizidziwitso, kutuluka kwa magazi, monga lamulo, sikokwanira ndipo kumasiya pamene mutu wa mwana umaphimba chiberekero. Komabe, nthawi zonse nthawi zambiri amatha kugwira ntchito yowonjezera, pambuyo pake, nthawi zambiri zimatha kuthetsa ndondomeko yomwe placenta yatseketsa chiberekerocho patangotha kutsekula kwa chiberekero cha 5-6 masentimita.
Pa mlingo wa zamakono ndi zamankhwala zamakono, mayi yemwe amapezeka ndi chigawo cha regional placenta previa sangadandaule moyo wake komanso moyo wa mwana wake.