Placenta abruptio

Iyo placenta inobatanidza iyo fetus (mwana asati aberekwa) muchibereko chaamai. Inobvumira mwana kuti awane zvinovaka muviri, ropa, uye oxygen kubva kuna amai. Inobatsirawo mwana kubvisa tsvina.

Placenta abruptio (inonziwo placental abruption) ndipo panoparadzana nepasvingo kubva mukati memadziro echibereko mwana asati azvarwa.

Mukuzvitakura kuzhinji, iyo placenta inogara yakanamatira kune yekumusoro chikamu chemudhuri wechibereko.

Mune mashoma nhamba yepamuviri, iyo placenta inozvisunungura (inozvidhonza kubva pamadziro echibereko) nekukurumidza. Kazhinji yenguva, chikamu chete chepascenta chinokwevera kure. Dzimwe nguva inodhonzera kure zvachose. Kana izvi zvikaitika, zvinowanzoitika mu3 trimester.

Iyo placenta ndiyo tambo yehupenyu hwe fetus. Zvinetso zvakakomba zvinoitika kana ikazviparadzanisa. Mwana anowana oxygen shoma uye zvinovaka muviri zvishoma. Vamwe vacheche vanova vanoregedzwa kukura (vashoma kwazvo), uye mune mashoma mashoma kesi, zvinouraya. Inogona zvakare kukonzera kurasikirwa kukuru kweropa kuna amai.

Hapana anoziva kuti chii chinokonzeresa kuputika. Asi izvi zvinhu zvinomutsa njodzi yemukadzi pazviri:

• Nhoroondo yekuparara kwepashure mune yepamuviri nhumbu
• Yenguva refu (isingaperi) kukwira kweropa
• Pakarepo kukwira kweropa mumadzimai akazvitakura aive neyakajairika BP munguva yakapfuura
• Chirwere chemoyo
• Kushungurudzika kwepamuviri
• Kusvuta
• Doro kana cocaine kushandisa
• Placental kupunzika mune yekutanga nhumbu
• Fibroids muchibereko
• Kukuvara kuna amai (senge tsaona yemotokari kana kudonha umo dumbu rakarohwa)
• Kuva mukuru kudarika makumi mana

Zviratidzo zvakajairika kubuda ropa muchikadzi uye kurwadza kunorwadza. Kuwanda kwekubuda ropa kunoenderana nekuti yakawanda sei iyo placenta yakadzivirirwa. Dzimwe nguva iro ropa rinounganidza kana placenta rakanamatira rinogara pakati pecasenta nemadziro echibereko, saka unogona kunge usina kubuda ropa kubva mukati memukadzi wako.

• Kana kupatsanurwa kuri kushoma, iwe unogona kunge uchingori nekubuda ropa zvishoma. Iwe unogona zvakare kuve nekurwadziwa kana kunzwa nyoro mudumbu rako.
• Kana kupatsanurana kuri pakati nepakati, unogona kunge uine ropa rinorema. Cramps uye kurwadziwa nemudumbu kuchanyanya.
• Kana inopfuura hafu yeplacenta yakadzikira, unogona kunge uine kurwadziwa kwemudumbu uye kubuda ropa kwakanyanya Iwe unogona zvakare kuve nezvipikano. Mwana anogona kufamba zvakanyanya kana zvishoma pane zvakajairwa.

Kana iwe uine chero cheizvi zviratidzo panguva yako yepamuviri, udza wako wezvehutano mutapi ipapo.

Wako mupi acha:

• Ita bvunzo yemuviri
• Cherekedza kupokana kwako uye maitiro anoita mwana wako kwavari
• Dzimwe nguva ita ultrasound kuti uone placenta yako (asi ultrasound haisi nguva dzose inoratidza kuparara kwepascent)
• Tarisa kurova kwemoyo wemwana wako uye mutinhimira

Kana kukanganisa kwako kwepasiki kuri kushoma, mupi wako anogona kukuisa pazororo remubhedha kuti umise kubuda ropa kwako. Mushure memazuva mashoma, vakadzi vazhinji vanogona kudzokera kuzvinhu zvavo zvakajairika muzviitiko zvakawanda.

Nekuparadzanisa zvine mwero, iwe ungangoda kugara muchipatara. Muchipatara:

• Hana yemwana wako yemoyo inozotariswa.
• Ungangoda kuwedzerwa ropa.
• Kana mwana wako achiratidza chero zviratidzo zvekushushikana, wako mupi anogona kukurudzira basa rako nekukurumidza. Kana iwe usingakwanise kuzvara muchikadzi, iwe unozoda C-chikamu.

Kunyanya kuputika kwepashure kuri kwekukurumidzira. Iwe unozofanirwa kununura ipapo ipapo, kazhinji kazhinji neC-chikamu. Izvo zvisingawanzoitika, asi mwana anogona kuberekwa akafa kana paine kukanganisa kwakanyanya.

Iwe haugone kudzivirira kuputika, asi iwe unogona kudzora zvinhu zvine njodzi zvine hukama nazvo ne:

• Kuchengetedza kuwedzera kweropa, chirwere chemwoyo, uye chirwere cheshuga chiri pasi pesimba
• Kwete kushandisa fodya, doro, kana cocaine
• Kutevera zvinokurudzirwa nemupi wako nezvenzira dzekudzikisa njodzi yako kana iwe ukave nekukanganisa mune yepamuviri nhumbu

Kuparadzaniswa kwepashure kwepashure; Kuparadzaniswa kweplacental; Kuparara kweplacental; Kubuda ropa - kusangana nekutsi kwemukadzi; Kubata - kubviswa

• Cesarean chikamu
• Ultrasound pakuzvitakura
• Anatomy yeyakajairika placenta
• Placenta
• Placenta
• Ultrasound, yakajairika placenta - Braxton Hicks
• Ultrasound, zvakajairika fetus - maoko nemakumbo
• Ultrasound, yakasununguka yakasununguka placenta
• Ultrasound, ruvara - yakajairika umbilical tambo
• Placenta

Francois KE, Foley MR. Antepartum uye postpartum kubuda ropa. Mune: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 18.

Hull AD, Resnik R, Sirivha RM. Placenta previa uye accreta, vasa previa, subchorionic hemorrhage, uye abruptio placentae. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chits.

Salhi BA, Nagrani S. Zvinetso zvakakomba zvekuzvitakura. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 178.

• Matambudziko Ehutano Mukubata