Munyori: Laura McKinney
Zuva Rekusika: 10 Kubvumbi 2021
Gadziridza Zuva: 18 Mbudzi 2024
Anonim
Zvinetso Zvepamuviri: Placenta Accreta - Utano
Zvinetso Zvepamuviri: Placenta Accreta - Utano

Zvemukati

Chii chinonzi Placenta Accreta?

Munguva yepamuviri, placenta yemukadzi inozvinamatira kumadziro echibereko chake uye inonamira mushure mekusununguka. Placenta accreta chirwere chakakomba chekuzvitakura chinogona kuitika kana iyo placenta ichizvibatanidza yakanyanyisa kupinda murusvingo rwechibereko.

Izvi zvinokonzeresa kuti chikamu kana yese yeplacenta igare yakanamatira muchibereko panguva yekusununguka. Placenta accreta inogona kukonzera kubuda ropa kwakanyanya mushure mekusununguka.

Sekureva kweAmerican Congress of Obstetricians uye Gynecologists (ACOG), mumwe muvakadzi makumi mashanu nevatatu veAmerica vanowana placenta accreta gore rega rega. Mune zvimwe zviitiko zveplacenta accreta, placenta yemukadzi inonamira zvakadzama mumadziro echibereko iyo inosungira kune uterine mhasuru. Izvi zvinonzi placenta increta. Iyo inogona kutopinda zvakadzama kuburikidza nemudumbu wechibereko uye kune imwe nhengo, senge dundira. Izvi zvinonzi placenta percreta.

IAmerican Pregnancy Association, inofungidzira kuti yevakadzi vanoona placenta acreta, ingangoita gumi muzana muzana vanoona placenta increta, nepo zvikamu zvishanu kubva muzana zvinowana placenta percreta.


Placenta accreta inoonekwa seinogona kutyisidzira hupenyu kubata pamuviri. Dzimwe nguva placenta accreta inowanikwa panguva yekusununguka. Asi mune dzakawanda zviitiko, vakadzi vanoonekwa panguva yekuzvitakura. Vanachiremba vanowanzoita yekutanga kuburitsa carean uye vobva vabvisa chibereko chemukadzi, kana dambudziko rikaonekwa usati wasununguka. Kubviswa kwechibereko kunodaidzwa kuti hysterectomy.

Ndezvipi Zviratidzo zvePlacenta Accreta?

Vakadzi vane placenta accreta kazhinji havaratidze chero zviratidzo kana zviratidzo panguva yekuzvitakura. Dzimwe nguva chiremba anozozviona panguva yechinyakare ultrasound.

Asi mune dzimwe nguva, placenta accreta inokonzeresa kubuda kwemukadzi panguva yetatu trimester (vhiki 27 kusvika 40). Bata chiremba wako ipapo kana iwe uchinge uchinge wabuda ropa panguva yako yechitatu trimester. Kana iwe uchinge uchinge uchinge uchinge uchinge wabuda ropa zvakanyanya, sekubuda ropa iro rinonyorova nepadiki mune isingasviki maminetsi makumi mana nemashanu, kana iro rinorema uye richiperekedzwa nemarwadzo emimba, unofanirwa kufonera 911.

Ndezvipi Zvinokonzera?

Hazvizivikanwe chaizvo kuti chii chinokonzera placenta accreta. Asi vanachiremba vanofunga kuti zvine chekuita nekusavapo kuripo mumutsara wechibereko uye zvakakwirira zvealpha-fetoprotein, puroteni inogadzirwa nemucheche inogona kuonekwa muropa raamai.


Izvi zvisina kukodzera zvinogona kukonzerwa nekupora mushure mekusvitsa kana kuvhiya kwechibereko. Aya mavanga anotendera iyo placenta kuti ikure zvakadzika zvakanyanya mumadziro echibereko. Vakadzi vane pamuviri vane placenta zvishoma kana yakazara zvakakwana cervix yavo (placenta previa) vari zvakare panjodzi yakanyanya yeplacenta accreta. Asi mune dzimwe nguva, placenta accreta inowanikwa mumadzimai asina nhoroondo yekuvhiyiwa kwechibereko kana placenta previa.

Kuva nekutora kwekuregedza kunowedzera njodzi dzemukadzi dzeplacenta accreta panguva yekuzvitakura mune ramangwana. Kunyanya kuvharirwa kununura mukadzi, kunowedzera njodzi dzake. IAmerican Pregnancy Association inofungidzira kuti vakadzi vakave neanopfuura imwechete yekuregedza account vanopa zvikamu makumi matanhatu kubva muzana zvezvinhu zvese zvepacenta accreta.

Inozivikanwa Sei?

Vanachiremba dzimwe nguva vanoongorora placenta accreta panguva yekujairidzwa kweiyo ultrasound bvunzo. Nekudaro, chiremba wako anowanzo kumhanyisa bvunzo kuti ave nechokwadi chekuti placenta haisi kukura murusvingo rwechibereko kana uine huwandu hwenjodzi hwepascenta accreta. Mimwe miedzo yakajairika yekutarisa placenta accreta inosanganisira yekufungidzira bvunzo, senge Ultrasound kana magnetic resonance imaging (MRI) uye kuongororwa kweropa kutarisa huwandu hwakawanda hwealpha-fetoprotein.


Ndiani Ari Mungozi?

Zvinhu zvinoverengeka zvinofungidzirwa kuwedzera njodzi yemukadzi yekukudziridza placenta accreta. Izvi zvinosanganisira:

  • oparesheni yechibereko yapfuura (kana kuvhiya), senge kuburitswa kwekuvhiya kana kuvhiya kubvisa uterine fibroids
  • placenta previa, mamiriro anoita kuti placenta itsemuke kana kuzadza zvizere chibereko
  • placenta iri munzvimbo yepazasi yechibereko
  • kuva pamusoro pemakore makumi matatu nemashanu
  • kuzvara kwapfuura
  • uterine kusagadzikana, sekukuvara kana uterine fibroids

Placenta Accreta Inoitiswa Sei?

Nyaya dzese dze placenta accreta dzakasiyana. Kana chiremba wako aona kuti placenta accreta, vanozoita chirongwa chekuona kuti mwana wako aunzwa zvakachengeteka sezvinobvira.

Zviitiko zvakakomba zveplacenta accreta zvinorapwa nekuvhiya. Kutanga, vanachiremba vanozoita zvekuregedza kuti vape mwana wako. Tevere, vanogona kuita hysterectomy, kana kubvisa chibereko chako. Izvi ndezvekudzivirira kurasikirwa kwakakomba kweropa uko kunogona kuitika kana chikamu, kana zvese, zveplacenta zvasara zvakasungirirwa muchibereko mushure mekunge mwana wako asununguka.

Kana iwe uchida kugona kubata nhumbu zvakare, pane imwe nzira yekurapa mushure mekubereka kwako iyo inogona kuchengetedza kubereka kwako. Iyi inzira yekuvhiya inosiya yakawanda yemapacenta muchibereko. Nekudaro, vakadzi vanogamuchira kurapwa uku vari panjodzi yakanyanya yezvinetso. Chiremba wako anogona kukurudzira hysterectomy kana iwe uchiramba uchiona kubuda kweropa mushure mekuita. Sekureva kwe ACOG, zvinonetsa kubata pamuviri mushure meiyi nzira.

Kurukurai nezvese marapirwo amunogona nachiremba. Ivo vanozokubatsira iwe kusarudza kurapwa kunoenderana neyako wega mamiriro.

Ndezvipi Zvinetso?

Placenta accreta inogona kukonzera matambudziko akakomba. Izvi zvinosanganisira:

  • kubuda ropa kukuru kwemukadzi, izvo zvingangoda kuwedzerwa ropa
  • matambudziko nekugwamba kweropa, kana kuparadzira intravascular coagulopathy
  • kutadza kwemapapu, kana munhu mukuru wekufema kushungurudzika chirwere
  • itsvo kutadza
  • kuzvarwa nguva isati yakwana

Kufanana nekuvhiya kwese, kuitisa cesarean kuendesa uye hysterectomy kubvisa iyo placenta kubva mumuviri kunogona kukonzera matambudziko. Ngozi kuna amai dzinosanganisira:

  • maitiro kune anesthesia
  • kugwamba kweropa
  • maronda maronda
  • kuwedzera kubuda ropa
  • kukuvara kwekuvhiya
  • kukuvadza kune dzimwe nhengo, dzakadai sedundira, kana placenta yakanamatira pairi

Njodzi kumucheche panguva yekusiyiwa kwekuzvarwa isingawanzo uye inosanganisira kukuvara kwekuvhiya kana matambudziko ekufema.

Dzimwe nguva vanachiremba vanosiya iyo placenta isina kugadzikana mumuviri wako, nekuti inogona kuparara nekufamba kwenguva. Asi kuita kudaro kunogona kukonzera matambudziko akakomba. Izvi zvinogona kusanganisira:

  • inogona kutyisidzira hupenyu kusangana nekutsi kwemukadzi kubuda ropa
  • zvirwere
  • ropa rinodzivirira rimwe kana akawanda artery mumapapu, kana pulmonary embolism
  • kudiwa kweiyo ramangwana hysterectomy
  • matambudziko nekutakura kwepamuviri, kusanganisira kusununguka, kuberekwa kusati kwasvika, uye placenta accreta

Ndeapi Maonero?

Kana placenta accreta ichionekwa uye ikarapwa nemazvo, vakadzi vanowanzo kuve nekuzara kuzere pasina zvinogara zvichinetsa.

Mukadzi haachakwanise kubata vana kana chirwere chekuvhiya chikaitwa. Iwe unofanirwa kukurukura nhumbu dzese dzeramangwana nachiremba wako kana chibereko chako chakasiiwa chakasimba mushure mekurapwa. Kutsvagisa kwakaburitswa mumagazini Human Kubereka kunoratidza kuti mwero wekudzokazve kwepaccenta accreta wakakwira muvakadzi vakambove nemamiriro aya.

Inogona Placenta Accreta Inogona Kudzivirirwa?

Iko hakuna nzira yekudzivirira placenta accreta. Chiremba wako anoongorora nhumbu yako padhuze kudzivirira chero matambudziko kana iwe ukaonekwa uine iyi mamiriro.

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