Placenta previa ndechimwe chezvinetso zvakakomba zvepamuviri. Kazhinji, iyo placenta iri munzvimbo yepamusoro yechibereko. Ne-placenta previa, nzvimbo yemukati mukati memutsipa inodziviswa. Zvichienderana nechinzvimbo che placenta kubva mukati mekunze, mharidzo yakakwana inoratidzwa (iyo inonzi cervical canal inodzivirirwa zvachose), isina kukwana placenta previa (mukati memapapiro rinenge rakapfigwa) uye marginal presentation (placenta inobata kumucheto kweperikx mukati). Funga nezvemamiriro ezvinhu anonyanya kuipa - full placenta previa.
Chii chinotyisa kuzadza placenta previa?
Kuzadzisa mharidzo ye placenta inowanzoitika - 0.9% yehuwandu hwekuzvitakura. Zvisinei, mamiriro aya anogara achityisidzira upenyu uye hutano hweamai nevana. Sezvo placenta ichidzivirira zvachose mukati memukati wechibereki chechivharo, kune nguva dzose inowanzova pangozi yekuputsika kwepakati. Kana chirwere chechivharo chinotanga, mwana anogona kufa, uye amai vangarasikirwa neropa rakawanda.
Mukuwedzera, mharidzo yakakwana ye placenta inenge nguva dzose inowirirana ne fetoplacental insufficiency, kunonoka kukura kwe fetus uye hypoxia yayo.
Zvikonzero zve placenta previa
Kazhinji kazhinji, full placenta previa inowanikwa muvakadzi vakaberekwa. Vanachiremba vanoshevedza mapoka maviri ezvikonzero zvinokonzerwa neparcenta previa isina kunaka: mamiriro ehutano hwemukadzi uye kusakonzerwa nekugadziriswa kweiyo fetal egg kana yakabatanidzwa kumativi epasi emuviri.
Bhuku iri rine ngozi rinosanganisira vakadzi vane:
- endometriosis;
- isthmico-cervical insufficiency uye kuputika kwechirwere;
- myoma yemukaka;
- kushandura mabasa pane chibereko;
- kunonoka kubvisa pamuviri, kupera;
- Hemonal disorder of the menstrual cycle;
- chirwere chekuvandudzwa kwechibereko.
Placenta presentation - diagnostic
Yakazara placenta previa inogona kufungidzirwa kuti inoramba ichinge isingadi kubuda ropa kubva pamagwatiro emukadzi. Vanoonekwa pakarepo uye vanogona kuwanda. Muchiitiko ichi, iwe unofanira kushevedza ambulensi uye, asati asvika, ona kuzorora zvakakwana.
Sezvo mutemo, mukadzi ane pamuviri ari muchipatara. Muchipatara chiremba anoita kuongorora kwekunze uye anotumira kune ultrasound. Kana ultrasound inopupurira kuvapo kwepententa previa yakazara, saka kuongorora kwebadzimai hakugone kuitwa nekuda kwengozi yakawanda yekuwedzera kuputika kwepasitiki uye kukura kweropa.
Nzira yekurapa placenta previa?
Kana placenta previa inowanikwa panguva yekuongorora screening muhafu yekutanga yepamuviri uye pasina ropa rinosarudzwa, mukadzi anogona kuva pamba achicherechedza rugare rwakakwana, kusanganisira zvepabonde. Kana chirwere ichi chiri masvondo makumi mana kana kupfuura, zvakakosha kuenda kuchipatara uye kugara ikoko kusvika pakaberekwa, kunyange kana kubuda ropa kuchimira. Kuberekwa kunoedza kuchengetedza kusvika mavhiki 37-38.
Nzira bedzi yekuendesa ne full placenta previa ndeye chikamu chekudya, kubva apo placenta inopedza zvachose chibereko chechibereki. Emergency cesarean inoitwa kana upenyu hweamai huri pangozi.