Inqola yangaphambi kwesigcawu se-placenta esivamile

Lesi simo, njenge-detachment esengaphambi kwesikhathi se-placenta esivamile, kwenzeka kaningi. Ngokwezibalo, isimo esifanayo senziwa cishe ngo-0.3-0.4% wabo bonke ukuzalwa.

Yiziphi izinhlobo zokuphazamiseka kwamapayipi?

Kunezinhlobo eziningana zokuphazamiseka kwe-placental ngaphambi kwesikhathi. Lokhu kuyingxenye futhi kuphelele. Njengoba kucacile kusuka egameni, ngohlobo lokuqala kune-exfoliation yendawo kuphela yendawo yezingane, okwesibili - i-placenta inqatshiwe ngokuphelele. Kulesi simo, ifomu eliyingxenye yesitokisi, liphinde lahlukaniswa phakathi kwamanye ama-2 angaphezulu: okuphakathi nangaphakathi.

Ziyini izimbangela zokuphazamiseka kwamapayipi?

Izimbangela zokuphazamiseka kwe-placental ngaphambi kwesikhathi zikhulu kakhulu. Yingakho, ezimweni eziningi, kunzima kakhulu ukusungula ngqo okuholela ekwakhiweni kwephulwa.

Kodwa-ke, phakathi kwezimbangela zezintambo zangaphambi kwesikhathi se-placenta kwabesifazane abakhulelwe, ngokuvamile kunezici eziningana ezivusa amandla. Okokuqala, kungukuthi:

• ukuphazamiseka kwemisipha (vasculopathy, angiopathy);
• ukwephulwa kwe-hemostasis (thrombophilia);
• umshini wokulimala kwe-placenta okubangelwa ukuhlukumezeka;
• ukusabela okweqile ekumpompheni kwegazi (ukumpontshelwa igazi).

Yiziphi izimpawu ezisemqoka zokuphazamiseka kwe-placental ngaphambi kwesikhathi?

Ukuze kutholakale isikhathi esithile sokuzivikela kwesitembu se-placenta, kufanele wazi izimpawu ezikhomba kuso. Ngakho, lezi zimpawu ezilandelayo zifakazela lokhu kuphulwa:

• ukuphuma kwegazi;
• ubuhlungu obunzima emathunjini aphansi;
• ukwandisa ithoni yesibeletho (isisu siyaqina futhi sinwebeka);
• ukuthuthukiswa kwe-hypoxia ye- fetal (enqunywe yi-CTG).

Ukuphuza kubhula, njengokubusa, kuphela ngokuphazamiseka kwe-placenta. Ngesikhathi esifanayo, umbala wegazi ubomvu obomvu. Ezimweni ezinjalo, isimo sowesifazane siphume kakhulu futhi sinqunywa inani lokulahlekelwa igazi.

Ngomsebenzi ophakathi, ukuphuma kwangaphakathi kwenzeka. Kule nkinga, igazi aliveli ngaphandle futhi i-hematoma ephindayo. Ukuphulwa okunjalo kuhambisana nokuthuthukiswa kobuhlungu obunzima.

Ukwelashwa kwenziwa kanjani?

Isimo esinjengokuthungatha isikhathi esingaphansi kwe-placenta kudinga ukuqapha njalo owesifazane okhulelwe, ngakho owesifazane kufanele angene esibhedlela. Uma indawo yamasosha inkulu futhi i-hypoxia ye-fetus iyabonwa, khona-ke izinyathelo zithathwa ukukhuthaza inqubo yokuzalwa. Ekuqaleni, uma ukwephulwa okunjalo kwenzeka, amathuba okufa kokubeletha aphakeme, njll. ukukhipha isisu okuzenzakalelayo kwenzeka.