Ukwephulwa kwegazi ngesikhathi sokukhulelwa kungaholela emiphumeleni engenakuguqulwa kwengane. Ukunciphisa ukuthuthukiswa kwe-intrauterine, i-hypoxia, amacebo angavumelani nokuphila ngisho nokufa kwe-fetal - lolu luhlu oluseduze lwezinkinga ezingase zivele ekusebenziseni okungasebenzi ohlelweni olusebenza kahle lwe-placenta-ingane. Ngakho-ke, ukwazi ukuthi kubangelwa ukuphulwa kwegazi ngesikhathi sokukhulelwa, odokotela baqaphelisisa isimo se-placenta futhi bazame ukucabangela zonke izinto ezingenzeka zibe yingozi ekuqaleni kokukhulelwa.
Izimbangela zokuphazamiseka kwegazi ngesikhathi sokukhulelwa
Wonke umuntu uyazi ukuthi i-placenta iyisitho esikhethekile yesikhashana esihlanganisa izinhlelo ezimbili zokujikeleza: i-fetus nomama. Inhloso esheshayo ye-placenta ihlinzekwa izakhi kanye nokuvikelwa kwemvuthu. Ngaphezu kwalokho, umzimba ubonisa imikhiqizo yomsebenzi obalulekile wenyama encane. I-placenta ihambelana nesistimu yamasondo nomama wayo, ngakho-ke izinhlobo ezimbili zokugeleza kwegazi: i-utero-placental and fetal placental. Uma omunye wabo ephulwa, uhlelo lonke luhlupheka, futhi, ngenxa yalokho, ingane.
Kunezizathu eziningana zalesi simo sokugula. Ngokusho kososayensi, indima ebalulekile ekwakheni i-placenta evamile, idlala isethi yofuzo. Noma kunjalo, ezinye izici nazo zithinta le nqubo. Ikakhulukazi, iqembu lezinhlekelele libandakanya abesifazane aba:
- waqala ukuphila impilo yokuqala ngokocansi;
- babe nabalingani abaningi bezocansi;
- wathatha izidakamizwa, wayephuza utshwala futhi ephuza;
- babe nezifo ezingapheliyo;
- unomlando wokuhlukumeza okuzenzakalelayo , ukukhulelwa okubandayo nokukhipha isisu .
Izinhlobo ze-hemodynamic disorders
Kunezinhlobo eziningana zokungakwazi ukuphazamiseka, okunye okukhona okuyisipesheli kanye nezingozi zayo:
- Ukuphazanyiswa kwegazi ngesikhathi sokukhulelwa i- degree 1a - lesi simo sibonakala ukungabi khona kwezinto ezingavamile ekugezeni kwegazi e-utero-placental, kuyilapho ngaphansi kwesimiso se-placenta-fetus, i-pathologies ayitholakali. Ekukhulelweni, igazi elikhungethe ukugeleza 1a degree akuyona isimo esibucayi futhi siyaphathwa kalula.
- Ukwephula ukugeleza kwegazi ngesikhathi sokukhulelwa i- 1b degree - kulokhu i-pathology iyabonakala ekugezeni kwegazi okuyizithelo. Kodwa-ke, isimo somntwana sisanelisayo.
- Ukwephula ukugeleza kwegazi ekukhulelweni kwe- 2 no-3 degrees - ukwehlukana okukhulu nakakhulu emsebenzini womabili izinhlelo, okuholela ezinkingeni, kuze kube sekufeni kwesithelo.
Ukuze ugweme imiphumela engaphendukiyo nokufa kwengane, ukwephulwa kwegazi ngesikhathi sokukhulelwa kumele kutholakale ngesikhathi esifanele. Kulokhu, omama abazayo benza i-ultrasound ne-dopplerometry. Kuze kube manje, lena yodwa kuphela, kodwa indlela ephumelelayo kakhulu yokuxilongwa.