Inqola yelungu le-placental lihlukaniswa nezintambo ze-uterine ngaphambi kokubeletha. Uma izimpawu zokuphazamiseka kwe-placenta zigcinwa, khona-ke kuza ngokusongela impilo yomntwana.
Isikhathi lapho izibonakaliso zokuphazamiseka kwamapayipi zenzeka khona
Lesi sifo sivame ukubonwa kokubili kokuqala kokubeletha komntwana, kanye nemigomo yokugcina noma inqubo yokulethwa. Iqiniso elithakazelisayo ngukuthi umbutho wegumbi eliphansi kakhulu isikhathi esingadluli amaviki angu-20 linikeza ingane ithuba lokuphila. Lokhu kungachazwa ukuthi i- placenta ngesikhathi sokukhulelwa isesiteji sokukhula okujulile futhi sikwazi "ukuphulukisa" indawo yesici ngokuzimela.
Izimbangela zokubonakala kwezimpawu zokuhlukaniswa kwe-placenta
Phakathi kwababelethisi kanye nama-gynecologists, akukho ukuvumelana ukuthi kuthinta ukuvela kwalesi sifo. Lokhu kungathonywa yizinombolo eziningi zezici, okungukuthi:
- Ukubhema, ukudakwa ngokweqile, ukusetshenziswa kwezidakamizwa;
- ukuntuleka kwe-folic acid;
- intambo emfushane ;
- ukudla okulinganiselwe okwesifazane okhulelwe;
- gestosis sekwephuzile;
- ukucindezeleka komzimba kanye nezinye izinguquko zesisindo;
- ukuhlukunyezwa kwesisu somfazi okhulelwe ngenxa yokushaya, ukuwa noma izingozi;
- ama-polyhydramnios nokukhulelwa ngezithelo eziningana;
- ezinye izimbangela eziholele ekubukeni kwezimpawu zomsebenzi we-placenta.
Izimpawu ze-delamination ye-placental ngesikhathi sokukhulelwa
I-placenta enesimo esivamile ayidabuli, kodwa ukufa kwengane kwenzeka cishe ngamacala angu-4. Kunezigaba eziningana zokuhamba kwegciwane eliphansi, futhi ngalinye libhekene nombuso ohlukile we-fetus. Ngakho-ke, isibonelo, uma i-pathology inikezwa i-degree yokuqala, ingane isinezithuba zokuphila. Esiteji sesibili, sekukhona kakade ukuphelelwa yilapho oksijini, kanti okwesithathu, njengokubusa, kuhambisane nokufa komntwana.
Izibonakaliso eziyinhloko zokuphazamiseka kwamapayipi zibhekwa njengezifo ezincane zesisu, ukuphuma kwegciwane lesisu kanye nezinguquko emisebenzini yemoto ye-fetus. Okukhethwa kukho kungenzeka, lapho kukhona ukungabi khona kwemfihlo yegazi ngenxa yokuqoqwa kwabo ngemuva kwegumbi eliphansi.
Kumele uqaphele ukuthi izimpawu zokuhlunga nge-placental ngezikhathi ezahlukene zihlukile kancane.
Izimpawu zokuphazamiseka kwamaphutha, okwenzeka ezinyangeni ezintathu zokuqala zokubeletha
Kukhona ithuba langempela lokulondoloza impilo yengane, ngoba ukuhamba kwegumbi eliphansi kule ndawo kukhumbuza i-hematoma futhi kubonakala ngokucacile kumshini we-ultrasound. Izimpawu zingaba ubuchopho obunzima bokudonsa uhlamvu kanye nokubona. Ukuvimbela ukufa kwangaphambi kokubeletha, ukwelashwa kwenziwa nge ukusetshenziswa kwegazi-ukubuyiselwa kwegazi kanye nezidakamizwa-ukusekela izidakamizwa.
Izimpawu ze-placenta esikhathini sesibili sokukhulelwa
Isiguli singazibona izimpawu zokuba khona kwalesi sifo ngokuthi:
- ihlushwa futhi ihlale isithombeni se-tonus;
- ubuhlungu esiswini esingaphansi;
- ukunyakaza kwengane okubangelwa ubudlova ngenxa yokuntuleka kwe-oxygen;
- ukuphuma kwegazi kungaba kokubili futhi kungabikho ngokuphelele, kuye ngokuthi ingakanani isitho esiye sahlunga futhi lapho igazi liqongelela khona;
- ubuthakathaka, isiyezi nokunye okunjalo.
Ngalesi sigaba, izimpawu zokuphazamiseka kwe-placental ngaphambi kwesikhathi zingakalungiswa imithi
Ukuphazamiseka kwe-placenta ngesikhathi sokulethwa
Lesi simo sinohlobo olulodwa futhi ngenxa yobuningi bezithelo eziningana, ngenxa yalokho kunezinqwaba zezindonga zesisu. Izimpawu kuleli cala ziwubala we-amniotic fluid emathonini asundu ngenxa yokugcoba kwegazi namanzi omntwana kuwo.
Kubaluleke kakhulu ukwazi izibonakaliso zokuthungatha ngaphambi kwesikhathi se-placenta, okuzogwema inhlekelele enjalo njengokufa komntwana wesisu esilinde isikhathi eside.