Ukwephulwa kwegazi eliphansi kwegazi kuyinkimbinkimbi eyingozi yokukhulelwa, okwenzeka kaningi emibhalweni yamuva. Ukuphulwa okunjalo kuhlukaniswe ngama-3 degree of gravity.
- I-degree yokuqala , ebuye, ihlukaniswe ibe ngu-A no-B:
- Ukuphazanyiswa kwegazi le-placental flow 1a degree - kuphela phakathi kwesibeletho kanye ne-placenta.
- Ukuphazanyiswa kwegazi eliphansi lokugeleza kwegazi 1b degree - kuphela phakathi kwe-placenta ne-fetus.
Izimbangela zokugeleza kwegazi okuphazamiseka kwegazi eliphansi
Ukuhlukumeza kwegazi phakathi kwesibeletho sowesifazane kanye ne-placenta kungabangelwa izimbangela eziningi ezibangela ukungakwazi ukusebenza kwe-placental:
- ukwanda kwengcindezi yegazi lomama (ikakhulukazi ngokukhulelwa kwe-gestosis);
- Ukuvuvukala kwamapayipi nanoma yikuphi ukutheleleka kwamagciwane noma ama-bacterium kumuntu wesifazane;
- ukungena kwe-intrauterine ebusweni;
- isifo sezinso owesifazane;
- isifo sikashukela mellitus;
- izifo zesistimu ezikhulelwe.
Ukuxilongwa kokuphulwa kwegazi lokugeleza kwegazi
Thola ukuthi ukugeleza kwegazi kwe-placenta kuncishisiwe, ungakwazi nge-doplerogram yezimpahla ze-placenta. I-Dopplerometry ye-uteroplacental igazi flow iqhutshwa ku:
- ukuba khona komama wezifo ezingabangela ukwephulwa;
- ene-syndrome ye-intrauterine yokuphuza ukukhula;
- ukukhubazeka kokuzalwa kwangempela kanye nezifo ze-chromosomal ze-fetus;
- ukuguga kusenesikhathi kwe-placenta ;
- ukungena kwamanzi amaningi namanzi;
- izimpawu ze-hypoxia ye-fetal.
Nge-doplerometry, izinguquko kumvamisa we-oscillations e-ultrasonic zirekhodwa kuye ngokuthi i-blood flow velocity ezitsheni lapho isignali senzwa ibonakala khona futhi ibhalwa njengekhava. Yenza i-dopplerometry njengeziqukathi ze-arterial uterine, kanye nezitsha zomthambo we-fetus.
Izinkomba eziyinhloko ezithatha lokhu kanye namatafula zifaniswa namagugu avamile kule nkathi yokukhulelwa:
- i-pulse index (PI);
- Inkomba yokuphikisa (IR);
- i-systolic-diastolic ratio (i-SDO).
Ukwelapha nokuvimbela ukuphazamiseka kokugeleza kwegazi okuphazamiseka kwegazi
Ukuvimbela ukuhlukumeza ukutholakala ngesikhathi esifanele kwamaqembu angabungozi kule nkinga kanye nokuphathwa kwezifo okufika ngesikhathi okubangelwa le nkinga. Ukuze ukwelashwa kwephula kusebenza:
- izidakamizwa ezinciphisa ukweqa kwegazi futhi zenze ngcono i-microcirculation;
- izidakamizwa ezikhulisa ukuzinza kobuchopho obusuka ku-hypoxia;
- izidakamizwa eziphumula isisu;
- uma kunesidingo - izidakamizwa ze-antiviral kanye ne-antibacterial, ama-immunomodulators.
Ezincomo ezijwayelekile - ukudla okunempilo kwabafazi, ukunciphisa ukucindezeleka ngokomzimba nangokomzwelo.
Futhi ku-3 degrees of disturbance of flow blood kuhlinzeka ngezidingo eziphuthumayo.