Kukanganisa ropa kuyerera 1 Kumbova pamuviri: Possible Zvinokonzera, Zviratidzo, kuongorora chirwere neMarapirwo

Panguva pamuviri muviri wacho anotanga kuvakazve. Saka, iyi, saka zvakakosha kuti tirambe pasi Kudzokorora mamiriro vese vakadzi azvarwa. Sezvo vanachiremba nhamba vane zvikuru vakawanda vakadzi vane pamuviri vane ropa nyonganyonga. Zvimwe kuparadzirwa, izvo zvakamuka mumuviri, zvinoda kugara kutarisira nyanzvi. kukanganisa kwake kungaita kuti rufu mudumbu, uye kunogona kuitika chero pamuviri. Edza kunzwisisa kuti nei nokushushikana ropa iyerere panguva yepamuviri.

A vakasvimha dzidziso

Munhu wose anoziva kuti placenta anova kubatana pakati muviri mumwe mukadzi uye mudumbu. In ichi hwakaoma kunzwisisa mhando mbiri wokufambisa - placental uye fetus. Chero kutyora mumwe wavo anogona kutungamirira nani anotambudzika nemigumisiro, kusanganisira kukura zvakasiyana siyana zvirwere. The kwokuomerwa dambudziko Anoongorora mumwe chiremba.

Muchiitiko chino, mumwe mukadzi ari yechi30 vhiki pamuviri, unofanira hazvo kuenda kuburikidza chaiwo Ultrasound Diagnostics, idzo zvakajeka kuonekwa midziyo placenta ari mufananidzo-dimensional matatu ropa. Kana paine nokuvhunika, chiremba hazvo kuzviona somunhu nokuchinja spatial ukama amai muchero-placental kutenderera. Ichi chimiro chomuviri ngozi zvikuru, sezvo pane kuora mwoyo pamusoro kufema nerevane kukura ari mudumbu ari akarembedzwa.

ukuru kutyora

Medicine kwaratidza kuti madhigirii matatu kwokuomerwa chirwere ichi. Nyore anonzi yokutanga dhigirii kana murombo kuparadzirwa haisati asvika dzinonetsa tsika dzayo. Panyaya iyi, iyo hemodynamics ari mudumbu ari inogutsa ezvinhu. Govera ropa kutyora uteroplacental aibuda A 1 dhigirii uye kushomeka zvibereko placental kuparadzirwa B 1 dhigirii.

The dhigirii yechipiri hwokuratidza Kuipa ropa wedzerai azvarwa. Muna 50% nyaya pane zvinoderedza kufadza mwero kufamba kweropa kuburikidza mwoyo mavharuvhu, uye kutyora iri kuchengetwa ari mudumbu uye uterine arteries.

Kazhinji munguva pfupi wechipiri-dhigirii anotendeuka ari wechitatu. Panyaya iyi, ropa kubuda ranyura asisiri ichiyerera kuti mudumbu, izvo zvinogona kukonzera kuti hypoxia. Chances kuderera mune diastolic ropa riyerere munzira yeropa, uye mune zvimwe zviitiko zvinogona chose kunyangarika.

zvikonzero

Kana paiva kutyora 1st dhigirii ropa aibuda panguva pamuviri, zvinokonzera kuti kutungamirira, kungava zvakasiyana. Vakawanda yaivhuvhuta zvingakonzera sei placenta, kwete chete panguva yayo inotungamirwa, asiwo mumwe musi gare gare. Medical Practice rinozivisa nesekondari kweropa kukundikana, nokuti chii zvakashatirisa kushanda placenta, iyo inoshanda sezvo chokufambisa, rokudzivirira, masoja, metabolic uye kwemakemikari anobudiswa nenyere.

Saka, ropa riyerere chainetsa 1 Kumbova pamuviri kunogona kuitika nokuda kwezvikonzero zvinotevera:

• namamota of dumbu;
• vaberekwe vakaremara;
• zvakaipira pamuviri;
• zvirwere;
• neBP;
• adrenal uye thyroid chirwere;
• STRUCTURAL abnormalities;
• hormone dysfunction;
• kunonoka toxicosis ;
• thrombosis, atherosclerosis;
• cheshuga.

Kana nguva haamuudze zvokurwara ichi, kuti pashure 6 vhiki imwe zviduku pakaputsika ropa kuyerera anokwanisa kutamira Danho rechitatu. Kana dambudziko iri dzakaonekwa pamusoro yechi30 vhiki chiremba vachiri nguva yakakwana kuti chiito chakakodzera kudzorera ropa chokubuda chakaipa.

zviratidzo

Chero zvokurwara kunoratidzwa zvayo kurapwa mufananidzo, saka chiremba anogona kuita akakodzera mhedziso. Kushaya hemodynamic kunoita vachinje kushanda placenta, ndokusaka muchero inotanga kutambura. To nawo shoma nhamba kutanga kupinda zvakafanira zvinokurisa uye okisijeni, uye tava kuderera excretion pamusoro metabolic zvigadzirwa. Vari kutanga zviratidzo fetus hypoxia, zvichiguma intrauterine kukura kwaro akarembedzwa.

Saka, kana kwaiva kutyorwa ropa aibuda panguva pamuviri, chirwere ichi zviratidzo ndeinotevera:

• mwoyo palpitations;
• kuderera kana kuwedzera gwenya basa mudumbu;
• mismatch dumbu vhoriyamu chaiwo gestational zera.

Kwakadaro zvinhu yemanyorero simuka kana decompensated placental insufficiency. Kana mitemo ropa kuyerera uterine panguva pamuviri 1 A kana 1 B dhigirii, Zviratidzo izvi vasati pachena hemodynamics ndanyarara hangu. Zvinonzi Kazhinji dzakaonekwa panguva chirwere yokuedzwa.

Diagnostics

Kuratidza ropa riyerere chainetsa A 1 dhigirii panguva pamuviri, unofanira kupfuura dzakatevedzana bvunzo, naro chigaro mhando uye papi kuchinjwa, uye kuona mamiriro azvarwa. Panyaya iyi, chiremba prescribes zvinotevera nzira:

• kuongororwa ropa kuti mahormone akadai estrogens, munhu chorionic gonadotropin, progesterone;
• cardiotocography;
• Ultrasound;
• Doppler.

Mune zvimwe zviitiko, chiremba kare panguva rokuongorora anokwanisa kuona kukanganisa akasimuka, vachifunga mumwoyo mwero mwana, izvo vanoverengwa munguva auscultation. Asi chakavimbika kupfuura zvabuda vari vakawana pashure kwomurabhoritari uye richishanda zvidzidzo.

mabatiro

Vasingadzoreki uterine-placental ropa chokubuda dhigirii chero anofanira kubatwa. Vakawanda kuchirapa matanho zvainanga zvokurwara kuti kwete mberi mberi. Hemodynamics chaiko chete chiitiko kuti kukanganisa ropa kuyerera B 1 dhigirii.

Kana pamuviri rwuchibuda vakaremara, vanoshandisa zvishandiso zvakasiyana kuvandudza mamiriro azvarwa. kuchinja nzira dzokurapa vainyanya kushandisa. Kuvhiya kupindira zvinogoneka chete kana yematambudziko uye zvairatidza zvinokosha. Kana normalizing ropa riyerere havachanyatsogoni akashandisa mamwe matanho - pathogenetic, uye symptomatic kurapwa etiotropic.

mishonga

Kazhinji, ropa riyerere chainetsa 1 Kumbova pamuviri iri kugadziridzwa tichibatsirwa zvinodhaka. Kuona kutanga zviratidzo vasingadzoreki outpatient kurapwa. More zvakakomba kweropa kukundikana zvinoda muchipatara.

Nokuti kurapa akashandisa zvinotevera zvinodhaka:

• antispasmodics - "Eufillin", "No-Spa";
• Zvemwoyo - "Aktovegin";
• antiplatelet yomuchipatara - "Kurantil";
• mavhitaminzi uye zvicherwa - "Ascorbic asidhi", "Magne B6";
• gepatoprotektory - "Hofitol", "Essentiale";
• tocolysis - "Partusisten", "ginipral";
• kunonatsiridza kweropa - "Trental";
• antihypoxants - "Instenon";
• "ATP" - metabolic.

Kazhinji, kuvandudza maitiro makosi maviri kurapwa - Paakangotaura akaonekwa uye panguva mavhiki 32-34. Pashure paizvozvo chiremba asarudza pamusoro nzira makurukuriro. Izvi zvinonyanya kukosha kune kweropa rebipolar kwakakomba. Kana zvaipesana ropa genera 1 dhigirii kuitwa zvoga.

kuvhiya kurapwa

Kana ropa kuyerera chinovanetsa anotaurwa, akaita njodzi pakusununguka. Kana ari ineffectiveness pakati kuchinja kurapwa, kunyange nyaya zvemapapu zvirwere sarudzo chinobviswa mukati memazuva maviri. Kazhinji vakatapwa caesarean chikamu. Kana vakaronga gestation zvishoma pane mavhiki 32, ipapo kuongorora mamiriro ezvinhu mudumbu yayo kugwinya.

matanho

Kuti tidzivise pathological ezvinhu akadai akadai ropa riyerere chainetsa A 1 dhigirii panguva pamuviri, yaifanira matanho. Mukadzi ane pamuviri havafaniri zvokudya zvine zvinokosha mavhitaminzi, micro- uye macronutrients, mafuta, makabhohaidhiretsi nemapurotini. Zuva nezuva unofanira kuvaparadza kupfuura 1.5 litres kuti fluid asi chete kana iwe havatambudzwi ne kuzvimba.

Zvinokoshawo kudzora uremu hwako. Panguva pamuviri, zvavakabvumirana kufuta havafaniri kupfuudza 10 makirogiramu. Vakadzi vari pangozi mufambiro ekudzivirira mishonga kuti kudyidzana mugadziriro amai fetus uye kudzivirira zvikuru ngozi dysfunction uteroplacental kutenderera. The rinokosha reDare vachinyatsoziva dzakachinja nzira makurukuriro zvakanaka. Asi zvinofanira kuyeukwa kuti kunyange Implementation zviyero izvi hazvirevi haabatanidzi panowanikwa zvikuru chetsinga yematambudziko.

mhedziso

Saka, zvinokosha kuti akuteerere ropa riyerere munzira pamuviri. Zvinokonzera kweropa zvirwere angava akasiyana. Chinhu chikuru - ndiko kuti akuteerere utano hwavo, uye nenguva vasabatwa zvirwere kuchabatsira kudzivirira mutsekwende mwana asati aberekwa.