Manual nokubviswa placenta: nzira uye midziyo waivako

Placenta - the nhengo kuti anobvumira kubereka mwana ari mudumbu. It Anorwira zvinovaka muviri kuti mudumbu, anodzivirira kubva muviri iri revadzidzi ezvinhu mai ichibereka mahormone zvinodikanwa kuti pamuviri, uye yakawanda yakasiyana mashandiro, iyo tinogona chete zvokufungidzira.

paumbwe placenta

placenta inotungamirwa kunotanga nguva apo zai kwakunoitwa kuti uterine rusvingo. Endometrium inokura pamwe zai, zvakasimba kugadzirira kuti parusvingo dumbu. Panguva kunyorerana pamusoro zygote uye mucous placenta inokura pamusoro nguva. Vanonzi placentation kunotangira vhiki pamuviri rechitatu. Kusvikira wechitanhatu vhiki embryo goko inonzi chorion.

Asati namaviri vhiki placenta haina zvakajeka histological uye anatomical chivako, asi pashure, kusvikira pakati rechitatu trimester, ane chimiro Disc vasiyana uterine rusvingo. Pazuva kwokunze divi kuti mwana achiine rukuvhute tambo kunosvika, uye yomukati divi riri pamusoro pemvura pamwe fibers izvo kuyangarara mune rwaamai ropa.

placental basa

Child chigaro unoumba zvakabatana azvarwa uye muviri raamai kubudikidza kupanana ropa. Izvi zvinonzi gematoplatsentarny nokuidzivirira. Morphologically chinhu muduku pangagara vane matete namasvingo izvo zvinoumba wakanaka villi kuyambuka placental pamusoro. Vari kuonana Makwanza riri parusvingo dumbu, uye ropa circulates pakati pavo. mashandiro ichi rinopa zvose mashandiro anoita simba:

1. Gas exchange. Okisijeni ane kuitika rwaamai ropa inowira mudumbu, uye zvifambiswe akadzokera carbon dioxide.
2. Nutrition uye vakasarudzwa. Zviri kuburikidza placenta kusvika mwana anogamuchira ose anodiwa kuti kukura zvinhu: mvura, mavhitaminzi, zvicherwa, electrolytes. Uye mushure mudumbu metabolizes navo urea, creatinine, uye zvimwe yeimwe zvose utilizes placenta.
3. Hormone basa. The placenta secretes mahormone kuti dzinobatsira pamuviri: progesterone, munhu chorionic gonadotropin, prolactin. In tanga basa iri anotanga yeyero muviri, iri ovary.
4. Protection. Gematoplatsentarny chipingamupinyi kunodzivisa maantigen kubva muropa ramai vapinde ropa mwana, mukuwedzera, ari placenta asingadi kupfuura zvinodhaka zvakawanda, pachavo masero dzavo zvirwere uye achiparadzira zvirwere zvivako. Zvisinei, zviri permeable nezvinodhaka, doro, chikakananda, uye utachiona.

The mwero kukura of placenta

The mwero kuibvisa of placenta kunoenderana ya pamuviri. muviri iri kukura pamwe nezvibereko uye vakaurayiwa pashure pokuberekwa kwake. Kune madhigirii zvina kukura of placenta:

• Zero - mune chakaipa mukufamba pamuviri rinovapo kusvikira zvomwedzi minomwe. Zvingava mutete, nguva dzose kunowedzera uye pave maburi itsva.
• First - rinoenderana wechisere mwedzi gestational. placental kukura rinomira, zvinova mukobvu. Ichi chimwe chezvinhu dzinonetsa nguva mu upenyu placenta, uye kunyange zvishomanana kupindira kunogona kukonzera retinal yokuzviparadzanisa.
• Chechipiri - panoberekwa pakupera pamuviri. The placenta ratova kutanga tikwegure, pashure pemwedzi mipfumbamwe nebasa rakaoma, iye akagadzirira kusiya uterine mhango pashure mwana.
• Chechitatu - inogona kuchengetwa kubva matatu namanomwe vhiki gestation, zvichibatanidzwa. Uyu muviri wechisikigo kukwegura, iyo wapedza basa rawo.

placental

Most kazhinji riri placenta pamusoro musana pamadziro dumbu kana haizoshandisi kurutivi rusvingo. Asi zviri zvechokwadi zvinoita kuti tizive chete kana zviviri muzvitatu ari pamuviri iri pamusoro. Izvi imhaka ndechokuti dumbu rinokura kukura uye achinje chimiro chayo, uye placenta kunoita pamwe nayo.

Kazhinji panguva ano Ultrasound kuongororwa, chiremba inodaro nzvimbo yacho placenta uye kukwirira kwayo panyaya kuda kuti uterine huro. Kazhinji placenta iri kuseri rusvingo zvakakwirira. masendimita dzinenge nomwe inofanira kuva pakati romukati pamucheto huro uye wechitatu trimester placenta. Dzimwe nguva iye kunyange anotanga pamusoro pasi dumbu. Kunyange zvazvo nyanzvi dzinofunga kuti izvi urongwa, zvakare, hakurevi anobudirira pakusununguka. Kana mufananidzo uyu dzakaderera, zvino chiremba obstetricians kutaura yakaderera-nhema placenta. Kana huro nzvimbo placenta rinenge varipo, ndiko testamendi kuti mharidzo yacho.

Kune mhando nhatu previa:

1. Full apo yomukati shaya yakavharwa placenta. Saka kuti chiitiko vakurumidze yokuzviparadzanisa riri hombe ropa, izvo zvaizoita kunotoreva rufu azvarwa.
2. A haasaruri praevia zvinoreva kuti rakadeurwa chakafukidzwa hapana kupfuura wechitatu.
3. Marginal previa wakagarira kana placental pamucheto zvasvika muromo, asi asingadi kuenda nazvo. Izvi zvinonyanya zvakanaka zvaizoitika.

nguva makurukuriro

Normal vasiri pakukurukura rinotanga panguva yokutonga dzose sunga dzimwe nguva ari pakati. In Obstetrics, pane vatatu nguva basa.

The nguva yokutanga - a remuromo dilatation. Birth Canal anofanira kugadzirira ndechokuti mudumbu vachange uchifamba pamusoro pavo. Vanofanira chokuwedzera uye kuwedzera kusanduka uye manyoro. Pakutanga wokutanga nguva remuromo dilatation - masendimita maviri chete, kana mumwe munwe obstetrician, uye pakazopera kunofanira kusvika gumi kana gumi masendimita uye kupfuura munhu chibhakera. Chete iyi musoro mwana anogona kuzvarwa. Kazhinji, pakupera kwenguva zvinoitika kuburitsa amniorrhea. Total rokutanga danho rinovapo pakati mapfumbamwe navaviri maawa.

Chechipiri nguva anonzi makatodzinga azvarwa. The sunga inotsiviwa pasina kuedza, fundus akaderedza zvakasimba uye achisunda mwana. The muchero runoita kubudikidza nokuberekwa canal, akatendeuka maererano anatomi ari chiuno. Zvichitsamira mharidzo mwana anogona kuzvarwa musoro kana mbongoro, asi obstetrician vanofanira kukwanisa kumubatsira kuti aberekwe chero chinzvimbo.

Wechitatu nguva unonzi kutevedzana uye inotanga kuberekwa uye rinopera pakuonekwa placenta. Kazhinji hazvina kwazvinogumira nehafu yeawa, uye pashure maminitsi gumi nemashanu kubva placenta anoparadzanisa kubva uterine parusvingo uye okupedzisira kuedza adzingwa mudumbu.

Kunonoka akatevera takaparadzana

Zvikonzero kunonoka wenyika placenta kupinda uterine mhango kungava kwayo hypotension increment placenta, mamiriro kana nzvimbo yacho anomaly placenta, placental Fusion pamwe uterine madziro. Njodzi zvinoita iyi vari anogumbura zvirwere endometrium, mavanga kubva caesarean chikamu, uterine fibroids, uyewo nhoroondo kupfupfudzika.

Rakaramba placenta chiratidzo riri ropa rechitatu padariro basa uye pashure pacho. Dzimwe nguva ropa asingadi ichiyerera pakarepo, uye rinoungana iri dumbu. ropa kwakadaro zvemashiripiti kungaita kuti Hemorrhagic kuvhunduka.

placenta increment

Placenta accreta amudana vakabatisisa aida uterine rusvingo. The placenta anogona nhema pamusoro mucosa, Kunyudzwa uterine pamadziro kupinda tsandanyama rukoko uye kuburikidza akaturikidzana zvose, kunyange pamusoro peritoneum.

Manual nokubviswa placenta zvinogoneka chete panyaya yomuzana dhigirii increments, ndiko kuti, kana zvichiitika midzi kuti mucosa. Asi kana increment yasvika dhigirii yechipiri kana yechitatu, ipapo unofanira zvimwe kuvhiyiwa. Kazhinji, Ultrasound anogona kusiyaniswa sezvinoita chigaro mwana wanamatira kuti uterine parusvingo, uye pachine kukurukura pfungwa iyi naamai yemberi. Kana kwakadaro nzvimbo yacho placenta abnormalities chiremba anodzidza ari kusununguka, ipapo anofanira kutora pamusoro dumbu rokubvisa mhinduro.

Nzira dzekufambisa Chinyorwa nokubviswa placenta

Pane nzira dzakawanda kuti Chinyorwa nokubviswa placenta. Inogona kushandiswa pamusoro pemvura mukadzi dumbu nepamuviri, kana wokupedzisira sokunyorwa extruded kubva dumbu, uye mune zvimwe zviitiko, vanachiremba vanomanikidzwa chaizvoizvo ruoko kuti ndiwane placenta pamwe membranes.

Rakajairika ndiyo womuchato Abuladze, kana mukadzi obstetrician zvinyoronyoro kukwizwa ari abdominal rusvingo neminwe yenyu, uye ipapo anoda zvaro kusunda. Pachake panguva ino kunoita kuti dumbu muchimiro longitudinal pazvirugu. Sezvo kumanikidzwa mukati mhango pakati dumbu kuwedzera, uye pane mukana kuti placenta pacharo azvarwa. Mukuwedzera puerperas cannulated dundira, kunomutsa marwadzo ari uterine tsandanyama. Pinda intravenous oxytocin havi basa.

Kana Chinyorwa kubviswa placenta kuburikidza abdominal rusvingo inefficiently anoshandisa obstetrician kuti kamuri rwomukati.

tevera Kuparadzana chidobi

Chidobi Chinyorwa nokubviswa placenta riri kutora kunze kubva uterine mhango zvidimbu. Obstetrician mune chena gurovhisi otaura rwake mukati dumbu. Mimwe chete vaifanira kupiwa nomumwe uye rwakatambanudzwa. Kuna chingakubata rikawira placenta uye nokungwarira chiedza anotema kufamba pamberi, anoparadzanisa parusvingo mudumbu. Manual nokubviswa placenta vanofanira kungwarira chaizvo kwete kucheka parusvingo dumbu uye kukonzera hombe kubuda ropa. Chiremba anopa chiratidzo mubatsiri, saka akakoromora netambo ndokudhonza mwana chigaro uye tarisa kuti chamazuva. Nyamukuta munguva iyi inoramba kunzwa dumbu kubvisa chero Mucheka zvakawandisa uye nechokwadi chokuti mukati wakasiya placenta zvidimbu, sezvo izvi zvinogona kukonzera postpartum hweHIV.

Manual nokubviswa placenta uye kunosanganisira masaja pamusoro dumbu, kana ruoko munhu mukati chiremba uye mumwe zvinyoronyoro anomhanyira panze. Saka dzinovhurika dumbu receptors, uye ipfupi. The nzira rinoitwa pasi zvavo kana dzomunharaunda yokutindivadza pasi aseptic ezvinhu.

Matambudziko uye sequelae

Matambudziko anosanganisira ropa ari postpartum nguva, uye Hemorrhagic nehana, chokuita muhombe ropa kurasikirwa kubva placenta midziyo. Uyezve, Chinyorwa nokubviswa placenta kunogona kuva nengozi uterine perforation uye kukura postpartum endometritis kana sepsis. Mumamiriro ezvinhu akaoma, vakadzi pangozi kwete chete utano hwavo uye kukwanisa kuva nevana mune ramangwana, asi upenyu.

dziviriro

Kuitira kudzivisa matambudziko panguva basa, unofanira zvakanaka kugadzirira muviri wako pamuviri. Chokutanga, mwana anofanira kurongwa, nekuti pamuviri anoputsa pamwero nemamiriro ose endometrium, zvichiguma zvakasimba kuda mwana zvigaro mu tevera pamuviri. Zvakakodzera nenguva rokuongorora uye kubata chirwere kuguma genitourinary ino isati, sezvo vanogona kukanganisa dzokubereka basa.

Zvinokurudzirwa kuti asava kungoita zvepabonde pasina kushandisa chipingamupinyi nzira pamuviri, kuchengeta utsanana hurumende uye kutsigira zvirwere mumatsutso-chitubu nguva.

It inoita basa rinokosha mune timeliness ari pamuviri yokunyoresa. Nokukurumidza, nani nokuda mwana. Doctors obstetricians chandagwinyira Kugara uchishanyira vanhu antenatal kukiriniki panguva gestation. Iva nechokwadi kuti zvinoenderana kunenge, achifamba, kudya kunovaka, utano hope uye muviri, uye kudzivisa miitiro inokuvadza.