Iimpawu abruption placental kwizigaba ngezigaba ezahlukeneyo, zoncedo lokuqala kule meko

Ngumkhaya ebizwa zinamalungu ebaluleke kakhulu, nto leyo ekuqaleni kwiseli enye njengoko umntwana ngokwayo. Ukuya kutsho kwiiveki 11-16, wabiza chorion villous ndiseyimbumba iqokobhe: villi yayo ukungena Ebubanzini bodonga isibeleko, ukuba ukungena usana ioksijini kunye nokutya, ukurhoxiswa iimveliso ubomi carbon yayo dioxide. Emva kweli xesha, kwasekwa ngumkhaya epheleleyo, nto leyo eye eninzi iintshengece, kodwa ngaphandle amandla, nayo yenza iihomoni (umzekelo, dlala), ezinceda ukugcina ukukhulelwa (phambi ukuyilwa ngumkhaya oko kukuthi umsebenzi lo corpus luteum kwi isizalo).

Ngumkhaya akanayo umsebenzi contractile, kodwa iqhotyoshelwe isibeleko - a izihlunu olomeleleyo enkulu, nto leyo kokuba nomhla wokuziswa kweencwadi, i "uqeqesho" ngamaxesha ixesha elifutshane, nto leyo ekuncitshisweni nakwiindawo ezahlukeneyo ixesha analo lifutshane. Ngokuqhelekileyo ngumkhaya wayethimb bentshukumo, yaye akukho nto yenzekayo kuwo, kodwa maxa wambi kuvela imeko xa inxalenye enkulu okanye ezincinane yayo abezichubile ukusuka eludongeni zesibeleko. Ngoko iziqhamo nzuzo, ekubeni amandla akhe yaphulwe. Ukongeza, le meko kunokukhokelela ekufeni unina kunye ndingekazalwa, ngoko, iimpawu abruption placental kufuneka kuxelwe, kunye nabasetyhini abakhulelweyo, kunye neentsapho zabo.

Yintoni placental abruption?

Ngokwesiqhelo, le ngumkhaya kufuneka iqhotyoshelwe kufuphi phezulu, oko kukuthi ezantsi isibeleko - ngokuqhelekileyo phezu kodonga ngasemva, kodwa ngamanye amaxesha likufutshane ngomnyango - lomsele wesibeleko. Oku kubizwa ngokuba previa ngumkhaya. Kusenokuba ngokupheleleyo okanye engundoqo xa isihlalo umntwana ibekwe ngapha nangapha mveliso isibeleko, idlulela output lulo. Kusenokwenzeka ukuba ngumkhaya nje kancinane ngaphantsi oko kuyimfuneko. Le placentation ngumba predisposing ukuya kwecala.

Ngenxa yoko, Ixolo iqhele ukubekwa okanye beendawo previa. On ibekwe njani oko kuxhomekeke iimpawu abruption placental.

Kwakhona obubonakala iya kuxhomekeka izinto ezifana:

- Ukuqhubeka kwecala okanye singama ngokwayo;

- apho ngokwahlukana kwayo ukusuka eludongeni zesibeleko - kwiziko okanye emphethweni;

- nayiphi na amanqanaba ekhulelwe okanye zokubeleka liphuhlise urhulumente onjalo: placental abruption kwi zigaba yokuqala, xa eludongeni isibeleko bafudukela inxalenye encinane kakhulu yayo, unalo ikhondo eliphakathi abane kakuhle, ukususela ngoko indawo abantwana baya kuqhubeka bekhula nokuphuhlisa, kwaye kungenzeka ukuba isiphene ivaliwe yaye "sikhule".

Ziziphi iimpawu njani yabonakala abruption placental?

Ezona mpawu ziphambili zintathu zithathwa:

1) I-ukopha apha ngaphantsi kwe ubunzulu ezahlukeneyo.

2) Ubuhlungu esiswini, amaqela sayo.

3) Impawu ukubandezeleka olungekazalwa: utshintsho kwamaza kwentliziyo, ukwanda okanye ukunciphisa umsebenzi walo motor.

Iimpawu abruption placental, ngokuxhomekeke imeko yezonyango, kukho izinto ezinjalo;

I. Ukuba lamabutho beendawo previa kunye ngohlangothi, kukho ngokusisiseko nokopha kuphela, iintlungu, phantse lungenzeki. Ukuba flaked off inxalenye encinane iziqhamo alichatshazelwa.

II. Ukuba ngumkhaya na, naphi na apho emi kuyo, oko abezichubile kummandla engundoqo, kwaye zokumisa ukopha (oko kukuthi, ngamava non-phambili), inokuba akukho zimpawu. Oku kwakunjalo yomfazi afumaneka kwi-ultrasound, okanye kamva, emva kokuba Eneneni, wabalaselisa intwana yegazi brown.

III. Ukuba iqembu exfoliate of beendawo ngesiqhelo imi kwi abangakwaziyo yengingqi, babe ezimbini iimpawu ezintathu: ukopha kunye neentlungu. Ukuba ukopha akupheli, yaye iziqhamo iqala ukubandezeleka, ungaqala izishunqulelo kunye nokuhanjiswa kwesikhumba (okanye ukuphuphuma, ukuba - kwecala ngumkhaya kwithuba leenyanga ezintathu lokuqala).

IV. Xa kwakukho njengebutho inxalenye engundoqo edlalwa ngumkhaya, ngumkhaya yegazi ukugeleza. Oku kubizwa ngokuba hematoma retroplatsentarnoy. It ikuyo, nokuba ukopha sele wayeka, ngumkhaya uyakwazi exfoliate on. Ngenxa yoko, inxalenye ebalulekileyo ukuze uxobule, yaye yonke ngumkhaya. Igazi xa loo ngamava ubuso akusoloko edulusele ngaphandle. Ke iimpawu abruption placental zezi: ubuthathaka, pallor, iyangongoza umfazi, yena uziva iintlungu esiswini, ombane isibeleko, umntwana kuqala, ngokufuthi ezihambayo, ke luzole konke konke. Xa ukumithisa iindonga isibeleko ngakumbi igazi ukunyuka iintlungu hematoma, isibeleko iyaphela. Ukuba igazi ifumana indlela yokuphuma, ayajika ngaphandle kwinxenye yelungu lobufazi.

V. I ngumkhaya nga flake off yaye ngexesha lokuzalwa komntwana. Emva koko, kakhulu, kukho uyopha, unako akhululwe egazi. Isibeleko elimele buyasikhulula kwamathumbu, ukuba umbungu nzuzo, ngoko kukho cal emnyama - meconium. Le miqondiso zibhiyozele obstetricians

Kufuneka wenze ntoni xa ucinga ukuba abezichubile ngumkhaya?

Ukuba naliphi na ukumpompoza kwegazi ngexesha lokukhulelwa, nokuba yinto emdaka "aphose" kuyimfuneko ukuba amkele ngokuxwesileyo kwaye wazise ugqirha wakho, ngubani ukujongile. Ukuba bakhululwe igazi elibomvu, kufuneka uye kwangoko, musa nkqu ukufumana ukuya kwigumbi langasese, qiniseka ukubiza i "ambulensi" kunye nokukhusela nentuthuzelo eliphezulu. Ukuba kukho umntwana (ultrasound) laphuhlisa ngesiqhelo, awuna yokukhulelwa kakhulu okanye izifo ezingapheliyo, kukho kubonakala olomeleleyo Umbhede ngokungqongqo ukuphumla uyeke ukopha, uze emva koko ifika uncedo. Misa ukopha xa kwimeko abruption placental akuthethi ukuba unako uvuke, kufuneka kwiintsuku ezimbalwa ukuya kwindlu zangasese, nokuba elele enqanaweni.