Ukophulwa yokumpompoza kwegazi 1 A iqondo lokukhulelwa: Oonobangela anokwenzeka, Iimpawu, diagnosis and Treatment

Ngexesha lokukhulelwa umzimba yomfazi iqala yakhiwe. Ngoko ke, kweli xesha, ngoko ke kubalulekile ukuba sihlale phantsi kohlolo imeko bobabini abasetyhini kunye olungekazalwa. Njengoko manani zonyango ngaka inani elikhulu abasetyhini abakhulelweyo kufuneka igazi disorder. OloNgezelelweyo kwegazi, ezivele emzimbeni, kufuneka kweliso lomgadi yincutshe. ngokwaphula kwakhe kungakhokelela ekubeni ukufa ndingekazalwa, kwaye kungenzeka nayiphi na ukukhulelwa. Zama ukuqonda isizathu sokuba igazi aphazamiseke flow ngexesha lokukhulelwa.

A bit mbono

Wonke umntu uyazi ukuba ngumkhaya lisebenza ikhonkco phakathi umzimba mfazi, umbungu. Kule nkqubo esimbaxa iintlobo ezimbini ejikeleza - placental foetal. Nakuphi na ukwaphulwa womnye kubo kungakhokelela ekubeni iziphumo Kulilishwa, kuquka uphuhliso nezahlukahlukeneyo izifo. Ubungqongqo ingxaki ikuhluza ugqirha.

Kulo mzekelo, ibhinqa kwiveki yama-30 yokukhulelwa, kufuneka nakanjani zidlule uxilongo ultrasound ekhethekileyo, ezo ngokucacileyo imithambo yegazi ebonakalayo ngumkhaya kwi umfanekiso-ntathu. Ukuba kukho nakuphi na ukwaphulwa, ugqirha ngokuyimfuneko kuyibona njengotshintsho ubuhlobo komhlaba kamama kunye neziqhamo-placental kwegazi. Le yimeko eyingozi kakhulu emzimbeni, njengoko kukho ukudakumba yomsebenzi yokuphefumla kunye nophuhliso olungekazalwa lunqunyanyisiwe.

izinga ephula

Medicine uchonge degrees ezintathu ubukhali kwesi sifo. I ilula igqalwa isidanga sokuqala xa kwegazi akakafiki imilinganiselo yayo ebalulekileyo. Kulo mzekelo, i hemodynamics yosana olungekazalwa ikwimeko eyanelisayo. Bekela bucala iphula uteroplacental ukuhamba kwegazi A isidanga 1 elabalabayo iziqhamo-placental ukujikeleza B 1 isidanga.

Ngokuzalana luphawulwa ukonakala kwegazi olungekazalwa. Ngowe-50% amatyala kukho ukwehla kwesantya ubuninzi ukuhamba kwegazi ngokusebenzisa kwemithambo intliziyo, nokuhluthwa uyaqapheleka kwimveku kunye zesibeleko imithambo.

Lidla ngexeshana elifutshane okwesibini-ijike nangowesithathu. Kulo mzekelo ukuhamba kwegazi, iphantse kuba saxhontelana ndingekazalwa, esinokubangela ukuba hypoxia. Chances ukuncipha igazi flow ukuzala kwi aorta, kwaye kwezinye iimeko kungaphela ngokupheleleyo.

izizathu

Ukuba bekukho yaphula isidanga 1 igazi flow ngexesha lokukhulelwa, oonobangela ezikhokelela kulo, inokuba nomahluko. izinto ezininzi ezichasene inokuyichaphazela ngumkhaya, hayi kuphela ngexesha nokubunjwa kwayo, kodwa ngomhla oya kulandela kamva. Practice Medical chonga zaseprayimari nezasesekondari ukusilela yokujikeleza, ngenxa yoko iphazamisa ukusebenza ngumkhaya, ukhonza ezothutho, zokuzikhusela, omzimba, yokucolwa ezidalwe omzimba.

Ngaloo ndlela, ukuhamba kwegazi ukuphazamiseka 1 A iqondo yokukhulelwa kunokuba kwenzeke ngenxa yezi zizathu zilandelayo:

• yamathumba ze isibeleko;
• abaneziphene;
• imiphumo isisu;
• isifo esosulelayo;
• wegazi;
• adrenal kunye ndlala izifo;
• ukungaphili zezakhiwo;
• kwekhono hormone;
• toxicosis emva kwexesha ;
• thrombosis, yamafutha;
• seswekile.

Ukuba ixesha na ukulungisa le ngezifo, ukuba emva kweeveki 6 ukutyeshelwa engephi ye ukuhamba kwegazi uyakwazi ukuya kwisigaba sesithathu. Xa ngxaki zabonwa kwiveki 30 ugqirha nangoku ixesha elaneleyo ukuba athathe amanyathelo afanelekileyo ukubuyisela ukuhamba kwegazi eqhelekileyo.

iimpawu

Nayiphi ngezifo luphawulwa umfanekiso wayo lwezonyango, ngoko ugqirha ungenza kwisigqibo efanelekileyo. Ukungabikho kweziphumo hemodynamic ukutshintsha nokusebenza ngumkhaya, nto leyo esisizathu sokuba iziqhamo iqala ukubandezeleka. Kulo amanani kuphela ekuqaleni ukuba angene izondlo eziyimfuneko kunye ioksijini, kunye zinomgutyulo linyuke imveliso metabolic. Ziqalisa ukubonisa iimpawu hypoxia ezingekazalwa, nto leyo intrauterine kuphuhliso wayo lunqunyanyisiwe.

Ngoko ke, ukuba kukho kophulwa yokumpompoza kwegazi ngexesha lokukhulelwa, oku iimpawu imeko zezi zilandelayo:

• iyangongoza intliziyo;
• ukunciphisa okanye kwandisa kumsebenzi motor yosana olungekazalwa;
• Ukungafani nesisu volume ethile yobudala sokukhulelwa.

iimpawu ezinjalo ngokuqhelekileyo kuvela xa decompensated insufficiency placental. Ukuba ukuhlukunyezwa yokumpompoza kwegazi zesibeleko ngexesha lokukhulelwa 1 A okanye isidanga 1 B, ezi mpawu kodwa kubonakaliswa njengoko hemodynamics babuyekezwe. Oku kudla zafunyanwa ngexesha uvavanyo diagnostic.

ekuxilongweni

Ukubonisa ukugeleza kwegazi ukuphazamiseka A 1 isidanga ngexesha lokukhulelwa, Uze udlulele uthotho iimviwo, ngayo ukuseka uhlobo kunye nobungakanani naluphi na utshintsho, aqingqa ubume olungekazalwa. Kulo mzekelo, ugqirha uthi uqinisekise umiselo lwenkqubo kulandelayo:

• uvavanyo kwegazi iihomoni ezifana estrogen, chorionic gonadotropin yabantu, dlala;
• cardiotocography;
• ultrasound;
• Doppler.

Kwezinye iimeko, ugqirha sele ngexesha uhlolo uyakwazi ukubona ukuhlukumeza wavuka, ugxininise izinga intliziyo umntwana, leyo ababalwa ngexesha auscultation. Kodwa iziphumo inokuthenjwa afunyenwe emva elebhu kunye nendima izifundo.

unyango

Kakuhle wesizalo-placental igazi ukuhamba nayiphi isidanga kufuneka siphathwe. Xa amanyathelo zonyango ngokubanzi ejolise ngezifo ku nga phambili inkqubela. Hemodynamics ku eziqhelekileyo kuphela xa kuthe lakhohlisa yokumpompoza kwegazi B 1 isidanga.

Xa ukukhulelwa kungafezeki abakhubazekileyo, sebenzisa izixhobo ezahlukeneyo ukuphucula imeko olungekazalwa. amayeza angqingqwa isetyenziswe ikakhulu. ukungenelela kuhlinzwa kuyinto kunokwenzeka kuphela xa kwimeko iingxaki nokubonakaliswa ebalulekileyo. Xa normalizing ukuhamba kwegazi kakuhle wasebenzisa iseti amanyathelo - pathogenetic, kunye etiotropic unyango nomqondiso.

amayeza

Kwiimeko ezininzi, igazi flow ukuphazamiseka 1 A iqondo ukukhulelwa ilungiswa ngoncedo iziyobisi. Ekuchongeni iimpawu kokuqala unyango kwesibhedlele kakuhle. Okunye ukusilela kakhulu kwegazi zifuna nokulaliswa esibhedlele.

Kuba unyango wasebenzisa iziyobisi zilandelayo:

• antispasmodics - "Eufillin", "No-Spa";
• Zemithambo - "Aktovegin";
• arhente antiplatelet - "Kurantil";
• iivithamini kunye neeminerali - "Ascorbic acid", "Magne B6";
• gepatoprotektory - "Hofitol", "Essentiale";
• tocolysis - "Partusisten", "ginipral";
• kuphucula kwegazi - "Trental";
• antihypoxants - "Instenon";
• "ATP" - metabolic.

Ngokuqhelekileyo, ukuphucula ihambo kwiikhosi ezimbini unyango - kamsinya nje kwafunyaniswa kwaye ngexesha kwiiveki 32-34. Emva koko ugqirha isigqibo ngeyona ndlela wokuziswa. Oku kubaluleke ngakumbi xa kwegazi sifo kakhulu. Kwimeko zokugxojwa kwisizukulwana igazi 1 degree wenziwe ngokwendalo.

unyango ngotyando

Ukuba flow igazi ukuphazamiseka libizwa, zazide unikezelo likaxakeka. Kwimeko ka kwawo lonyango endala, nkqu kwimeko isigqibo ukuphazamiseka zemiphunga kuthathwa zingadlulanga iintsuku ezimbini. Ngokuqhelekileyo luqhutywa Uqhaqho. Ukuba sihlelwe kokumitha ngaphantsi kweeveki-32, emva koko ukuhlola imeko olungekazalwa nangamandla yayo.

amanyathelo othintelo

Ukuze siphephe iimeko zophendlo lwezifo ezifana ezifana flow igazi ukuphazamiseka A 1 isidanga ngexesha lokukhulelwa, kufuneka amanyathelo othintelo yenziwe. Ibhinqa elikhulelweyo kufuneka kukuphepha ukutya zineevithamini ezingundoqo, abasakhulayo kunye macronutrients, amafutha, iikhabhohayidrethi kunye neeproteni. Yonke imihla kufuneka kudla iilitha ubuncinane 1.5 kolwelo, kodwa ke kuphela ukuba ngaba zithwaxwa ukudumba.

Kubalulekile kwakhona ukulawula ubunzima bakho. Ngexa lokukhulelwa, Nongeniselo ubunzima ekucetyiswa ukuba mayingagqithi-10 kg. Abasetyhini basengozini amayeza yokuziphatha zokuthintela iinkqubo intsebenziswano umama kunye engekazalwa kunye nokuthintela kakhulu yingozi kwekhono uteroplacental kwegazi. Indima ebalulekileyo eyadlalwa ngexesha wayitshintsha indlela yolawulo delivery. Kodwa ke kufuneka kukhunjulwe ukuba nkqu ukuqaliswa kwezi manyathelo akukhethi kukuvela ingxaki enzima luvo.

isiphelo

Ngoko ke, kubalulekile ukujonga igazi ukuhamba ngexesha lokukhulelwa. Izinto ezibangela izifo yegazi inokuba nomahluko. Eyona nto ibalulekileyo - kukuqwalasela impilo yabo, kwaye ubhaqo kwangethuba izifo kuya kunceda ekunqandeni imiphumela emibi umntwana ongekazalwa.