I-placenta iyilungu elibaluleke kunazo zonke elibhekene nokudla, ukuphefumula nokuvikela ingane. Enye yezinkinga ezivame kakhulu zokukhulelwa yi-insufficiency ye-placental - ukwephula ukujikeleza kwegazi phakathi komama, i-placenta ne-fetus.
Ukungakwazi kahle kwamapayipi - izimbangela
Izici ezilandelayo zingabangela ukungakwazi kahle kwamapayipi ngesikhathi sokukhulelwa:
- izifo ze-gland yegciwane, izinso, isimiso senhliziyo, isifo sikashukela mellitus;
- ukukhubazeka kokukhulelwa (i-anemia, gestosis, placenta previa) noma ukukhipha isisu;
- izifo zesifo somzimba (i-myoma ye-uterine, i-endometriosis, izifo ezithathelwana ngocansi) noma ukukhubazeka okuthuthukisiwe kwesibeletho (isibeletho esinobuchopho noma isisu);
- imikhuba emibi (ukubhema ngesikhathi sokukhulelwa, ukuphuza utshwala nezidakamizwa);
- unyaka wokukhulelwa kuka-35;
- ukuphazamiseka kwe-pituitary nama-ovari;
- ukukhulelwa ngaphambi kwesikhathi;
- imvelo engalungile.
Ingozi yokuthuthukisa ukungeneliseki kwe-placental inkulu ikakhulukazi kwabesifazane abancane kakhulu noma asebekhulile. Imiphumela yokungakwazi ukuphazamiseka kwamapayipi kungase kube ukuphazamiseka kwesikhumba sangasese ngaphambi kwesikhathi, ukukhipha isisu, ukulimala kwe-intrauterine noma i-hypoxia ende. Ezimweni ezingathandeki kakhulu, ukungakwazi kahle kwamapayipi kungaholela ekufeni kwengane.
Kuyini ukungakwazi ukusebenza kahle?
Kunezinhlawulo eziningana zokungasebenzi kahle. Ngokwezimo zamanje, ukungakwazi kahle kwe-placental okuyisiguli futhi okungapheli kuhlukile , okubuye kuthiwe kuhlawuliswe futhi kuhlawuliswe.
Ifomu eliyingozi kunazo zonke liyinkimbinkimbi, njengombutho wangaphambi kwesikhathi we-placenta, okwenza kube nzima ukuphila komntwana, futhi ngezinye izikhathi umama.
Ngokungaqiniseki kahle kwe-placental engapheli, ukuwohloka kwegazi lokuphuma kwegazi futhi isimo somntwana siphume kancane, kodwa ngokungaqiniseki. Ukufa kwendlala yengane kuholela ekubambezelekeni ekuthuthukiseni nasekuphuleni kwenhliziyo.
Ngokwehluleka kwe-placental, i-blood supply ihla kakhulu kancane kancane futhi ingenalutho, ukuze ingane ikwazi ukuvumelanisa nalezi zinguquko.
Ngesikhathi sokuvela, ukungakwazi ukusebenza okuyisisekelo nokusezingeni eliphansi kuyahlukile. Ukuntuleka kwe-placental eyinhloko kuqala ekwakheni i-placenta (amasonto angama-16). Umphumela wenkinga ingase ibe yinkinga yokuzalwa enganeni, ukukhulelwa okubandayo, ukukhulelwa kwesisu. Ukuntuleka kwe-placental yesibili kwenzeka kuphela ngemva kokuba i-placenta idale.
Izindlela zanamuhla zokuhlolwa (Dopplerometry) ziye zenza kube lula ukuhlukanisa ukungakwazi kahle kwe-placental ngezinga lokuphazamiseka kokugeleza kwegazi ohlelweni lwamama-placenta-ingane:
- ukungakwazi kahle kwe-degree 1 - okungahambisani nendawo ye-utero-placental noma ye-fruit-placental;
- ukungakwazi kahle kwe-degrees 2 - ukwephulwa kwegazi le-utero-placental ne-fetoplacental yegazi;
- Ukungakwazi ukusebenza ngokweqile kwezinga lesithathu kungukuphulwa okubucayi kokugeleza kwegazi okuyi-placental ngokungabi khona kwegazi lokugeleza kwegazi.
Ukungakwazi kahle kwamapayipi - ukwelashwa
Ngeshwa, ukuphelelwa amandla kwe-placental akusebenzi njalo ukuphulukiswa, noma kunjalo, kubalulekile ukuhambisana nazo zonke izincomo kanye nemigomo kadokotela, njengoba lokhu kuzokusiza ukugwema ukuthuthukiswa kwezinkinga. Ihlawuliswa
Abesifazane abakhulelwe banikeze izidakamizwa ezithuthukisa ukugeleza kwegazi ("Eufillin"), ukugcoba kwegazi ("Kurantil") kanye nemetabolism ("Actovegin", amavithamini E, C), kanye nezidakamizwa ezinciphisa ithonya lesibeletho ("Ginipral", " I-Magnesium sulphate "). Ukuzolalisa umama wesikhathi esizayo kuzosiza "Glycine", amalungiselelo we-valerian noma ama-motherwort. Isidingo sokukhulelwa ukulala okungaphezulu, hamba emoyeni omusha, futhi uthathe ama-multivitamines.
Ukuvimbela ukungenakuthola kwamapayipi ukulahlwa okuphelele kwemikhuba eyingozi (uma kungenzeka ngaphambi kokukhulelwa), ukudla okunomsoco, ukutholakala ngesikhathi esifanele kanye nokwelashwa kwezifo nokutheleleka ngokocansi.