Kukanganisa ropa riyerere panguva pamuviri: zvinokonzera, zviratidzo, kurapwa

Nokuti kuchinjwa zvokudya uye okisijeni kubva amai mudumbu anoti placenta. Nemhaka iyi zvikabatanidzwa zviviri zvakaoma vascular hurongwa. Mumwe wavo rinobatanidza placenta kusvika uterine tsinga, uye mumwe - pamwe achiine rukuvhute tambo. Panyaya iyi, kuti placenta inotadzisa kuti kudzivirira mwana kubva nemavhairasi uye zvinokuvadza. Zvinoitika kuti panguva US pane nokuvhiringidzirwa ropa aibuda panguva pamuviri, izvo zvinogona kukanganisa kukura kwemwana.

Doppler

Zita iri kujairika ndiro yokuongororwa muitiro kuziva chero zvokurwara ropa riyerere munzira arteries uye mutsinga. Somugumisiro, kushandiswa midziyo zvakavakwa dopplerograms, izvo zvinoratidza kakawanda musiyano pakati akatuma uye akaratidza chiratidzo. Research chiri kuitwa mureza rudzi kana ruvara Mapping, kureva, kufamba kweropa kuburikidza arteries kunoratidzwa muna ruvara. Wokupedzisira kuita kunoita kuti nokukurumidza uye zvakarurama kuona kunyange zvishomanana kutyorwa utero-placental ropa riyerere.

Doppler rinoitwa avete shure kwako kana divi. Panguva iyoyo norutivi rwako kuwana nemhaka yechokwadi nokuti shure zhinji pamuviri kunotanga matauriro, afunge zvirwere zvakasiyana-siyana. Nyanzvi anofukidza vakaongorora chikamu gel uye otanga kutyaira Switch payo.

Kudzidza uku raitongwa pavakadzi vose nepamuviri, pamwe yokutanga (18-22 masvondo) uye chechipiri (32-34 mavhiki) kuongorora. Inogona kuitwa pamusoro zvenguva nguva apo akaratidza.

Zvinokonzera ropa kuyerera

Kuti tizive kukundikana munyika aibuda, vanachiremba vane vakadzi Ultrasound pamwe Doppler velocimetry. Izvi zvinobvumira kuti kuona zvikanganiso nemidziyo ropa, kuti chamber okisijeni uye zvinovaka muviri yakagamuchirwa azvarwa.

Kakawanda, vanaamai pamuviri vari kushamisika nei paine kutyora ropa riyerere panguva yepamuviri. The zvikonzero kuti mamiriro ichi:

• A mukadzi zera (zvakare mangwanani kana nekusiyana, nokunonoka).
• A duku musiyano pakati pakuzvarwa.
• Preeclampsia (toxemia vachangobva pamuviri).
• Neoplasms ari dumbu (yakadai fibroids), zvokurwara myometrium endometriosis.
• Diabetes mellitus.
• BP.
• Itsvo matambudziko.
• Intrauterine chirwere nokuda nemavhairasi nezvirwere vakadzi.
• Multiple pamuviri.
• Zvakawanda pamuviri kana kupfupfudzika kwepamuviri.
• Kupererwa neropa (kushaya iron).
• Placenta previa.
• Rhesus-kunetsana.
• Kweropa matambudziko kuita kuti paumbwe ropa.

The mwero ropa kuyerera zvirwere

Panguva iyoyo, pane madhigirii matatu zvokurwara. Chokutanga dhigirii rakakamurwa subspecies zviviri: 1a (vasingadzoreki ropa kuyerera uteroplacental) uye 1b (kweropa matambudziko pakati mudumbu uye placenta). At rechipiri dhigirii pane matambudziko pamwe nehurongwa ( "dumbu - placenta" uye "placenta - mudumbu"). Third dhigirii akaisa avo vakadzi vakambova zvakakura yematambudziko neropa kutenderera.

Danho rokutanga chirwere amenable kuti kuchinja zvinodhaka, uye mwana somugumisiro wakasimba. Mune zvimwe zviitiko, pane mukana perinatal rufu.

Mhando placental insufficiency

Kana uri kuramba mwana zvinoratidza kutyorwa ropa kuyerera, vanachiremba kazhinji rokuongorora "placental insufficiency". In pamuviri, zvokurwara ichi iwayo akakurumbira uye anogona kuva chakasimba kana chirwere. The chenjera fomu anokwanisa kuonekwa pakarepo, chero nguva, somugumisiro fetus kuona hypoxia uye afe. Izvi zvinogoneka chete vakurumidze placental abruption, placental infarction, paumbwe ropa.

The chirwere chimiro zvakawanda zvakajairika chenjera. Kazhinji kunoitika pashure pemavhiki 13, sezvinoratidzwa wechitatu trimester. Zvinoguma vakurumidze kukwegura pamusoro placenta. Zvichienderana kwokuomerwa maperembudzi ndanyarara hangu, decompensated, subcompensated, kutsoropodza.

Apo ndanyarara hangu pavaipfuura mwana kuramba kukura kuitiswa, sezvo kuchinja izvi akabvisa runodzivirira zvigadziriswe munhukadzi muviri. In decompensated zvokurwara haachadi kurarama nezvinetso, zvokuti mwana asati azvarwa vakachengeta okisijeni kushaikwa, kukura retardation uye atadze kushanda zvakanaka mwoyo. Subcompensated pavaipfuura chirwere kunotungamirira kuti kunonoka kukura mwana, uyewo ake zvichibvira rufu. The kwazvo chimiro anoonekwa yakaoma placental insufficiency. Hazvina kuitika kazhinji, asi kunoita kuti kutanga zvisingadzivisiki kufa kwemwana.

Huru Zviratidzo chirwere

Zvichienderana mhando ropa zvirwere kuonekwe zvakasiyana-siyana zviratidzo zvayo. Ndanyarara hangu placental insufficiency panguva pamuviri hakuiti unooneka, saka kudzidza nezvazvo chete panguva Ultrasound. In chenjera decompensated chimiro uye kuzviratidza ari perturbations change mwana iye kunoita kunyanyisa, zviri zvishoma. Muchiitiko chino, zvakakosha kuti tirambe ziso chakarurama rino (pazuva michero kunofanira kanenge 10 times).

Sezvo mamwe zvinhu vangasanyatsonzwisisa kukura mudumbu, kukanganisika kana nekumwisa Líquido amniótico. Pasina izvi musawana raitevera, saka unofanira kushanyira chiremba kuti arambe nokuchinja kuyerwa. Zvinoitika kuti ropa riyerere kuvhiringidza kuita preeclampsia - kunonoka toxicosis akazvitakura. Inogona kuwedzerwa kuti huripo zviratidzo cheBP, rakapinza kufuta, edema, Urinary excretion mapuroteni.

The chiratidzo chinonyanya ngozi placental insufficiency - chitarisiko ropa kubva pakuberekwa canal, chokuita placental abruption. Kana akadaro ezvinhu kuchangoita amburenzi nenyanzvi.

kurapwa chirwere

Kana mukadzi inoratidza kuwedzera ropa viscosity kana tsika thrombosis, kazhinji ane ropa aibuda nenyonganyonga. In pamuviri, mishonga waakaudzwa chete nachiremba, mushure zvose kuita gadziriro chakakomba. Kakawanda kushandisa mishonga yakadaro "Kurantil", "Trental" uye "Hofitol". Ivo dzakaonda ropa uye kuvandudza wake kufamba kuburikidza arteries.

Kakawanda, vakadzi vane pamuviri vari ushandiswe "Kurantil", iro rinoshandiswa Obstetrics kwemakore anopfuura 15 adarika. The mushonga kuzvigona yayo basa - kuti normalize ropa kuparadzirwa nokuda kwayo dilution, usingatangi kuumba clots uye kunobatsira kuumba midziyo itsva ropa, anovandudza zvirwere.

Uyewo, kudiwa ndechokuti "Trental" - mushonga kuti zvakafanana zvinoitwa "Curantylum". Zvisinei, ane zvakakomba zvakwakanakira: mushonga hakurevi kuwedzera midziyo mwoyo uye ichi- anosunungura zvinoshingaira fuma pamusoro maawa 12.

Zvinoitika kuti mukadzi ane zvishoma kutyorwa ropa riyerere panguva yepamuviri. Treatment muchiitiko ichi rinoitwa "Hofitol" - mushonga chete chicherwa uye chirimwa zvinoriumba (semuenzaniso, muto munda artichoke mashizha). Ane zvishomanana diuretic kushanda uye asingauyi kukuvadza chiropa.

Nzira pakurapa rworwendo siyana zvokurwara

The mwero hosha rokutanga kunosanganisira kwokubatsira zvinodhaka izvo kuvandudza kweropa. Doctors ndichabva kuitisa Doppler uye cardiotocography (kurova kwehana) ari mudumbu ari simba. Research yaifanira 1-2 nguva muzana mazuva 7. Kana zvakanaka rinomutsa yomukadzi acharamba kutakura mwana asati aberekwa. Kana zviratidzo kuipa, zvinokosha kuita tsvakurudzo nezuva, kuitira kudzivisa kusingarapiki kuchinja uye kuti vazvidavirire chimbichimbi Caesarean chikamu nenguva. Chaiye fetus pakukurukura anogona kuitwa zvoga.

kukanganisa ropa kuyerera giredhi 2 panguva pamuviri kuri rinorapika. Yaiwanzoshandiswa mishonga vakafanana kana yokutanga, zvisinei, mukadzi zvatichapa rubvumo. Chiremba kuongorora kuchinja mumuviri uye mubatirire mangwanani hurukuro kana zvakakodzera.

Third dhigirii haagoni kurapwa nokuti kusingarapiki nemigumisiro dzinotanga kuonekwa. Panyaya iyi nyanzvi havasi pangozi upenyu hwomwana, uye kugadza nedambudziko oparesheni.

dziviriro

Mukadzi wose simba kuti mwana akakura uye vakava vasina matambudziko. Kuti aite izvi, aizofanira kutarisa zvaunodya: chinofanira kuva mugove mavhitamini, zvicherwa, mapuroteni nezvimwewo yeimwe zvinokosha. Kana mukadzi ane mimba hakuiti kutambura kuzvimba, zvinonzi vanosungirwa kunwa mazuva ose zvinenge 1 fő kuti Urume (zvimwe mvura).

Zvakakosha chaizvo kudzora kwenyu uremu - inopfumisa kana kuchengeta mwana kunogona kuva vaifanira 10 makirogiramu. Vamwe vakadzi vanoda Kudzivirira zvinodhaka, kuti asimbise ropa kuyerera pakati mai uye mudumbu. Iye anonyevera kukanganisa ropa riyerere panguva yepamuviri. Yeuka kuti upenyu hwomwana kuchakubatsira kuchengeta yakarurama unyanzvi basa Kutarisira uye nenguva chokuita nemishonga.