Marginal placenta previa - kurwisa kunowanzoitika nzira pamuviri

Placenta - the nhengo kuti anotamba inokosha basa kukura azvarwa. Kuumba placenta rinotanga panguva apo pane aida uterine parusvingo ovum, uye wegumi vhiki pamuviri, iye anotora pamusoro muviri, kufema, excretory, kudzivirira uye hormone ushande.

Kazhinji, asi placenta iri dumbu kana musana mugove waro panguva yezwi kurutivi masvingo, kanenge - yorusvingo mberi. Asi pane yakadaro zvokurwara, sezvo mharidzo yacho placenta. Placenta, Vakazopinda pazasi muchibereko chemusikana, izvozvo overlaps dzomunyika Os zvishomanana kana zvachose. Zvichienderana mutsauko ichi kwakakwana (nechepakati) kukwana uye pasi placenta previa.

Complete placenta previa, kana cervix kukurukurirana kwacho chose, zvisinganyanyi kuitika. Mienzaniso placenta previa angava mucheto uye divi. Marginal placenta previa - ndiyo nzvimbo placenta, sezvamakaropafadzwa yomukati shaya akavhara mumwe-rechitatu; lateral praevia - kana avhara-zvikamu zviviri muzvitatu. With yakaderera placenta previa muviri ichi rinokosha riri chinhambwe hapana masendimita anopfuura mashanu kubva zvemukati Os. Asi zvokurwara yakaderera placentation ichaongororwa chete chekupedzisira chemwedzi mitatu yenhumbu, kusvikira panguva iyoyo, iyo placenta zvingabudirira kumukazve.

Chikonzero chikuru nei paine placenta previa, iri ndechokuti lining yacho dumbu rave vakashanduka, izvo kudzivisa zvakakodzera Kuda kutamba kuti nembeu ovum. kuchinja izvi kungakonzerwa myocardial kushoma, kushandiswa intrauterine, endometrial zvirwere nokuda pamuviri kana intrauterine curettage, uterine fibroids. Vose nyaya, kana vanachiremba rokuongorora shoma placenta previa, 75% vakadzi, pamuviri zvakare. Kuva nezvahunoita pamusoro nenzvimbo emunhu embryo chingava zvomukati chirwere vakadzi vane pamuviri.

Clinical zviratidzo, izvo kusarudza sei shoma placenta previa, uye mamwe marudzi Kunwa waro nzvimbo, riri ropa kubva dzokubereka turakiti, achiperekedzwa marwadzo. Zvinogona kuitika panguva dzakasiyana zvokukura pamuviri - rokutanga trimester, uye chete asati aberekwa. Chikonzero ropa iri kukwana placental abruption. rusvingo dumbu panguva pamuviri, utambanudzire, uye placenta hakusi vanokwanisa kusungika kwakadaro, zvinoguma chinhu retinal yokuzviparadzanisa.

Kana musingadi kutora mishonga iri nguva nechiyero, muchero uchatanga kuona hypoxia, uye mukadzi ane pamuviri anogona kutanga chinokosha kupererwa neropa. Dzimwe nguva ropa anogona kunyange kukonzera rufu. Naizvozvo, kana gayinakorojisiti anoona lateral zvizere kana shoma placenta previa, unofanira kutevera zvakajeka nemirayiridzo yake. Kufunga zvichemo womukadzi uye Ultrasound nepamuviri zvabuda, aizogadza kunorara, kuderedza dumbu kugadzirira pakuparwa kakawanda idzokororo ropa - muchipatara uye kurapwa muchipatara. Delivery, chinowanzoitika kuitwa caesarean chikamu, shoma chete placenta urongwa kunosiya nzvimbo dzinongoitika pakuberekwa.