The achiine rukuvhute tambo ane midziyo matatu: zvinorevei? midziyo Vangani vanofanira kuva achiine rukuvhute tambo?

Panguva pamuviri, fetus hunonyatsobatana kuna mai tichibatsirwa dzidzo chaiyo - the achiine rukuvhute tambo. Nawo anogamuchira zvose zvakakodzera kuti upenyu uye kukura - okisijeni uye zvinovaka muviri.

Vakadzi vazhinji pamuviri panguva kwemutemo Ultrasound kudzidza kuti achiine rukuvhute tambo ane 3 midziyo. Vanotanga kunetseka uye mushamiswe, "Ko OK ichi?" Munyaya ino, isu richapindura uye kukuudza zvose pamusoro achiine rukuvhute tambo, kusanganisira pamusoro wayo zvichibvira zvokurwara. Tinovimba ruzivo urwu ruchava richishanda kwauri.

Ndeipi achiine rukuvhute tambo? Chii mamiriro ayo?

The achiine rukuvhute tambo (aka - the achiine rukuvhute tambo) - iri dzidzo chaiyo unobatanidza mudumbu uye afterbirth uye anobvumira fetoplacental kufamba kweropa. Nechokunze, afanane ine helically nezano waya kana joko uye ane rinokwanisa kucheneruka-pfumbu ruvara. Panoperera netambo zvasvika wechitatu trimester pakati 50-60 masendimita pakureba, apo dhayamita kwayo panguva achiine rukuvhute mhete vakaenzana 1-2 cm. Nepo panogona kuonekwa chinokosha yakatsauka kubva Zvichakadaro tsika imwe nhungamiro kana mumwe. Heuno achiine rukuvhute tambo. Photo zvinoratidza.

Imwe kuguma achiine rukuvhute tambo vasiyana placenta, uye wechipiri - kumwana munzvimbo yacho achiine rukuvhute mhete. Kunzvimbo chevana kuti chinogona kubatanidzwa munzvimbo dzakasiyana, kusanganisira pakati, kurutivi kana mucheto. Kashoma kuti achiine rukuvhute netambo chinogona kubatanidzwa kuti anoshongwa, pane chinhambwe kubva kumucheto placenta. Muchiitiko chino, dzayo anosvika mwana nezvigaro, nepakati anoshongwa. Mumazana achiine rukuvhute tambo ane Bends, dzegirini uye bulges zvinoitika nokuda STRUCTURAL zvinhu. Anowanzoitwa achiine rukuvhute tambo ane 3 nemidziyo, vaviri - ichi ndicho achiine rukuvhute tsinga, uye mumwe - nhete-akakombwa pamwe navanopinda lumen achiine rukuvhute Vienna. Pamwe fibers dzavo tsinga dziri. Tsinga uye nhumbi achiine rukuvhute tambo ropa wakakomberedzwa chaiwo gelatinous connective zvinyama rinonzi Wharton kuti mondo. It ane unodzivirira basa, kudzivisa compression of arteries. The achiine rukuvhute tambo chakafukidzwa externally Âmnio izvo pfupi 0.5-1 masendimita kuti guvhu, iri tinoshandurirwa ganda muchero.

Vienna tsinga uye achiine rukuvhute tambo. Ndezvipi mabasa avo?

Saka, takadzidza kuti chaiye achiine rukuvhute tambo ane 3 midziyo. Two achiine rukuvhute arteries zvinobva kuna dzomunyika iliac arteries. Ivo zvifambiswe nomwana ropa carbon dioxide inobvisa uye metabolic zvigadzirwa kunzvimbo zvevana. The placenta yakazara okisijeni uye zvinokosha zvinovaka muviri kuti azvarwa. Uyewo, ropa anosunungurwa kubva carbon dioxide inobvisa uye metabolic zvigadzirwa. Uyezve achitevedza achiine rukuvhute tsinga, izvozvo anodzoka kudzokera mwana. About 80% ropa zvose zviri mumaoko systemic kuparadzirwa kuburikidza kukambaira arantsiev mutsinga dzinofamba nemukaka anomuitira pamwe yepazasi pose chiropa uye mainozonodira negomba pasi tsinga. The ropa yasara (anenge 20%) rwunotumirwa portal ropa riyerere pakati portal uye achiine rukuvhute mutsinga kuburikidza anastomosis. It anotakura ropa wedzerai chiropa wemwana.

The achiine rukuvhute rwonzi rusvava. Chii chinoitika kwaari azvarwa mwana wako?

Pashure pokuberekwa achiine rukuvhute rwonzi rusvava iri clamped Clip, uye ipapo intersects. Nokuti vakasara achiine rukuvhute tambo, asi achiine rukuvhute nharaunda contiguous kuti mwana, ligature kana simbi chikomboredzo Rogovin. Kwapera nguva, bracket the hwaputswa uye vakasara hwabviswa zvamakaparadza vakagura achiine rukuvhute tambo, vachienda 2-3 masendimita kubva kupfeka nzvimbo. Around ari achiine rukuvhute mhete kumanikidza gauze. Mugore rechitatu padariro basa mukadzi anobereka vasara achiine rukuvhute tambo uye placenta uye fetus membranes. Pashure nechitarisiko mwana akaberekwa tsandanyama arteries akaderedza dzepanguva, midziyo zapustevayut uye yakavharwa, uye kufamba kweropa kwavari wakagumiswa. Izvi akachenjera dzinongoitika mashandiro kunodzivisa ropa kurasikirwa achangoberekwa ari chiitiko achiine rukuvhute tambo yake akazosara neperevyazannoy. Zvadaro, midziyo dzikava vanga tishu zvisungo.

Nzira kutsvakurudza munhu nezvevakafa achiine rukuvhute tambo

Kazhinji, mamiriro ezvinhu tambo dzaro zvichiita zvokurwara padzakacherechedza panguva yepamuviri nani zvakaoma. Kazhinji, Ultrasound chirwere, izvo anoratidza yakatokura achiine rukuvhute tambo kumativi pamutsipa, maoko nemakumbo uye mutumbi ari mudumbu, uyewo mharidzo yacho. Achibatsirwa phonocardiography uye auscultation kungaratidza kwete mwoyo chirwere chete, asiwo mubvumo nhumbi achiine rukuvhute tambo, unowanikwa nokuda yakatokura mumuviri kana mutsipa vomwana. Uyewo, vanachiremba vanogona kushandisa ruvara Mapping nzira, iyo inogona nyore kuona zvose achiine rukuvhute tsinga Doppler uye Vienna kuti kuongorora, kunyanya, uye mamiriro ezvinhu utero-placental ropa riyerere. Kana kuongororwa kusangana nekutsi kwemukadzi kwakaratidza kurasikirwa tambo zvishwe. Mushure kuzvarwa placenta kuzoongorora placenta uye achiine rukuvhute tambo uye kutumira zvinhu kana zvakakodzera histological kuzviongorora.

Zvokurwara of achiine rukuvhute tambo. yakatokura

The anowanzodanwa vasangana mu kurapwa tsika pathologies zvakafanana netambo yakatokura kumativi pamutsipa, muviri uye mapazi ari mudumbu uye chinokosha kupfupikisa ari achiine rukuvhute tambo. Absolutely pfupi (asingasviki 40 cm), kuti achiine rukuvhute tambo Haapi mwana kufamba kuitiswa, iyo inotungamirira kuupenyu undesired chinzvimbo dumbu. Nguva pakukurukura iri zvakanyanyisa rwakatambanudzwa, zvawakabudiswa nazvo mune achiine rukuvhute mumidziyo kwakakanganiswa ropa riyerere. It KUNOTADZISA kufamba mudumbu kubudikidza nokuberekwa canal, izvo zvingaita kuti hypoxia. Dzimwe nguva pane pfupi Putsa achiine rukuvhute tambo kana ropa midziyo anogona kukonzera rufu mwana. Kudyidzana anogona kuitika chero kureba achiine rukuvhute tambo. Zvingava zvakasiyana - kuroorwa kana kakawanda, zvakasimba kana zvakasiyana-siyana, yoga kana vasanganiswa. Multiple vakabatisisa girth kwemitsipa kana mutumbi mwana anotyora riparadzirwe, zvichiita kuti kushayikwa okisijeni uye kutyisidzira vakurumidze yokuzviparadzanisa yacho placenta. Muchiitiko chino, maternity kupa kwadzinoita wakurukura achibatsirwa munhu caesarean chikamu.

Anomalies of achiine rukuvhute tambo mamiriro

Tinoziva kuti chaiye achiine rukuvhute tambo ane 3 midziyo. Asi dzimwe nguva pane anomalies kwenhamba mutsinga uye arteries. 5% siyana nhumbu uye vanenge 1% kubva Singleton zvokurwara yakaoma nemamiriro achiine rukuvhute tambo, ine mbiri chete midziyo ropa (imwe tsinga uye mumwe Vienna) pane vatatu. Chinokonzera anomaly ichi nemamiriro netambo hakusati zvazivikanwa. Kusavapo mumwe achiine rukuvhute tsinga uhudschaet fetoplacental kutenderera. Izvi zvinogona kukonzera siyana pakupona ari mudumbu, kusanganisira mwoyo chirwere, atadze kushanda zvakanaka pamusoro urogenital ino uye epfungwa mwana. Apo neapo aplasia, kureva kusavapo yakazara achiine rukuvhute tambo. Panyaya iyi, fetus zvakabatana zvakananga placenta uye kukura kwaro zvakakomba vasingadzoreki.

Dzimwe nguva zvimwe zvirwere vasangana mu kurapwa tsika, kusanganisira achiine rukuvhute tsinga aneurysm, omphalocele achiine rukuvhute tambo, wechokwadi, nodes venhema, cysts uye zvichingodaro. D.

pachinzvimbo mhedziso

Saka, isu akatarisa kuti midziyo vazhinji vane achiine rukuvhute tambo. Uyezve, takadzidza sezvatinohudzidza ayo ezvinhu panguva yepamuviri uye pashure mwana, uye sei zvirwere aonekwa maumbirwo kwayo. Tinovimba ikozvino munoziva romuzvarirwo achiine rukuvhute tambo ane 3 midziyo - maviri arteries uye imwe tsinga. Ivo kuzadzikisa chinokosha kushanda kutakura ropa kusvikira mwana uye kubva ipapo kusvika placenta.