Infarction ye-placenta - iyini?

Ngezinye izikhathi abesifazane abasesikhundleni ngemuva kokuzwa igama elithi "infarction placental" banesithakazelo kudokotela ukuthi kuyini. Lolu hlobo lwesimo sendawo yengane lubangelwa ukwephulwa kwegazi elijwayelekile le-placenta. Iqukethe ekuqothuleni kwesayithi lamathambo ayo.

Yiziphi izinhlobo ezahlukene ze-placenta infarction?

Kuye ngokuthi yini eyenza i-infarction ye-placenta, izinhlobo ezilandelayo zihlukile:

• obomvu;
• umhlophe;
• ifomu lokubala.

Uhlobo lokuqala luqala lapho kwenzeka khona ukuphuma kwegazi emkhunjini otholakala ku-dyscedula. Ngemva kwalokho, emva kwesikhashana kuya kufomu lesibili.

Ukuphazamiseka okumhlophe kungumphumela wokwehliswa ngokweqile kwe-fibrin, okunikeza lo mbala.

Ifomu le-lime ye-placental infarct ayivamile. Kubangelwa ukushisa kwamakhemikhali e-calcium ezindongeni zemithambo yegazi ewonakele.

Ngenxa yalokho okwakhiwa kwe-placenta infarction?

Izimbangela ze-infarction ye-myocardial ziningi kakhulu. Ngakho-ke, ngokuvamile kunzima ukucacisa ngqo ukuthi yini eyayiholela esibhedlela kweso elilodwa. Izici ezikhulayo ezivame ukuholela ekuthuthukiseni isifo esinjalo yizi:

• i-toxicosis ende;
• ushintsho esisisindo sowesifazane okhulelwe kuya kwesilinganiso esikhulu noma esincane;
• ukwanda kwengcindezi yegazi;
• ukuphazamiseka kwesistimu ye-excretory (isifo sezinso).

Ukuthola isizathu esiqondile esiholele ekuthuthukiseni i-placenta infarction, kuhlolwa ngokucophelela, kufaka phakathi: i-ultrasound, ukuvivinywa kwama-laboratory. Ngezinye izikhathi ubunzima bokuxilongwa bukhona ukuthi i-placenta ngokwayo ikhona ngemuva kwesibeletho, nokuhlola ngokucophelela i-fetus. Esimweni esinjalo, odokotela bazofunda ngokuphula umthetho ovamile wengane ngokushintsha ukushaya kwenhliziyo kwengane, isifo esifanayo siholela ekwenzeni i-oksijeni yindlala yesisu, njengoba kuboniswa ukushaya kwenhliziyo ngokushesha.

I-infarction ye-placenta inqunywe kanjani?

Izimpawu zokuphulwa okunjalo, njenge-infcentation ye-placenta, zimbalwa. Yingakho lolu hlobo lwesimo lubonakala lukhona nge-ultrasound ehleliwe. Kodwa-ke, ngokuvamile, ukuba khona kwephulwa kumuntu okhulelwe kuthi:

• ukunyakaza okuvamile ngokweqile;
• ukwanda kwentando yenhliziyo emntwaneni;
• ukuvela kokuphuma kwegazi (uma ukuhlaselwa kwenhliziyo kuhambisana nenqola ye-placenta).

Owesifazane okhulelwe ofanayo, ngokunqotshwa kwengxenye encane ye-placenta, uzizwa njengokujwayelekile. Leli qiniso ngezinye izikhathi lenza kube nzima ukuxilonga ekuqaleni kokuphulwa kwegazi eliphansi. Ngokuvame ukutholakala ku- CTG, lapho izinga lokushaya kwenhliziyo libalwe khona futhi umsebenzi walo uhlaziywa. Imiphumela etholakala kulolu cwaningo iqinisekiswa yi-ultrasound.

Yini engabangela ukuhlukunyezwa kwe-placental?

Owesifazane okhulelwe kakhulu oye wafunda mayelana nokuba khona kwesifo esinjalo unesithakazelo kulokho imiphumela ye-infarction ephansi, nokuthi ngabe i-necrosis yakhe ingafika yini.

Ingozi yezinkinga kulokhu kuncike ekutheni i-placenta itholakala kanjani esibelethweni nokuthi ubukhulu bayo bunjani. Ngokuvamile, ukuhlaselwa kwenhliziyo eyodwa, enesayizi encane, ayifuni ingozi. Kodwa-ke, ukuba khona kwamasayithi amathathu noma ngaphezulu, noma 1, 3 cm ngosayizi, kungaholela ekungeneni kwe-fetoplacental. Ukwephulwa okunjalo esikhathini esedlule kuholela ekuthuthukiseni kwe-fetal hypoxia, eyithinta kakhulu ukuthuthukiswa kwe-intrauterine. Kulezo zimo lapho lesi sifo sifinyelela ku-1/3 kuwo wonke usayizi we-placenta, ukufa kwe-fetal kwenzeka.

Ngakho-ke, ukuze kutholakale ukuhlukunyezwa okwesikhashana kuyadingeka ukuqhuba i-ultrasound. Kulezo zimo lapho kutholakala i-placenta infarct, owesifazane okhulelwe uphansi kokubheka kulo lonke leli gama.