Isibeletho sikaKuveler siyinkimbinkimbi yezibonakaliso eziyingozi empilweni yowesifazane okhulelwe, ehambisana nokuthuthukiswa kokuphuma kwegazi ngenxa yokunciphisa i-placenta ne-ingress yegazi emzimbeni wesisu.
Loluhlobo lwe-pathology lwenzeka ngokuvama kwe-0.5-1.5%.
I-Uterus Kuvelera ibizwa nangokuthi i-utero-placental apoplexy. Le syndrome yaqala ukuchazwa yi-AS Couvelaire, isazi sezinsikazi saseFrance, ngo-1912. Ngakho igama.
Izimpawu ze-Kuveler's syndrome
Le syndrome iboniswa izinhlungu ezikhula ngokushesha esifundeni se-lumbar, ezifana nemizamo, ukukhathazeka, isisindo sokukhwabanisa, ukukhishwa okuncane emvelweni wesisu.
Lesi simo sibonakala nokunyakaza okuqinile nokuqina kwe-fetus, ukuguqulwa kwekhwalithi yezinhliziyo, ngokuhamba kwesikhathi baphonsa isigqi sabo futhi abazwakala kahle. Akunakwenzeka ukuzwa isisu esiswini.
Ngaphezu kwalokho, kunomonakalo onobuthi kuhlelo lwesisulu, okuholela ekuguleni kwamathumbu emisipha yesibeletho, izitho zangasese nangaphezulu.
Ngokuphathelene nezinga eliphakeme lengozi yentuthuko ye-hypovolemic shock, i-atonic bleeding, i-sepsis, isimo se-apteroxy e-utero-placental sine-prognosis engavumelekile, njengoba isongela impilo yowesifazane. Ngakho-ke, kudinga ukulethwa kwezidingo ngokushesha.
Izimbangela zokuphazamiseka kwangaphambilini kwe-placental
Njengomthetho, lesi sifo siqala ezimweni ze- gestosis esedlule yabesifazane abakhulelwe, ikakhulukazi lapho kukhona i-pyelonephritis, umfutho wegazi ophezulu, isifo sikashukela, izifo ezithinta amagciwane ngesikhathi sokukhulelwa, izifo zesibindi nezinhliziyo.
Ngesikhathi sokubeletha, i-Kuveler's syndrome iqala ukusebenza ngokuhlukumezeka, intambo encane yomzimba, ukulimala kwesisu, ukuqhuma okusheshayo kwesikhumba, ukuphuma kwamanzi okusheshayo uma kwenzeka i-polyhydramnios, ukungakwazi ukugcina umthamo ongapheliyo , kanye nendawo ye-placenta kuma-node fibromatous.
Ukuvimbela ukuthuthukiswa kwalesi sifo kunciphisa ukwelashwa okufika ngesikhathi kwabesifazane abakhulelwe abanesifo somatic kanye ne-gestosis esedlule; kanye nesimo sengqondo sokucophelela ngenqubo yokubeletha.