Hyperplasia umzanyana ngesikhathi sokukhulelwa

Placenta - isitho yesikhashana esenzelwa emzimbeni ngesikhathi sokukhulelwa. Injongo kube lula - ukuqinisekisa sokukhulelwa yimpumelelo nokuthuthukiswa kwe-fetus.

umsebenzi esinomhlapho

Kumiswa placenta is emzimbeni owesifazane aze kwamasonto angu-16 okukhulelwa, inqobo nje uma konke kuhambe kahle. Ngo kwesibeletho iqinile iqanda eselivundisiwe, okuyinto inika isignali ekuthuthukiseni placenta. It wenza umsebenzi obaluleke kakhulu: linikeza ingane ikusasa isilinganiso esifanele ewusizo nezakhi ezondla umzimba, futhi ethwala umoya-mpilo kuye.

On luhlolo ultrasonic lungacacisa ukushuba lesi sitho ezibalulekile, bese kalula sihlaziye ukuthi injongo yawo wenziwa lilonke.

Kuyini Hyperplasia?

Hyperplasia umzanyana okuthiwa the ukuqina ngokweqile yena lapho singahlangabezani ukuthuthukiswa amazinga. Lokhu kusho ukuthi owesifazane, kukhona ezinye izifo. Ukuhlaziya ukujiya esinomhlapho is advantageously eyenziwa kusukela ngesonto lama-20 owesifazane ekhulelwe.

Uyini ukujiya evamile? Kuye isikhathi yokukhulelwa uzimisele futhi ukushuba ngamamilimitha placenta. Lesi kucishe njengoba kwangu kakhulu kumele kube oluhambisana kakhulu kwenkathi sokukhulelwa.

I degree of ukuvuthwa umzanyana

Inani Eliphakeme embryonic isitho ukukhula zaba 37 ngesonto. Uhlonze lwalo evamile ngalesi sikhathi kufanele sibe 33,7 mm. Ngemva kwalokho-placenta ayisaxhunyanisiwe ezikhulayo, ngisho incipha kancane. Ukushiya Uhlonze lwalo evamile ingase azisizi 33,2 mm.

Kule ndaba, kukhona degrees ezinhlanu fetus isitho ukuvuthwa. Zero degrees kubhekwa placenta ukujiya amasonto 30 okukhulelwa, ngezinga lokuqala ukuvuthwa - 34-36 ngesonto, zokugula ekhona - 27-28 ngesonto, besigaba sesibili - 34-38 ngesonto, ngezinga wesithathu - amaviki 38. degree Kwesine ukuvuthwa ubhekwa isimo lokhu umzimba ebalulekile nje ngaphambi kokuzalwa. Phakathi nale nkathi, ukuguga yakhe iqala.

Kwezinye izimo, placenta kungenzeka izacile. Lesi simo ubuye zokugula, kodwa ingozi njengoba Hyperplasia. Ngokuvamile ezitholakala abesifazane iphilile Petite.

Lapho avame ukubonakala Hyperplasia umzanyana phakathi nenkathi yokukhulelwa? 20 amasonto - isikhathi esibucayi.

ukukhula Maximum umzanyana kwenzeka ngokungenaphutha emasontweni 20. Uhlonze lwalo ngokuvamile kulinganiswa endaweni lapho intambo inamathela kuyo. Yiqiniso, nesilinganiso lingakanani kufanele inake izici ngazinye abesifazane. Uma kukhona ngeziphambeko ukushuba umzanyana, okungase abe nethala nemiphumela ebuhlungu umbungu. Lapho Hyperplasia umzimba fetus uqweqwe kwezinye izimo-60 mm.

Yiziphi main izimbangela Hyperplasia umzanyana?

Kunezici ezithile engabangela Hyperplasia. Ake sixoxe ngazo ngokuningiliziwe:

• Ukungahambisani Clinical ne-fetus ube komama wegazi (RH ukungqubuzana noma igazi iqembu ukungavumelani). Kulokhu, avame edingekayo ukumpontshelwa intrauterine.
• ukuguquka kwezakhi zofuzo.
• Ukuthuthukiswa izifo sibi ezibangelwa amagciwane. Kungase kudingeke ukwelashwa namagciwane.
• I-hemoglobin egazini kakhulu kwehle, ukuthuthukisa yensimbi ukuntula igazi. Idinga nokwandisa amazinga. Lokhu kungenziwa amalungiselelo akhethekile yensimbi.
• Ushukela owandile egazini, okuholela sikashukela. Idinga control ngokucophelela ushukela, kube kwandziswa yona zingancishiswa.
• Ngenxa ezingamahlalakhona izifo zangasese (Ureaplasma, Toxoplasma, ugcunsula, mycoplasma, chlamydia, isipatsholo).

Mayelana nale mibandela sokugembula wabonakaliswa Hyperplasia-placenta. Yeka indlela okuyingozi kuyinto na? Lokhu kuzoxoxwa ngakho ngezansi.

Okwakuhlalwa kuzo lapho kusaqalwa (1 no-2 trimesters) ukuqina ngokuvamile kwenzeka ngenxa yezifo ezithathelwanayo. Ngakho umzimba uzama ukuzivikela umbungu.

isifo Hemolytic umbungu ngokuvamile Kutholwe ngokusebenzisa ukujiya umzanyana. Ngezinye izikhathi, lapho kumiswa ekwandeni okungavamile isitsha igazi kwegazi igazi placenta nele-fetus.

Ezimweni ezingavamile, odokotela abakwazi ukuqonda isizathu sokuthi kungani lokhu umzimba ebalulekile sikhula.

Izimpawu ukuqina placenta

Kuyini Hyperplasia umzanyana, siyazwisisa. Kodwa ziyini izimpawu zalesi sifo?

On izigaba ezincane yokukhulelwa placenta kungandisa. Lokhu kungenziwa kuphela kunqunywa Imiphumela US. Ayikho enye izimpawu, ukukhuluma mayelana nokuthuthukiswa sifo azitholakali.

Lapho isikhathi isivele ngempela high, kukhona izimpawu ezithile Hyperplasia:

• Ukuguquguquka okukhona ukunyakaza fetus. Angase aqale ukuhambisa kakhulu esebenzayo noma, Ngakolunye uhlangothi, ukuba sikhululeke kakhulu.
• kwenhliziyo ka-fetus iyakwazi futhi ijubane noma, Ngakolunye uhlangothi, ukusheshisa (njengoba tachycardia kubonakala noma bradycardia), kodwa lokhu uphawu ukucacisa cardiotocography isidingo. Ngo-fetus kwenhliziyo kungokwemvelo - 140-160 ngomzuzu. Uma kukhona imvamisa njalo igxuma amabhithi kusukela ukushesha ukuze deceleration, lokhu kubonisa ukuthi i-fetus ihlangabezana-mpilo nokuswela (hypoxia).

Uma owesifazane onesifo sikashukela, i-Hyperplasia eba polyhydramnios noma isamba ngokweqile amniotic fluid. Kwabesifazane abakhulelwe bathole Hyperglycemia, insulini anda zamagama ububonisa exchange lactic.

Uma kungenjalo ngokushesha yathola Hyperplasia umzanyana, ingane eba lisesimweni esibucayi okungase walahlekelwa ngenxa isisu nokuguqulwa.

izindlela ukuxilongwa

Njengoba sekushiwo ngenhla, ukucacisa ukuqina umzimba embryonic kungenzeka kuphela ultrasound.

Kodwa ukuthola izimbangela Hyperplasia, ukuhlolwa eyengeziwe neluhlolo umama okhulelwe:

• ukuhlaziywa wegazi oyisazi samakhemikhali ezinto eziphilayo;
• CTG abathwele umbungu;
• urinalysis;
• ephelele kakhulu segazi;
• ukuhlolwa izifo ezithathelana ngocansi, kuhlanganise angase abhekwe Torch-ukutheleleka;
• sokunquma egazini amasosha amagciwane ahlukahlukene namagciwane;
• Doppler;
• ukuthatha smear izifo zabesifazane ukucacisa microflora pathogenic.

ukwelashwa Hyperplasia

Ngakho, konke ukuhlolwa ezidingekayo sekwenziwe, ucwaningo olwenziwa. Khona-ke Hyperplasia umzanyana kanye imbangela kwembulwa. umama okhulelwe kufanele esibhedlela uma lokhu zokugula kuthinta ukuthuthukiswa intrauterine umbungu. Thola afanele ukuphathwa owesifazane esibhedlela.

placenta ukujiya kungenziwa ezilungisiwe esebenzisa izidakamizwa ezikhethekile. nabo unikeze kwegazi okuhle izitho fetus. Kuyinto nemiyalelo kunilungele ezisiza igazi thinning.

Oxygenation umbungu kanye placenta uhlinzekwa izidakamizwa ezikhethekile. phospholipids Essential ukusiza amaseli ingawohloki, ngoba babe wokwakha imisebenzi emihle.

Phela, kuyinto Hyperplasia esiyingozi ngokwedlulele umzanyana. Ukwelashwa akugcini lapho.

Iziphi izindlela zokwelashwa asetshenziswa kabanzi?

Futhi ngamunye ingasetshenziswa:

• ukwelashwa Vitamin. umama okhulelwe kufanele adle ngokugcwele, kodwa ngezinye izikhathi lokhu kunganele. Phela, umntwana udinga eziningi izakhi kanye amavithamini. Ukuze wenze lokhu, bese babela ukuba yokwamukela kusuka ngaphandle.
• Ukwelashwa nokuvikelwa amagciwane kanye nezifo. Lokhu kuyadingeka uma Hyperplasia kubangelwa kubo.
• Ukwelashwa nokuvikelwa preeclampsia emabangeni kwesikhathi. Preeclampsia uqobo jikelele kuyingozi kakhulu, ikakhulukazi uma kuhlangene ukuqina isitho esibalulekile-embryonic, umzanyana.
• Intrauterine igazi ukumpontshelwa igazi akuhambisani umbungu kanye nonina.
• Kokulinganisa ezingeni likashukela egazini. Lokhu kuyadingeka uma imbangela Hyperplasia umzanyana isibe isifo esiyingozi kangaka, njengesifo sikashukela.

Lapho asidingi ukwelashwa Hyperplasia? Uma placenta kancane uqweqwe, ingane eba, futhi zonke izinkomba ngaphakathi kwemikhawulo evamile, khona-ke akukho isidingo sokwelashwa.

Uma kukhona ukungavumelani igazi kukamama kanye nengane, ukukhulelwa, cishe, kuzodingeka ukuba uphazamiseke. Kodwa kulokhu, kungasiza ukumpontshelwa intrauterine. Kuze kube manje, lokhu kuyindlela kuphela ukwelapha lesi sifo.

Nge ezinzima yensimbi ukuntula anaemia Ukudla ebekiwe ahlanganiswe ukudla nge wokuqukethwe eliphezulu yensimbi. Kodwa Ukudla lulodwa alwanele. Khona-ke imithi yokwelapha engiyisebenzisayo ayinsimbi ayoni no-vithamini C.

Hyperplasia umzanyana: Imithelela

Iyini ingozi eyinhloko lesi sifo? On lokhu kamuva.

Kukhona ezinye nemiphumela engathi sína ukuqina placenta. Nazi ezinye zazo:

• Lokhu zokugula kungabangela esingamahlalakhona esinomhlapho. Ngenxa yalokho, umntwana esikhathini esizayo kungase kuntule izakhamzimba ezihlukahlukene, futhi ngenxa benezincwadi enganele umoya-mpilo singenzeka hypoxia fetus.
• Lezi zici ukuthuthukiswa kancane-natal, futhi ube nomthelela ongemuhle inqubo yokusikwa.
• Hyperplasia umzanyana ngesikhathi sokukhulelwa asihole ezingamahlalakhona hypoxia fetus, okuyilona elisebenzayo futhi ithonya elibi ekukhuleni kwakhe.
• Fetus angase afe e utero.
• amniotic fluid zingashintsha ivolumu (lokho kuyoholela polyhydramnios noma oligohydramnios).
• Ukukhulelwa ungase uphele kwesikhathi.

izincomo

Omama abakhulelwe kufanele ibhaliswe ku emtholampilo yabakhulelwe ngesikhathi esifanele ukuxilonga ngeziphambeko ehlukahlukene kusukela kuyinsakavukela. Njengoba umama okhulelwe yena akakwazi bathole noma yibuphi ubungozi kwezempilo egunjini lokuhlolwa kwezifo.

Uma ukuxilongwa udokotela, kufanele siqiniseke ukuhambisana nayo yonke izincomo zayo. Ngempela, kungenzeka Hyperplasia kuyingozi kakhulu umzanyana ngesikhathi sokukhulelwa. Ukwelashwa kufanele kube olunzulu kanye ezifika ngesikhathi. Uma owesifazane ibonakaliswa esibhedlela, kumele ngempela ukulalela lokho udokotela asitshela wakhe.

Ukwelashwa ngokuyinhloko okuhloswe ngaso esikhathini esizayo ukuze umntwana ngokuphelele. Ukuze ube ujabule sokukhulelwa ophela futhi ukuba nomntwana ophile kahle, qiniseka ukuthola isizathu esenza kwakukhona zokugula umzanyana.

isiphetho

Ukubhekwa kokuvinjelwa best of pathologies Lukhulu kangakanani ukuhlela ngokucophelela ukukhulelwa. Ngaphambi lokukhulelwa umzimba kumele uzilungiselele ukuzalela ingane. Ukuze wenze lokhu, iphumelele ekuhlolweni zonke izinhlobo izifo zocansi, kudlule luhlolo olunzulu, ukuhlonza lezo nkinga nezempilo. Uma efumana nezifo ezingamahlala badinga aphathwe ngaphambi kokukhulelwa. Phela, lo mama esizayo is contraindicated imithi eyanele. Examination, futhi uma kunesidingo, ukuphathwa, qiniseka ukuthi ahambe Kuyothi umuntu ahileleke inqubo nje ebamba isisu.

Sabuyekeza Hyperplasia umzanyana ngesikhathi sokukhulelwa.