Placenta abruptio

Placenta imagwirizanitsa mwana wosabadwa (mwana wosabadwa) ndi chiberekero cha mayiyo. Amamuthandiza mwana kupeza michere, magazi, ndi mpweya kuchokera kwa mayi ake. Zimathandizanso mwana kutaya zinyalala.

Placenta abruptio (yomwe imadziwikanso kuti kuphulika kwapadera) ndipamene placenta imasiyana ndi khoma lamkati la chiberekero mwanayo asanabadwe.

M'mimba zambiri, placenta imakhala yolumikizidwa kumtunda kwa khoma la chiberekero.

M'mimba yochepa, placenta imadzipukusa (imadzikoka yokha kuchokera kukhoma lachiberekero) molawirira kwambiri. Nthawi zambiri, mbali imodzi yokha ya placenta imanyamuka. Nthawi zina imachoka kwathunthu. Izi zikachitika, nthawi zambiri zimakhala mu trimester yachitatu.

The latuluka ndi chingwe cha moyo wa mwana wosabadwayo. Mavuto akulu amachitika ngati amasunthika. Mwana amalandira mpweya wochepa komanso zakudya zochepa. Ana ena amaletsedwa kukula (ochepa kwambiri), ndipo nthawi zochepa, amapha. Zitha kuchititsanso kuti mayi ataye magazi ambiri.

Palibe amene amadziwa chomwe chimayambitsa kusokonekera kwapadera. Koma izi zimapangitsa amayi kukhala pachiwopsezo chotere:

• Mbiri ya kusokonekera kwam'mimba m'mimba yapita
• Kutalika kwa magazi (kwa nthawi yayitali) kuthamanga kwa magazi
• Kuthamanga kwadzidzidzi kwa azimayi apakati omwe anali ndi vuto lakuthamanga magazi m'mbuyomu
• Matenda a mtima
• Kusokonezeka kwa m'mimba
• Kusuta
• Kugwiritsa ntchito mowa kapena cocaine
• Kuphulika kwapadera m'mimba yoyambirira
• Fibroids m'chiberekero
• Kuvulala kwa mayiyo (monga kugundana kwa galimoto kapena kugwa komwe kumenyedwa m'mimba)
• Kukhala wamkulu kuposa 40

Zizindikiro zofala kwambiri ndikutuluka magazi kumaliseche ndikumva kupweteka. Kuchuluka kwa magazi kumatengera kuchuluka kwa placenta yomwe yasokonekera. Nthawi zina magazi omwe amasonkhanitsidwa pamene placenta imasunthika amakhala pakati pa khoma la chiberekero ndi chiberekero, kuti musakhale ndi magazi kuchokera kumaliseche anu.

• Ngati kulekanako kuli kochepa, mutha kukhala ndi magazi ochepa chabe. Muthanso kukhala ndi zipsinjo kapena kumva bwino m'mimba mwanu.
• Ngati kulekanako kuli kwapakatikati, mutha kukhala ndi magazi ochulukirapo. Zokhumudwitsa ndi kupweteka m'mimba kumakhala koopsa kwambiri.
• Ngati theka la placenta likutha, mutha kukhala ndi ululu wam'mimba komanso kutaya magazi kwambiri. Muthanso kukhala ndi zopindika. Mwanayo amatha kuyenda pang'ono kapena pang'ono kuposa zachibadwa.

Ngati muli ndi zizindikiro izi mukakhala ndi pakati, auzeni omwe akukuthandizani nthawi yomweyo.

Wopereka wanu adza:

• Chitani mayeso
• Onetsetsani kufinya kwanu ndi momwe mwana wanu amawayankhira
• Nthawi zina mumapanga ultrasound kuti muwone placenta yanu (koma ultrasound sikuwonetsa kuwonongeka kwapadera)
• Onani kugunda kwa mtima wa mwana wanu ndi mayendedwe ake

Ngati kusokonezeka kwanu kwapakati kumakhala kochepa, wothandizira anu akhoza kukugonekani pogona kuti musiye magazi. Pakatha masiku ochepa, amayi ambiri amatha kubwerera kumagwiridwe awo nthawi zambiri.

Kuti mupatukane pang'ono, muyenera kukhala mchipatala. Kuchipatala:

• Kugunda kwa mtima wa mwana wanu kudzayang'aniridwa.
• Mungafunike kuthiridwa magazi.
• Ngati mwana wanu akuwonetsa zipsinjo, wopezayo angapangitse kuti mugwire ntchito mwachangu. Ngati simungathe kubereka kumaliseche, mufunika gawo la C.

Kuwonongeka kwakukulu kwamasamba ndi kwadzidzidzi. Muyenera kupulumutsa nthawi yomweyo, nthawi zambiri ndi gawo la C. Ndizochepa kwambiri, koma mwana amatha kubadwa ngati pali zovuta zina.

Simungapewe kuwonongeka kwapadera, koma mutha kuwongolera zomwe zimawopsa chifukwa:

• Kupewera kuthamanga kwa magazi, matenda amtima, komanso matenda ashuga
• Osagwiritsa ntchito fodya, mowa, kapena cocaine
• Kutsatira malingaliro a omwe amakupatsani za njira zochepetsera chiopsezo chanu ngati mungakhale ndi vuto lina m'mimba yapitayi

Kupatukana kwamasana msanga; Kupatukana kwapansi; Kuphulika kwapansi; Ukazi magazi - abruption; Mimba - ziphuphu

• Gawo la Kaisara
• Ultrasound pa mimba
• Anatomy ya placenta yachibadwa
• Placenta
• Placenta
• Ultrasound, placenta yachibadwa - Braxton Hicks
• Ultrasound, yachibadwa mwana wosabadwayo - mikono ndi miyendo
• Ultrasound, yachibadwa omasuka latuluka
• Ultrasound, mtundu - yachibadwa umbilical chingwe
• Placenta

Francois KE, Foley MR. Kutaya magazi kwa Antepartum ndi postpartum. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 18.

Hull AD, Resnik R, Siliva RM. Placenta previa ndi accreta, vasa previa, subchorionic hemorrhage, ndi abruptio placentae. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 46.

Salhi BA, Nagrani S. Zovuta zoyipa zakuyembekezera. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 178.

• Mavuto azaumoyo Mimba