Placenta acreta: ndi chiyani, zizindikiro, kuzindikira ndi kuwopsa kwake

Zamkati

• Zizindikiro za Placenta Acreta
• Momwe matendawa amapangidwira
• Zowopsa zomwe zingachitike
• Chithandizo cha Placenta Acreta

The placenta accreta, yomwe imadziwikanso kuti placental accretism, ndimomwe zimakhalira kuti latuluka silinatsatiridwe bwino ku chiberekero, zomwe zimapangitsa kuti zikhale zovuta kutuluka panthawi yobereka. Izi ndizomwe zimayambitsa zovuta komanso kufa pambuyo pobereka, chifukwa zimakhudzana kwambiri ndi kutaya magazi.

Placental accretism imatha kugawidwa molingana ndi kuzama kokhazikitsidwa kwa placenta mumchiberekero pa:

• Placenta yosavuta acreta, momwe placenta imalowa mbali ya myometrium, yomwe ndi gawo lapakati la chiberekero;
• Phukusi lokongola, momwe placenta imalowerera mu myometrium;
• Percrete placenta, momwe placenta imatha kufikira ziwalo zokhazokha kapena zoyandikana.

Ndikofunikira kuti placenta accreta ipezeke panthawi yoyezetsa amayi asanabadwe kuti gawo lakubadwa lingakonzedwenso kutsatiridwa ndi hysterectomy, yomwe nthawi zambiri imakhala chithandizo chamankhwala, motero mavuto amatetezedwa kwa mayi ndi mwana.

Zizindikiro za Placenta Acreta

Nthawi zambiri, mayi samakhala ndi zisonyezo zakusintha kwa placenta, chifukwa chake ndikofunikira kuti mayiyo azisamalira moyenera asanabadwe kuti kusinthaku kuzindikirike.

Ngakhale zizindikilo sizimachitika pafupipafupi, azimayi ena amatha kutuluka magazi pang'ono, osamva kuwawa komanso popanda chifukwa chilichonse pakubereka, ndipo tikulimbikitsidwa kuti mupite kwa azimayi azachipatala kuti mudziwe chomwe chimayambitsa magazi ndikuyamba chithandizo.

Momwe matendawa amapangidwira

Kuzindikira kwa placenta accreta kuyenera kupangidwa kudzera pakuyesa kujambula, monga kujambula kwa ultrasound ndi maginito, kuphatikiza muyeso wazizindikiro zamagazi zomwe zitha kuwonetsa kusintha. Kuyesaku kumatha kuchitidwa panthawi yobereka asanabadwe komanso kuzindikira koyambirira kwa placental accretism kumachepetsa chiopsezo cha zovuta kwa amayi. Dziwani mayeso ena apakati.

Ultrasonography nthawi zambiri imawonetsedwa kwa odwala omwe amawoneka kuti ali pachiwopsezo chachikulu ndipo ndi njira yabwino kwambiri kwa mayi ndi mwana. Kugwiritsa ntchito kujambula kwa maginito kuti mudziwe za placenta accreta ndikutsutsana, komabe kumatha kuwonetsedwa ngati zotsatira za ultrasound zimawoneka ngati zokayikitsa kapena zosakwanira.

Ultrasonography yodziwitsa placenta accreta imawonetsedwa kwambiri mwa azimayi omwe ali pachiwopsezo chachikulu chotenga vutoli, monga azimayi omwe ndi achikulire, omwe adachitidwapo opaleshoni ya chiberekero kale, kuphatikiza gawo losiya kubereka, ali ndi uterine fibroids kapena omwe anali ndi placenta m'mbuyomu, momwe latuluka limakhalira pang'ono kapena kwathunthu kumunsi kachiberekero. Mvetsetsani zambiri za placenta previa ndi momwe mankhwala amathandizira.

Zowopsa zomwe zingachitike

Zowopsa za placenta accreta zimakhudzana ndi nthawi yomwe placenta accreta imadziwika. Matendawa amapezeka koyambirira, kumachepetsa kuchepa kwa magazi pambuyo pobereka, zovuta pakubereka, kubereka msanga komanso kufunika kwa gawo ladzidzidzi losiya.

Kuphatikiza apo, pakhoza kukhala matenda, mavuto okhudzana ndi kuundana, kutuluka kwa chikhodzodzo, kuchepa kwa chonde ndipo, ngati sichizindikiridwa ndikuchiritsidwa moyenera, zitha kubweretsa imfa.

Chithandizo cha Placenta Acreta

Chithandizo cha placental accretism chimatha kusiyanasiyana kuchokera kwa mkazi kupita kwa mkazi, ndipo gawo lobayira limatha kuchitidwa limodzi ndi hysterectomy, ndiyo njira yachipatala momwe chiberekero chimachotsedwera ndipo, kutengera kukula kwake, kwa zinthu zomwe zimagwirizanitsidwa, monga machubu ndi thumba losunga mazira.

Nthawi zina, chithandizo chamankhwala chitha kusonyezedwa kuti chimasunga kubereka kwa mayi, ndikumangobereka kumene ndikuchotsa nsengwa, kuphatikiza pakuwunika mayiyo akabereka kuti awone kutaya magazi kapena zovuta.