Ukwephula ukugeleza kwegazi ngesikhathi sokukhulelwa: izimbangela, izimpawu, ukwelashwa

Ukuze ukudluliselwa ukudla nomoya-mpilo kusuka kumama kuya-fetus iyaphendula placenta. Ngenxa yalesi kuhlanganiswe nzima uhlelo ezimbili semithambo. Omunye wabo uxhuma placenta kuya Umthambo lesizalo, kanye nezinye - ne umzanyana. Kulokhu, placenta kuyinto umngcele ovikela ingane kusuka amagciwane kanye izinto eziyingozi. Kwenzeka ukuthi phakathi US kukhona ukuphazamiseka ukugeleza kwegazi ngesikhathi bekhulelwe, okube kungathikameza ukukhula kwengane.

Doppler

Leli gama ngokungavamile nenqubo ethile yokuthola isifo ihlonze noma yibuphi zokugula kwegazi flow ekhipha igazi enhliziyweni nelifakayo. Ngenxa yalokho, ama-apharathasi ezikhethekile esakhiwe dopplerograms, elibonisa umehluko imvamisa phakathi wathumela kanye isignali kubonakala. Ucwaningo lwenziwa kwimodi ejwayelekile noma yangokwesiko umbala, okungukuthi, ukuhamba kwegazi ngokusebenzisa imithambo uboniswa umbala. Inketho zokugcina ikuvumela ukuba ngokushesha futhi ngokunembile ukuthola ngisho ukuhlukumeza kancane utero-esinomhlapho ukugeleza kwegazi.

Doppler is ezenziwe elele ngomhlane noma ngohlangothi. Ngesikhathi esifanayo ngohlangothi lwakho ungathola yi kweqiniso ngoba ngemuva abaningi abakhulelwe iqala ithoni, ingqondo izifo ezihlukahlukene. Uchwepheshe ihlanganisa esigabeni gel sikuhlaziye kuqala ukushayela inzwa kwalo.

Lolu cwaningo zaphathwa bonke abesifazane abakhulelwe, kanye kuqala (amasonto 18-22) futhi yesibili (amasonto 32-34) Ukuhlolwa. Kungaba kwenziwe ku isikhathi esimaphakathi lapho kuboniswe.

Izimbangela ukugeleza kwegazi

Ukukhomba ukwahluleka ukugeleza uhlelo, Ochwepheshe bangabesifazane ultrasound nge Doppler velocimetry. Lokhu kukuvumela ukuba ubone yokulimala imithambo yegazi, ukulandelela inani mpilo nezakhi wathola yi-fetus.

Isikhathi esining impela, omama abakhulelwe uyazibuza ukuthi kungani kukhona kungukuphula ukugeleza kwegazi ngesikhathi sokukhulelwa. Izizathu eziyinhloko ngalesi simo:

• yobudala yomuntu wesifazane (kakhulu noma, ngasekupheleni ekuseni okunalokho).
• A igebe encane phakathi ukubeletha.
• Preeclampsia (toxemia yokukhulelwa ngasekupheleni).
• Neoplasms esibelethweni (ezifana fibroids), zokugula myometrium endometriosis.
• Ngifundise ngesifo sikashukela.
• Umfutho ophakeme wegazi.
• kwezinkinga zezinso.
• ukutheleleka Intrauterine yizifo yegciwane abesifazane.
• nokukhulelwa izingane eziningi ngasikhathi.
• isisu eziningi noma ukuphuphuma.
• Isifo sokulahlekelwa yigazi (yokuntuleka yensimbi).
• Placenta previa.
• Rhesus ukungqubuzana.
• izinkinga igazi ekunqandeni eziholela kumiswa amahlule.

I degree of ukugeleza kwegazi iziyaluyalu

Okwamanje, kukhona degrees ezintathu egunjini lokuhlolwa kwezifo. Izinga lokuqala ihlukaniswe yaba zenyathi ezimbili: 1A (kahle uteroplacental ukugeleza kwegazi) kanye 1B (kwegazi izinkinga phakathi fetus placenta). Ngesikhathi besigaba sesibili kukhona izinkinga kanye kokubili izinhlelo ( "kwesibeletho - placenta" futhi "placenta - fetus,"). degree Okwesithathu okubeka kuso labo besifazane abaye baba nezinkinga ezinkulu kwegazi.

Isigaba sokuqala sale sifo amenable ukuba ukulungiswa izidakamizwa, futhi ngenxa yalokho ingane enempilo. Kwezinye izimo, kukhona ingozi yokufa perinatal.

Izinhlobo esingamahlalakhona esinomhlapho

Uma ufuye ingane kwembule kuphula umthetho we-ukugeleza kwegazi, odokotela bavame ukuxilonga "esinomhlapho esingamahlalakhona". Ngo sokukhulelwa, lokhu zokugula kuvamile impela futhi kungaba oyingozi noma ezingamahlalakhona. Ifomu acute uyakwazi zavele, nganoma yisiphi isikhathi, ngenxa umbungu uhlangabezana hypoxia futhi kuyenzeka ife. Lokhu kungenzeka ngaphambi kwesikhathi esinomhlapho abruption, infarction esinomhlapho, ukwakheka amahlule.

Ifomu okungalapheki acute kwande. Ngokuvamile kwenzeka ngemva kwamasonto 13, njengoba kuboniswa yokuthathu yesithathu. Imiphumela iba yinhlanganisela yokukhandleka ukuguga ngaphambi kwesikhathi umzanyana. Kuye kobukhulu isifo inxephezelwa, decompensated, subcompensated, ezibucayi.

Lapho isigaba ihlawulelwa umntwana uyaqhubeka ukuthuthukisa evamile, njengoba lezi zinguquko wasusa izindlela okuvikela umzimba female. Zokugula decompensated akasakuthandi babhekane nezinkinga, futhi umphumela waba ukuthi i-fetus siyenzeka ukuntuleka komoya-mpilo, ukukhula retardation futhi ukungasebenzi inhliziyo. isigaba Subcompensated lesi sifo kuholela ukubambezeleka ukuthuthukiswa ingane, kanye nokufa kwakhe kungenzeka. Ifomu eziyinkimbinkimbi kakhulu kubhekwa esibucayi esingamahlalakhona esinomhlapho. Akukona kwenzeke kaningi kakhulu, kodwa iholela ukuqala ukufa ongenakugwenywa ingane.

Izimpawu eyinhloko lesi sifo

Kuye uhlobo zegazi ezibangelwa zingavela ezihlukahlukene izimpawu zaso. Ihlawulelwa esingamahlalakhona esinomhlapho ngesikhathi sokukhulelwa akusho ukuzibonakalisa, ngakho-ke funda ngakho ngesikhathi ultrasound kuphela. Ngesimo acute decompensated futhi avele perturbations uyishintshe inabukeni: enaka ke kakhulu, kuncane kakhulu. Kulokhu, kubalulekile ukuthi unake le nkomba (ngelanga izithelo kufanele kusishukumisele izikhathi okungenani 10).

Njengoba ezinye izici zingase zephuze ezikhulayo esiswini, ukuntula noma ngokweqile-amniotic fluid. Ngokuzimela yalezi ungatholi olandelayo, ngakho udinga ukuvakashela udokotela ukugcina umkhondo izinguquko izilinganiso. Kwenzeka ukuthi ukugeleza kwegazi ukuphazamiseka esihambisana preeclampsia - toxicosis ngasekupheleni yokukhulelwa. Kungaba ukungezwa izimpawu ezikhona-high blood pressure, ehlome kwesisindo edema, excretion urinary amaprotheni.

I esiyingozi kakhulu uphawu esingamahlalakhona esinomhlapho - ukubukeka igazi emgudwini wokuzala, elihlobene ne abruption esinomhlapho. Lapho isimo esinjalo ngeke kuphela ambulensi ochwepheshe.

ukuphathwa isifo

Uma owesifazane wembula okhushuliwe igazi viscosity noma ukuthambekela thrombosis, avame enendawo ukuphazamiseka ukugeleza kwegazi. Ngo sokukhulelwa, ukuphathwa kunqunyiwe ngudokotela, phela babe ukwenza amalungiselelo sina. Ngokuvamile linqume izidakamizwa ezifana "Kurantil", "Trental" futhi "Hofitol". Bona mncane igazi futhi sithuthukise ukunyakaza kwakhe ngokusebenzisa imithambo.

Ngokuvamile, abesifazane abakhulelwe okunqunyiwe "Kurantil", okuyinto esetshenziswa zokubelethisa for engaphezu kwengu-15. Umuthi ubhekana abangababi bemisebenzi yaso - kulesetayelekile kwegazi ngenxa dilution yayo, ingeyona amahlule kusiza yakha imikhumbi igazi, kuthuthukisa isimiso somzimba sokuzivikela.

Futhi, funa kuba "Trental" - umuthi kuyafana isenzo "Curantylum". Nokho, kunezinzuzo sina: izidakamizwa ayikhuphuki izitsha inhliziyo futhi ngokuqhubekayo kudedela izidakamizwa abakhuthele abangaphezu kuka-12 amahora.

Kwenzeka ukuthi owesifazane enezinwele ukuhlukumeza kancane ukugeleza kwegazi ngesikhathi sokukhulelwa. Ukwelashwa kulokhu wenziwa "Hofitol" - umuthi nge amaminerali kanye isitshalo izingxenye (isib, i-artichoke juice ensimini ishiya). Anakho umphumela okuncane isisu futhi akusho ukulimaza kwesibindi.

Izindlela ngokuphindaphindiwe ekwelashweni degrees ezahlukene Pathology

Izinga lokuqala isifo kuhilela ekuphathweni izidakamizwa okuyinto ngcono kwegazi. Odokotela uyophinde ukuqhuba Doppler futhi cardiotocography (ukushaya kwenhliziyo) umbungu the Dynamics. Ucwaningo kumele kwenziwe izikhathi 1-2 ngamunye izinsuku ezingu-7. Uma Dynamics omuhle owesifazane ngeke siqhubeke sithela ingane ngaphambi kokuzalwa. Uma izinkomba ziwohloka, kubalulekile ukuba afeze ucwaningo nsuku zonke, ukuze ugweme izinguquko awushintsheki futhi ukubamba esiphuthumayo section caesarean ngesikhathi. Ngo evamile fetus ukuthuthukiswa ukulethwa esiyolandelwa ngokwemvelo.

ukwephulwa wegazi ukugeleza grade 2 ngesikhathi sokukhulelwa futhi esilaphekayo. izidakamizwa evame ukusetshenziswa ziyefana esimweni sokuqala, ukungena Nokho, lona wesifazane siyonikwa. Odokotela uzoqapha izinguquko emzimbeni bese ubamba ukulethwa ekuseni uma kunesidingo.

degree Okwesithathu ngeke welaphe ngoba nemiphumela awushintsheki ziqala ukuvela. Kulesi simo ochwepheshe akuzona engozini impilo yengane, futhi ukhethe i operation eziphuthumayo.

zokuvimbela

Wonke umuntu wesifazane amandla ukwenza ngane yakhula futhi athuthukiswe kube nezinkinga. Ukuze wenze lokhu, wayezoba ukubukela ekudleni kwakho: kufanele kube okuningi amavithamini, amaminerali, amaprotheni nezinye izingxube zamakhemikhali ezibalulekile. Uma umuntu wesifazane okhulelwe akusho uhlushwa ukuvuvukala, ke ubophekile ukuba baphuze nsuku zonke okungenani 1 ilitha uketshezi (mhlawumbe amanzi).

Kubalulekile kakhulu ukulawula isisindo sakho - inzuzo lapho okuvikela umntwana kungaba obungu-10 kg. Abanye besifazane kudingeka zokuvimbela izidakamizwa, ukusungula ukugeleza kwegazi phakathi kukamama embungwini. Uyaxwayisa ukwephulwa wegazi ukugeleza ngesikhathi sokukhulelwa. Khumbula ukuthi impilo yengane kuzosiza ugcine amasu efanele ukuphathwa zabasebenzi kanye uxhumano esifike izidakamizwa.