Decidua rinenge: tsanangudzo, zviratidzo uye zvinhu

Mubereki, kana decidua, zvinyama iri pakati embryo uye dumbu, zvakakodzera kuti muchibereko ari gestational zai, fetus, kuberekwa kwomwana utano.

yokubereka

Vakakura hadzi utachiona masero vanokwanisa kupa pave noupenyu hutsva. The zai, takapoteredzwa mamiriyoni dzisingaoneki ari fallopian chubhu, uchirega chete, kubatanidzwa nomumwe nawo akaumbwa. The Maawa 24 zai yokutanga ndiyo chine musoro, matambudziko kukuvadza zvikonzero kwezvakatipoteredza anotambura hapana migumisiro yakaipa. Izvi imhaka mukuru tichikwanisa patsva.

Pakazosvika 4-5-fung zuva kubva nguva wekusangana ndiyo chinoumba, ane refu nzira, hazvina muwisira uterine mhango. Panguva iyi, zai iri nguva zhinji vaiita, akawana nezvaanogona itsva, anodiwa mabasa.

Zai anosunungura chaiyo enzayemu, rinogona wokuparadza endometrium - Kamudzira lining muchibereko chemusikana. Kana zai akasarudza nzvimbo, zviri soluble muchikamu pamusoro endometrium, akasunungura pokugara, zviri akasuma kupinda uterine mhango. Izvi rinovapo anenge 2 mazuva. Hole pamusoro kudyara yacho inokura, pova mhando denga imba yake. Zvino nguva wekusangana, muitiro inoguma.

Mucous zvinowanisa pakavanda simba vanoenderana embryo, - youmambo mondo.

Initial zvokukura fetus inozivikanwa chimiro anoshongwa matatu, Líquido mvura yakapoteredza kudzivirira uye zvokudya nayo.

Skins ovum:

• decidua tishu;

• fleecy;

• mvura.

mabasa decidua

Panguva vasvike ovum endometrium iri dzikwanise decidua, kupa mamiriro zvakafanira kuti mudumbu basa. Kukura ovum uye Kushandurwa endometrium vanofanira kuenda panguva, kana muchibereko hakuitiki, nhumbu kuvhiringidzwa mukutanga nzvimbo.

Caduca - rwaamai chikamu placenta, iro rinotsanangura kwayo basa:

1. Food, nekuti rine glycogen, lipids, mucopolysaccharides, munyu, zvisaririra okunze, makemikari, immunoglobulins.

1. Protection, sezvo anotarisira zvose utachiona, muchetura, zvinokuvadza.

1. Development, sezvo pashure ose zvinokurisa vakashandisa, anotanga synthesize makabhohaidhiretsi, mafuta, mapurotini, mahormone.

1. Immune uye kwemakemikari anobudiswa chaitika.

Possible kuvhiringidzika Kamudzira mamiriro

Kune vakawanda miganhu uye emunharaunda zvirongwa, richiona, kurapwa vakadzi vane pamuviri, vakadzi vane pamuviri, vachangozvarwa. Zvinodiwa chepurogiramu yacho kudzidza placenta, zvisinei gestational zera, nenzira zvaitwa pakusununguka. Akaongorora mu scrapes decidua tishu.

Chinangwa pakudzidza uyu:

• Kuzivikanwa uye kunyoresa yaivapo zvinokonzera ngozi chirwere panguva pamuviri;

• rakakodzera kunyeverwa neonatal zvirwere;

• kurapwa uye kudzivirira yematambudziko pamuviri, mwana uye postpartum nguva;

• yepamusoro kupima, kufungisisa timeliness kuti arambe pamuviri vakadzi;

• kuziva zvinokonzera mwana kufa;

• Kuziviswa zvikonzero fetus rufu.

All imwe rokuongorora mabasa, vachishandisa nzira differential nechirwere. Dudziro migumisiro inoitwa panyaya mai uye mwana.

Decidua rinenge anogona kuva anotevera kuchinja:

• ropa;

• necrosis;

• kuvhuna;

• kuzvimba;

• thickening.

mashoko ose aya vakapinda vanachiremba zvinyorwa vakadzi achangoberekwa, nhau pamuviri, mwana, urwere, chipatara records, kufungawo kuti outpatient dispensary ndizvidavirire.

necrosis

Necrosis - ndirwo rufu vomunharaunda zvinyama kuti anova panguva nzvimbo kuzvimba muropa nokuyerera kusvikira zvinyama uye vachibatwa zvigare uye avo metabolic zvigadzirwa. Izvi anetseka masoja, kwemakemikari anobudiswa, secretory nerevane goko decidual zvinyama kunotanga dziparare uye akarambwa.

hyalinosis

Hyalinosis - rudzi patsva uye zvinyama chisimbiso, umo zvinova zvakafanana shwashwa. Chinokonzera hyalinosis decidua rinenge richiri asinganzwisiswi zvachose. Asi kunoita kuti zvikuru ropa, magadzirira kubereka, kubereka mwana akafa.

kuzvimba

Kweropa zvinetso, ikawanda vascular permeability, edema, kunyanya paumbwe mugove dzakachinja kwamakamuri zvaizobatsira chokutsva. Panzvimbo kuzvimba angafudza yokuwanda masero eropa, rinowanika decidua rinenge pamwe leukocyte infiltration, iro pakutanga ane adaptive hunhu. Asi pamwe kuchiita chinokosha iri akaiswa mushonga wokuuraya nedanho akawandisa ropa masero machena, pus anooneka. Kunyange pashure vabudirire Mabatirwo purulent kwacho vanotozvikuvadza vakaumba adhesions zvinogona kukonzera kushaya mbereko. Ndizvo sei nengozi decidua tishu kuzvimba.

Zvikonzero angava: endometritis, imwe kuzvimba Líquido mvura kana utachiona anopararira kuonana. Achiperekedzwa nekudeura ropa, izvo zvingaita kuti pamuviri iri izwi anenge 3 months akazvitakura. Decidual endometritis anooneka belyami azere rokutanga mwedzi pashure pamuviri. With kuchiita muitiro kuva kunonoka nokupfupfudzika, increment, kukurumidza yokuzviparadzanisa pamusoro placenta, uterine involution.

ropa

Dzimwe nguva decidua zvinyama pamwe ropa. Inokudziridza panguva kudururwa ropa kunze mudziyo wall mukuru permeability, kubvunda kana nokuputsa ayo pus pathological muitiro. Kuchengetwa vaingoerekana pamuviri, ectopic pamuviri, horionkartsinoma.

mukana

Dzimwe nguva pane mukaha uye varipo chete zvimedu decidua tishu. Vakurumidze atsamwira kunotungamirira refu anoshongwa anhydrous nguva pamwe mikana wokutapukirwa, kubuda ropa. Anova ne zvirwere, hosha ropa, chirwere cheshuga, kuvapo vakawanda pamuviri zvapfuura pamuviri.

The goko anogona kuwedzera inzwi pamberi kuzvimba, degeneration, vakatyisidzira pamuviri.

Zvikonzero kuchinja decidua

• Genetic abnormality ari mudumbu.

• Anogumbura dzinotsanagura muchibereko chemusikana.

• Poor kutenderera.

• Chirwere.

• Hemolytic chirwere.

• Extragenital zvokurwara: chirwere cheshuga, hosha mwoyo, zvirwere ropa, thyroid, tsinga.

Nokuti kudzivirira pangozi kubvisa pamuviri zvinokosha kuti anodiwa. Zvakakosha kuti tigadzirire, kuronga mberi, kutungamirira mararamiro utano, kubvisa negashiro doro uye fodya, kurapa ose somatic uye zvinotapukira uye anogumbura zvirwere.

Asati nokuronga pamuviri vanofanira ropa uye weti nemiedzo (pamusoro kweropa, mahormone), kuwana boka vanaamai ropa kwakaedzwa kuti Isimba rakadini rinogona kubudiswa noutachiona. boka ropa, kusawirirana kweropa raamai chinhu uye kuongorora kuti Isimba rakadini rinogona kubudiswa chirwere vari vabereki vose. Ndandanda zvaida ropa nemiedzo kuti chirwere vari: toxoplasmosis, rubella, cytomegalovirus, herpes.

Panguva chiitiko mumwe pamuviri sezvo mangwanani sezvinobvira zvinokurudzirwa kunyoresa vari antenatal kiriniki, chiremba nguva dzose, kuti azadzise zvose kurumbidza yayo, kutora kuongorora mamiriro ezvinhu nenguva nenzira.