Hyperplasia ye placenta pamuviri

Ipaenteka inhengo yechinguvana inoumba mumuviri wemukadzi panguva yekuzvitakura. Chinangwa chayo chiri nyore - kuita kuti hutano hubudirire uye kubudirira kwe fetus.

Mabasa epa placenta

Itareta iri mumuviri wechikadzi inoumbwa kusvikira vhiki yechitanhatu yekubata, kana zvinhu zvose zvichifamba zvakanaka. Iza rinogadzirwa rinogadzirirwa mudumbu, iro rinopa chiratidzo kumusana wepentecenta. Iyo inoita mabasa anokosha zvikuru: inopa mwana wemunguva yemberi yakakwana yakakwana inobatsira uye inonwisa zvinhu, uye inotakurawo okisijeni kwairi.

Pakuongorora kwe ultrasound, kuwanda kwechimu ichi chinokosha kunogona kugadziriswa, uye zvino zviri nyore kuongorora kana nzvimbo yacho inenge ichizadziswa zvizere.

Chii chinonzi hyperplasia?

Hyperplasia ye placenta inonzi yakanyanyisa kuwedzera, kana isingaenderani nemitemo yekusimudzirwa. Izvi zvinoreva kuti kune mamwe mararamiro mumuviri wemukadzi. Kuongorora kwehupamhi hwepentecenta kunofanirwa kuita, kutanga pamusi we20 vhiki yekuzvitakura.

Chii chinonzi chimiro chakajairika? Zvichienderana nezvenguva yekuzvitakura, uwandu hwepentecenta hunotsanangurwa mumamilimita. Izvi zvinoreva, semamilimita akawanda anenge achifanirwa kunge aripo, zvakadini zvinoenderana neshoko rekuzvitakura.

Chiyero chekukura kwepascenta

Chirwere chekukura kwemuviri wemakrioni pane mavhiki 37. Kubwinya kwaro mumusasa panguva iyi kunofanira kuva 33.7 mm. Mushure meizvozvo, placenta haichakure, asi inoderedza zvimwe. Nokuzvarwa, kuwanda kwayo kunowanzova 33.2 mm.

Mukubatanidzwa uku, zvikamu zvishanu zvekukura kwemuviri we embryonic zvakasiyana. Zero inofungidzirwa kuti yakakura yepentecenta musati mavhiki makumi matatu ekuberekwa, dhigirii yekukura yakakwana masvondo 34-36, nehutachiona huripo - vhiki 27-28, yechipiri chechipiri - masvondo 34-38, yechitatu yepamusoro - kubva kumavhiki makumi matatu nemasere. Chiyero chechina chekukura ndiko mamiriro ezvinhu echikamu ichi chinokosha asati aberekwa. Munguva iyi, kukwegura kwake kunotanga.

Mune zvimwe zviitiko, placenta inogona kunge isingakoshi. Iyi mamirirowo ezve chirwere, asi kwete seyungo se hyperplasia. Inowanzowanikwa mumadzimai mashoma uye maduku.

Ndeipi apo placental hyperplasia inowanzoonekwa panguva yekuzvitakura? Vhiki makumi maviri ndeye nguva inokosha.

Kukura kukuru kwepentecenta kunowanikwa chaizvo mumavhiki makumi maviri ekupedzisira. Uhu hwayo huzhinji hunowanzotaridzirwa munzvimbo iyo yakanamatirwa kumudambo. Zvechokwadi, kana uchiyera hukuru hwayo, zvakakosha kufunga nezveunhu humwe hunhu hwevakadzi. Kana pane kukanganisa muhupamhi hwepentecenta, izvi zvinogona kukanganiswa nemigumisiro inofadza yemucheche. Ne hyperplasia, chimiro chinonzi embryonic chinowedzera pane dzimwe nguva kusvika 60 mm.

Ndezvipi zvikonzero zvinokonzera placental hyperplasia?

Pane zvimwe zvinhu zvinogona kukanganisa hyperplasia. Ngationgororei zvakajeka:

• Kliniki isinganzwisisiki naamai uye fetus neropa (rhesus-kurwisana kana kusawirirana neboka reropa). Muchiitiko ichi, kuwedzerwa kweropa mukati memvura kunowanzodiwa.
• Genetic mutations.
• Kubudirira kwehutachiona hwehutachiwana. Zvichida, kurapwa kwemishonga inorwarisa kuchave kwakakodzera.
• Hemoglobin muropa yakanyanya kuderedzwa, kuperevedza kwesimbi kunoputika. Ichange ichida kukwidza huwandu hwayo. Izvi zvinogona kuitwa nekugadzirwa kwesimbi yakasarudzwa.
• Inowedzera mune shuga yeropa, inotungamirira kukurudzirwa kwechirwere cheshuga. Tinoda kuchenjerera kutarisa shuga, uye kana ichiwedzerwa, inofanira kuderedzwa.
• Somugumisiro wezvirwere zvisingaperi zvepabonde (ureaplasmas, toxoplasma, syphilis, mycoplasma, chlamydia, gonorrhea).

Mukubatana nemamiriro ezvinhu aya, hutachiona hyperplasia hunozviratidza. Sei kune ngozi? Izvi zvichakurukurwa pasi apa.

Mune matanho ekutanga (muna 1 ne2 trimester) kuwedzera kunowanzoita nekuda kwezvirwere zvinotapukira. Saka muviri pachawo unoedza kudzivirira fetus.

Hemolytic chirwere che fetus inowanzoonekwa nehupamhi hwepentecenta. Dzimwe nguva pane kupararira kusina kujairika kwemidzi yeropa apo kupararira kweropa kwepentecenta uye fetus inoumbwa.

Muzviitiko zvisingawanzoitiki, vanachiremba havakwanisi kunzwisisa kuti chikonzero ichi chiiko chinokosha chakasimbiswa.

Zviratidzo zvekudzivirira kwepentecenta

Chii chinonzi placental hyperplasia, takafunga. Asi chii chinoratidza zvirwere izvi?

Pakubata pamuviri muduku, placenta inogonawo kuwedzera. Izvi zvinongogadziriswa ne ultrasound chete. Hapana humwe zviratidzo zvinotaura nezvekuvandudzwa kwehutano.

Apo izwi racho ratove rakakura kwazvo, kune zvimwe zviratidzo zve hyperplasia:

• Shanduko muhutano hwekufamba kwe fetal. Anogona kutanga kutama zvakare, kana, zvakare, kuva akanyarara zvakare.
• Kuora mwoyo mukati memucheche kunogonawo kuderera kana, pane zvinopesana, kunowedzera (sezvinoita tachycardia kana bradycardia inoratidza), asi chirwere chemoyo chinotarisirwa kuziva chiratidzo ichi. Iyo fetal heart rate inowanzoitika - 140-160 kurova paminiti. Kana paine nguva inoramba ichitsvaga muhuwandu hwemigumisiro kubva pakukurumidza kusvika pakugadzirisa, izvi zvinoratidza kuti fetus inosangana nehogijini nyota (hypoxia).

Kana mukadzi ane chirwere chirwere cheshuga, ipapo hyperplasia inoumba polyhydramnios kana kuti yakawandisa amniotic fluid. Mukadzi ane pamuviri anowana hyperglycemia, insulini inowedzera inowedzera, metabolic acidosis inozviratidza.

Kana placental hyperplasia isingabvumirwi panguva yakakodzera, mwana wemukomana unowedzera mune iyo inogona kufa nekuda kwekubvisa pamuviri pakarepo.

Nzira dzekuongorora

Sezvatotaurwa pamusoro apa, zvinokwanisika kuziva kuti kuwedzera kweiyo embryonic kungoshandiswa ne ultrasound yekuongorora.

Asi kuti uzive zvinokonzera hyperplasia, kuongororwa kwakawedzerwa uye kuongororwa kweamai vemazuva ano kuchadiwa:

• Kuongororwa kweRopa kwehupenyu hwehupenyu;
• Kutakura chirwere chemoyo we fetus;
• General analysis of urine;
• Kuongorora kweropa;
• Inoongorora kuvepo kwezvirwere zvepabonde, kusanganisira TORCH zvirwere;
• Kutsigira muropa remasikirini kune mabhakitiriya akasiyana siyana nemavirusi;
• Doppler kudzidza;
• Kutora gynecological smear kutarisa pathogenic microflora.

Kurapa kwe hyperplasia

Saka, miedzo yose yakakosha yatumirwa, zvidzidzo zvakaitwa. Pashure pacho, placental hyperplasia uye chikonzero chayo chakaonekwa. Amai vari mberi vachafanirwa kupinda muchipatara kana hutachiona hunoita hutachiona hwekufukidzana kwemucheche. Mukadzi wacho achawana kurapwa kwakakodzera muchipatara.

Ukuru hwepentecenta kunogona kurongedzwa nekubatsira kwekugadzirira. Vanopawo zvakanaka microcirculation mumuviri we embryonic. Zvinokurudzirwa kupa mishonga inobatsira ropa rakaonda.

Iyo oxygenation ye fetus uye placenta inowanikwawo nemishonga inokosha. Zvinokosha phospholipid inobatsira masero kuti arege kuparara, nokuti ane mabasa akanaka ekuvaka.

Pashure pezvose, placenta hyperplasia yakaipisisa. Mishonga haiperi ipapo.

Ndeapi maitiro ekurapa achiri kushandiswa?

Uyewo mumwe nomumwe:

• Vitaminotherapy. Amai vamangwana vanofanira kunyatsodya, asi dzimwe nguva izvi hazvina kukwana. Mushure mezvose, mwana anoda zvinhu zvakawanda zvinobatsira uye mavitamini. Nokuda kweizvi, kugamuchira kwavo kubva kunze kunogadzwa.
• Kuchengetedzwa kwevairusi uye zvirwere. Izvi zvakakosha mune zvakaitika apo vakatungamirira ku hyperplasia.
• Therapy ye gestosis muzvikamu zvishoma. Gestosis inowanzova nengozi mukati mawo, kunyanya kana yakabatanidzwa neyekusimudza kwechikamu chakakosha chekubryonic separcenta.
• Intrauterine kuwedzerwa ropa nekusawirirana kweropa re fetal uye amai varo.
• Kurongeka kwemashuga eropa. Izvi zvinodikanwa apo chinokonzerwa ne hyperplasia ye placenta chava chirwere chakadai sechirwere cheshuga.

Ndezvipi zvingave zvisingadi kurapwa kwe hyperplasia? Kana iyo placenta ichinge yakasvibiswa, fetus inokura, uye zvikamu zvose zviri mumiganhu yakasununguka, saka hapana chikonzero chekurapa.

Kana pane kusawirirana neropa raamai nemwana, ipapo kutora kwakadai kunogona kudikanwa kukanganisa. Muchiitiko ichi, kuwedzerwa ropa mukati mekushaya ropa kunogona kubatsira. Kusvika iye zvino, iyi ndiyo nzira chete yekurapa chirwere chakadaro.

Nekuremera kwesimbi kunoshaiwa anemia, kudya kunobatanidzwa nezvokudya zvakanyanya musimbi zvinorayirwa. Asi kudya kumwe hakukwanisi. Zvadaro shandisa zvinodhaka zvine divalent iron uye vitamini C.

Hyperplasia ye placenta: migumisiro

Ndeipi ngozi huru yehutano hwakadaro? Nezve izvi zvakare.

Kune zviitiko zvakakomba zvikuru zvekusimudza kwepentecenta. Heano mamwe acho:

• Izvi zvinogona kuita kuti fetoplacental isakwanira. Somugumisiro, mwana angasava nemuviri wakakwana mune ramangwana, uye maererano nekudya kwakakwana kwe okisijeni, fetal hypoxia inogona kuitika.
• Izvi zvinokonzera kukura kwepinuterine, uyewo kuchava nemigumisiro yakaipa pamatambudziko ekuberekwa.
• Hyperplasia ye placenta panguva yekuzvitakura ichaita kuti isingagumi fetal hypoxia, iyo ichange iine huipi hwakaipa pakukura kwayo.
• Iyo fetus inogona kufa mudumbu.
• Mvura yakasununguka inogona kusiyana-siyana (izvi zvinotungamirira kuma polyhydramnios kana mvura yakadzika mazinga).
• Kuberekwa kunogona kupera nguva isati yakwana.

Mazano

Vanaamai vanguva inouya vanofanira kunyanya kubhadharwa mukubvunzurudzwa kwevakadzi kuitira kuti vawane nguva dzakasiyana-siyana dzisina kunaka. Nemhaka yokuti amai vane ramangwana ivo pachavo havakwanisi kuongorora chero hutachiona hwehutano hwehutano.

Kana ukaongororwa nachiremba, saka iwe unofanirwa kutevera nguva dzose mazano ake. Mushure mezvose, zvakanyanya kuipa kuva nepecental hyperplasia pamuviri. Mishonga inofanira kuva yakazara uye yakakodzera. Kana mukadzi akaratidzwa kuti ari muchipatara, anofanira kuteerera izvo chiremba anomuudza.

Kurapa, kutanga kwezvose, kunangwa kuve nechokwadi chokuti mwana anotevera achakura zvakakwana. Kuti pamuviri upedze nekuchengeteka uye mwana akaberekwa akaine utano, zvakakosha kuwana chikonzero nei chirwere chepentecenta chakasimuka.

Mhedziso

Nzira yakanakisisa yekudzivirira zvirwere zvakanyanya ndeyekuchenjerera kuronga kwekuita pamuviri. Musati mimba, muviri unofanirwa kugadzirirwa kubereka mwana. Kuti vaite izvi, vanoedza kuongororwa nezvirwere zvepabonde zvakasiyana-siyana, vanoongorora zvakakwana kuti vaone kusiyana kwehutano. Kana pane zvirwere zvisingaperi zvinowanikwa, dzinofanirwa kutarisirwa vasati vaita pamuviri. Mushure mezvose, amai vacho vanopesana nekutora mishonga. Kuongorora, uye kana zvichidikanwa, kurapwa, kunofanirwa kupfuura uye murume uyo achazobatanidzwa mukuita mimba.

Takaongorora chirwere chepaspental hyperplasia pamuviri.