Ukophulwa yokumpompoza kwegazi ngexesha lokukhulelwa: oonobangela, iimpawu, unyango

Ukuze idlulise ukutya neoksijini ukusuka kumama ukuya wengane ngumkhaya. Ngenxa oku kudityaniswe nkqubo ezimbini nzima nemithambo. Omnye wabo inxulumanisa iplacenta kwemithambo zesibeleko, kunye nezinye - kunye imfesane yosana. Kulo mzekelo, ngumkhaya na umqobo elikhusela usana kwamagciwane kunye izinto eziyingozi. Kuyenzeka ukuba ngexesha US kukho ukuphazamiseka yokumpompoza kwegazi ngexesha lokukhulelwa, nto leyo enokuchaphazela uphuhliso wosana.

Doppler

Eli gama okungaqhelekanga i inkqubo yoxilongo ukubona naliphi ngezifo igazi-flow kwemithambo yegazi. Ngenxa yoko, izixhobo ezikhethekileyo yakhiwe dopplerograms, ebonisa umahluko rhoqo phakathi wathumela uphawu kubonakala. Uphando lwenziwa kwimo eqhelekileyo okanye mapping umbala, oko kukuthi, intshukumo igazi kwemithambo iyavezwa ngombala. Le ndlela yokugqibela ikuvumela ukuba ngokukhawuleza ngokuchanileyo uphawula ukwaphulwa kancane Esibelekweni-placental flow kwegazi.

Doppler lwenziwa elele ngomqolo yakho okanye ecaleni. Ngelo xesha ngecala lakho uyakwazi ukufumana result lokwenyaniso kuba ngasemva abakhulelweyo ezininzi iqala ithoni, Nokumphikisa izifo ezahlukahlukeneyo. Zeengcali iquka icandelo gel yacazululwa yaza iqala ukuqhuba isivamvo kuso.

Olu phengululo kwenziwa ngabo bonke abasetyhini abakhulelweyo, kunye zokuqala (iiveki 18-22) kunye yesibini (iiveki 32-34) zokuhlola. Oko kwenziwa kwi ixesha eliphakathi xa kuboniswe.

Oonobangela lokuhamba kwegazi

Ukuze ubone ukuba ukusilela kwinkqubo ukuhamba, iingcali ngabasetyhini ultrasound kunye Doppler velocimetry. Oku kukuvumela ukuba ubone iziphene imithambo yegazi, ukuba ukulandelela isixa oksijini nezondlo ezifunyenwe yi olungekazalwa.

Amaxesha amaninzi, oomama abakhulelweyo uyazibuza ukuba kutheni kukho kophulwa yokumpompoza kwegazi ngexesha lokukhulelwa. Izizathu eziphambili zale meko:

• ubudala A bhinqa (kwangethuba kakhulu okanye, phezu koko, emva kwexesha).
• A umsantsa encinane phakathi nokuzala.
• Yokukhulelwa (toxemia ukukhulelwa emva kwexesha).
• Neoplasms kwi isibeleko (ezifana fibroids), ngezifo myometrium endometriosis.
• Diabetes osegazini.
• Kwegazi.
• iingxaki zezintso.
• usuleleko intrauterine ngenxa izifo wentsholongwane egazini kwabasetyhini.
• ukukhulelwa ezininzi.
• isisu ninzi okanye kwezisu.
• Anaemia (ukungabikho yentsimbi).
• Ngumkhaya previa.
• Rhesus-ingxabano.
• iingxaki Blood ekunqandeni ukuba ukhokelele ekubeni kusekwe of egazi.

The degree of ukuphazamiseka flow kwegazi

Okwangoku, kukho izidanga ezintathu ngezifo. Le isidanga sokuqala yahlulwe zenyathi ezimbini: 1A (kakuhle igazi uteroplacental) kunye 1B (kwegazi iingxaki phakathi kwimveku kunye ngumkhaya). Ngelo ngokuzalana kukho iingxaki zombini iinkqubo ( "isibeleko - beendawo" yaye "beendawo - umbungu '). degree wesithathu wabeka abo bafazi abaye baba iingxaki ezinkulu kunye nokuhamba kwegazi.

Isigaba sokuqala sale isifo efanele hlengiso iziyobisi, ngenxa yoko umntwana ophilileyo. Kwezinye iimeko, kukho ingozi yokuba ukufa osana.

Types of insufficiency placental

Ukuba ukufukama usana zityhila ukuhlukunyezwa yokumpompoza kwegazi, oogqirha badla ukuxilonga "placental insufficiency". Xa bekhulelwe, le ngezifo yinto exhaphakileyo kwaye inokuba oyingozi okanye engapheliyo. Le fom etsolo uyakwazi ukuvela ngesiquphe, nangaliphi na ixesha, ngenxa olungekazalwa abafumana hypoxia kwaye afe. Oku kunokwenzeka kunye abruption placental ngaphambi kwexesha, iposi placental, ukuyilwa egazi.

Le fom esingapheliyo yondele kuxhaphake kakhulu. Ngokuqhelekileyo oku kwenzeka emva kweeveki-13, njengoko kubonisiwe leenyanga ezintathu lesithathu. Ngenxa yoko kwesikhumba ngumkhaya. Kuxhomekeka nobungozi besi sifo ihlawulelwa, decompensated, subcompensated, amadlala.

Xa isigaba babuyekezwe wosana uyaqhuba ukuphuhlisa ngokuqhelekileyo, njengoko ezi nguqu ndayishenxisa iindlela zokuzikhusela komzimba ababhinqileyo. Zokugula decompensated akasayi kuphinda ukumelana neengxaki, kunye result ukuba umbungu emsebenzini oksijini izivuka, abazizidalwa ngokukhula kunye ukungasebenzi kwentliziyo. isigaba Subcompensated esi sifo kukhokelela ukulibaziseka kuphuhliso usana, ngokunjalo ukufa kwakhe kunokwenzeka. Ifomu olunzima kakhulu kugqalwa insufficiency ebalulekileyo placental. Oku akwenzeki rhoqo kakhulu, kodwa kukhokelela ekuqaleni ukufa kunqandwa komntwana.

Eyona engundoqo Iimpawu zesi sifo

Ngokuxhomekeka kuhlobo negazi zingavela ngeendlela ezahlukeneyo iimpawu zayo. Ingahlawulwa insufficiency placental ngexesha lokukhulelwa akuthethi ukuzibonakalisa, ngoko ufunde kuphela ebudeni ultrasound. Xa uhlobo etsolo decompensated kwaye kuvela kwi perturbations ukutshintsha usana: ebuya kuyinto enkulu, oko kuncinane kakhulu. Kulo mzekelo, kubalulekile ukuba sigcine iso kwesi salathisi (per iziqhamo ngemini kufuneka ukuhambisa amaxesha ubuncinane 10).

Njengoko iimpawu ezongeziweyo kusenokucotha ezikhulayo esiswini, ukuswela okanye ezingaphezu fluid. Ngaphandle kwezi musa ukufumana elilandelayo, ngoko ufuna ukutyelela ugqirha ukugcina umkhondo utshintsho imilinganiselo. Kuyenzeka ukuba ukuphazamiseka ukuhamba kwegazi ikhapha yokukhulelwa - toxicosis kade yokukhulelwa. Ifakwe kwi iimpawu okhoyo uxinzelelo oluphezulu lwegazi, kukho inzuzo ubunzima elibukhali, nokudumba, zinomgutyulo wokuchama of protini.

Uphawu ingozi insufficiency placental - imbonakalo igazi emjelweni ekuzalweni, ezinxulumene abruption placental. Xa urhulumente enjalo kuphela iingcali ambulensi.

unyango lwezifo

Ukuba umfazi ityhila okwandileyo viscosity igazi okanye umkhuba thrombosis, amaxesha amaninzi lithe ukuphazamiseka flow kwegazi. Xa ukhulelwe, unyango emiselweyo kuphela ngugqirha, emva kokuba sonke kufuneka ukuba wenze amalungiselelo ezinzulu. Amaninzi amisele iziyobisi ezifana "Kurantil", "Trental" yaye "Hofitol". Bona obhityileyo igazi kwaye kuphuculwe ukuhamba naye esebenzisa imithambo.

Amaninzi, abasetyhini abakhulelweyo ezimiselweyo "Kurantil", nto leyo lisetyenziswa nokubeleka ngaphezu kweminyaka engama-15. Ichiza alwa ngayo umsebenzi walo - bunjani kwegazi ngenxa ukuxutywa yayo, aluyiyo egazi kwaye inceda zibe imithambo yegazi entsha, iphucula amajoni omzimba.

Kwakhona, abafunwayo "Trental" - ichiza elo kuyafana kwi intshukumo isimaphambili se "Curantylum". Nangona kunjalo, iye eziluncedo kakhulu: ichiza ayinyuki iimpahla intliziyo gqolo ukhupha into esebenzayo iiyure ezili-12.

Kuyenzeka ukuba Umfazi xa athe kophulwa kancinane yokumpompoza kwegazi ngexesha lokukhulelwa. Unyango kule meko ikhutshwa phandle "Hofitol" - ichiza kunye namacandelo izimbiwa kunye nezityalo (umzekelo, artichoke intsimi juice amagqabi). Uphethe isiphumo kancinane umchamo kwaye ukuwonakalisa esibindini.

Iindlela zonyango izidanga ezahlukeneyo Pathology

I isidanga sokuqala sifo ibandakanya ulawulo neziyobisi ukuphucula nokuhamba kwegazi. kwakhona oogqirha baya kuqhuba Doppler kunye cardiotocography (ukubetha kwentliziyo) yosana olungekazalwa the Dynamics. Uphando kufuneka kwenziwe ngaphandle amaxesha 1-2 nganye iintsuku ezisi-7. Ukuba Dynamics ezintle mfazi uya kuqhubeka kuthwala usana phambi kokuzalwa. Ukuba izikhombisi maxongo, kubalulekile ukwenza uphando yemihla ngemihla, ukwenzela ukuthintela utshintsho vuhlayiseki kunye ukubamba kaxakeka Uqhaqho kwangethuba. Ekuhanjisweni Palsy yesiqhelo kwenziwa ngokwendalo.

iphula yokumpompoza kwegazi grade 2 ngexa lokukhulelwa nalo zifo. iziyobisi ezisetyenziswa ngokuxhaphakileyo ziyafana njengakwimeko yokuqala, ukwamkelwa Noko ke, lo mfazi uya kufundiswa. Oogqirha baya kubeka esweni utshintsho emzimbeni uze ubambe unikezelo kwangoko xa kuyimfuneko.

degree Okwesithathu asinyangeki kuba nemiphumo ayibuyiseki umva ziqala ukubonakala. Kule meko iingcali azikho esichengeni ubomi bomntwana, immisele umsebenzi kaxakeka.

ukuvimbela

Wonke umfazi amandla ukwenza umntwana yakhula baza akukho zingxaki. Ukuze wenze oku, uya kufuneka ukubukela otya wenu: kufuneka ibe ezininzi weevithamini, iiminerali, iiprotheni kunye nezinye iikhompawundi ebalulekileyo. Ukuba umfazi okhulelweyo awehlelwa ukusuka ukudumba, kunyanzelekileyo ukuba ukusela imihla ubuncinane 1 ilitha ulwelo (kukhethwa amanzi).

Kubaluleke kakhulu ukuba ukulawula ubunzima bakho - inzuzo xa ukufukama usana inokuba ubuninzi-10 kg. Abanye abafazi kufuneka uthintelo kweziyobisi, ukumisela ukuhamba kwegazi phakathi unina kunye engekazalwa. Uyalumkisa iphula yokumpompoza kwegazi ngexesha lokukhulelwa. Khumbula ukuba ubomi bomntwana kuya kukunceda ugcine ubuchule echanekileyo yolawulo yabasebenzi kunye uxhulumaniso kwala machiza.