I-placenta yilungu lexeshana elifunekayo elibonakalayo ngexesha lokukhulelwa. Iqala ukwakha emva kokufakwa kweqanda elikhulayo kwi-uterus, kwaye ngokuqhelekileyo le nkqubo igqitywa ngeeveki ezili-16 zokukhulelwa. Ngethuba lokukhulelwa, i-placenta inikeza ukuhambisa i-oksijini kunye nezondlo kumntwana. Ukuzimisela kobunzima be-placenta esekelwe kwimiphumo yokuhlolwa kwe-ultrasound inikeza ingcamango yokuba ihlangabezana njani nemisebenzi yayo.
I-Placenta Hyperplasia - Izizathu
Ubukhulu obuqhelekileyo be-placenta buchazwe kumanqaku amaninzi kumathambo. Cinga ubungakanani obuqhelekileyo beplacenta ngeveki. Ngoko, umzekelo, ubukhulu be-placenta kuma-21, 22 ne-23 eveki zesiganeko sihambelana no-21, 22 no-23 mm. Kwiiveki ezingama-31 zesisu, ubukhulu be-placenta buba yi-31 mm, kwiiveki ezingama-32 ne-33, i-32 kunye ne-33 mm, ngokulandelanayo. Ukukhula kwe-placenta kwenzeka ngaphambi kweveki yama-37 yokukhulelwa kwaye kufinyelele kuma-33.75 mm, emva koko ukukhula kwayo kuyayeka, kwaye ekugqibeleni kokukhulelwa, kukho ukucuthwa kwe-33.25 mm. Ukutywa kwe-placenta okanye i-hyperplasia ingabonakalisa uphawu lwezilwanyana ezahlukeneyo.
Izizathu ze-hyperplasia ye-placenta ziquka:
- isifo sikashukela esikhatywayo;
- I-Rhesus-impikiswano (ukuba owesifazane okhulelwe unesifo esibi seR Rh, kunye nomntwana wesisu unesimo esihle);
- izifo zentsholongwane ye-viral (i-acute infiratory infection, i-influenza);
- izifo ezenzekayo ngokungapheliyo, izifo ezithathelwana ngocansi (mycoplasma, ureaplasma, chlamydia, toxoplasma, gonorrhea, syphilis);
- i-anemia enkulu, kunye nokunciphisa kwamazinga e-hemoglobin angaphantsi kwe-80 g / l.
Ukuxilongwa kwe-placental hyperplasia kunye nokwandiswa (isikhalazo) kwindawo ye-MVP akufanelekiyika. Ukwandiswa kwe-MVP kwenzeka ukuhlawulwa kwemali-ekuphenduleni ukunyuka kwepentecenta.
Hyperplasia ye-placenta - unyango
Ukuba ibhinqa ineepentecenta ephakamileyo efunyanwe ngexesha le-ultrasound, kufuneka iphinda i-ultrasound ngeveki, kwaye yenza i-dopplerometry (i- doppler yabasetyhini abakhulelweyo -isifundo sokujikeleza kwegazi kwintambo yomthambo) kunye ne-cardiotocography (ukuqikelela inani kunye nobunzima bemivimbo yesifo emntwaneni). Ezi zifundo ziyimfuneko ukuchonga imeko yomntwana kunye nokuxilongwa ngokukhawulezileyo kokulibaziseka ekuphuculweni kwe-intrauterine.
Nge-hyperplasia ye-placental ye-placental ne-pathology engaphelelanga kwintsholongwane, unyango aluvumelekanga. Ukuba uphando olongezelelweyo luqinisekisa ukulibaziseka ekuphuhlisweni komntwana komntwana kunye ne-hyperplasia ye-placental, lo mfazi kufuneka abe esibhedlele ukunyangwa.
Kucetyiswa ukusebenzisa izidakamizwa eziphucula i-microcirculation kwi-placenta (i-pentoxifylline, i-trental), iziyobisi ezityhila igazi (i-curantil, i-cardiomagnet). Kubalulekile ukusebenzisa izidakamizwa eziphucula i-oxygenation ye-placenta kwaye, ngokufanelekileyo, i-fetus (actovegin). Impembelelo efanelekileyo yokwelapha ibaluleke kakhulu. Ukusetyenziswa kwe-phospholipids ebalulekileyo njengento yokwakha yeseli ekuthintela ukutshabalalisa. Ukusebenza kwonyango kuya kwanda xa kufakwe unyango lwe-vitamin E kunye ne-folic acid.
I-Hyperplasia ye-placenta - imiphumela
Ukwanda kwenyameko ye-placenta kubangela imeko ebizwa ngokuba yi-fetoplacental insufficiency,
Ngoko, saqwalasela izizathu ezinokwenzeka, iindlela zokuxilongwa kunye nokunyangwa kwe-placental hyperplasia. Le ngozi yokukhulelwa iyakulungiselela kakuhle ukulungiswa kwezidakamizwa. Umsebenzi oyintloko womfazi okhulelweyo ubhaliso olufanelekileyo ngexesha lokubonisana kwabasetyhini kunye nokuphunyezwa kwazo zonke iingcebiso zegqirha zonyango kunye nokuxilongwa.