Ngeli gama kwipilisi kuyinto yesiko ukuqonda ukuqokelela kwamacenge egazi kwindawo ngqo phakathi kwodonga lwe-uterine kunye neqanda lomntwana. Ukuvela kwelophulwaphulo kunokwenzeka kuphela kwi-trimester yokuqala yokukhulelwa, de kube kusetyenziswe i-placenta. Emva koko, i-hematoma eye yavela kule ndawo iya kuthiwa yi-retroplacental.
Ngenxa yoluphi ulwaphula umthetho?
Ngaphambi kokuba sihambe ngqo kwimiphumo engafanelekanga kumntwana, siza kuxela ukuba kutheni ekwakheni kokukhulelwa i-hematoma ye-retrochoric ingenza.
Kwiimeko ezininzi, iingubo zegazi zibangelwa isongelo sokupheliswa kokukhulelwa. Nangona kunjalo, i-hematoma inokubangelwa ukuphulwa kwemigudu yegazi ngokuthe ngqo ngamacwecwe e-chorion ngexesha lokukhula kweqhekeza ngokwalo.
Iyintoni ingozi ye-hematoma ye-retrochorional ngexesha lokuzala komntwana?
Izibikezelo ezingavumelekanga oogqirha banikezela kuloo matyala xa ubukhulu be-hematoma bufikelela kwi-60 cm3 sup3, kwaye nangona indawo yalo ihlala ngaphezu kwe-40% yobukhulu beqanda lomntwana.
Ukuba sithetha ngokuthe ngqo ngemiphumo ye-hematoma ye-retrochoric eyenzeka ngexesha lokukhulelwa, kungaphezulu kwayo yonke into:
- ukukhupha isisu (ukuphuphuma kwesisu);
- ukukhulelwa okukhenkce;
- i- hypoxia ye- intrauterine yomntwana wesifo esingapheliyo;
- ukuphuculwa kwentuthuko yengane.
Ukusuka ngasentla, sinokugqiba ukuba, ukuba ukukhulelwa kulungile, kwaye ukuba i-hematoma ayinyuswanga ngokuvakalayo, umntwana uza kuzalwa, kodwa ukukhubazeka kuya kuphuhliswa. Ngokuqhelekileyo, phakathi kwabo kunokuthiwa ukuphulwa kwentuthuko yengqondo, ukukhubazeka kwentetho, into engaqhelekanga nge-hematoma enkulu. Nangona kunjalo, kunye nobukhulu obuncinane be-hematoma, i-resorption yayo yokuzimela iyabonakala.