Ukugqithisa ukuhamba kwegazi ngexesha lokukhulelwa kungaholela kwimiphumo engapheliyo kumntwana. Ukunciphisa ukuphuhliswa kwe-intrauterine, i-hypoxia, izinto ezingahambelani nobomi kunye nokufa komntwana-olu luhlu lweengxaki ezinokuvela kwimpembelelo kwinkqubo esebenzayo yokusebenza komntwana we-placenta-child. Ngenxa yoko, ukwazi ukuba kubangelwa ukuphulwa kwegazi ngexesha lokukhulelwa, oogqirha bajonga iliso le-placenta kwaye bazame ukuqwalasela yonke into ebangela ingozi ekuqaleni kokukhulelwa.
Izizathu zokuphazamiseka kwegazi ngexesha lokukhulelwa
Wonke umntu uyazi ukuba i-placenta yilungu elithile elithile lexeshana elidibanisa iinkqubo zombini ze-circulatory: umntwana kunye nomama. Injongo esheshayo yeplacenta yonikezelo lwezondlo kunye nokukhuselwa kweemvuthu. Ukongezelela, umzimba ubonisa iimveliso zomsebenzi obalulekileyo wendalo encinci. I-placenta idibana nenkqubo yesistim yomama kunye nosana lwakhe, ngoko ke iintlobo ezimbini zokuhamba kwegazi: i-utero-placental and fetal placental. Ukuba enye ikwaphulwa, yonke inkqubo ihlupheka, kwaye ngenxa yoko, umntwana.
Kukho izizathu ezininzi zezi zifo. Ngokwenzululwazi, indima ebalulekileyo ekwakheni i-placenta eqhelekileyo, idlala isethi yemfuza. Nangona kunjalo, ezinye izinto zichaphazela le nkqubo. Ngokukodwa, iqela elijongene nobungozi kubandakanya abasetyhini aba:
- waqala ukuhlala ubomi bokulala ngokwesondo;
- wayenamaqela amaninzi ezesondo;
- wathabatha iziyobisi, wayetywala kwaye wayophula;
- izifo ezingapheliyo;
- unembali yokulahleka kwamathambo , ukukhulelwa okukhuni kunye nokukhipha isisu .
Iintlobo zeengxaki ze-hemodynamic
Kukho iintlobo ezininzi zokungenakulungelelaniswa kwamaplahla, ngasinye sinezinto ezizimeleyo kunye nobungozi:
- Ukuphazamiseka kwegazi ngexesha lokukhulelwa i- 1a degree - le meko ibonakaliswe kubukho bezinto ezingaqhelekanga kwi-utero-placental blood flow, ngelixa kwiseystem sub-system, i-pathologies ayigcinwanga. Xa ukhulelwe, ukungazi kakuhle kwegazi 1a degree akuyona imeko ebalulekileyo kwaye iyaphathwa kalula.
- Ukuphambuka kokuhamba kwegazi ngexesha lokukhulelwa i- 1b degree - kule ngxaki i-pathology iyabonakala kwi-flow-placental blood flow. Nangona kunjalo, imeko yomntwana isanelisayo.
- Ukuphambuka kokuhamba kwegazi ngexesha lokukhulelwa kwee- 2 ne-3 degrees - ukugqithisa okungakumbi kumsebenzi wezo zombini iinkqubo, ezikhokelela kwiinkcenkceshela, kuze kube sekufeni kwesiqhamo.
Ukuze uphephe iimpembelelo ezingenakuguquka kunye nokufa komntwana, ukuphulwa kwegazi ngexesha lokukhulelwa kufuneka kufunyanwe ngexesha elifanelekileyo. Ngenxa yoko, oomama abazayo benza i-ultrasound ne-dopplerometry. Kuze kube yiminyaka, le yodwa yodwa, kodwa indlela esebenzayo yokuxilonga.