Ukuphambuka kwegazi lokuhamba ngegazi eliyingxowankulu yinto eyingozi yokukhulelwa, okwenzeka ngokuphindaphindiweyo kwimimiselo kamva. Ukuphulwa okunjalo kwahlulwa ngama-3 degrees of gravity.
- Idiresi yokuqala , ekwahlukana ngayo iA ne B:
- Ukuphazamiseka kwe-flow of blood flow 1a degree - kuphela phakathi kwesibindi kunye ne-placenta.
- Ukuphazanyiswa kwegazi lokuhamba ngegazi eliphakathi kwe-placenta kunye ne-fetus.
Iimbangela zokungcola kwegazi ephahleni
Ukuphambana nokuhamba kwegazi phakathi kwesibeleko somfazi kunye ne-placenta kungabangelwa zimbalwa zezizathu ezibangela ukungakwazi ukuphazamiseka kwe-placental:
- ukwanda kwengcinezelo yengcinezelo yegazi (ikakhulukazi ngokukhulelwa kwe-gestosis);
- Ukuvuvukala kwemiphunga kunye nayiphi na intsholongwane ye-virus okanye ibhaktheriya kumfazi;
- ukususelwa kwintsholongwane emntwaneni;
- Isifo sesifo kwintombi;
- isifo sikashukela;
- izifo zesistim zokukhulelwa.
Ukuchongwa kwephulo lokuphuma kwegazi
Fumanisa ukuba ukuhamba kwegazi le-placenta kuncishisiwe, unako nge-doplerogram yeempahla zepentecenta. I-Dopplerometry ye-uteroplacental blood flow iqhutyelwa:
- ubukho bomama ezifo ezingabangela ukuphulwa;
- ne-syndrome ye-intrauterine yokulinda ukukhula;
- izifo ezingenabantwana kunye nezifo ze-chromosomal ze-fetus;
- Ukuguga kwangaphambili kweplacenta ;
- kunqongophala kwamanzi kunye namanzi;
- iimpawu ze-hypoxia yesisu.
Nge-doplerometry, utshintsho kwi-frequency ye-ultrasonic oscillations lubhalwa ngokuxhomekeka kwegazi kwiimpahla apho isalathisi senzwa sibonakaliswa kwaye sibhalwa njengekhava. Yenza i-dopplerometry njengeempahla zeetriyeri ze-uterine, kunye neempahla zentambo ye-fetus.
Izalathisi eziphambili eziqwalasela oku kunye neetafile zifaniswa namaxabiso aqhelekileyo kulo xesha lokukhulelwa:
- i-index index (PI);
- Inkcazo yokuchasa (IR);
- isilinganiso se systolic-diastolic (SDO).
Unyango kunye nokuthintela ukuphazamiseka kwegazi lokuphuma kwegazi
Ukuthintela ukuphulwa kukufunyanwa ngokukhawuleza kwamacandelo okubeka umngcipheko kule nkcenkceshelo kunye nokunyangwa kwezifo ezifike ngexesha elibangelwa le ngxaki. Ukunyangwa kwephulo kusebenza:
- iziyobisi ezinciphisa ukucima igazi kunye nokuphucula i-microcirculation;
- iziyobisi ezandisa ukuzinza kobuchopho be-fetal kwi-hypoxia;
- iziyobisi eziphucula isisu;
- ukuba kuyimfuneko - iziyobisi zomshoshaphansi kunye ne-antibacterial, immunomodulators.
Kwiingcebiso eziqhelekileyo - isondlo esifanelekileyo sabasetyhini, ukunciphisa uxinzelelo lomzimba kunye nomoya.
Kwaye ama-3 degrees of disturbance of blood flow aqhuba ngokukhawuleza.