Buku kuchotsa latuluka: njira ndi zipangizo ntchito

Latuluka - chiwalo chimene chimathandiza adzabala mwana m'mimba. Iwo akukamba zakudya mwana wosabadwayo, kuteteza izo kwa chilengedwe mkati thupi mayi umabala mahomoni kofunika kukhalabe mimba, ndi zambiri zimagwira ntchito zosiyanasiyana, zomwe ife tingakhoze kokha ndikulingalira.

mapangidwe nsengwa ndi

latuluka mapangidwe akuyamba ndi nthawi pamene dzira amamangirira khoma uterine. Endometrium limakula pamodzi ndi dzira, mwamphamvu chikukonzekera kuti linga la chiberekero. Pa nsonga ya mgwirizano wa zygote ndi mucous latuluka limakula pa nthawi. Otchedwa placentation kumayambira Msabata lachitatu la mimba. Mpaka sabata chimodzi cha chipolopolo embryonic amatchedwa chorion.

Isanafike sabata khumi a latuluka alibe histological bwino ndi dongosolo anatomical, koma pambuyo, mpaka pakati pa trimester lachitatu, ali mawonekedwe a chimbale zaikidwa pakhoma uterine. Kumbali kunja kwa mwana umbilical chingwe chimafikira, ndi mbali mkati ndi pamwamba ndi ulusi umene tiwolokere mu magazi akuchikazi.

ntchito placental

mpando mwana ndipamene kugwirizana pakati pa mwana wosabadwayo ndi thupi la mayi kupyolera angalole magazi. Zimenezi zimatchedwa gematoplatsentarny chotchinga. Morphologically ndi nsupa wamng'ono ndi makoma woonda limene lili villi chabwino kudutsa pamwamba placental. Iwo anakumana ndi mipata inali ku linga la chiberekero, ndipo magazi amazungulira pakati pawo. limagwirira limapereka ntchito zonse za ulamuliro:

1. kuwombola mpweya. Mpweya ndi atsopano a magazi akuchikazi kugwa kwa mwana wosabadwayo, natengedwa ku mpweya.
2. Zakudya ndi kusankha. Kudzera latuluka mwana amalandira zonse zofunika kwa kukula ndi chitukuko cha zosakaniza: madzi, mavitamini, mchere, electrolytes. Ndipo pambuyo wosabadwa metabolizes iwo urea, creatinine, ndi mankhwala ena onse yagwiritsa ntchito latuluka.
3. Mahomoni ntchito. The latuluka amatulutsa timadzi zimene zimachititsa mimba: progesterone, anthu chorionic gonadotropin, prolactin. Mu magawo oyambirira udindo umenewu zimatengera pa thupi chikasu ili n'kuwasanganiza lapansi.
4. Chitetezo. Gematoplatsentarny chotchinga chindiletsa antigens ku magazi a mayi kulowa magazi a mwanayo, mu Komanso, nsengwa sikuti kudali mankhwala ambiri, maselo awo m'thupi ndi kufalitsidwa maofesi m'thupi. Komabe, permeable mankhwala, mowa, fodya, ndi mavairasi.

Mlingo wa kukhwima wa nsengwa ndi

Mlingo wa kusasitsa wa latuluka chimadalira pa nthawi ya mimba. Thupi ili ndi kukula pamodzi ndi zipatso ndi kuphedwa pambuyo pa kubadwa kwake. Pali madigiri anayi wokhwima wa nsengwa ndi:

• Ziro - mu njira yachibadwa mimba amatenga miyezi isanu ndi mwezi. Ndi ndi wochepa thupi, zonse kumawonjezera ndi kutitengera mipata yatsopano.
• Choyamba - limafanana ndi chitatu mwezi gestational. kukula placental mabasi, amakhala thicker. Ichi ndi chimodzi mwa nthawi yovuta kwambiri pa moyo wa latuluka, ndipo ngakhale alowererepo pang'ono zingachititse retinal detachment.
• Chachiwiri - akupitiriza mpaka mapeto a mimba. The latuluka kale wayamba kukalamba, miyezi naini ntchito mwakhama, iye ali wokonzeka kusiya uterine M'mimbamo mwanayo.
• Chachitatu - zingaoneke ku sate-chiwiri mlungu gestation, kuphatikiza. Ichi ndi thupi kukalamba, limene chitamaliza ntchito yake.

placental

Ambiri zambiri ili latuluka pa khoma kumbuyo kwa chiberekero kapena masiwichi khoma mbali. Koma ndithudi kotheka kuti tipeze yokha pamene magawo awiri a mimba latha. Ichi ndi chifukwa chakuti chiberekero umakhala kukula ndipo amasintha mawonekedwe ake, ndi latuluka limayenda limodzi ndi izo.

Kawirikawiri pa panopa ultrasound bwinobwino dotolo anati malo nsengwa ndi msinkhu wake ndi kulemekeza ubwenzi wa pakhosi uterine. Mwachibadwa, ndi latuluka khoma kumbuyo ndi mkulu. masentimita osachepera asanu ayenera kukhala pakati m'mphepete lamkati la pakhosi ndi wachitatu trimester latuluka. Nthawi zina ngakhale amakwawa pansi pa chiberekero. Ngakhale akatswiri amakhulupirira kuti dongosolo limeneli, nawonso, sizitanthauza ndi yobereka bwino. Ngati chithunzi ichi n'chozama, ndiye dokotala obstetricians kulankhula za nsengwa otsika kunama. Ngati pakhosi Malo latuluka minofu alipo, ndi pangano ulaliki wake.

Pali mitundu itatu ya previa:

1. Full pamene nsagwada mkati anatseka latuluka. Kuti mwambo detachment msanga ndi kutaya magazi chachikulu, zimene zinkatanthauza imfa ya mwana wosabadwayo.
2. A praevia tsankho zikutanthauza kuti okhetsedwa aphimbidwa osaposa lachitatu.
3. Mmphepete previa wayikidwa pamene m'mphepete placental ukufika kamwa, koma pitirani. Izi ndi zotsatira zabwino kwambiri.

nthawi yoperekera

Normal yobereka thupi umayamba nthawi ya maonekedwe a contractions zonse fupipafupi pakati. Mu obstetrics, pali atatu nyengo ntchito.

Woyamba nyengo - ndi dilatation khomo lachiberekero. Kubadwa ngalande ayenera kukonzekera chakuti mwana wosabadwayo adzakhala chokwawa padziko iwo. Iwo ayenera kukuza ndi kukhala mosavuta ndi lililonse limatisokoneza. Pa chiyambi cha nthawi yoyamba dilatation khomo lachiberekero - masentimita awiri basi, kapena azamba chala chimodzi, ndi mapeto iwo amayenera kufika khumi kapena khumi ndi ziwiri masentimita zachitika ndi nkhonya. Only mu nkhani iyi mutu wa mwana akhoza kubadwa. Nthawi zambiri, kumapeto kwa nyengo ya kumachitika Kuwulura amniorrhea. Total Chinthu choyamba chimakhala pakati pa asanu ndi khumi maola.

The nthawi yachiwiri amatchedwa athamangitsidwe wa mwana wosabadwayo. The contractions m'malo mwa zoyesayesa pachabe, fundus kwambiri yafupika ndipo amakankhira mwanayo. chipatso akamayendetsa m'njira kubadwa, kutembenuzira malinga ndi thunthu la mafupa a chiuno ndi. Malinga ulaliki kwa mwana abadwe mutu kapena bulu, koma azamba iyenela kuthandiza iye abadwe mu udindo uliwonse.

Nthawi yachitatu amatchedwa zinayendera ndi kuyamba kubadwa komanso limatha ndi maonekedwe a latuluka lapansi. Bwinobwino ndipo udzakhala theka la ora, ndipo patapita mphindi khumi ndi zisanu ndi latuluka umatilekanitsa khoma uterine ndipo zoyesayesa otsiriza anachotsedwa m'mimba.

Kuchedwa namtsata ndi kulekanitsidwa

Chifukwa cha kuchedwa kwa latuluka mu uterine M'mimbamo kungakhale hypotension increment latuluka ake, dongosolo kapena malo a anomaly latuluka, placental maphatikizidwe ndi khoma uterine. Zifukwa mu nkhani iyi ndi matenda yotupa wa endometrium, ndi zipsera gawo la Kaisara, fibroids uterine, komanso mbiri ya padera.

Anapitiriza latuluka chizindikiro magazi mu gawo lachitatu la ntchito ndi pambuyo. Nthawi zina magazi si ikuyenda yomweyo, ndipo amasonkhana chiberekero. Chotero magazi zamatsenga kungachititse kuti hemorrhagic mantha.

latuluka increment

Latuluka accreta otchedwa kuphatikana ake zolimba khoma uterine. The latuluka angathe kugona mucosa, ndi kumizidwa mu khoma uterine kugonjetsa wosanjikiza minofu ndi mwa zigawo zonse, ngakhale kukhudza peritoneum.

Buku kuchotsa nsengwa ndi zotheka pa nkhani ya increments woyamba digiri, ndiye pamene chosasunthika kwa mucosa ndi. Koma ngati increment wafika mlingo wachiwiri kapena wachitatu, ndiye muyenera ena opaleshoni. Childs, ndi ultrasound akhoza kukhala wolemekezeka monga mpando mwana zaikidwa pakhoma uterine, ndi pasadakhale kukambirana mfundo imeneyi ndi mayi m'tsogolo. Ngati malo amenewa a nsengwa ndi kuvutika dokotala amaphunzira pobereka, ndiye ayenera kutenga za chiberekero kuchotsa njira.

Njira kuchotsa Buku latuluka

Pali njira zingapo kuti kuchotsa Buku la latuluka lapansi. Iwo akhoza amayendela padziko mkazi pamimba mimba, pamene otsiriza monga extruded ku chiberekero, ndi zina, madokotala amakakamizidwa kwenikweni dzanja kutenga nsengwa ndi zimagwira ntchito zosiyanasiyana.

Ambiri ndi phwando Abuladze, pamene mkazi azamba mokoma zofikisa khoma m'mimba ndi zala zanu, kenako amapereka ake Kankhani. Yekha pa mfundo zimenezi zathandiza m'mimba mwa mawonekedwe a makutu kotenga. Popeza kuthamanga mkati M'mimbamo wa ukuwonjezeka chiberekero, ndipo pali kuthekera kuti nsengwa yokha wabadwa. Komanso puerperas cannulated chikhodzodzo, izo kumapangitsa chidule cha minofu uterine. Lowani mu mtsempha oxytocin pamene yotithandiza ntchito.

Ngati kuchotsa Buku nsengwa ndi khoma m'mimba inefficiently amagwiritsa ntchito azamba kwa chipinda chamkati.

wotsatira njira kupatukana

Njira Buku kuchotsa latuluka ukuchitika izo kwa ndalama uterine patsekeke. Azamba mu mogwirizana wosabala anayambitsanso dzanja lake mu chiberekero. Zala ndi pazipita anapatsidwa kwa wina ndi mzake ndipo anatambasula. Kuti kukhudza izo zisanafike nsengwa ndi kayendedwe mosamala kuwala chopping, amalekanitsa kuchokera pampanda wa m'mimba. Buku kuchotsa latuluka ayenera kukhala osamala kudula khoma la chiberekero ndi chifukwa magazi chachikulu. dokotalayo chizindikiro kwa wothandizira, kotero iye anakokera chingwe, ndi kukoka mpando mwana ndipo fufuzani kwa mosalekeza. Mzamba pakali pano akupitiriza kumva chiberekero kuchotsa nsalu iliyonse owonjezera ndipo onetsetsani kuti mkati anachoka zidutswa latuluka, monga izi zingakubweretsereni matenda postpartum.

Buku kuchotsa nsengwa ndi kumafuna kutikita la chiberekero, pamene dzanja limodzi ndi mkati dokotala ndi ena mokoma amakankhira kunja. Choncho analimbikitsa chiberekero zolandilira, ndipo yafupika. Ndondomeko anachita pansi ambiri kapena m'dera ochititsa dzanzi m'mikhalidwe aseptic.

Zovuta ndi sequelae

Zovuta ntchito magazi mu nyengo ya postpartum, ndi hemorrhagic mantha, amagwirizana ndi kutaya magazi chachikulu kwa ziwiya latuluka. Ndiponso, buku kuchotsa nsengwa ndi n'koopsa uterine perforation ndi chitukuko cha postpartum endometritis kapena sepsis. Pokumana ndi zoipa, akazi pa chiopsezo osati thanzi lawo ndi luso ndi ana m'tsogolo, komanso moyo.

kupewa

Pofuna kupewa mavuto pa ntchito, muyenera bwino kukonza mtembo wako kwa mimba. Choyamba, mwana ayenera kukonzekera, chifukwa mimba kumaphwanya kumlingo kapangidwe ka endometrium, chifukwa mu tinkakondana zolimba mipando mwana mu mimba wotsatira. M'pofunika yake oterewa ndi kuchiza matenda patsogolo pa mapeto a dongosolo genitourinary, monga iwo angakhoze bwanji kugwira ntchito ubereki.

Ndi bwino kuti achotse zachiwerewere popanda kugwiritsa ntchito njira chotchinga cha kulera, kusunga munthu ukhondo boma ndi kuthandiza chitetezo cha m'thupi mu nthawi yophukira-masika.

Iwo amagwira ntchito yofunika kwambiri mu Timeliness wa mimba kaundula. Mwamsanga bwino mwanayo. Madokotala obstetricians amaumirira kuyendera chipatala antenatal m'nthawi ya gestation. Onetsetsani kuti kutsatira malangizo, kuyenda, kudya, kugona wathanzi ndi masewera olimbitsa thupi komanso kupewa makhalidwe oipa.