Isimo esibekwe yiDavial Placental Detachment
I- hematoma ye-subchorionic ukuqoqwa okungavamile kwegazi phakathi kwe-placenta nodonga lwesibeletho. Ososayensi abazi kahle ukuthi kungani lokhu kwenzeka, kodwa, kwezinye izimo, kungabangela ukuphazanyiswa komzimba kwamathambo okuphahlazeka noma ukunamathiswa okungavamile kweqanda elikhuliswe ngesikhathi sokutshala.
Ngenkathi isimo esinjengalokhu singabangela i-alamu ngokufanele, akufanele siphakamise ukuthi uzolahlekelwa ngumntanakho.
Eqinisweni, uma i-hematoma encane, iqala ngesikhathi sokukhulelwa, futhi ngaphandle kwalokho ayikho izimpawu, ithuba lokuthwala ingane yakho kuze kube yisikhathi esihle.
I-hematoma ye-subchorionic ayiyona into engavamile kakhulu, kanti ezinye izifundo zikhomba ukuthi amazinga angaphezulu kwamaphesenti angu-22 phakathi kokukhulelwa konke kuyilapho abanye bekuncipha njengamaphesenti angu-0.5.
Izimpawu zeHematoma ye-Subchorionic
Owesifazane one-hematoma ye-subchorionic angase agule igazi, kusukela ekukhanyeni ukukhanya kuze kube nokugeleza okukhulu ngezindwangu. Ukugwedaza nakho kuvamile. Abanye, okwamanje, ngeke babe nezimpawu. Eqinisweni, ama-hematoma amaningi angaphansi kwe-subthorionic atholakale ngesikhathi sokuhlolwa kwesimo se-ultrasound.
Ukucatshangelwa kwamagciwane kuyalinganiselwa ukuthi kunomunye kwabafazi abane phakathi nengxenye yokuqala yokukhulelwa futhi kuyisizathu esivamile sokuqala kwe-trimmer ultrasonography.
Ingozi Yezinkinga
I-hematoma ye-subchorionic ingandisa ingozi yokukhulelwa kwengqondo njengokukhulelwa kwesisu , ukuqala komsebenzi , ukuphazamiseka kwamapayipi kanye nokuqhekeka kwangaphambi kwesikhathi.
Ingozi ihlobene ngokuyinhloko nobukhulu be-hematoma, iminyaka yobudala yesisu, nomama wengane.
Ngokuvamile, ama-hematomas atholakalayo ngesikhathi sokuqala kwe-trimester yokuqala ayinenkinga encane kunaleyo etholakala kamuva emithathu yokuqala noma yesibili. Akuwona wonke ama-hematoma azokhula ngosayizi (kanti amanye abuye abuyele) kepha labo abakwenzayo bangasusa kancane kancane i-placenta kusuka kusayithi lokunamathisela kuyo esibelethweni.
Uma iqeda amaphesenti angaba ngu-30, i-hematoma ingakhula nakakhulu, idale ukukhuphuka kwesikhumba ngaphambi kwesikhathi futhi kuholele ekukhipha isisu okuzenzekelayo .
Ngokuvamile, ama-hematomas amancane ebusweni be-placenta aphansi kakhulu ngokuphathelene nalabo abathuthuka ngaphansi kwe-placenta noma ngemuva kwendwangu yesisu.
Ngokombono wokubala, i-hematoma ye-subchorionic ihlotshaniswa nobungozi obuphansi bokuzalwa kwangaphambi kokuzalwa uma kuqhathaniswa nabesifazane abangenayo i-hematoma. Ngokuphambene nalokho, i-hematoma ingandisa ingozi yokukhuphuka ngaphambi kwamaphesenti angama-61 kanye nokuphazamiseka okuphazamisayo ngamaphesenti angaba ngu-300, ngokusho kocwaningo oluvela eMnyangweni we-Obstetrics and Gynecology eWashington University eSt. Louis.
Izinketho zokwelapha
Ngokudabukisayo, akukho okunye ongakwenza uma i-hematoma ye-subchorionic itholakala. Kuye indawo nendawo yobukhulu be-hematoma, udokotela angakutshela ukuthi ungene ukuze ulandelwe njalo kodwa ukuze ugweme umsebenzi okhuni, ukuphakamisa okunzima, noma ukuzivocavoca ngokweqile. Ngokuvamile ukuphumula kunconywa ukugwema ukunyuka kwegazi, kanti i-hydration eningi ingasiza ekuvimbeleni ukuqothulwa kanye nokwehliswa okulandelayo okungakhuphula ukuphuma kwegazi.
Ngaphansi kokuvamile, udokotela angase ancoma ukusetshenziswa kwegazi elimhlophe ukuze liphume i-clot out.
Uma amathuba okukhulelwa kwesisu aphakeme, udokotela othile uzosebenzisa i-estrogen kanye nokwelashwa kwe-progesterone ukuphuza noma ukuvimbela ukubola kwesinye isikhathi.
> Imithombo:
> Palatnik, A. noGrabman, W. "Ubuhlobo phakathi kwe-hematoma engaphansi kwe-trimestre hematoma, ubude bomlomo wesibeletho, nokuzalwa kwangaphambi kokuzalwa." Am J Obstet Gynecol. 2015; 213 (3): 403.e1-4. I-DOI: 10.1016 / j.ajog.2015.05.019.
> Tuuli, M .; UNorman, uS .; Odibo, A. et al. "Imiphumela yePerinatal kubesifazane abanesifo se-hematoma: ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta." I-Obstet Gynecol, ngo-2011; 117 (5): 1205-12. I-DOI: 10.1097 / AOG.0b013e31821568de.