I-placenta inhengo chaiyo yechinguvana inowanikwa panguva yekuzvitakura. Inotanga kuumbwa mushure mekuiswa kweii inoberekwa muhuro, uye kazhinji izvi zvinopera nemavhiki makumi matanhatu ekuberekwa. Munguva yepamuviri, placenta inopa kuendeswa kweakisijeni nemiriri kumucheche. Kutsunga kwehupamhi hwepentecenta inobva pamigumisiro ye ultrasound yekuongorora inopa pfungwa yekuti inoshanda zvakadini nemabasa ayo.
Placenta Hyperplasia - Zvinokonzera
Izvo zviyero zvakakura zvepa placenta zvinorondedzerwa mumabhuku akawanda ekudzivirira. Funga nezvekukura kwemavara eparcenta kwemavhiki. Saka, somuenzaniso, kuwanda kwepentecenta pa 21, 22 uye masvondo makumi maviri ekuberekwa kunoenderana ne 21, 22 uye 23 mm. Pamasvondo makumi maviri nemakumi matatu ekuberekwa, kubwinya kwepentecenta kunosvika 31 mm, pamasvondo 32 nemakumi matatu, 32 ne 33 mm, pamwe chete. Kukura kwelacenta kunoitika musvondo we 37 wekuzvitakura uye kusvika 33.75 mm, shure kwekukura kwayo kunoguma, uye pakuguma kwekuzvimba, pane kuonda kwe 33.25 mm. Kuomesa kwepentecenta kana kuti hyperplasia kunogona kuva chiratidzo chezvirwere zvakasiyana-siyana.
Zvikonzero zve hyperplasia ye placenta dzinosanganisira:
- chirwere cheshuga mellitus mumukadzi ane pamuviri;
- Rhesus-mhirizhonga (kana mukadzi ane pamuviri ane Rh asiri ropa, uye fetus ine yakanaka);
- acute viral zvirwere (acute kuporesa utachiona hwehutachiona, fenza);
- zvinowanzoitika zvirwere, zvirwere zvepabonde (mycoplasma, ureaplasma, chlamydia, toxoplasma, gonorrhea, syphilis);
- anemia yakakomba, uye kuderera kwehemoglobin inenge isingasviki 80 g / l.
Kuongororwa kwepakecental hyperplasia nekuwedzera (intervorsing space) yeMVP hakufaniri kutyiwa. Kuwedzerwa kweMVP kunokonzera kubhadharwa - mukupindurwa nekuwedzera kwepentecenta.
Hyperplasia ye placenta - kurapa
Kana mukadzi ane hotea yakakura yakawanikwa panguva ye ultrasound, inofanirwa kudzokorora ultrasound muvhiki, uyewo kuita dopplerometry ( doppler yevakadzi vane pamuviri - kudzidza kubuda ropa mumutsara wembilical) uye cardiotocography (kusarudza nhamba uye hutano hwepfungwa dzomukati mumucheche). Izvi zvidzidzo zvakadikanwa kutarisa mamiriro ehu fetus uye panguva yakatarisa kuongororwa kwekuderera kwekuvandudzwa kwayo kwemukati.
Nekuenzanisira placental hyperplasia uye pasina chirwere pane chikamu chemucheche, kurapwa kungave kusingakoshi. Kana kuwedzera kwekudzidzira kunotsigira kunonoka kwekuberekwa kwe fetus ye fetus pamwe neparcental hyperplasia, mukadzi wacho anofanira kupinda muchipatara kuti arapwe.
Zvinokurudzirwa kushandisa madhiragi anovandudza microcirculation mu placenta (pentoxifylline, trental), zvinodhaka zvinoderedza ropa (curantil, cardiomagnet). Zvakakosha kushandisa madhiragi anovandudza oxygenation ye placenta uye, maererano naizvozvo, fetus (actovegin). Kurapa kwakanaka kunobatsira kuva nekukosha. Kushandiswa kwezvinhu zvakakosha phospholipid sechinhu chekuvakira masero chinodzivirira kuparadzwa kwavo. Kubudirira kwemishonga kuchawedzera kana kuwedzerwa kurapa vitamini E uye folic acid.
Hyperplasia ye placenta - migumisiro
Kuwedzera kwehupamhi hwepentecenta kunotungamirira kumamiriro anonzi fetoplacental insufficiency,
Saka, taifunga kuti zvinokonzera zvinokonzera, nzira dzekuongororwa uye kurapa kweparcental hyperplasia. Iyi hutachiwana hwehupombwe hunochengetedzwa zvakanaka kune kururamiswa kwemishonga. Basa guru revakadzi vane pamuviri inonyorwa panguva yakakodzera mukubvunzurudza kwevakadzi, pamwe nekushandiswa kwezvirongwa zvose zvechiremba zvekurapa uye kuongororwa.