Kurwisana kwepakati pekuyerera kweropa kunonyanya kunetseka kwekuita pamuviri, izvo zvinowanzoitika kakawanda mune zvakare gare. Kuputsa kwakadaro kunoparadzaniswa zvikamu zvitatu zvekutsungirira.
- Dhigirii yekutanga , ayo, zvakare, yakakamurwa kuva A uye B:
- Kuvhiringidzika kwepakisi yeropa inoyerera 1a degree - chete pakati pemubereki uye placenta.
- Kuvhiringidzika kwepakita ropa rinokwira 1b degree - chete pakati pepentecenta uye fetus.
Zvinokonzera kusakanganiswa kwepachiropa ropa rinoyerera
Kusvibiswa kweropa rinoyerera pakati pechibereko chemukadzi uye placenta kunogona kukonzerwa nezvikonzero zvinokonzera kusakwanira kwemuviri:
- kuwedzera kwehutano hwemadzimai (kunyanya nekumuchembera pamuviri gestosis);
- Kuvhiringidza kwemapapu uye hutachiona hwehutachiwana kana hutachiona mumukadzi;
- intrauterine zvirwere mu fetus;
- chirwere chepoyo mukadzi;
- chirwere cheshuga mellitus;
- zvirwere zvemuviri zvemuviri.
Kuongororwa kwekuputsa kwepakati ropa rinopera
Tsvaga kuti ropa relacenta rinoderera rakaderedzwa, unogona ne doplerogram yemidziyo ye placenta. Dopplerometry ye uteroplacental blood flow inoitwa pa:
- kuvapo kweamai vezvirwere zvinogona kukonzera kukanganisa;
- ane syndrome ye intrauterine kukurumidza kukurumidza;
- kuberekwa kusagadzikana uye zvirwere zvechiromosomal zve fetus;
- kusakara nguva isati yasvika ;
- kushayikwa kwemamiriyoni uye mvura;
- zviratidzo zve fetal hypoxia.
Ne doplerometry, kuchinja muhuwandu hwehuwandu hwekushisa huri kunyorwa zvichienderana neropa rekuyerera velocity mumidziyo inobva iyo chiratidzo chemuviri chinoratidzika uye chakanyorwa sevheji. Ita dopplerometry semidziyo ye uterine arteri, nemidziyo yembilical cord ye fetus.
Zviratidzo zvakanyanya zvinogadzirisa izvi uye matafura zvinofananidzwa nemararamiro akaenzana panguva ino yekudzivirira:
- pulse index (PI);
- Resistance index (IR);
- systolic-diastolic ratio (SDO).
Kurapa uye kudzivirira kwezvinetso zvehutano hwehutachiona hwehutano
Kudzivirirwa kwekuputsika ndekuona nguva yakakodzera yezviitiko zvinokonzerwa nematambudziko nekuda kwekugadzirisa uku uye kurapwa kwakakodzera kwezvirwere zvinokonzera izvi zvinetso. Nokuti kurapa kwekuputsa kunoshanda:
- zvinodhaka zvinoderedza kuvhara ropa nekuvandudza microcirculation;
- zvinodhaka zvinowedzera kusimba kwehuropi hwe fetal kune hypoxia;
- zvinodhaka zvinoderedza uterus;
- kana zvichidikanwa - antiviral uye antibacterial drugs, immunomodulators.
Pamusoro pezvinorayirirwa - chirongwa chakakodzera chevakadzi, kuderedza kushushikana mupfungwa uye mupfungwa.
Uye pamasero matatu ekuvhiringidzika kwekuyerera kweropa zvinotakura zvinokurumidza kuendeswa.