Chii chinonzi Placental Abruption? Zviratidzo, Zvinokonzera, & Kurapa

Placental abruption inoitika kana placenta yakaparadzana nemadziro emuviri usati wazvarwa mwana wako. Kuparadzana uku kunogona kuva kwechikamu kana kuzere, uye imwe yezvinetso zvekuhwana zvinonzwa zvichitityisa kupfuura zvazvinofanira kuva kana wakanzwisisa zviri kuitika.

Funga nezve placenta sechinhu chinobatsira mwana wako panguva yekuzvitakura. Inopa oksijeni nezvokudya ichibvisa zvinhu zvakashata. Kana yakaparadzana nekukurumidza, inogona kukanganisa iwe nemwana wako, asi kuziva zviratidzo uye kuwana kurapwa nekukurumidza kunoita musiyano mukuru mumibudiriro.

Ndeapi zviratidzo zve placental abruption?

Chiratidzo chinonyanya kuzivikanwa ndiro ropa kubva mumukova, asi placental abruption haisi nguva dzose kuzivisa pachayo nenzira imwechete kune vakadzi vose. Vamwe vakadzi vanowana zviratidzo zvakajeka, nepo vamwe vangave nezviratidzo zvishoma zvinobudirira zvishoma nezvishoma.

Heano zviratidzo zvaunofanira kutarisa:

• Ropa kubva mumukova rinogona kubva pakukwakuka kusvika kuropa kwakawanda
• Kurwadziwa mudumbu kana kurwadziwa kwemhasuru kunonzwa kwakasiyana nekusagadzikana kwekuhwana kwakajairwa
• Kurwadziwa kumashure kunogara kwenguva refu uye hakudziki nekuchinja kwezvikamu
• Uterine tenderness kana wakamanikidza mudumbu rako
• Uterine contractions dzinoenda pedyo pamwechete
• Mwana wako achifamba zvishoma pane zvakajairwa kana kuchinja mumaitiro ekufamba

Dzimwe nguva ropa rinoramba rakavanzika mukati memuviri wako, izvo vanachiremba vanoti "concealed abruption." Mumamiriro ezvinhu akadaro, ungasawone ropa kubva mumukova asi ungaramba uchinzwa kurwadziwa, tenderness, kana kuchinja mune zvaanoita mwana wako.

Kukura kwezviratidzo kazhinji kunobatanidzwa nekuti yakawanda sei ye placenta yakaparadzana. Kuparadzana duku kunogona kukonzera zviratidzo zvishoma, nepo zvikuru zvinogona kugadzira kurwadziwa kwakanyanya neropa zvinoda kutarisirwa nekukurumidza.

Ndeapi marudzi e placental abruption?

Vanachiremba vanoronga placental abruption zvichienderana nekuti kuparadzana kwakakomba sei uye kuri kupi. Kunzwisisa marudzi aya kunobatsira kutsanangura kuti nei zviratidzo zvingasiyana zvakanyanya pakati pevakadzi vakasiyana.

Marudzi makuru anosanganisira:

• Partial abruption: Chikamu chete che placenta chinoparadzana nemadziro emuviri
• Complete abruption: Placenta yose inoparadzana, izvo zvinotyisa zvekuvhiya
• Marginal abruption: Kuparadzana kunoitika kumucheto kwe placenta
• Central abruption: Kuparadzana kunoitika pakati pe placenta

Vanachiremba vanorongawo abruptions se"revealed" kana ukaona ropa, kana "concealed" kana ropa rakamira shure kwe placenta. Concealed abruptions inogona kuva yakaoma kuona nekuti chiratidzo chakajeka cheropa hachioneke.

Grade ye abruption inobva pane zvishoma (Grade 1) kusvika kune yakakomba (Grade 3), neimwe nhanho ichiratidza kuti yakawanda sei ye placenta yakaparadzana uye iri kukanganisa sei iwe nemwana wako.

Chii chinokonzera placental abruption?

Chikonzero chaicho che placental abruption kazhinji chinoramba chisingazivikanwi, asi zvinhu zvakati wandei zvinogona kuwedzera mukana wekuti zviitike. Muviri wako nemamiriro ezvinhu ekubata pamuviri anogadzira nharaunda yakaoma umo zvinhu zvakawanda zvinogona kuita basa.

Zvinhu zvinonyanya kukonzera zvinosanganisira:

• BP yakakwira panguva yekuzvitakura kana hypertensin yakagara ichirwara
• Trauma kumudumbu rako kubva pakudonhera, tsaona dzemotokari, kana kukanganisa kwemuviri
• Placental abruption yapfuura mukuhwana kwapfuura
• Kusvuta kana kushandisa zvinodhaka panguva yekuzvitakura
• Zvirwere zvekuvhara ropa zvinokanganisa kuti ropa rako rinoyerera sei
• Kurasikirwa nekukurumidza kwe amniotic fluid (oligohydramnios)
• Kuzvitakura kwakawanda sekubata mapatya kana triplets

Zvinokonzera zvisingawanzoitika asi zvinogona kuitika zvinosanganisira zvirwere zvemuviri sekushaya shuga, chirwere cheitsvo, kana zvirwere zve autoimmune. Zera guru reamai (kupfuura 35) uye kuva nezvitakura zvakawanda zvakapfuura zvinogonawo kuita basa.

Muzviitiko zvakawanda, placental abruption inoitika pasina chikonzero chakajeka, izvo zvinogona kunzwa zvine hasha kana uri kutsvaga mhinduro. Chinhu chakakosha chekuyeuka ndechekuti zvizhinji zveizvi zvinhu hazvisi mukudzora kwako.

Rini unofanira kuona chiremba nekuda kwe placental abruption?

Ropa ripi neripi kubva mumukova panguva yekuzvitakura rinoda kutarisirwa nekukurumidza kwechiremba, kunyanya kana riine kurwadziwa kana kurwadziwa kwemhasuru. Usamirire kuona kana zviratidzo zvichivandudza pachazvo, sezvo placental abruption inogona kuenderera mberi nekukurumidza.

Fonera chiremba wako kana kuenda kuchipatara nekukurumidza kana ukaona:

• Chero ropa kubva mumukova mushure memavhiki makumi maviri ekubata pamuviri
• Kurwadziwa kwakanyanya mudumbu kana kumashure kunongopera
• Uterine yako inonzwa yakaoma kana tender kubata
• Contractions dziri kuuya kazhinji kana nguva dzose
• Mwana wako achifamba zvishoma pane zvakajairwa
• Kunzwa dzungu, kushaya simba, kana kufunga kuti ungangoerekana wapera simba

Kunyangwe kana usingazivi kana zviratidzo zvako zvakakomba, zviri nani nguva dzose kuongororwa. Vanopa utano vanoda zvikuru kukuona nekuda kwechiratidzo chenhema pane kusapotsa chimwe chinhu chakakosha.

Tenda pfungwa dzako pamusoro pemuviri wako nemwana wako. Kana chimwe chinhu chichiita chakasiyana kana chisina kunaka, izvo zvinokwana kuti utsvage kurapwa nekukurumidza.

Ndeapi njodzi dze placental abruption?

Zvinhu zvakati wandei zvinogona kuwedzera mikana yako yekuwana placental abruption, kunyange kuva nezvinhu zvinokonzera njodzi hazvirevi kuti zvichaitika kwauri. Kunzwisisa izvi zvinhu kunokubatsira iwe nechikwata chako cheutano kuti murambe muri vakangwarira nezvematambudziko anogona kuitika.

Zvinhu zvinonyanya kukonzera njodzi zvinosanganisira:

• Placental abruption yapfuura, iyo inowedzera njodzi mukuhwana kwenguva yemberi
• BP yakakwira usati watakura kana panguva yekuzvitakura
• Zera rinopfuura 35 kana kuva mudiki zvikuru (pazasi pe20)
• Kusvuta fodya kana kushandisa zvinodhaka zvisiri pamutemo, kunyanya cocaine
• Kuita vana vakawanda (mapatya, triplets, nezvimwe)
• Zvirwere zvekuvhara ropa kana kutora mishonga inorwisa ropa
• Diabetes kana chirwere cheitsvo
• Kuita zvitakura zvinopfuura zvina zvakapfuura

Zvimwe zvinetso zvekuhwana zvinowedzerawo njodzi, kusanganisira preeclampsia, premature rupture of membranes, uye zvirwere mumukova. Kukanganisa kwemuviri panguva yekuzvitakura, kunyange kubva kuzviitiko zvisinganzwisisiki, dzimwe nguva kunogona kutanga abruption.

Zvinhu zvisingawanzoitika zvinokonzera njodzi zvinosanganisira kuva ne umbilical cord pfupi, zvimwe zvirwere zvemajini zvinokanganisa kuvhara ropa, uye zvimwe zvirwere zve autoimmune. Chiremba wako achakurinda zvakanyanya kana uine chero chimwe chezvinhu izvi zvinokonzera njodzi.

Ndeapi matambudziko anogona kuitika e placental abruption?

Placental abruption inogona kugadzira matambudziko kwauri nemwana wako, asi kunzwisisa izvi zvinogona kukubatsira kuziva kuti nei kurapwa nekukurumidza kwakakosha. Kukura kwezvinetso kazhinji kunobva pane kuti yakawanda sei ye placenta yakaparadzana uye kuti kurapwa kunotanga nekukurumidza sei.

Matambudziko anogona kuitika kumwana wako anosanganisira:

• Kuderedzwa kweoksijeni nezvokudya zvinotungamira kumatambudziko ekukura
• Kuzvarwa kwenguva isati yakwana kana kuzvarwa kuchifanira kuitwa
• Kurema kwakaderera kubva pakushaya zvokudya zvakakwana
• Matambudziko ekufemba kana akaberekwa kare
• Muitiko wakakomba, kukuvara kwepfungwa kubva pakushaya oksijeni

Matambudziko anogona kukukanganisa anosanganisira:

• Ropa rakawanda rinogona kuda ropa rekushandisa
• Matambudziko ekugwamba ropa (disseminated intravascular coagulation)
• Kukundikana kweitsvo kubva pakurasikirwa neropa
• Emergency cesarean delivery
• Kuwedzera njodzi ye abruption mukuhwana kwenguva yemberi

Matambudziko asingawanzoitika asi akakomba anosanganisira kushaikwa kwesimba kubva pakurasikirwa neropa uye, mumamiriro ezvinhu akakomba, kudiwa kwe hysterectomy kudzora ropa. Nekudaro, nerubatsiro rwemazuva ano rwekuvhiya nekukurumidza kuita, vakadzi vakawanda nevana vanoita zvakanaka kunyangwe mushure mekuwana placental abruption.

Placental abruption inozwiwa sei?

Kuziva placental abruption kunosanganisira kusanganisa zviratidzo zvako nekuongororwa kwemuviri nemiedzo yekurapa. Chiremba wako anotanga nekuteerera kunetsekana kwako uye kukuongorora kunzwisisa zviri kuitika.

Maitiro ekurapa kazhinji anosanganisira:

• Kuongororwa kwemuviri kuongorora mudumbu rako uye kuongorora ropa
• Ultrasound kuona placenta yako nemamiriro emwana wako
• Kutarisa mwero wemoyo wemwana wako kune zviratidzo zvekutambudzika
• Kuongororwa kweropa kuongorora anemia nematambudziko ekugwamba ropa
• Kuongorora BP yako nezviratidzo zvakakosha

Ultrasound haisi nguva dzose kuratidza placental abruption zvakajeka, kunyanya mumaitiro ekutanga kana nekuparadzana kwakaderera. Chiremba wako angangoziva zvichienderana nezviratidzo zvako nezvinhu zvemuviri kunyangwe ultrasound ichionekwa yakajairwa.

Dzimwe nguva kuziva kunova pachena chete panguva yekuzvarwa kana vanachiremba vachiona nzvimbo yakaparadzana ye placenta. Ndokusaka timu yako yekurapa inotarisa pakukutarisa iwe nemwana wako zvakanyanya pane kuvimba nezvibereko zvekuongorora chete.

Kurapa kwe placental abruption ndekupi?

Kurapa kwe placental abruption kunobva pazvinhu zvakati wandei kusanganisira kuti uri kure sei mukuhwana, kuparadzana kwakakomba sei, uye kuti iwe nemwana wako muri sei. Chikwata chako chekurapa chichagadzira chirongwa chinokoshesa kuchengetedzeka kwako nekugara zvakanaka kwemwana wako.

Kune zviitiko zvishoma nezviratidzo zvishoma:

• Kuongororwa muchipatara kutarisa kuchinja mumamiriro ako
• Kuvata kuti uderedze kushushikana pa placenta
• Kuongororwa nguva dzose kwemoyo wemwana wako
• Kuongororwa kweropa kutevera mamiriro ako ehutano
• Steroid injections kana uri pakati pemavhiki makumi maviri nemana kusvika makumi matatu nemana kubatsira mapapu emwana wako kukura

Kune zviitiko zvakakomba kusvika zvakakomba, kurapa kunova nekukurumidza:

• Kuzvarwa nekukurumidza, kazhinji ne cesarean section
• IV fluids uye zvichida ropa rekushandisa nekuda kweropa rakawanda
• Mishonga inobatsira kudzora ropa
• Kuongororwa kwakanyanya muchikamu chakakosha
• NICU care kumwana wako kana akaberekwa kare

Nguva yekuzvarwa inobva pane nhanho yekuzvitakura kwako uye kuti abruption yakakomba sei. Kana uri pedyo nekupedza uye iwe nemwana muri vakagadzikana, chiremba wako angangomuedza kuzvarwa zvakajairwa. Nekudaro, emergency cesarean delivery kazhinji inodiwa kuchengetedza imi vaviri.

Nzira yekutarisira sei kumba panguva ye placental abruption?

Kutarisirwa kumba kunokodzera chete zviitiko zvishoma zvikuru apo chiremba wako anozviona zvakachengeteka, uye kunyange ipapo, uchada kuongororwa kwechiremba kazhinji. Zviitiko zvakawanda zve placental abruption zvinodiwa muchipatara nekuti mamiriro acho anogona kuchinja nekukurumidza.

Kana chiremba wako akabvumira kuongororwa kumba, uchada:

• Uvhare zvachose sezvakarayirwa
• Tarisa kufamba kwemwana wako uye uudze chero kuchinja
• Tarisa chero ropa idzva kana kurwadziwa kwakawedzera
• Pinda misangano yese yakarongwa yekurapa
• Uve nemunhu aripo kukutyaira kuchipatara nekukurumidza kana zvichidiwa

Tarisa zviratidzo zvekutyisidzira zvinoda kutarisirwa nekukurumidza kwechiremba, kusanganisira chero kuwedzera kweropa, kurwadziwa kwakanyanya, kuderedzwa kwekuita kwemwana, kana kunzwa kusagadzikana chero ripi zvaro. Chiremba wako achakupa mirairo chaiyo pamusoro pekuti rini kufona kana kuenda kuchipatara.

Yeuka kuti kuongororwa kumba kunokodzera chete mamiriro chaiwo, ashoma. Vakadzi vazhinji vane placental abruption vanoda kugara muchipatara uko mapoka ekurapa anogona kupindura nekukurumidza kune chero kuchinja.

Unofanira kugadzirira sei kusangana kwako nachiremba?

Kana uchibatwa ne placental abruption, ungangove uchiona chiremba wako munzvimbo inokurumidza kana yekukurumidza pane musangano wakajairwa. Nekudaro, kugadzirira kunokubatsira kutaurirana zvakakwana panguva ino yakaoma.

Uyisa kana uve wakagadzirira kupa:

• Zvinyorwa zvako zvekuhwana nechero zvibereko zvekuongorora zvitsva
• Rondedzero yemishonga yaunotora iye zvino
• Mashoko pamusoro pekuti zviratidzo zvako zvakavamba rini uye zvakachinja sei
• Mashoko pamusoro pe nhoroondo yako yekurapa, kunyanya zvitakura zvakapfuura
• Mashoko ako einishuwarenzi nevanhu vanobatana nekuvhiya

Nyora mibvunzo yaunoda kubvunza, senge kuti izvi zvinogona kukanganisa sei mwana wako, kuti ndeipi mikana yekurapa iripo, uye kuti chii chaunofanira kutarisira zvichienderera mberi. Kuva nemunhu anokutsigira newe kunogona kukubatsira kuyeuka mashoko akakosha panguva yekukurukura kwemanzwiro.

Iva wakavimbika nezviratidzo zvako zvese, kunyangwe zvichiita zvishoma. Mashoko pamusoro penguva, kukura, uye kuchinja mune zvaunonzwa anobatsira timu yako yekurapa kuita sarudzo dzakanakisa pakurapa kwako.

Chii chinonyanya kukosha pamusoro pe placental abruption?

Placental abruption inyaya yakakomba yekuzvitakura inoda kutarisirwa nekukurumidza kwechiremba, asi nerubatsiro nekukurumidza, vakadzi vakawanda nevana vane mhinduro dzakanaka. Chinhu chakakosha ndechekuziva zviratidzo zvekutyisidzira uye kutsvaga rubatsiro nekukurumidza.

Yeuka kuti ropa kubva mumukova panguva yekuzvitakura nguva dzose rinoda kuongororwa kwechiremba, kunyanya kana riine kurwadziwa kana kuchinja mukuita kwemwana wako. Tenda pfungwa dzako pamusoro pemuviri wako uye usamborega kufona kune wako anopa utano kana chimwe chinhu chichiita chisina kunaka.

Kunyangwe placental abruption inogona kutya, rubatsiro rwemazuva ano rwekuvhiya rwakaita shanduko huru mukutarisira mamiriro ezvinhu aya. Chikwata chako chekurapa chine ruzivo nezvishandiso zvinodiwa kutarisira iwe nemwana wako panguva ino yakaoma.

Mibvunzo inobvunzwa kazhinji pamusoro pe placental abruption

Placental abruption inogona kuitika zvakare mukuhwana kwenguva yemberi here?

Hongu, kuva ne placental abruption mukuhwana kumwe kunowedzera njodzi yako mukuhwana kwenguva yemberi, asi hazvirevi kuti zvichaitika zvakare. Njodzi yako inowedzera kubva pa1% kusvika pa10-15% mukuhwana kwakatevera. Chiremba wako achakurinda zvakanyanya uye angakurudzira kuzvarwa kare kana mamwe matanho ekuderedza njodzi.

Pane chimwe chinhu chandingaita kudzivirira placental abruption here?

Kunyangwe usingakwanisi kudzivirira zvachose placental abruption, unogona kuderedza zvimwe zvinhu zvinokonzera njodzi. Dzivisa kusvuta nezvinodhaka zvisiri pamutemo, tarisa BP yakakwira nerubatsiro rwechiremba wako, pfeka mabhandi zvakakodzera, uye enda kumisangano yese yekuzvitakura. Nekudaro, zviitiko zvakawanda zvinoitika pasina chikonzero chisingadzivisiki, saka usazvirevi kana zvikaitika.

Placental abruption inokurumidza sei kuenderera mberi?

Placental abruption inogona kuenderera mberi nekukurumidza kwakasiyana. Zvimwe zviitiko zvinobudirira zvishoma nezvishoma kwemaawa kana mazuva, nepo vamwe vanogona kuva vakakomba mukati memaminitsi. Kusaziva uku ndiko kwakaita kuti chero zviratidzo zvinoda kuongororwa nekukurumidza kwechiremba pane kumirira kuona kana zvichavandudza pachazvo.

Mwana wangu achava akanaka here kana ndikawana placental abruption?

Mhinduro yemwana wako inobva pane kuti yakawanda sei ye placenta yakaparadzana, kuti unowana kurapwa nekukurumidza sei, uye kuti uri kure sei mukuhwana. Vana vazhinji vanoita zvakanaka, kunyanya kana mamiriro acho akaonekwa kare uye akatarisirwa nekukurumidza. Chikwata chako chekurapa chichatarisa mwana wako zvakanyanya uye chichaita matanho ekugadzirisa hutano hwavo.

Placental abruption inogona kuonekwa panguva yekushanya kwemazuva ose ekubata pamuviri here?

Placental abruption kazhinji inoitika kamwe kamwe pane kuonekwa panguva yekushanya kwemazuva ose. Ultrasounds dzenguva dzose dzisingaratidzi zviratidzo zvepakutanga zve abruption, ndosaka kuziva zviratidzo nekutsvaga kurapwa nekukurumidza kwakakosha. Chiremba wako acharamba achitarisa zvinhu zvinokonzera njodzi uye achakurinda zvakakodzera zvichienderana nemamiriro ako chaiwo.