Isimo esichazwe yiNgcaciso yePlacental Partial
I- hematoma ye-subchorionic yi-accumulation engavamile yegazi phakathi kwepentecenta kunye nodonga lwesisu. Oososayensi abazi kakuhle ukuba kutheni oku kwenzekayo, kodwa, kwezinye iimeko, kunokubangela ukuphazamiseka ngokomzimba kwamancuba aseplantshi okanye ukunamathiswa okungavumelekanga kweqanda ngexesha lokufakelwa.
Nangona imeko efana nale ingacacisa ukuba i-alarm, akufanele iphakamise ukuba uya kulahlekelwa ngumntwana wakho.
Enyanisweni, ukuba i-hematoma incinci, ikhula ngexesha lokukhulelwa kwangaphambili, kwaye nangenye indlela ayikho impawu, ithuba lokuthwala umntwana lwakho kwixesha elifanelekileyo.
I-hematoma ye-subchorionic ayikho imeko engaqhelekanga, kunye nezinye iingcaphephe ezibonisa ukuba amazinga angaphezulu kwama-22 ekhulwini phakathi kokukhulelwa konke kanti abanye bawugubungela phantsi kwe-0.5 ekhulwini.
Izimpawu zeHematoma yeComchorionic
Ibhinqa ene-submatrium hematoma ingaba negazi, ukususela ekukhanyeni ukukhanya ukuya kwi-flow flow. Ukuchithwa kwinto eqhelekileyo. Abanye, ngelo xesha, abayi kuba nempawu. Enyanisweni, ezininzi i-hematomas subchorionic zifumaneka kuphela ngexesha lokuhlolwa kwe-ultrasound.
Ukucatshiswa kwegciwane kumanqanaba kuthintela amaninzi kunabesetyhini besine kwisigaba sokuqala sokukhulelwa kwaye isizathu esivakalayo sokuqala kwe-trimester ultrasonography.
Ingozi Yeengxaki
I-hematoma ye-subchorionic inokunyusa umngcipheko wokukhulelwa kwengxaki ezifana nokukhulelwa komzimba , ukuqala komsebenzi , ukuphazamiseka kwamaplazi kunye nokuqhekeka kwangaphambili kweembrane.
Umngcipheko uhambelana kakhulu nobukhulu be-hematoma, ubudala be-fetus kunye nobudala bomama.
Ngokubanzi, i-hematomas efunyenwe ngexesha lokuqala le-trimester yokuqala ingxaki kunokuba yathotyelwa kamva kwi-trimester yokuqala okanye yesibini. Akusiyo yonke i-hematoma eya kukhula ngobukhulu (kunye nezinye i-regress) kodwa abo benzayo banganqumla inxalenye ye-placenta kwisiza sayo sokunamathisela kwisibeleko.
Ukuba ibamba ngaphezulu kweepesenti ezingama-30, i-hematoma iyakhula ikhudlwana, ibangela ukukhulelwa kwangaphambili kweembrane kunye nokukhokelela ekukhiphe isisu ngokukhawuleza .
Ngokuqhelekileyo, ii-hematomas ezincinci kumgangatho wepentecenta ziphantsi kakhulu malunga nezo ziphuhliswa phantsi kwepentecenta okanye emva komlenze wesisu.
Ukususela kumbono wokubala, i-hematoma ye-subchorionic inxulumene nomngcipheko ophantsi wokuzalwa kwangaphambi kokuqhathaniswa nabasetyhini abangenayo i-hematoma. Ngokwahlukileyo, i-hematoma inokunyusa umngcipheko wokuqhekeka kwangaphambili kweembrane ngamaphesenti angama-61 kunye nokuphazamiseka kwamaphesenti ngamaphesenti angaba ngu-300, ngokutsho kophando oluvela kwiSebe le-Obstetrics ne-Gynecology eYunivesithi yaseWashington eSt. Louis.
Izinyango Zonyango
Ngokudabukisayo, akukho nto inokuyenza xa i-hematoma ye-subchorionic ifunyaniswa. Ngokuxhomekeka kwindawo kunye nobukhulu be-hematoma, ugqirha unokukucebisa ukuba ungene ngokulandelelana ngokuqhubekayo kodwa ukuba unqande okunye ukunyamezela, ukuphakamisa okunzima, okanye ukuzivocavoca ngokweqile. Ukuphumla kuvame ukucetyiswa ukuba ugweme ukwanda kwexinzelelo lwegazi, ngelixa i-hydration eninzi inokukunceda ukukhusela ukugqithiswa kunye nokunyanzelisa okulandelayo kunokunyusa igazi.
Ngokungaqhelekanga, ugqirha unokuncoma ukusebenzisa i-bloodline yegazi ukucima i-clot out.
Ukuba amathuba okukhulelwa komzimba aphakamileyo, omnye ugqirha uya kusebenzisa i-estrogen kunye neyeza le-progesterone ukukhawuleza okanye ukuthintela ukunyuka komzimba.
> Imithombo:
> Palatnik, A. kunye noGrobman, W. "Ubudlelwane phakathi kwe-hematoma yokuqala ye-trimester, ubude bomlomo, kunye nokuzalwa kwangaphambili." IJ Obstet Gynecol. 2015; 213 (3): 403.e1-4. INGXELO: 10.1016 / j.ajog.2015.05.019.
> Tuuli, M .; Norman, S; Odibo, A. et al. Iziphumo zepsinatal kubasetyhini abane-subchorionic hematoma: ukuphononongwa ngokuchanekileyo kunye nokuhlaziywa kwemeta. " I-Obstet Gynecol, ngo-2011; 117 (5): 1205-12. INGXELO: 10.1097 / AOG.0b013e31821568de.