Zvinogona kutungamirira kuhuwandu hwekuyerera kweropa kusvika kumucheche uye zvinogona kuva nengozi kune vose amai nemucheche. Muchikamu chinoti "Uterine kubuda ropa panguva yekuzvitakura" uchawana mashoko akawanda anofadza uye anobatsira iwe pachako.
Zvinokonzera
Kune zvikonzero zvakasiyana-siyana zvekuberekwa kwepabonde. Kunyanya kuongororwa kunoitwa pamusana pekuwedzera kwavo uye kuvapo kwezvimwe zviratidzo, vazhinji vavo havasati vaudzwa uye vanotanga pakarepo. Kune chero kubuda kweropa panguva yekuzvitakura, iwe unofanira kubva uchitaura nachiremba. Iko kunobva kubuda ropa kunowanzove midziyo ye placenta kana chirwere. Zvakakosha kubvisa nzvimbo yakaderera ye placenta mu uterine cavity (praevia).
• Kubvisa kubva pamuviri
Munguva yepamuviri, panogona kunge kune ectropion yemurovhesi (eversion ye mucous membrane yechipical canal). Mucherechedzo wechipical canal ine nyoro uye inogona kubuda ropa. Iri kubuda ropa rinowanzosvibiswa uye rinowanzoitika mushure mokuita zvepabonde. Kubudirira kweectropion kunogona kukonzerwa nehutachiona huri pamwe chete nemakumbo echirwere kubva kumudzimai.
• Placenta praevia
Iyo mharidzo ye placenta inoreva kusungirirwa kwayo muchikamu chechibereko chemukati pane nguva yekubata kwemavhiki anopfuura 28. Pasati vhiki ye18 yekutakura, mukadzi wese wechitanhatu ane nzvimbo yakadzika pasi. Zvisinei, semurairo, sezvo uwandu hwechibereko huchiwedzera, nzvimbo yepentecenta inoshanduka, uye mumatambudziko akawanda nevhiki 28 inotarirwa pasi pechibereko. Kuwandisa kwepa placenta kunowanzoonekwa kune vanoputa vanove vachiwana kubviswa kwekuchengetedza uye kuvakadzi vakwegura.
• Simba rekare risati rapera
Nechitambo chisina nguva, iyo placenta inoparadzaniswa kubva mudanda re uterine. Izvi zvinokonzera migumisiro yakaipa kumucheche, kunyanya kana kuvhara nzvimbo yakakura. Kusveta kunogona kuoma nekuberekwa nguva isati yasvika. Dunhu rechikamu chechikamu chinokosha chepa placenta inoda chikamu chekurumidza chechiesarea, sezvo muchiitiko ichi kubuda kweropa kusvika kumucheche kunovhiringidzika. Nechisimba chediki, nzvimbo yekukurumidzira haina kuitwa, asi mamiriro emumai uye fetus anofanira kunyatsoongororwa.
• Muganhu wepa placenta
Kushambadzira kunogona kuitika apo placenta iri munzvimbo yepakati. Kazhinji iyo yakaderera-yakanyanya uye haina kukuvadza amai uye fetus. Kuongororwa kunoitwa mushure mekuregererwa kwehutano hwechirwere, previa uye mushure mutsva wepentecenta. Semurairo, kubuda kwakadaro kunomira nyore. Kuti uone chinokonzera kubuda ropa munguva yekutangira, kuongorora kwakakwana mukadzi ane pamuviri kunokosha. Kuongorora mamiriro emadzimai uye fetus, nzira dzakasiyana siyana dzinoshandiswa. Kune chero kubuda kweropa panguva yekuzvitakura, mukadzi anofanira kuongororwa pakarepo nachiremba. Zvinokwanisika kufungidzira kuti chikonzero chavo chiripo pakuongorora - somuenzaniso, nekuputsika kweputika, chibereko chinenge chakaoma uye chinorwadza, ne placenta previa, fetus inowanzotora nzvimbo isina kunaka (breech presentation ye fetus) uye musoro wayo haupindi nepivvic.
Kuongorora mavhagini
Kuongororwa kwemasikati kunongoitwa chete mushure mekuregererwa kwekutukurira placenta nekubatsira kwe ultrasound, nokuti nehutachiona huno hunogona kukonzera kubuda ropa kukuru. Kana vagari vese vachiongorora vanogona kuratidza hutachiona hwechibereko chechibereko chechibereko, semuenzaniso ectronion. Kuti uone kushandiswa kwemasero, ropa remukadzi ane pamuviri rinoongororwa. Izvo zvinodiwawo kusarudza kupa ropa ropa nekuwedzerwa ropa mune imwe mamiriro ezvinhu akaoma. Kazhinji, catheter inopisa inowanikwa mumukadzi ane pamuviri.
Kuongorora kwema fetus
Kuongorora mamiriro ehu fetus, cardiotocography (CTG) inoitwa, iyo inonyora basa rayo remwoyo. Kubvambura kubva palacenta kunogona kuendeswa nezvipfeko zvisingaiti zvehutano. Nekubatsira kwe cardiotocograph, yekutanga kupikisa uye zviratidzo zvekuberekwa nguva isati yasvika zvinogona kunyorwa. Ultrasound inoshandiswa kusabvisa placenta previa uye kuchengetedza kukura uye basa re fetus. Mukadzi ane pamuviri ane ropa rinowanzotumirwa kuchipatara kuti aone. Kazhinji pane kuwedzera-kuwedzerwa kwema-bleedings, iyo inomira pachedu (inongoronga chete yemamiriro acho panguva inenge ichidiwa). Zvisinei, ne-placenta previa, zvakaoma kuita chero uprofita, uye varwere vazhinji vanoda nguva refu yekugara muchipatara. Dambudziko guru rekuwedzera ropa rinowanikwa apo placenta inoputira chivharo. Izvi zvinoita kuti zvibvirire kutengeswa kwechisikigo, saka vashandi vezvechiremba vanofanira kugadzirirwa chikamu chekudzivirirwa kwekukurumidza.
Kuberekwa kwekutanga
Kuyerera kweropa kune imwe nzira ipi zvayo inowedzera dambudziko rekuberekwa nguva isati yatanga - zvisingabvumirwi kana kuti zvigadzirwa, nechikamu chekudya. Dambudziko guru rinonyanya kukosha recheche mwana asati asvika ndiko kusakwana kwemapapu. Pangozi yekutangira nguva isati yasvika kuberekwa kuderera kweSteroid inorayirwa kuti iwedzere kucheneswa kwe fetal lungs. Zvakachengeteka kumwana asati aberekwa.
Ropa marudzi
Inenge imwechete muvakadzi gumi nemashanu ine Rh inoratidzira ropa. Kudzivirira Rhesus kurwisana panguva yekudzivirira kwekuita, varwere vakadaro vanorayirwa majekiseni e-anti-D immunoglobulin mukati maawa makumi manomwe nemaviri mushure mekubuda ropa.