The placenta inhengo inokosha pakukura kwepamuviri. Inobatanidza rusvingo rwechibereko uye kubva ipapo tambo yembilical inotanga kuitira kuti pane kudya uye oxygenation yemwana kubva kuna amai. Kana iyi placenta inonzi normoinsert iri kuratidza kuti yakaiswa zvakanaka uye hapana dambudziko pakushanduka kwayo.
Mazhinji emabasa eiyo placenta ndeyekuita nhovo yekudzivirira uye icho chikamu chehukuru immune function. Inobatsira kutakura zvinhu zvose zvinokuvadza ndokudzorera kuropa raamai kuti vagozvisefa neitsvo. Rinewo mamwe mabasa akadai tumira mwana ropa, zvinovaka muviri, mahormone, uye oxygen.
Chii chinonzi placenta chakajairwa
Iyo normoinsert placenta ndiyo imwe iyo inoumba nokuisa kumusoro, kumberi, kumashure, kana kudivi rechibereko. Inoiswa zvine hungwaru kuti igare kure neburi rekubuda napo kana muromo wechibereko uye kusaita kuti mwana asasununguke.
Inotumidzwa nenzira iyi kana ichicherechedzwa kuti iyo placenta inowanikwa zvakanaka uye apo panguva yekuzvitakura hazvikonzeri chero rudzi rwematambudziko. Kana yanyatsoiswa mumadziro echibereko, placenta haifambi.
Kune mamwe marudzi e placenta anozivikanwa mune ino hunyanzvi uye anodanwa nemamwe mazita:
- Iyo placenta praevia: ndiyo kana iri muchikamu chezasi uye saka inovhara kuvhurwa kwemuromo wechibereko. Muchiitiko ichi, kuberekwa kunofanira kuitwa nechikamu cheKesariya.
- Partial placenta previa: muchiitiko ichi placenta inowanikwawo muchikamu chezasi, asi chikamu ichivharira cervix. Kuendesa kunogonawo kuitwa nechikamu checesarean.
- Low implantation placenta: Yakaiswa 2cm kubva pamuromo wechibereko.
- Marginal placenta praevia: iyo placenta iri pedyo nemuromo wechibereko, asi haibatiki.
Normoinserted placenta inowanikwa kupi?
Iyo placenta inoumbwa nezvikamu zviviri. Imwe ndiyo "chorionic chikamu" chimwe chikamu chaamai uye chimwe chacho "basal plate" inova chikamu che fetus. Chikamu chechorionic chinoumbwa neamniotic epithelium uye conjunctival membrane. Iyo basal ndiro inogadzirwa syncytiotrophoblast uye cytotrophoblast remnants.
Pakati pemahwendefa maviri pane nzvimbo inopindirana ine chorionic villi. Pakutanga ine trophoblastic tishu uye inozova iyo placenta. Ko placenta iyi iripi? Kazhinji inowanikwa mukati kumashure kwechibereko, mamwe ari muchikamu chepasi chechibereko, chinonzi yapfuura placenta.
Ko normoinserta placenta inoshanduka sei?
Iyo placenta ine zvikamu zvakawanda zvekushanduka panguva yekuzvitakura. Kuburikidza neyakajairwa ultrasounds unogona kutarisa kuti matanho avo akaita sei:
Grade 0: dhigirii iyi ndiyo iyo placenta inowanikwa panguva yekutanga trimester yekuzvitakura. Chorionic plate inowanikwa pedyo ne "fetus" yakafanana ne basal plate inowanikwa pedyo nechibereko.
Giredhi I: Inowanikwa pavhiki 31. Inoonekwa kuti ndiro yechorionic ine calcifications uye panguva ino placenta haina kunyanya kufanana.
Bhuku II: Kubva pavhiki 36 kusvika pakupera kwekuzvitakura, placenta ine chimiro chisina kumira zvakanaka. Imhaka ye calcium deposits, zvakare nekuti basal layer inoparadzaniswa kubva kune myometrium uye uko chorionic layer ine wavy uye inoregedza.
Giredhi III: panguva ino placenta yakwegura uye yakaverengerwa inotoonekwa.
Kukurumidza kuputika kwepa placenta
Este kuputika kwepashure zvinowanzoitika kumativi vhiki 20 pamuviri uye pamberi pechitatu trimester yekuzvitakura. Kazhinji inozviratidza nezvose zviri zviviri kubuda ropa kunze, asi mune dzimwe nguva izvi hazviitiki, sezvo ropa rinochengetwa pakati pe placenta nechibereko.
Zvichipa chokwadi ichi, zvinokurudzirwa kuronga kuzorora kwakakwana pamubhedha kumisa kubuda ropa. Mushure memazuva mashoma iwe unogona kutangazve kuita zvakajairika zuva nezuva, asi nekuchenjerera. Kana nyaya yacho ikava pakati nepakati, zvinogona kudaro kupinda muchipatara