Kusiyanisa uye kubuda ropa zviratidzo zvechiitiko ichi chakaipa
Kuparara kwepakona ndiyo izwi rekuti kana chikamu kana kuti yose yepentecenta inoparadzanisa zvisingatarisirwi kubva muchibereko mushure memakore makumi maviri ekuberekwa. Kunyanya kuvhara kwepakiti kunonyanya kukanganisa kuberekwa kana kuberekwa kwekutanga.
Iyo inozivikanwawo sekuparadzaniswa kwenguva isati yasvika ye placenta, ablatio placentae, abruptio placentae kana placenta abruption. Mamiriro acho ezvinhu anowanikwa mu1 muzana yevose vanoita pamuviri, kazhinji mumutatu wechitatu.
Zviratidzo nezviratidzo
Zviratidzo zvekuvhiringidza kunogona kusanganisira kubuda kweropa , kushungurudzika kana kurwadziwa mukati memimba uye kazhinji kupindira. Zvose zvekudzivirira ropa mukati mechipiri kana chechitatu zvitatu zvinofanira kukodzera kudanwa kune unyanzvi hwehutano. Kuparara kwepachena hakuiti nguva dzose kubuda ropa, asi, saka iwe unofanirwa kudana nguva dzose kana iwe uchifungidzira iwe unenge uchinetseka kuputika. (Zviri nani kutadza kune rumwe rutivi rwekuchenjerera kana usina chokwadi.)
Njodzi Zvikonzero Uye Zvinokonzera
Dambudziko remuviri mumuchembere ekudzivirira pamuviri uye zvirwere mukati mechiberekwa zvinogona kukonzera kuparara kwepachikafu, asi mamiriro acho anogonawo kuitika pasina kunyeverwa. Zvizivikanwe zvinokonzera ngozi zvinokonzerwa nekuputsika kweparcenta zvinosanganisira:
- Kusvuta
- Kushandisa cocaine panguva yekuzvitakura
- Kuva nemakore anopfuura makumi matatu nemashanu
- Kuva nepamuviri yakawanda
- High blood pressure
- Kuva nechirwere chekuvhara ropa sezvinoita antiphospholipid syndrome
- Kuputika kwepasitini mumatambudziko ekutanga
- Kusati kwatanga kuputika kwemukati
Kurapa Kwekuparara Kwemugwagwa
Muzviitiko zvakawanda zvekuputsika kwepasitiki, iyo placenta inongoparadzaniswa zvishoma kubva muchibereko panzvimbo yekuve yakasiyana zvachose. Kana huwandu hwehuwandu hwepentecenta hwakaparadzana, dambudziko racho rakakwirira kudarika apo kuparadzana kunosanganisira chikamu chiduku chepentecenta.
Nhamba dzekuberekwa dzinokwira zvakanyanya mumatambudziko ekuputsika kwepamusoro apo kunopfuura 50 muzana yepentecenta yakaparadzana.
Apo mukadzi ane zviratidzo zvekunyangarika kwepabonde, mutano wehutano anowanzoita kuongorora mumuviri uye ultrasound. Kana vanachiremba vachifungira kuti kuparara kwakanyanya kwepa placenta, iyo inowanzobata kurapa mwana - neC-chikamu pane dzimwe nguva.
Zvinosuruvarisa, kutaurirana hakurevi kuti mwana anoramba aripo. Kana kuputsika kwakanyanya kuchiitika mwana asati asununguka, sekupfuura mavhiki makumi maviri nemana ekuberekwa, vanachiremba vangasakwanise kuchengetedza mwana zvachose. Amai avo vakatambura nekuputsika kwakanyanya kunogona kuora kurasikirwa kweropa, uye vacheche vanopona kuberekwa vanogona kusangana nematambudziko kubva kuhutachiona uye kupererwa kweokisijeni.
Apo kuvhara kwepascental hakusi kuderera uye hakusi kuisa ngozi pakarepo kune amai kana mwana, vanachiremba vanogona kuparidzira amai uye vachengetedze pamubhedha vachizorora nekufungisisa. Izvi zvinogona kuwedzera matambudziko ayo mwana achapona asina hutano husina matambudziko.
Dzimwe nguva kubuda kunomira uye mukadzi achakwanisa kudzokera kumusha kune imwe yakasara yekuzvimba, asi vamwe vangada kugara muchipatara.
Kana vanachiremba vachitarisira kuti mwana apiwe pakati pemasvondo makumi maviri nemaviri nemakumi mana, vanogona kupa steroids kuti vabatsire mapapu emwana kukura zvakanyanya kukurudzira matambudziko ekupona.
Vakadzi vanga vaine hutachiona hwepamuviri muhutano hwakapfuura vanogona kufungidzirwa kuti vane huwandu hukuru muhutano hwekusununguka, zvichizoitika kuti mamiriro acho anowedzera 10 muzana yenguva.
Sources
American Pregnancy Association, "Placental Abruption: Abruptio Placentae." Nov 2006.
Ananth, Cande V., Gertrud S. Berkowitz, David A. Savitz, naRobert H. Lapinski, "Kuparara Kwepasi uye Zvakaipa Zvakaitika Pepinatal." Nyaya yeAmerican Medical Association Nov 1999.
March weDimes, "Zviitiko Zvokutadza." Quick References uye Zvinyorwa Zvinyorwa Mar 2007.