Chimiro Chinozivikanwa neCharal Placental Detachment
A subchorionic hematoma ndiyo kuwandisa kusingawanzi kweropa pakati pepentecenta uye rusvingo rwechibereko. Masayendisiti haazive chikonzero nei izvi zvichiitika, asi, pane dzimwe nguva, zvinogona kukonzerwa nekuvhiringidza kwepanyama kwemavara ekuputika kana kusagadzikana kweii rinomwa panguva yekusimudza.
Kunyange zvazvo mamiriro ezvinhu akadai izvi zvinonzwisisika zvinokonzera alamu, haifaniri kureva kuti iwe ucharasikirwa nemwana wako.
Zvechokwadi, kana hematoma iri duku, inokura panguva yekubata pamuviri, uye pane imwe nzira isina kusununguka, mukana wekutakura mwana wako kune nguva yakanaka.
A subchorionic hematoma haisi mamiriro ezvinhu zvachose, uye dzimwe dzidzo dzinoratidzira huwandu hwehuwandu hwepamusoro huwandu hunopfuura 22 muzana pakati pepamuviri hwose apo vamwe vanochera pasi kusvika 0.5 muzana.
Zviratidzo zve Subchorionic Hematoma
Mukadzi ane subchorionic hematoma anogona kubuda ropa, kubva pakusvibira kusvika pakuyerera kwakakura nemaputi. Kupwanya-shanduka kunowanzoonekwawo. Zvimwe, zvakadaro, hazvina zviratidzo. Ichokwadi, mahematomas mazhinji echechirionic anongowanikwa panguva yekuedza kwechirongwa che ultrasound.
Vaginal ropa rinotarwa rinofungidzirwa kuti rinogona kuchinja vakawanda semumwe muvakadzi vana mukati mehafu yekutanga yekuzvitakura uye chikonzero chinowanzo chekutanga-trimester ultrasonography.
Ngozi Yematambudziko
A subchorionic hematoma inogona kuwedzera njodzi yekudzivirira kubata pamuviri sekusununguka kwepamuviri , kutanga kwebasa , kuvharwa kwepabonde , nekupererwa kwemashure.
Dambudziko racho rinowanzoenderana nehukuru hwehematoma, makore ekupedzisira emucheche, uye makore eamai.
Kakawanda, hematoma inowanikwa munguva yekutanga kwekutanga kwetatu isinganzwisisiki kupfuura iyo yakawanikwa gare gare mukutanga kana kwechipiri katatu. Hasi dzose hematoma dzichakura muhupamhi (uye dzimwe kunyange dzidzoke) asi avo vanoita vanogona kubvisa chikamu kubva pachigadziko chayo pachigumbu.
Kana iyo inobvisa zvinopfuura 30 muzana, hematoma inogona kukura zvakakura, zvichiita kuti nguva isati yasvika yemazamu uye inotungamirira kune kubvisa pamuviri kamwe chete .
Kazhinji kutaura, zvinyorwa zviduku pamusana wepentecenta zvakanyanya kudarika kune izvo zvinokura pasi pepentecenta kana mushure memucheche.
Kubva pane imwe nhamba yekuverenga, subchorionic hematoma inobatanidza nehuwandu hwehutachiwana hunotanga kuberekwa hunofananidzwa nevakadzi vasina hematoma. Kusiyana neizvi, hematoma inogona kuwedzera mungozi yekuti nguva isati yasvika inoputika ne 61 muzana uye kuputika kwepakati kwemazana anopfuura mazana matatu, zvichienderana nekutsvakurudza kubva kuDhipatimendi reOstetrics uye Gynecology kuWestern University yeSt. Louis.
Treatment Options
Zvinosuruvarisa, hakuna zvakawanda zvingaita kana subchorionic hematoma inowanikwa. Zvichienderana nenzvimbo uye ukuru hwehematoma, chiremba angakukurudzira kuti uuye kuzogara uchitevera asi kuti uzvidzivirire kuita basa rakaoma, kusimudzira zvinorema, kana kuwedzera muviri. Zororo rinowanzokurudzirwa kuti arege kuwedzerwa mukati memubhadharo weropa, nepo hydration yakawanda inogona kubatsira kudzivirira kuvhiringidzika uye kushambadzira kunotevera kunogona kuwedzera kubuda ropa.
Pashoma pfupi, chiremba angakurudzira kushandiswa kwevanhu vanochera ropa kuti vade ropa racho.
Kana mikana yokuparara pamuviri yakakwirira, mumwe chiremba achashandisa estrogen uye progesterone therapy kuti inonoke kana kudzivirira kuwedzera kupisa.
> Sources:
> Palatnik, A. uye Grobman, W. "Ukama huri pakati pekutanga-trimester subchorionic hematoma, urefu hwechirwere, uye kutanga kuberekwa." Am J Obstet Gynecol. 2015; 213 (3): 403.e1-4. DOI: 10.1016 / j.ajog.2015.05.019.
> Tuuli, M .; Norman, S ;; Odibo, A. et al. "Migumisiro yePerinatal kuvakadzi vane subchorionic hematoma: kurongeka kwakarongeka uye meta-analysis." Obstet Gynecol, 2011; 117 (5): 1205-12. DOI: 10.1097 / AOG.0b013e31821568.