Ukungafezeki kwe-Fetoplacental (FPN) yimeko apho owesifazane okhulelweyo eneenguqu zenkqubela kunye nokungaqhelekanga kwiplacenta. Kwii-degrees ezihlukeneyo, i-FPD ifunyaniswa ukuba phantse kumama wesithathu ozayo, ngoko le ngxaki ibaluleke kakhulu. Kwi-fetoplacental insufficiency, umntwana akafumani umlinganiselo ofanelekileyo we-oksijini, uqala ukufumana i-hypoxia, echaphazela kakubi ukuphuhlisa nokukhula kwayo.
Iintlobo zeFPN
Oogqirha babelana ngeFPN:
1. Ngokukhula:
- Ukungakwazi ukuzaliswa kwe-fetoplacental eyona nto kubangelwa ukuphulwa kwesithintelo kunye nesakhiwo se-placenta ukuya kwiinyanga ezi-4 zokukhulelwa. Ngokuqhelekileyo kubakho kwabasetyhini abaye babandezeleka ngenxa yokungakwazi intsapho okanye abanenkinga ye-hormonal, utshintsho kwisisu, ukukhipha isisu;
- Ukungakwazi ukuzaliswa kwe-fetoplacental kokukhulelwa kwenzeka ngepentecenta epheleleyo emva kweenyanga ezi-4. Iimbangela zidla ngokuphazamiseka kweeplenti, i-gestosis, utshintsho oluvuthayo kwisakhiwo se-placenta malunga nokusuleleka.
2. Kwangoku:
- I-FPN - i-detached ye-placenta eqhotyoshelweyo ye-placenta echanekileyo, eyabangelwa ukuphulaphula ngokukhawuleza ukuhamba kwegazi le-uterine;
- ukungahambi kakuhle kwe-fetoplacental yokungasebenzi - ukuphazamiseka ngokukhawuleza kokuhamba kwegazi.
3. Ngohlobo lweengxaki zokuphuhliswa komntwana:
- uhlawulela uhlobo lokungakwazi ukufumana u-fetoplacental-fetus ikhula ngokuqhelekileyo;
- Ukunciphisa ukukhula kwe-FPN - fetal growth;
- I-FPN i-Decompensated - i-fetus igxuma emva kwenkqubo yophuhliso kwinyanga okanye ngaphezulu, kukho ukuphulwa okukhulu kwenhliziyo, amathuba okufa komntwana aphezulu.
4. Ngobunzima bokuphulaphula:
- Ukungafezeki komntwana obunamaphilisi 1a degree - ukujikeleza kwegazi ngokuqhelekileyo kwimibhobho yomtya wesibindi. Kule meko kukho ukuphazamiseka kokuhamba kwegazi kwimibhobho yesisu;
- ukungafezeki kwe- 1b degree - ukujikeleza kwegazi ngokuqhelekileyo kwimibhobho ye-uterine. Kukho ukuphulwa kwegazi ukuhamba kwimida ye-strings;
- Ukungafezeki kwamatoklacental we- 2 degrees- disorders kwi-umbilical and uterine arteries. Nangona kunjalo, iimilinganiselo ezibalulekileyo azizange zenziwe;
- ukungafezeki kwamatoklacental weengxaki ezi- 3 zengozi - eziyingozi kwimida ye-strings .
Iimbangela zokungakwazi ukulandelelana
Kukho inani lezinto ezivusa i-FPN:
- izifo ezingapheliyo zomama ezifana ne-thyroid pathology, isifo senhliziyo, isifo sikashukela, isifo se-asthma;
- izifo zesifo sokuphefumula, izifo ze-venereal, iibanda ngexesha lokukhulelwa;
- Ukukhulelwa okulukhuni (i- gestosis , isongelo sokuphuphuma kwesisu, i-Rhesus-conflict);
- isinamathiselo engavumelekanga yepentecenta;
- ukukhubazeka kwesisu (i-adenomyosis, i-myoma, i-endometritis engapheliyo);
- ukukhupha isisu, ukukhulelwa ngokukhawuleza, ukukhupha ngokukhawuleza ku-anamnesis;
- uxinzelelo kunye nokusebenza ngokweqile;
- ukutshaya ngexesha lokukhulelwa;
- iimeko eziphilayo ezihluphekileyo kunye nezimo zokuphila;
- ubudala emva kweminyaka engama-35 kunye neminyaka eyi-18.
Ukuxilongwa kunye nokunyangwa kwe-fetoplacental insufficiency
I-FPN ingabonwa kuphela ngoncedo lwezifundo ezizodwa. Umqondiso obalulekileyo wokungakwazi ukufumana umntwanakho ngumsebenzi wokuqala ogqithiseleyo wengane, kwaye ke ukuncipha kwinani lokuhamba kwakhe. Ukuba ukuphuculwa kokulibaziseka, ugqirha ubhala ukuba akukho ukukhula kwesisu esiswini, ukungafani phakathi kokuphakama komgangatho wesisu kunye nexesha lokukhulelwa. Ukuxilongwa kwe-fetoplacental insufficiency kwenziwa yindlela ye-ultrasonic, i-dopplerography kunye ne-cardiotocography. Akukho mali evumela ukuphulukiswa kwangaphandle kwe-FPN. Injongo ephambili yonyango kukuphucula ukutshintshwa kwegesi, ukubuyisela umjikelezo we-uterine-placental circulation kunye nokumiselela ithoni yesisu. Unokumiselwa iCranantil, i-Actovegin, i-Ginipral, i-droppers ene-magnesia.