Lub placenta yog ib qho tseem ceeb heev uas yuav tsum tau ua thaum uas cev xeeb tub. Nws pib rau tom qab lub implantation ntawm fertilized qe rau hauv lub tsev menyuam, thiab feem ntau cov txheej txheem no yog tiav los ntawm 16 lub lim piam ntawm cev xeeb tub. Thaum lub caij cev xeeb tub, lub tsho me nyuam yuav muab cov pa oxygen thiab cov khoom siv cev rau cov me nyuam hauv plab. Kev txiav txim siab ntawm qhov hnyuv ntawm lub tsho me nyuam raws li cov txiaj ntsim ntawm ultrasound kev xeem muab ib lub tswv yim ntawm seb nws zoo npaum licas nrog nws cov haujlwm.
Placenta Hyperplasia - Ua rau
Qhov loj me me ntawm lub tsho me nyuam tau piav qhia nyob rau hauv ntau phau ntawv hais txog ob yam kabmob. Xav txog seb qhov me me ntawm lub tsho me nyuam li cas. Yog li, piv txwv li, qhov hnyuv ntawm lub tsho me nyuam tom 21, 22 thiab 23 lub lim piam ntawm kev hno muaj sib txawv rau 21, 22 thiab 23 hli. Nyob rau ntawm 31 lub lim piam gestation, lub plab ntawm lub tsho me nyuam yuav yog 31 hli, ntawm 32 thiab 33 lub lis piam, 32 thiab 33 hli, feem. Kev loj hlob ntawm placenta tshwm sim ua ntej 37 lub lim tiam ntawm cev xeeb tub thiab ncav 33.75 hli, tom qab uas nws qhov kev loj hlob nres, thiab thaum xaus ntawm cev xeeb tub, muaj qee qhov thinning ntawm nws mus rau 33.25 hli. Thickening ntawm lub tsho me nyuam los yog nws cov hyperplasia yuav yog ib qho kev mob ntawm cov kab mob ntau yam.
Vim li cas thiaj li hyperplasia ntawm lub tsho me nyuam muaj xws li:
- ntshav qab zib mellitus hauv tus poj niam cev xeeb tub;
- Rhesus-tsis sib haum xeeb (yog hais tias tus poj niam cev xeeb tub muaj ntshav siab, thiab tus me nyuam muaj tus kab mob zoo);
- mob kab mob chiv (mob ua pa nyhav, mob ua npaws);
- kab mob sib kis, kis kab mob sib kis los ntawm kev sib daj sib deev (mycoplasma, cure, chlamydia, toxoplasma, gonorrhea, syphilis);
- anemia muaj hnyav, nrog rau txo tus kabmob hemoglobin tsawg dua 80 g / l.
Qhov kev kuaj mob ntawm plab hnyuv plab (placental hyperplasia) nrog qhov chaw loj (qhov chaw pabcuam) ntawm MVP yuav tsis raug ntshai. Kev nthuav dav ntawm MVP muaj qhov txhaum cai - nyob rau hauv kev teb rau qhov thickening ntawm placenta.
Hyperplasia ntawm lub tsho me nyuam - kev kho mob
Yog tias ib tug poj niam muaj ib qho chaw kuaj mob hauv ultrasound, nws yuav tsum tau rov ua ultrasound hauv ib lub lim piam, thiab ua rau dopplerometry ( doppler rau cov poj niam cev xeeb tub - kawm txog ntshav ntws hauv txoj hlab ntaws) thiab daim cardiotocography (kev txiav txim siab tus naj npawb thiab zoo ntawm cov leeg cwj pwm hauv plab). Cov kev tshawb fawb no yog tsim nyog los txiav txim seb qhov xwm txheej ntawm lub fetus thiab kev ntsuam xyuas raws sij hawm ntawm qhov kev ncua ntev hauv nws txoj kev loj hlob hauv kev loj hlob.
Nrog rau plab chaw placebo hyperplasia thiab tsis muaj pathology rau ntawm qhov fetus, kev kho mob tej zaum yuav tsis tsim nyog. Yog hais tias qhov kev tshawb nrhiav ntxiv no yuav qhia tau tias qhov kev loj hlob ntawm tus me nyuam hauv plab nrog plhaus nkas nrog plab hnyuv plab, tus poj niam yuav tsum tau mus pw hauv tsev kho mob.
Nws yog ib txoj cai kom siv cov tshuaj uas txhim kho microcirculation hauv lub tsho hauv plab (pentoxifylline, trental), cov tshuaj uas dilute cov ntshav (tsis ua hauj lwm, mob plawv). Nws yog ib qho tseem ceeb uas yuav tau siv cov tshuaj uas ua kom lub cev ntawm lub tsho me nyuam thiab, raws li, qhov fetus (actovegin). Txoj kev kho kom zoo yog qhov tseem ceeb. Kev siv cov phospholipids tseem ceeb raws li lub tsev siv rau cov hlwb tiv thaiv lawv kev puas tsuaj. Txoj kev kho kom zoo yuav nce siab yog tias ntxiv rau kev kho cov vitamin E thiab folic acid.
Hyperplasia ntawm lub tsho me nyuam - kev tsim txom
Ib qho kev nce hauv qhov quav ntawm lub tsho me nyuam ua rau muaj mob hu ua fetoplacental insufficiency,
Yog li, peb pom tau tias ua rau, kev kuaj mob thiab kev kho mob ntawm placental hyperplasia. Txoj kev xeeb menyuam hauv plab yog qhov zoo rau kev hloov tshuaj. Txoj haujlwm tseem ceeb ntawm tus poj niam cev xeeb tub yog lub sijhawm sau npe ntawm cov poj niam cov kev sab laj, nrog rau txhua tus kws kho mob pom zoo rau kev kho mob thiab kuaj mob.