HFPN thaum cev xeeb tub: nws yog dab tsi?

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:57

HFPN yog dab tsi thaum cev xeeb tub? Tus kab mob no tau kuaj pom hauv txhua tus poj niam thib peb uas xav tau tus menyuam, uas muaj kev pheej hmoo. Cov ntawv luv no zais ib lo lus kho mob uas suab zoo li "mob fetoplacental insufficiency." Pathology yog tshwm sim los ntawm ib tug complex cov tshuaj tiv thaiv ntawm lub fetus thiab placenta rau ntau yam kev mob ntawm leej niam kab mob. Nyob rau tib lub sijhawm, kev ua txhaum ntawm kev thauj mus los, metabolic, trophic thiab endocrine kev ua haujlwm ntawm cov placenta tau pom, uas cuam tshuam rau kev noj qab haus huv ntawm tus menyuam hauv plab thiab tus menyuam mos.

Risk factors

Kev kuaj mob HFPN thaum cev xeeb tub tuaj yeem yog vim muaj ntau yam uas kws kho menyuam yaus faib ua ob peb pawg: kev sib raug zoo thiab tsev neeg, cov yam ntxwv ntawm obstetric thiab gynecological keeb kwm, cov yam ntxwv ntawm lub sijhawm cev xeeb tub, cov yam ntxwv ntawm keeb kwm somatic. Kev sib raug zoo ntawm placental insufficiency muaj xws li hnub nyoog mus txog rau kaum xya xyoo los yog tom qab 35, ua hauj lwm nyob rau hauv tsim kev puas tsuaj, lub cev hnyav.kev ua haujlwm, haus dej cawv thiab haus luam yeeb, kev nyuaj siab ntxhov plawv.

Ntau zaus, cov xwm txheej txaus ntshai rau kev loj hlob tsis txaus yog kab mob ntev, kab mob endocrine ntawm leej niam lossis cov kab mob extragenital (cov kab mob ntawm cov kab mob hauv nruab nrog cev uas tsis ncaj qha ntsig txog kev ua me nyuam tsis ua haujlwm). Feem ntau, thaum cev xeeb tub, lub plawv tsis xws luag, rheumatism, kub siab thiab hypotension, varicose veins, anemia, cholecystitis, thiab ntshav qab zib mellitus ua hnyav.

Feem ntau ua rau HFPN muaj xws li kev ua cev qhev, kev phais gynecological yav dhau los, kev rho menyuam tawm los yog raug ntxias, tseem yug me nyuam, rov muaj kab mob gynecological, fibroids, endometriosis, kev yug me nyuam qis, infertility. Cov pab pawg muaj kev pheej hmoo suav nrog nulliparous laus dua 35 xyoo nrog uterine myoma. Nrog tib tus kab mob no, tab sis ua ntej hnub nyoog 30 xyoo, qhov kev pheej hmoo ntawm kev tsim HFPN tau txo qis heev.

Cov Teeb Meem ntawm HFPN, uas yog ib txwm muaj rau kev xeeb tub, yog gestosis, kev hem thawj ntawm nchuav menyuam, overmaturity, ntau cev xeeb tub, anemia, exacerbation ntawm cov kab mob ntev. Cov degree thiab qhov xwm txheej ntawm cov kab mob pathological nrog rau qhov kev kuaj mob no feem ntau nyob ntawm lub sijhawm cev xeeb tub, lub xeev ntawm cov txheej txheem hauv lub cev "niam - placenta - fetus", thiab nyob rau lub sijhawm raug cuam tshuam rau qhov tsis zoo.

Kev faib tawm

Kev cev xeeb tub tawm tsam keeb kwm ntawm HFPN - nws yog dab tsi? Tus kab mob no tshwm sim los ntawm kev ua haujlwm tsis zoo hauv cov placenta,Qhov kev loj hlob tuaj yeem ua rau kev loj hlob qeeb, hypoxia, lossis txawm tias tus menyuam hauv plab tuag. Ib qho teeb meem raug kuaj pom hauv ib nrab ntawm cov poj niam cev xeeb tub uas yog tus cwj pwm los ntawm kev nchuav menyuam. Nyob rau hauv ib feem peb ntawm cov mob, HFPI tshwm sim raws li ib tug teeb meem ntawm preeclampsia, thiab tom qab ib tug kab mob thaum ntxov, nws manifests nws tus kheej nyob rau hauv ib tug loj dua ntawm kev soj ntsuam (kwv yees li 60%).

Raws li lub sijhawm tshwm sim thiab cov txheej txheem, thawj thiab theem nrab tsis txaus ntawm placental functions yog qhov txawv. Thawj HFPN tshwm sim txog kaum rau lub lis piam. Qhov no yog vim muaj ntau yam kev ua txhaum ntawm implantation thiab placentation. Secondary insufficiency tshwm sim tom qab kaum rau lub lis piam nyob rau hauv kev cuam tshuam ntawm lwm yam uas cuam tshuam rau tus me nyuam hauv plab los yog leej niam uas twb tsim placenta.

Raws li chav kho mob, FPI faib ua mob hnyav thiab mob ntev. Mob feem ntau tshwm sim tawm tsam keeb kwm ntawm placental abruption. Nws raug kuaj pom feem ntau hauv kev yug menyuam, tab sis qhov tshwm sim ntawm qhov mob placental tsis txaus txhua lub sijhawm tsis tuaj yeem txiav txim tawm. Mob tsis txaus tuaj yeem kuaj tau ntawm txhua theem ntawm cev xeeb tub. Nws muab faib ua compensated, decompensated (degrees kuj txawv) thiab subcompensated.

Daim ntawv them nqi ntawm HFPN thaum cev xeeb tub - nws yog dab tsi thiab nws ua rau dab tsi? Qhov no yog ib qho pathology uas cov txheej txheem metabolic hauv cov placenta cuam tshuam, thiab cov ntshav ncig tseem nyob li qub. Nyob rau tib lub sijhawm, vim muaj peev xwm ntawm niam txiv kab mob, fetus tsis uaxav tias tsis xis nyob, yog li qhov tshwm sim ntawm daim ntawv no ntawm HFPN tsawg heev. Txawm li cas los xij, kev soj ntsuam yog qhov tsim nyog, vim tias daim ntawv no ntawm pathology, thaum tsis muaj kev kho mob, yuav hnyav dua.

Subcompensated form of insufficiency yog ib yam mob uas cov peev txheej ntawm niam lub cev pib deplete. Qhov no tshwm sim yog tias qhov ua rau ntawm daim ntawv them nyiaj ntawm HFPN tsis raug tshem tawm. Daim ntawv decompensated yog qhov kev loj hlob ntawm pathology nrog cov kab mob hauv lub cev hauv "niam - placenta - fetus" system.

Nrog kev pab ntawm dopplerometry, koj tuaj yeem txiav txim siab qhov degree ntawm decompensated daim ntawv ntawm placental insufficiency. HFPN 1a thaum cev xeeb tub yog tus cwj pwm los ntawm cov kab mob hauv lub cev tsuas yog hauv cov ntshav uteroplacental. Hauv daim ntawv 1b, kev cuam tshuam tsuas yog tshwm sim hauv cov ntshav hauv plab hauv plab. Ntawm qib thib ob, kev ua txhaum cai raug txiav txim siab ntawm ob theem, tab sis tsis yog qhov tseem ceeb. Qib thib peb ntawm HFPN yog qhov tseem ceeb ntawm kev puas tsuaj uas ua rau lub neej ntawm tus menyuam hauv plab muaj kev pheej hmoo.

Symptoms

Kev kuaj mob hnyav - HFPN thaum cev xeeb tub. Qhov no pathology yog dab tsi thiab cov tsos mob dab tsi tuaj yeem xav tau ntawm pathology? Kev ua txhaum cai ntawm "niam - placenta - fetus", uas nyob rau hauv cov ntaub ntawv hnyav tshaj plaws tuaj yeem ua rau kev loj hlob qeeb lossis kev tuag ntawm tus menyuam hauv plab, tuaj yeem tshwm sim vim muaj kab mob los yog kis kab mob hauv thawj peb lub hlis twg, endocrine pathologies lossis kab mob caj ces. Yog li ntawd, kev saib xyuas tshwj xeeb yuav tsum tau them rau kev tswj xyuas cov neeg mob uas muaj kev pheej hmoo rau cov noyam.

Nws yog dab tsi - HFPN nrog them nyiaj thaum cev xeeb tub? Txhua tus niam uas muaj kev cia siab yuav tsum paub txog qhov xwm txheej txaus ntshai no kom nws tus kheej tuaj yeem txheeb xyuas cov tsos mob txaus ntshai thiab sab laj nrog kws kho mob. Tus kab mob xyaum tsis tshwm sim nws tus kheej. Tus poj niam xav tias txaus siab, thiab kev ua txhaum cai tsuas yog txiav txim tau thaum kawm ntxiv (ultrasound lossis dopplerometry).

Cov tsos mob ceeb toom pib tshwm tsuas yog nrog daim ntawv decompensated ntawm placental insufficiency. Ua ntej, muaj cov cim qhia ntawm ntau yam kab mob, tawm tsam uas HFPN feem ntau tshwm sim, xws li edema nrog preeclampsia lossis mob taub hau nrog ntshav siab. Ua ke nrog qhov no, qhov zaus thiab kev siv ntawm fetal txav zuj zus.

Thaum qhov kev loj hlob ntawm lub tsev menyuam retardation, tus kws kho mob yuav pom qhov sib txawv ntawm qhov siab ntawm lub tsev menyuam thiab lub hnub nyoog gestational. Qhov no yog ib qho kev qhia tsis ncaj, tab sis koj yuav tsum tau xyuam xim rau nws. Cov tsos mob txaus ntshai yog qhov tshwm sim ntawm cov ntshav tawm ntawm qhov chaw mos thaum lub sijhawm xeeb tub. Qhov no qhia tias kev tshem tawm ntxov ntxov ntawm cov placenta, uas tuaj yeem ua rau fetal hypoxia. Yog tias los ntshav tshwm sim, tus poj niam yuav tsum mus ntsib kws kho mob tam sim.

Diagnosis

Cov kws kho mob yuav tsum tau saib xyuas ntau dua rau cov poj niam uas muaj kev pheej hmoo rau kev tsim HFPN thaum cev xeeb tub. Lub xeev no yog dab tsi, nws tau piav saum toj no. Yog li, ntawm txhua qhov kev kuaj mob, tus kws kho mob gynecologist yuav tsum tau saib xyuas qhov hnyav nce, txiav txim siab qhov siab ntawm lub tsev menyuam thiab qhov ncig ntawm lub plab. Teeb liab rauCov kev tshawb fawb ntxiv yog qhov txo qis ntawm cov menyuam hauv plab, qhov lag ntseg ntawm lub plawv dhia tones, qhov sib txawv ntawm VDM thiab lub hnub nyoog gestational.

Koj tuaj yeem txiav txim siab txog kab mob siv ultrasound, dopplerometry lossis cardiotocography. Ultrasound diagnostics tso cai rau koj los soj ntsuam cov mob ntawm cov placenta thiab fetus, ntsuas tus nqi ntawm amniotic kua. Raws li cov txiaj ntsig ntawm dopplerometry, qib thiab theem ntawm kev ua txhaum cai hauv "niam - placenta - fetus" system tau txiav txim siab. Tsis tas li ntawd, txoj kev kuaj mob no tso cai rau koj xaiv txoj kev kho kom zoo. Koj tuaj yeem txiav txim ncaj qha rau tus menyuam hauv plab los ntawm kev ua haujlwm plawv, uas tau txiav txim siab thaum lub sijhawm cardiotocography.

Kev kho mob

HFPN thaum cev xeeb tub tuaj yeem kho tau ntawm tus neeg mob sab nraud, raug saib xyuas tas li thiab mus ntsib kws kho mob tsis tu ncua, tab sis tsuas yog tias cov kab mob tshwm sim hauv daim ntawv them nyiaj. Hauv lwm qhov xwm txheej, kev soj ntsuam hauv tsev kho mob yog qhov tsim nyog. Txhua txoj kev kho mob tam sim no tsis tso cai rau kom rov ua kom tag nrho cov qauv thiab kev ua haujlwm ntawm cov placenta, tab sis tsuas yog pab txhawb kom ruaj khov ntawm cov txheej txheem thiab tiv thaiv kev loj hlob ntawm pathology.

Tshuaj

HFPN yog kho nrog cov tshuaj uas txhim kho cov ntshav ncig hauv cov hlab ntsha, ua kom cov txheej txheem metabolic hauv cov ntaub so ntswg ntawm tus menyuam hauv plab. Feem ntau, pathology yog nrog los ntawm lub suab nrov ntawm lub tsev menyuam, thiab No-shpa, magnesium sulfate, Ginipral yog tshuaj. Tag nrho cov kev ntsuas kho tau ua tiav tsawg kawg ob lub lis piam. Saib xyuas lub xeevCov poj niam thiab tus menyuam hauv plab tuaj yeem siv CTG, kuaj ultrasound lossis dopplerometry.

Kev yug me nyuam nrog HFPN

Yog tias tus mob ntawm tus menyuam hauv plab txaus siab, txawm li cas los xij, txawm tias muaj kev kuaj mob zoo li no, tus poj niam tuaj yeem yug tau ib txwm muaj. Txwv tsis pub, HFPN yog ib qho kev qhia rau kev phais. CS tau ua nrog kev hem thawj ntawm kev rho menyuam lossis kev ua txhaum ntawm cov placental thaum ntxov (thaum tus menyuam hauv plab twb siv tau), nrog rau lub sijhawm ntev ntawm fetal hypoxia kaw thaum yug menyuam. Ob qhov kev npaj thiab xwm txheej ceev CS tuaj yeem sau tau. Txhua yam nyob ntawm qhov tshwj xeeb.

Risks and Consequence

Qhov tshwm sim ntawm HFPN thaum cev xeeb tub rau tus menyuam tuaj yeem loj heev, tab sis qhov txaus ntshai nyob ntawm hom thiab theem ntawm pathology. Placental insufficiency tuaj yeem ua rau kev rho menyuam tsis tu ncua, kev loj hlob qeeb thiab kev loj hlob ntawm fetus, hypoxia. Nws kuj ua rau muaj kev pheej hmoo ntawm kev tuag ntawm tus menyuam hauv plab. Qhov tshwm sim ntawm HFPN thaum cev xeeb tub yog qhov hnyav, tab sis qhov kev kuaj mob no tsis tau txhais hais tias tus menyuam yuav yug los nrog kev loj hlob qeeb lossis ntxov ntxov. Nrog rau kev tshawb pom ntxov ntawm pathology thiab kev kho mob txaus, qhov kev cia siab rau leej niam thiab tus menyuam hauv plab yog qhov zoo.

Kev Tiv Thaiv

Yog li, nws tau txiav txim siab tias qhov no yog HFPN thaum cev xeeb tub. Qhov kev tiv thaiv tseem ceeb yog tswj kev noj qab haus huv hauv lub neej ob qho tib si ntawm lub sijhawm npaj thiab thaum cev xeeb tub, muab cov cwj pwm tsis zoo, noj zaub mov zoo, noj cov vitamins. Thaum npaj, nws yog ib qho tsim nyog yuav tau mus kuaj xyuas los ntawm gynecologist, kho cov kab mob ntev thiab kev sib deev. Thaumcev xeeb tub yuav tsum tsis txhob tsis quav ntsej mus ntsib lub tsev kho mob antenatal thiab pom zoo cov txheej txheem kuaj mob, xws li kev kuaj ntshav thiab zis, ultrasound, thiab lwm yam.