Placenta acreta: he aha ia, hōʻailona, ​​ʻike a me nā pilikia

Anter

• Nā ʻōuli o Placenta Acreta
• Pehea e hana ʻia ai ke kuhi
• Nā pilikia paha
• Lapaʻau no Placenta Acreta

ʻO ka placenta accreta, ʻo ia hoʻi ka placenta accretism, kahi kūlana i pili ʻole ka placenta i ka kōpū, paʻakikī iā ia e puka i ka manawa o ka hānau ʻana. ʻO kēia kūlana kahi kumu nui o nā pilikia a me ka make ma hope o ka hānau ʻana, no ka mea pili ia i kahi kiʻekiʻe o ke kahe o ke kahe.

Hiki ke hoʻokaʻawale ʻia ka accretism placental e like me ka hohonu o ke kau ʻana o ka placenta i loko o ka kōpū ma:

• Placenta maʻalahi acreeta, kahi e komo ai ka placenta i kahi hapa o ka myometrium, ʻo ia ka papa waena o ka kōpū;
• Placenta kupaianaha, kahi e komo piha ai ka placenta i ka myometrium;
• Pena placenta, kahi e hiki ai i ka placenta ke hōʻea i nā ʻohana serous a i ʻole e pili ana.

He mea nui e ʻike ʻia ka placenta accreta i ka wā prenatal examinations i mea e hiki ai ke hoʻonohonoho ʻia kahi ʻāpana cesarean e kahi hysterectomy, ʻo ia ka maʻa maʻamau i kuhikuhi ʻia, a pēlā e pale ʻia ai nā pilikia no ka makuahine a me ka pēpē.

Nā ʻōuli o Placenta Acreta

ʻO ka maʻamau, ʻaʻole ʻike ka wahine i kekahi ʻano o nā loli i ka placenta, no laila he mea nui e hana pololei ka wahine i ka mālama prenatal i hiki ke ʻike ʻia kēia hoʻololi.

ʻOiai ʻaʻole pinepine nā hōʻailona a me nā ʻōuli i kēia mau hihia, ʻike paha kekahi mau wahine i ke kahe liʻiliʻi o ke kahe, me ka ʻole o ka ʻeha a me ke kumu ʻole i ka wā o ka hāpai ʻana, a ua ʻōlelo ʻia e hele ʻoe i ke gynecologist / obstetrician e hoʻomaopopo i ke kumu o ke kahe ʻana a hoʻomaka. lapaʻau.

Pehea e hana ʻia ai ke kuhi

Pono e hana i ka diagnostical o ka placenta accreta e ke kiʻi ʻana i nā hoʻokolohua, e like me ke kiʻi ultrasound a me ke kiʻi ʻana me ka resonance, me ke ana ʻana i nā kaha koko e hōʻike ai i ka loli. Hiki ke hana i kēia mau hoʻāʻo i ka wā o ka mālama prenatal a me ka ʻike mua ʻana o ka accrism placental e hoʻoliʻiliʻi i ka pilikia o nā pilikia no nā wahine. E ʻike i nā hōʻike prenatal ʻē aʻe.

Hōʻike pinepine ʻia ʻo Ultrasonography no nā mea maʻi i manaʻo ʻia he makaʻu nui a he hana palekana loa ia no ka makuahine a me ka pēpē. ʻO ka hoʻohana ʻana o ke kiʻina resonance ʻumeʻume no ka ʻike o ka placenta accreta he mea hoʻopaʻapaʻa, akā hiki ke hōʻike ʻia ke manaʻo ʻia ka hopena o ka ultrasound kānalua a kū ʻole paha.

Hōʻike ʻia ʻo Ultrasonography i ka placenta accreta i nā wahine i ʻoi aku ka nui o ka pilikia i ka hoʻomohala ʻana i kēia pilikia, e like me nā wahine i ʻelemakule, i hana ʻoki mua ʻia, me ka ʻāpana cesarean, he fibroids uterine a i ʻole kahi placenta ma mua, i kahi o ka placenta e hoʻomōhala hapa a i ʻole ma ka ʻaoʻao haʻahaʻa o ka kōpū. Hoʻomaopopo hou e pili ana i ka placenta previa a pehea e hana ai ka lāʻau.

Nā pilikia paha

Pili nā pilikia o ka placenta accreta i ka manawa ke ʻike ʻia ka placenta accreta. ʻO ka ma mua ke kuhi ʻia, ka haʻahaʻa o ka hopena o ka hemorrhage postpartum, nā pilikia i ka wā o ka hānau ʻana, ka lawe ʻana ma mua a me ka pono no kahi ʻāpana cesarean pilikia.

Eia hou, aia nō paha he maʻi, nā pilikia e pili ana i ka hoʻopili ʻana, haki ka hakahaka, ka nalowale ʻana o ka momona a, inā ʻaʻole i ʻike ʻia a mālama pono ʻia, hiki i ka make.

Lapaʻau no Placenta Acreta

Hiki ke ʻokoʻa ka mālama ʻana o ka accrenism placental mai ka wahine a ka wahine, a hiki ke hana ʻia kahi ʻāpana cesarean me ka hysterectomy, ʻo ia ke kaʻina hana lapaʻau kahi e hemo ai ka uterus a, kaukaʻi ʻia i ke koʻikoʻi, o nā hale pili, e like me nā paipu a me ovaries.

I kekahi mau hihia, kuhikuhi ʻia ka mālama conservative e mālama i ka momona o ka wahine, me kahi ʻāpana cesarean a me ka hemo ʻana o ka placenta, me ka nānā ʻana i ka wahine ma hope o ka lawe ʻana e nānā i ke kahe a me nā pilikia paha.