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Placenta na-anọgide na-anọ

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n.[1]y.on.[2][2] also fails,[2].[3]

Placenta na-anọgide na-anọ
Other namesRetained products of conception

Placenta na-ejigide bụ ọnọdụ nke placenta Nile maobu akuku placenta bars noro na uterus mgbe nwanyi bara na agba ime nke ato ya. E kere ya n'uzo abuo nke gunyere:[4]

  • nkewa nke placenta na akpa nwa
  • placenta kewara site na akpa nwa ma nọgide n'ime akpa nwa

Placenta na-ejigide onwe ya na-abụkarị ihe na-akpata ọbara ọgbụgba mgbe amuchara amuchara, ma nke mbụ ma nke abụọ.[4]

A na-akọwa placenta a na-ejigide n'ozuzu ya dị ka placenta nke a na-achụpụghị placenta n'ime nkeji iri atọ nke ọmụmụ nwa ahụ ebe a na-achịkwa ọkwa nke atọ nke ịmụ nwa.[2]

Ihe ịrịba ama na mgbaàmà

[dezie | dezie ebe o si]

Ihe ize ndụ nke placenta na-ejigide gụnyere ọbara ọgbụgba na ọrịa. Mgbe a mụsịrị placenta, akpa nwa kwesịrị ịbịakọta iji mechie akwara ọbara niile dị n'ime akpa nwa. Ọ bụrụ na placenta kewara naanị n'ụzọ dị nta, akpa nwa enweghị ike ịkpụkọ nke ọma, yabụ akwara ọbara dị n'ime ga-anọgide na-agba ọbara. N'ụzọ dị otú a, placenta na-ejigide na-eduga na ọbara ọgbụgba.[5]

Nchịkwa

[dezie | dezie ebe o si]

Drugs, such as intraumbilical or intravenous oxytocin, are often used in the management of placental retention.[6] It is useful ensuring the bladder is empty. However, ergometrine should not be given as it causes tonic uterine contractions which may delay placental expulsion.[2] Controlled cord traction has been recommended as a second alternative after more than 30 minutes have passed after stimulation of uterine contractions, provided the uterus is contracted.[2] Manual extraction may be required if cord traction also fails,[2] or if heavy ongoing bleeding occurs. There is currently uncertainty about the effectiveness of anaesthesia or analgesia for manual extraction, in terms of pain and the risk of postpartum haemorrhage.[7] Very rarely a curettage is necessary to ensure that no remnants of the placenta remain (in rare conditions with very adherent placenta such as a placenta accreta).

Otú ọ dị, n'ebe a na-amụ nwa na ebe a na-anọ amụ nwa n'ụlọ, ọ bụ ihe a na-ahụkarị maka ndị na-ahụ maka nlekọta nwere ikikere ichere maka ọmụmụ nke placenta ruo awa 2 n'ọnọdụ ụfọdụ.

Anụmanụ ndị ọzọ

[dezie | dezie ebe o si]

A na-ahụkarị njigide nke membranes nwa ọhụrụ (mgbe amuchara) n'ụmụ ehi karịa n'ụfọdụ anụmanụ. N'ọnọdụ dị mma, a na-achụpụ placenta ehi n'ime awa iri na abụọ mgbe ọ mụsịrị nwa.[8]

  1. Duffy (2014). "What is the optimal pharmacological management of retained placenta?". BMJ 349: g4778. DOI:10.1136/bmj.g4778. PMID 25069774. 
  2. 2.0 2.1 2.2 2.3 2.4 2.5 2.6 Maternity - Prevention, Early Recognition & Management of Postpartum Haemorrhage (PPH) From Department of Health, NSW. 21-Oct-2010
  3. Kongwattanakul (12 June 2020). "Anaesthesia/analgesia for manual removal of retained placenta.". The Cochrane Database of Systematic Reviews 6: CD013013. DOI:10.1002/14651858.CD013013.pub2. PMID 32529658. 
  4. 4.0 4.1 Placenta (retention)
  5. Retained placenta, April 2015, BabyCenter, L.L.C.
  6. Duffy (2014). "What is the optimal pharmacological management of retained placenta?". BMJ 349: g4778. DOI:10.1136/bmj.g4778. PMID 25069774. 
  7. Kongwattanakul (12 June 2020). "Anaesthesia/analgesia for manual removal of retained placenta.". The Cochrane Database of Systematic Reviews 6: CD013013. DOI:10.1002/14651858.CD013013.pub2. PMID 32529658. 
  8. Retained Placentas