Decidua cov ntaub so ntswg: txhais, ntsuas thiab nta

Niam txiv, los yog decidua, ntaub so ntswg nyob nruab nrab ntawm lub embryo thiab lub tsev me nyuam, nws yog ib qhov tsim nyog rau lub implantation ntawm lub gestational sac, me nyuam hauv plab kev loj hlob, yug me nyuam ntawm ib tug noj qab nyob zoo tus me nyuam.

conceiving

Paub tab poj niam kab hlwb peev xwm ntawm muab sawv mus rau ib tug lub neej tshiab. Cov qe, surrounded los ntawm lab ntawm cov phev nyob rau hauv txoj hlab qe raj, cia koj tus kheej rau ib tug, phiajcim nrog nws nyob rau hauv ib tug piece. Tus thawj 24 teev ntawm lub fertilized qe yog lub feem ntau siv tau, tej yam uas ua yam tseem ceeb ntawm cov ib puag ncig suffers tsis muaj kev phiv txim. Qhov no yog vim lub high muaj peev xwm rau lwm.

Los ntawm 4-5-th hnub los ntawm lub sij hawm ntawm fertilization yog cov tub ntxhais, muaj ib tug ntev txoj kev, nws ntog mus rau hauv lub uterine kab noj hniav. By lub sij hawm no, lub fertilized qe yog muaj ntau lub sij hawm qhia, mas yuav kis tau tshiab muaj peev xwm, cov kev tsim nyog zog.

Cov qe tso ib tug tshwj xeeb enzyme, uas yog tau yaj endometrium - membrane meem hauv lub tsev me nyuam. Thaum cov fertilized qe tau xaiv ib tug qhov chaw, nws yog soluble nyob rau hauv seem ntawm lub endometrium, tso ib qho chaw ua neej nyob, nws yog nkag tau rau hauv lub uterine kab noj hniav. Qhov no yuav kav li 2 hnub. Qhov saum toj no lub cog qhov chaw loj hlob, txoj kev ua ib tug zoo ntawm lub ru tsev rau nws lub tsev. Ces lub sij hawm ntawm fertilization, cov txheej txheem xaus.

Txheej generates ib daim card zog yuav tsum tau rau lub embryo, - muaj koob muaj npe jelly.

Initial theem ntawm me nyuam hauv plab kev loj hlob tsiag ntawv los ntawm cov tsos ntawm peb zoo li, amniotic kua surrounding tiv thaiv thiab pub nws.

Phua ntiag ovum:

• decidua cov ntaub so ntswg;

• fleecy;

• dej.

Tso cai decidua

Thaum lub sij hawm uas tuaj txog ntawm lub ovum endometrium yog hloov dua siab tshiab rau hauv decidua, kev muab cov mob uas tsim nyog rau embryo kev ua si. Cov kev loj hlob ntawm lub ovum thiab cov transformation ntawm lub endometrium yuav tsum mus ib txhij, los yog implantation tsis tshwm sim, cev xeeb tub tu ncua nyob rau hauv thaum ntxov yeej.

Caduca - niam yog ib feem ntawm lub tsho me nyuam, uas piav txog nws txoj kev ua:

1. Khoom noj khoom haus, vim hais tias nws muaj glycogen, lipids, mucopolysaccharides, ntsev, ib txoj lw ntsiab, enzymes, immunoglobulins.

1. Kev pab tiv thaiv, raws li yuav siv sij hawm kev kho mob ntawm tag nrho cov pathogens, co toxins, teeb meem tshuaj.

1. Txoj kev loj hlob, vim tom qab tag nrho cov as-ham siv li, pib los ua ke carbohydrates, cov rog, cov nqaijrog, cov tshuaj hormones.

1. Immune thiab endocrine muaj nuj nqi.

Tau teeb nyob rau hauv daim nyias nyias qauv

Muaj ntau hwv thiab lub regional kev pab cuam, xyuas, kev kho mob ntawm cev xeeb tub cov poj niam, cev xeeb tub cov poj niam, cov me nyuam mos. Yuav tsum muaj ntawm cov kev pab cuam yog txoj kev tshawb no ntawm lub tsho me nyuam, tsis hais ntawm gestational hnub nyoog, txoj kev uas tau ua tus me nyuam. Tshawb nyob rau hauv scrapes decidua cov ntaub so ntswg.

Tus aim ntawm txoj kev tshawb no yog:

• paub thiab sau npe ntawm uas twb muaj lawm uas yuav muaj yam rau tus kab mob thaum lub sij hawm cev xeeb tub;

• raws sij hawm ceeb toom neonatal kab mob;

• kev kho mob thiab kev tiv thaiv ntawm cov teeb meem uas cev xeeb tub, yug menyuam thiab lub postpartum lub sij hawm;

• kev txheeb xyuas, noj mus rau hauv tus account lub timeliness ntawm qab cev xeeb tub cov poj niam;

• qhia kom paub txog qhov ua rau ntawm tus me nyuam lub neej no;

• qhia tawm ntawm lub yog vim li cas rau me nyuam hauv plab tuag.

Tag nrho cov ntxiv kev soj ntsuam xyuas tau, siv txoj kev differential mob. Txhais lus ntawm cov kev tshwm sim tau hwm mus rau leej niam thiab tus me nyuam.

Decidua cov ntaub so ntswg muaj peev xwm yuav nrog cov hauv qab no cov kev hloov:

• hemorrhage;

• necrosis;

• tawg;

• o;

• thooj.

Tag nrho cov ntaub ntawv no yog muab ntaus rau hauv cov kev kho mob cov ntaub ntawv ntawm cov poj niam thiab cov me nyuam mos, keeb kwm ntawm cev xeeb tub, yug menyuam, mob, tsev kho mob cov ntaub ntawv, coj mus rau hauv tus account rau lub pw dispensary accounting.

necrosis

Necrosis - yog txoj kev tuag ntawm lub zos cov ntaub so ntswg uas tsim ntawm qhov chaw mob rau hauv cov ntshav txaus rau cov ntaub so ntswg thiab raug kab mob thiab lawv cov metabolic khoom. Qhov no ntxhov tiv thaiv kab mob, endocrine, secretory kev ua plhaub decidual cov ntaub so ntswg pib tawg ua me me thiab tsis lees txais.

hyalinosis

Hyalinosis - ib hom ntawm lwm thiab cov nqaij mos kev sib khi, nyob rau hauv uas nws yuav zoo ib yam li lub pob txha mos. Qhov ua rau ntawm hyalinosis decidua nqaij yog tseem tsis tau kiag li to taub. Tab sis nws ua rau yus mob siab heev los ntshav, ntxov ntxov yug, stillbirth.

o

Lub plawv mob, nce vascular permeability, edema, ntau tsim ntawm hloov feem ntawm lub hlwb tuab o. Nyob rau hauv qhov chaw ntawm lub o nyhav ib tug loj tus naj npawb ntawm cov ntshav, zoo nkaus li decidua cov ntaub so ntswg nrog leukocyte infiltration, uas chiv muaj ib tug coj tus cwj pwm. Tiam sis nrog lub kev vam meej ntawm cov ntaub yog impregnated nrog tus txheej txheem ntawm ib tug lossis loj tus naj npawb ntawm cov ntshav dawb, kua paug zoo nkaus li. Txawm tias tom qab kev vam meej kev kho mob ntawm purulent txheej txheem inevitably tsim adhesions uas yuav ua rau ntxiv lawm tshob. Qhov ntawd yog yuav ua li cas txaus ntshai decidua cov ntaub so ntswg mob.

Yog vim li cas tej zaum yuav: endometritis, ib tus mob o ntawm lub amniotic kua thaum tus kab mob kis los ntawm kev sib cuag. Nrog los ntawm ntshav, uas yuav ua tau kom rho me nyuam tawm ntawm lub sij hawm ntawm hais txog 3 lub hlis uas cev xeeb tub. Decidual endometritis tshwm ntau belyami nyob rau hauv thawj lub hlis tom qab conception. Nrog rau kev vam meej ntawm tus txheej txheem ntawm kev tsim ib tug lig nchuav menyuam, increment, ntxov ntxov detachment ntawm lub tsho me nyuam, uterine involution.

hemorrhage

Tej zaum decidua cov ntaub so ntswg nrog hemorrhage. Nws muaj thaum lub sij hawm outpouring ntawm cov ntshav sab nraum lub ntsha phab ntsa nyob rau high school permeability, melting los yog rhuav nws kua paug pathological txheej txheem. Cai nyob rau hauv txawj rho menyuam, ectopic cev xeeb tub, horionkartsinoma.

kis

Tej zaum kuj muaj yog ib tug kis thiab muaj tsuas yog tawg tsam ntawm decidua cov ntaub so ntswg. Ntxov ntxov rupture ua rau ntev zoo li anhydrous lub sij hawm nrog rau kev raug mob ntawm tus kab mob, los ntshav. Tsim nrog kab mob, ntshav kab mob, mob ntshav qab zib, cov muaj ib tug loj tus naj npawb ntawm abortions nyob rau hauv yav dhau los nyuam.

Lub plhaub yuav ua rau kom nyob rau hauv volume nyob rau hauv lub xub ntiag ntawm o, degeneration, raug teeb meem rho menyuam.

Yog vim li cas rau cov kev hloov decidua

• Caj abnormality ntawm lub fetus.

• Inflammatory kev ntawm lub tsev menyuam.

• Tsis ncig.

• Kab mob.

• Hemolytic kab mob.

• Extragenital pathology: ntshav qab zib, mob plawv cov kab mob, ntshav kab mob, cov thyroid, lub paj hlwb.

Rau kev tiv thaiv ntawm raug teeb meem rho menyuam yog tsim nyog yuav ua rau nws ntshaw. Nws yog tsim nyog los npaj, los npaj ua ntej, yuav ua rau ib tug noj qab nyob zoo txoj kev ua neej, mus tshem tawm kev txais tos ntawm cov cawv thiab haus luam yeeb, los kho tag nrho cov Somatic thiab kab thiab inflammatory kab mob.

Ua ntej npaj cev xeeb tub yuav tsum tau muaj cov ntshav thiab zis kev ntsuam xyuas (nyob rau cov ntshav txhaws, cov tshuaj hormones), mus nrhiav tau ib pab pawg neeg ntawm niam ntawm cov ntshav mus kuaj rau latent kab mob. Ntshav pab pawg neeg, v zoo tshaj thiab ntsuam xyuas rau latent kab mob yog ob leeg niam txiv. Mus rau daim ntawv teev uas yuav tsum tau kuaj ntshav rau kab mob yog: toxoplasmosis, rubella, cytomegalovirus, herpes.

Nyob rau hauv cov kev tshwm sim ntawm ib tug cev xeeb tub raws li thaum ntxov li sai tau nws yog advisable mus sau npe nrog nyob rau hauv lub antenatal lub tsev kho mob, tus kws kho mob tsis tu ncua, kom tiav tau txhua yam ntawm nws kev pom, coj lub tsom xam ntawm qhov teeb meem no nyob rau hauv ib tug raws sijhawm.