n.[1]y.on.[2][2] also fails,[2].[3]
| Placenta na-anọgide na-anọ | |
|---|---|
| Other names | Retained 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]
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 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]
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.
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]