澶у鏄ㄥぉ閮藉悆鍒板ū涔愬湀鐨勯噸纾呪€滃ぇ鐡溾€濅簡鍚楋紵
鐭ュ悕婕斿憳鑳℃瓕绐佺劧瀹樺宸擦鐢熷コ锛佽繖鍒欐柊闂诲鈥滃钩鍦颁竴澹伴浄鈥濊澶у闇囨儕涓嶅凡鈥斺€旈搧鎵撶殑浼撮儙涓撲笟鎴风珶鐒惰烦杩囦簡瀹樺鎭嬫儏鍜岀粨濠氾紝鐩存帴鍏竷鏈夊瀛愪簡锛?/p>
锛堟潵婧愶細寰崥锛?/p>
鍏跺疄鍦ㄥū涔愬湀锛岃繖鏍风殑浜嬪苟涓嶅皯瑙併€?1骞寸殑涓€涓钩甯镐笅鍗堬紝鐭ュ悕姝屾墜涔熸槸绐佺劧鎵胯鑷繁宸叉湁瀛╁瓙銆?/p>
锛堟潵婧愶細寰崥锛?/p>
鐢氳嚦灏卞湪鑳℃瓕瀹樺鍚庝笉涔咃紝灏卞張鏈変竴浣嶇煡鍚嶇粌涔犵敓琚洕鍑洪殣濠氭湁瀛愶紝浣嗙湡瀹炴€ц繕鏈璇佸疄銆?/p>
锛堟潵婧愶細寰崥锛?/p>
澶у闄や簡涓婅箍涓嬭烦鍦板悆鐫€鐡滀箣澶栵紝鏄笉鏄篃涓嶇鎰熸叏涓€鍙モ€滄€庝箞鎰熻濞变箰鍦堢敓瀛╁瓙閮借繖涔堝鏄撳拰绠€鍗曪紵鈥?/p>
浣嗗叾瀹炲崄鏈堟€€鑳庯紝濂充汉缁忓巻鐨勮緵鑻﹁繙姣斿ぇ瀹舵兂璞″緱鏇村銆備粖澶╃煡濡瑰氨瑕佹潵鏉ヨ亰涓€鑱婂コ浜烘€€瀛曞悗閮借缁忓巻浜涗粈涔堛€?/p>
婵€绱狅紝浣滀负韬綋涓殑淇″彿浣胯€咃紝浼氬韬綋鐨勫櫒瀹樸€佺缁忕郴缁熷彂鍙锋柦浠わ紝褰撳彈绮惧嵉褰㈡垚鍚庯紝婵€绱犵巼鍏堝彂鐢熷墽鐑堝彉鍖栵紝浼氶€氱煡锛?/p>
涔虫埧銆佽儍鑲犻亾銆佸績鑴忕瓑鍣ㄥ畼鍜岀缁忕郴缁燂紝姝ゅ埢锛屼綘浠鍏ㄥ姏浠ヨ荡涓哄疂瀹濊惀閫犱竴涓壇濂界殑鍙戣偛鐜銆?/p>
杩欎竴鍒伙紝鐢滆湝鐨勮礋鎷呭紑濮嬩簡锛屽湪鎬€瀛曠殑鏃╂湡锛屽瓡濡囦綋鍐呯殑闆屾縺绱犲拰瀛曟縺绱犱細杩呴€熷鍔犮€?/p>
1
涓烘瘝涔冲仛鍑嗗锛屽濡堟壙鍙楃潃涔虫埧鑳€鐥?/strong>
褰撲綘杩樻槸鍙楃簿鍗垫椂锛屽濡堢殑韬綋灏卞紑濮嬩负浜т钩鍋氬噯澶囦簡銆?/p>
鍙楃簿鍗靛湪瀛愬鍐呰啘鎴愬姛鐫€闄嗭紝姝ゆ椂锛屽湪瀛曟縺绱犵殑浣滅敤涓嬶紝涔宠吅瀵肩缁嗚優寮€濮嬬敓闀垮彂鑲诧紝涓轰骇涔冲仛鍑嗗銆?/p>
濡堝浼氭劅瑙夊埌涔虫埧鑳€鐥涗笉閫傦紝杩欑涓嶉€備細鍦ㄦ暣涓€€瀛曡繃绋嬩腑瀛樺湪锛屼絾鍦ㄥ瓡涓湡鍜屽瓡鍚庢湡浼氶€愭笎閫傚簲銆?/p>
鑰屾瘝涔筹紝瀵瑰疂瀹濇槸鏈€瀹夊叏鐨勫ぉ鐒堕鐗╋紝钀ュ吇涓板瘜锛屾俯搴﹂€傚疁銆?/p>
2
涓轰簡淇濇姢鑳庣洏椤哄埄闀垮ぇ锛屽濡堝彲鑳借鍛曞悙2涓湀宸﹀彸
瀛曟棭鏈燂紝鍗靛发鍒嗘硨鐨?strong>浜虹粧姣涜啘淇冩€ц吅婵€绱?/strong>浼氬崌楂橈紝瀹冨纭繚瀹濆疂鏃╂湡鑳氳儙鐨勬甯稿彂鑲擦崄鍒嗛噸瑕併€?/p>
鐒惰€岋紝杩欎釜婵€绱犱細鍒烘縺鍛曞悙涓灑锛屽濡堜細鍓х儓鍛曞悙锛屽憰鍚愪竴鑸粠鎬€瀛曠殑绗?鍛ㄥ紑濮嬶紝鍦ㄥ疂瀹濈敓闀垮埌8-10鍛ㄦ椂杈惧埌楂樺嘲[1]銆?/p>
姝ゅ悗瀹冪殑姘村钩杩呴€熶笅闄嶏紝瀹濆疂灏变細鍜屽濡堢殑韬綋鍜屽钩鍏卞锛屽憰鍚愭秷澶便€?/p>
3
瀛曟縺绱犱細淇濋殰瀹濆疂鍦ㄥ瓙瀹唴鐨勫畨绋筹紝濡堝鍗村紑濮嬩究绉?/strong>
楂樻按骞崇殑瀛曟縺绱犲彲浠ヨ垝缂撳瓙瀹钩婊戣倢锛岃繖鏍峰彲浠ュ绾抽暱澶х殑鑳庡効锛屼篃鍙互閬垮厤瀛愬鏀剁缉灏嗗叾鎺掑嚭浣撳銆?/p>
褰撳疂瀹濆湪瀛愬涓畨绋冲湴鐢熼暱鏃讹紝濡堝鍗存鍦ㄩ伃閬囦究绉樼殑鐥涜嫤銆?/p>
姝ゆ椂锛岃儍鑲犻亾鑲岃倝鐨勮爼鍔ㄥ拰鏀剁缉鍑忓皯浜嗭紝椋熺墿閫氳繃娑堝寲绯荤粺鐨勯€熷害鍑忔參锛屽ぇ渚夸笉鏄撴帓鍑猴紝浼氬紩璧蜂究绉樸€備弗閲嶇殑渚跨杩樹細寮曡捣鐥旂柈銆?/p>
4
鐖卞悆纭殑銆佹澗鑴嗙殑浠ュ強寰堢儷鐨勯鐗?/strong>
鎬€瀛曞悗鏈燂紝涓轰簡瀹圭撼瀹濆疂閫愭笎闀垮ぇ鐨勮韩浣擄紝鑶€鑳变笉寰椾笉濮斿眻涓€涓嬧€滆浣嶁€濈粰瀛愬銆?/p>
琚帇杩殑鑶€鑳卞偍瀛樺翱娑茬殑绌洪棿鍙樺皬锛屽瓡鏃╂湡鍜屽瓡鏅氭湡鐨勬椂鍊欙紝濡堝甯镐細棰戠箒鎺掑翱銆?/p>
5
涓轰簡纭繚瀹濆疂鐨勮惀鍏伙紝濡堝浼氫箯鍔涖€佹皵鐭€佸績鎱?/strong>
鎬€瀛曟椂涓轰簡婊¤冻浜屼汉浠界殑姘ф皵鍜岃惀鍏荤墿璐ㄨ緭閫侊紝蹇冭剰寮€濮嬫洿鍔犲姫鍔涘湴宸ヤ綔锛屾敹缂╁姏鏄庢樉澧炲己锛屽績璺崇殑娆℃暟姣忓垎閽熶篃浼氬鍔?0-20娆″乏鍙砙2]銆?/p>
鍦ㄦ€€瀛曟湯鏈燂紝蹇冭剰杈撳嚭閲忎細姣斿師鏉ュ鍑?0%銆?/strong>
钀ュ吇鐨勪繚璇佹槸浠ュ績鑴忕殑瓒呰礋鑽峰伐浣滀负浠ｄ环锛岃繖鏃跺濡堜滑寰€寰€瑙夊緱涔忓姏銆佹皵鐭€佸績鎱屻€?/p>
6
涓轰簡瀹夊叏鍦扮敓涓嬪疂瀹濓紝濡堝杩樿鎵垮彈鐫€鐢熷懡椋庨櫓
涓轰簡搴斿鐢熶骇鏃跺彲鑳藉彂鐢熺殑澶у嚭琛€锛屾€€瀛曞悗浣撳唴鍑濊鍥犲瓙澧炲姞锛岃€屾姉鍑濊鎴愬垎鍑忓皯銆?/p>
杩欒櫧鐒惰兘澶熷府鍔╅闃擦ぇ鍑鸿鐨勫彂鐢燂紝浣嗕篃浼氬鍔犲濡堜滑寰楅潤鑴夎鏍撶殑椋庨櫓銆?/p>
涓€鏃︽繁闈欒剦琛€鏍撹劚钀藉舰鎴愯偤鏍撳灏变細鍗卞強鐢熷懡銆?/strong>
濂冲瓙鏈急锛屼负姣嶅垯鍒氥€傛€€瀛曟槸涓€鍦轰慨琛岋紝涓嶄粎鏄韩浣撲笂鐨勶紝鏇存槸蹇冪悊涓婄殑銆?/p>
鎬€瀛曞墠鏈燂紝涓轰簡瀹濆疂姝ｅ父鍙戣偛锛岄泴婵€绱犳按骞充細鎬ラ€熶笅闄嶏紝濡堝浠細鏁忔劅銆佹儏缁揣寮犮€侀椃闂蜂笉涔愶紝鐒惰€屾鏃朵篃鏄疂瀹濈缁忓拰韬綋鍙戣偛鐨勯噸瑕佹椂鏈熴€?/p>
缁欏ス浠竴涓交鏉炬俯棣ㄧ殑鐜鑷冲叧閲嶈銆?/strong>
鍦ㄦ€€瀛曟椂锛屽噯濡堝灏卞簲璇ュ浜у悗鎶戦儊鏈夋墍璁よ瘑銆傚敖绠″叾鍙戠梾鏈哄埗杩樹笉鏄庣‘锛屼絾杩欎笌鍒嗗ī鍚庣被鍥洪唶婵€绱犻檷浣庛€侀仐浼犲拰瀹朵汉瀵逛骇濡囩殑鍏崇埍鍜屾敮鎸佷笉澶熸伅鎭浉鍏炽€?/p>
姝ゆ椂锛屼笀澶篃瑕佸拰濡诲瓙涓€璧锋纭璇嗗拰鎺ュ彈浜у悗鎶戦儊鍙兘甯︽潵鐨勫悗鏋滐紝瀵逛簬浜у悗鎭㈠銆佸疂瀹濇垚闀裤€佸搴拰璋愬崄鍒嗛噸瑕併€?/p>
鏈堝瓙鏈熼棿瑕佽濡堝鐨勬椿鍔ㄧ┖闂村畨闈欒垝閫傘€佸鍏冲績濡诲瓙鐨勮韩浣撳拰鎯呯华鎭㈠锛屾槸棰勯槻浜у悗鎶戦儊鐨勯噸涓箣閲嶃€?/p>
鈥滃洜涓轰汉闂存病鏈夌鏄庯紝鎵€浠ヤ笂甯濆垱閫犱簡姣嶄翰銆傗€?/strong>
濡堝鐨勭埍鍜岃瘯鐐硷紝浠庡ス鑷繁杩樹笉鐭ラ亾瀹濆疂瀛樺湪鏃跺氨宸茬粡寮€濮嬶紝杩欐槸闀屽埢鍦―NA閲岀殑瀹堟姢锛屾槸鐢ㄧ敓鍛芥潵浼犻€掔埍銆?/p>
浠庢病鏈夊钩鍑＄殑濡堝锛屽ス浠槸瀛╁瓙鏈€浼熷ぇ鐨勮嫳闆勩€?/p>
璁╂垜浠竴璧蜂负濡堝锛屼负鑷繁锛屼负浣犵殑鐖变汉鐐逛釜璧炲惂锛?/p>
瀹＄涓撳
楂樼強涓ㄤ腑鏃ュ弸濂藉尰闄㈠浜х鍓富浠诲尰甯?/p>
鍙傝€冩枃鐚?/strong>
[1]Costa MA. The endocrine function of human placenta: an overview. Reprod Biomed Online. 2016 Jan;32(1):14-43. doi: 10.1016/j.rbmo.2015.10.005. Epub 2015 Oct 27. PMID: 26615903.
[2]Soma-Pillay Priya, Nelson-Piercy Catherine, Tolppanen Heli, Mebazaa Alexandre. Physiological changes in pregnancy. Cardiovasc J Afr 2016, 27(2): 89-94.
鍐呭鍒朵綔
*鑵捐鍖诲吀鍐呭鍥㈤槦鍑哄搧
