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PLASENTA AKREATA; GEÇMİŞTEN BUGÜNE ÖYKÜSÜ

Yıl 2020, Cilt: 15 Sayı: 3, 88 - 93, 16.10.2020
https://doi.org/10.17517/ksutfd.738885

Öz

Plasenta akreata plasental villusların miyometriyumu anormal invazyonu ile oluşur. Histopatoloji temelinde üç dereceye ayrılır. Plasental villuslar miyometriyum ile direkt temas kurduğunda plasenta akreata, miyometriyal katları invaze ettiğinde plasenta inkreata, uterin serozayı da invaze ettiğinde plasenta perkreata denir. Plasenta akreata için ana risk faktörü plasenta previa’nın eşlik ettiği sezeryan doğum öyküsüdür. Plasenta akreatada plasental yataktaki yetersiz desidualizasyon ve trofoblastik değişiklikler uterin skara sekonderdir. Maternal klinik gidişi yönetimde anahtar faktör antenatal tanıdır. Tanı vakaların çoğunda ultrason ile konulur. Plasenta akreatanın tedavisi multidisipliner cerrahi ekibe ihtiyaç duyar. Sezeryan histerektomi tercih edilen tedavidir. Seçilmiş vakalarda konservatif tedavi ile fertilite korunabilir.

Destekleyen Kurum

YOK

Teşekkür

Sayın Editör yayını değerlendirmek için değerli zamanınızı ayırdığınız için şimdiden teşekkür ederim. Saygılarımla

Kaynakça

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Toplam 49 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Sezen Koçarslan 0000-0002-3512-1588

Yayımlanma Tarihi 16 Ekim 2020
Gönderilme Tarihi 18 Mayıs 2020
Kabul Tarihi 28 Mayıs 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 15 Sayı: 3

Kaynak Göster

AMA Koçarslan S. PLASENTA AKREATA; GEÇMİŞTEN BUGÜNE ÖYKÜSÜ. KSÜ Tıp Fak Der. Ekim 2020;15(3):88-93. doi:10.17517/ksutfd.738885