
المشيمة
تعريف المشيمة ؟
المشيمة – تقع بداخل رحم الأم ويقتصر وجودها بداخل الرحم على وجود جنين ملتصق بجدار رحم الأم،
حيث يحفّز الجنين الرحم على البدء بتكوينها ال، والتي تتشكّل من عدد كبير جداً من الشعيرات الدموية،
وتجتمع مع بعضها لتتخذ هيئة دائرية مسطحة مرتبطة بجدار الرحم،
وتعتبر نقطة الربط الوحيدة بين الجنين عبر الحبل السري وبين الأم عبر الأوعية الدموية المرتبكة بالمشيمة والمغذية لها،
وتبقى بداخل الرحم طوال فترة الحمل إلى أن تتمّ عملية الولادة، حيث يتم سحبها خارج الرحم بعد خروج الجنين من الرحم.
وظائفها ؟؟
تغذية الجنين – حيث توفر الشعيرات الدموية المشكلة للمشيمة والمتفرّعة
من الشرايين المغذية لها كل ما يلوم الجنين من مواد غذائية وماء الإخراج،
تعمل الشعيرات الدموية المتفرعة داخلها من الحبل السري والأوردة المتصلة بالرحم،
على تمرير الفضلات والمواد السامة من الجنين إلى خارج الرحم عبر هذه الأوردة ومنها إلى أعضاء الإخراج في الجسم
التنفس – تتكفل بتأدية مهمة الرئتين في توفير الأكسجين النقي اللازم للجنين من أجل البقاء على قيد الحياة والنمو
كما تقوم على استقبال ثاني أكسيد الكربون الناتج من الجنين وطرحه خارج الجسم.
تثبيت الحمل – تعمل على إفراز هرمون البروجسترون منذ بداية الثلث الثاني من الحمل والذي يساعد بدوره على تثبيت الحمل واستمراره
كيف تتكون المشيمة
تنشأ من ارتباط أنسجة الجنين والأم ببعضها البعض،
والتي تتّخذ شكل أعمدة المرتبطة مع بعضها البعض على شكل كيس يغلف الجنين من الخارج،
حيث تخترق هذه الأعمدة البطانة الرحمية من أحد جهاتها كما تتفرع إلى زغابات صغيرة تحتوي كل من دم الجنين والأم دون أن تخلط بينهما،
حيث يعبر كل من الغذاء والأوكسجين من دم الأم إلى دم الجنين عبر الأغشية الموجودة في هذه الزغابات،
أمّا طولها لدى الأم الحامل في آخر مراحل حملها فيصل إلى 9 بوصة كما يصل وزنها إلى 500 غم،
وتكون أكثر سمكاً من الوسط عن الأطراف حيث يصل أقصى سمك لها إلى 1 بوصة.
مشاكل المشيمة
المتقدمة: بحيث تنزاح من مكانها نحو المنطقة السفلية من الرحم وهي تغلق بذلك عنق الرحم،
وعند دخول المرحلة الأخيرة من الحمل ومع اتّساع عنق الحمل تنزلق المشيمة بداخل الرحم متسببةً بنزف شديد،
الأمر الذي يستدعي التدخل الطبي السريع لإنقاذ الحمل. المشيمة المنتزعة: تبقى المشيمة في هذه الحالة في مكانها الصحيح،
إلّا أنّها تنفصل عن بطانة الرحم قبل الولادة أو خلالها، مما يشكل تهديد كبير على حياة الجنين.
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