acretismo Flashcards

1
Q

acretismo

A

es una placenta adherente que penetra adentro o a traves del miometrio.

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2
Q

acretismo

A

invasion trofoblastica por debajo de la ca de nitabuch las vellosidades corionicas estan unidas al miometrio

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3
Q

incretismo

A

la placenta invade el miometrio pero no pasas serosa

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4
Q

percretismo

A

invade mas alla de la serosa uterina.

a - serosa, b - vejiga, c - tejidos pelvicos.

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5
Q

factores de riesgo

A

edad materna avanzada, multiparidad, cesare previa, placenta previa.

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6
Q

manifestaciones clinicas

A

falta de desprendimiento de placenta posterior al parto, hemorragia postparto.

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7
Q

hallazgos ecograficos

A

perdida del limite hipoecoico entre la placenta y la vejiga. miometrios delgado <1mm. Lagunas placentarias o vasos con flujo turbulento, pared vesical irregular con vascularizacion extensa, perdida del espacio claro retroplacentario.

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8
Q

tratamiento

A

cesarea a las 34 a 36 sdg y realizar histerectomia, inductores de maduracion pulmonar.

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