Kwenzekani Uma I-Placenta Yakho Iphansi Ngesikhathi Sokukhulelwa?

Amagama Amahle Kakhulu Ezingane

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Ngesikhathi sokukhulelwa, umzimba uhamba ngezinguquko eziningi. Isibeletho siyakhula ukuze kuhlaliswe umntwana okhulayo. Manje, ngaphakathi kwesibeletho, i-placenta iyakhula. Inhloso yayo enkulu ukuhlinzeka ngokudla ne-oxygen enganeni ekhulayo nokususa imfucumfucu enobuthi emzimbeni wayo. Lapho nje ingane ibelethiwe, i-placenta yenza indlela yayo yokuphuma emzimbeni.

Manje, ngemuva kokuqonda indima kanye nempilo ye-placenta, kubalulekile ukuthi wazi ukuthi indawo ye-placenta ivame ukubonakala iphansi ezinsukwini zokuqala zokukhulelwa futhi lokho akusona isizathu sokukhathazeka.

Kodwa-ke, uma okufanayo kuqhubeka nokuba phansi ngisho nasezigabeni zakamuva, kulapho-ke lapho kufanele sithuke khona. Lesi simo saziwa ngokwezokwelapha njenge-placenta praevia. Kulesi sihloko, sizoxoxa ngezici zobungozi ezihambisana nalokhu isimo esihlobene nokukhulelwa futhi ngikutshele konke odinga ukukwazi ngokufana.

1. Izimbangela zePlacenta Praevia

· Umlando wangaphambilini wokuhlinzwa

Isikhundla sengane

I-anatomy nendlela yokuphila

2. Kwenzekani Uma UnePlacenta Praevia?

· Ukopha okuncane

· Ukopha kakhulu

· Ukopha okungalawuleki

3. Izinkinga Ze-Placenta Ephansi

· I-Placenta accrete

Izindatshana ezedlule

Izimbangela ZePlacenta Praevia

Ngokwezempilo, kunzima kakhulu ukuthi umuntu akhombe isizathu esisodwa salesi simo. Lokhu okulandelayo kungezinye zezimbangela ezingaba khona zalesi simo:

· Umlando wangaphambilini wokuhlinzwa

Abesifazane abaye benziwa i-dilation kanye ne-curettage (i-D & C) noma ukususwa kokuhlinzwa kwe-uterine fibroids kungenzeka bahlupheke ngalokhu. Lesi simo asijwayelekile ukubonwa kwabanye besifazane ekukhulelweni kwabo kokuqala.

Labo abalethe umntwana oyedwa noma ngaphezulu esikhathini esedlule ngokulethwa kwabesifazane bahlupheka kulokhu kaningi kunabalingani babo. Ngaphandle kwalokhu, ukuxilongwa kwangaphambilini kwe-placenta praevia noma ukukhulelwa kwesisu nakho kungaba yimbangela yalesi simo.

Isikhundla sengane

Uma ingane isesimweni sokushaywa umoya ngezinqe zibekwe kuqala, khona-ke kunamathuba aphezulu we-placenta praevia. Kuye kwaqashelwa ukuthi esimweni sabesifazane abathwele ingane yabo endaweni evundlile esibelethweni, amathuba okuba ne-placenta praevia ezigabeni ezithuthukile zokukhulelwa aphezulu kakhulu.

I-anatomy nendlela yokuphila

Ingozi yalesi simo iphezulu kubantu besifazane abakhulelwa sebeneminyaka engama-35. Abesifazane abenza imikhuba efana nokuphuza nokubhema bavame ukubonakala bethuthukisa lesi simo. Ngaphandle kwalokho, ukukhuluma ngombono we-anatomical, ukuba nesibeletho esime ngokungajwayelekile noma i-placenta enkulu nakho kukhulisa amathuba akho okufana.

Kwenzekani Uma Une-Placenta Praevia?

Izinhlobo ezahlukene ze-placenta praevia zitholwa inani lokopha umama okufanele adlule kulo. Ngokuya ngalokho, udokotela wezifo zabesifazane uphakamisa isenzo esifanelekile.

· Ukopha okuncane

Lesi simo singalungiswa futhi kuqinisekiswe ukulethwa okuphephile. Into ejwayelekile ukwenziwa odokotela kulesi sifundazwe ukweluleka abesifazane abakhulelwe ukuthi baphumule ngangokunokwenzeka. Laba besifazane badinga ukuziqhelelanisa nanoma yiluphi uhlobo lokuzivocavoca noma ukwenza ucansi kuze kube sezingeni lokuthi kufanele basukume kuphela lapho kunesidingo sokwenza lokho.

Empeleni, kuleli cala, kuvame ukubonwa ukuthi ngokuhlinzwa okuncane kancane eqenjini okumupha, kungenzeka ukuthi nowesifazane okhulelwe abelethe isitho sangasese sowesifazane.

· Ukopha kakhulu

Kulokhu, odokotela bavame ukucela ukuphumula kombhede wesibhedlela nge-C-section yokulethwa. Njengoba kunengozi enkulu yokuzalwa ngaphambi kwesikhathi, imijovo ye-corticosteroid ingadingeka ukuthi inikezwe umama ukuze kusheshiswe ukukhula kwamaphaphu omncane.

Odokotela bangakulindela ukulahleka kwegazi okuphezulu ngesikhathi sokubeletha futhi ngaleyo ndlela bakulungele ukumpontshelwa igazi uma kunesidingo.

· Ukopha okungalawuleki

Lesi yisimo esibi kakhulu futhi odokotela lapha abasalanga nenketho eningi ngaphandle kokuya ukulethwa ngomjovo ophuthumayo. Akudingeki ukuthi, kulokhu, amathuba okuthi umntwana asinde mancane kakhulu.

Izinkinga ZePlacenta Elilele Phansi

Kukhona amathuba ezinye izinkinga uma i-placenta ilele phansi.

· I-Placenta accrete

Lesi yisimo esisodwa lapho i-placenta ingagcini nje ngokuba nkulu kepha ibetheleleke kakhulu ezindongeni zesibeletho ize yenqabe ukuphuma ngisho nangemva kokubeletha. Lesi simo singatholakala ngenyanga yesishiyagalombili yokukhulelwa futhi ngokuhlela okufanelekile, kungenzeka ukubhekana nokopha ngokweqile okungenzeka ngesikhathi sokubeletha.

Izindatshana ezedlule

Kulokhu okwenzekayo ukuthi imithambo yegazi ephuma enkabeni igijime iqonde ngqo kulwelwesi olumboze umlomo wesibeletho. Njengoba ungqimba oluvikelayo lwe-placenta noma intambo yesibindi lungekho kulezi, ziba nokuguga okuningi.

Yize lesi simo singajwayelekile (ikakhulukazi kwabesifazane abasuka ezwekazini laseNdiya), iqiniso ukuthi ngokuqwashisa okufaneleko kowesifazane okhulelwe nokulungiselela kwethimba lezokwelapha okufanele libelethe umntwana, lesi simo singakwazi kubhekwane nakho kahle futhi ukubeletha okunempilo kungaqinisekiswa.

Lesi simo sivame ukutholakala nge-transabdominal ultrasound engenzeka noma kuphi kusukela ekuqaleni kwe-trimester yesibili yokukhulelwa.

Ngakho-ke, ngenkathi ukhuluma nge-placenta iphansi ngesikhathi sokukhulelwa, kubalulekile ukuthi wazi ukuthi asikho isizathu sokuthi uphume ngokufana ezinyangeni ezimbalwa zokuqala. Izimo eziningi lapho lesi simo saziwa ku-trimester yokuqala ziyaqhubeka nokukhulelwa okunempilo ngokuhamba kwesikhathi.

Noma ngabe i-placenta ibonwa ukuthi iphansi ku-trimester edlule, ngezinyathelo zokuqapha ezifanele kowesifazane okhulelwe kanye neqembu elikuphekelayo, kungenzeka ukuba nomntwana ophephile futhi onempilo.

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