I-Placenta abruptio

I-placenta ixhuma umbungu (umntwana ongakazalwa) esibelethweni sikamama. Ivumela ingane ukuthi ithole izakhamzimba, igazi, neoksijini kumama. Kuyasiza nengane ukulahla imfucuza.

I-Placenta abruptio (ebizwa nangokuthi i-placenta abruption) yilapho i-placenta ihlukana nodonga lwangaphakathi lwesibeletho ngaphambi kokuba ingane izalwe.

Ezikhathini eziningi zokukhulelwa, i-placenta ihlala inamathele engxenyeni engenhla yodonga lwesibeletho.

Esibalweni esincane sokukhulelwa, i-placenta iyanqamuka (izidonsela odongeni lwesibeletho) kusenesikhathi. Isikhathi esiningi, ingxenye kuphela ye-placenta iyasuka. Ngezinye izikhathi isuka ngokuphelele. Uma lokhu kwenzeka, kuvame kakhulu ku-trimester yesithathu.

I-placenta iyindlela yokuphila ye-fetus. Izinkinga ezinkulu zenzeka uma ihlukanisa. Ingane ithola umoya-mpilo omncane nezakhamzimba ezimbalwa. Ezinye izingane zikhawulelwa ukukhula (zincane kakhulu), futhi ezimweni ezimbalwa, ziyabulala. Kungadala nokulahleka kwegazi okukhulu kumama.

Akekho owaziyo ukuthi yini ebangela ukuphazamiseka kweplacenta. Kepha lezi zinto ziphakamisa ubungozi besifazane ngakho:

• Umlando wokuphazamiseka kweplacenta ekukhulelweni kwangaphambilini
• Umfutho wegazi ophezulu wesikhathi eside (ongapheli)
• Umfutho wegazi ophakeme ngokungazelelwe kwabesifazane abakhulelwe ababenomfutho wegazi ojwayelekile ngaphambilini
• Isifo senhliziyo
• Ukuhlukumezeka esiswini
• Ukubhema
• Ukusetshenziswa kotshwala noma i-cocaine
• Ukuphazamiseka kweplacental ekukhulelweni kwangaphambilini
• Ama-Fibroids esibelethweni
• Ukulimala kumama (njengokushayiswa yimoto noma ukuwa lapho kushaywe khona isisu)
• Ukuba mdala kuno-40

Izimpawu ezivame kakhulu ukuphuma kwegazi esithweni sangasese kanye nokuncipha okubuhlungu. Inani lokopha kuncike ekutheni ingakanani i-placenta evalekile. Kwesinye isikhathi igazi eliqoqekayo lapho i-placenta linamathela lihlala phakathi kwe-placenta nodonga lwesibeletho, ngakho-ke kungenzeka ungabi negazi elivela esithweni sakho sangasese.

• Uma ukwehlukaniswa kukuncane, ungahle ube nokopha okuncane kuphela. Ungase futhi ube namajaqamba noma uzizwe uthambile esiswini sakho.
• Uma ukuhlukaniswa kungaphakathi, ungahle ube nokopha okusindayo. Amajaqamba nobuhlungu besisu kuzoba nzima kakhulu.
• Uma ngaphezulu kwengxenye ye-placenta inyamuka, ungaba nobuhlungu besisu nokopha okukhulu. Ungase futhi ube nezinciphiso. Ingane inganyakaza ngaphezulu noma ngaphansi kunokujwayelekile.

Uma unanoma iyiphi yalezi zimpawu ngesikhathi ukhulelwe, tshela umhlinzeki wakho wezempilo ngokushesha.

Umhlinzeki wakho uzokwenza lokhu:

• Yenza ukuhlolwa komzimba
• Bheka ukuphambana kwakho nokuthi ingane yakho isabela kanjani kubo
• Kwesinye isikhathi yenza i-ultrasound ukuhlola i-placenta yakho (kepha i-ultrasound ayikhombisi ngaso sonke isikhathi ukuphazamiseka kweplacenta)
• Hlola ukushaya kwenhliziyo yengane yakho kanye nesigqi

Uma ukuphazamiseka kwakho kweplacenta kukuncane, umhlinzeki wakho angakubeka embhedeni ukuze unqande ukuphuma kwegazi. Ngemuva kwezinsuku ezimbalwa, abesifazane abaningi bangabuyela emisebenzini yabo ejwayelekile ezimweni eziningi.

Ukuze kwehlukaniswe ngokulingene, kuzodingeka uhlale esibhedlela. Esibhedlela:

• Kuzobhekwa izinga lokushaya kwenhliziyo yengane yakho.
• Ungahle udinge ukumpontshelwa igazi.
• Uma ingane yakho ikhombisa noma yiziphi izimpawu zokucindezeleka, umhlinzeki wakho angakhipha umsebenzi wakho kusenesikhathi. Uma ungakwazi ukubeletha ubulili, uzodinga isigaba se-C.

Ukuqhuma okukhulu kwamaphaphu kuyisimo esiphuthumayo. Uzodinga ukuletha khona manjalo, imvamisa nge-C-section. Kuyivelakancane kakhulu, kepha ingane ingazalwa ifile uma kunokuphazamiseka okukhulu.

Awukwazi ukuvimbela ukuphazamiseka kweplacenta, kepha ungalawula izinto ezinobungozi ezihlobene nakho ngo:

• Ukugcina umfutho wegazi ophakeme, isifo senhliziyo nesifo sikashukela kulawulwa
• Ukungasebenzisi ugwayi, utshwala, noma i-cocaine
• Ukulandela izincomo zomhlinzeki wakho mayelana nezindlela zokwehlisa ubungozi bakho uma unokuphazamiseka kokukhulelwa okudlule

Ukuhlukaniswa kwangaphambili kweplacenta; Ukuhlukaniswa kwamaplacenta; Ukuphazamiseka kweplacental; Ukopha kwesitho sangasese sowesifazane - ukuphazamiseka; Ukukhulelwa - ukuqhuma

• Isigaba se-Cesarean
• I-Ultrasound ekukhulelweni
• I-anatomy ye-placenta ejwayelekile
• I-Placenta
• I-Placenta
• I-Ultrasound, i-placenta ejwayelekile - iBraxton Hicks
• I-Ultrasound, umbungu ovamile - izingalo nemilenze
• I-Ultrasound, i-placenta ejwayelekile ekhululekile
• I-Ultrasound, umbala - intambo ejwayelekile yenkaba
• I-Placenta

UFrancois KE, uFoley MR. Ukopha kwe-Antepartum kanye nangemva kokubeletha. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 18.

I-Hull AD, i-Resnik R, i-Silver RM. I-Placenta previa ne-accreta, i-vasa previa, i-subchorionic hemorrhage, ne-abruptio placentae. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 46.

I-Salhi BA, i-Nagrani S. Izinkinga ezinzima zokukhulelwa. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 178.

• Izinkinga Zempilo Ekukhulelweni