Umsebenzi Nokulethwa: I-Placenta Egcinwe

-Delile

• Yiziphi Izinhlobo ZePlacenta Egciniwe?
• I-Placenta Adherens
• I-Placenta ebanjiwe
• I-Placenta Accreta
• Ziyini Izimpawu Nezimpawu Ze-Placenta Egcinwe?
• Ngubani Osemngciphekweni wePlacenta Egcinwe?
• Itholakala Kanjani I-Placenta Egcinwe?
• Iphathwa Kanjani I-Placenta Egcinwe?
• Yiziphi izingqinamba ezingaba khona zeplacenta eligciniwe?
• Uyini Umbono Wabesifazane abanePlacenta Eligciniwe?
• Ingavinjelwa Kanjani I-Placenta Egcinwe?

Iyini i-Placenta Egcinwe?

Umsebenzi uqala ngezigaba ezintathu:

1. Isigaba sokuqala kulapho uqala ukuzwa ukuphambana okubangela ushintsho emlomo wesibeletho sakho ukulungiselela ukulethwa.
2. Isigaba sesibili yilapho ingane yakho ibeletha khona.
3. Isigaba sesithathu yilapho uletha khona i-placenta, isitho esibhekele ukondla ingane yakho ngesikhathi sokukhulelwa.

Umzimba wakho uvame ukukhipha i-placenta kungakapheli imizuzu engama-30 yokulethwa. Kodwa-ke, uma i-placenta noma izingxenye ze-placenta zihlala esibelethweni sakho ngaphezu kwemizuzu engama-30 ngemuva kokubeletha, kubhekwa njenge-placenta egcinwe.

Uma ishiywe ingalashwa, i-placenta egciniwe ingadala izinkinga ezisongela impilo kumama, kufaka phakathi ukutheleleka nokulahleka kwegazi ngokweqile.

Yiziphi Izinhlobo ZePlacenta Egciniwe?

Kunezinhlobo ezintathu ze-placenta egcinwe:

I-Placenta Adherens

Ukunamathela kwe-Placenta uhlobo oluvame kakhulu lwe-placenta egcinwe. Kwenzeka lapho isibeletho, noma isibeletho, sehluleka ukuthola isivumelwano esanele ukukhipha i-placenta. Esikhundleni salokho, i-placenta ihlala inganamathele kahle odongeni lwesibeletho.

I-Placenta ebanjiwe

I-placenta ebanjiwe yenzeka lapho i-placenta isuka esibelethweni kepha ingashiyi umzimba. Lokhu kuvame ukwenzeka ngoba umlomo wesibeletho uqala ukuvala ngaphambi kokuba kususwe i-placenta, okwenza ukuthi i-placenta ibhajwe ngemuva kwayo.

I-Placenta Accreta

I-Placenta accreta ibangela ukuthi i-placenta inamathisele ungqimba lwemisipha lodonga lwesibeletho kunokuba lube ulwelwesi lwesibeletho. Lokhu kuvame ukwenza ukulethwa kube nzima kakhulu futhi kubangele ukopha kakhulu. Uma ukuphuma kwegazi kungenakumiswa, ukumpontshelwa igazi noma i-hysterectomy kungadingeka.

Ziyini Izimpawu Nezimpawu Ze-Placenta Egcinwe?

Uphawu olusobala kakhulu lwe-placenta egciniwe ukwehluleka kwakho konke noma ingxenye ye-placenta ukushiya umzimba kungakapheli ihora ngemuva kokubeletha.

Lapho i-placenta ihlala emzimbeni, abesifazane bavame ukuzwa izimpawu ngosuku olulandelayo ngemuva kokubeletha. Izimpawu ze-placenta egcinwe ngosuku ngemuva kokubeletha zingabandakanya:

• umkhuhlane
• ukukhishwa okunuka kabi esithweni sangasese okuqukethe izingcezu ezinkulu zezicubu
• ukopha kakhulu okuqhubekayo
• ubuhlungu obukhulu obuqhubekayo

Ngubani Osemngciphekweni wePlacenta Egcinwe?

Izici ezingakhuphula ubungozi bakho be-placenta egcinwe zifaka:

• ukuba ngaphezu kweminyaka engama-30
• ukubeletha ngaphambi komhla wama-34isonto lokukhulelwa, noma ukulethwa ngaphambi kwesikhathi
• ukuba nesigaba sokuqala noma sesibili somsebenzi esinde
• ukuba nengane ezelwe ishonile

Itholakala Kanjani I-Placenta Egcinwe?

Udokotela angaxilonga i-placenta egcinwe ngokuhlola ngokucophelela i-placenta exoshiwe ukuze abone ukuthi isasebenza kahle ngemuva kokubeletha. I-placenta inokubukeka okuhluke kakhulu, futhi ngisho nengxenye encane elahlekile ingaba imbangela yokukhathazeka.

Kwezinye izimo, noma kunjalo, udokotela angahle angaboni ukuthi kunengxenye encane elahlekile kwi-placenta. Uma lokhu kwenzeka, owesifazane uzoba nezimpawu ngokushesha ngemuva kokubeletha.

Uma udokotela wakho esola ukuthi une-placenta egciniwe, bazokwenza i-ultrasound ukubheka isibeletho. Uma noma iyiphi ingxenye ye-placenta ilahlekile, uzodinga ukwelashwa ngokushesha ukuze ugweme izinkinga.

Iphathwa Kanjani I-Placenta Egcinwe?

Ukwelashwa kweplasenta eligciniwe kuhilela ukususa lonke iplasenta noma yiziphi izingxenye ezingekho ze-placenta. Kungafaka izindlela ezilandelayo:

• Udokotela wakho angakwazi ukususa i-placenta ngesandla, kodwa lokhu kunengozi enkulu yokutheleleka.
• Bangasebenzisa futhi imishanguzo yokuphumuza isibeletho noma ukusenza sivumelane. Lokhu kungasiza umzimba wakho ukususa i-placenta.
• Kwezinye izimo, ukuncelisa ibele nakho kungasebenza ngoba kubangela ukuthi umzimba wakho ukhiphe ama-hormone enza isivumelwano sakho sesibeletho.
• Wena dokotela naye angakukhuthaza ukuthi uchame. Isinye esigcwele kwesinye isikhathi singavimbela ukulethwa kweplacenta.

Uma engekho kulezi zindlela zokwelapha ezisiza umzimba ukuba uxoshe i-placenta, udokotela wakho angadinga ukwenza ukuhlinzwa okuphuthumayo ukuze asuse i-placenta noma ezinye izingcezu ezisele. Njengoba ukuhlinzwa kungaholela ezinkingeni, le nqubo ivame ukwenziwa njengesinyathelo sokugcina.

Yiziphi izingqinamba ezingaba khona zeplacenta eligciniwe?

Ukuletha i-placenta kuyisinyathelo esibalulekile ekuvumeleni ukuthi isibeletho singene futhi siyeke ukopha kakhulu ekungenekeni. Uma i-placenta ingalethwanga, imithambo yegazi lapho isitho sisalokhu sinamathele kuyoqhubeka nokopha. Isizalo sakho futhi ngeke sikwazi ukuvala kahle futhi sivimbele ukopha. Yingakho ubungozi bokulahleka kwegazi okunzima bukhula kakhulu lapho i-placenta ingalethwanga kungakapheli imizuzu engama-30 ibelethile. Ezimweni eziningi, ukopha ngokweqile kungasongela impilo.

Uyini Umbono Wabesifazane abanePlacenta Eligciniwe?

I-placenta egcinwe yinkimbinkimbi engavamile yokukhulelwa engalashwa ngempumelelo uma kutholakala. Ukuthatha izinyathelo zokulungisa inkinga ngokushesha kungahle kube nomphumela omuhle. Uma usengozini ye-placenta egcinwe noma uma uhlangabezane ne-placenta egcinwe esikhathini esidlule, xoxa nganoma yikuphi ukukhathazeka onakho nodokotela wakho ngaphambi kokubeletha. Lokhu kuzokuvumela ukuthi uzilungiselele ngangokunokwenzeka kunoma yiziphi izinkinga.

Ingavinjelwa Kanjani I-Placenta Egcinwe?

Odokotela imvamisa bangavikela i-placenta egcinwe ngokuthatha izinyathelo zokukhuthaza ukulethwa okuphelele kwe-placenta ngesikhathi sesithathu somsebenzi. Lezi zinyathelo zifaka okulandelayo:

• Bangakunika umuthi okhuthaza ukuthi isibeletho singene futhi sikhiphe i-placenta. I-Oxytocin (Pitocin) wuhlobo olulodwa lomuthi ongasetshenziswa.
• Bangasebenzisa i-traction cord traction (CCT) ngemuva kokuthi i-placenta ihlukane. Ngesikhathi se-CCT, udokotela wakho ubamba intambo yengane bese edonsa intambo ngenkathi efaka ingcindezi. Lokhu kukhuthaza ukuthi i-placenta iphume ngemuva kokubeletha kwengane.
• Bangasimamisa isibeletho sakho ngokuthinta ngenkathi usebenzisa i-CCT.

Ungaqaphela ukuthi udokotela wakho uhamba ngalezi zinyathelo ngaphambi kokuletha i-placenta. Ngemuva kokubeletha, udokotela wakho uzoncoma ukuthi uhlikihle isibeletho sakho. Lokhu kukhuthaza ukucindezela okusiza ukuyeka ukopha futhi kuvumela ukuthi isibeletho siqale ukubuyela ngosayizi omncane.