Placenta acreta: kuyini, izimpawu, ukuxilongwa nezingozi

-Delile

• Izimpawu zePlacenta Acreta
• Ukuxilongwa kwenziwa kanjani
• Izingozi ezingaba khona
• Ukwelashwa kwe-Placenta Acreta

I-placenta accreta, eyaziwa nangokuthi i-placenta accretism, yisimo lapho i-placenta inganamathelwanga kahle esibelethweni, okwenza kube nzima ukuthi iphume ngesikhathi sokubeletha. Lesi simo siyimbangela enkulu yezinkinga nokufa kwangemva kokubeletha, njengoba kuhlotshaniswa nengozi enkulu yokopha.

I-Placental accretism ingahlukaniswa ngokuya ngokujula kokufakwa kwe-placenta esibelethweni ku:

• Placenta acreta elula, lapho i-placenta ingena khona engxenyeni ye-myometrium, okuyingqimba emaphakathi yesibeletho;
• I-placenta emangalisayo, lapho i-placenta ingena khona ngokuphelele ku-myometrium;
• I-Percrete placenta, lapho i-placenta ingafinyelela khona kuphela ezithweni ezi-serous noma ezincikene.

Kubalulekile ukuthi i-placenta accreta itholakale ngesikhathi sokuhlolwa kokubeletha ukuze isigaba sokuhlinzwa singahlelelwa ukuthi silandelwe yi-hysterectomy, evame ukwelashwa okubonisiwe, ngakho-ke izinkinga zivinjelwa umama nengane.

Izimpawu zePlacenta Acreta

Imvamisa, owesifazane akazitholi izimpawu zoshintsho ku-placenta, ngakho-ke kubalulekile ukuthi owesifazane enze ukunakekelwa ngaphambi kokubeletha kahle ukuze lolu shintsho lubonakale.

Yize izimpawu nezimpawu zingajwayelekile kulezi zimo, abanye besifazane bangathola ukopha okuncane kwesitho sangasese sowesifazane, ngaphandle kobuhlungu futhi ngaphandle kwesizathu esizwakalayo ngesikhathi sokukhulelwa, futhi kunconywa ukuthi uye kudokotela wezifo zabesifazane / owokubelethisa ukuthola imbangela yokopha bese uqala ukwelashwa.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-placenta accreta kufanele kwenziwe ngokuhlolwa kwe-imaging, njenge-ultrasound ne-magnetic resonance imaging, ngaphezu kwesilinganiso sezimpawu zegazi ezingakhombisa ushintsho. Lezi zivivinyo zingenziwa ngesikhathi sokunakekelwa kokubeletha futhi ukutholakala kusenesikhathi kwe-placenta accretism kunciphisa ubungozi bezinkinga kwabesifazane. Yazi ezinye izivivinyo zokubeletha.

I-Ultrasonography ivamise ukukhonjiswa ezigulini ezithathwa njengezisengozini enkulu futhi kuyindlela ephephe kakhulu kubo bobabili umama nengane. Ukusetshenziswa kwemifanekiso yamagnetic resonance yokuxilongwa kwe-placenta accreta kuyimpikiswano, noma kunjalo kungakhonjiswa lapho umphumela we-ultrasound uthathwa njengokungabaza noma ukungafinyeleleki.

I-Ultrasonography ukukhomba i-placenta accreta ikhonjiswa kakhulu kwabesifazane abasengozini enkulu yokuthola le nkinga, njengabesifazane asebekhulile, abake bahlinzwa kwesibeletho phambilini, kufaka phakathi isigaba sokuhlinzwa, bane-uterine fibroids noma abake baba ne-placenta ngaphambili, lapho i-placenta ikhula khona kancane noma ngokuphelele esifundeni esiphansi sesibeletho. Qonda kabanzi nge-placenta previa nokuthi ukwelashwa kwenziwa kanjani.

Izingozi ezingaba khona

Izingozi ze-placenta accreta zihlobene nesikhathi lapho kutholakala khona i-placenta accreta. Lapho kutholakala ukuxilongwa kwangaphambi kwesikhathi, kwehlisa ubungozi bokuphuma kwegazi langemva kokubeletha, izinkinga ngesikhathi sokubeletha, ukulethwa ngaphambi kwesikhathi kanye nesidingo sengxenye ephuthumayo yokuhlinzwa.

Ngaphezu kwalokho, kungahle kube nokutheleleka, izinkinga ezihlobene nokujiya kwegazi, ukuqhekeka kwesinye, ukulahleka kwenzalo futhi, uma kungakhonjwa futhi kwelashwe ngendlela efanele, kungaholela ekufeni.

Ukwelashwa kwe-Placenta Acreta

Ukwelashwa kwe-placenta accretism kungahlukahluka kuye kowesifazane, kanti isigaba se-cearean singenziwa kanye ne-hysterectomy, okuyindlela yokwelashwa lapho isibeletho sisuswa khona futhi, ngokuya ngobukhulu, bezinhlaka ezihambisanayo, njengamashubhu kanye amaqanda.

Kwezinye izimo, ukwelashwa okulondolozayo kungakhonjiswa ukugcina ukuzala kowesifazane, ngesigaba sokuhlinzwa kuphela nokususwa kwe-placenta, ngaphezu kokuqapha owesifazane ngemuva kokubeletha ukuqapha ukuphuma kwegazi noma izinkinga.