Ngabe kusho ukuthini u-placenta grade 0, 1, 2 no-3?

-Delile

• Ingabe izinga le-placenta lingaphazamisa ukukhulelwa noma ukubeletha?
• Kutholakala kanjani izinga le-placenta

I-placenta ingahlukaniswa ngamadigri amane, phakathi kuka-0 no-3, okuzoncika ekuvuthweni nasekubalweni kwayo, okuyinqubo ejwayelekile eyenzeka phakathi nokukhulelwa konke. Kodwa-ke, kwezinye izimo, angakhula masinyane kakhulu, okudinga ukuhlolwa kaningi ngudokotela obelethisayo, ukuze agweme izinkinga.

I-placenta yisakhiwo esakhiwa ngesikhathi sokukhulelwa, esisungula ukuxhumana phakathi kukamama nombungu, okuqinisekisa izimo ezifanele zokukhula kwawo. Imisebenzi yayo eyinhloko ukuhlinzeka ngengane izakhi zomzimba, oksijini nokuvikelwa komzimba omzimba, ukukhuthaza ukukhiqizwa kwamahomoni, ukuvikela ingane ekuthintekeni, nokuqeda imfucuza eyenziwe ingane.

Ukuvuthwa kweplacental kungahlukaniswa kanjena:

• Ibanga 0, okuvame ukuhlala kuze kube yisonto le-18, futhi ibonakala nge-placenta ehambisanayo ngaphandle kokubalwa;
• IBanga 1, elenzeka phakathi kweviki le-18 kanye nelama-29, futhi ibonakala nge-placenta lapho kukhona khona ukubalwa okuncane kwe-intraplacental;
• Ibanga 2, likhona phakathi kwesonto lama-30 nelama-38, futhi ibonakala nge-placenta lapho kukhona khona ukubalwa ku-basal plaque;
• Ibanga lesi-3, elikhona ekupheleni kokukhulelwa, cishe ngesonto lama-39 nokuthi kuwuphawu lokuvuthwa kwamaphaphu. I-placenta yebanga lesi-3 isivele ikhombisa uqwembe lwe-basal ekubalweni kwe-chorionic.

Kwezinye izimo, ukuvuthwa kokuqala kwe-placental kungatholakala. Akukacaci okwamanje ukuthi kungavelaphi, kepha kuyaziwa ukuthi kuvame kakhulu kwabesifazane abasebancane kakhulu, abesifazane abakhulelwa okokuqala nabesifazane abakhulelwe ababhemayo ngesikhathi sokubeletha.

Ingabe izinga le-placenta lingaphazamisa ukukhulelwa noma ukubeletha?

Ukuvuthwa kwe-placenta ngesikhathi sokukhulelwa kuyindlela ejwayelekile futhi akuyona imbangela yokukhathazeka. Kodwa-ke, uma ukuvuthwa kwebanga lesithathu kwebanga lesithathu kwenzeka ngaphambi kwamasonto angama-36 okukhulelwa, lokhu kungahle kuhlotshaniswe nesimo esithile se-maternofetal.

Lapho kutholwa ukuvuthwa kwamaphaphu okuqala, owesifazane okhulelwe kufanele abhekwe kaningi futhi nangesikhathi sokubeletha, ukugwema izingqinamba, njengokulethwa ngaphambi kwesikhathi, i-placental detachment, ukopha kakhulu esikhathini sokubeletha noma isisindo sokuzalwa esiphansi.

Bona ukuthi i-placenta ikhula kanjani bese uthola ukuthi iziphi izinguquko ezivame kakhulu nokuthi wenzeni.

Kutholakala kanjani izinga le-placenta

Isazi sokubelethisa singakhomba izinga lokuvuthwa kweplacenta ngokubheka ukubalwa okukhona ngesikhathi sokuhlolwa kwe-ultrasound.