I-Placenta Ephansi Yokulala (Placenta Previa)

-Delile

• Yini i-placenta previa?
• Izimpawu ezihambisana ne-placenta previa
• Izici zobungozi zokuthuthukisa i-placenta previa
• I-placenta previa itholakala kanjani?
• Izinhlobo ze-placenta previa
• Ngokwengxenye
• Ukuqamba Amanga
• Oseceleni
• Okukhulu noma okuphelele
• Ukwelashwa kwe-placenta previa
• Kuncane ukuphuma kwegazi
• Ukopha kakhulu
• Ukopha okungalawuleki
• Izinkinga ze-placenta previa
• Ukubhekana nokusekelwa komama abakhulelwe

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini i-placenta previa?

I-Placenta previa, noma i-placenta ephansi, ivela lapho i-placenta ihlanganisa ingxenye noma wonke umlomo wesibeletho phakathi nezinyanga zokugcina zokukhulelwa. Lesi simo singadala ukopha kakhulu ngaphambi noma ngesikhathi sokubeletha.

I-placenta ikhula esibelethweni sowesifazane ngesikhathi sokukhulelwa. Lesi sitho esifana nesaka sihlinzeka ingane ekhulayo ngokudla nangomoya-mpilo. Iphinde isuse nemfucuza egazini lengane. I-placenta ibizwa nangokuthi "ukubeletha" ngoba iphuma emzimbeni ngemuva kokuzalwa kwengane.

Ngesikhathi sokukhulelwa, i-placenta ihamba njengoba isibeletho sinwebeka futhi sikhula.Kuyinto evamile ukuthi i-placenta ibe ngaphansi kwesibeletho ekukhulelweni kokuqala. Njengoba ukukhulelwa kuqhubeka futhi isibeletho sinwebeka, i-placenta ijwayele ukuya phezulu kwesibeletho. Ngekota yesithathu yesithathu, i-placenta kufanele ibe duzane naphezulu kwesibeletho. Lesi sikhundla sivumela umlomo wesibeletho, noma ukungena kwesibeletho ngaphansi kwesibeletho, indlela ecacile yokulethwa.

Uma i-placenta inamathela engxenyeni engezansi yesibeletho, ingamboza ingxenye noma wonke umlomo wesibeletho. Lapho i-placenta ihlanganisa ingxenye noma wonke umlomo wesibeletho phakathi nezinyanga zokugcina zokukhulelwa, lesi simo saziwa njenge-placenta previa, noma i-placenta ephansi. Iningi labesifazane abanalesi simo bazodinga ukuphumula kombhede.

Izimpawu ezihambisana ne-placenta previa

Uphawu oluyinhloko ukukhanya okungazelelwe ekuphumeni kwegazi okunzima okuphuma esithweni sangasese, kepha uma kukhona ezinye zezimpawu ezingezansi, kufanele ufune usizo lwezokwelapha ngokushesha:

• amajaqamba noma izinhlungu ezibukhali
• ukopha okuqala, kume, bese kuqala futhi ezinsukwini noma emasontweni kamuva
• ukopha ngemuva kocansi
• ukopha phakathi nengxenye yesibili yokukhulelwa

Izici zobungozi zokuthuthukisa i-placenta previa

Izingozi zokuthuthukiswa kwe-placenta previa zifaka:

• ukuma okungajwayelekile kwengane: ukuphefumula (izinqe kuqala) noma ukuguquka (ukulala ubheke ngaphesheya kwesizalo)
• ukuhlinzwa kwangaphambilini okubandakanya isibeletho: ukulethwa ngokuhlinzwa, ukuhlinzwa ukuze kususwe i-uterine fibroids, dilation and curettage (D&C)
• ukukhulelwa amawele noma ezinye iziphindaphindo
• ukukhulelwa kwangaphambili
• i-placenta enkulu
• isibeletho esime ngokungajwayelekile
• esevele ebelethe ingane eyodwa
• ukuxilongwa kwangaphambili kwe-placenta previa
• ukuba mdala kuno-35
• ukuba ngowase-Asia
• ukubhema

I-placenta previa itholakala kanjani?

Imvamisa, izimpawu zokuqala ze-placenta previa zizovela ngesikhathi sokuhlolwa kwe-ultrasound evikini lama-20. Lezi zimpawu zokuqala akuyona imbangela yokukhathazeka, ngoba i-placenta ivame ukuba phansi esibelethweni ngesikhathi sokuqala kokukhulelwa kowesifazane.

I-placenta ivamise ukuzilungisa. Ngokusho kweRoyal College of Obstetricians and Gynecologists, amaphesenti ayi-10 kuphela amacala azoqhubeka akhule abe yi-placenta previa ephelele.

Uma uhlangabezana nokuphuma kwegazi engxenyeni yesibili yokukhulelwa kwakho, odokotela bazobheka isimo se-placenta besebenzisa enye yalezi zindlela ezithandwayo:

• I-Transvaginal ultrasound: Udokotela wakho ubeka iphenyo ngaphakathi kowesifazane ukuze anikeze umbono wangaphakathi womsele wakho wesitho sangasese sowesifazane kanye nomlomo wesibeletho. Le yindlela ekhethwayo nenembe kakhulu yokunquma i-placenta previa.
• I-Transabdominal ultrasound: Uchwepheshe wezokunakekelwa kwezempilo ubeka ijeli esiswini sakho bese ehambisa iyunithi ephathwa ngesandla ebizwa ngokuthi i-transducer ezungeze isisu sakho ukubuka izitho zangasese. Amagagasi omsindo enza isithombe esikrinini esifana ne-TV.
• I-MRI (imaging resonance imaging): Lesi sithwebuli semifanekiso sizosiza ngokusobala ukuthola indawo ye-placenta.

Izinhlobo ze-placenta previa

Kunezinhlobo ezine ze-placenta previa, kusuka kokuncane kuya kokukhulu. Ngayinye izoba nomphumela wayo ekutheni ngabe umama angakwazi yini ukulethwa okujwayelekile noma ngabe uzodinga ukulethwa ngokuhlinzwa. Ukwelashwa kwe-placenta previa kuzosuselwa nokuthi hlobo luni onalo.

Ngokwengxenye

I-placenta ihlanganisa kuphela ukuvuleka komlomo wesibeletho. Ukuzalwa kwesitho sangasese sowesifazane kusenokwenzeka.

Ukuqamba Amanga

Lolu hlobo luqala ekuqaleni kokukhulelwa okuphakathi. I-placenta ibekwe onqenqemeni lomlomo wesibeletho, futhi kunethuba elihle lokulethwa ngesitho sangasese sowesifazane.

Oseceleni

I-placenta iqala ukukhula ngaphansi kwesibeletho. I-placenta ivamise ukusunduzana nomlomo wesibeletho kodwa ingawumbozi. Njengoba umngcele we-placenta uthinta ukuvuleka kwangaphakathi komlomo wesibeletho, noma yikuphi ukugqagqana ngesikhathi sokubeletha kungadala ukopha okuncane. Kodwa-ke, ukuzalwa kwesitho sangasese sowesifazane kuvame ukuphepha.

Okukhulu noma okuphelele

Lolu uhlobo olubi kakhulu. Ku-placenta previa enkulu, ekugcineni i-placenta izomboza wonke umlomo wesibeletho. Izingxenye ze-C zivame ukunconywa, futhi ezimweni ezinzima, ingane kungadingeka ibelethwe ngaphambi kwesikhathi.

Ngazo zonke izinhlobo, ukuphuma kwegazi okunzima noma okungalawuleki kungadinga ukulethwa okuphuthumayo okuphuthumayo ukuvikela wena nengane yakho.

Ukwelashwa kwe-placenta previa

Odokotela bazonquma ukuthi uyiphatha kanjani i-placenta previa yakho ngokususelwa ku:

• inani lokopha
• inyanga yokukhulelwa kwakho
• impilo yengane
• isikhundla se-placenta nengane

Inani lokopha ukucatshangelwa okuyinhloko kukadokotela lapho ethatha isinqumo sokuthi uzoselapha kanjani lesi simo.

Kuncane ukuphuma kwegazi

Ezimweni ze-placenta previa enegazi elincane noma elingapheli, udokotela wakho kungenzeka aphakamise ukuphumula kombhede. Lokhu kusho ukuphumula embhedeni ngangokunokwenzeka, nokuma nokuhlala kuphela lapho kunesidingo. Uzocelwa futhi ukuthi ugweme ucansi nokuzivocavoca okungenzeka futhi. Uma ukopha kwenzeka ngalesi sikhathi, kufanele ufune usizo lwezokwelashwa ngokushesha okukhulu.

Ukopha kakhulu

Amacala wokopha kakhulu angadinga ukuphumula embhedeni wasesibhedlela. Ngokuya ngenani legazi elilahlekile, ungadinga ukumpontshelwa igazi. Kungase kudingeke nokuthi uphuze imithi ukuvimbela ukusebenza ngaphambi kwesikhathi.

Endabeni yokopha kakhulu, udokotela wakho uzokwazisa ukuthi isigaba se-C sihlelelwe ngokushesha lapho kuphephile ukulethwa - okungcono ngemuva kwamasonto angama-36. Uma isigaba se-C sidinga ukuhlelwa ngokushesha, ingane yakho inganikezwa imijovo ye-corticosteroid ukusheshisa ukukhula kwamaphaphu ayo.

Ukopha okungalawuleki

Endabeni yokopha okungalawuleki, kuzodingeka kwenziwe ukulethwa okuphuthumayo.

Izinkinga ze-placenta previa

Ngesikhathi sokubeletha, umlomo wesibeletho uzovula ukuze ingane ihambele emgodini wesitho sangasese sowesifazane lapho izalwa. Uma i-placenta iphambi komlomo wesibeletho, izoqala ukuhlukana njengoba umlomo wesibeletho uvuleka, kubangele ukopha kwangaphakathi. Lokhu kungadinga isigaba se-C esiphuthumayo, noma ngabe ingane ingakafiki ngaphambi kwesikhathi, njengoba umama angopha igazi afe uma kungekho zinyathelo ezithathwayo. Ukuzalwa kwesitho sangasese sowesifazane kubeka nezingozi eziningi kakhulu kumama, ongathola ukopha kakhulu ngesikhathi sokubeletha, kokubeletha, noma ngemuva kwamahora ambalwa okuqala okubeletha.

Ukubhekana nokusekelwa komama abakhulelwe

Ukuxilongwa kwe-placenta previa kungabethusa omama abakhulelwe. UMayo Clinic unikeza imibono yokuthi ungabhekana kanjani nesimo sakho nokuthi ungazilungiselela kanjani ukubeletha.

Funda: Lapho wazi okuningi, kulapho uzokwazi ngokwengeziwe ukuthi yini ongayilindela. Xhumana nabanye besifazane abaye bazalwa ngokuzalwa kwe-placenta previa.

Zilungiselele ukulethwa kwakho ngokuhlinzwa: Ngokuya ngohlobo lwe-placenta previa yakho, ungahle ungakwazi ukuzalwa ngesitho sangasese sowesifazane. Kuhle ukukhumbula umgomo wokugcina - impilo yakho nengane yakho.

Jabulela ukuphumula kombhede: Uma usebenza, ukuphumula kombhede kungazizwa kuvinjelwe. Kodwa-ke, ungasisebenzisa ngokuhlakanipha isikhathi ngokuthola imisebenzi emincane, efana nale:

• ukuhlanganisa i-albhamu yezithombe
• ukubhala izincwadi
• ufunda ngokushintsha kwakho kwendlela yokuphila okuzayo

Zihlaziye: Zijabulise ngezinjabulo ezincane, njenge:

• ukuthenga amaphijama amasha okunethezeka
• ukufunda incwadi enhle
• ubuke uhlelo lwakho lwe-TV oluthandayo
• ukugcina iphephabhuku lokubonga

Qiniseka ukuthi uthembele kumbuthano wakho wabangane nomndeni engxoxweni nasekwesekweni.