Placenta previa: kuyini, izimpawu kanye nokwelashwa

-Delile

• Izingozi ze-placenta previa
• Kuhanjiswa kanjani uma kwenzeka i-placenta previa

I-placenta previa, eyaziwa nangokuthi i-placenta ephansi, ivela lapho i-placenta ifakwa kancane noma ngokuphelele esifundeni esiphansi sesibeletho, futhi ingamboza ukuvulwa kwangaphakathi komlomo wesibeletho.

Imvamisa kutholakala ku-trimester yesibili yokukhulelwa, kepha lokhu akuyona inkinga enkulu, njengoba njengoba isibeletho sikhula, siya phezulu sivumela ukuvulwa komlomo wesibeletho kukhululekile ukulethwa. Kodwa-ke, kwezinye izimo, ingaqhubeka, iqinisekiswe yi-ultrasound ku-trimester yesithathu, cishe amasonto angama-32.

Ukwelashwa kuboniswa ngudokotela obelethayo, futhi uma kwenzeka ukuthi i-placenta previa enopha kakhulu ingaphumuli nje futhi ugweme ukuya ocansini. Kodwa-ke, lapho i-placenta previa yopha kakhulu, kungadingeka ukuthi ulaliswe esibhedlela ukuze kuhlolwe umbungu nokuhlolwa komama.

Izingozi ze-placenta previa

Ingcuphe enkulu ye-placenta previa ukubeletha ngaphambi kwesikhathi nokopha, okuzolimaza impilo kamama nengane. Ngaphezu kwalokho, i-placenta previa nayo ingadala i-placenta accretism, okuyilapho i-placenta inamathiselwe odongeni lwesibeletho, okwenza kube nzima ukushiya ngesikhathi sokubeletha. Lokhu kucasulwa kungadala ukopha okudinga ukumpontshelwa igazi futhi, ezimweni ezinzima kakhulu, ukususwa ngokuphelele kwesibeletho nokusongela impilo kukamama. Kunezinhlobo ezi-3 ze-placenta accretism:

• I-Placenta accreta: lapho i-placenta inamathele odongeni lwesibeletho kancane;
• I-Placenta increta: i-placenta ibhajwe ngokujule kakhulu kunase-accreta;
• I-Percrete placenta: kuyicala elibucayi kakhulu, lapho i-placenta inamathele ngokuqinile nangokujulile esibelethweni.

I-Placental accretism ivame kakhulu kwabesifazane abake baba nesigaba sangaphambilini sokuhlinzwa ngenxa ye-placenta previa, futhi imvamisa ubunzima bayo baziwa kuphela ngesikhathi sokubeletha.

Kuhanjiswa kanjani uma kwenzeka i-placenta previa

Ukulethwa okujwayelekile kuphephile lapho i-placenta itholakala okungenani u-2 cm kusuka ekuvulekeni komlomo wesibeletho. Kodwa-ke, kwezinye izimo noma uma kuphuma ukopha okukhulu, kuyadingeka ukuthi kube nengxenye yokuhlinzwa, njengoba ukumbozwa komlomo wesibeletho kuvimbela ingane ukuthi idlule futhi kungadala ukopha kunina ngesikhathi sokubeletha okujwayelekile.

Ngaphezu kwalokho, kungadingeka ukuthi ingane izalwe ngaphambi kwesikhathi, ngoba i-placenta ingasuka ekuseni kakhulu futhi iphazamise ukutholakala komoya-mpilo kwengane.