Mukakhala mayi woyembekezera, mantha ndi nkhawa zomwe mumamva mukaona kutuluka magazi pang'ono sizingathe kufotokozedwa. Funso loyamba lomwe limabwera m'maganizo ndi lakuti, 'Chinachitika ndi chiyani kwa mwana wanga?'. Nthawi zambiri, timaganiza kuti ndi chizindikiro cha kupita padera. Koma panthawi ya mimba, makamaka m'miyezi yoyambirira, kutuluka magazi sikokhako komwe kumayambitsa kupita padera. Lero, tikambirana za vuto lomwe ndi lofala, koma losadziwika bwino ndi ambiri. Ilo ndi Subchorionic Hematoma.
Kodi hematoma ya subchorionic ndi chiyani?
Mwachidule, uwu ndi magazi ochepa omwe amasonkhana pakati pa khoma la chiberekero chanu ndi nembanemba yakunja (chorionic membrane) yozungulira thumba la amniotic komwe mwana ali. Tangoganizirani, tikavulala kwinakwake pathupi lathu, timasanduka buluu ndipo magazi amaundana pansi pa khungu, sichoncho? Umu ndi momwe zimakhalira. Kutuluka magazi pang'ono kumachitika pomwe nembanembayo ili kutali pang'ono ndi khoma la chiberekero, ndipo magaziwo amasonkhana pamenepo. Izi zimatchedwanso Subchorionic Hemorrhage.
Ichi ndiye chifukwa chachikulu chomwe chimayambitsa kutuluka magazi m'mimba mwa amayi pa masabata 10 mpaka 20 oyambirira a mimba. Nthawi zambiri, magazi oundana awa (hematomas) amakhala ang'onoang'ono kwambiri. Samayambitsa vuto lililonse ndipo amatengedwa ndi thupi pakapita nthawi ndikuchira. Choncho musachite mantha mukamva dzinali.
Kodi zizindikiro zake zingakhale zotani?
Chizindikiro chachikulu cha vutoli ndi kutuluka magazi m'mimba, koma sichofanana kwa aliyense.
| Chizindikiro | Kufotokozera |
|---|---|
| Kutuluka Magazi ku Nyini | Izi zingayambire pakuwoneka pang'ono mpaka kutuluka magazi ambiri ndi magazi oundana. Nthawi zina zimatha kukhala zofiirira. |
| Kupweteka kwa m'chiuno | Anthu ena angamve kupweteka pang'ono m'mimba pamene magazi akutuluka, koma anthu ambiri samva kupweteka kulikonse. |
| Palibe zizindikiro | Anthu ambiri sasonyeza zizindikiro zilizonse. Zimapezeka mwangozi panthawi yowunikira nthawi zonse. |
Chofunika kwambiri ndichakuti ngati mukumva kutuluka magazi nthawi ya mimba, kaya pang'ono kapena kwambiri, muyenera kuuza dokotala wanu za vutoli popanda kuda nkhawa. Iye akhoza kupeza chomwe chikuyambitsa ndikuchita zomwe zikufunika.
N’chifukwa chiyani izi zimachitika? Ndani ali pachiwopsezo chachikulu?
Monga tafotokozera kale, kusonkhanitsa magazi kumeneku kumachitika pamene nembanemba yakunja ya thumba (chorion membrane) yomwe mwana amabadwiramo imalekanitsidwa ndi khoma la chiberekero. Chifukwa chenicheni chomwe kulekana kumeneku kumachitika sichinapezeke. Komabe, zapezeka kuti zinthu zina zitha kuwonjezera chiopsezochi pang'ono.
| Zoopsa |
|---|
| Kukhala ndi zolakwika mu mawonekedwe a chiberekero. |
| Kukhala ndi matenda opatsirana m'mimba kale. |
| Pakhala ngozi kapena kuvulala kwina m'chiberekero. |
| Popeza adataya mimba kale. |
| Kutenga mimba kudzera mu ukadaulo wa IVF (IVF pregnancy). |
| Kukhala ndi kuthamanga kwa magazi. |
Kodi izi zingayambitse mavuto?
Funso ili lingakhale loopsa kumva. Inde, nthawi zina, makamaka ngati hematoma ndi yayikulu, pamakhala chiopsezo chochepa cha mavuto. Mwachitsanzo, matenda monga kubereka nthawi isanakwane komanso kusokonekera kwa placenta.
Koma musachite mantha kumva izi. Ndikubwerezanso, ma hematoma opitilira 90% a subchorionic amachira okha popanda vuto lililonse.Mavuto ndi osowa kwambiri. Dokotala wanu adzakufotokozerani ngati muli pachiwopsezo mutachita scan, kutengera kukula kwa magazi oundana, komwe ali, komanso nthawi yomwe muli ndi pakati.
Kodi imachiritsidwa bwanji?
Nthawi zambiri, izi sizifuna chithandizo chapadera. Monga momwe bala pakhungu lathu limachira lokha, ilinso lidzayamwa ndi thupi ndipo lidzatha. Komabe, kutengera matenda anu, dokotala wanu angakulangizeni zinthu zina.
- Pewani kuchita zinthu zolemetsa: Mungapemphedwe kuti musiye kuchita zinthu monga kunyamula zolemera ndi kuchita masewera olimbitsa thupi kwa kanthawi.
- Kugona mokwanira pabedi: Nthawi zina, ngati magazi akutuluka kwambiri, mungapemphedwe kuti mugone pabedi kwa masiku angapo.
- Pewani kugonana: Ndikofunikira kupewa kugonana mpaka vuto litakula.
- Kubwerezabwereza kusanthula: Mudzapemphedwa kuti mupangenso kusanthula kwina pakatha milungu ingapo kuti muwone ngati magazi oundana akuchepa kapena akukulirakulira.
- Katemera wapadera wa amayi omwe alibe RhD: Ngati mtundu wa magazi anu uli wopanda RhD, dokotala wanu angakupatseni katemera wapadera wotchedwa `Anti-D immune globulin (Rh0(D))`. Izi ziteteza mavuto omwe angachitike mwa mwana mtsogolo.
Kodi izi zingavulaze mwana wanga?
Funso lalikulu kwambiri lomwe mayi aliyense amafunsa ndi ili. Yankho lake ndi lakuti nthawi zambiri, Subchorionic Hematoma sidzavulaza mwana wanu. Ngati magazi ataundana pang'ono, mimbayo idzapitirira popanda vuto lililonse. Ngati magazi ataundana pang'ono, dokotala adzakuyang'anirani inu ndi mwana wanu mosamala kwambiri. Chofunika kwambiri n'chakuti amayi ambiri omwe ali ndi vutoli amabereka ana athanzi.
Zina zomwe zimayambitsa kutuluka magazi panthawi ya mimba
Subchorionic Hematoma ndi chimodzi mwa zifukwa zake. Pakhoza kukhala zifukwa zina zomwe zimayambitsa kutuluka magazi panthawi ya mimba.
- Kutaya Pathupi
- Mimba yotupa m'mimba
- Kutuluka magazi kuchokera ku implantation ndi kutuluka magazi pang'ono komwe kumachitika pamene mwana wosabadwayo walowa m'chiberekero.
- Kutuluka magazi pang'ono pambuyo pa kugonana
- Matenda a m'mimba kapena pachibelekero
- Mavuto a placenta (monga placenta previa kapena placenta abruption)
Kaya chifukwa chake ndi chotani, chinthu chabwino kwambiri choti muchite ngati mukuona kutuluka magazi ndi kudziwitsa dokotala wanu nthawi yomweyo .
Uthenga Wopita Nawo Kunyumba
- Musamaope kutaya mimba mukaona kutuluka magazi panthawi ya mimba. Subchorionic hematoma ndi chifukwa chofala komanso nthawi zambiri chopanda vuto lililonse.
- Ma hematoma ambiri a subchorionic ndi magazi ochepa ndipo amachira okha pakapita nthawi popanda chithandizo chilichonse.
- Kaya kutuluka magazi pang'ono kapena kwambiri, kapena ngati pali ululu kapena ayi, lankhulani ndi dokotala wanu. Musadziyese nokha.
- Ngati dokotala akulangizani kuti mupumule ndi kupewa kuchita zinthu zolemetsa, mutsatireni bwino. Izi ndi za chitetezo cha inu ndi mwana wanu.
- Ndi zachilendo kukhala ndi nkhawa komanso mantha mukaphunzira zinthu ngati izi. Kambiranani momasuka ndi dokotala wanu za momwe mukumvera komanso mantha anu. Iye adzakupatsani chitonthozo ndi chidziwitso chomwe mukufuna.
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