Ese Placenta yawe iri hasi cyane? (Placenta Previa) - Reka tuyige! | Nirogi Lanka

Niba utwite umwana, ni ibisanzwe kumva uhangayikishijwe n'impinduka ntoya. Ni ibisanzwe cyane kumva uhangayitse iyo ugize amaraso mu gitsina mu gihe utwite. Ijambo rimwe ushobora guhura na ryo muri iki gihe ni 'Placenta Previa.' Ntugire ubwoba; muri Nirogi Lanka, turi hano kugira ngo tubasobanurire ibi mu buryo bworoshye kandi busobanutse.

'Placenta Previa' ni iki mu by'ukuri?

Reka dutangire ku by'ibanze. Nkuko mubizi, mu gihe umwana wawe akiri mu nda, abona intungamubiri zose zikenewe, ogisijeni, n'amaraso binyuze muri 'placenta.' Tekereza kuri placenta nk'agafuka k'intungamubiri gakura mu nda yawe, gahujwe n'umwana wawe binyuze mu muyoboro w'inkondo y'umura. Ubusanzwe, uko utwite - cyane cyane mu gihembwe cya nyuma (ibyumweru 28 kugeza kuri 40) - placenta igenda yerekeza hejuru ya nyababyeyi. Ibi bitanga inzira isobanutse kugira ngo umwana wawe abyare mu buryo busanzwe binyuze mu nzira y'ivuka. Ariko, ku bijyanye na 'Placenta Previa', placenta ntizamuka. Ahubwo, iguma mu gice cyo hasi cya nyababyeyi, igatwikira igice cyayo cyangwa cyose cya nyababyeyi . Mu magambo make, placenta iba ifunze inzira yo gusohokeramo umwana wawe.

Ni ubuhe bwoko bwa 'Placenta Previa'?

Hari ubwoko butandukanye bw'iyi ndwara:

• Imbere y'ingobyi: Ingobyi iba iri ku nkengero z'umura. Ikora ku nkengero ariko ntipfuke umwobo. Kenshi na kenshi, uko inda igenda ikura, umura urakura kandi ingobyi ishobora kuva ku mura.
• Igice cya placenta mbere y'uko umwana avuka: Igice cya placenta kiziba igice cy'umwobo w'inkondo y'umura.
• Kwibasira nyababyeyi yose cyangwa yose: Muri iki gihe, nyababyeyi itwikira umura wose, igafunga inzira ijya mu nzira y'imyororokere. Ubwo bwoko bw'imyororokere ntibushobora kwikemurira ubwabwo uko gutwita bikomeza.

Uko ubwoko bwa Placenta Previa bwaba buri kose, ushobora kuva amaraso mu gitsina mu gihe utwite cyangwa ubyara. Bitewe n'ibyago byo kuva amaraso, abaganga bakunze gutanga inama yo kubagwa mu buryo bwa C-searian (C-section).

Iyi ndwara ikunze kugaragara gute?

Placenta Previa ibaho hafi ku nda 1 kuri 200. Abaganga bakunze kuyimenya mugihe cyo gupima ultrasound mu gihembwe cya kabiri cy'amezi atatu.

Ni irihe tandukaniro riri hagati ya 'Placenta Previa' na 'Placental Abruption'?

Nubwo byombi bishobora gutera kuva amaraso mu gihe cyo gutwita, ni ibintu bitandukanye cyane. Muri 'Placenta Previa,' placenta iba iri hejuru y'umura, ariko ikomeza gufatana neza n'urukuta rw'umura. Mu buryo bunyuranye, 'Placental abruption' iba iyo placenta itandukanye cyangwa iva ku rukuta rw'umura . Nubwo byombi biva amaraso mu gitsina, impamvu n'ingaruka biratandukanye.

Ese 'Placenta Previa' bivuze ko mfite 'Placenta y'imbere'?

Oya, ibi ntabwo ari bimwe. Aho nyababyeyi yawe ishobora kumera hose mu mura wawe. 'Nyababyeyi y'imbere' bivuze ko nyababyeyi ifatanye n'urukuta rw'imbere rw'umura wawe, ireba inda yawe. Tekereza ko ari nko kugira umusego hagati y'umwana n'inda yawe; ibi akenshi ntibitera ingorane nk'iza Placenta Previa.

Ni ibihe bimenyetso bya 'Placenta Previa'?

Ibimenyetso bisanzwe byo kwitondera birimo:

• Kuva amaraso atukura cyane mu gitsina. Ibi bikunze gutangira mu gice cya kabiri cy'inda yawe. Kuva amaraso bishobora guhagarara no gutangira, kandi rimwe na rimwe bishobora kongera kugaruka nyuma y'iminsi mike.
• Kubabara mu nda cyangwa mu mugongo cyangwa kumva urimo kubyimba.

Ingano y'amaraso ava iratandukanye bitewe n'umuntu ku giti cye. Akenshi, aya maraso abaho nta bubabare na buke.

Kuki 'Placenta Previa' iba?

Nta mpamvu imwe izwi itera ibi. Ariko, hari ibintu bimwe na bimwe bishobora gutera ibyago bijyanye n'ubuzima bwawe cyangwa imibereho yawe bishobora kongera ibyago byo kurwara.

Ni ibihe bintu bishobora gutera 'Placenta Previa'?

Ibintu bishobora kugira uruhare muri ibi bikurikira:

• Kunywa itabi cyangwa gukoresha ibiyobyabwenge nka kokayine.
• Kuba ufite imyaka 35 cyangwa irenga.
• Kuba naratwite inda nyinshi mbere.
• Gutwara impanga, impanga eshatu, cyangwa nyinshi .
• Kuba warigeze kubagwa nyababyeyi mbere , nko kubagwa mbere ( C-section ) cyangwa kubagwa D&C (kwagura no gucurettage) .
• Amateka ya fibroids zo mu mura.

Ni izihe ngorane zishobora guterwa na 'Placenta Previa'?

Niba usanzwe urwaye Placenta Previa, muganga wawe azagukurikiranira hafi kugira ngo acunge ibyago bishobora kukugiraho ingaruka wowe n'umwana wawe. Ingorane zishobora kubaho kuri wewe:

• Kuva amaraso menshi: Kuva amaraso menshi bishobora kubaho mu gihe cyo gutwita, mu gihe cyo kubyara, cyangwa nyuma yo kubyara.
• Kubyara ukiri muto: Iyo uva amaraso menshi, muganga wawe ashobora kuba akeneye kubagwa mu buryo bwihutirwa mbere yuko igihe cyawe cyo kubyara kigera.
• Gutakaza amaraso: Kuva amaraso menshi bishobora gutera kubura amaraso , umuvuduko w'amaraso ugabanuka, uruhu rwera, cyangwa guhumeka bigoranye .
• Gutera placenta: Ibi bibaho iyo placenta yifashe cyane mu rukuta rw'umura, ibyo bikaba byatera kuva amaraso menshi nyuma yo kubyara.
• Gucika kw'inyuma y'inyuma: Inyuma y'inyuma ishobora gucika imburagihe, bigatuma umwana agabanuka umwuka wa ogisijeni n'intungamubiri.

Ingorane zishobora guterwa n'umwana wawe:

• Kubyara igihe kitageze: Niba ukeneye kubagwa mu buryo bwihutirwa bitewe no kuva amaraso, umwana wawe ashobora kuvuka igihe kitageze.
• Kuvukana ibiro bike: Abana bavutse hakiri kare bashobora kugorwa no kutagira ubushyuhe cyangwa kwiyongera ibiro.
• Ibibazo byo guhumeka: Iyo ibihaha bitarakura neza, umwana ashobora kugorwa no guhumeka nyuma yo kuvuka.

Icy'ingenzi: Ntugatinye izi ngorane. Abaganga bafite uburambe bwinshi mu kuvura iki kibazo. Bazaguha ubuvuzi n'inama bikenewe kugira ngo wowe n'umwana wawe mugire umutekano.

Ese nshobora kugira 'Placenta Previa' ntava amaraso?

Yego, birashoboka. Hari abantu bafite Placenta Previa ntibava amaraso mu gitsina. Ariko, rimwe na rimwe ushobora kumva ububabare bworoheje mu nda cyangwa mu mugongo. Niba ubonye ibimenyetso, buri gihe hamagara umuganga wawe cyangwa serivisi zihutirwa zo mu gace utuyemo. Kubwibyo, niba ubonye amaraso mu gitsina cyangwa mu gice cyo hasi cy'inda mu gihe utwite, nyamuneka hamagara muganga wawe vuba.

Kuki Placenta Previa itera kuva amaraso?

Hari impamvu ebyiri z'ingenzi zibitera, zombi zijyanye n'uburyo umubiri wawe witegura ivuka ry'umwana wawe. 1. Ushobora kuba uzi ko inkondo y'umuraIkora nk'irembo riri hagati y'umura wawe n'inzira y'imyobo. Uko wegereza intambwe ya nyuma yo gutwita, umura wawe utangira gushonga (gupfa) no gukinguka kugira ngo witegure kubyara. Iyo nyababyeyi ishyizwe hejuru y'umura, ubu buryo bwo kugabanya umura bushobora gutera kuva amaraso. 2. Mu gihe cyo kubyara, umura urimo kwaguka (ugufungura) kugira ngo umwana ajye mu nzira y'imyobo. Iyo nyababyeyi ifungutse, imiyoboro y'amaraso ihuza nyababyeyi n'urukuta rw'umura ishobora gucika, bigatera kuva amaraso.

Ese Placenta Previa ishobora gutuma inda ivamo?

Gukuramo inda bisobanurwa nko gutakaza inda mbere y'ibyumweru 20. Ubusanzwe abaganga bamenya ko inda ya placenta itaragera binyuze mu gupima ikoranabuhanga rya ultrasound nyuma y'ibyumweru 20. Kubera iyo mpamvu, ni gake cyane ko inda ya placenta itaragera ku nda.

Placenta Previa ipimwa ite?

Kenshi na kenshi, abaganga bamenya iyi ndwara mu gihe cyo gupima umwana hakoreshejwe ultrasound mu byumweru bya 20 byo gutwita. Rimwe na rimwe, iboneka mu gihe cyo gusuzuma nyuma y'ibimenyetso nko kuva amaraso mu gitsina. Hanyuma muganga wawe azakora isuzuma rikurikira kugira ngo arebe aho nyababyeyi iherereye.

Ni ibihe bipimo byo gusuzuma indwara bikoreshwa?

Muganga wawe azakoresha cyane cyane ultrasound scans kugira ngo arebe niba placenta itarashyirwa mu mwanya wayo.

• Ultrasound ya Transvaginal: Muri iki gikorwa, muganga ashyira agakoresho gato (transducer) mu muyoboro w'inda kugira ngo asuzume umwana wawe, placenta, na nyababyeyi. Ibi bitanga ishusho isobanutse neza y'aho placenta iri.
• Ultrasound yo mu nda: Muganga ashyira gel mu nda yawe kandi agakoresha transducer kugira ngo arebe aho hantu. Ibi kandi bituma muganga asuzuma aho umwana wawe, placenta, n'inkondo y'umura biherereye.

Isuzuma ryombi ritanga amashusho ashobora kurebwa kuri ecran. Muganga wawe azasobanura ibi bisubizo kugira ngo amenye ingano y'inkondo y'umura itwikiriwe n'ingo ndetse n'ingamba zigomba gufatwa nyuma yaho.

Placenta Previa ivurwa ite?

Intego y'ibanze ni ugukomeza gutwita kwegereje cyane igihe cyo kwibaruka. Iyo amaraso akomeje kuva, kubagwa mu kigero cya C akenshi ni bwo buryo bwizewe bwo kubyara umwana wawe. Uburyo bwo kuvura nyababyeyi y'umwana buterwa n'ibintu byinshi:

• Uburemere bw'amaraso yawe .
• Imyaka yo gutwita k'umwana wawe.
• Aho ingobyi y'umwana n'umwana biherereye .
• Ubuzima muri rusange bwawe n'ubw'umwana wawe .

Muganga wawe aramutse abimenye mu ntangiriro z'igihembwe cya kabiri cy'inda, iyo ndwara ishobora kwiyahura ubwayo. Uko umura ukura, nyababyeyi ishobora kuzamuka. Ariko, iyo igaragaye nyuma yo gutwita, amahirwe yo kuzamuka nyababyeyi aragabanuka. Niba nyababyeyi iri hafi y'umura cyangwa ikawufunga igice, kandi utari kuva amaraso, muganga wawe ashobora kukugira inama ikurikira:

• Irinde gukora imirimo ivunanye nko kwiruka, guterura ibintu biremereye, cyangwa gukora imyitozo ngororamubiri ikomeye.
• Itoze kuruhuka mu buriri mu rugo.
• Irinde imibonano mpuzabitsina, gukoresha tampons, cyangwa gukoresha douching.
• Jya kwa muganga kenshi no gupima ultrasound.

Niba placenta previa iri hagati cyangwa ikomeye, cyangwa niba uva amaraso kenshi, ubundi buryo bwo kuvura bushobora kuba ngombwa:

• Kuryama mu bitaro.
• Imiti yo gukumira kubyara igihe kitageze.
• Imiti ya steroid ifasha ibihaha by'umwana wawe gukura vuba.
• Guterwa amaraso iyo utakaje amaraso menshi.
• Kubagwa mu buryo bwihutirwa mu gihe kuva amaraso bidashobora kugenzurwa.

Ese Placenta Previa yikemura ubwayo?

Yego, iyo igaragaye mu gihembwe cya kabiri cy'umusaza, ishobora gukemuka uko nyababyeyi izamuka. Uko nyababyeyi ikura mu gihembwe cya gatatu cy'umusaza, haracyari amahirwe ko nyababyeyi ishobora kwimuka. Ariko, uko inda igenda ikura, iyo nyababyeyi ikomeje gufunga, ntabwo ishobora gukemuka mu buryo busanzwe. Muganga wawe azakomeza gukora isuzuma kugira ngo arebe niba ikibazo cyarakemutse mbere yo kubyara.

Ese nshobora kugabanya ibyago byo kurwara Placenta Previa?

Nta buryo buzwi bwo kwirinda previa y’ingobyi, kandi nta buryo bwo kwa muganga cyangwa kubaga buhari kugira ngo "hakosorwe" aho ingobyi iherereye. Ariko, ushobora guhangana n'ibintu bishobora gukumirwa, nko kwirinda kunywa itabi no gukoresha ibiyobyabwenge bitemewe nka kokayine. Iyo muganga wawe amaze kwemeza iyi ndwara, hari uburyo bwo kugabanya ibyago byo kuva amaraso mu gitsina.

Ni iki nkwiye kwitega mu gihe mfite Placenta Previa?

Uburyo bwo kuvura buzakoreshwa hakurikijwe uko umerewe. Ariko, abantu benshi bashobora kwitega:

• Gukurikiranwa kenshi mu gihembwe cya kabiri n'icya gatatu. Muganga wawe azakurikirana aho nyababyeyi iri kandi arebe niba hari impinduka mu bimenyetso.
• Guhagarika cyangwa guhindura ibikorwa by'umubiri , harimo imyitozo ngororamubiri n'imibonano mpuzabitsina.
• Gupima amaraso kugira ngo bigenzure umubare w'amaraso yawe nyuma yo kubyara.

Ese umwana wanjye azavuka igihe kitageze niba mfite Placenta Previa?

Birashoboka. Muganga wawe azagena niba ari ngombwa kubyara hakiri kare bitewe n'ingano y'amaraso ava, aho nyababyeyi iri, n'imyaka umwana wawe atwite. Mu byumweru 36 , kubyara hakiri kare bishobora kuba amahitamo meza kuri wowe n'umwana wawe. Hari igihe ababyeyi bashobora kubyara kugeza ku byumweru 40, cyangwa se mu gihe cyose cy'amavuko.

Ese nshobora kubyara mu gitsina niba mfite Placenta Previa?

Niba ufite placenta previa (bivuze ko placenta iri hafi y'umura ariko itayifunga burundu), muganga wawe ashobora kwemeza ko kubyara mu gitsina bishoboka. Ariko, ibi bifite ibyago byo kuva amaraso kandi bishobora guteza akaga. Muganga wawe azakubwira uburyo bwiza bwo kubyara.

Ese koko nkeneye kubagwa C-section niba mfite Placenta Previa?

Yego, akenshi iyo placenta itwikiriye igice icyo ari cyo cyose cy'umura, kubagwa C-section ni bwo buryo bwizewe bwo kubyara. Kugerageza kubyara mu gitsina bishobora gutera kuva amaraso menshi. Mu bisanzwe muganga wawe azagena igihe cyo kubagwa C-section mbere y'igihe. Ariko, niba kuva amaraso kwawe gukomeye igihe icyo ari cyo cyose, C-section yihutirwa ishobora kuba ngombwa.

Ese Placenta Previa ishobora gutera ubusembwa ku mwana wanjye?

Ni gake cyane ko Placenta Previa itera ibibazo byo kubyara. Ariko, niba muganga wawe asanze kubyara umwana wawe hakiri kare ari bwo buryo bwiza bwo kubyara, umwana wawe ashobora kuvuka imburagihe. Kubyara imburagihe bishobora gutera ingorane nko kubyara umwana ufite ibiro bike no kubura umwuka.

Ese nzongera kugira Placenta Previa?

Niba warigeze kugira Placenta Previa mu gihe cyo gutwita mbere, hari ibyago bike—hafi 2% —by'uko ishobora kongera kugaruka. Niba wongeye gutwita, menya neza ko wabimenyesheje muganga wawe kugira ngo asuzume amateka y'ubuzima bwawe.

Ese Placenta Previa igira ingaruka ku burumbuke bwanjye?

Placenta Previa ntabwo igira ingaruka ku bushobozi bwawe bwo gusama mu gihe kiri imbere. Ariko, haracyari ibyago bike byo kongera kurwara iyi ndwara mu gihe cyo gutwita nyuma.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Muganga wawe arahari kugira ngo agusubize ibibazo byawe kandi agufashe kwitegura gucunga Placenta Previa. Dore bimwe mu bibazo ushobora kwibaza:

• Ese umwana wanjye ari mu kaga? Ese ndi mu kaga?
• Ni ubuhe buryo bwo kuvurwa?
• Nzamenya nte ko Placenta Previa yanjye yakize?
• Ese nkwiye kubuza ibikorwa byanjye?
• Ese birashoboka kubyara umwana ubu ngubu?
• Ni izihe ngorane ngomba kwitondera?
• Ese nkeneye izindi ultrasound cyangwa ibindi bizamini?
• Ni ibihe bimenyetso byagombye gutuma njya kwa muganga?

Ni ibihe bibazo muganga wanjye ashobora kumbaza?

• Ni ryari wabonye kuva amaraso bwa mbere?
• Kuva amaraso biremereye gute?
• Ese kuva amaraso guhoraho, cyangwa biraza bigakomeza?
• Ese hari ububabare bwo mu nda cyangwa kuribwa mu nda?
• Ese hari ingorane wigeze ugira mu gihe cyo gutwita mbere?
• Ese wigeze ubagwa nyababyeyi mbere?
• Ese unywa itabi cyangwa ukoresha ibiyobyabwenge nka kokayine?
• Ese ufite umuntu wo kugufasha kukwitaho niba ukeneye kuryama mu buriri?

Ni ryari nkwiye kuvugana na muganga wanjye?

Niba ugize kuva amaraso mu gitsina, ububabare mu nda, cyangwa kubabara mu nda mu gihe utwite —cyane cyane mu gice cya kabiri cy'umubyibuho—hamagara muganga wawe ako kanya.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze (ER)?

Niba ugize ibyago byinshi byo kuva amaraso mu gitsina, shakisha ubufasha bwihutirwa bwa muganga. Kuva amaraso menshi bishobora guteza akaga gakomeye kuri wowe no ku mwana wawe.

Ese nshobora gukora imyitozo ngororamubiri na Placenta Previa?

Muganga wawe ashobora kukugira inama yo kugabanya imirimo imwe n'imwe, nko gukora imyitozo ngororamubiri igoye, kwicara ku ntebe, gusimbuka, cyangwa guterura ibintu biremereye, kuko bishobora gutera kuva amaraso. Ni byiza kuganira na muganga wawe ku bikorwa byawe bya buri munsi kugira ngo akore impinduka zikenewe.

Ese nshobora gukora imibonano mpuzabitsina niba mfite Placenta Previa?

Abaganga benshi bakugira inama yo kwirinda imibonano mpuzabitsina niba ufite Placenta Previa. Ni byiza kandi kwirinda ikintu cyose gishobora gutera kuva amaraso cyangwa kubyimba kw'inda, nko gukoresha tampons, gukaraba, cyangwa gushyira ikintu icyo ari cyo cyose mu gitsina.

Ubutumwa bwo kujyana mu rugo

Placenta Previa ni indwara ishoboka kuyivura. Ababyeyi benshi bafite iyi ndwara batangira kubyara abana bazima. Iyo ukurikije amabwiriza ya muganga wawe, ushobora kwemeza ko uzabyara neza. Ntugatinye kuvugana na muganga wawe niba ugize kuva amaraso cyangwa ukumva utameze neza mu gihe utwite. Umutekano wawe n'uw'umwana wawe ni byo by'ingenzi kurusha ibindi. Placenta iri hasi, Placenta Previa, kuva amaraso mu gihe utwite, kubagwa C-section, inkondo y'umura, ingorane zo gutwita, gupima ultrasound