Ese nawe ufite placenta iri hasi? (Placenta Previa) - Reka tubimenye!

Niba utwite umwana, ni ibisanzwe kumva utinya n'ibintu bito cyane. Cyane cyane mu gihe utwite, niba uva amaraso mu gitsina, bishobora gutera ubwoba, si byo se? Muri ibyo bihe, rimwe mu mazina ushobora kumva ni 'Placenta Previa'. Ntugahangayike, uyu munsi turaganira kuri ibi mu buryo bworoshye ushobora kumva.

Ese uzi icyo 'Placenta Previa' ari cyo?

Noneho, reka tubanze turebe icyo iyi 'Placenta Previa' ari cyo. Urabizi, iyo umwana ari mu nda, umwana abona ibyo kurya byose, ibinyobwa, na ogisijeni akeneye binyuze muri 'placenta'. Iyi placenta imeze nk'agafuka, gakorerwa mu nda ya nyababyeyi. Iyi placenta ihuzwa n'umwana binyuze mu muyoboro w'inkondo y'umura. Ubusanzwe, uko inda igenda ikura, cyane cyane mu mezi atatu ashize (ni ukuvuga kuva ku byumweru 28 kugeza kuri 40), iyi placenta igomba kuba iri hejuru y'umura. Icyo gihe umwana ashobora gusohoka mu buryo bworoshye anyuze mu gitsina. Ariko ku bijyanye na 'placenta previa', iyi placenta ntizamuka gutyo, ahubwo itwikira igice cy'umura cyitwa cervix , kiri hasi mu mura. Mu magambo make, inzira umwana asohokamo irafungwa n'iyi placenta.

Ni ubuhe bwoko bwa Placenta Previa?

Hari uburyo butandukanye bwo guhangana n'iki kibazo. Reka turebe ubwo ari bwo:

• Kugabanuka kw'ingobyi: Ibi bibaho iyo ingobyi iri ku nkengero z'umura. Ibi bivuze ko ikora ku mura, ariko ntiyipfuke burundu. Ubu bwoko bwa placenta bushobora kwiyahura ubwabwo iyo umwana ageze mu nda, bivuze ko ingobyi iba ifite umwanya munini wo kuzamuka.
• Igice cya placenta mbere y'uko umwana avuka: Aha, placenta itwikira igice cya nyababyeyi.
• Kwibasira nyababyeyi yose cyangwa yose: Iki ni igihe nyababyeyi ipfutse umunwa w'inkondo y'umura , igafunga burundu inzira ijya mu gitsina. Ubwo bwoko bw'inkondo y'umura ntibushobora gukira ubwabwo .

Uko ubwoko bw'indwara yo mu nda itera imbere bungana kose, kuva amaraso mu gitsina bishobora kubaho mu gihe cyo gutwita no mu gihe cyo kubyara. Kubera ko hari ibyago byo kuva amaraso, abaganga bakunze gutanga inama yo kubagwa (C-section).

Iyi ndwara ikunze kugaragara gute?

Ubusanzwe plasenta previa ibaho ku nda imwe muri 200. Abaganga bakunze kuyimenya mu gihe cyo gupima ultrasound mu gihembwe cya kabiri cy'inda.

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

Nubwo ibi byombi bishobora gutera kuva amaraso mu gihe cyo gutwita, hari itandukaniro hagati yabyo. Mu gihe cyo kuba placenta itaragera, placenta iba itwikiriye umura. Ariko placenta iba ikomeje gufatana n'umura. Mu gihe placenta itangiye gucika, placenta iratandukana n'umura . Nubwo ibyo byombi bishobora gutera kuva amaraso mu gitsina, impamvu ziratandukanye.

Ese 'Placenta Previa' ni kimwe na 'Placenta y'imbere'?

Oya, ibi ntabwo ari bimwe. Placenta yawe ishobora gukura ahantu hose muri nyababyeyi yawe. Placenta y'imbere ni iyo iri ku rukuta rw'imbere rwa nyababyeyi yawe, yerekeza mu nda yawe. Tekereza nko kugira umusego hagati y'umwana wawe n'inda yawe. Ntabwo itera ibibazo bimwe na nyababyeyi.

Ni ibihe bimenyetso by'uko placenta itarashyirwa mu mwanya wa mbere?

Ibimenyetso by'ingenzi bikunze kugaragara ni ibi bikurikira:

• Kuva amaraso mu gitsina bitukura cyane. Ibi bikunze gutangira mu gice cya kabiri cy'inda . Hari igihe kuva amaraso bihagarara igihe runaka hanyuma bikongera bigatangira nyuma y'iminsi mike.
• Ushobora kumva ububabare buke cyangwa ukagira ibibyimba mu nda, mu nda yo hepfo, cyangwa mu mugongo.

Ingano y'amaraso atakaye ishobora gutandukana bitewe n'umuntu ku wundi. Akenshi, nta bubabare bubaho iyo aya maraso atakaye.

Kuki Placenta Previa ibaho?

Biragoye kuvuga neza icyatera placenta previa. Ariko hari ibintu bimwe na bimwe bishobora gutera iyi ndwara. Ibintu nk'uburwayi bwawe bwa kera n'imyitwarire imwe n'imwe mu mibereho bishobora kuyitera.

Ni ibihe bintu bishobora gutera placenta previa?

Hari ibintu byinshi bituma iki kibazo kibaho:

• Niba unywa itabi cyangwa ufata ibiyobyabwenge nka kokayine.
• Niba ufite imyaka 35 cyangwa irenga.
• Niba warigeze gutwita inshuro nyinshi mbere.
• Niba utwite impanga , impanga eshatu cyangwa nyinshi .
• Niba warigeze kubagwa nyababyeyi yawe mbere , urugero, kubagwa mbere ( C-section ) cyangwa D&C (kwagura no gucurettage) .
• Niba warigeze kugira fibroids zo mu mura mbere.

Ni izihe ngorane zishobora guterwa na Placenta Previa?

Niba ufite placenta previa, hari ingaruka zimwe na zimwe kuri wowe no ku mwana wawe. Reka turebere hamwe izo ngaruka: Ingorane ushobora guhura nazo:

• Kuva amaraso: Ushobora kuva amaraso menshi mu gihe utwite, mu gihe cyo kubyara, cyangwa nyuma yo kubyara.
• Kubyara hakiri kare: Niba urimo kuva amaraso menshi, muganga wawe ashobora kuba akeneye kubagwa mu buryo bwihutirwa mbere yuko umwana wawe atwite ibyumweru 40 byuzuye.
• Gutakaza amaraso: Gutakaza amaraso menshi bishobora gutera kubura amaraso , umuvuduko w'amaraso ugabanuka, uruhu rwera, no kugorwa no guhumeka .
• Gutera placenta: Ibi bibaho iyo placenta yifashe cyane ku rukuta rw'umura. Ibi bishobora gutera kuva amaraso menshi nyuma yo kubyara.
• Gucika kw'inyuma y'umwana: Inyuma y'umwana ishobora gutandukana n'umura mbere yuko umwana avuka. Ibi bigabanya umwuka n'intungamubiri by'umwana.

Ingorane umwana ashobora guhura nazo:

• Kubyara igihe kitageze: Niba ugomba kubagwa mu buryo bwihutirwa bitewe no kuva amaraso menshi, umwana ashobora kuvuka igihe kitageze, bivuze ko mbere y'itariki yo kwitaba Imana.
• Kuvuka ari muto: Iyo umwana avutse afite ibiro bike, bishobora kugora umwana kugira ubushyuhe no kugabanya ibiro.
• Ibibazo byo guhumeka: Iyo ibihaha bidakuze neza, umwana ashobora kugira ikibazo cyo guhumeka.

Icy'ingenzi: Ntugatinye kuvuga kuri izi ngorane. Abaganga babyitayeho cyane. Bazaguha ubuvuzi n'inama ukeneye.

Ese birashoboka ko utagira amaraso iyo ufite placenta previa?

Yego, birashoboka. Hari abantu bashobora kutagira amaraso mu gitsina nubwo baba bafite placenta previa. Ariko, bashobora kumva ububabare buto cyangwa kubabara mu nda yo hasi cyangwa mu mugongo. Kubwibyo, niba ugize amaraso cyangwa ububabare mu nda yo hasi mu gihe utwite, ugomba kubimenyesha muganga wawe.

Kuki placenta itera kuva amaraso?

Hari impamvu ebyiri z'ingenzi zibitera. Zombi zifitanye isano n'uburyo umubiri wawe witegura kubyara. 1. Urabizi, umura w'inkondo y'umura.Ni nk'aho uva mu mura ujya mu gitsina. Mu gice cya nyuma cy'inda, iyo umwana agiye kuvuka, umura uhita ucika maze ugatangira gufunguka. Rero, iyo nyababyeyi iri hejuru y'umura, iyo umura utangiye kuba muto cyane, kuva amaraso bishobora gutangira. 2. Mu gihe cyo kubyara, umura uhita ufungura (uravunguka) kugira ngo umwana asohoke mu mura ajye mu gitsina. Iyo umura ufungutse, imiyoboro y'amaraso ihuza nyababyeyi n'umura ishobora gucika no kuva amaraso.

Ese plasenta previa ishobora gutera kuvamo inda?

Gukuramo inda ni ukubura inda mbere y'ibyumweru 20. Ubusanzwe abaganga bapima ko inda yangiritse mu gihe cyo gupima nyuma y'ibyumweru 20, ari nabwo inda irangira. Kubwibyo, ni gake cyane ko inda yangiritse mu gihe cyo gukuramo inda.

Placenta Previa ipimwa ite?

Abaganga bakunze kubona iyi ndwara mu gihe cyo gupima umwana mu gihe cy’ibyumweru 20 atwite. Hari igihe ishobora no kugaragara mu gihe cy’ibizamini byakozwe iyo habayeho ibimenyetso nko kuva amaraso mu gitsina. Hanyuma muganga wawe azakomeza gukora isuzuma kugira ngo arebe aho nyababyeyi iri.

Ni ibihe bizamini bikoreshwa mu kubitahura?

Muganga akoresha cyane cyane ultrasound scans kugira ngo arebe niba nyababyeyi itaragera ku rugero rwo hejuru.

• Ultrasound ya Transvaginal: Muri iki kizamini, muganga ashyira agakoresho gato (transducer) mu gitsina kugira ngo arebe aho umwana aherereye, aho ingobyi iri, n'inkondo y'umura. Ibi bishobora kwerekana neza aho ingobyi iri.
• Ultrasound yo mu nda: Muri iki kizamini, muganga ashyira gel mu nda yawe hanyuma akayishyira hejuru y’icyuma gifata mu ntoki (transducer). Ibi bishobora kandi gufasha kubona umwana, placenta, na nyababyeyi.

Amashusho yo muri izi scan zombi arashobora kurebwa kuri ecran. Muganga wawe azakoresha izi scan kugira ngo akwereke ingano y'inkondo y'umura itwikiriye umura wawe n'icyo ugomba gukora.

Placenta Previa ivurwa ite?

Intego nyamukuru hano ni ukongera igihe cyo gutwita hafi cyane y'itariki yo kwibaruka. Iyo kuva amaraso bikomeje, kubagwa mu kibuno (C-section) akenshi ni bwo buryo bwiza bwo kuvura. Uburyo bwo kuvura nyababyeyi itaragera ku mwana buterwa na:

• Mbega ukuntu urimo kuva amaraso cyane .
• Imyaka umwana atwite , ni ukuvuga imyaka umwana aba afite.
• Ingobyi n'aho umwana aherereye.
• Ubuzima bwawe n'ubw'umwana wawe.

Iyo muganga wawe abimenye mu ntangiriro z'igihembwe cya kabiri cy'inda, iyo ndwara ishobora kwikemurira ubwayo .Ibi bivuze ko uko nyababyeyi ikura, nyababyeyi ishobora kuzamuka. Ariko, iyo igaragaye nyuma mu gihe cyo gutwita, amahirwe yo kuzamuka aba make. Niba nyababyeyi iri hafi y'umura, cyangwa itwikiriwe igice gusa, kandi utari kuva amaraso, muganga wawe ashobora kukubwira ibintu nk'ibi:

• Gabanya imirimo ivunanye nko kwiruka, guterura ibyuma, no gukora imyitozo ngororamubiri.
• Guma mu rugo ugire ikiruhuko cyo kuryama.
• Ntugakore ibintu nko gukora imibonano mpuzabitsina, gukoresha tampons, cyangwa gukaraba.
• Jyana na muganga wawe buri gihe kandi uhabwe isuzuma.

Niba ikibazo cyo kwibasirwa n'ingobyi y'umura kiri hagati cyangwa gikomeye, cyangwa niba kuva amaraso kenshi, ubundi buryo bwo kuvura bushobora kwitabwaho, nko:

• Kuryama mu bitaro.
• Umuti wo gukumira kubyara hakiri kare.
• Imiti ya steroid ifasha ibihaha by'umwana gukura vuba.
• Guterwa amaraso niba uva amaraso menshi cyane.
• Iyo kuva amaraso ari menshi cyane ku buryo bitashoboka ko ahagarara , ushobora kubagwa mu buryo bwihutirwa.

Ese Placenta Previa igenda yonyine?

Yego, iyo ibonetse mu gihembwe cya kabiri cy'inda, ishobora kwiyahura ubwayo, bivuze ko placenta ishobora kuzamuka. Hari amahirwe ko placenta izazamuka uko nyababyeyi ikura mu gihembwe cya gatatu. Ariko, iyo inda igeze kure kandi umura ukaba ufunze, ntabwo ishobora kwiyahura ubwayo . Muganga wawe azakomeza kugusuzuma kugira ngo arebe neza ko iyi ndwara yarangiye mbere yuko umwana avuka.

Ese nshobora kugabanya ibyago byo kuba umwana ashobora kuba afite placenta?

Nta kintu na kimwe ushobora gukora kugira ngo wirinde ko placenta itera imbere. Kandi nta kubagwa cyangwa ubundi buryo bwo kuvura buhari kugira ngo bukorwe . Ariko, hari ibintu bishobora gutera ibyago ushobora kugenzura, nko kutanywa itabi no kudakoresha ibiyobyabwenge nka kokayine . Iyo muganga wawe amaze kukumenya ko ufite iyo ndwara, hari uburyo bwo kugabanya kuva amaraso mu gitsina.

Ni iki nkwiye kwitega mu gihe mfite placenta previa?

Uburyo uzavurwa buzaba bushingiye ku ndwara yawe, ariko abantu benshi bashobora kwitega ibi bikurikira:

• Gukurikiranwa kenshi mu gihembwe cya kabiri n'icya gatatu cy'inda. Muganga abikora kugira ngo arebe aho nyababyeyi iri no kureba niba hari impinduka mu bimenyetso.
• Kugabanya cyangwa guhindura imyitozo ngororamubiri, nko gukora imyitozo ngororamubiri no gukora imibonano mpuzabitsina.
• Gupima amaraso kugira ngo harebwe umubare w'amaraso umwana amaze kuvuka.

Ese umwana wanjye azavuka igihe kitageze niba mfite placenta previa?

Ibyo bishobora kuba ari ko bimeze. Muganga wawe azafata icyemezo cyo kubyara umwana wawe hakiri kare bitewe n'ingano y'amaraso ava, aho nyababyeyi iri, n'imyaka umwana wawe amaze gutwita. Ku byumweru bigera kuri 36 byo gutwita, byaba byiza wowe n'umwana wawe mubyare umwana wanyu hakiri kare. Hari igihe ababyeyi bategereza kugeza ku byumweru 40, ari na byo biba ari igihe cyuzuye cyo kubyara.

Ese nshobora kubyara mu gitsina nubwo namaze igihe kinini cy'ingobyi?

Niba ufite placenta previa (bivuze ko placenta iri hafi y'umura ariko itarafunga neza), muganga wawe ashobora kuba ashobora kubyara umwana wawe mu buryo busanzwe. Ariko, ibi bishobora guteza akaga kubera ibyago byo kuva amaraso. Muganga wawe azakubwira uburyo bwiza bwo kubyara umwana wawe.

Ese niba narafashwe n’indwara yo kubyara mbere y’uko nywibagirwe, nzakenera kubagwa mu gihe cyo kubagwa (C-baction)?

Yego, mu bihe byinshi, kubagwa mu kibuno (C-section) ni bwo buryo bwizewe bwo kubyara niba ufite placenta previa. Niba placenta itwikiriye n'igice gito cy'umura, ushobora kuva amaraso menshi niba ugerageje kubyara umwana mu buryo busanzwe. Muganga wawe asanzwe agena igihe cyo kubagwa mu kibuno umunsi umwe mbere y'uko bitangira. Ariko, niba uva amaraso menshi igihe icyo ari cyo cyose, ushobora gukenera kubagwa mu kibuno byihutirwa.

Ese plasenta Previa ishobora gutera ubusembwa ku mwana uvuka?

Kubyara umwana utarageza igihe ni gake cyane, ariko niba muganga wawe yumva ko ari byiza kubyara umwana wawe hakiri kare, umwana wawe ashobora kuvuka imburagihe. Kubyara umwana utarageza igihe bishobora gutera ingorane nko kubyara umwana ufite ibiro bike no kugorwa no guhumeka.

Ese nzongera kubona placenta previa?

Niba warigeze kugira placenta previa mu gihe cyo gutwita mbere, hari ibyago bike byo kongera kuyiba , hafi 2% . Nusamwa nanone, bwira muganga wawe. Azamenya amateka y'ubuzima bwawe bwa mbere.

Ese Placenta Previa igira ingaruka ku burumbuke bwanjye?

Kwibasira placenta ntabwo bigira ingaruka ku bushobozi bwawe bwo kongera gusama. Ariko, hari ibyago bike byo kurwara placenta previa niba wongeye gusama.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Muganga wawe agomba kuba ashobora gusubiza ibibazo byawe no kugutegurira kuvura nyababyeyi itaragera ku mwanya wa mbere. Dore bimwe mu bibazo ushobora kubaza:

• Ese ubuzima bw'umwana buri mu kaga? Ese nanjye ubuzima bwanjye buri mu kaga?
• Ni ubuhe buryo bwo kuvura mfite?
• Namenya nte ko placenta yanjye yavuyeho?
• Ese ngomba kugabanya ibikorwa bimwe na bimwe?
• Ese nshobora kubyara umwana ubu ngubu?
• Ni izihe ngorane zishobora kubaho?
• Ese nkeneye gupimwa byinshi cyangwa ibindi bizamini?
• Ni ibihe bimenyetso bigaragaza ko ngomba kujya kwa muganga?

Ni ibihe bibazo muganga wanjye azambaza?

• Ni ryari wabonye kuva amaraso bwa mbere?
• Amaraso angahe ataka?
• Ese kuva amaraso bikomeza, cyangwa biraza bikongera bikagaruka?
• Ufite ikibazo cyo kubabara mu nda?
• Ese wigeze ugira ingorane mu gihe cyo gutwita mbere?
• Ese wigeze kubagwa nyababyeyi mbere?
• Ese unywa itabi cyangwa ufata ibiyobyabwenge nka kokayine?
• Ese hari umuntu wo kukwitaho niba ukeneye kuryama mu buriri?

Ni ryari ngomba kubonana na muganga wanjye?

Niba ugize kuva amaraso, kubabara mu nda, cyangwa kubabara mu nda mu gihe utwite, cyane cyane mu gihembwe cya kabiri cy'umubyibuho, hamagara muganga wawe vuba.

Ni ryari nkwiye kujya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ?

Niba urimo kuva amaraso menshi, hita ushakisha abaganga bihutirwa. Kuva amaraso menshi bishobora guteza ingaruka mbi zikomeye kuri wowe no ku mwana wawe.

Ese nshobora gukora imyitozo ngororamubiri hamwe na placenta previa?

Muganga wawe ashobora kukubwira kugabanya ibikorwa bimwe na bimwe, nko gukora imyitozo ngororamubiri, kwicara ku ntebe, gusimbuka no guterura ibyuma. Ibi bishobora gutera kuva amaraso. Ni byiza kuganira na muganga wawe ku mikorere yawe ya buri munsi no guhindura uko bikenewe.

Ese nshobora gukora imibonano mpuzabitsina niba mfite placenta previa?

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

Hanyuma, ubutumwa bwo kujyana mu rugo:

Placenta Previa ni indwara ivurwa. Ababyeyi benshi bafite iyi ndwara babyara abana bazima. Iyo ukurikije amabwiriza ya muganga witonze, ushobora kubyara neza. Niba ugize kuva amaraso cyangwa ukumva utameze neza mu gihe utwite, ntutinye kubimenyesha muganga wawe. Umutekano wawe n'uw'umwana wawe ni cyo kintu cy'ingenzi cyane. Placenta Previa, kuva amaraso mu gihe utwite, kubagwa mu kibuno, inkondo y'umura, ingorane zo gutwita, gupima hakoreshejwe ikoranabuhanga rya ultrasound