I-Placenta Accreta ngexesha lokukhulelwa: Ngaphambi kokuba uphakuzele, sazise ngezi zinto ngokuqinisekileyo

Sonke siyazi ukuba umntwana wakho osesiswini ufumana yonke isondlo kunye neoksijini ayidingayo kwi-placenta. Emva kokuba umntwana ezelwe, le placenta idla ngokuphuma ngokulula kwisibeleko kwimizuzu embalwa. Yinkqubo eqhelekileyo leyo. Kodwa khawucinge, kwenzeka ntoni ukuba le placenta inamathela nzulu ngakumbi eludongeni lwesibeleko kunokuba ucinga? Ukuba oko kuyenzeka, ayizukuphuma lula emva kokuba umntwana ezelwe. Leyo yimeko yezonyango esibi esiyibiza ngokuba yiPlacenta Accreta . Nangona le yimeko enzulu, ukuba iqatshelwa kwangethuba kwaye ilawulwa ngokuchanekileyo , inokukhusela umama kunye nomntwana. Ngoko ke, masithethe ngale nto ngokweenkcukacha ngaphandle koloyiko.

Yintoni iPlacenta Accreta ngokulula?

Ngamafutshane, iPlacenta Accreta kuxa iplacenta inamathela kakhulu eludongeni lwesibeleko. Kukukhulelwa okuqhelekileyo, iplacenta inamathela kuphela kulwelo lwangaphakathi lwesibeleko (i-endometrium). Ke ngoko, yahlukana ngokulula emva kokuba umntwana ezelwe.

Kodwa kwimeko yePlacenta Accreta, iindawo ezithile zeplacenta zisenokuba zikhulele kumaleko wemisipha yesibeleko. Ke ngoko, xa iplacenta isuswa emva kokuba umntwana ezelwe, isenokungaphumi ize iqale ukopha kakhulu . Le yeyona ngxaki inkulu neyingozi apha. Ngamanye amaxesha oku kukopha kunokuba yingozi ebomini. Ke ngoko, umama onesi simo unokufuneka atofelwe igazi okanye, kwiimeko ezinzima kakhulu, ade asuswe i-hysterectomy.

Ngaba kukho iintlobo ezahlukeneyo zezi?

Ewe, yahlulwe yaba ziintlobo ezintathu eziphambili ngokuxhomekeke kubunzulu apho i-placenta inamathela khona eludongeni lwesibeleko. Olu hlu lubaluleke kakhulu ekucwangciseni unyango.

Ngubani osengozini enkulu yokuhlaselwa yile meko?

Nangona i-Placenta Accreta inokwenzeka kuye nawuphi na umfazi okhulelweyo, kukho izinto ezithile ezibangela umngcipheko. Kubalulekile ukuthetha nogqirha wakho ngezi zinto.

• Utyando lwebele lwangaphambili (utyando lwebele olubizwa ngokuba yi-C-section): Le yeyona nto iphambili ebangela umngcipheko. Utyando lwebele olubizwa ngokuba yi-C-section lusika isibeleko. Njengoko luphola, kuvela izicubu zesilonda. Ukuba i-placenta ingena kwesi silonda ngexesha lokukhulelwa okulandelayo, kunokwenzeka ukuba inamathele nzulu kunezicubu eziqhelekileyo. Okukhona utyando lwebele olubizwa ngokuba yi-C-sections luninzi, kokukhona umngcipheko wakho we-Placenta Accreta uphezulu.
• I-Placenta Previa: Abanye abafazi abakhulelweyo bane-placenta ekwinxalenye esezantsi yesibeleko, egquma umlomo wesibeleko. Oku kubizwa ngokuba yi-"Placenta Previa." Ukuba ukhe wahlinzwa i-C-section ngaphambili kwaye une-"Placenta Previa" imeko, umngcipheko wokufumana i-Placenta Accreta uphezulu kakhulu.
• Utyando lwangaphambili lwesibeleko: Ukuba ukhe wenza olunye utyando, olufana nokususwa kwe-uterine fibroids okanye i-D&C (ukwandiswa kunye ne-curettage), le ngozi inokwanda ngenxa yamanxeba.
• Ukukhulelwa kwabantwana abaninzi: Le ngozi inokwanda kancinci xa abantwana abaninzi bekhula.
• Ukukhulelwa nge-IVF: Ezinye izifundo zibonise ukuba le ngozi iphezulu kancinci nakoomama abakhulelwe nge-IVF.

Ngaba i-Placenta Accreta iyamchaphazela umntwana?

Kwiimeko ezininzi, i-Placenta Accreta ayimlimazi umntwana ngokuthe ngqo, njengoko i-placenta iqhubeka nokubonelela umntwana ngezondlo kunye neoksijini ayidingayo. Nangona kunjalo, umngcipheko ophambili apha kukuzalwa kwangaphambi kwexesha .

Ukuthintela ukopha kakhulu ngenxa yokwaluphala kwe-placenta, oogqirha baceba ukwenza utyando lwe-C-section kwiiveki ezimbalwa ngaphambi komhla wokuzalwa kwakho. Ngokwesiqhelo phakathi kweeveki ezingama-34-37. Ukuzala umntwana kwangoko kangaka kunokubangela iingxaki ezihambisana nokuzalwa ngaphambi kwexesha, ezinje ngobunzima obuphantsi bokuzalwa kunye nobunzima bokuphefumla. Ngelo xesha, umntwana unokufuna ukungeniswa kwigumbi lokunyamekela abantwana abasandul’ ukuzalwa (i-NICU) ukuze afumane unyango olukhethekileyo.

Zithini iingozi kumama?

Umngcipheko omkhulu kwiPlacenta Accreta ukumama. Esi sesona sizathu sokuba kuthathwe njengokukhulelwa okunobungozi obukhulu.

• Ukopha kakhulu: Le yeyona ngxaki iyingozi nexhaphakileyo. Xa i-placenta izalwa emva kokuba umntwana ezelwe, kunokubakho ukopha okungalawulekiyo.
• Ukonakala kwesibeleko kunye namalungu angqongileyo: Ukuba i-placenta ingene eludongeni lwesibeleko (i-percreta), amalungu afana nesinyi kunye namathumbu nawo angonakaliswa.
• Ukususwa kwesibeleko: Ukuba akukho ndlela yimbi yokuthintela ukopha okukhulu, isibeleko kusenokufuneka sisuswe ngokupheleleyo ukuze kusindiswe ubomi bomama. Oku kuya kubangela ukuba angakwazi ukufumana abantwana kwixesha elizayo.
• Iingxaki zokujiya kwegazi, ukungasebenzi kakuhle kwemiphunga okanye kwezintso: Ukuba wopha kakhulu, oku kunokuchaphazela ezinye iinkqubo zomzimba.
• Ukufa: Nangona kunqabile kakhulu, ukuba akuqatshelwa kwangethuba kwaye kunganyangwa ngokufanelekileyo , ukopha kakhulu kunokuba yingozi kumama.

Ezi ngozi zinokoyikisa ukuzibona. Kodwa khumbula, ukuba le meko ifunyenwe kwangethuba , iqela lezonyango linokuyilawula le mingcipheko emininzi lize lisindise ubomi bomama.

Zithini iimpawu zale meko?

Ixesha elininzi, umama akabonakalisi zimpawu zePlacenta Accreta. Leyo yeyona nxalenye inobungozi kancinci. Ungayihlakulela ngaphakathi le meko ngaphandle kokungonwabi okanye iintlungu.

Nangona kunjalo, abanye abafazi banokufumana ukopha kwilungu lobufazi ngexesha lesithathu lesithathu lokukhulelwa (emva kweeveki ezingama-28). Kwakhona, ukuba i-placenta icinezela ilungu, njengesinyi, inokubangela intlungu ye-pelvic.

Oogqirha bayifumana njani le nto?

Ngethamsanqa, iPlacenta Accreta inokubonwa rhoqo ngexesha lokuskena rhoqo ngexesha lokukhulelwa. Ngexesha lokuskena, ugqirha wakho uya kunika ingqalelo ekhethekileyo kwindawo yeplacenta kunye nendlela enamathele ngayo kwisibeleko.

• I-Ultrasound Scan: Le yeyona ndlela ilula nebalulekileyo yokuxilonga. Ugqirha uza kuhlola ngononophelo unxibelelwano phakathi kwe-placenta kunye nesilonda esidala, ingakumbi ukuba ukhe wahlinzwa utyando lwe-C ngaphambili.
• I-MRI Scan (Umfanekiso weMagnetic Resonance): Kwezinye iimeko, i-MRI scan inokwenziwa ukuqinisekisa ngakumbi ukuba i-placenta ingene nzulu kangakanani na nokuba inamathele kwamanye amalungu omzimba.

Ngamanye amaxesha, ukuba iskeni ayibonakali, oogqirha bafumanisa kuphela ukuba i-placenta ayihlukani emva kokuba umntwana ezelwe. Kodwa kungcono ukuyifumanisa kwangethuba . Emva koko yonke into ingacwangciswa kwangaphambili xa kuzalwe. Oogqirha abaziingcali, ibhanki yegazi, kwaneyunithi yokhathalelo oluphezulu lweentsana ezisandul’ ukuzalwa (i-NICU) zinokulungiselelwa ukuba kuyimfuneko.

Ziziphi iindlela zonyango lwePlacenta Accreta?

Nje ukuba le meko ifunyaniswe, uza kunyangwa liqela elinolwazi oluhlukeneyo, kuquka oogqirha bezifo zabesifazane, oogqirha be-anesthesiologists, kwaye ngamanye amaxesha oogqirha be-urologist.

Indlela yonyango ixhomekeke kubukhali bemeko yakho.

• Utyando lwe-C olucwangcisiweyo: Unyango oluphambili lutyando lwe-C olucwangcisiweyo, kwangethuba . Oku kudla ngokwenziwa phakathi kweeveki ezingama-34 nezingama-37. Oku kwenzelwa ukuzala umntwana ngaphambi kokuba uqale ukuba neentlungu zokubeleka. Oku kungenxa yokuba ukuba isibeleko sakho siqala ukufinyela, kunokubakho ukopha okuninzi kwi-placenta.
• Utyando lwe-Cesarean Hysterectomy: Kwiimeko ezinzima, ingakumbi ukuba kukho i-Placenta Increta okanye i-Percreta, ukhetho olukhuselekileyo kukususa isibeleko ngexesha elinye notyando lwe-C-section. Apha, emva kokuba ugqirha ebeleke umntwana, isibeleko sisuswa ngokupheleleyo kunye ne-placenta , ngaphandle kokuzama ukususa i-placenta. Oku kunokuthintela ukopha kakhulu kwaye kusindise ubomi bomama.
• Iinzame zokusindisa isibeleko: Ukuba ufuna ukuba nabantwana abaninzi kwixesha elizayo, kwaye imeko ayibi mbi kakhulu, ugqirha wakho unokuzama ukusindisa isibeleko. Nangona kunjalo, le yinkqubo enobungozi kakhulu kwaye iyinkimbinkimbi. Ngamanye amaxesha, inxalenye yeplacenta inokufuneka ishiywe esibelekweni. Oku kunokubangela iingxaki kamva, njengosulelo kunye nokopha.

Ugqirha wakho uza kukuchazela eyona ndlela ilungileyo nekhuselekileyo yonyango kwimeko yakho.

Izinto onokuzibuza ugqirha wakho

Xa ufumanisa ukuba unePlacenta Accreta, kuyinto eqhelekileyo ukuba nemibuzo emininzi engqondweni yakho. Musa ukoyika. Cela ugqirha wakho ukuba akucacisele le mibuzo.

• Ngaba ndiza kumfumana umntwana kwangethuba?
• Loluphi unyango olufanelekileyo kum?
• Ngaba kufuneka ndenze utshintsho kwimisebenzi yam yemihla ngemihla? Ngaba ndifuna ukuphumla ebhedini?
• Zeziphi iimpawu ekufuneka ndiye esibhedlele ngoko nangoko ukuba ndivela?
• Andinakubeleka ngesisu?
• Ngaba ndiza kukwazi ukuba nomnye umntwana kwixesha elizayo?
• Ngawaphi amathuba okuba ndiza kufuna i-hysterectomy?

Iimpendulo zale mibuzo ziya kukunceda ulungiselele ngengqondo ukujongana nale meko.

Yintoni omawuyenze xa kukho imeko engxamisekileyo?

Ukuba uyazi ukuba unePlacenta Accreta, ugqirha wakho uza kukujonga ngokusondeleyo. Nangona kunjalo , ukuba ufumana ukopha okukhulu okumanzisa iphedi ngaphantsi kweyure ngexesha lokukhulelwa, okanye ukuba ufumana iintlungu eziqatha zesisu esisezantsi , yingxamiseko. Yiya kwiSebe leNgxamiseko lesibhedlele (ETU) ngokukhawuleza.