Ingaba i-placenta yakho inamathele kakhulu kwisibeleko? Masithethe nge-Placenta Accreta!

Njengomama, ngamanye amaxesha awunalo uloyiko ngezinto, akunjalo? Ingakumbi xa sele uza kuba nomntwana, malunga ne-placenta. Namhlanje siza kuthetha ngemeko abanye oomama abanokuyifumana ngexesha lokukhulelwa, kodwa kufuneka ulumke kancinci, kwaye inokuba yingozi. Le yimeko ebizwa ngokuba yi- (Placenta Accreta) .

Yintoni (iPlacenta Accreta)? Ngamafutshane...

Ngamafutshane, iPlacenta Accreta kuxa iplacenta, enika umntwana wakho izondlo kunye neoksijini , inamathela nzulu kakhulu eludongeni lwesibeleko sakho. Kukukhulelwa okuqhelekileyo, le placenta isuka lula eludongeni lwesibeleko emva kokuba umntwana ezelwe. Nangona kunjalo, kwimeko yePlacenta Accreta, iplacenta inamathele kakhulu eludongeni lwesibeleko kangangokuba ayisuki lula emva kokuba umntwana ezelwe.

Cinga ngale ndlela, njengaxa isityalo sityalwe emhlabeni, iingcambu zaso zihlala zisasazeka, xa ukhulelwe kakuhle i-placenta inamathela eludongeni lwesibeleko. Nangona kunjalo, kwi-Placenta Accreta, iingcambu zeso sityalo ziya nzulu kunokuba bekulindelwe, mhlawumbi ngokungathi zingene ngqo kwinto eqinileyo njengekhonkrithi, kwaye i-placenta ingene kumaleko wemisipha yodonga lwesibeleko kwaye inamathele ngokuqinileyo.

Kwiimeko ezinzima kakhulu, oku kunokukhokelela ekopheni kakhulu kwesini. Kunokuba yingozi ebomini. Kwimeko enjalo, unokufuna utofelo-gazi (oko kukuthi, utofelo-gazi) kunye nokususwa kwesibeleko. Oogqirha ababonelela ngononophelo lwangaphambi kokukhulelwa badla ngokuxilonga imeko ngexesha lokukhulelwa, okanye ngamanye amaxesha ngexesha lokubeleka. Unyango ludla ngokubandakanya ukuzala umntwana ngokubeleka okucwangcisiweyo (C-section) ukunciphisa umngcipheko weengxaki ezinzima, kulandele ukususwa kwesibeleko.

Ngaba kukho iintlobo ezahlukeneyo zePlacenta Accreta?

Ewe, kukho iintlobo ezintathu eziphambili zePlacenta Accreta. Oogqirha bamisela ezi ntlobo ngokusekwe kwindlela iplacenta enamathele ngayo kwisibeleko sakho.

1. I-Placenta Accreta: Olu lolona hlobo luqhelekileyo. Apha, i-placenta inamathela ngokuqinileyo eludongeni lwesibeleko, kodwa ayidluli eludongeni kwaye ayichaphazeli kakhulu izihlunu zesibeleko.

2. I-Placenta Increta: Kolu hlobo, i-placenta inamathela nzulu eludongeni lwesibeleko, kumaleko wemisipha. Ayikangeni ngokupheleleyo eludongeni, kodwa inamathele ngokuqinileyo kwimisipha yesibeleko. Oku kwenzeka malunga ne-15% yazo zonke iimeko ze-Placenta Accreta.

3. I-Placenta Percreta: Le yeyona meko inzima neyingozi. Apha, i-placenta ingena ngokupheleleyo eludongeni lwesibeleko. Ingadlulela ngaphaya kwesibeleko ize ichaphazele nezinye izitho zomzimba wakho, njengesinyi namathumbu, okanye inamathele kuzo. Oku kwenzeka kuphela kubantu abambalwa, malunga ne-5%.

Ngubani osengozini enkulu yokufumana i-Placenta Accreta?

Usemngciphekweni omkhulu wokufumana i-Placenta Accreta ukuba unenye yezi meko zilandelayo:

• Ukuba ukhe wabeleka ngotyando ngaphambili: Umngcipheko uphezulu, ingakumbi ukuba ukhe wabeleka izihlandlo ezininzi ngotyando, kuba isilonda sesibeleko sinokwakheka kwindawo yotyando.
• Ukuba i-placenta ikwindawo engaqhelekanga kwisibeleko sakho: Umzekelo, ukuba unemeko ebizwa ngokuba yi-"Placenta Previa", apho i-placenta ikwinxalenye esezantsi yesibeleko, igquma umlomo wesibeleko.
• Ukuba ukhe watyandwa ngaphambili kwesibeleko : Ukuba ukhe watyandwa njengokususwa kwee-fibroids zesibeleko okanye i-D&C (ukwandiswa kunye nokucurettage), le meko inokwenzeka ngenxa yokuqhekeka kwezi ndawo.
• Ukuba ukhe wakhulelwa izihlandlo ezininzi (`ngaphezu kokukhulelwa okukodwa`) ngaphambili.
• Ukuba ukhulelwe nge-IVF (ukufakelwa inzalo ngokwenziwa).

Khawuthelekelele, unomhlobo, masithi uNimali. UNimali ubelethe abantwana ababini ngaphambili ngotyando. Ngoku ekubeni ekhulelwe umntwana wakhe wesithathu, ugqirha umxelela ukuba kufuneka aqaphele ngakumbi indawo ye-placenta. Ngenxa yokuba ebebelethe utyando ngaphambili, kusenokuba kukho amanxeba amancinci esibelekweni apho utyando lwenziwe khona. Yiyo loo nto umngcipheko we-Placenta Accreta usanda.

Ngaba iPlacenta Accreta iza kulimaza umntwana?

I-Placenta Accreta ayilimazi ngqo umntwana. Nangona kunjalo, le meko inokukhokelela ekuzalweni ngaphambi kwexesha (ukuzalwa ngaphambi kwexesha). Oku kuthetha ukuba umntwana unokuzalwa ngaphambi kweeveki ezingama-37. Iintsana ezizelwe ngaphambi kwexesha zinemingcipheko efana nobunzima bokuphefumla kunye neengxaki zokukhula kobunzima. Kwakhona, kukho ithuba elikhulu lokuba umntwana angeniswe kwiYunithi yoKhathalelo oluNgqondo lweZinsana ezisandul’ ukuzalwa (i-NICU) ukuze afumane unyango olukhethekileyo.

Zithini iingozi ezinokubakho kumama ngenxa yePlacenta Accreta?

Oku kusenokuvakala kuyoyikisa kancinci, kodwa kubalulekile ukwazi. Umama onePlacenta Accreta usenokuba sengozini yezi zinto zilandelayo:

• Ukuzalwa ngaphambi kwexesha.
• Ukonakala kwesibeleko kunye namalungu angqongileyo afana nesinyi kunye namathumbu.
• Ukulahlekelwa kukuzala ngenxa yokususwa kwesibeleko.
• Ukopha kakhulu, nto leyo ebangela ukuba kufuneke utofelo-gazi.
• Iingxaki zokuqunjelwa kwegazi.
• Ukungasebenzi kakuhle kwemiphunga okanye kwezintso.
• Kwiimeko ezingaqhelekanga kakhulu, ukufa kunokuvela. Yiyo loo nto le meko ithathwa njengenzima kakhulu.

Ixhaphake kangakanani iPlacenta Accreta?

Kuthiwa iPlacenta Accreta ichaphazela malunga nokukhulelwa oku-1 kwabangama-533. Nangona kunjalo,Ukwanda kwesi sifo kuye kwanda kwiminyaka yakutshanje, ikakhulu ngenxa yokwanda kwenani labantwana ababelethwe ngotyando (C-sections).

Zithini izizathu zePlacenta Accreta?

I-Placenta Accreta ibangelwa ikakhulu ziingxaki ezithile kwi-layer yesibeleko sakho. I-layer yakho yesibeleko isenokuba yonakele kwaye yanezibazi ngenxa yotyando lwangaphambili lwe-hysterectomy. Kodwa ngamanye amaxesha le meko inokwenzeka nakubantu abangazange batyandwe i-hysterectomy, akunjalo?

Izinto eziphambili ezibangela umngcipheko kwi-Placenta Accreta zezi:

• Utyando Lokuhlinzwa Kwangaphambili (`Utyando lwe-C-oluninzi`): Abafazi abaye benza utyando lokuhlinzwa kaninzi basengozini enkulu yokufumana i-Placenta Accreta. Oku kungenxa yokuba amanxeba akheka kwisibeleko ngenxa yotyando anokuba mandundu. Umngcipheko uyanda ngenani lotyando lokuhlinzwa oluye lwenziwa ngokuhamba kwexesha. Ngaphezulu kwama-60% eemeko ze-Placenta Accreta ziye zakwenza utyando lokuhlinzwa ngaphambili.
• Utyando lwangaphambili lwesibeleko: Ukuba ukhe wenziwa utyando lokususa ii-fibroids zesibeleko (ezingezizo iithumba ezingengomhlaza), amanxeba anokukhokelela ekukhuleni kwe-placenta. Kwakhona, utyando olufana ne-curettage (D&C) okanye i-endometrial ablation nalo lunokubangela amanxeba, nto leyo ekhokelela kule meko.
• I-Placenta Previa: Kule meko, i-placenta igqume umlomo wesibeleko. Kwabo bane-Placenta Previa kunye nabo bakhe babelethwa ngotyando ngaphambili, umngcipheko wokufumana i-Placenta Accreta uyanda ngenani labelethwa ngotyando.

Zithini iimpawu zePlacenta Accreta?

Ixesha elininzi, abantu abanePlacenta Accreta ababonisi zimpawu zithile. Yinto ekufuneka uyicinge. Nangona kunjalo, abanye abantu banokufumana ukopha okuthile kwilungu lobufazi ngexesha lesithathu le-trimester yokukhulelwa (oko kukuthi, ukusuka kwiiveki ezingama-28 ukuya kuma-40), okanye banokufumana iintlungu zesisu esisezantsi njengoko i-placenta icinezela isinyi okanye amanye amalungu omzimba.

Ungayiqaphela njani (iPlacenta Accreta)?

I-Placenta Accreta inokuxilongwa nge-ultrasound scan ngexesha lokukhulelwa. Ngamanye amaxesha , uvavanyo lweMagnetic Resonance Imaging (MRI) lunokwenziwa ukuze kubonwe ukuba i-placenta izifake kangakanani eludongeni lwesibeleko.

Kwezinye iimeko, oogqirha bafumana iPlacenta Accreta kuphela emva kokuba umntwana ezelwe. Ngokwesiqhelo, isibeleko siyafinyela kwaye iplacenta iphuma kwimizuzu engama-30 emva kokuba umntwana ezelwe. Ukuba oku akwenzeki, ugqirha unokurhanela iPlacenta Accreta.

Kubaluleke kangakanani ukufunyanwa kwePlacenta Accreta kwangethuba?

Kubaluleke kakhulu ukuqaphela le meko kwangethuba.

Kuba ke, ngexesha lokukhulelwa kwakho nasemva kokuba umntwana wakho ezelwe, ababoneleli bezempilo abahlukeneyo, oko kukuthi, iingcali ezahlukeneyo, banokudibana ukuze bacebe unyango olungcono kuwe nakumntwana wakho. Umzekelo, ingcali yeentsana ezisandul’ ukuzalwa isenokuba yinxalenye yokhathalelo lomntwana wakho, okanye ingcali yeperinatologist inokuba yinxalenye yokhathalelo lwakho. Ugqirha wakho uza kukujonga ngokusondeleyo aze asebenzele ukubonelela ngeziphumo ezilungileyo kuwe nakumntwana wakho.

Ngokubandakanya iqela elifanelekileyo lezonyango, unokukwazi ukuphepha ukususwa kwesibeleko okanye ukuthintela ukopha okukhulu okusongela ubomi. Kwezinye iimeko ezinzima, ukufunyanwa kwangethuba kusenokungathinteli ukususwa kwesibeleko okanye utofelo-gazi. Nangona kunjalo, ukufunyanwa kwangethuba kunokunciphisa kakhulu umngcipheko wezinye iingxaki.

Iphathwa njani iPlacenta Accreta?

Unyango loku lunokwahluka kumntu nomntu. Ukuba ugqirha wakho uyakubona ngaphambi kokuba umntwana wakho azalwe, uya kukujonga ngokusondeleyo kulo lonke ixesha lokukhulelwa kwakho. Usenokucelwa ukuba uhlale esibhedlele okanye ulale ekhaya ukuze uthintele ukuzalwa ngaphambi kwexesha.

Ugqirha wakho uza kucwangcisa utyando lwe-C-section (utyando lwe-cesarean) ukuze abeleke umntwana wakho, ngesiqhelo phakathi kweeveki ezingama-34 nezingama-37 zokukhulelwa. Oku kwenzelwa ukuthintela ukopha kakhulu okunokwenzeka ngenxa yokusikwa kwesibeleko okanye ukuzala. Ukuba uceba ukuba nabantwana abaninzi, ugqirha wakho uza kuzama ukusindisa isibeleko sakho.

Nangona kunjalo, kwiimeko ezinzima apho i-placenta inzulu kakhulu, inamathele kakhulu, okanye ichaphazele amanye amalungu omzimba, i-hysterectomy yeyona ndlela ikhuselekileyo. I-cesarean hysterectomy yinkqubo apho isibeleko sisuswa ngexesha elinye nosana luzalwa ngotyando lwe-C. Kule nkqubo, ugqirha ususa umntwana kunye nesibeleko kunye ne-placenta ngaxeshanye. Ukususa isibeleko ngelixa i-placenta isanamathele kunokunciphisa kakhulu umngcipheko wokopha kakhulu.

Abanye oogqirha bakhetha ukushiya amaqhekeza amancinci e-placenta ngaphakathi kwesibeleko, njengoko i-placenta iya kunyibilika ngokuhamba kwexesha. Nangona kunjalo, oku kukwanobungozi obufana nokopha kakhulu kwilungu lobufazi, usulelo, kunye nokuqhekeka kwegazi. Kunokwenza kube nzima ukukhulelwa kwixesha elizayo.

Ubeleka umntwana kwangethuba kangakanani xa une (Placenta Accreta)?

Uninzi loogqirha bacebisa utyando lwe-C-section phakathi kweeveki ezingama-34 nezingama-37 zokukhulelwa , ngaphandle kokuba kukho ezinye iingxaki. Oku kukuthintela ekubeni ube nokudumba okanye ukuqala ukuzala, okunokubangela ukopha kakhulu. Ugqirha wakho angakunika neyeza elibizwa ngokuba yi-corticosteroids ukunceda ukukhula kwamaphaphu omntwana wakho.

Ngaba i-Placenta Accreta ingathintelwa?

Akukho ndlela yokuthintela ngokupheleleyo esi sifo (iPlacenta Accreta).Nangona kunjalo, ukuba ukhe wahlinzwa i-C-section izihlandlo ezininzi ngaphambili, okanye ukuba une-placenta previa (i-placenta previa), umngcipheko wakho uphezulu. Thetha nogqirha wakho ngembali yakho yempilo kunye nomngcipheko wakho wokufumana i-placenta accreta.

Liyintoni ikamva labo bane (Placenta Accreta)?

I-Placenta Accreta, ukuba ifunyenwe kwangethuba ekukhulelweni, idla ngokuba nemiphumo emihle. Nangona kunjalo, inokukhokelela kwiingxaki ezifana nokuzalwa ngaphambi kwexesha kunye nokususwa kwesibeleko. Ukuba ugqirha wakho ususa isibeleko sakho, awuyi kukwazi ukukhulelwa kwakhona. Le meko inokubangela ukopha okukhulu, umonakalo kumathumbu akho okanye kwisinyi, kwanokufa. Yingakho le meko ifuna unonophelo olukhulu.

Ngaba kunokwenzeka ukuba nomntwana kwakhona emva kwePlacenta Accreta?

Oku kuxhomekeke ekubeni ukhe wahlinzwa i-hysterectomy (utyando lokususa isibeleko sakho). Ukuba ufuna ukuba nabantwana abaninzi kwixesha elizayo, thetha nogqirha wakho ngaloo nto. Usenokukwazi ukuphepha i-hysterectomy ukuze ugcine amandla akho okuzala (amandla okuba nabantwana).

Lithini ithuba lokusinda kwiPlacenta Accreta?

Izinga lokusinda kwePlacenta Accreta lihlala lilungile. Kwiimeko ezininzi, kufuneka i-hysterectomy ukuze kuthintelwe ukopha emva kokuzalwa okanye ezinye iingxaki ezinzulu.

Ndifanele ndibize ugqirha wam nini?

I-Placenta Accreta yimeko yokukhulelwa enobungozi obukhulu. Ugqirha wakho uza kukujonga ngokusondeleyo aze akugcine unolwazi malunga nokukhulelwa kwakho, ukuzala, kunye nokuchacha kwakho. Ukuba unemibuzo malunga nokuchongwa, babuze. Bakulungele ukukunceda.

Ukuba ngequbuliso uqala ukopha kakhulu (kangangokuba umanzise iphedi ngaphantsi kweyure) okanye ukuba ufumana iintlungu eziqatha esiswini sakho esisezantsi, fowunela u-911 ngoko nangoko okanye uye esibhedlele esikufutshane ngoko nangoko.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha wam wokubelekisa kunye nogqirha wezifo zabesifazane?

Kuqhelekile ukuba nemibuzo emininzi xa ufumanisa ukuba unePlacenta Accreta. Nazi ezinye zemibuzo eqhelekileyo onokuyibuza ugqirha wakho:

• Ngaba kuya kufuneka ndibelekise umntwana kwangethuba?
• Inyangwa njani le meko?
• Ngaba kufuneka ndilale ebhedini okanye nditshintshe indlela endisebenza ngayo imihla ngemihla?
• Ndingazi njani ukuba kufuneka ndiye esibhedlele?
• Ingaba kunokwenzeka na ukuzala umntwana ngokwesiqhelo (ngesitho sangasese)?
• Ngaba ndiza kukwazi ukuba nomnye umntwana kwixesha elizayo?
• Ngaba kuya kufuneka ndisuswe isisu?

Ngaba kuya kufuneka ukuba kususwe isisu ngenxa yePlacenta Accreta?

Ugqirha uza kwenza konke okusemandleni akhe ukusindisa isibeleko sakho, kodwa iingozi zokwenza njalo zinokuba nkulu kakhulu.(Placenta Accreta) Abantu abaninzi abaneengxaki ezinzima bafuna ukususwa kwesibeleko ukuze kuthintelwe ukopha okusongela ubomi. Thetha nogqirha wakho malunga nokuba ngaba i-hysterectomy iyimfuneko na kwimeko yakho.

Yintoni esinokuyifunda koku? (Umyalezo Wokubuyela Ekhaya)

I-Placenta Accreta yimeko edla ngokungabangeli zimpawu ngexesha lokukhulelwa, kodwa inokuba yingozi ebomini. Nangona kunjalo, ukubhaqwa kwangethuba kunye nokujonga ngononophelo nge-ultrasound scan kunokunciphisa umngcipheko weengxaki. Ngamanye amaxesha imeko ifunyanwa kuphela emva kokuba umntwana ezelwe. Ukuba une-Placenta Accreta, thetha nogqirha wakho malunga nento omawuyilindele. Khumbula, bakhona ukuze bakugcine wena nomntwana wakho nikhuselekile kwaye nisempilweni. Ngoko ke ungoyiki ukuthetha nabo malunga nezinto ezikuxhalabisayo kunye noko ukucingayo.

I- Placenta, Isibeleko, Ukukhulelwa, Utyando lotyando, Ukubeleka, Ukopha, I-Placenta Accreta, Impilo yabasetyhini, Iingxaki zokukhulelwa