Ngaba nawe unayo i-placenta ephantsi? (Placenta Previa) - Masiqaphele oku!

Ukuba ulindele umntwana, kuyinto eqhelekileyo ukuziva usoyika nezinto ezincinci. Ingakumbi ngexesha lokukhulelwa, ukuba ukopha kancinci kwilungu lobufazi, kunokuba yinto eyoyikisayo, akunjalo? Ngamaxesha anjalo, elinye lamagama onokuliva yi-'Placenta Previa'. Ungakhathazeki, namhlanje siza kuthetha ngale nto ngendlela elula onokuyiqonda.

Ngaba uyazi ukuba yintoni i-'Placenta Previa'?

Kulungile, masiqale sibone ukuba le 'Placenta Previa' ilula kangakanani. Uyazi, xa umntwana esesibelekweni, umntwana ufumana konke ukutya, isiselo, kunye neoksijini ayidingayo nge 'placenta'. Le placenta ifana nebhegi, eyenziwe ngaphakathi kwesibeleko. Le placenta iqhagamshelwe kumntwana ngentambo yesisu. Ngokwesiqhelo, njengoko ukukhulelwa kuqhubeka, ingakumbi kwiinyanga ezintathu zokugqibela (oko kukuthi, ukusuka kwiiveki ezingama-28 ukuya kwezingama-40), le placenta kufuneka ibe phezulu kwesibeleko. Kulapho umntwana anokuphuma ngokulula ngelungu lobufazi. Kodwa kwimeko 'ye-placenta previa', le placenta ayinyuki ngolo hlobo, kodwa igubungela ngokupheleleyo okanye inxalenye yesibeleko ebizwa ngokuba yi-cervix , esezantsi kwesibeleko. Ngamafutshane, indlela yokuphuma komntwana ivalwe yile placenta.

Ziziphi iintlobo zePlacenta Previa?

Kukho iindlela ezahlukeneyo zokujongana nale meko. Masibone ukuba zeziphi:

• I-placenta previa esecaleni: Oku kuxa i-placenta isemaphethelweni omlomo wesibeleko. Oku kuthetha ukuba ichukumisa umlomo wesibeleko, kodwa ayiwugqumi ngokupheleleyo. Olu hlobo lwe-placenta previa lunokuhamba lodwa xa umntwana ezelwe, oko kuthetha ukuba i-placenta inendawo engakumbi yokunyukela phezulu.
• I-partial placenta previa: Apha, i-placenta igubungela inxalenye yomlomo wesibeleko.
• I-placenta previa epheleleyo okanye epheleleyo: Oku kuxa i-placenta igubungela umlomo wesibeleko ngokupheleleyo, ivala ngokupheleleyo indlela eya kwilungu lobufazi. Olu hlobo alunakwenzeka ukuba luziphilise lodwa .

Nokuba loluphi na uhlobo lwe-placenta previa, ukopha kwegazi kwilungu lobufazi kunokwenzeka ngexesha lokukhulelwa nangexesha lokubeleka. Ngenxa yomngcipheko wokopha oku, oogqirha badla ngokucebisa ukuba kwenziwe utyando lotyando (C-section).

Ixhaphake kangakanani le meko?

I-placenta previa yenzeka kumntu omnye kwabangama-200 abakhulelweyo. Oogqirha badla ngokuyibona ngexesha le-ultrasound scan kwikota yesibini yokukhulelwa.

Yintoni umahluko phakathi kwe-'Placenta Previa' kunye ne-'Placental Abruption'?

Nangona zombini ezi meko zinokubangela ukopha ngexesha lokukhulelwa, kukho umahluko phakathi kwezi zimbini. Kwi-placenta previa, i-placenta igubungela umlomo wesibeleko. Kodwa i-placenta isanamathele kwisibeleko. Kwi-placenta abruption, i-placenta iyahlukana nesibeleko . Nangona zombini ezi meko zinokubangela ukopha kwi-vaginal, izizathu zahlukile.

Ingaba 'iPlacenta Previa' iyafana 'nePlacenta yangaphambili'?

Hayi, ezi azifani. I-placenta yakho inokukhula naphi na esibelekweni sakho. I-placenta engaphambili yileyo ikwidonga elingaphambili lesibeleko sakho, isiya esiswini sakho. Cinga ngayo njengokuba nomqamelo phakathi komntwana wakho nesisu sakho. Ayibangeli iingxaki ezifanayo ne-placenta previa.

Ziziphi iimpawu ze-placenta previa?

Iimpawu eziphambili ezibonakala rhoqo zezi:

• Ukopha kwegazi elibomvu elimnyama kwilungu lobufazi. Oku kudla ngokuqala kwisiqingatha sesibini sokukhulelwa . Ngamanye amaxesha ukopha kuyayeka okwethutyana kuze kuqale kwakhona emva kweentsuku ezimbalwa.
• Usenokuziva iintlungu ezincinci okanye ukushwabana esiswini, esisezantsi kwesisu, okanye emqolo.

Ubungakanani bokulahleka kwegazi bungahluka kumntu nomntu. Uninzi lwexesha, akukho ntlungu xa oku kulahleka kwegazi kwenzeka.

Kutheni iPlacenta Previa isenzeka?

Kunzima ukutsho ngokuqinisekileyo ukuba yintoni ebangela i-placenta previa. Kodwa kukho izinto ezinokubangela umngcipheko kule meko. Izinto ezifana neemeko zakho zempilo esele zikhona kunye nemikhwa ethile yokuphila inokuba negalelo kuyo.

Ziziphi izinto ezibangela ukukhulelwa kwe-placenta?

Kukho izinto ezininzi ezibangela le meko:

• Ukuba utshaya okanye usebenzisa iziyobisi ezifana ne-cocaine.
• Ukuba uneminyaka engama-35 ubudala nangaphezulu.
• Ukuba ukhulelwe izihlandlo ezininzi ngaphambili.
• Ukuba ulindele amawele , amawele amathathu okanye nangaphezulu .
• Ukuba ukhe watyandwa ngaphambili kwisibeleko sakho , umzekelo, utyando lwangaphambili lwe-cesarean ( C-section ) okanye i -D&C (ukwandiswa kunye nokususwa kwesibeleko) .
• Ukuba ukhe waba ne- uterine fibroids ngaphambili.

Ziziphi iingxaki ezinokubakho ngenxa yePlacenta Previa?

Ukuba une-placenta previa, kukho iingozi ezithile kuwe nakumntwana wakho. Makhe sijonge ukuba zeziphi: Iingxaki onokuhlangabezana nazo:

• Ukopha: Ungopha kakhulu ngexesha lokukhulelwa, ngexesha lokubeleka, okanye emva kokubeleka.
• Ukuzalwa kwangethuba: Ukuba wopha kakhulu, ugqirha wakho unokufuna ukwenza utyando olungxamisekileyo lwe-C-section ngaphambi kokuba umntwana wakho abe neeveki ezingama-40 ekhulelwe.
• Ukulahleka kwegazi: Ukulahleka kwegazi kakhulu kunokukhokelela kwi- anemia , uxinzelelo lwegazi oluphantsi, ulusu olukhanyayo, kunye nobunzima bokuphefumla .
• I-Placenta accreta: Oku kwenzeka xa i-placenta inamathela kakhulu eludongeni lwesibeleko. Oku kunokubangela ukopha kakhulu emva kokuzalwa.
• Ukuqhawuka kwe-placenta: I-placenta inokwahlukana nesibeleko ngaphambi kokuba umntwana azalwe. Oku kunciphisa ioksijini kunye nezondlo zomntwana.

Iingxaki umntwana anokuhlangabezana nazo:

• Ukuzalwa ngaphambi kwexesha: Ukuba kufuneka wenze utyando olungxamisekileyo ngenxa yokopha kakhulu, umntwana usenokuzalwa ngaphambi kwexesha, oko kuthetha ukuba umntwana uzalwe ngaphambi kwexesha.
• Ubunzima bokuzalwa obuphantsi: Ukuba umntwana uzelwe enobunzima obuphantsi, kunokuba nzima ukuba umntwana ahlale efudumele aze atyebe kancinci.
• Iingxaki zokuphefumla: Ukuba imiphunga ayikhuliswanga kakuhle, umntwana unokuba nobunzima bokuphefumla.

Kubalulekile: Ungoyiki ukuthetha ngezi ngxaki. Oogqirha bayayiqwalasela kakhulu le nto. Baza kukunika unyango kunye neengcebiso ozifunayo.

Ngaba kunokwenzeka ukuba ungophi xa une-placenta previa?

Ewe, inokwenzeka. Abanye abantu basenokungabi nagazi kwilungu lobufazi nokuba bane-placenta previa. Nangona kunjalo, banokuziva iintlungu ezincinci okanye ukuqaqamba esiswini okanye emqolo. Ke ngoko, ukuba ufumana ukopha okanye iintlungu esiswini sakho ngexesha lokukhulelwa, ngokuqinisekileyo kufuneka uxelele ugqirha wakho.

Kutheni i-placenta previa ibangela ukopha?

Zimbini izizathu eziphambili zoku. Zombini zinento yokwenza nendlela umzimba wakho olungiselela ngayo ukuzala. 1. Uyazi, umlomo wesibeleko.Kufana nomnyango osuka esibelekweni uye kwisini. Kwinxalenye yokugqibela yokukhulelwa, njengoko umntwana eza kuzalwa, umlomo wesibeleko uyacima uze uqale ukuvuleka. Ngoko ke, xa i-placenta iphezu komlomo wesibeleko, xa umlomo wesibeleko usiba mncinane kakhulu, ukopha kunokuqala. 2. Ngexesha lokubeleka, umlomo wesibeleko uyavuleka (uyavuleka) ukuze umntwana aphume esibelekweni aze ehle kwisini. Xa umlomo wesibeleko uvula, imithambo yegazi edibanisa i-placenta kwisibeleko inokukrazuka kwaye yophe.

Ngaba iPlacenta Previa Ingabangela Ukuphuma Kwesisu?

Ukuphuphuma kwesisu kukulahlekelwa kukukhulelwa ngaphambi kweeveki ezingama-20. Oogqirha badla ngokubona i-placenta previa ngexesha lokuhlolwa emva kweeveki ezingama-20, apho ukukhulelwa kuphela khona. Ke ngoko, kunqabile kakhulu ukuba i-placenta previa ibangele ukuphuphuma kwesisu.

Ifunyanwa njani iPlacenta Previa?

Oogqirha badla ngokubona le meko ngexesha le-ultrasound scan eqhelekileyo malunga neeveki ezingama-20 zokukhulelwa. Ngamanye amaxesha, inokubonwa ngexesha lovavanyo olwenziweyo xa kuvela iimpawu ezifana nokopha kwegazi kwilungu lobufazi. Ugqirha wakho uya kuqhubeka nokwenza ii-scan ukujonga indawo ye-placenta.

Zeziphi iimvavanyo ezisetyenziswayo ukufumanisa oku?

Ugqirha usebenzisa ikakhulu ii-ultrasound scans ukujonga ukuba akukho placenta previa na.

• I-ultrasound edluliselwa kwisini: Kolu vavanyo, ugqirha ufaka isixhobo esincinci (i-transducer) kwisini ukuze ajonge indawo yomntwana, indawo ekuyo i-placenta, kunye nomlomo wesibeleko. Oku kungabonisa indawo ye-placenta ngokucacileyo.
• I-ultrasound yesisu: Kolu vavanyo, ugqirha ufaka ijeli esiswini sakho aze ahambise isixhobo esiphathwa ngesandla (i-transducer) phezu kwaso. Oku kunokunceda ukubona umntwana, i-placenta, kunye nomlomo wesibeleko.

Imifanekiso evela kwezi scan zombini ingajongwa kwiscreen. Ugqirha wakho uza kusebenzisa ezi scan ukukuxelela ukuba i-placenta igubungele kangakanani umlomo wesibeleko sakho kunye noko kufuneka kwenziwe.

Iphathwa njani iPlacenta Previa?

Eyona njongo iphambili apha kukwandisa ixesha lokukhulelwa kufutshane nomhla wokuzalwa kangangoko kunokwenzeka. Ukuba ukopha kuyaqhubeka, utyando lwe-cesarean (utyando lwe-C) ludla ngokuba lolona khetho lukhuselekileyo. Unyango lwe-placenta previa luxhomekeke koku kulandelayo:

• Hayi indlela ophuma ngayo igazi kakhulu .
• Ubudala bomntwana bokukhulelwa , obu bubungakanani bomntwana.
• I-placenta kunye nendawo yomntwana.
• Impilo yakho neyomntwana wakho.

Ukuba ugqirha wakho ufumanisa oku kwasekuqaleni kwikota yesibini yokukhulelwa, imeko isenokuphela ngokwayo .Oku kuthetha ukuba njengoko isibeleko sikhula, i-placenta inokunyuka. Nangona kunjalo, ukuba ifunyenwe kamva ekukhulelweni, amathuba okuba inyuke mancinci. Ukuba i-placenta ikufutshane nomlomo wesibeleko, okanye igqunywe kancinci, kwaye awuphumi igazi, ugqirha wakho angatsho izinto ezifana nezi:

• Nciphisa imisebenzi enzima efana nokubaleka, ukuphakamisa iintsimbi, kunye nokuzilolonga.
• Hlala ekhaya uphumle ebhedini.
• Musa ukwenza izinto ezinje ngesondo, ukusebenzisa ii-tampons, okanye i-douche.
• Bona ugqirha wakho rhoqo uze ufumane iiskeni.

Ukuba imeko ye-placenta previa iphakathi okanye inzima, okanye ukuba kukho ukopha rhoqo, ezinye iindlela zonyango zinokuqwalaselwa, ezifana nezi:

• Ukuphumla ebhedini esibhedlele.
• Amayeza okuthintela ukuzala kwangethuba.
• Iinaliti ze-steroid ukunceda imiphunga yomntwana ikhule ngokukhawuleza.
• Utofelo-gazi ukuba wopha kakhulu.
• Ukuba ukopha kukhulu kakhulu ukuba kungayekwa , ungenza utyando olungxamisekileyo lwe-C-section.

Ngaba iPlacenta Previa iyaphela yodwa?

Ewe, ukuba ifunyenwe kwikota yesibini yokukhulelwa, ingaphela yodwa, oko kuthetha ukuba i-placenta inganyuka. Kukho ithuba lokuba i-placenta iya kutyhala phezulu njengoko isibeleko sikhula kwikota yesithathu. Nangona kunjalo, ukuba ukukhulelwa kuqhubele phambili kwaye umlomo wesibeleko uvaliwe, akunakwenzeka ukuba iphele yodwa . Ugqirha wakho uya kuqhubeka nokukuskena ukuqinisekisa ukuba le meko iphelile ngaphambi kokuba umntwana azalwe.

Ngaba ndingayinciphisa ingozi yokuba ne-placenta previa?

Akukho nto unokuyenza ukuthintela i-placenta previa. Kwaye akukho tyando okanye olunye unyango olunokuyilungisa . Nangona kunjalo, kukho izinto ezinokubangela umngcipheko onokuzilawula, njengokungatshayi nokungasebenzisi iziyobisi ezifana ne-cocaine . Nje ukuba ugqirha wakho akufumanise ukuba unesi sifo, kukho iindlela zokunciphisa ukopha kwegazi kwilungu lobufazi.

Yintoni endimele ndiyilindele ukuba ndine-placenta previa?

Unyango oluya kulufumana luya kuba lolwahlukileyo kwimeko yakho, kodwa uninzi lwabantu lunokulindela oku kulandelayo:

• Ukuhlolwa rhoqo ngexesha lesibini nelesithathu lokukhulelwa. Ugqirha wenza oku ukujonga indawo ekuyo i-placenta nokubona ukuba kukho utshintsho kwiimpawu.
• Ukunciphisa okanye ukuguqula imisebenzi yomzimba, efana nokuzilolonga kunye nokwenza isondo.
• Uvavanyo lwegazi ukujonga inani legazi emva kokuba umntwana ezelwe.

Ngaba umntwana wam uza kuzalwa ngaphambi kwexesha ukuba ndine-placenta previa?

Kusenokuba njalo. Ugqirha wakho uya kugqiba ukuba uza kuzala umntwana wakho kwangethuba na ngokusekwe kubungakanani bokopha, indawo ekuyo i-placenta, kunye nobudala bokukhulelwa komntwana wakho. Malunga neeveki ezingama-36 zokukhulelwa, kungcono ukuba wena kunye nempilo yomntwana wakho nizale umntwana wakho kwangethuba. Ngamanye amaxesha oomama balinda de kube ziiveki ezingama-40, ezipheleleyo.

Ngaba ndingabeleka kwilungu lobufazi nangona ndine-placenta previa?

Ukuba une -marginal placenta previa (oko kuthetha ukuba i-placenta ikufutshane nomlomo wesibeleko kodwa ayivalwanga ngokupheleleyo), ugqirha wakho unokukwazi ukubelekisa umntwana wakho ngendlela eqhelekileyo. Nangona kunjalo, oku kunokuba yingozi ngenxa yomngcipheko wokopha. Ugqirha wakho uza kuthetha nawe ngendlela ekhuselekileyo yokubelekisa umntwana wakho.

Ukuba ndifunyaniswe ndine-placenta previa, ngaba ngokuqinisekileyo kuya kufuneka ndenze i-cesarean section (C-section)?

Ewe, kwiimeko ezininzi, i-cesarean section (C-section) yeyona ndlela ikhuselekileyo yokuzala ukuba une-placenta previa. Ukuba i-placenta igubungela nenxalenye encinci yomlomo wesibeleko, ungopha kakhulu ukuba uzama ukuzala umntwana ngendlela eqhelekileyo. Ugqirha wakho uhlala ecwangcisa i-cesarean section yakho ngosuku olungaphambili. Nangona kunjalo, ukuba wopha kakhulu nangaliphi na ixesha, unokufuna i-cesarean section engxamisekileyo.

Ngaba i-Placenta Previa ingabangela iziphene zokuzalwa komntwana?

I-placenta previa ayiqhelekanga kakhulu, kodwa ukuba ugqirha wakho uvakalelwa kukuba kukhuselekile ukubelekisa umntwana wakho kwangethuba, umntwana wakho unokuzalwa ngaphambi kwexesha. Ukuzalwa ngaphambi kwexesha kunokukhokelela kwiingxaki ezifana nokuzalwa komntwana obunzima obuphantsi kunye nobunzima bokuphefumla.

Ngaba ndiza kuphinda ndifumane i-placenta previa?

Ukuba ukhe waba ne-placenta previa kukukhulelwa kwangaphambili, kukho umngcipheko omncinci wokuba ivele kwakhona , malunga ne-2% . Ukuba ukhulelwa kwakhona, xelela ugqirha wakho ngayo. Uya kuba nolwazi ngembali yakho yezonyango yangaphambili.

Ngaba iPlacenta Previa iyayichaphazela iNzala yam?

I-placenta previa ayichaphazeli amandla akho okukhulelwa kwakhona. Nangona kunjalo, kukho umngcipheko omncinci wokuba ne-placenta previa ukuba ukhulelwa kwakhona.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ugqirha wakho ufanele akwazi ukuphendula imibuzo yakho aze akulungiselele unyango lwe-placenta previa. Nazi ezinye zemibuzo onokuyibuza:

• Ngaba ubomi bomntwana busengozini? Ngaba nobomi bam busengozini?
• Ziziphi iindlela zonyango endinazo?
• Ndingazi njani ukuba i-placenta previa yam iphelile?
• Ngaba kufuneka ndinciphise eminye imisebenzi?
• Ndingamfumana umntwana ngoku?
• Zeziphi iingxaki ezinokwenzeka?
• Ngaba kuya kufuneka ndifumane ezinye iiskeni okanye ezinye iimvavanyo?
• Ziziphi iimpawu zokuba kufuneka ndiye esibhedlele?

Nguwuphi umbuzo oza kundibuzwa ngugqirha wam?

• Uqale nini ukuqaphela ukopha?
• Lingakanani igazi elilahlekileyo?
• Ingaba ukopha kuyaqhubeka, okanye kuyafika kudlule kubuye kubuye kwakhona?
• Ingaba unesifo sesisu?
• Ngaba ukhe waba neengxaki ngexesha lokukhulelwa kwangaphambili?
• Ngaba wakha watyandwa isibeleko ngaphambili?
• Ngaba uyatshaya okanye usebenzisa iziyobisi ezifana ne-cocaine?
• Ngaba kukho umntu onokukukhathalela ukuba ufuna ukuphumla ebhedini?

Ndifanele ndimbone nini ugqirha wam?

Ukuba ufumana ukopha, iintlungu zesisu, okanye ukuqaqamba ngexesha lokukhulelwa kwakho, ingakumbi kwikota yesibini, fowunela ugqirha wakho ngokukhawuleza.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Ukuba wopha kakhulu, funa uncedo lwezonyango olungxamisekileyo ngoko nangoko. Ukopha kakhulu kunokubangela iziphumo ebezingalindelekanga ezimbi kuwe nakumntwana wakho.

Ngaba ndingazilolonga nge-placenta previa?

Ugqirha wakho mhlawumbi uza kukuxelela ukuba unciphise imisebenzi ethile, efana nokuzilolonga, ukuquleka, ukutsiba, kunye nokuphakamisa iintsimbi. Oku kunokubangela ukopha. Kungcono ukuthetha nogqirha wakho malunga nenkqubo yakho yemihla ngemihla kwaye wenze utshintsho njengoko kufuneka.

Ndingabelana ngesondo ukuba ndine-placenta previa?

Oogqirha abaninzi bacebisa ukuba ungazibandakanyi neentlobano zesini ukuba une-placenta previa. Kungcono ungazisebenzisi izinto ezinokubangela ukopha okanye ukushwabana kwesibeleko, njengokusebenzisa ii-tampons, ukuxubha, okanye ukufaka nantoni na kwisini.

Okokugqibela, umyalezo oya ekhaya:

I-Placenta Previa yimeko enokunyangwa. Oomama abaninzi abanale meko baya kuba nabantwana abasempilweni. Ukuba ulandela imiyalelo kagqirha wakho ngononophelo, ungazala ngokukhuselekileyo. Ukuba ufumana ukopha okanye ukungakhululeki ngexesha lokukhulelwa, ungoyiki ukuxelela ugqirha wakho. Ukhuseleko lwakho nolomntwana wakho yeyona nto ibalulekileyo. I-Placenta Previa, ukopha kokukhulelwa, utyando lotyando, umlomo wesibeleko, iingxaki zokukhulelwa, iskena se-ultrasound