Ngaba i-placenta ingaqhekeka ngexesha lokukhulelwa kwakho? (Ukuqhawuka kwe-Placental) Makhe sithethe ngale nto!

Ukuba ulindele umntwana, kuyinto eqhelekileyo ukuba ube nemibuzo emininzi kunye noloyiko oluncinci ngeli xesha. Namhlanje siza kuthetha ngemeko enokwenzeka ngamanye amaxesha ngexesha lokukhulelwa, kodwa engenzeki kuwo wonke umntu, kwaye oko kufuna inkxalabo encinci. Oko kukuphazamiseka kwe-placenta, imeko oogqirha abayibiza ngokuba yi-'(Placental Abruption)' okanye '(Abruptio Placentae)'. Musa ukoyika, masithethe ngale nto ngokulula.

Yintoni i-placenta previa? Ithetha ukuthini xa iphuma? (Ukuqhawuka kwe-Placental)

Kulungile, masiqale sijonge ukuba yintoni i-placenta . Ngamafutshane, i-placenta sisitho sexeshana esakha ngaphakathi kwesibeleko sakho xa ukhulelwe. Yiyo enika umntwana wakho ioksijini kunye nezondlo , njengomgca wobomi phakathi komama nomntwana. I-placenta idla ngokuncamathiselwa eludongeni lwesibeleko, nokuba phezulu okanye ecaleni. Intambo yomntwana ikwanamathele kule placenta. Ikwanceda ukususa inkunkuma emzimbeni womntwana.

Ngoku, ukuqhawuka kwe-placenta kuxa i-placenta yahlukana ngokupheleleyo okanye ngokuyinxenye nodonga lwesibeleko ngaphambi kokuba umntwana azalwe. Khawuthelekelele, njengepowusta enamathele eludongeni, ize iwa ngequbuliso? Yiloo nto injalo. Xa oku kusenzeka, umntwana unokufumana ioksijini encinci kunye nesondlo. Kwakhona, umama unokopha kakhulu. Ekubeni oku kudla ngokuba yimeko embi kakhulu, oogqirha baya kukujonga ngokusondeleyo kwaye banokugqiba ekubeni babele umntwana kwangethuba.

Ngaba kukho iintlobo ezahlukeneyo zezi?

Ewe, oogqirha bahlula oku ngokusekelwe kumlinganiselo i-placenta eyahlukana ngawo kwisibeleko:

• Ukuqhekeka kwePlacental Partial: Oku kwenzeka xa i-placenta ingahlukani ngokupheleleyo nodonga lwesibeleko, yinxalenye yayo kuphela eyahlukanayo.
• Ukuqhekeka kwePlacental epheleleyo okanye epheleleyo: Oku kuxa i-placenta yahlukana ngokupheleleyo nodonga lwesibeleko. Oku kudla ngokuphumela ekuphumeni kwegazi elininzi kwisini.

Zikwahlulwa ngokwenani legazi elilahlekileyo:

• Ukuqhekeka kwePlacental Okutyhiliweyo: Kule meko, unokubona ukopha okuphakathi ukuya kokukhulu kuphuma kwilungu lobufazi.
• Ukuqhekeka kwePlacental efihliweyo: Kule meko, akukho kuphuma kwegazi okubonakalayo okanye akukho kwaphela kuba igazi livaleleke phakathi kwePlacenta nodonga lwesibeleko.

Ixhaphake kangakanani le meko? Idla ngokuvela nini?

Le meko, ebizwa ngokuba yi-"Placental Abruption," yenzeka kumntu omnye kwabayi-100 abakhulelweyo (oko kukuthi malunga ne-1%). Ngoko ke, ayiqhelekanga kangako.

Oku kunokwenzeka kakhulu ngexesha lesiqingatha sokugqibela sekota yesithathu yokukhulelwa. Oko kukuthi, emva kweeveki ezingama-28, de umntwana azalwe kwiiveki ezingama-40. Nangona kunjalo, ngamanye amaxesha kunokwenzeka nangaliphi na ixesha emva kweeveki ezingama-20.

Zithini iimpawu zoku? Kuvakala njani?

Ayingabo bonke abantu abafumana iimpawu ezifanayo. Nangona kunjalo, uphawu oluphambili kubantu abaninzi kukuphuma kwegazi kwisini kunye nentlungu yesisu ngexesha lesithathu leenyanga zokukhulelwa. Ezinye iimpawu zingabandakanya:

• Intlungu yesisu.
• Ukuqhoqhoqho kwesibeleko (intlungu evela ekuqineni kwesisu) okunamandla nokungapheliyo kuneentlungu eziqhelekileyo zokubeleka.
• Ukuziva intlungu xa uchukumisa isibeleko.
• Intlungu yomqolo okanye intlungu.
• Ukuziva ngathi iintshukumo zomntwana (ukushukumisa) zinciphile.

Ubungakanani bokopha kwegazi kwilungu lobufazi bunokwahluka kumntu nomntu. Kwakhona, akunakwenzeka ukufumanisa ukuba bukhali kangakanani ngokusekwe kubungakanani bokopha. Ngamanye amaxesha, njengoko bekutshiwo ngaphambili, igazi livaleleke ngaphakathi, ngoko ke kusenokungabikho kopha okubonakalayo konke konke. Intlungu iyafana, ngelixa kwabanye inokuvakala ngathi kukuqaqamba kancinci, kwabanye inokuvakala ngequbuliso njengentlungu ebukhali.

Kubalulekile: Ezi mpawu zinokuba ziimpawu zezinye iingxaki zokukhulelwa. Ngoko ke, ukuba uneentlungu zokuphuma kwegazi kwilungu lobufazi okanye esiswini, qiniseka ukuba ubona ugqirha wakho ngoko nangoko.

Ngaba uchitha igazi rhoqo?

Ixesha elininzi, uya kuqaphela ukopha xa i-placenta ihlukana. Nangona kunjalo, kwi-"Concealed Abruption" ekhankanyiweyo ngaphambili, igazi livaleleke ngasemva kwe-placenta, ngoko usenokungaboni ukopha. Kwezinye iimeko, i-placenta iyahlukana kancinci, ngoko unokubona ukopha okuncinci ngamaxesha athile.

Ukuba ufumana ukopha kwilungu lobufazi ngexesha lokukhulelwa kwakho, kubaluleke kakhulu ukuxelela ugqirha wakho ngako.

Kutheni oku kusenzeka? Zithini izinto ezibangela umngcipheko?

Enyanisweni, imbangela echanekileyo yokuqhawuka kwe-placenta ayikaziwa . Oogqirha bayazi kuphela izinto ezonyusa umngcipheko. Umzekelo, ukuba unenxeba elinzima esiswini, njengakwingozi, i-placenta inamathuba amaninzi okwahlukana.

Ingaba oku kuyenzeka xa ucinezela isisu sakho okanye xa usemotweni ehambayo?

Hayi, ugqirha wakho akayi kukwazi ukukrazula isisu sakho ngexesha lokuhlolwa, okanye nokuba imoto yakho ingena emngxunyeni endleleni. Nangona kunjalo, ukubetheka kakhulu esiswini (njengengozi yemoto okanye ukuwa kwizinyuko) kunokubangela ukuba i-placenta yahlukane. Yiyo loo nto oogqirha becebisa ukuba uhlale kude nemisebenzi enokubangela ukuwa kunye nomonakalo esiswini (njengokukhwela ihashe okanye ii-roller coasters) ngexesha lokukhulelwa.

Nazi ezinye izinto ezibangela umngcipheko wokuphazamiseka kwe-placenta:

• Ingozi okanye ukwenzakala kwesibeleko: njengengozi yemoto, ukuwa, okanye ukubethwa esiswini.
• Ukuba i-placenta yahlukene kukukhulelwa kwangaphambili.
• Ukukhulelwa okuninzi: Oku kuthetha ukuba kukho abantwana abangaphezu kwesinye (njengamawele) esibelekweni.
• Iimeko ezinje ngoxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) , isifo seswekile sokukhulelwa, okanye i-preeclampsia.
• Ukuba utshaya okanye usebenzisa iziyobisi.
• Ukuba uneminyaka engaphezu kwama-40 ubudala.
• Ukuba une-uterine fibroids.
• Ukuba unesifo sokujiya kwegazi (iThrombophilia).
• Ukuqhekeka kwangaphambi kwexesha kwee-membranes (ngaphambi kokuba umntwana akhule ngokupheleleyo) okanye ukuncipha okukhulu kolwelo lwe-amniotic (ulwelo olujikeleze umntwana).
• I-Chorioamnionitis, usulelo lwe-amniotic fluid.

Zeziphi iingxaki ezinokubangela oku?

Ukuqhawuka kwe-placenta yimeko esongela ubomi kumntwana, kwaye kwezinye iimeko, kuwe. Yiyo loo nto ithathwa njengento enzulu kangaka.

Iziphumo ezinokwenzeka kumntwana:

• Ukuzalwa Kwangaphambi Kwexesha.
• Ubunzima obuphantsi bokuzalwa.
• Iingxaki zokukhula (Uthintelo lokukhula ngaphakathi kwesibeleko).
• Ukonakala kwengqondo ngenxa yokunqongophala kweoksijini.
• Ukuzalwa efile.

Iziphumo ezinokwenzeka kumama:

• I-anemia (ukungabikho kwegazi).
• Iingxaki zokuqunjelwa kwegazi.
• Ukufuna utofelo-gazi.
• Ukopha kakhulu (Ukopha igazi).
• Ukungasebenzi kakuhle kwezintso.

Ezi zinto zinokuba yinto eyoyikisayo ukuva, kodwa khumbula, ayinguye wonke umntu oza kuba neengxaki ezinkulu. Ukufunyaniswa kwangoko kunye nonyango olufanelekileyo kunokunciphisa ezi ngozi.

Oogqirha bayibona njani le nto?

Ukuba ukrokrela ukuba une-placenta abruption, ugqirha wakho uza kukuhlola aze enze uvavanyo oluthile. Ngokuxhomekeke kubukhali bemeko, ungangeniswa esibhedlele, okanye ungaxelelwa ukuba uye ekhaya uye kuphumla. Ugqirha wakho uhlala esenza oku kulandelayo:

• Ubuza ukuba lingakanani igazi elilahlekileyo .
• Bayabuza ukuba intlungu iphi kwaye imbi kangakanani .
• Bayabuza ukuba iimpawu ziqale nini .
• Uxinzelelo lwakho lwegazi luyalinganiswa.
• Ukuqaqanjelwa kwesibeleko sakho (iintlungu) kuyajongwa.
• Ijonga ukubetha kwentliziyo yomntwana kunye neentshukumo zakhe .
• I-ultrasound scan yenziwa ukujonga indawo yokopha kunye nemeko yomntwana.
• Bacela uvavanyo lwegazi nomchamo .

Ukubeka amanqaku ngokwenqanaba lobunzima:

Oogqirha ngokubanzi bahlukanisa ukuqhawuka kwe-placenta kwiindidi ezintathu, okanye iiklasi:

• Ibanga loku-1: Kukho ukopha okuncinci, kwaye ngamanye amaxesha ukushwabana kwesibeleko, kodwa akukho ntlungu ingako kuwe okanye kumntwana wakho. Oku kudla ngokuba kukuphazamiseka kwe-placenta okuncinci.
• Ibanga lesi-2: Kukho ukopha okuphakathi, ukushwabana kwesibeleko, kwaye umntwana unokubonisa iimpawu zokungakhululeki.
• Ibanga lesiThathu (Ibanga lesi-3):Ukopha okuphakathi ukuya kokukhulu, okanye igazi livaleleke ngaphakathi. Ukushwabana kwesibeleko kuhlala kungapheli kwaye akupheli. Kunokubakho iintlungu eziqatha zesisu, uxinzelelo lwegazi oluphantsi, kwanokufa komntwana.

Luluphi unyango lwale nto?

Xa i-placenta yahlukene kwisibeleko, ayinakudityaniswa okanye ilungiswe. Ugqirha uya kugqiba ngonyango olusekelwe kwezi zinto zilandelayo:

• Ubunzima bokuhlangulwa.
• Ukukhulelwa/ukukhulelwa komntwana kuthatha ixesha elingakanani?
• Ingaba umntwana ubonakalisa iimpawu zokungakhululeki.
• Ingakanani igazi olahlekelwe lilo.

Ngokwesiqhelo, ubukhali bokuxhuzula kunye nobudala bomntwana zezona zinto zimbini ziphambili ezimisela unyango.

Ukuba umntwana usemncinci (akukafiki kwixesha elipheleleyo lokuzala):

Ukuba umntwana wakho usalindelekile kwaye i-placenta yakho isencinci, ugqirha wakho uza kukujonga ngokusondeleyo . Usenokuxelelwa ukuba uye ekhaya uyokuphumla, okanye ungagcinwa esibhedlele. Usenokunikwa ne-corticosteroids ukunceda imiphunga yomntwana wakho ikhule ngokukhawuleza. Uza kujongwa ngokusondeleyo.

Nangona kunjalo, ukuba ukuzala kunzima kwaye kukho umngcipheko kwimpilo yakho okanye yomntwana wakho, kunokufuneka ubelekise umntwana kwangethuba, nokuba umntwana akakafiki ixesha elipheleleyo (ngaphantsi kweeveki ezingama-37).

Ukuba umntwana mkhulu ngoku (usondele ekuzalweni):

Ukuba ukuqhawuka kwe-placenta kuncinci kwaye ukubetha kwentliziyo yomntwana kuqhelekile, ugqirha wakho angakuvumela ukuba uhlale esibelekweni de kube sekupheleni kokukhulelwa kwakho. Baza kukunika ii-corticosteroids ukunceda imiphunga yomntwana wakho ikhule, kwaye baza kuqhubeka nokukujonga.

Nangona kunjalo, ukuba ukuzala kunzima, umntwana kuya kufuneka abelekwe kungekudala. Ukuba kukho ingozi kuwe okanye kumntwana nangaliphi na ixesha, umntwana uya kuzalwa (ngokufuthi nge-casarean section engxamisekileyo).

Iimeko apho kufuneka ukuhanjiswa kweenkonzo ngokukhawuleza:

Ukuba kukho nayiphi na kwezi zinto eyenzekayo nangaliphi na ixesha, nokuba umntwana uneminyaka emingaphi, kungafuneka umthathe umntwana:

• Ukuba ukuqhawuka kwe-placenta kuba nzima/kuyanda.
• Ukuba wopha kakhulu okanye une-anemia enzima.
• Ukuba umntwana akakhululekanga kwaye ebonisa iimpawu zokungafumani ioksijini eyaneleyo .

Kuthekani ukuba i-placenta iphuma kancinci? Kuthekani ukuba iphuma kakubi?

Nokuba ukuqhawuka kwe-placenta kuncinci, ugqirha wakho uya kuqwalasela iminyaka yomntwana xa ecwangcisa unyango. Umzekelo, ukuba umhla wakho wokuzalwa usondele, ungaxelelwa ukuba ubangele ukuzala. Ukuba umhla wakho wokuzalwa usesezinyangeni ezimbalwa, nokuba ukuqhawuka kuncinci, ugqirha wakho unokuqwalasela unyango olwahlukileyo. Ngokwesiqhelo, ukuba ukuqhawuka okanye ukopha akugqithisi, kwaye umntwana akakho buhlungu, ungalinda de kube sekupheleni kokukhulelwa kwakho.

Ukuba i-placenta inzima, idla ngokuba yingxamiseko yezonyango kuba inokukhokelela kwiingxaki ezisongela ubomi kumama nakumntwana. Kwiimeko ezinjalo, umntwana kufuneka azalwe ngokukhawuleza.

Ngaba iintsana zingasindiswa ukuba i-placenta yahlukana?

Izinto ezimbini eziphambili ezichaphazela ukuba umntwana angasindiswa na bubudala bomntwana ekuzalweni kwakhe kunye nobunzima bokuqhawuka kwe-placenta. Ukufunyaniswa kwangoko, ukubekwa esweni ngokusondeleyo, kunye nonyango olukhawulezileyo kunokunciphisa iingxaki. Kwiimeko ezinzima kakhulu zokuqhawuka kwe-placenta, kukho malunga ne-15% ithuba lokuba umntwana afe. ​​Nangona kunjalo, oko kuthetha ukuba uninzi lweentsana lunokusindiswa.

Ingaba kunokwenzeka ukuba oku kuya kuphinda kwenzeke?

Ukuba ukhe wakha ...

Ngaba ikho indlela yokuthintela oku?

Akukho ndlela yokuthintela ngokupheleleyo ukuqhawuka kwe-placenta. Nangona kunjalo, unganciphisa umngcipheko wakho ngokwenza oku kulandelayo:

• Musa ukutshaya, ungasebenzisi iziyobisi, kwaye buza ugqirha wakho ngaphambi kokuba uthathe naluphi na unyango ngexesha lokukhulelwa.
• Gcina uxinzelelo lwakho lwegazi lukwinqanaba elifanelekileyo.
• Lawula kakuhle imeko yakho yempilo engapheliyo.
• Thatha amanyathelo okhuseleko. Umzekelo, ukunxiba ibhanti xa ukhwela imoto.
• Ukuba uneengxaki zesisu okanye ukopha kwegazi kwilungu lobufazi, xelela ugqirha wakho ngoko nangoko.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana ukopha, iintlungu zesisu, okanye ukuqaqamba ngexesha lokukhulelwa kwakho, ingakumbi kwikota yesithathu, bona ugqirha wakho ngoko nangoko. Musa ukulibazisa.

Yeyiphi imibuzo omele uyibuze ugqirha?

Ugqirha wakho kufuneka akwazi ukuphendula imibuzo yakho aze akufundise ngendlela yokunyanga le meko. Nazi ezinye zemibuzo onokuyibuza:

• Ingaba ubomi bomntwana wam busengozini?
• Yintoni enokwenzeka ukuba ndinokuqhawuka kwe-placenta?
• Ziziphi iindlela zonyango endinazo?
• Ndingamfumana umntwana ngoku?
• Ndingazi njani ukuba ukuqhawuka kwe-placenta yam kuya kusiba mandundu?
• Ziziphi iingxaki ezinokubakho?
• Ngaba kufuneka ndenze uvavanyo olongezelelekileyo?
• Ngaba oku kungenzeka xa umntu ekhulelwe kwixesha elizayo?

Ngaba ukuqhawuka kwe-placenta kunye ne-placenta previa ziyafana?

Ewe, ezi ziimeko ezimbini ezahlukeneyo. 'I-Placenta Previa' kuxa i-placenta igubungela umlomo wesibeleko ngokupheleleyo okanye inxalenye yayo. Kufana nokuba kukho into evala ucango oluphuma esibelekweni. Nangona i-placenta ikwindawo eyahlukileyo, isanamathele kwisibeleko.

Ukuqhawuka kwe-placenta kukwahlukana kwe-placenta kwisibeleko. Kuzo zombini iimeko, ukopha kwegazi kwilungu lobufazi kunokwenzeka ngexesha lokukhulelwa nangexesha lokubeleka.

Ngaba oku kungabangelwa zizinto ezifana nesondo, ukuthimla, njl.njl.? Ngaba ukutshaya kunempembelelo?

Ukuba nesondo akuyonto ibangela ngqo ukuqhekeka kwe-placenta. Kwiimeko ezininzi, kukhuselekile ukuba nesondo ngexesha lokukhulelwa. Nangona kunjalo, kungcono ukuphepha imisebenzi enokukubeka emngciphekweni wokuwa okanye ukwenzakala ngexesha lokukhulelwa.

Izinto eziqhelekileyo ezifana nokuthimla nokukhohlela azibangeli ukuba i-placenta yahlukane. Aziyi kumenzakalisa umntwana. Kodwa ukuba uthimla rhoqo okanye ukhohlela kakhulu, xelela ugqirha wakho .

Ukutshaya kwandisa umngcipheko weengxaki ezininzi ngexesha lokukhulelwa, kuquka ukuqhawuka kwe-placenta. Ukuba ufuna uncedo lokuyeka ukutshaya, buza ugqirha wakho.

Okokugqibela, umyalezo oya ekhaya:

Ukuqhawuka kwe-placenta yimeko enzima enokwenzeka ngexesha lokukhulelwa. Ukuba unesifo sokopha kwilungu lobufazi, iintlungu zesisu, okanye ukuqaqamba ngexesha lokukhulelwa, bona ugqirha wakho ngoko nangoko. Ugqirha wakho uya kugqiba ukuba uza kwenza ntoni ngokulandelayo ngokusekwe kubukhali bokuqhawuka kwe-placenta, ubudala bomntwana wakho, kunye nezinye izinto. Khumbula, uninzi lwexesha, ayisiyonto oyenzileyo ebangele oko. Kholosa ukuba ugqirha wakho wenza okulungileyo kuwe nakumntwana wakho. Musa ukoyika, kodwa lumka.

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