Ukungoneli kakuhle kwe-placenta? Ungakhathazeki, masithethe ngayo!

Ubusazi na ukuba ngexesha lokukhulelwa, i-placenta likhonkco elibaluleke kakhulu phakathi kwakho nomntwana wakho. Ifana nelo linika konke ukutya, amanzi, kunye ne-oksijini umntwana wakho ayidingayo. Kodwa ngamanye amaxesha, le placenta ayikwazi ukusebenza kakuhle. Namhlanje, siza kuthetha ngemeko enjalo, eyi-Placental Insufficiency. Oku kunokuvakala kuyoyikisa kancinci, kodwa ungakhathazeki, siza kuthetha ngayo ngokweenkcukacha.

Yintoni i-Placental Insufficiency?

Ngamafutshane, eli ligama esilinika into yokuba i-placenta yakho ayisebenzi kakuhle ngexesha lokukhulelwa. I-placenta sisitho esikhethekileyo esibonelela nge-oksijini kunye nezondlo kumntwana. Ngoko ke, xa kungekho ukusebenza ngokwaneleyo kwale placenta (Placental Insufficiency), i-placenta ayinikeli igazi, i-oksijini, okanye izondlo ezifunekayo kumntwana ngokufanelekileyo. Cinga ngayo njengombhobho othwala ukutya kumntwana. Ukuba kukho naluphi na uthintelo okanye ukuvaleka kuyo, umntwana akayi kufumana oko akufunayo. Isizathu soku sisenokuba i-placenta ayikhuli kakuhle okanye yonakele. Ngenxa yoko, umntwana akafumani izondlo ezifunekayo kwaye unokuba mncinci ngokweminyaka yakhe, oko kuthetha ukuba unokuba noMqathango wokukhula kwe-Intrauterine (IUGR) . Ukuba umntwana mncinci kakhulu, ukuzalwa ngaphambi kwexesha kunye nezinye iingxaki zokukhulelwa zinokwenzeka.

Le meko ixhaphake kakhulu, inokubonwa kumntu omnye kwabalishumi okhulelweyo, ngoko ke kubaluleke kakhulu ukuba uyiqaphele.

Zithini iimpawu zale meko? Sizazi njani?

Ngoku mhlawumbi ucinga, 'Owu, ndingazi njani ukuba nam ndinayo le nto?' Enyanisweni, uninzi lwexesha akukho zimpawu zicacileyo zale meko . Yiyo loo nto kufuneka uqaphele kancinci. Nangona kunjalo, ngamanye amaxesha ungafumana umbono wokuba kunokubakho ingxaki kwi-placenta ngezinto ezifana nezi:

• Ukopha kwegazi kwi-vaginal kwenzeka kwisigaba sokuqala sokukhulelwa.
• Ukuziva usana lwakho lungakwazi ukuhambahamba kakuhle . Ukuba uziva ukuba umntwana wakho akasahambi kakuhle kunangaphambili, naleyo yinto ekufuneka uyiqwalasele.
• Kusenokuba luphawu lokuba awutyebi kakhulu njengoko wawunjalo ngexesha lokukhulelwa kwangaphambili.

Kodwa khumbula, ukuba nje unale mpawu akuthethi ukuba unayo le meko. Kwakhona, unokuba nayo ngaphandle kweempawu. Yiyo loo nto kubaluleke kakhulu ukufumana uhlolo lwezonyango kwangethuba.

Kutheni oku kusenzeka? Zithini izizathu?

Ukungabikho ngokwaneleyo kwe-placenta kwenzeka xa kungekho gazi laneleyo (igazi eliqulethe i-oksijini kunye nezondlo) ezitshintshiselana phakathi kwakho nomntwana wakho. Oku kuthetha ukuba umntwana akafumani oko akufunayo ukuze akhule. Le meko inokubangelwa yingxaki kwindlela i-placenta enamathela ngayo kwi-uterine lining.

Kukho ezinye izizathu ezininzi:

• I-placenta yakho iyahlukana nodonga lwesibeleko (i-Placental abruption)Le yimeko engxamisekileyo.
• Nawuphi na umonakalo okanye ukwenzakala kwi-placenta .
• Imo engalinganiyo ye-placenta .
• I-placenta ayikhuli ngokwaneleyo okanye incinci kakhulu .

Ukongeza koku, ukungasebenzi kakuhle kwe-placenta kunokubangelwa ziimeko ezithile zempilo onazo okanye izinto ezithile kwindlela ophila ngayo. Ngamanye amaxesha, le meko ingenzeka ngendlela engaqhelekanga. Oko kukuthi, kukho amaxesha apho kungenakwenzeka ukuthi ngqo 'yiyo le nto yenzekileyo oku'.

Ngubani osengozini enkulu yokuba nale meko?

Oogqirha bafumanise ukuba oomama abaneengxaki ezithile zempilo banokuba neengxaki zophuhliso kunye nokusebenza kakuhle kwe-placenta ngexesha lokukhulelwa. Ukuba unayo nayiphi na kwezi meko, usenokuba sengozini enkulu yokufumana iingxaki ze-placenta:

• Isifo seswekile
• Uxinzelelo lwegazi oluphezulu (Uxinzelelo lwegazi oluphezulu / Uxinzelelo lwegazi oluphezulu)
• Isifo sentliziyo
• Iimeko zokuqunjelwa kwegazi
• Ukugqitha iiveki ezingama-40 zokukhulelwa . Sithi 'ukuphosa umhla wokukhulelwa'.
• I-Preeclampsia . Le yimeko apho uxinzelelo lwegazi lunyuka ngexesha lokukhulelwa kwaye luchaphazela amanye amalungu omzimba.
• Usulelo lwesibeleko olunganyangwanga .
• Ukopha kakhulu okanye ezinye iingxaki ngexesha lokukhulelwa kwasekuqaleni .
• Ukuba uneminyaka engaphezu kwama-35 ubudala .
• Ukusetyenziswa kwamayeza athile .

Kwakhona, izinto ezinje ngokutshaya, ukusela utywala, kunye nokusebenzisa kakubi iziyobisi ngexesha lokukhulelwa nazo zinokuphazamisa ukusebenza kwe-placenta. Ezi zizinto esinokuzithintela, akunjalo?

Ziziphi iingxaki ezinokwenzeka ngenxa yokusebenza okungekho semgangathweni kwe-placenta?

Ukungoneli kakuhle kwe-placenta kunokubangela iingxaki kumama nakumntwana. Nangona kunjalo, kusenokwenzeka ukuba kube yingozi kumntwana . Yiyo loo nto sixhalabile kakhulu ngale nto.

Iingxaki ezinokwenzeka kumntwana:

Xa i-placenta ingasebenzi kakuhle, umntwana unokuba neengxaki ezifana nezi:

• Ukuzalwa kwangaphambi kwexesha : Umntwana uzalwa ngaphambi komhla wokuzalwa. Oku kunokubangela ukuba ubushushu bomzimba womntwana buwehle kwaye ubunzima bokuzalwa buwehle. Khawuthelekelele, umntwana uphuma ngaphambi kokuba alungele ukuza emhlabeni.
• Uthintelo Lokukhula Kwangaphakathi Kwesibeleko (IUGR) : Njengoko bekutshiwo ngaphambili, umntwana akakhuli ngesizalo ngesantya esifanelekileyo ngokweminyaka yakhe.
• I-Fetal hypoxia : Oku kwenzeka xa ingqondo yomntwana kunye nezinye izitho zingafumani ioksijini eyaneleyo. Oku kunokukhokelela kwezinye iingxaki ezinkulu.
• I-anemia: Ukunqongophala kwegazi emzimbeni womntwana.
• Iswekile ephantsi egazini (iHypoglycemia) .
• Ukwehla kwamanqanaba e-calcium egazini (i-Hypocalcemia) .
• Ukwanda kwe-bilirubin egazini : Oku kunokubangela ukuba umntwana abe nesifo esibizwa ngokuba yi-jaundice.
• Ukuzalwa komntwana efile : Esi sisiphumo esibi kakhulu esingenakuphikiswa mntu kuthi. Sithetha ukufa komntwana esibelekweni.

Iingxaki ezinokubakho kumama:

Oku kunokubangela iingxaki ezithile kumama:

• Ukuqhawuka kwe-placenta : Njengoko bekutshiwo ngaphambili, oku kukwahlukana kwe-placenta nodonga lwesibeleko. Oku kungxamiseko kwaye kuyingozi kumama nakumntwana.
• Ukubeletha ngaphambi kwexesha : Intlungu yokubeleka umntwana ngaphambi komhla wokuzalwa.
• Ukuzalwa kwangaphambi kwexesha : Oku kuthetha ukuzalwa komntwana ngaphambi komhla wokugqibela.

Ndiyazi ukuba kuyoyikisa ukuva ezi zinto, kodwa ukuzazi kuya kukukhuthaza ukuba ufune iingcebiso zonyango ngokukhawuleza.

Uyibona njani le meko?

Ugqirha wakho wokukhulelwa uza kuyixilonga le meko, edla ngokuxilonga ngexesha lovavanyo lokukhulelwa okanye i-ultrasound scan .

I-ultrasound scan inokujonga izinto ezifana nendlela igazi elihamba ngayo phakathi kwe-placenta nomntwana, ubungakanani kunye nendawo ye-placenta nomntwana. Khawucinge nje, ibonisa ngokucacileyo okwenzekayo ngaphakathi kwi-placenta.

Ukuba umntwana wakho ubonakala emncinane kunesiqhelo xa eskeniwa, okanye ukuba ubude bakho be-fundal buphantsi kunoko bekulindelwe, ugqirha wakho unokurhanela ukuba unengxaki kwi-placenta.

Kubalulekile ukuthetha nogqirha wakho malunga nokuba uziva kangakanani iintshukumo zomntwana wakho kunye nezinye izinto ezikuxhalabisayo. Olu lwazi luya kunceda ugqirha wakho ukuba abe nombono olungileyo wendlela ukukhulelwa kwakho okuqhubeka ngayo.

Akukho nyango lwale nto? Uyiphatha njani le nto?

Enyanisweni, okwangoku akukho nyango okanye unyango oluthile lokungasebenzi kakuhle kwe-placenta. Oko kukuthi, akukho nyango lunokubuyisela i-placenta ekusebenzeni kwayo okuqhelekileyo. Kodwa ungakhathazeki! Ugqirha wakho wokubeletha uza kucebisa iindlela zokulawula le meko kunye nokunciphisa impembelelo yayo ekukhulelweni kwakho.

Unyango olufunekayo lolwahlukileyo ekukhulelweni kwakho. Oko kuthetha ukuba lunokwahluka kumntu nomntu. Ludla ngokuxhomekeka kwizinto ezifana nezi:

• Ukweyiphi ikota yokukhulelwa ?
• Iziphumo zovavanyo lwakho.
• Naziphi na ezinye iingxaki okanye iimpawu onazo.

Ukubeka iliso ekukhulelweni kwakho yinxalenye ebalulekileyo yolawulo. Ugqirha wakho kuya kufuneka akubone rhoqo, kwaye angenza ii-ultrasound scans kunye nokubeka iliso kwintliziyo yemveku ukuze kuhlolwe ukukhula nempilo yomntwana.

Ukulawula ngokufanelekileyo naziphi na ezinye iimeko zempilo onokuba nazo (umzekelo, isifo seswekile okanye uxinzelelo lwegazi oluphezulu) kukwayinxalenye ebaluleke kakhulu yolu lawulo.

Kwiimeko ezininzi, ukuba ukhulelwe kwiiveki ezingama-37 , ugqirha wakho unokucebisa ukuba ubelethe ukuba yeyona nto ikhuselekileyo kuwe nakumntwana wakho.

Ukuba awukafiki, ugqirha wakho uza kukujonga ngokusondeleyo ukuqinisekisa ukuba umntwana wakho uphilile ngexesha lokukhulelwa. Ukuba kukho iimpawu zokuba umntwana wakho akaphilile, oko kuthetha ukuba usemngciphekweni omkhulu wokuba umntwana abe sesibelekweni, kunokucetyiswa ukuba abelekwe kwangethuba . Oku kungenxa yokuba lolona khetho lukhuselekileyo ngelo xesha. Ukuba kufuneka ubelekwe kwangethuba, ii-steroids zinokunikwa ukunceda amaphaphu omntwana akhule.

Ngaba le meko ingaphucuka?

Wakuba ufunyaniswe ukuba une-Placental Insufficiency, i-placenta yakho ayisayi kubuyela kwimeko yayo yokusebenza kakuhle nesempilweni. Kuyinyani oko. Nangona kunjalo, ugqirha wakho uya kuyilawula imeko aze ajonge umntwana ngokusondeleyo ukuze abone naziphi na iimpawu zeengxaki.

Nangona kunjalo, ukubonwa kwangethuba, ulawulo olufanelekileyo lwazo naziphi na iimeko ezingaphantsi onokuba nazo, kunye nokuya kuzo zonke iintlanganiso zokhathalelo lwangaphambi kokukhulelwa kunokunceda ukuthintela ukuba i-placenta yakho ingabi mandundu. Oku kuthetha ukuba inokulawulwa ngaphandle kokubangela umonakalo ongaphezulu.

Ingakanani izinga lokusinda kweentsana ezingenamsebenzi onokwaneleyo we-placenta?

Abafazi abaninzi abakhulelweyo abangakwaziyo ukuzala kakuhle baphumelela ekubelekeni. Ziindaba ezimnandi ezo. Nangona kunjalo, oku kuxhomekeke kakhulu kwimeko esisiseko, ubukhali bokungasebenzi kakuhle kwe-placenta, kunye nokuba ukhulelwe ixesha elingakanani xa ufunyaniswa ukuba unayo .

Kungoko ke kubaluleke kangaka ukubonwa kwangoko kunye nolawulo olufanelekileyo.

Ngaba le meko ingathintelwa?

Kwiimeko ezininzi, asinakuyithintela ngokupheleleyo i-Placental Insufficiency. Yiyo loo nto iyinyani. Kuba ezinye izizathu zingaphaya kwamandla ethu.

Nangona kunjalo, eyona nto ingcono onokuyenza kukuya kunyango lokukhulelwa kwangethuba xa ukhulelwe.Kuba ke ugqirha unokuxilonga imeko kwangethuba. Ukuxilonga kwangethuba kunye nolawulo kunokunciphisa umngcipheko weengxaki ngexesha lokukhulelwa kwakho.

Kwakhona, ukulawula ngokufanelekileyo naziphi na iimeko zempilo ezikhoyo okanye ezintsha onokuba nazo kunokunceda ukuthintela iingxaki ezongezelelweyo. Umzekelo, ukulawula izinto ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu kunokunceda.

Ukuba ndinayo le meko, ndingazinyamekela njani?

Ukuba une-placenta insufficiency, kubalulekile ukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Indlela oogqirha abaphatha ngayo le meko inokwahluka. Kuxhomekeke ekubeni ukhulelwe ixesha elingakanani kunye nobunzima bemeko yakho.

Iintsana ezisandul’ ukuzalwa okanye iintsana ezineemeko ezithile zempilo zinokufuna unyango olukhethekileyo kwiYunithi yoKhathalelo oluNzulu lweZifo eziSandulelayo (i-NICU) . Ukuzilungiselela oku kunokukunceda ujongane nale meko. Musa ukoyika ukuthetha nogqirha wakho malunga noloyiko lwakho kunye nezinto ezikuxhalabisayo. Buza ugqirha wakho ukuba ungenza ntoni ukuze ufumane umntwana osempilweni.

Khumbula ukuba awuwedwa, kwaye iqela lezonyango likhona ukukunceda .

Ndifanele ndimbone nini ugqirha?

Ekubeni ukungasebenzi kakuhle kwe-placenta akusoloko kubangela iimpawu, eyona nto ingcono onokuyenza kukugcina onke amadinga akho okhathalelo lwangaphambi kokukhulelwa . Kwakhona, thetha nogqirha wakho ngazo naziphi na iimpawu ozifumanayo. Oku kuya kunceda ugqirha wakho ukuba abone naziphi na iingxaki ezinokuvela ngexesha lokukhulelwa kwakho.

Ngexesha lokukhulelwa, ukuba ufumana ukopha kwilungu lobufazi okanye iintlungu zesisu , kufuneka ubone ugqirha ngoko nangoko . Ungalibali loo nto.

Umyalezo Wokugqibela Wokuya Ekhaya

Kulungile, ngoko ke sithethe kakhulu ngokungasebenzi kakuhle kwe-placenta, akunjalo? Nangona kungekho nyango lwayo, kukho iindlela zokulawula le meko kakuhle nokwandisa amathuba akho okukhulelwa nokubeleka okunempilo .

Landela imiyalelo kagqirha wakho ngokuchanekileyo. Lawula naziphi na ezinye iimeko zempilo onokuba nazo, kwaye uye kwiikliniki zangaphambi kokubeleka ngexesha. Kuphephe ukusebenzisa utywala, iziyobisi, kunye necuba ngokupheleleyo ngexesha lokukhulelwa. Ezi zinto ziyingozi kakhulu kuwe nakumntwana wakho.

Ugqirha wakho uza kukubeka esweni ngokusondeleyo wena nomntwana wakho kulo lonke ixesha lokukhulelwa kwakho, ekhangela naziphi na iimpawu zeengxaki. Ukuba kuyimfuneko, banokucebisa ukuba ubeleke kwangethuba. Konke oku kungenxa yokhuseleko lwakho nolomntwana wakho .

Ngoko ke, eyona nto ibalulekileyo kukwazi oku, ulandele iingcebiso zonyango, kwaye uhlale unethemba. Sikunqwenelela ukuzalwa okumnandi!

I- Placenta, Ukungabikho Kokwaneleyo Kwe-Placenta, Ukukhulelwa, Uphuhliso Lomntwana, Ukuzalwa Kwangaphambi Kwexesha, Iingxaki Zokubeleka, Ukungabikho Kokwaneleyo Kwe-Placenta