Xa ukhulelwe, uloyiko kunye nexhala olivayo xa ubona ukopha okuncinci akunakuchazwa. Umbuzo wokuqala oza engqondweni ngulo, 'Kwenzeke ntoni kumntwana wam?'. Uninzi lwexesha, sicinga ukuba luphawu lokuphuphuma kwesisu. Kodwa ngexesha lokukhulelwa, ingakumbi kwiinyanga zokuqala, ukopha akusona sodwa isizathu sokuphuphuma kwesisu. Namhlanje, siza kuthetha ngemeko eqhelekileyo, kodwa engaziwa kakuhle ngabaninzi. Loo nto yiSubchorionic Hematoma.
Yintoni i-Subchorionic Hematoma?
Ngamafutshane, eli ligazi elincinci eliqokelelana phakathi kodonga lwesibeleko sakho kunye ne-membrane engaphandle (i-chorionic membrane) ejikeleze i-amniotic sac apho umntwana akhoyo. Khawuthelekelele, xa senzakala kwindawo ethile emzimbeni wethu, sijika sibe luhlaza okwesibhakabhaka kwaye ihlwili legazi lenzeka phantsi kolusu, akunjalo? Yiloo nto oku kufana nayo. Igazi elincinci lenzeka apho loo membrane ikude kancinci nodonga lwesibeleko, kwaye igazi liqokelelana apho. Oku kukwabizwa ngokuba yi-Subchorionic Hemorrhage.
Le yeyona nto ibangela ukopha kwegazi kwilungu lobufazi kwiiveki zokuqala ezili-10 ukuya kwezingama-20 zokukhulelwa. Uninzi lwexesha, la maqhuqhuva egazi (ii-hematoma) mancinci kakhulu. Azibangeli monakalo kwaye ziya kufunxwa ngumzimba ngokuhamba kwexesha kwaye ziphiliswe. Ngoko ke ungoyiki xa usiva eli gama.
Zingaba yintoni iimpawu?
Uphawu oluphambili lwale meko kukuphuma kwegazi kwilungu lobufazi, kodwa akufani kuwo wonke umntu.
| Uphawu | Inkcazo |
|---|---|
| Ukopha Kwangasese | Oku kunokusukela ekubonakaleni kokukhanya ukuya ekuphumeni kwegazi elininzi kunye namahlwili egazi. Ngamanye amaxesha kunokuba mdaka. |
| Ukuqaqamba kwePelvic | Abanye abantu banokufumana iintlungu ezincinci esiswini njengoko ukopha kuqhubeka, kodwa uninzi lwabantu aluziva ntlungu konke konke. |
| Akukho zimpawu | Abantu abaninzi ababonisi zimpawu. Ifunyanwa ngengozi ngexesha lokuhlolwa rhoqo kwe-ultrasound. |
Eyona nto ibalulekileyo kukuba ukuba ufumana ukopha ngexesha lokukhulelwa, nokuba kuncinci okanye kuninzi, ngokuqinisekileyo kufuneka wazise ugqirha wakho ngaloo nto ngaphandle kokukhathazeka. Emva koko unokufumanisa unobangela aze enze oko kuyimfuneko.
Kutheni oku kusenzeka? Ngubani osengozini enkulu?
Njengoko besixoxile ngaphambili, olu qokelelo lwegazi lwenzeka xa i-membrane yangaphandle ye-sac (i-chorion membrane) apho umntwana azalwa khona yahlukana nodonga lwesibeleko. Isizathu esichanekileyo sokuba oku kwahlulwa kwenzeke asikafunyanwa. Nangona kunjalo, kufunyenwe ukuba izinto ezithile zinokunyusa kancinci le ngozi.
| Into Engumngcipheko |
|---|
| Ukuba neempawu ezingaqhelekanga kwimo yesibeleko. |
| Ukuba sele ukhe wadibana nosulelo lwesibeleko. |
| Kubekho ingozi okanye ukwenzakala kwesibeleko. |
| Ukuba ndikhe ndaphunyelwa zizisu ngaphambili. |
| Ukukhulelwa ngeteknoloji ye-IVF (ukukhulelwa nge-IVF). |
| Ukuba noxinzelelo lwegazi oluphezulu. |
Ngaba oku kungabangela iingxaki?
Lo ngumbuzo onokuba yingozi ukuwuva. Ewe, ngamanye amaxesha, ingakumbi ukuba i-hematoma inkulu, kukho umngcipheko omncinci kakhulu weengxaki. Umzekelo, iimeko ezifana nokubeleka ngaphambi kwexesha kunye nokuqhawuka kwe-placenta.
Kodwa ungoyiki ukuva oku. Ndiyaphinda, ngaphezulu kwe-90% yee-hematomas ze-subchorionic ziyaziphilisa ngokwazo ngaphandle kweengxaki.Iingxaki azixhaphakanga. Ugqirha wakho uza kukuchazela ukuba usemngciphekweni na emva kokuhlolwa, ngokusekwe kubukhulu behlwili legazi, indawo elikuyo, kunye nenqanaba lakho lokukhulelwa.
Iphathwa njani?
Ixesha elininzi, oku akudingi nyango lukhethekileyo. Njengokuba inxeba eluswini lwethu liphola lodwa, nalo liya kutsalwa ngumzimba lize liphele. Nangona kunjalo, ngokuxhomekeke kwimeko yakho, ugqirha wakho unokucebisa izinto ezithile.
- Ziphephe izinto ezifuna amandla: Usenokucelwa ukuba uyeke ukwenza izinto ezinje ngokuphakamisa iintsimbi nokuzilolonga okwethutyana.
- Ukuphumla ebhedini ngokupheleleyo: Ngamanye amaxesha, ukuba ukopha kugqithisile, ungacelwa ukuba uphumle ebhedini iintsuku ezimbalwa.
- Kuphephe ukulala ngesondo: Kucetyiswa ukuba uphephe ukulala ngesondo de imeko ibe ngcono.
- Ukuphinda uskene: Uza kucelwa ukuba wenze olunye uskene kwiiveki ezimbalwa ukuze ubone ukuba ihlwili legazi liya lincipha okanye likhulu.
- Ugonyo olukhethekileyo loomama abangenayo i-RhD: Ukuba uhlobo lwegazi lakho alunayo i-RhD, ugqirha wakho angakunika ugonyo olukhethekileyo olubizwa ngokuba yi-`Anti-D immune globulin (Rh0(D))`. Oku kuya kuthintela iingxaki ezinokwenzeka kumntwana kwixesha elizayo.
Ngaba oku kuya kumlimaza umntwana wam?
Lo ngumbuzo omkhulu engqondweni yabo bonke oomama. Impendulo kukuba kwiimeko ezininzi, i-Subchorionic Hematoma ayizukulimaza umntwana wakho. Ukuba ihlwili legazi lincinci, ukukhulelwa kuya kuqhubeka ngaphandle kweengxaki. Kuphela xa ihlwili legazi likhulu kancinci apho ugqirha azakukubeka esweni wena nomntwana ngokusondeleyo. Into ebalulekileyo kukuba oomama abaninzi abanale meko bazale abantwana abasempilweni.
Ezinye izizathu zokopha ngexesha lokukhulelwa
I-Subchorionic Hematoma yenye yezizathu. Kunokubakho nezinye izizathu zokopha ngexesha lokukhulelwa.
- Ukuphuma kwesisu
- Ukukhulelwa kwesibeleko
- Ukopha okufakwe kwi-implantation kukopha okuncinci okwenzeka xa i-embryo ifakwa kwisibeleko.
- Ukopha kancinci emva kwesondo
- Usulelo lwesini okanye lomlomo wesibeleko
- Iingxaki ze-placenta (ezifana ne-placenta previa okanye i-placenta abruption)
Nokuba siyintoni na isizathu, eyona nto ilungileyo onokuyenza xa ubona ukopha kukwazisa ugqirha wakho ngoko nangoko .
Umyalezo Wokuya Ekhaya
- Musa ukoyika ukuphuphuma kwesisu xa ubona ukopha ngexesha lokukhulelwa. I-Subchorionic hematoma yimbangela eqhelekileyo kwaye idla ngokuba yingozi.
- Uninzi lwee-hematoma ze-subchorionic zii-blood clots ezincinci kwaye ziya kuphola ngokwazo ngokuhamba kwexesha ngaphandle konyango.
- Nokuba ukopha kuncinci okanye kuninzi, okanye ukuba kukho intlungu okanye akunjalo, ngokuqinisekileyo thetha nogqirha wakho. Musa ukuzixilonga.
- Ukuba ugqirha ukucebisa ukuba uphumle kwaye uphephe ukwenza imisebenzi enzima, landela loo miyalelo ngokuchanekileyo. Oko kukukhusela wena nomntwana wakho.
- Kuqhelekile ukuba nexhala kwaye woyike xa ufunda into efana nale. Thetha ngokukhululekileyo nogqirha wakho malunga neemvakalelo zakho kunye noloyiko lwakho. Uza kukunika intuthuzelo nolwazi olufunayo.
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