I-Placenta Accreta - Singathetha ngale nto?

Ukukhulelwa lelona xesha lihle nelinoxanduva ebomini bomama. Ngeli xesha, kuyinto eqhelekileyo ukuziva usoyika kancinci kwaye unomdla wokwazi okwenzekayo emzimbeni wakho nangempilo yomntwana wakho. Namhlanje siza kuthetha ngemeko ekhethekileyo abantu abaninzi abangazange bayive, kodwa ebaluleke kakhulu ukuba wonke umama okhulelweyo ayiqaphele. Yiyo leyo iPlacenta Accreta . Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula nangokucacileyo.

Okokuqala, masibone, yintoni le placenta?

Ngamafutshane, i-placenta yibhulorho phakathi kwakho nomntwana wakho ngexesha lokukhulelwa. Sisicwili esikhethekileyo esikhula ngaphakathi kwesibeleko. Kukule placenta apho umntwana efumana lonke igazi, ioksijini, kunye nezondlo ezifunekayo emzimbeni wakho. Kukule placenta apho inkunkuma yomntwana isuswa khona.

Okuqhele ukwenzeka kukuba emva kokuba umntwana ezelwe, i-placenta iyazikhupha eludongeni lwesibeleko. Oku sikubiza ngokuba "kukunikezelwa kwe-placenta."

Ngoko ke, yintoni le meko imbi ebizwa ngokuba yiPlacenta Accreta?

I-Placenta Accreta kuxa i-placenta inamathela nzulu kakhulu kwaye iqinile eludongeni lwesibeleko, into engaqhelekanga. Ngokwesiqhelo, i-placenta inamathela kuphela kumgca obhityileyo wesibeleko (i-endometrium). Nangona kunjalo, kule meko, i-placenta inokunamathela nzulu nangakumbi, ukuya kuthi ga kwimisipha yesibeleko.

Xa inamathele ngale ndlela iqinileyo, i-placenta ayinakuphuma lula emva kokuba umntwana ezelwe. Xa uzama ukuyisusa, inokubangela ukopha okukhulu. Le yeyona ngxaki iphambili neyona iyingozi apha.

Kukho iintlobo ezimbini eziphambili zePlacenta Accreta:

Le meko yahlulwe yaba ziintlobo ezintathu eziphambili, kuxhomekeke kubunzulu apho i-placenta inamathela khona eludongeni lwesibeleko. Masiqonde oku ngetafile.

Kutheni le meko isenzeka?

Inani leengxelo zale meko linyuke kancinci kwiminyaka embalwa edlulileyo. Isizathu esiphambili soku sichongiwe kukwanda kwenani labantwana ababelethwe ngotyando (C-sections) .

Khawucinge ukuba ubunomntwana ngaphambili ngotyando lwe-C-section. Olu tyando lushiya isilonda esincinci (isilonda) eludongeni lwesibeleko. Kukukhulelwa okulandelayo, ukuba i-embryo ifakwa ngaphakathi okanye kufutshane neso silonda, i-placenta iya kukhula phezu kweso silonda, kungekhona kwizicubu zesibeleko eziphilileyo. Ngenxa yokuba izicwili zesibeleko azisoluli njengezicubu zesibeleko eziqhelekileyo, i-placenta inokuba nzulu ngokungaqhelekanga.

Ezinye izinto ezinobungozi:

Ukongeza kwi -C-section , ezinye iindlela zotyando okanye iimeko ezibangela amanxeba esibelekweni nazo zinokwandisa le ngozi.

• I-Myomectomy: Utyando lokususa ii-fibroids kwisibeleko.
• Ezinye iintlobo zotyando ezenziwe kwisibeleko (umz. utyando lweHysteroscopic, i-Endometrial ablation).
• Ukuba nesifo esibizwa ngokuba yi-placenta previa . Oku kuthetha ukuba i-placenta isezantsi kwisibeleko, igubungela umlomo wesibeleko. Malunga ne-80% yabantu abane-placenta accreta nabo banale meko.
• Ukuba uneminyaka engaphezu kwama-35 ubudala.
• Ndibe sele ndizele abantwana abaninzi ngaphambili.

Ndingafumanisa njani ukuba ndinale meko?

I-Placenta Accreta idla ngokubonwa ngexesha lokuhlolwa kwe-ultrasound ngexesha lokukhulelwa kwakho okuqhelekileyo.Iskeni. Ukuba unayo nayiphi na kwezi zinto zibalulekileyo ezikhankanyiweyo apha ngasentla, ugqirha wakho angakunika ingqalelo ekhethekileyo koku aze enze iskeni.

Ngamanye amaxesha, i-MRI scan ingenziwa ukuze kuchongwe ukuba i-placenta inzulu kangakanani na. Olu lwazi lubaluleke kakhulu koogqirha ukuze bacwangcise ukuzala.

Kodwa khumbula, ngamanye amaxesha kunzima ukubona ngokupheleleyo ukuba imeko imbi kangakanani xa ujonga iiskeni. Abanye oomama bafunyanwa benesi sifo ngexesha lokubeleka.

Zithini iimpawu zoku?

Into emangalisayo apha kukuba akukho zimpawu zibonakalayo zePlacenta Accreta. Le meko inokuvela emzimbeni wakho ngaphandle kokuba uqaphele naluphi na utshintsho okanye ukungonwabi.

Nangona kunjalo, kwiimeko ezinzima kakhulu njengePlacenta Percreta, i-placenta icinezela amanye amalungu omzimba, nto leyo ebangela iintlungu zesinqe okanye igazi elincinci kumchamo.

Zeziphi iingxaki ezinokubangela oku?

Eyona ngxaki iphambili neyona iyingozi kakhulu ngale meko yenzeka ngexesha lokubeleka. Ekubeni i-placenta ingahlukani nesibeleko ngokuqhelekileyo, iingxaki ezinkulu zinokubakho.

Iziphumo ezinokwenzeka kumntwana

• Ukubeleka ngaphambi kwexesha: Ngokuxhomekeke kubunzima bemeko, umntwana unokufuna ukuzalwa ngotyando kwiiveki ezi-3-6 ngaphambi komhla wokuzalwa.
• Ngenxa yokuzalwa ngaphambi kwexesha, umntwana usemngciphekweni omkhulu wokufuna unyango kwi-NICU (iYunithi yoKhathalelo oluNzulu lweZifo eziSandulelayo ) .
• Ukuba umama ufumana ukopha okukhulu, umntwana unokufuneka azalwe nge-casarean section engalindelekanga.

Iziphumo ezinokubakho kumama

Kule meko, ingozi enkulu ikumama.

• Ukopha kwegazi: Ukopha kakhulu, okunokuba yingozi ebomini, kunokwenzeka.
• Ukususwa kwesibeleko: Kwiimeko ezininzi, indlela ekuphela kwayo yokuthintela ukopha kakhulu nokusindisa ubomi bomama kukususa ngokupheleleyo isibeleko ngexesha elinye nokuzalwa komntwana. Oku kubizwa ngokuba yi-Cesarean Hysterectomy.

Iphathwa kwaye ilawulwa njani?

Ukuba ufunyaniswe unePlacenta Accreta, ungoyiki. Iqela lakho lezonyango liza kuyila icebo elifanelekileyo lokukhusela wena nomntwana wakho.

• Utyando lwe-C olucwangcisiweyo:Ukuhanjiswa kucwangcisiwe kwaye kwenziwa njengotyando lwe-C-section kwiiveki ezimbalwa ngaphambi komhla wokugqibela.
• Ukususwa kwesisu ngotyando: Amaxesha amaninzi, emva kokuba umntwana ezelwe, isibeleko sisuswa ngokupheleleyo kunye ne-placenta. Emva koku, awusayi kuba nakho ukuba nabantwana. Nangona oku kuyinto ebuhlungu, kubalulekile ukuqonda ukuba linyathelo eliyimfuneko ukusindisa ubomi bomama.
• Thetha neqela lakho lezonyango: Ngaphambi kokuba umntwana wakho azalwe, thetha nogqirha wakho kunye neqela lezonyango malunga nemibuzo onokuba nayo. Thetha ngokuncancisa emva kotyando kunye namathuba okubamba umntwana wakho kufutshane.

Kwezinye iimeko, ukuba umama ufuna ukuba nabantwana abaninzi, oogqirha banokuzama ukushiya inxalenye ye-placenta esibelekweni. Nangona kunjalo, oku kunomngcipheko wokosuleleka kunye notyando olulandelayo. Isigqibo esifanelekileyo malunga noku senziwa liqela lakho lezonyango ngokusekelwe kwimeko yakho.