Kuqhelekile ukuba umama akhathazeke nangezona zinto zincinci ngexesha lokukhulelwa. Ingakumbi ukuba ingxelo yakho yeskeni ithi "i-placenta ephantsi", okanye ukuba ngequbuliso uqaphela ukopha kwegazi kwilungu lobufazi phakathi kokukhulelwa kwakho, kunokuba yinto eyoyikisayo kakhulu. Ngoko ke, ungoyiki. Namhlanje, siza kuthetha ngolu loyiko luqhelekileyo lwe -placenta previa, okanye ukuba yintoni, ukuba kufanelekile na ukukhathazeka ngayo, kunye nento omawuyenze kwimeko enjalo.
Ngamafutshane, yintoni i-placenta previa?
Khawucinge nje, xa umntwana wakho esesibelekweni sakho, ufumana yonke ioksijini kunye nesondlo asidingayo ngesitho esibizwa ngokuba yi-placenta. Kufana nebhokisi yesidlo sasemini yomntwana. Le placenta iqhagamshelwe nomntwana ngentambo yesisu, kwaye ithwala izondlo ezivela kuwe ukuya kumntwana, kunye nokususa inkunkuma yomntwana. Le placenta ikhula ngaphakathi kwesibeleko.
Ngokwesiqhelo, le placenta ikwinxalenye ephezulu yesibeleko, kude nomnyango (isibeleko) apho umntwana aphuma khona. Umlomo wesibeleko ufana "nomnyango" apho umntwana aphuma khona.
I-placenta previa kuxa i-placenta, efana nebhokisi yesidlo sasemini yomntwana, ikwizantsi lesibeleko, igubungela ngokupheleleyo okanye inxalenye "yomnyango" (isibeleko).
Khawucinge nje, xa umntwana eza kuzalwa, loo mnyango (isibeleko) uqala ukuvuleka. Emva koko, imithambo yegazi ethambileyo eqhagamshelwe kwi-placenta ephezu komnyango inokukrazuka. Kulapho ke kuvela khona ukopha okukhulu, okubeka umama nomntwana emngciphekweni. Yiyo loo nto oogqirha becebisa ukuba oomama abanesifo sotyando batyandwe ngotyando (C-section).
Ziziphi iintlobo eziphambili zePlacenta Previa?
Le meko ayifani, kukho iintlobo ezahlukeneyo. Iziphumo zingahluka ngokuxhomekeke kuhlobo onalo.
| Uhlobo | Intsingiselo elula | Amanqaku abalulekileyo |
|---|---|---|
| Gqibezela (Gqibezela kwangaphambili) | Umlomo wesibeleko (umnyango apho umntwana angena khona) uvalwe ngokupheleleyo yi-placenta. | Kwimeko enjalo, utyando lwe-cesarean luyimfuneko ngokuqinisekileyo. |
| Inxalenye (Inxalenye yokwandulela) | I-placenta igubungela inxalenye yomlomo wesibeleko kuphela. | Utyando lotyando ludla ngokuba yimfuneko, kwaye isigqibo senziwa ngokusekelwe kwingcebiso kagqirha. |
| I-Marginal Previa / Ukungalali kakuhle | I-placenta ikufutshane kakhulu nomlomo wesibeleko, kodwa ayiwugqumi. | Olu lolona hlobo luxhaphakileyo. Iindaba ezimnandi zezokuba malunga nama-90% eemeko, i-placenta iyazihambela yodwa njengoko isibeleko sikhula. |
Zithini iimpawu zale meko?
Uninzi lwexesha, oomama abanePlacenta Previa ababonisi zimpawu. Ifunyanwa ngexesha lokuhlolwa rhoqo. Nangona kunjalo, ukuba kukho iimpawu , zingabandakanya:
- Uphawu oluphambili: Ukopha ngequbuliso, okungenazintlungu, okubomvu kancinci kwisiqingatha sesibini sokukhulelwa (emva kweeveki ezingama-20). Oku kungaba lula okanye kube nzima.
- Ukuqaqamba kwesisu: Usenokuba neentlungu zesisu (ukubhitya) njengoko ukopha kwakho kuqhubeka. Kusenokuvakala ngathi isisu sakho siyaqina, okanye intlungu yomqolo.
Into ebalulekileyo kukuba akuvamile ukuba nokopha igazi kwilungu lobufazi nangaliphi na ixesha ngexesha lokukhulelwa, ingakumbi kwikota yesibini. Ukuba ukopha kancinci, musa ukungayinaki loo nto.
Ukuba ulahlekelwa ligazi elininzi, unokufumana nezinye iimpawu ze-anemia, ezifana nolusu olukhanyayo, ukubetha kwentliziyo okukhawulezayo nokubuthathaka, ubunzima bokuphefumla, kunye noxinzelelo lwegazi oluphantsi.
Ngubani osengozini enkulu yokufumana iPlacenta Previa?
Nangona le meko inokwenzeka nakubani na, abanye abantu basengozini enkulu.
- Kwabomama abatshayayo.
- Kwabo basebenzisa iziyobisi ezifana ne-cocaine.
- Kwabo baneminyaka engaphezu kwama-35 ubudala.
- Ukuba bekukho ukukhulelwa okuliqela ngaphambili.
- Ukuba ukhe wabelenza utyando lwe-cesarean ngaphambili (C-sections) okanye olunye utyando lwesibeleko (umz., D&C).
- Ukuba ukhulelwe amawele okanye amawele amathathu.
Uyifumana njani le nto, Gqirha?
Uninzi lwexesha, oku kufunyanwa ngengozi. Ugqirha wakho unokukubona ngexesha lokuhlolwa rhoqo ngexesha lokukhulelwa kwakho, ingakumbi ngexesha lokuhlolwa okungaqhelekanga, okwenziwa malunga neeveki ezingama-20.
Kusetyenziswa iskeni ye-ultrasound koku. Okokuqala, uza kuhlolwa nge-ultrasound yesisu. Ukuba oko akucaci ngokwaneleyo, ugqirha wakho unokwenza iskeni encinci nge-vaginal (i-transvaginal ultrasound) ukuze abone ngokuchanekileyo apho i-placenta ikhoyo. Akukho mfuneko yokukhathazeka ngayo, luvavanyo olukhuselekileyo kakhulu.
Iphathwa njani le nto?
Into yokuqala ekufuneka uyiqonde kukuba akukho nyango okanye unyango lwePlacenta Previa, imeko apho iplacenta ikwinxalenye esezantsi yesibeleko. Injongo ephambili yonyango kukulawula ukopha kunye nokwandisa ixesha lokukhulelwa de umntwana akhule ngokupheleleyo, oko kuthetha ukuba usondele kumhla wakho wokuzalwa.
Unyango luxhomekeke kwizinto ezininzi:
- Ubungakanani bokopha.
- Uphi ngexesha lokukhulelwa kwakho?
- Impilo yakho neyomntwana wakho.
- Indawo ye-placenta kunye nomntwana.
Ukuba ukopha kuncinci (Ukopha kancinci)
Ukuba uphuma igazi kancinci, njengethontsi okanye amabini, ugqirha wakho mhlawumbi uya kukuxelela ukuba uphumle (uphumle ebhedini) kwaye uphephe ngokupheleleyo imisebenzi enzima, umthambo, kunye neentlobano zesini.
Ukuba kukho ukopha okukhulu
Ukuba ukopha kukhulu, yingxamiseko. Kuya kufuneka ulaliswe esibhedlele ngoko nangoko. Uya kwamkelwa rhoqo kwiYunithi yoNyango oluNgxamisekileyo (ETU) kwaye ujongwe ngokusondeleyo. Ukuba kuyimfuneko, usenokufuna notofelo-gazi.
Ugqirha angakunika nenaliti ye-corticosteroid ukunceda amaphaphu omntwana wakho akhule ngokukhawuleza. Xa umntwana wakho ekhulelwe malunga neeveki ezingama-36 kwaye evakalelwa kukuba kukhuselekile ukuba azalwe, uza kucwangcisa utyando lwe-C-section olucwangcisiweyo .
Nangona kunjalo, ukuba ukopha akukwazi ukulawulwa, kunokufuneka ukuba kwenziwe utyando lwe-C-section olungxamisekileyo ukuze kusindiswe ubomi bomama, nokuba umntwana akakakhuli ngokupheleleyo.
Ndifanele ndimbone nini ugqirha ngoko nangoko?
Khumbula oku kakuhle.
Ukuba ufumana ukopha kwilungu lobufazi ngexesha lesibini okanye lesithathu leenyanga zokukhulelwa, nokuba kukhaphukhaphu okanye kunzima, fowunela ugqirha wakho ngoko nangoko.
Ukuba ukopha kukhulu, musa ukucinga ngenye into kwaye uye esibhedlele esikufutshane ngoko nangoko. Musa ukuchitha ixesha.
Umyalezo Wokuya Ekhaya
- I-Placenta Previa kuxa i-placenta isezantsi esibelekweni, kufutshane okanye igqume umjelo wokuzalwa (isibeleko).
- Amaxesha amaninzi akukho zimpawu, kodwa uphawu oluphambili kukopha kwegazi kwilungu lobufazi elingenazintlungu.
- Oku kudla ngokuxilongwa nge-ultrasound scan.
- Injongo yonyango kukulawula ukopha kwegazi nokugcina ukukhulelwa de umntwana azalwe ngokukhuselekileyo (ngesiqhelo de kube ziiveki ezingama-36-37) uze emva koko wenze i-cesarean section.
- Bona ugqirha wakho ngokukhawuleza xa kukho ukopha okukhoyo ngexesha lesiqingatha sesibini sokukhulelwa. Ukuba kukhulu, yiya ngqo esibhedlele.
- Ii-90% zeemeko ze-placenta ezisezantsi ziyaphela ngokwazo njengoko ukukhulelwa kuqhubeka, ngoko ke musa ukoyika kwaye ulandele imiyalelo kagqirha wakho.
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