Ukukhulelwa lixesha elihle kakhulu nelinika ithemba kuwe, lowo unethemba lokuba ngumama. Nangona kunjalo, kukho amaxesha apho nezinto ezincinci zinokukwenza uzive usoyika kwaye uxhalabile. Mhlawumbi xa ufunda ingxelo yakho yeskeni aze ugqirha athi, "I-placenta iphantsi kancinci" okanye "Kukho imeko ebizwa ngokuba yi -placenta previa ," kufuneka ukuba uzive usoyika kakhulu. "Yintoni leyo? Ngaba iza kubangela iingxaki kum nakumntwana?" Umele ukuba wacinga. Ungakhathazeki. Le yimeko efunyanwa ngoomama abaninzi. Ke namhlanje, masithethe ngale nto, oko kukuthi, i-Placenta Previa, ngendlela elula, kwaye ufumane iimpendulo kuyo yonke imibuzo onayo engqondweni yakho.
Yintoni iPlacenta Previa?
Kulungile, masiqale sijonge ukuba yintoni i-placenta. Ngamafutshane, i-placenta sisitho esikhethekileyo esikhula ngaphakathi kwesibeleko sakho ngexesha lokukhulelwa. Iqhagamshelwe kumntwana wakho ngentambo yesisu. Ioksijini yomntwana, izondlo, kunye nokutya konke kudluliselwa ukusuka kuwe ukuya kumntwana ngale placenta. Ikwathwala imveliso yenkunkuma eveliswa ngumzimba womntwana ibuyele emzimbeni wakho ize iyilahle. Kufana "neziko lokubonelela" lomntwana.
Ngokwesiqhelo, le placenta ikwinxalenye ephezulu yesibeleko. Nangona kunjalo, kwimeko yePlacenta Previa , endaweni yokuba ikwinxalenye ephezulu yesibeleko, ikwinxalenye esezantsi yesibeleko, oko kukuthi, kufutshane nomngxuma umntwana aphuma ngawo ngexesha lokubeleka, okanye umlomo wesibeleko, okanye uvalwe ngokupheleleyo.
Khawucinge nje, le placenta inamathele kufutshane nomnyango apho umntwana aphuma khona. Kulapho ke ingxaki iqala khona.
Xa kuqala ukuzala, umlomo wesibeleko uqala ukuvuleka. Emva koko, imithambo yegazi ekwi-placenta, egquma umlomo wesibeleko, inokweluka ize ikrazuke, nto leyo ebangela ukopha. Oku kunokuba yingozi kakhulu kumama nakumntwana. Yiyo loo nto oogqirha becebisa ukuba oomama abane-Placenta Previa benze utyando lwe-cesarean (C-section) endaweni yokuba babeleke ngendlela eqhelekileyo.
Ziziphi iintlobo eziphambili zePlacenta Previa?
Le meko ayifani. Kukho iintlobo ezininzi eziphambili ze-placenta previa, kuxhomekeke ekubeni i-placenta igubungela kangakanani umlomo wesibeleko. Kuxhomekeke kolu hlobo, unyango kunye neengozi ozifumanayo zinokwahluka.
| Uhlobo | Intsingiselo | Yintoni ekufuneka uyazi |
|---|---|---|
| Ingcaciso epheleleyo | Umlomo wesibeleko ugqunywe ngokupheleleyo yi-placenta. | Le yeyona meko inobungozi obukhulu kwaye kuya kufuneka kwenziwe utyando lotyando (C-section). |
| Ingcaciso eNgaphelelanga | Kuphela inxalenye yomlomo wesibeleko egqunyiweyo. | Nalapha, umngcipheko wokopha uphezulu. Kwiimeko ezininzi, kucetyiswa ukuba kwenziwe utyando lotyando. |
| I-Marginal Previa (I-Placenta ephantsi) | I-placenta ikufutshane kakhulu nomlomo wesibeleko, kodwa umlomo wesibeleko awuvalwanga. | Iindaba ezimnandi zezokuba njengoko ukukhulelwa kuqhubeka kwaye isibeleko sikhula, kukho amathuba angama-90% okuba le placenta inyuke. Ke ngoko, oku kudla ngokuphela ngaphandle kwengxaki ngexesha lokubeleka. |
Zithini iimpawu zePlacenta Previa?
Ixesha elininzi, oomama abanale meko ababonisi zimpawu. Ifunyanwa kuphela ngokuskena. Kodwa ukuba iimpawu ziyavela, eyona nto iphambili yile:
- Ukopha okubomvu okukhawulezileyo, okungenazintlungu, okuqhelekileyo kwilungu lobufazi. Oku kwenzeka rhoqo kwikota yesibini okanye yesithathu yokukhulelwa. Ubungakanani bokopha bunokuba bulula okanye bube nzima.
- Ngamanye amaxesha, njengoko ukopha kuqhubeka , ungaziva ukuqina esiswini sakho (ukudumba) kunye nentlungu yesisu. Okanye ungaziva ukuqina emqolo wakho.
Eyona nto ibalulekileyo kukuba, ukuba ufumana ukopha kwilungu lobufazi ngexesha lokukhulelwa nangasiphi na isizathu, musa ukucinga ukuba yinto eqhelekileyo. Yiya kugqirha ngoko nangoko.
Ukuba ulahlekelwa ligazi elininzi, usenokuba ne-anemia.Iimpawu ezinje ngokukhanya okufipheleyo, ubunzima bokuphefumla, ukubetha kwentliziyo ngokukhawuleza nangokubuthathaka, kunye noxinzelelo lwegazi oluphantsi nazo zinokuvela.
Ngubani osengozini enkulu yokuba nale meko?
Nangona oogqirha bengayazi eyona nto ibangela ukuba i-placenta previa ivele, bafumanise ukuba abanye abantu basengozini enkulu.
- Kwabo batshayayo
- Kwabo basebenzisa iziyobisi ezifana ne-cocaine
- Kwabo bakhulelwe izihlandlo ezininzi ngaphambili
- Kwabo baneminyaka engaphezu kwama-35 ubudala
- Abo bakhe benza utyando lwesibeleko ngaphambili, ingakumbi utyando lwe-cesarean (utyando lwe-C)
- Kwabo bakhulelwe amawele okanye amawele amathathu
Ngaba i-Placenta Previa ingabangela ukuzalwa kwangaphambi kwexesha?
Ewe. Le yenye yezona ngxaki ziphambili zePlacenta Previa. Ukuba kukho ukopha okukhulu okungalawulekiyo, oogqirha kufuneka benze i-cesarean section engxamisekileyo ukusindisa ubomi bomama nomntwana ngaphambi kokuba umntwana akhule ngokupheleleyo, oko kukuthi, ngaphambi kweeveki ezingama-37. Oku sikubiza ngokuba kukuzalwa kwangaphambi kwexesha.
Ugqirha uyixilonga aze ayinyange njani le nto?
Le meko idla ngokubonwa ngexesha lokuhlolwa kwe-ultrasound rhoqo, okwenziwa malunga neeveki ezingama-20 zokukhulelwa kwakho. Ibonisa ngokucacileyo apho i-placenta ikhoyo.
Akukho "nyango" lucacileyo loku. Oko kukuthi, i-placenta ayinakususwa kwindawo yayo yokuqala. Injongo ephambili yonyango kukulawula ukopha kunye nokugcina ukukhulelwa ngokukhuselekileyo de kube ngumhla wokugqibela usondele kangangoko kunokwenzeka.
Unyango olufumanayo luya kuxhomekeka kwezi zinto zilandelayo:
- Ubungakanani bokopha: Ukuba akukho kopha okanye ukopha okuncinci kakhulu, ugqirha wakho uya kukuxelela ukuba ulale ebhedini yakho yonke . Oku kuthetha ukuba uya kucetyiswa ukuba uphephe ngokupheleleyo imisebenzi enzima, ukuphakamisa iintsimbi, ukuba nesondo, kunye nokuzilolonga . Nangona kunjalo, ukuba ukopha kukhulu, kuya kufuneka usiwe kwigumbi likaxakeka (ETU) lesibhedlele ngoko nangoko. Ungagcinwa esibhedlele kwaye usenokufuna notofelo-gazi ukuba kuyimfuneko.
- Ukukhula kosana: Ngenxa yomngcipheko wokuzalwa ngaphambi kwexesha, inaliti ye-corticosteroid inokunikwa ukunceda imiphunga yosana ikhule ngokukhawuleza.
- Ukuzalwa: Ukuba yonke into ihamba kakuhle, xa kufika ixesha lokuba umntwana azalwe ngokukhuselekileyo (malunga neeveki ezingama-36-37), ugqirha wakho uza kukubekela utyando lwe-C-section. Nangona kunjalo, ukuba uphuma igazi ngendlela engalawulekiyo, okanye ukuba umntwana akakakhuli ngokupheleleyo, utyando lwe-C-section olungxamisekileyo lunokufuneka ukuze kusindiswe ubomi bomama nomntwana.
Ufanele uye nini kugqirha ngoko nangoko?
Oku kubaluleke kakhulu.
Ukuba ufumana ukopha kwilungu lobufazi ngexesha lesibini okanye lesithathu leenyanga zokukhulelwa kwakho, fowunela ugqirha wakho ngokukhawuleza ngaphandle kokulibazisa.
Ukuba ukopha kukhulu, okanye ukuba uziva unesiyezi okanye unesisu esiqinileyo, yiya ngqo esibhedlele esikufutshane okanye kwigumbi likaxakeka (ETU). Ukwenza into ngokukhawuleza ngexesha elinje kubaluleke kakhulu kubomi bakho nobomntwana wakho.
Umyalezo Wokuya Ekhaya
- I-Placenta Previa kuxa i-placenta isezantsi esibelekweni, kufutshane okanye igqume umngxuma umntwana aphuma ngawo (umlomo wesibeleko).
- Uphawu oluphambili kukopha ngaphandle kwentlungu okwenzeka ekupheleni kokukhulelwa.
- Le meko idla ngokuchongwa ngeskeni. Ungakhathazeki, ugqirha wakho uza kukunika iingcebiso malunga nendlela yokulawula le meko.
- Injongo yonyango kukulawula ukopha kunye nokuzala umntwana ngotyando olukhuselekileyo ngexesha elifanelekileyo.
- Ukuba ufumana ukopha ngexesha lesibini okanye lesithathu lokukhulelwa, musa ukulibazisa. Bona ugqirha wakho ngoko nangoko. Ukopha kakhulu yingxamiseko.
- Landela imiyalelo kagqirha wakho malunga nokuphumla kunye nemiqathango yokusebenza ngononophelo. Kubaluleke kakhulu kukhuseleko lwakho nolomntwana wakho.
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