Ukuqhawuka Kwesibeleko Ngexesha Lokukhulelwa? (Ukuqhawuka Kwesibeleko) - Musa ukoyika, masiqaphele oku

Ukuba ungumama onothando othwele umntwana, mingaphi imibuzo, amathemba, kwanoloyiko oluncinci onalo engqondweni yakho ngeli xesha? Kuqhelekile kakhulu. Ufuna ukukhusela umntwana wakho kwinto yonke ade eze kweli hlabathi. Ngoko ke, kufuneka ukuba uvile nge-'placenta' ezisa yonke into ukusuka kwisondlo ukuya kwi-oxygen kumntwana. Le placenta ifana negazi lobomi lomntwana. Kodwa kunqabile kakhulu, le placenta inokwahlukana nodonga lwesibeleko ngaphambi kokuba umntwana azalwe. Yiloo nto siyibiza ngokuba yi-placenta abruption kumayeza. Nangona eli gama lisenokuvakala lisoyikisa, kubaluleke kakhulu ukuba nolwazi olufanelekileyo ngale nto.

Ngamafutshane, yintoni i-placenta abruption?

Khawucinge nje, kukho umntwana ngaphakathi kwesibeleko sakho. I-placenta sisitho esikhethekileyo esinamathele eludongeni lwesibeleko. Umntwana uqhagamshelwe kule placenta ngentambo yesisu. Umntwana ufumana izondlo kwizinto ozityayo neziselayo, ioksijini evela emoyeni owuphefumlayo, konke oku ngale placenta. Kwakhona, le placenta isusa inkunkuma eveliswa emzimbeni womntwana. Ifana 'nenkonzo yokubonelela' enika umntwana yonke into.

Ngokwesiqhelo, i-placenta iyahlukana nesibeleko emva kokuba umntwana ezelwe. Nangona kunjalo, kwimeko ebizwa ngokuba yi -Placental Abruption , i-placenta iyahlukana ngokupheleleyo okanye ngokuyinxenye nodonga lwesibeleko ngexesha lokukhulelwa, ngaphambi kokuba umntwana azalwe. Oku kunokuba yingozi kuwe nakumntwana wakho. Ngethamsanqa, oku akuqhelekanga kakhulu. Kuchaphazela malunga nomnye kubafazi abakhulelweyo abali-100 (1%).

Siyibona njani le meko? Zithini iimpawu zayo?

Le meko idla ngokubonakala emva kweeveki ezingama-20 zokukhulelwa , ingakumbi kwi-trimester yesithathu. Ngamanye amaxesha ingenzeka kancinci kancinci, okanye ingenzeka ngequbuliso.

Makhe sijonge ngakumbi ezi ntlobo zimbini zeempawu kwitheyibhile engezantsi.

Ziziphi izinto ezinokubangela oku?

Kudla ngokuba nzima ukufumana unobangela othile woku, kodwa kufunyenwe ezinye izinto ezibangela umngcipheko.

• Ukuba nale meko kukukhulelwa kwangaphambili: Ukuba ukhe waba nale meko kukukhulelwa kwangaphambili, kukho ithuba elimalunga ne-10% lokuba ingaphinda yenzeke. Ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho.
• Ukutshaya: Lo mngcipheko uphezulu kubafazi abatshayayo ngaphambi kokuba bakhulelwe. Ezinye izifundo zibonisa ukuba umngcipheko unyuka malunga nama-40% ngonyaka ngamnye wokutshaya.
• Utywala neziyobisi: Ukusela utywala nokusebenzisa iziyobisi ezifana ne-cocaine ngexesha lokukhulelwa kuyandisa kakhulu umngcipheko woku.
• Uxinzelelo Lwegazi Oluphezulu: Nokuba ubunoxinzelelo lwegazi oluphezulu ngaphambi kokuba ukhulelwe okanye ukuba lukhula ngexesha lokukhulelwa, kubalulekile ukusebenzisana nogqirha wakho ukuze ulawule kakuhle.
• Iingxaki zolwelo lwe-amniotic: Le ngozi inokwanda ukuba ingxowa equlethe ulwelo lwe-amniotic olukhusela umntwana iyagqabhuka ngaphambi kwexesha okanye ivuza ulwelo.
• Ubudala: Lo mngcipheko uphezulu kancinci koomama abaneminyaka engaphezu kwama-35, ingakumbi abo baneminyaka engaphezu kwama-40.
• Ukuthwala abantwana abangaphezu komnye:Xa kukho abantwana abaninzi, njengamawele, i-placenta inokwahlukana emva kokuba umntwana wokuqala ezelwe nangaphambi kokuba umntwana wesibini azalwe.
• Ukonzakala Kwesisu: Khawuthelekelele uwile ngequbuliso emhlabeni, wabetha isisu ndaweni ithile, okanye wenzakele esiswini, njengakwingozi yemoto. Ezi zinto zinokubangela ukuba i-placenta yahlukane. Ngoko soloko ucinga ngokhuseleko.

Ugqirha uyixilonga aze ayinyange njani le nto?

Ukuba unezinye zeempawu ezikhankanyiweyo apha ngasentla, ingakumbi ukopha okanye iintlungu zesisu, kuya kufuneka uye esibhedlele okanye kugqirha wakho ngoko nangoko . Ugqirha uza kukuhlola.

• Kuza kwenziwa uvavanyo lomzimba ukujonga ukuba akukho buthuntu kwaye kukho iintlungu esibelekweni sakho.
• Kuye kwenziwa uvavanyo lwegazi oluninzi.
• I-ultrasound scan izama ukujonga ngaphakathi kwesibeleko kunye nemeko ye-placenta. Nangona kunjalo, khumbula ukuba olu vavanyo alubonisi rhoqo ukuphazamiseka kwe-placenta.

Zithini iindlela zonyango?

Into yokuqala ekufuneka siyiqonde kukuba i-placenta previa ayinakudityaniswa nodonga lwesibeleko . Ngoko ke, unyango luxhomekeke kubudala bakho bokukhulelwa (ngeeveki), ubungakanani be-placenta previa, kunye nempilo yakho kunye nomntwana wakho.

• Ukuba ukhulelwe ngaphantsi kweeveki ezingama-34: Ukuba ukuqhawuka kwe-placenta akukubi kakhulu kwaye ukubetha kwentliziyo yomntwana kuqhelekile, uya kugcinwa esibhedlele ukuze ujongwe. Ukuba ukopha kuyeka, unokukwazi ukuya ekhaya. Kwakhona, kuba umntwana usenokuzalwa ngaphambi kwexesha, unokunikwa ii-steroids ukunceda imiphunga yomntwana ikhule ngokukhawuleza.
• Ukuba ukhulelwe ngaphezulu kweeveki ezingama-34: Ukuba ukopha kuncinci, unokukwazi ukuzala ngesisu. Nangona kunjalo, ukuba imeko inzima, nto leyo ethetha ukuba ubomi bakho okanye bomntwana wakho busemngciphekweni, unokufuna ukwenza utyando olungxamisekileyo (C-section) . Usenokufuna nokufakelwa igazi.

Zeziphi iingxaki ezinokubangela oku?

Le yimeko enzima kakhulu. Ukuba yinxalenye encinci yeplacenta iyahlukana, isenokungabi yingxaki enkulu. Kodwa ukuba inxalenye enkulu iyahlukana, inokuchaphazela umama nomntwana.

Iziphumo ezinokubakho kumama

• Ukungena kwi-shock okanye ukufuna utofelo-gazi ngenxa yokopha kakhulu.
• Iingxaki kwinkqubo yokuqunjelwa kwegazi.
• Ukungasebenzi kakuhle kwezintso okanye ezinye izitho zomzimba.
• Kunqabile kakhulu ukuba ubomi bukamama bube semngciphekweni.

Iziphumo ezinokwenzeka kumntwana

• Ukuzalwa ngaphambi kwexesha: Umntwana ozelwe ngaphambi kweeveki ezingama-37.
• Iingxaki zokukhula: Ukuzalwa ngaphambi kwexesha kubeka umntwana esichengeni sokufumana iingxaki zempilo kamva ebomini.
• Ukuzalwa kwengane ifile: Ukufa komntwana esibelekweni emva kweeveki ezingama-20 zokukhulelwa.

Liyinyaniso elokuba ezi zinto ziyoyikisa ukuva. Kodwa siyaziqonda ukuze sizikhusele kuzo. Uninzi lwezi ngxaki zinokuthintelwa ngokuthatha amanyathelo ngokukhawuleza nje xa kuvela iimpawu.