Ukukhulelwa lixesha apho wonke umama enethemba elikhulu kwaye elumkile kakhulu, akunjalo? Ukwazi ezinye zeengxaki ezinokubakho ngeli xesha kubaluleke kakhulu ekuzalweni okunempilo. Ngokufanayo, nangona kungathethwa rhoqo ngayo, imeko engaqhelekanga kodwa enzima ekufuneka siyiqaphele ngokuqinisekileyo ibizwa ngokuba yiVasa Previa. Ungakhathazeki, masithethe ngayo yonke into ngokulula.
Ngamafutshane, yintoni iVasa Previa?
Khawucinge nje, siyazi ukuba umntwana osesiswini sakho ufumana ioksijini kunye nesondlo sakhe ngentambo yosana. Le ntambo yosana iqhagamshelwe kwi-placenta. Imithambo yegazi evela kwi-placenta ithwala ubomi kumntwana ngentambo yosana.
Ngokwesiqhelo, le mithambo yegazi ikhuselekile kakhulu ngaphakathi kwe-placenta kunye ne-umbilical cord. Kodwa kwimeko ye -Vasa Previa , eminye yale mithambo yegazi, ebalulekileyo kumntwana, idlula ingakhuselekanga idlule okanye isondele emngxunyeni wesibeleko, apho umntwana azalelwa khona.
Khawucinge nje, kufana nomgaqo omkhulu onemithambo yegazi emininzi, odlula kwindawo edibana kuyo ngaphandle kokhuseleko. Oku kuyingozi kakhulu, akunjalo?
Xa amanzi akho ephuka ngexesha lokubeleka, le mithambo yegazi ebuthathaka ingaqhuma. Ukuba oko kuyenzeka, igazi elininzi lingaphuma emzimbeni womntwana, nto leyo enokubangela ingozi enkulu kubomi bomntwana. Yingakho kubaluleke kakhulu ukubona iVasa Previa kwangethuba.
Zithini izizathu zeVasa Previa?
Nangona kunzima ukuchonga unobangela ochanekileyo wale meko, kukho izinto ezininzi eziphambili ezibangela oku.
| Unobangela | Icacisiwe ngokulula |
|---|---|
| Ukufakwa kwentambo ethambileyo | Kulapho intambo yesisu ingancamathiselwanga ngqo kwi-placenta, kodwa inamathele kwiinwebu, kude kancinci ne-placenta. Oku kuthetha ukuba imithambo yegazi ayisakhuselekanga yinto efana nejeli ekhuselayo (ijeli kaWharton). Ngenxa yoko, kusenokwenzeka ukuba yonakale. |
| I-placenta ene-bilobed | Apha, i-placenta yakho yahlulwe yangamacandelo amabini alinganayo (ii-lobes) endaweni yelinye. Imithambo yegazi ehamba phakathi kwala macandelo mabini ingadlula nakwisibeleko. |
| I-placenta ekhulayo | Oku kufana noku kungasentla, kodwa apha, ukongeza kwi-placenta ephambili, kukhula inxalenye encinci okanye iindawo ezininzi ze-placenta. Imithambo yegazi ehamba phakathi kwale nxalenye iphambili kunye nenxalenye eyongezelelweyo nayo inokubekwa ngendlela eyingozi. |
Ngaba iVasa Previa kunye nePlacenta Previa ziyafana?
Hayi. Ezi ziimeko ezimbini ezahlukeneyo ngokupheleleyo. Abantu abaninzi bayabhidanisa ezi meko zimbini.
- I-placenta previa: Oku kwenzeka xa i-placenta isezantsi kakhulu esibelekweni, kunokuba ibe phezulu, igqume umlomo wesibeleko ngokupheleleyo okanye inxalenye. Oku kuyingozi kwi-placenta.
- I-Vasa Previa: Oku akuyongxaki ngendawo ekuyo i-placenta. Ingxaki apha kukuba imithambo yegazi evela kwi-placenta idlula emlonyeni wesibeleko. Ingozi apha ikwimithambo yegazi yomntwana ngqo.
Ingongoma ebalulekileyo kukuba umntu onePlacenta Previa unokuba nomngcipheko okhulayo kancinci wokufumana iVasa Previa.
Zithini iimpawu zeVasa Previa?
Into eyoyikisayo apha kukuba uninzi lwexesha akukho zimpawu. Usenokungaziva ntlungu okanye iintlungu. Yiyo loo nto ii-ultrasound scans ngexesha lokukhulelwa zibaluleke kangaka.
Kunqabile kakhulu, abanye abantu banokuphuma igazi elimnyama (elimnyama) kwisini ngaphandle kwentlungu.
Ngubani osengozini enkulu?
Nangona le meko inokwenzeka nakweyiphi na imeko yokukhulelwa, umngcipheko uphezulu kancinci kwabanye abantu.
- Ukuba nePlac ENT ekhankanyiweyo apha ngasentla yimeko yePrevia .
- I-placenta elele phantsi.
- Ubukho beemeko ezinje ngokufakwa kwentambo yeVelamentous ekhankanyiweyo ngaphambili, i-Bilobed okanye i-Succenturiate placenta .
- i-IVF (Ukuba ukukhulelwa kufezekisiwe ngeteknoloji ye- In Vitro Fertilization (IVF ).
- Ukuba uthwele abantwana abaninzi, njengamawele okanye amawele amathathu.
Ungayibona njani le meko kwangethuba?
Ngethamsanqa, le meko inokufunyaniswa ngexesha lokukhulelwa. Ugqirha wakho uza kwenza olunye uvavanyo ukuba oku kuyarhanelwa ngexesha lokuhlolwa okungaqhelekanga ngexesha lokukhulelwa, ingakumbi phakathi kweeveki ezili-18 nezingama-26 .
Ukuba unamathandabuzo, ugqirha wakho unokucebisa ukuba wenze i-ultrasound engaphaya kwesini . Oku kunokuyibona ngokucacileyo imithambo yegazi kufutshane nomlomo wesibeleko. Kunokunceda ukuqinisekisa indawo kunye nokuma kwe-placenta.
Ukuba ifunyenwe, inyangwa njani?
Musa ukoyika ukuba ufunyaniswe uneVasa Previa. Ukuba ifunyenwe kwangethuba, ingalawulwa kakuhle kwaye unokuba nomntwana osempilweni ngaphandle kweengxaki. Injongo ephambili kukugcina wena nomntwana wakho nikhuselekile de kube lixesha lokubeleka, kwaye nibeleke umntwana wakho ngotyando olucwangcisiweyo ngexesha elicwangcisiweyo .
Ugqirha wakho unokucebisa izinto ezifana nezi:
- Ukujonga impilo yomntwana rhoqo: Izinto ezifana nokubetha kwentliziyo yomntwana zihlala zijongwa.
- Ukulaliswa esibhedlele: Malunga neeveki ezingama-30-32 zokukhulelwa kwakho, ungangeniswa esibhedlele ukuze ujongwe ngokusondeleyo, njengoko kufuneka unyango olungxamisekileyo ngokukhawuleza xa kukho imeko engxamisekileyo.
- Iinaliti zeCorticosteroid: Ukuba umntwana uzalwe ngaphambi komhla ocwangcisiweyo, ezi naliti zinikwa ukunceda imiphunga yomntwana ikhule kakuhle.
- Ukuphumla kwe-pelvic: Uyacetyiswa ukuba uyeke ukwabelana ngesondo kwaye uphephe ukufaka nantoni na kwilungu lobufazi.
- Utyando lwe-C olucwangcisiweyo: Umntwana uzalwe ngotyando olucwangcisiweyo, ngesiqhelo phakathi kweeveki ezingama-34 nezingama-37 , ngaphambi kokuba amanzi aphume.
- Utyando lwe-C olungxamisekileyo: Ukuba amanzi aphuma ngaphambi kwexesha, kukho ukopha, okanye umntwana ufunyenwe ekwimeko enzima yomntwana ongekazalwa, kuya kwenziwa utyando lwe-cesarean olungxamisekileyo ngoko nangoko.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Baza kuceba oko kulungele wena nomntwana wakho.
Umyalezo Wokuya Ekhaya
- I-Vasa Previa yimeko engaqhelekanga enokwenzeka ngexesha lokukhulelwa, kodwa inokuba yingozi kakhulu ukuba ayifunyaniswanga kwangethuba.
- Okwenzekayo apha kukuba imithambo yegazi yomntwana idlula emlonyeni wesibeleko ngaphandle kokhuseleko.
- Iiskeni ze-ultrasound ngexesha lokukhulelwa zibaluleke kakhulu, kuba zihlala zingabangeli zimpawu .
- Ukuba le meko ifunyenwe kwangethuba , ilawulwa kakuhle, kwaye kwenziwe utyando lotyando olucwangcisiweyo , kukho ithuba eliphantse libe yi-100 ekhulwini lokuzala umntwana osempilweni.
- Ukuba unamathandabuzo ngale nto okanye ukuba ungomnye weqela elisengozini, thetha nogqirha wakho ngayo ngokukhululekileyo. Eyona nto ibalulekileyo kukuzixhobisa ngolwazi olufanelekileyo, ungoyiki.
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