I-Placenta Accreta ngesikhathi sokukhulelwa: Ngaphambi kokuba wethuke, sazise lezi zinto ngokuqinisekile

Sonke siyazi ukuthi ingane yakho esibelethweni ithola konke ukudla okunomsoco kanye nomoya-mpilo ekudingayo ku-placenta. Ngemva kokuzalwa kwengane, le placenta ivame ukuphuma kalula esibelethweni ngemizuzu embalwa. Leyo inqubo evamile. Kodwa cabanga, kwenzekani uma le placenta inamathela kancane futhi iqine odongeni lwesibeletho kunalokho ocabanga? Uma lokho kwenzeka, ngeke iphume kalula ngemva kokuzalwa kwengane. Leso yisimo esibucayi sezokwelapha esisibiza ngokuthi i-Placenta Accreta . Nakuba lesi kuyisimo esibucayi, uma siqashelwa kusenesikhathi futhi siphathwa kahle , singavikela umama kanye nengane. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe ngaphandle kokwesaba.

Iyini i-Placenta Accreta kalula?

Kalula nje, i-Placenta Accreta yilapho i-placenta inamathela kakhulu odongeni lwesibeletho. Ekukhulelweni okuvamile, i-placenta inamathela kuphela olwelwesini lwangaphakathi lwesibeletho (i-endometrium). Ngakho-ke, ihlukana kalula ngemva kokuzalwa komntwana.

Kodwa endabeni ye-Placenta Accreta, izingxenye ze-placenta kungenzeka ukuthi zikhule zaba ungqimba lwemisipha yesibeletho. Ngakho-ke, lapho i-placenta isuswa ngemva kokuzalwa komntwana, ingase ingaphumi bese iqala ukopha kakhulu . Lena inkinga enkulu neyingozi kakhulu lapha. Ngezinye izikhathi lokhu kukopha kungaba yingozi ngisho nokuphila. Ngakho-ke, umama onalesi simo kungadingeka ukuthi ampontshelwe igazi noma, ezimweni ezimbi kakhulu, aze akhishwe i-hysterectomy.

Ingabe kunezinhlobo ezahlukene zalokhu?

Yebo, ihlukaniswe ngezinhlobo ezintathu eziyinhloko kuye ngokuthi i-placenta inamathela kanjani odongeni lwesibeletho. Lokhu kuhlukaniswa kubaluleke kakhulu ekuhleleni ukwelashwa.

Ubani osengozini enkulu yokuthola lesi simo?

Nakuba i-Placenta Accreta ingenzeka kunoma yimuphi owesifazane okhulelwe, kunezici ezithile ezandisa ingozi. Kubalulekile ukukhuluma nodokotela wakho ngalezi zinto.

• Ukuhlinzwa kokubeletha kwangaphambilini (C-section): Lesi yisici esiyinhloko esiyingozi. Ukuhlinzwa kokubeletha kwenza i-incision esibelethweni. Njengoba kuphola, kwakheka izicubu zesilonda. Uma i-placenta ingena kulesi silonda ngesikhathi sokukhulelwa okulandelayo, kungenzeka ukuthi inamathele ngokujulile kunezicubu ezivamile. Uma une-C-sections eziningi, kulapho ingozi yakho yokuthola i-Placenta Accreta iphakama khona.
• I-Placenta Previa: Abanye besifazane abakhulelwe bane-placenta etholakala engxenyeni engezansi yesibeletho, emboze umlomo wesibeletho. Lokhu kubizwa ngokuthi ``Placenta Previa``. Uma uke wahlinzwa ngokuhlinzwa kwe-C ngaphambilini futhi unalesi simo ``Placenta Previa``, ingozi yokuthola i-Placenta Accreta iphezulu kakhulu.
• Ukuhlinzwa kwesibeletho kwangaphambilini: Uma uke wahlinzwa okunye, njengokususwa kwe-uterine fibroids noma i-D&C (ukwanda kanye ne-curettage), le ngozi inganda ngenxa yezibazi.
• Ukukhulelwa okuningi: Le ngozi inganda kancane uma unezingane eziningi.
• Ukukhulelwa nge-IVF: Ezinye izifundo zikhombisile ukuthi le ngozi iphakeme kancane nakomama abakhulelwe nge-IVF.

Ingabe i-Placenta Accreta iyayithinta ingane?

Ezimweni eziningi, i-Placenta Accreta ayilimazi ngqo ingane, njengoba i-placenta iqhubeka nokuhlinzeka ingane ngezakhamzimba nomoya-mpilo eyidingayo. Kodwa-ke, ingozi enkulu lapha ukuzalwa ngaphambi kwesikhathi .

Ukuze kuvinjelwe ukuphuma kwegazi ngokweqile ngenxa yokwanda kwe-placenta, odokotela bahlela ukwenza ukuhlinzwa kwe-C-section amasonto ambalwa ngaphambi kosuku lwakho lokuzalwa. Ngokuvamile phakathi kwamasonto angu-34-37. Ukubeletha umntwana kusenesikhathi kangaka kungabangela izinkinga ezihambisana nokuzalwa ngaphambi kwesikhathi, njengesisindo esiphansi sokuzalwa kanye nobunzima bokuphefumula. Ngaleso sikhathi, umntwana kungadingeka angeniswe egunjini lokunakekelwa okujulile kwezingane ezisanda kuzalwa (i-NICU) ukuze athole ukunakekelwa okukhethekile.

Ziyini izingozi kumama?

Ingozi enkulu ku-Placenta Accreta ikumama. Lesi yisona sizathu esiyinhloko esenza kubhekwe njengokukhulelwa okuyingozi kakhulu.

• Ukopha kakhulu: Lena inkinga eyingozi kakhulu futhi evame kakhulu. Lapho i-placenta izalwa ngemva kokuzalwa komntwana, kungaba nokopha okungalawuleki.
• Ukulimala kwesibeletho kanye nezitho ezizungezile: Uma i-placenta ingene odongeni lwesibeletho (i-percreta), izitho ezifana nesinye kanye namathumbu nazo zingalimala.
• Ukususwa kwesibeletho: Uma kungekho enye indlela yokuvimba ukopha okukhulu, isibeletho kungadingeka sisuswe ngokuphelele ukuze kusindiswe impilo kamama. Lokhu kuzoholela ekulahlekelweni yikhono lokuba nabantwana esikhathini esizayo.
• Izinkinga zokujiya kwegazi, ukwehluleka kwamaphaphu noma kwezinso: Uma wopha kakhulu, kungathinta ezinye izinhlelo emzimbeni.
• Ukufa: Nakuba kungavamile kakhulu, uma kungabonakali kusenesikhathi futhi kwelashwa kahle , ukopha ngokweqile kungaba yingozi ngisho nakumama.

Lezi zingozi zingase zesabe ukuzibona. Kodwa khumbula, uma lesi simo sitholakala kusenesikhathi , ithimba lezokwelapha lingabhekana nezingozi eziningi futhi lisindise impilo kamama.

Ziyini izimpawu zalesi simo?

Esikhathini esiningi, umama akabi nazimpawu ze-Placenta Accreta. Leyo yingxenye eyingozi kakhulu yalokhu. Ungaba nalesi simo ngaphakathi ngaphandle kokungakhululeki noma ubuhlungu.

Kodwa-ke, abanye besifazane bangase bazwe ukopha kwesitho sangasese sowesifazane ngesikhathi sekota yesithathu yokukhulelwa (ngemuva kwamasonto angama-28). Futhi, uma i-placenta icindezela isitho, njengesinye, kungabangela ubuhlungu be-pelvic.

Odokotela bakuthola kanjani lokhu?

Ngenhlanhla, i-Placenta Accreta ingatholakala kaningi ngesikhathi sokuhlolwa okuvamile ngesikhathi sokukhulelwa. Ngesikhathi sokuhlolwa, udokotela wakho uzonaka kakhulu indawo ye-placenta nokuthi inamathele kanjani esibelethweni.

• Ukuskena nge-Ultrasound: Lena yindlela yokuxilonga eyisisekelo nebaluleke kakhulu. Udokotela uzohlola ngokucophelela ukuxhumana phakathi kwe-placenta nesibazi esidala, ikakhulukazi uma uke wahlinzwa ngokuhlinzwa kwe-C ngaphambilini.
• I-MRI Scan (I-Magnetic Resonance Imaging): Kwezinye izimo, i-MRI scan ingenziwa ukuqinisekisa ukuthi i-placenta ijule kangakanani nokuthi inamathele kwezinye izitho zomzimba.

Ngezinye izikhathi, uma ukuhlolwa kungaluboni, odokotela bathola kuphela ukuthi i-placenta ayihlukani ngemva kokuzalwa komntwana. Kodwa kungcono ukuyithola kusenesikhathi . Ngemuva kwalokho konke kungahlelwa kusenesikhathi ngaphambi kokuzalwa. Odokotela abangochwepheshe, ibhange legazi, ngisho neyunithi yokunakekelwa okujulile kwezinsana (i-NICU) kungahlelwa uma kudingeka.

Yiziphi izindlela zokwelapha i-Placenta Accreta?

Uma lesi simo sesitholakele, uzophathwa yithimba lezifundo eziningi, okuhlanganisa odokotela bezifo zabesifazane, odokotela bezifo ezibulala izinzwa, kanye nodokotela bezifo zomchamo ngezinye izikhathi.

Indlela yokwelapha incike ebunzimeni besimo sakho.

• Ukuhlinzwa kwe-C okuhleliwe: Ukwelashwa okuyinhloko ukuhlinzwa kwe-C okuhleliwe, kusenesikhathi . Lokhu kuvame ukwenziwa phakathi kwamasonto angu-34 no-37. Lokhu kwenzelwa ukubeletha umntwana ngaphambi kokuba uqale ukuba nezinhlungu zokubeletha. Lokhu kungenxa yokuthi uma isibeletho sakho siqala ukufinyela, kungaba nokuphuma kwegazi okuningi okuvela ku-placenta.
• Ukuhlinzwa Kwesisu: Ezimweni ezimbi kakhulu, ikakhulukazi uma kukhona i-Placenta Increta noma i-Percreta, inketho ephephile ukukhipha isibeletho ngesikhathi esifanayo nokuhlinzwa kwe-C. Lapha, ngemva kokuba udokotela ebeletha umntwana, isibeletho sisuswa ngokuphelele kanye ne-placenta , ngaphandle kokuzama ukususa i-placenta. Lokhu kungavimbela ukopha ngokweqile futhi kusindise impilo kamama.
• Imizamo yokusindisa isibeletho: Uma ufuna ukuba nezingane eziningi esikhathini esizayo, futhi isimo singesibi kakhulu, udokotela wakho angase azame ukusindisa isibeletho. Kodwa-ke, lokhu kuyinqubo eyingozi kakhulu futhi eyinkimbinkimbi. Ngezinye izikhathi, ingxenye ye-placenta kungadingeka ishiywe esibelethweni. Lokhu kungabangela izinkinga kamuva, njengokutheleleka kanye nokopha.

Udokotela wakho uzochaza indlela yokwelapha engcono kakhulu nephephile yesimo sakho.

Izinto okufanele uzibuze udokotela wakho

Uma uthola ukuthi une-Placenta Accreta, kuvamile ukuba nemibuzo eminingi engqondweni yakho. Ungesabi. Cela udokotela wakho akuchazele le mibuzo.

• Ngizomthola umntwana kusenesikhathi?
• Yikuphi ukwelashwa okufanele kimi?
• Ingabe ngidinga ukwenza izinguquko endleleni yami yansuku zonke? Ingabe ngidinga ukuphumula embhedeni?
• Yiziphi izimpawu okufanele ngiye esibhedlela ngokushesha uma ngiba nazo?
• Angikwazi yini ukubeletha ngesitho sangasese sowesifazane?
• Ngizokwazi yini ukuba nomunye umntwana esikhathini esizayo?
• Angakanani amathuba okuthi ngizodinga ukuhlinzwa kwesisu?

Izimpendulo zale mibuzo zizokusiza ukuthi ulungiselele ngokwengqondo ukubhekana nalesi simo.

Wenzani uma kunesimo esiphuthumayo?

Uma wazi ukuthi une-Placenta Accreta, udokotela wakho uzokuqapha ngokucophelela. Kodwa-ke , uma uzwa ukopha okukhulu okucwilisa iphedi esikhathini esingaphansi kwehora ngesikhathi sokukhulelwa, noma uma uzwa ubuhlungu obukhulu besisu esingezansi , kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.