Ingabe i-placenta yakho inamathele kakhulu esibelethweni? Ake sixoxe nge-Placenta Accreta!

Njengomama, ngezinye izikhathi awunakho ukwesaba okuningi ngezinto, akunjalo? Ikakhulukazi uma usuzoba nomntwana, mayelana ne-placenta. Namuhla sizokhuluma ngesimo abanye omama abangase babhekane naso ngesikhathi sokukhulelwa, kodwa kufanele uqaphele kancane ngaso, futhi singaba yingozi. Leso yisimo esibizwa ngokuthi (i-Placenta Accreta) .

Kuyini (i-Placenta Accreta)? Kalula nje...

Kalula nje, i-Placenta Accreta yilapho i-placenta, enikeza ingane yakho izakhamzimba nomoya -mpilo , inamathela kakhulu odongeni lwesibeletho sakho. Ekukhulelweni okuvamile, le placenta ihlukana kalula nodonga lwesibeletho ngemva kokuzalwa komntwana. Kodwa-ke, endabeni ye-Placenta Accreta, i-placenta inamathele kakhulu odongeni lwesibeletho kangangokuthi ayihlukani kalula ngemva kokuzalwa komntwana.

Cabanga ngale ndlela, njengalapho isitshalo sitshalwe emhlabathini, izimpande zaso zivame ukusabalala, ekukhulelweni okunempilo i-placenta inamathela odongeni lwesibeletho. Kodwa-ke, ku-Placenta Accreta, izimpande zaleso sitshalo ziyajula kunalokho obekulindelwe, mhlawumbe njengokungathi zingene entweni eqinile njengokhonkolo, futhi i-placenta idlule ungqimba lwemisipha yodonga lwesibeletho futhi inamathele ngokuqinile.

Ezimweni ezimbi kakhulu, lokhu kungaholela ekuphumeni kwegazi okukhulu kwesitho sangasese sowesifazane. Kungaba yingozi empilweni. Kulesi simo, ungadinga ukumpontshelwa igazi (okungukuthi, ukumpontshelwa igazi) kanye nokususwa kwesibeletho. Odokotela abanikeza ukunakekelwa kwangaphambi kokubeletha bavame ukuxilonga lesi simo ngesikhathi sokukhulelwa, noma ngezinye izikhathi ngesikhathi sokubeletha. Ukwelashwa kuvame ukuhilela ukubeletha umntwana ngokubeletha ngokuhlinzwa okuhleliwe (C-section) ukuze kuncishiswe ingozi yezinkinga ezinkulu, kulandelwe ukususwa kwesibeletho.

Ingabe kunezinhlobo ezahlukene ze-Placenta Accreta?

Yebo, kunezinhlobo ezintathu eziyinhloko ze-Placenta Accreta. Odokotela banquma lezi zinhlobo ngokusekelwe ekutheni i-placenta inamathele kangakanani esibelethweni sakho.

1. I-Placenta Accreta: Lolu uhlobo oluvame kakhulu. Lapha, i-placenta inamathela ngokuqinile odongeni lwesibeletho, kodwa ayinwebi odongeni futhi ayithinti kakhulu imisipha yesibeletho.

2. I-Placenta Increta: Kulolu hlobo, i-placenta inamathela ngokujulile odongeni lwesibeletho, ongqimbeni lwemisipha. Ayikakangeni ngokuphelele odongeni, kodwa inamathele ngokuqinile emisipheni yesibeletho. Lokhu kwenzeka cishe ku-15% wazo zonke izimo ze-Placenta Accreta.

3. I-Placenta Percreta: Lesi yisimo esibi kakhulu nesiyingozi kakhulu. Lapha, i-placenta ingena ngokuphelele odongeni lwesibeletho. Ingadlulela ngisho nangaphezu kwesibeletho futhi ithinte ezinye izitho emzimbeni wakho, njengesinyi namathumbu, noma inamathele kuzo. Lokhu kwenzeka kuphela kubantu abambalwa, cishe u-5%.

Ubani osengozini enkulu yokuthola i-Placenta Accreta?

Usengozini enkulu yokuthola i-Placenta Accreta uma unezinye zezimo ezilandelayo:

• Uma uke wabeletha ngokuhlinzwa ngaphambilini: Ingozi iphakeme, ikakhulukazi uma uke wabeletha ngokuhlinzwa izikhathi eziningi, ngoba isilonda sesibeletho singakheka endaweni yokuhlinzwa.
• Uma i-placenta isesimweni esingavamile esibelethweni sakho: Isibonelo, uma unesifo esibizwa ngokuthi ``I-Placenta Previa``, lapho i-placenta isengxenyeni engezansi yesibeletho, imboze umlomo wesibeletho.
• Uma uke wahlinzwa isibeletho ngaphambilini: Uma uke wahlinzwa njengokususwa kwe-uterine fibroids noma i-D&C (ukwanda kanye nokususwa kwezicubu), lesi simo singabangelwa ukuqhekeka kwezibazi kulezo zindawo.
• Uma uke wakhulelwa izikhathi eziningi ('ukukhulelwa okungaphezu kokukodwa') ngaphambili.
• Uma ukhulelwe nge-IVF (ukufakelwa kwesidoda ngokwenziwa).

Cabanga nje, unomngane, ake sithi uNimali. UNimmali ubelethe izingane ezimbili ngaphambilini ngokuhlinzwa. Manje njengoba esekhulelwe ingane yakhe yesithathu, udokotela umtshela ukuthi kudingeka aqaphele kakhudlwana ngokuma kwe-placenta. Ngenxa yokuthi uke waba nokuhlinzwa ngaphambilini, kungase kube nezibazi ezincane esibelethweni lapho kwenziwa khona ukuhlinzwa. Yingakho ingozi ye-Placenta Accreta ikhula.

Ingabe i-Placenta Accreta izolimaza ingane?

I-Placenta Accreta ayilimazi ngqo ingane. Kodwa-ke, lesi simo singavame ukuholela ekuzalweni ngaphambi kwesikhathi (ukuzalwa ngaphambi kwesikhathi). Lokhu kusho ukuthi ingane ingazalwa ngaphambi kwamasonto angu-37. Izingane ezizalwa ngaphambi kwesikhathi zinezingozi ezifana nobunzima bokuphefumula nezinkinga zokuthola isisindo. Futhi, kunethuba elikhulu lokuthi ingane izongeniswa e-Neonatal Intensive Care Unit (NICU) ukuze ithole ukwelashwa okukhethekile.

Yiziphi izingozi kumama ngenxa ye-Placenta Accreta?

Lokhu kungase kuzwakale kuyesabisa kancane, kodwa kubalulekile ukwazi. Umama one-Placenta Accreta angabhekana nezingozi ezilandelayo:

• Ukuzalwa ngaphambi kwesikhathi.
• Ukulimala kwesibeletho kanye nezitho ezizungezile njengesinye kanye namathumbu.
• Ukulahlekelwa ukuzala ngenxa yokususwa kwesibeletho.
• Ukopha ngokweqile, okubangela isidingo sokumpontshelwa igazi.
• Izinkinga zokujiya kwegazi.
• Ukwehluleka kwamaphaphu noma kwezinso.
• Ezimweni ezingavamile kakhulu, ukufa kungavela. Yingakho lesi simo sibhekwa njengesibi kakhulu.

Ivame kangakanani i-Placenta Accreta?

Kuthiwa i-Placenta Accreta ithinta cishe ukukhulelwa okukodwa kwabangu-533. Kodwa-ke,Ukwanda kwalesi simo kuye kwanda emashumini eminyaka amuva nje, ikakhulukazi ngenxa yokwanda kwenani lokuhlinzwa (ukuhlinzwa kwe-C).

Yiziphi izimbangela ze-Placenta Accreta?

I-Placenta Accreta ibangelwa kakhulu ukungasebenzi kahle kolwelwesi lwesibeletho sakho. Ulwelwesi lwesibeletho sakho kungenzeka ukuthi lonakele futhi lwaphazamiseka ngokuhlinzwa kokukhipha isisu kwangaphambilini. Kodwa ngezinye izikhathi lesi simo singavela nakubantu abangakaze bakhishwe isisu, akunjalo?

Izici eziyinhloko zengozi ye-Placenta Accreta yilezi:

• Ukuhlinzwa Kwangaphambi Kokuhlinzwa (`Ukuhlinzwa Kwangaphambili Kwe-C-sections`): Abesifazane abaye bahlinzwa ngokuhlinzwa kaningi basengozini enkulu yokuthola i-Placenta Accreta. Lokhu kungenxa yokuthi izibazi ezakheka esibelethweni ngenxa yalezo zinhlinzeko zingaba zimbi kakhulu. Ingozi iyanda ngenani lokuhlinzwa okwenziwe ngokuhamba kwesikhathi. Amacala angaphezu kuka-60% e-Placenta Accreta ake ahlinzwa ngokuhlinzwa ngaphambilini.
• Ukuhlinzwa kwesibeletho kwangaphambilini: Uma uke wahlinzwa ukuze kususwe ama-fibroids esibeletho (okungama-tumors angewona umdlavuza), amanxeba angaholela ekukhuleni kwe-placenta. Futhi, ukuhlinzwa okufana ne-curettage (D&C) noma i-endometrial ablation nakho kungabangela amanxeba, okuholela kulesi simo.
• I-Placenta Previa: Kulesi simo, i-placenta itholakala imboze umlomo wesibeletho. Kulabo abane-Placenta Previa kanye nalabo abake baba nokuhlinzwa, ingozi yokuthola i-Placenta Accreta iyanda ngenani lokuhlinzwa okwenziwe.

Ziyini izimpawu ze-Placenta Accreta?

Esikhathini esiningi, abantu abane-Placenta Accreta ababonisi zimpawu ezithile. Lokho kuyinto okufanele uyicabangele. Kodwa-ke, abanye abantu bangase babe nokopha okuthile kwesitho sangasese sowesifazane phakathi nekota yesithathu yokukhulelwa (okungukuthi, kusukela emavikini angama-28 kuya kwangama-40), noma bangase babe nobuhlungu besisu esingezansi njengoba i-placenta icindezela esinyeni noma ezinye izitho zomzimba.

Ungayibona kanjani (i-Placenta Accreta)?

I-Placenta Accreta ingatholakala nge-ultrasound scan ngesikhathi sokukhulelwa. Ngezinye izikhathi , ukuhlolwa kwe-Magnetic Resonance Imaging (MRI) kungenziwa ukuze kubonwe ukuthi i-placenta izifake ngokujule kangakanani odongeni lwesibeletho.

Kwezinye izimo, odokotela bathola i-Placenta Accreta kuphela ngemva kokuzalwa komntwana. Ngokuvamile, isibeletho siyafinyela bese i-placenta iphuma zingakapheli imizuzu engama-30 umntwana ezelwe. Uma lokhu kungenzeki, udokotela angase asole i-Placenta Accreta.

Kubaluleke kangakanani ukutholakala kwe-Placenta Accreta kusenesikhathi?

Kubaluleke kakhulu ukuqaphela lesi simo kusenesikhathi.

Ngoba-ke, ngesikhathi sokukhulelwa kwakho nangemva kokuzalwa komntwana wakho, abahlinzeki bezempilo abahlukene, okungukuthi, ochwepheshe abahlukene, bangahlangana ukuze bahlele ukwelashwa okungcono kakhulu kuwe nomntwana wakho. Isibonelo, udokotela wezinsana angase ahileleke ekunakekelweni komntwana wakho, noma udokotela wezinsana angase ahileleke ekunakekelweni kwakho. Udokotela wakho uzokuqapha eduze kakhulu futhi asebenzele ukukunikeza umphumela omuhle kakhulu kuwe nomntwana wakho.

Ngokubandakanya ithimba lezokwelapha elifanele, ungase ukwazi ukugwema ukususwa kwesibeletho noma ukuvimbela ukopha okukhulu okusongela ukuphila. Kwezinye izimo ezinzima, ukutholwa kusenesikhathi kungase kungavimbeli ukususwa kwesibeletho noma ukumpontshelwa igazi. Kodwa-ke, ukutholwa kusenesikhathi kunganciphisa kakhulu ingozi yezinye izinkinga.

Iphathwa kanjani i-Placenta Accreta?

Ukwelashwa kwalokhu kungahluka kuye ngomuntu nomuntu. Uma udokotela wakho ekubona ngaphambi kokuba ingane yakho izalwe, uzokuqapha eduze phakathi nokukhulelwa kwakho. Ungase ucelwe ukuthi uhlale esibhedlela noma uphumule embhedeni ekhaya ukuze usize ekuvimbeleni ukuzalwa ngaphambi kwesikhathi.

Udokotela wakho uzohlela ukuhlinzwa kokubeletha (ukuhlinzwa kokubeletha) ukuze abelethe umntwana wakho, ngokuvamile phakathi kwamasonto angu-34 kuya kwangu-37 okukhulelwa. Lokhu kwenzelwa ukuvimbela ukuphuma kwegazi ngokweqile okungase kwenzeke ngenxa yokusikwa kwesibeletho noma ukubeletha. Uma uhlela ukuba nezingane ezengeziwe, udokotela wakho uzozama ukusindisa isibeletho sakho.

Kodwa-ke, ezimweni ezimbi kakhulu lapho i-placenta ijule kakhulu, inamathele kakhulu, noma ithinte ezinye izitho zomzimba, i-hysterectomy iyindlela ephephile kakhulu. I-cesarean hysterectomy inqubo lapho isibeletho sisuswa khona ngesikhathi esifanayo nomntwana ebelethwa ngokuhlinzwa. Kule nqubo, udokotela ususa umntwana kanye nesibeletho kanye ne-placenta ngesikhathi esifanayo. Ukususa isibeletho ngenkathi i-placenta isanamathele kunganciphisa kakhulu ingozi yokopha ngokweqile.

Abanye odokotela bakhetha ukushiya izingcezu ezincane ze-placenta ngaphakathi kwesibeletho, njengoba i-placenta izoncibilika ngokuhamba kwesikhathi. Kodwa-ke, lokhu kunezingozi ezifana nokopha okukhulu kwesitho sangasese sowesifazane, ukutheleleka, kanye nokuqhekeka kwegazi. Kungenza kube nzima nokukhulelwa esikhathini esizayo.

Ubeletha umntwana kusenesikhathi esingakanani uma une-(Placenta Accreta)?

Odokotela abaningi batusa ukuhlinzwa ngokuhlinzwa kwe-C phakathi kwamasonto angu-34 kuya kwangu-37 okukhulelwa , ngaphandle uma kunezinye izinkinga. Lokhu kwenzelwa ukuvimbela ukuthi ungabi nokusikwa noma ukuqala ukubeletha, okungabangela ukopha ngokweqile. Udokotela wakho angakunikeza nomuthi obizwa ngokuthi ama-corticosteroids ukusiza amaphaphu engane yakho akhule.

Ingabe i-Placenta Accreta ingavinjelwa?

Ayikho indlela yokuvimbela ngokuphelele lesi simo (i-Placenta Accreta).Kodwa-ke, uma uke wahlinzwa ngokuhlinzwa izikhathi eziningi esikhathini esidlule, noma uma une-placenta previa (i-placenta previa), ingozi yakho iphakeme. Khuluma nodokotela wakho ngomlando wakho wezempilo nokuthi iyini ingozi yakho yokuthola i-placenta accreta.

Liyini ikusasa lalabo abane-(Placenta Accreta)?

I-Placenta Accreta, uma itholakale isencane ekukhulelweni, ivame ukuba nomphumela omuhle. Kodwa-ke, ingaholela ezinkingeni ezifana nokubeletha ngaphambi kwesikhathi kanye nokususwa kwesibeletho. Uma udokotela wakho ekhipha isibeletho sakho, ngeke ukwazi ukukhulelwa futhi. Lesi simo singabangela ukopha okukhulu, umonakalo emathunjini akho noma esinyeni, ngisho nokufa. Yingakho kuyisimo esidinga ukunakekelwa okukhulu.

Kungenzeka yini ukuthi uphinde ube nomntwana ngemva kwe-Placenta Accreta?

Lokhu kuncike ekutheni uke wahlinzwa ukuze kukhishwe isibeletho sakho. Uma ufuna ukuba nezingane ezengeziwe esikhathini esizayo, khuluma nodokotela wakho ngakho. Angase akwazi ukugwema ukususwa kwesibeletho ukuze kulondolozwe ukuzala kwakho (ikhono lokuba nabantwana).

Iyini amathuba okusinda ku-Placenta Accreta?

Izinga lokusinda kwe-Placenta Accreta ngokuvamile lihle. Ezimweni eziningi, kudingeka i-hysterectomy ukuze kuvinjelwe ukuphuma kwegazi ngemva kokubeletha noma ezinye izinkinga ezinkulu.

Kufanele ngishayele nini udokotela wami ucingo?

I-Placenta Accreta yisimo sokukhulelwa esiyingozi kakhulu. Udokotela wakho uzokuqapha eduze futhi akugcine unolwazi mayelana nokukhulelwa kwakho, ukubeletha, kanye nokululama kwakho. Uma unemibuzo mayelana nalokhu kutholakala, babuze. Bakhona ukukusiza.

Uma ngokuzumayo uqala ukopha kakhulu (kangangokuthi umanzise iphedi esikhathini esingaphansi kwehora) noma uma uzwa ubuhlungu obukhulu esiswini sakho esingezansi, shayela u-911 ngokushesha noma uye esibhedlela esiseduze ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami wezifo zabesifazane kanye nodokotela wezifo zabesifazane?

Kuvamile ukuba nemibuzo eminingi uma uthola ukuthi une-Placenta Accreta. Nansi eminye imibuzo evamile ongayibuza udokotela wakho:

• Ingabe kuzodingeka ngibelethe umntwana kusenesikhathi?
• Lesi simo selashwa kanjani?
• Ingabe ngidinga ukuphumula embhedeni noma ukushintsha indlela yami yokuphila yansuku zonke?
• Ngingazi kanjani ukuthi kufanele ngiye esibhedlela nini?
• Kungenzeka yini ukubeletha umntwana ngendlela evamile (ngesitho sangasese sowesifazane)?
• Ngizokwazi yini ukuthola omunye umntwana esikhathini esizayo?
• Ingabe kuzodingeka ngihlinzwe i-hysterectomy?

Ingabe ukuhlinzwa kwesibeletho kuzodingeka ngenxa ye-Placenta Accreta?

Udokotela uzokwenza konke okusemandleni akhe ukusindisa isibeletho sakho, kodwa izingozi zokwenza kanjalo zingaba zinkulu kakhulu.(I-Placenta Accreta) Abantu abaningi abanezimo ezinzima badinga ukususwa kwesibeletho ukuze kuvinjelwe ukopha okusongela ukuphila. Khuluma nodokotela wakho mayelana nokuthi ingabe i-hysterectomy iyadingeka yini esimweni sakho.

Yini esingayifunda kulokhu? (Umyalezo Ofanele Uwuthathe Ekhaya)

I-Placenta Accreta yisimo esivame ukungabangeli zimpawu ngesikhathi sokukhulelwa, kodwa singasongela impilo. Kodwa-ke, ukutholakala kusenesikhathi kanye nokuqapha ngokucophelela nge-ultrasound scan kunganciphisa ingozi yezinkinga. Ngezinye izikhathi lesi simo sitholakala kuphela ngemva kokuzalwa komntwana. Uma une-Placenta Accreta, khuluma nodokotela wakho ngalokho ongakulindela. Khumbula, bakhona ukuze bakugcine wena nomntwana wakho niphephile futhi niphilile. Ngakho-ke ungesabi ukukhuluma nabo ngezinto ezikukhathazayo kanye nalokho okukukhathazayo.

I- Placenta, Isibeletho, Ukukhulelwa, Ukuhlinzwa Kwesisu, Ukubeletha, Ukopha, I-Placenta Accreta, Impilo Yabesifazane, Izinkinga Zokukhulelwa