Ingabe nawe unayo i-placenta ephansi? (I-Placenta Previa) - Masiqaphele lokhu!

Uma ukhulelwe umntwana, kuyinto evamile ukuzizwa wesaba ngisho nezinto ezincane kakhulu. Ikakhulukazi ngesikhathi sokukhulelwa, uma uphuma igazi kancane esithweni sangasese sowesifazane, kungaba yinto eyesabekayo, akunjalo? Ngezikhathi ezinjalo, elinye lamagama ongase uzwe 'i-Placenta Previa'. Ungakhathazeki, namuhla sizokhuluma ngalokhu ngendlela elula ongayiqonda.

Uyazi ukuthi iyini i-'Placenta Previa'?

Kulungile, ake siqale sibone ukuthi le 'Placenta Previa' ilula kangakanani. Uyazi, uma umntwana esesibelethweni, umntwana uthola konke ukudla, iziphuzo, kanye nomoya-mpilo akudingayo nge-'placenta'. Le placenta ifana nesikhwama, esakheka ngaphakathi kwesibeletho. Le placenta ixhunywe kumntwana ngentambo yesisu. Ngokuvamile, njengoba ukukhulelwa kuqhubeka, ikakhulukazi ezinyangeni ezintathu zokugcina (okungukuthi kusukela emavikini angu-28 kuya kwangu-40), le placenta kufanele ibe phezulu kwesibeletho. Yilapho umntwana engaphuma kalula ngesitho sangasese sowesifazane. Kodwa esimweni se-'placenta previa', le placenta ayikhuphuki kanjalo, kodwa imboza ngokuphelele noma ingxenye yesibeletho ebizwa ngokuthi umlomo wesibeletho , engaphansi kwesibeletho. Kalula nje, indlela yokuphuma kwengane ivinjiwe yile placenta.

Yiziphi izinhlobo ze-Placenta Previa?

Kunezindlela ezahlukene zokubhekana nalesi simo. Ake sibone ukuthi ziyini:

• I-placenta previa eseceleni: Lokhu kwenzeka lapho i-placenta isemaphethelweni omlomo wesibeletho. Lokhu kusho ukuthi ithinta umlomo wesibeletho, kodwa ayiwumbozi ngokuphelele. Lolu hlobo lwe-placenta previa cishe luzophela lodwa lapho umntwana ezalwa, okusho ukuthi i-placenta inendawo enkulu yokunyuka.
• I-placenta previa engaphelele: Lapha, i-placenta imboza ingxenye yomlomo wesibeletho.
• I-placenta previa ephelele noma ephelele: Lokhu kwenzeka lapho i-placenta imboza umlomo wesibeletho ngokuphelele, ivimba ngokuphelele indlela eya esithweni sangasese sowesifazane. Lolu hlobo alukwazi ukuphola ngokwalo .

Kungakhathaliseki ukuthi uhlobo luni lwe-placenta previa, ukopha kwesitho sangasese sowesifazane kungenzeka ngesikhathi sokukhulelwa nangesikhathi sokubeletha. Ngenxa yengozi yokopha lokhu, odokotela bavame ukuncoma ukuhlinzwa ngokuhlinzwa (C-section).

Sivame kangakanani lesi simo?

I-placenta previa yenzeka cishe koyedwa kwabangu-200 abakhulelwe. Odokotela bavame ukuyithola ngesikhathi sokuhlolwa kwe-ultrasound phakathi nekota yesibili yokukhulelwa.

Uyini umehluko phakathi kwe-'Placenta Previa' kanye ne-'Placental Abruption'?

Nakuba zombili lezi zimo zingabangela ukopha ngesikhathi sokukhulelwa, kunomehluko phakathi kwalezi zimo ezimbili. Ku-placenta previa, i-placenta imboze umlomo wesibeletho. Kodwa i-placenta isanamathele esibelethweni. Ekuqhekekeni kwe-placenta, i-placenta iyahlukana nesibeletho . Nakuba zombili lezi zimo zingabangela ukopha kwesitho sangasese sowesifazane, izimbangela zihlukile.

Ingabe i-'Placenta Previa' iyafana ne-'Anterior Placenta'?

Cha, lezi azifani. I-placenta yakho ingakhula noma kuphi esibelethweni sakho. I-placenta engaphambili yileyo esodongeni olungaphambili lwesibeletho sakho, ngasesiswini sakho. Cabanga ngayo njengokuhlala nomcamelo phakathi kwengane yakho nesisu sakho. Ayibangeli izinkinga ezifanayo ne-placenta previa.

Ziyini izimpawu ze-placenta previa?

Izimpawu eziyinhloko ezivame ukubonakala yilezi:

• Ukopha okubomvu okumnyama kwesitho sangasese sowesifazane. Lokhu kuvame ukuqala engxenyeni yesibili yokukhulelwa . Ngezinye izikhathi ukopha kuyama isikhashana bese kuqala futhi ngemva kwezinsuku ezimbalwa.
• Ungase uzwe ubuhlungu obuncane noma ukufinyela esiswini, esiswini esingezansi, noma emhlane.

Inani lokulahlekelwa yigazi lingahluka kumuntu nomuntu. Esikhathini esiningi, abukho ubuhlungu lapho lokhu kulahlekelwa yigazi kwenzeka.

Kungani kwenzeka i-Placenta Previa?

Kunzima ukusho ngokuqinisekile ukuthi yini ebangela i-placenta previa. Kodwa kunezici ezithile ezingabangela lesi simo. Izinto ezifana nezimo zakho zezokwelapha ezikhona kanye nemikhuba ethile yokuphila zingaba nomthelela kuso.

Yiziphi izici ezibangela i-placenta previa?

Kunezici eziningana ezibangela lesi simo:

• Uma ubhema noma usebenzisa izidakamizwa ezifana ne-cocaine.
• Uma uneminyaka engu-35 noma ngaphezulu.
• Uma uke wakhulelwa izikhathi eziningana ngaphambili.
• Uma ukhulelwe amawele , amawele amathathu noma ngaphezulu .
• Uma uke wahlinzwa ngaphambilini esibelethweni sakho , isibonelo, ukuhlinzwa kwebele kwangaphambilini ( C-section ) noma i -D&C (ukwandiswa kanye nokususwa kwesibeletho) .
• Uma uke waba ne -uterine fibroids ngaphambili.

Yiziphi izinkinga ezingaba khona ngenxa ye-Placenta Previa?

Uma une-placenta previa, kunezingozi ezithile kuwe nakumntwana wakho. Ake sibheke ukuthi ziyini: Izinkinga ongase ubhekane nazo:

• Ukopha: Ungase wophe kakhulu ngesikhathi sokukhulelwa, ngesikhathi sokubeletha, noma ngemva kokubeletha.
• Ukubeletha kusenesikhathi: Uma wopha kakhulu, udokotela wakho kungadingeka ukuthi enze ukuhlinzwa okuphuthumayo kwe-C-section ngaphambi kokuba ingane yakho ibe namaviki angu-40 okukhulelwa.
• Ukulahlekelwa yigazi: Ukulahlekelwa yigazi ngokweqile kungaholela ekulahlekelweni yigazi , umfutho wegazi ophansi, isikhumba esimpunga, kanye nobunzima bokuphefumula .
• Ukuphuma kwe-placenta: Lokhu kwenzeka lapho i-placenta inamathela kakhulu odongeni lwesibeletho. Lokhu kungabangela ukopha ngokweqile ngemva kokubeletha.
• Ukuphazamiseka kwe-placenta: I-placenta ingahlukana nesibeletho ngaphambi kokuba umntwana azalwe. Lokhu kunciphisa umoya-mpilo kanye nezakhamzimba zomntwana.

Izinkinga ingane engase ibhekane nazo:

• Ukubeletha ngaphambi kwesikhathi: Uma kufanele ube nokuhlinzwa okuphuthumayo ngenxa yokopha ngokweqile, umntwana angazalwa ngaphambi kwesikhathi, okusho ukuthi ngaphambi kosuku lokuzalwa.
• Isisindo sokuzalwa esiphansi: Uma umntwana ezalwa enesisindo esiphansi, kungaba nzima ukuthi umntwana ahlale efudumele futhi anciphise isisindo.
• Izinkinga zokuphefumula: Uma amaphaphu engakhuli kahle, umntwana angaba nobunzima bokuphefumula.

Okubalulekile: Ungesabi ukukhuluma ngalezi zinkinga. Odokotela bakunaka kakhulu lokhu. Bazokunikeza ukwelashwa nezeluleko ozidingayo.

Kungenzeka yini ukuthi ungophi igazi uma une-placenta previa?

Yebo, kungenzeka. Abanye abantu bangase bangabi nokopha kwesitho sangasese sowesifazane noma ngabe bane-placenta previa. Kodwa-ke, bangase bezwe ubuhlungu obuncane noma ukuqaqamba esiswini sabo esingezansi noma emhlane. Ngakho-ke, uma uzwa ukopha noma ubuhlungu esiswini sakho esingezansi ngesikhathi sokukhulelwa, kufanele utshele udokotela wakho nakanjani.

Kungani i-placenta previa ibangela ukopha?

Kunezizathu ezimbili eziyinhloko zalokhu. Zombili zihlobene nendlela umzimba wakho olungiselela ngayo ukubeletha. 1. Uyazi, umlomo wesibeletho.Kufana nomnyango osuka esibelethweni uye esithweni sangasese sowesifazane. Engxenyeni yokugcina yokukhulelwa, njengoba umntwana esezozalwa, umlomo wesibeletho uyaphuma bese uqala ukuvuleka. Ngakho-ke, lapho i-placenta iphezu komlomo wesibeletho, lapho umlomo wesibeletho uba mncane kakhulu, ukuphuma kwegazi kungaqala. 2. Ngesikhathi sokubeletha, umlomo wesibeletho uyavuleka (uyavuleka) ukuze umntwana aphume esibelethweni futhi ehle esithweni sangasese sowesifazane. Lapho umlomo wesibeletho uvula, imithambo yegazi exhuma i-placenta esibelethweni ingadabuka futhi yophe.

Ingabe i-Placenta Previa Ingabangela Ukuphuphuma Kwesisu?

Ukuphuphuma kwesisu kuwukulahlekelwa ukukhulelwa ngaphambi kwamasonto angama-20. Odokotela bavame ukubona i-placenta previa ngesikhathi sokuhlolwa ngemva kwamasonto angama-20, ngakho-ke akuvamile kakhulu ukuthi i-placenta previa ibangele ukuphuphuma kwesisu.

I-Placenta Previa ihlolwa kanjani?

Odokotela bavame ukubona lesi simo ngesikhathi sokuhlolwa kwe-ultrasound okuvamile cishe emavikini angama-20 okukhulelwa. Ngezinye izikhathi, singatholakala futhi ngesikhathi sokuhlolwa okwenziwa lapho kuvela izimpawu ezifana nokopha kwesitho sangasese sowesifazane. Udokotela wakho uzobe eseqhubeka nokwenza ukuhlolwa ukuze aqaphe indawo ye-placenta.

Yiziphi izivivinyo ezisetshenziswayo ukuthola lokhu?

Udokotela usebenzisa kakhulu ama-ultrasound scan ukuhlola ukuthi i-placenta previa ingakanani.

• I-ultrasound ye-Transvaginal: Kulolu vivinyo, udokotela ufaka idivayisi encane (i-transducer) esithweni sangasese sowesifazane ukuze ahlole indawo yomntwana, indawo ye-placenta, kanye nomlomo wesibeletho. Lokhu kuvumela indawo ye-placenta ukuthi ibonakale kahle kakhulu.
• I-ultrasound yesisu: Kulolu vivinyo, udokotela ufaka ijeli esiswini sakho bese ehambisa idivayisi ephathwa ngesandla (i-transducer) phezu kwaso. Lokhu kungasiza futhi ekuboneni ingane, i-placenta, kanye nomlomo wesibeletho.

Izithombe ezivela kuzo zombili lezi ziskeni zingabukwa kusikrini. Udokotela wakho uzosebenzisa lezi ziskeni ukukutshela ukuthi i-placenta imboze kangakanani umlomo wesibeletho sakho nokuthi yini okudingeka yenziwe.

Iphathwa kanjani i-Placenta Previa?

Umgomo oyinhloko lapha ukwandisa isikhathi sokukhulelwa eduze nosuku lokubeletha ngangokunokwenzeka. Uma ukopha kuqhubeka, ukuhlinzwa ngokuhlinzwa (ukuhlinzwa ngokuhlinzwa) kuvame ukuba yindlela ephephile. Ukwelashwa kwe-placenta previa kuncike ku:

• Yeka ukuthi uphuma igazi elingakanani .
• Ubudala bokukhulelwa komntwana , okuwukuthi umntwana uneminyaka emingaki .
• I-placenta kanye nendawo yomntwana.
• Impilo yakho neyengane yakho.

Uma udokotela wakho ekubona lokhu ekuqaleni kwekota yesibili yokukhulelwa, lesi simo singase sixazululeke sodwa .Lokhu kusho ukuthi njengoba isibeletho sikhula, i-placenta ingakhuphuka. Kodwa-ke, uma itholakala kamuva ekukhulelweni, amathuba okuba ikhuphuke mancane. Uma i-placenta iseduze nomlomo wesibeletho, noma imbozwe kancane, futhi ungophi, udokotela wakho angase asho izinto ezinjengalezi:

• Nciphisa imisebenzi enzima njengokugijima, ukuphakamisa izinsimbi, kanye nokuzivocavoca.
• Hlala ekhaya uthole ukuphumula embhedeni.
• Ungenzi izinto ezifana nokwenza ucansi, ukusebenzisa ama-tampon, noma ukusula ubuso.
• Bona udokotela wakho njalo bese uthola ama-scan.

Uma isimo se-placenta previa simaphakathi noma sibi kakhulu, noma uma kukhona ukopha okuvamile, ezinye izindlela zokwelapha zingacatshangelwa, njenge:

• Ukuphumula kombhede esibhedlela.
• Umuthi wokuvimbela ukubeletha kusenesikhathi.
• Imijovo ye-steroid ukusiza amaphaphu engane akhule ngokushesha.
• Ukumpontshelwa igazi uma uphuma igazi ngokweqile.
• Uma ukopha kukhulu kakhulu ukuthi kungamiswa , kungenziwa ukuhlinzwa kwe-C-section okuphuthumayo.

Ingabe i-Placenta Previa iyaphela yodwa?

Yebo, uma itholakala ku-trimester yesibili yokukhulelwa, ingahamba yodwa, okusho ukuthi i-placenta ingahamba iye phezulu. Kunethuba lokuthi i-placenta izokhuphuka njengoba isibeletho sikhula ku-trimester yesithathu. Kodwa-ke, uma ukukhulelwa sekuqhubekele phambili futhi umlomo wesibeletho uvaliwe, mancane amathuba okuthi ihambe yodwa . Udokotela wakho uzoqhubeka nokukuskena ukuqinisekisa ukuthi lesi simo sesiphelile ngaphambi kokuba umntwana azalwe.

Ngingayinciphisa yini ingozi ye-placenta previa?

Akukho lutho ongakwenza ukuvimbela i-placenta previa. Futhi akukho ukuhlinzwa noma olunye ukwelashwa okukulungisa . Kodwa-ke, kunezici eziyingozi ongazilawula, njengokungabhemi nokungasebenzisi izidakamizwa ezifana ne-cocaine . Uma udokotela wakho esekutholile ukuthi unalesi simo, kunezindlela zokunciphisa ukopha kwesitho sangasese sowesifazane.

Yini okufanele ngiyilindele uma ngine-placenta previa?

Ukwelashwa okutholayo kuzohambisana nesimo sakho, kodwa abantu abaningi bangalindela okulandelayo:

• Ukuhlolwa njalo phakathi nezinyanga zesibili nezesithathu zokukhulelwa. Udokotela wenza lokhu ukuze ahlole indawo ye-placenta nokubona ukuthi kukhona yini ushintsho ezimpawini.
• Ukunciphisa noma ukushintsha imisebenzi yomzimba, njengokuzivocavoca nokwenza ucansi.
• Ukuhlolwa kwegazi ukuhlola inani legazi ngemva kokuzalwa komntwana.

Ingabe ingane yami izozalwa ngaphambi kwesikhathi uma ngine-placenta previa?

Kungaba njalo. Udokotela wakho uzonquma ukuthi uzobeletha yini ingane yakho kusenesikhathi ngokusekelwe enanini lokopha, indawo okuyo i-placenta, kanye nobudala bokukhulelwa kwengane yakho. Cishe emavikini angu-36 okukhulelwa, kungaba ngcono kuwe nasempilweni yengane yakho ukubeletha ingane yakho kusenesikhathi. Ngezinye izikhathi omama balinda kuze kube amasonto angu-40, okuyisikhathi esigcwele.

Ngingakwazi yini ukubeletha ngesitho sangasese sowesifazane ngisho noma nginokukhulelwa kwe-placenta?

Uma une -placenta previa emarginal (okusho ukuthi i-placenta iseduze nomlomo wesibeletho kodwa ingavaliwe ngokuphelele), udokotela wakho angase akwazi ukubeletha umntwana wakho ngendlela evamile. Kodwa-ke, lokhu kungaba yingozi ngenxa yengozi yokopha. Udokotela wakho uzokhuluma nawe ngendlela ephephile yokubeletha umntwana wakho.

Uma kutholakala ukuthi ngine-placenta previa, ingabe kuzodingeka ngempela ngibe nokuhlinzwa ngokuhlinzwa (C-section)?

Yebo, ezimweni eziningi, ukuhlinzwa kwesisu (C-section) kuyindlela ephephile yokubeletha uma une-placenta previa. Uma i-placenta imboze ngisho nengxenye encane yomlomo wesibeletho, ungase wophe kakhulu uma uzama ukubeletha umntwana ngendlela evamile. Udokotela wakho uvame ukuhlela ukuhlinzwa kwesisu sakho ngosuku kusengaphambili. Kodwa-ke, uma wopha kakhulu nganoma yisiphi isikhathi, kungadingeka ukuthi ube nokuhlinzwa kwesisu okuphuthumayo.

Ingabe i-Placenta Previa ingabangela ukukhubazeka kokuzalwa enganeni?

I-placenta previa ayivamile, kodwa uma udokotela wakho ebona ukuthi kuphephile ukubeletha ingane yakho kusenesikhathi, ingane yakho ingase izalwe kusenesikhathi. Ukubeletha kusenesikhathi kungaholela ezinkingeni ezifana nokuzalwa unesisindo esiphansi kanye nobunzima bokuphefumula.

Ingabe ngizophinde ngithole i-placenta previa?

Uma uke waba ne-placenta previa ekukhulelweni kwangaphambilini, kunengozi encane yokuthi iphinde yenzeke , cishe u-2% . Uma ukhulelwa futhi, tshela udokotela wakho ngakho. Uzokwazi ngomlando wakho wezokwelapha wangaphambilini.

Ingabe i-Placenta Previa iyayithinta Inzalo Yami?

I-placenta previa ayithinti ikhono lakho lokukhulelwa futhi. Kodwa-ke, kunengozi encane yokuthola i-placenta previa uma ukhulelwa futhi.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Udokotela wakho kufanele akwazi ukuphendula imibuzo yakho futhi akulungiselele ukwelashwa kwe-placenta previa. Nazi ezinye zemibuzo ongayibuza:

• Ingabe impilo yomntwana isengozini? Ingabe impilo yami isengozini?
• Yiziphi izindlela zokwelapha enginazo?
• Ngingazi kanjani ukuthi i-placenta previa yami isiphelile?
• Ingabe ngidinga ukunciphisa eminye imisebenzi?
• Ngingamthola umntwana manje?
• Yiziphi izinkinga ezingaba khona?
• Ingabe kuzodingeka ngithole ezinye iziskeni noma ezinye izivivinyo?
• Yiziphi izimpawu zokuthi ngidinga ukuya esibhedlela?

Hlobo luni lwemibuzo udokotela wami azongibuza yona?

• Uqale nini ukuqaphela ukopha?
• Lingakanani igazi elilahlekayo?
• Ingabe ukopha kuyaqhubeka, noma kuyafika kudlule kubuye futhi?
• Ingabe unesifo sesisu?
• Uke waba nezinkinga ngesikhathi sokukhulelwa kwangaphambilini?
• Wake wahlinzwa isibeletho ngaphambili?
• Uyabhema noma usebenzisa izidakamizwa ezifana ne-cocaine?
• Ingabe ukhona umuntu ozokunakekela uma udinga ukuphumula embhedeni?

Kufanele ngimbone nini udokotela wami?

Uma uzwa ukopha, ubuhlungu besisu, noma ukuqaqamba kwamalunga ngesikhathi sokukhulelwa kwakho, ikakhulukazi ku-trimester yesibili, shayela udokotela wakho ngokushesha.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma wopha kakhulu, funa usizo lwezokwelapha oluphuthumayo ngokushesha. Ukopha kakhulu kungadala imiphumela emibi kakhulu kuwe nakumntwana wakho.

Ngingakwazi yini ukuzivocavoca nge-placenta previa?

Udokotela wakho cishe uzokutshela ukuthi unciphise imisebenzi ethile, njengokuzivocavoca umzimba, ukuquleka, ukugxuma, nokuphakamisa izinsimbi. Lokhu kungabangela ukopha. Kungcono ukukhuluma nodokotela wakho ngenqubo yakho yansuku zonke bese wenza izinguquko uma kudingeka.

Ngingaya ocansini uma ngine-placenta previa?

Odokotela abaningi batusa ukugwema ukuya ocansini uma une-placenta previa. Kungcono ukugwema izinto ezingabangela ukopha noma ukufinyela kwesibeletho, njengokusebenzisa ama-tampons, ukuxubha, noma ukufaka noma yini esithweni sangasese sowesifazane.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

I-Placenta Previa iyisimo esingelapheka. Omama abaningi abanalesi simo bayaqhubeka nokuba nezingane ezinempilo. Uma ulandela imiyalelo kadokotela wakho ngokucophelela, ungabeletha ngokuphephile. Uma uzwa ukopha noma ukungakhululeki ngesikhathi sokukhulelwa, ungesabi ukutshela udokotela wakho. Ukuphepha kwakho nomntwana wakho kuyinto ebaluleke kakhulu. I-Placenta Previa, ukopha kokukhulelwa, ukuhlinzwa, umlomo wesibeletho, izinkinga zokukhulelwa, ukuskena kwe-ultrasound