Ingabe I-Placenta Yakho Iphansi? (I-Placenta Previa) – Ake Sifunde Ngayo! | Nirogi Lanka

Uma ulindele umntwana, kuyinto evamile ukuzizwa ukhathazekile ngisho nangezinguquko ezincane. Kungokwemvelo ukuzizwa ukhathazekile uma uzwa ukopha kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa. Igama elilodwa ongase uhlangane nalo phakathi nalesi sikhathi yi-'Placenta Previa.' Sicela ungakhathazeki; eNirogi Lanka, silapha ukukuchazela lokhu kalula nangokucacile.

Iyini ngempela 'i-Placenta Previa'?

Ake siqale ngezinto eziyisisekelo. Njengoba wazi, ngesikhathi ingane yakho isesibelethweni, ithola zonke izakhamzimba ezidingekayo, umoya-mpilo, kanye negazi nge-'placenta.' Cabanga nge-placenta njengesikhwama esinomsoco esikhula ngaphakathi kwesibeletho sakho, esixhunywe nengane yakho ngentambo yesisu. Ngokuvamile, njengoba ukukhulelwa kwakho kuqhubeka—ikakhulukazi ku-trimester yokugcina (amasonto angama-28 kuya kwangu-40)—i-placenta iya phezulu kwesibeletho. Lokhu kudala indlela ecacile yokuthi ingane yakho ibelethwe ngokwemvelo ngomsele wokuzalwa. Nokho, endabeni ye-'Placenta Previa,' i-placenta ayinyuki iye phezulu. Kunalokho, ihlala engxenyeni engezansi yesibeletho, imboze ingxenye noma ngokuphelele umlomo wesibeletho . Ngamazwi alula, i-placenta empeleni ivimba indlela yokuphuma yengane yakho.

Yiziphi izinhlobo ze-'Placenta Previa'?

Kunezinhlobo ezahlukene zalesi simo:

• I-placenta previa eseceleni: I -placenta itholakala emaphethelweni omlomo wesibeletho. Ithinta umngcele kodwa ayimbozi imbobo. Ezimweni eziningi, njengoba ukukhulelwa kuqhubeka, isibeletho siyakhula futhi i-placenta ingase isuke ngokwemvelo emlonyeni wesibeletho.
• I-placenta previa engaphelele: I-placenta ivimba kancane ukuvulwa komlomo wesibeletho.
• I-placenta previa ephelele noma ephelele: Kulesi simo, i-placenta imboza umlomo wesibeletho ngokuphelele, ivale ngokuphelele indlela eya emgudwini wokuzalwa. Lolu hlobo cishe alukwazi ukuzixazulula ngokwalo njengoba ukukhulelwa kuqhubeka.

Kungakhathaliseki ukuthi hlobo luni lwe-Placenta Previa, ungase uzwe ukopha kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa noma sokubeletha. Ngenxa yengozi yokopha, odokotela bavame ukuncoma ukuhlinzwa ngokuhlinzwa (C-section) ukuze babelethe.

Sivame kangakanani lesi simo?

I-Placenta Previa yenzeka cishe koyedwa kwabangu-200 abakhulelwe. Odokotela bavame ukuyithola ngesikhathi sokuhlolwa okuvamile kwe-ultrasound ku-trimester yesibili.

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

Nakuba kokubili kungabangela ukopha ngesikhathi sokukhulelwa, kuyizimo ezihluke kakhulu. Ku-'Placenta Previa,' i-placenta ibekwe nje phezu komlomo wesibeletho, kodwa ihlala inamathele ngokuqinile odongeni lwesibeletho. Ngokuphambene nalokho, 'ukuqhuma kwe-placenta' kwenzeka lapho i-placenta ihlukana noma ihlukana nodonga lwesibeletho . Nakuba kokubili kuphumela ekuphumeni kwegazi esithweni sangasese sowesifazane, izimbangela kanye nemiphumela eyisisekelo kuhlukile.

Ingabe i-'Placenta Previa' isho ukuthi ngine-'Placenta Yangaphambili'?

Cha, lezi azifani. I-placenta yakho ingakheka noma kuphi esibelethweni sakho. 'I-placenta yangaphambili' isho ukuthi i-placenta inamathele odongeni lwangaphambili lwesibeletho sakho, ibheke esiswini sakho. Cabanga ngakho njengokubeka umcamelo phakathi komntwana nesisu sakho; lokhu ngokuvamile akubangeli izinkinga ezifanayo ne-Placenta Previa.

Ziyini izimpawu ze-'Placenta Previa'?

Izimpawu ezivamile okufanele uziqaphele zifaka:

• Ukopha okubomvu okukhanyayo kwesitho sangasese sowesifazane. Lokhu kuvame ukuqala engxenyeni yesibili yokukhulelwa kwakho. Ukopha kungase kume futhi kuqale, futhi ngezinye izikhathi kungaphinde kubuye ezinsukwini kamuva.
• Ubuhlungu obuncane besisu noma umhlane noma umuzwa wokufinyela.

Inani lokopha liyahlukahluka kuye ngomuntu nomuntu. Ngokuvamile, lokhu kopha kwenzeka ngaphandle kobuhlungu nhlobo.

Kungani kwenzeka 'i-Placenta Previa'?

Akukho sizathu esisodwa esaziwayo sokuthi kungani lokhu kwenzeka. Kodwa-ke, kunezici ezithile eziyingozi ezihlobene nomlando wakho wezempilo noma indlela yokuphila ezingase zandise amathuba okuba kwenzeke.

Yiziphi izici eziyingozi ze-'Placenta Previa'?

Izici ezingaba nomthelela zifaka:

• Ukubhema noma ukusebenzisa izinto ezifana ne-cocaine.
• Ukuba neminyaka engu-35 noma ngaphezulu.
• Njengoba ngikhulelwe kaningi ngaphambilini.
• Ukuthwala amawele, amawele amathathu, noma ngaphezulu .
• Njengoba uke wahlinzwa isibeletho ngaphambilini , njengokuhlinzwa kokubeletha kwangaphambilini ( C-section ) noma inqubo ye -D&C (ukukhulisa nokukhulula isisu) .
• Umlando we-uterine fibroids.

Yiziphi izinkinga ezingaba khona ze-'Placenta Previa'?

Uma kutholakale ukuthi une-Placenta Previa, udokotela wakho uzokuqapha eduze ukuze alawule izingozi ezingaba khona kuwe nakumntwana wakho. Izinkinga ezingaba khona kuwe:

• Ukopha: Ukopha ngokweqile kungenzeka ngesikhathi sokukhulelwa, ngesikhathi sokubeletha, noma ngokushesha ngemva kokubeletha.
• Ukubeletha kusenesikhathi: Uma uzwa ukopha okukhulu, udokotela wakho kungadingeka ukuthi akwenzele ukuhlinzwa okuphuthumayo kwe-C ngaphambi kokuba ufike esikhathini esiphelele sokubeletha.
• Ukulahlekelwa yigazi: Ukopha kakhulu kungaholela ekulahlekelweni yigazi , umfutho wegazi ophansi, isikhumba esimpunga, noma ubunzima bokuphefumula .
• I-Placenta accreta: Lokhu kwenzeka lapho i-placenta inamathela kakhulu odongeni lwesibeletho, okungabangela ukopha okukhulu ngemva kokuzalwa.
• Ukuphazamiseka kwe-placenta: I-placenta ingase ihlukane ngaphambi kwesikhathi, okunciphisa umoya-mpilo kanye nokunikezwa kwezakhamzimba enganeni.

Izinkinga ezingaba khona enganeni yakho:

• Ukubeletha ngaphambi kwesikhathi: Uma kudingeka ukuhlinzwa kwe-C okuphuthumayo ngenxa yokopha, ingane yakho ingase izalwe ngaphambi kwesikhathi.
• Isisindo esiphansi sokuzalwa: Izingane ezizalwa zisencane zingase zibe nenkinga yokulawula izinga lokushisa noma ukukhuluphala.
• Izinkinga zokuphefumula: Uma amaphaphu engakavuthwa ngokugcwele, umntwana angaba nobunzima bokuphefumula ngemva kokuzalwa.

Okubalulekile: Sicela ungesabi ngalezi zinkinga. Ochwepheshe bezokwelapha banolwazi olukhulu ekuphatheni lesi simo. Bazokunikeza ukunakekelwa okudingekayo kanye nezeluleko ukuze wena nomntwana wakho nihlale niphephile.

Ngingakwazi yini ukuba ne-'Placenta Previa' ngaphandle kokopha?

Yebo, kungenzeka. Abanye abantu abane-Placenta Previa ababi nakho ukopha kwesitho sangasese sowesifazane. Kodwa-ke, ungase uzizwe ubuhlungu obuncane besisu noma emhlane ngezinye izikhathi. Uma uzwa noma yiziphi izimpawu, xhumana nomhlinzeki wakho wezokwelapha noma izinsizakalo eziphuthumayo zasendaweni ngokushesha. Ngakho-ke, uma uzwa noma yikuphi ukopha kwesitho sangasese sowesifazane noma ubuhlungu besisu esingezansi ngesikhathi sokukhulelwa, sicela uxhumane nodokotela wakho ngokushesha.

Kungani i-Placenta Previa ibangela ukopha?

Kunezizathu ezimbili eziyinhloko zalokhu, zombili ezihlobene nendlela umzimba wakho olungiselela ngayo ukuzalwa komntwana wakho. 1. Cishe uyazi ukuthi umlomo wesibelethoisebenza njengesango eliphakathi kwesibeletho sakho nomsele wokubeletha. Njengoba usondela ezigabeni zokugcina zokukhulelwa, umlomo wakho wesibeletho uqala ukuncipha (ukufiphala) nokuvuleka ukuze ulungiselele ukubeletha. Uma i-placenta ibekwe phezu komlomo wesibeletho, le nqubo yokuncipha ingabangela ukopha. 2. Ngesikhathi sokubeletha, umlomo wesibeletho uyavuleka (uyavuleka) ukuze umntwana ahambe phansi emseleni wokubeletha. Njengoba umlomo wesibeletho uvula, imithambo yegazi exhuma i-placenta nodonga lwesibeletho ingadabuka, okuholela ekuphumeni kwegazi.

Ingabe i-Placenta Previa ingaholela ekuphuphumeni kwesisu?

Ukuphuphuma kwesisu kuchazwa njengokulahlekelwa ukukhulelwa ngaphambi kwamasonto angama-20. Odokotela bavame ukuhlonza i-placenta previa ngokuskena okuvamile okwenziwa ngemva kwamasonto angama-20. Ngenxa yalokho, akuvamile kakhulu ukuthi i-placenta previa ibangele ukuphuphuma kwesisu.

I-Placenta Previa ihlolwa kanjani?

Ezimweni eziningi, odokotela bahlonza lesi simo ngesikhathi sokuhlolwa kwe-ultrasound okuvamile cishe ngesonto lama-20 lokukhulelwa. Ngezinye izikhathi, sitholakala ngesikhathi sokuhlolwa okwenziwa ngemva kokuba izimpawu ezifana nokopha kwesitho sangasese sowesifazane zivele. Udokotela wakho uzobe eseqhuba ukuhlolwa kokulandelela ukuze aqaphe indawo ye-placenta.

Yiziphi izivivinyo zokuxilonga ezisetshenziswayo?

Udokotela wakho uzosebenzisa kakhulu ama-ultrasound scan ukuhlola i-placenta previa.

• I-ultrasound ye-Transvaginal: Phakathi nale nqubo, udokotela ufaka i-probe encane (i-transducer) emgodini wesitho sangasese sowesifazane ukuze ahlole ingane yakho, i-placenta, kanye nomlomo wesibeletho. Lokhu kunikeza umbono ocacile wendawo ye-placenta.
• I-ultrasound yesisu: Udokotela ufaka ijeli esiswini sakho futhi asebenzise i-transducer ukuskena indawo. Lokhu kuvumela udokotela ukuthi ahlole indawo yengane yakho, i-placenta, kanye nomlomo wesibeletho.

Zombili izikena zikhiqiza izithombe ezingabukwa kusikrini. Udokotela wakho uzochaza le miphumela ukuze anqume ukuthi ingakanani ingxenye yomlomo wesibeletho embozwe yi-placenta nokuthi yiziphi izinyathelo okufanele zithathwe ngokulandelayo.

Iphathwa kanjani i-Placenta Previa?

Umgomo oyinhloko ukugcina ukukhulelwa kwakho kuseduze ngangokunokwenzeka nosuku lwakho lokuzalwa. Uma ukopha kuqhubeka, ukuhlinzwa ngokuhlinzwa kwe-C ngokuvamile kuyindlela ephephile yokubeletha ingane yakho. Ukwelashwa kwe-placenta previa kuncike ezintweni eziningana:

• Ubukhulu bokopha kwakho .
• Ubudala bokukhulelwa kwengane yakho.
• Indawo ye-placenta kanye nomntwana .
• Impilo yakho iyonke kanye neyomntwana wakho .

Uma udokotela wakho ekuthola lokhu ekuqaleni kwe-trimester yesibili, lesi simo singase sixazululeke ngokwaso. Njengoba isibeletho sikhula, i-placenta ingase ikhuphuke. Kodwa-ke, uma itholakala kamuva ekukhulelweni, amathuba okuthi i-placenta ikhuphuke ayancipha. Uma i-placenta iseduze nomlomo wesibeletho noma iwuvimba kancane, futhi ungophi, udokotela wakho angase akunikeze iseluleko esilandelayo:

• Gwema imisebenzi enzima njengokugijima, ukuphakamisa izinto ezisindayo, noma ukuvivinya umzimba okunamandla.
• Prakthiza ukuphumula embhedeni ekhaya.
• Gwema ukuya ocansini, ukusebenzisa ama-tampon, noma ukuxubha.
• Iya njalo kudokotela kanye nokuskena nge-ultrasound.

Uma i-placenta previa iphakathi kuya kwenzima, noma uma uzwa ukopha njalo, kungadingeka ezinye izindlela zokwelapha:

• Ukuphumula kombhede esibhedlela.
• Imithi yokuvimbela ukubeletha ngaphambi kwesikhathi.
• Imijovo ye-steroid ukusiza amaphaphu engane yakho akhule ngokushesha.
• Ukumpontshelwa igazi uma ulahlekelwa igazi eliningi.
• Ukuhlinzwa ngokuhlinzwa kwe-C okuphuthumayo uma ukopha kungalawuleki.

Ingabe i-Placenta Previa izixazulula ngokwayo?

Yebo, uma itholakala ku-trimester yesibili, ingaphela njengoba i-placenta ikhuphukela phezulu. Njengoba isibeletho sikhula ku-trimester yesithathu, kusenethuba lokuthi i-placenta ishintshe. Kodwa-ke, njengoba ukukhulelwa kuqhubeka, uma umlomo wesibeletho uhlala uvaliwe, cishe ngeke uphele ngokwemvelo. Udokotela wakho uzoqhubeka nokwenza ama-scan ukuhlola ukuthi isimo sesiphelile yini ngaphambi kokuzalwa.

Ngingayinciphisa yini ingozi yokuthola i-Placenta Previa?

Ayikho indlela eyaziwayo yokuvimbela i-placenta previa, futhi azikho izinqubo zezokwelapha noma ukuhlinzwa "kokulungisa" indawo ye-placenta. Kodwa-ke, ungalawula izici eziyingozi ezingalawuleka, njengokugwema ukubhema nokusebenzisa izinto ezingekho emthethweni njenge-cocaine. Uma udokotela wakho eseqinisekisile lesi simo, kunezindlela zokunciphisa ingozi yokopha kwesitho sangasese sowesifazane.

Yini okufanele ngiyilindele uma ngine-Placenta Previa?

Ukwelashwa kwakho kuzokwenziwa ngokwesimo sakho esithile. Kodwa-ke, abantu abaningi bangalindela:

• Ukuqapha njalo phakathi nezinyanga zesibili nezesithathu. Udokotela wakho uzolandelela indawo ye-placenta futhi abheke noma yiziphi izinguquko ezimpawu.
• Imikhawulo noma izinguquko emisebenzini yomzimba , okuhlanganisa ukuzivocavoca kanye nemisebenzi yocansi.
• Ukuhlolwa kwegazi ukuze kuqashwe inani legazi lakho ngemva kokubeletha.

Ingabe ingane yami izozalwa ngaphambi kwesikhathi uma ngine-Placenta Previa?

Kungenzeka. Udokotela wakho uzonquma ukuthi ukubeletha kusenesikhathi kuyadingeka yini ngokusekelwe enanini lokopha, indawo ye-placenta, kanye nobudala bokukhulelwa kwengane yakho. Cishe emavikini angu-36 , ukubeletha kusenesikhathi kungaba yindlela ephephe kakhulu kuwe nakumntwana wakho. Kwezinye izimo, omama bangase babelethe izingane zabo kuze kube amasonto angu-40, noma isikhathi esigcwele.

Ngingakwazi yini ukubeletha ngesitho sangasese sowesifazane uma ngine-Placenta Previa?

Uma une -placenta previa emarginal (okusho ukuthi i-placenta iseduze nomlomo wesibeletho kodwa ingawuvimbeli ngokuphelele), udokotela wakho angase anqume ukuthi kungenzeka ukuthi ukubeletha kwenzeke. Kodwa-ke, lokhu kuthwala ingozi yokopha futhi kungaba yingozi. Udokotela wakho uzoxoxa ngendlela yokubeletha ephephile kuwe.

Ingabe ngizodinga ngempela ukuhlinzwa kwe-C-section uma ngine-Placenta Previa?

Yebo, ezimweni eziningi lapho i-placenta imboze noma iyiphi ingxenye yomlomo wesibeletho, ukuhlinzwa ngokuhlinzwa kuyindlela ephephile yokubeletha. Ukuzama ukubeletha ngesitho sangasese sowesifazane kungabangela ukopha okukhulu. Udokotela wakho ngokuvamile uzohlela ukuhlinzwa kwakho ngokuhlinzwa kusengaphambili. Kodwa-ke, uma ukopha kwakho kuba kubi kakhulu nganoma yisiphi isikhathi, ukuhlinzwa ngokuhlinzwa okuphuthumayo kungadingeka.

Ingabe i-Placenta Previa ingabangela izinkinga zokuzalwa enganeni yami?

Akuvamile kakhulu ukuthi i-Placenta Previa ibangele ukukhubazeka kokuzalwa. Kodwa-ke, uma udokotela wakho enquma ukuthi ukubeletha ingane yakho kusenesikhathi kuyindlela ephephile yokwenza, ingane yakho ingase izalwe kusenesikhathi. Ukubeletha kusenesikhathi kungaholela ezinkingeni ezifana nokuzalwa kwesisindo esiphansi kanye nobunzima bokuphefumula.

Ingabe ngizophinde ngibe ne-Placenta Previa?

Uma uke waba ne-Placenta Previa ekukhulelweni kwangaphambilini, kunengozi encane—cishe u-2% —yokuthi ingase ibuye. Uma ukhulelwa futhi, qiniseka ukuthi wazisa udokotela wakho ukuze akwazi ukubuyekeza umlando wakho wezokwelapha.

Ingabe i-Placenta Previa iyayithinta inzalo yami?

I-Placenta Previa ayithinti ikhono lakho lokukhulelwa esikhathini esizayo. Kodwa-ke, kusenengozi encane yokuphinda ukhulelwe lesi simo ekukhulelweni okulandelayo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Udokotela wakho ukhona ukuze aphendule imibuzo yakho futhi akusize ulungiselele ukuphatha i-Placenta Previa. Nazi ezinye zemibuzo ongase ufune ukuyibuza:

• Ingabe ingane yami isengozini? Ingabe mina ngisengozini?
• Yiziphi izindlela zami zokwelapha?
• Ngizokwazi kanjani ukuthi i-Placenta Previa yami isiphelile?
• Ingabe kufanele nginciphise noma yimiphi imisebenzi yami?
• Kungenzeka yini ukubeletha umntwana manje?
• Yiziphi izinkinga okufanele ngiziqaphele?
• Ingabe ngizodinga ama-ultrasound engeziwe noma ezinye izivivinyo?
• Yiziphi izimpawu okufanele zingishukumisele ukuya esibhedlela?

Yimiphi imibuzo udokotela wami angangibuza yona?

• Uqale nini ukuqaphela ukuphuma kwegazi?
• Kungakanani ukopha?
• Ingabe ukopha kuyahlala njalo, noma kuyafika kudlule?
• Ingabe uzwa ubuhlungu besisu noma izinhlungu?
• Ingabe wake waba nezinkinga ekukhulelweni kwangaphambilini?
• Uke wahlinzwa isibeletho ngaphambilini?
• Uyabhema noma usebenzisa izinto ezifana ne-cocaine?
• Ingabe unaye umuntu ozokusiza uma kudingeka ukuphumula embhedeni?

Kufanele ngixhumane nini nodokotela wami?

Uma uzwa ukopha kwesitho sangasese sowesifazane, ubuhlungu besisu, noma ukuqaqamba kwamalunga ngesikhathi sokukhulelwa kwakho —ikakhulukazi engxenyeni yesibili—xhumana nodokotela wakho ngokushesha.

Kufanele ngiye nini eGumbini Lezimo Eziphuthumayo (ER)?

Uma uzwa ukopha okukhulu kwesitho sangasese sowesifazane, funa usizo lwezokwelapha oluphuthumayo ngokushesha. Ukopha okukhulu kungaba yingozi enkulu kuwe nakumntwana wakho.

Ngingakwazi yini ukuzivocavoca nge-Placenta Previa?

Udokotela wakho cishe uzokweluleka ukuthi unciphise imisebenzi ethile, njengokuzivocavoca okunzima, ukuquleka, ukugxuma, noma ukuphakamisa izinto ezisindayo, njengoba lokhu kungabangela ukopha. Kungcono ukuxoxa ngemisebenzi yakho yansuku zonke nodokotela wakho ukuze wenze noma yiziphi izinguquko ezidingekayo.

Ngingaya ocansini uma ngine-Placenta Previa?

Odokotela abaningi bayeluleka ukuthi ugweme ukuya ocansini uma une-Placenta Previa. Kungcono futhi ukugwema noma yini engabangela ukopha noma ukufinyela kwesibeletho, njengokusebenzisa ama-tampon, ukuxubha, noma ukufaka noma yini esithweni sangasese sowesifazane.

Umlayezo Wokuya Nawe Ekhaya

I-Placenta Previa iyisimo esilawulekayo. Omama abaningi abanalesi sifo bayaqhubeka nokubeletha izingane ezinempilo. Uma ulandela isiqondiso sikadokotela wakho, ungaqinisekisa ukuthi ukubeletha kuphephile. Unganqikazi ukuxhumana nodokotela wakho uma uzwa ukopha noma ukungakhululeki ngesikhathi sokukhulelwa kwakho. Ukuphepha kwakho nokwengane yakho kuyinto eza kuqala. I-placenta ephansi, i-Placenta Previa, ukopha kokukhulelwa, ukuhlinzwa kwe-C, umlomo wesibeletho, izinkinga zokukhulelwa, ukuskena kwe-ultrasound