Ingabe i-placenta ingahlukana ngesikhathi sokukhulelwa kwakho? (Ukuqhekeka kwe-Placental) Ake sixoxe ngalokhu!

Uma ulindele umntwana, kuvamile ukuba nemibuzo eminingi kanye nokwesaba okuncane phakathi nalesi sikhathi. Namuhla sizokhuluma ngesimo esingase senzeke ngesikhathi sokukhulelwa, kodwa esingenzeki kuwo wonke umuntu, futhi lokho kudinga ukukhathazeka okuncane. Lokho ukuphahlazeka kwe-placenta, isimo odokotela abasibiza ngokuthi `(Placental Abruption)` noma `(Abruptio Placentae)`. Ungesabi, ake sixoxe ngalokhu kalula.

Kuyini i-placenta previa? Kusho ukuthini uma iphuma? (Ukuqhekeka kwe-placenta)

Kulungile, ake siqale sibheke ukuthi iyini i-placenta . Kalula nje, i-placenta iyisitho sesikhashana esakha ngaphakathi kwesibeletho sakho uma ukhulelwa. Yisona esihlinzeka ngomoya-mpilo nezakhamzimba enganeni yakho , njengomzila wokuphila phakathi kukamama nomntwana. I-placenta ivame ukunamathela odongeni lwesibeletho, kungaba phezulu noma ohlangothini. Intambo yengane nayo inamathele kule placenta. Iphinde isize ekususeni imfucuza emzimbeni womntwana.

Manje, ukuqhekeka kwe-placenta kwenzeka lapho i-placenta ihlukana ngokuphelele noma ngokwengxenye nodonga lwesibeletho ngaphambi kokuba umntwana azalwe. Cabanga nje, njengephosta enamathele odongeni, bese iwa ngokuzumayo? Yilokho okufana nakho. Uma lokhu kwenzeka, ingane ingathola umoya-mpilo omncane kanye nokudla okunempilo. Futhi, umama angopha kakhulu. Njengoba lokhu kuvame ukuba yisimo esibucayi, odokotela bazokuqapha kakhulu futhi bangase banqume ukubeletha ingane kusenesikhathi.

Ingabe kunezinhlobo ezahlukene zalokhu?

Yebo, odokotela bahlukanisa lokhu ngokusekelwe ezingeni i-placenta ehlukana ngalo nesibeletho:

• Ukuqhekeka Kwengxenye Yesibeletho: Lokhu kwenzeka lapho i-placenta ingahlukani ngokuphelele nodonga lwesibeletho, ingxenye yayo kuphela ehlukanayo.
• Ukuqhekeka Okuphelele Noma Okuphelele Kwe-Placental: Lokhu kwenzeka lapho i-placenta ihlukana ngokuphelele nodonga lwesibeletho. Lokhu kuvame ukuholela ekuphumeni kwegazi okukhulu kwesitho sangasese sowesifazane.

Zihlukaniswa futhi ngokuya ngokuthi lingakanani igazi elilahlekile:

• Ukuqhekeka Kwe-Placental Okuveziwe: Kulesi simo, ungabona ukuphuma kwegazi okuphakathi kuya kokukhulu okuvela esithweni sangasese sowesifazane.
• Ukuqhekeka Kwe-Placental Okufihliwe: Kulesi simo, ukuphuma kwegazi okuncane noma akukho nhlobo okubonakalayo kwesitho sangasese sowesifazane ngoba igazi livaleleke phakathi kwe-placenta nodonga lwesibeletho.

Sivame kangakanani lesi simo? Sivame ukwenzeka nini?

Lesi simo, esibizwa ngokuthi "i-Placental Abruption," senzeka cishe koyedwa kwabayi-100 abakhulelwe (okungaba yi-1%). Ngakho-ke, asivamile kakhulu.

Lokhu kungenzeka kakhulu engxenyeni yokugcina yekota yesithathu yokukhulelwa. Okusho ukuthi, ngemva kwamasonto angama-28, kuze kube yilapho umntwana ezalwa emavikini angama-40. Kodwa-ke, ngezinye izikhathi kungenzeka nganoma yisiphi isikhathi ngemva kwamasonto angama-20.

Ziyini izimpawu zalokhu? Kuzwakala kanjani?

Akuwona wonke umuntu obhekana nezimpawu ezifanayo. Kodwa-ke, uphawu oluyinhloko kubantu abaningi ukopha kwesitho sangasese sowesifazane kanye nobuhlungu besisu phakathi nekota yesithathu yokukhulelwa. Ezinye izimpawu zingase zihlanganise:

• Ubuhlungu besisu.
• Ukuminyana kwesibeletho (ubuhlungu obuvela ekuqineni kwesisu) okunamandla futhi okuhlala isikhathi eside kunezinhlungu zokubeletha ezivamile.
• Ukuzwa ubuhlungu lapho uthinta isibeletho.
• Ubuhlungu emhlane noma emhlane.
• Ukuzwa sengathi ukunyakaza kwengane (ukushukumisa) kwehlile.

Inani lokopha kwesitho sangasese sowesifazane lingahluka kuye ngomuntu nomuntu. Futhi, akunakwenzeka ukusho ukuthi kukhulu kangakanani ngokusekelwe enanini lokopha. Ngezinye izikhathi, njengoba kushiwo ngaphambili, igazi livaleleke ngaphakathi, ngakho-ke kungase kungabikho ukopha okubonakalayo nhlobo. Ubuhlungu buyafana, kanti kwabanye kungase kuzwakale njengokuqaqamba okuncane, kwabanye kungazelelwe kuzwakale njengobuhlungu obukhulu.

Okubalulekile: Lezi zimpawu zingaba yizimpawu zezinye izinkinga zokukhulelwa. Ngakho-ke, uma unesifo sokopha esithweni sangasese sowesifazane noma ubuhlungu besisu, qiniseka ukuthi ubona udokotela wakho ngokushesha.

Ingabe uyopha njalo?

Esikhathini esiningi, uzobona ukopha okuthile njengoba i-placenta ihlukana. Kodwa-ke, ku-"Concealed Abruption" okukhulunywe ngayo ngaphambilini, igazi livaleleke ngemuva kwe-placenta, ngakho-ke ungase ungaboni ukopha. Kwezinye izimo, i-placenta ihlukana kancane, ngakho ungase ubone ukopha okuncane ngezikhathi ezithile.

Uma uzwa ukopha kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa kwakho, kubaluleke kakhulu ukutshela udokotela wakho ngakho.

Kungani lokhu kwenzeka? Yiziphi izinto ezibangela ingozi?

Eqinisweni, imbangela eqondile yokuqhekeka kwe-placenta ayikaziwa . Odokotela bazi kuphela ukuthi yiziphi izinto ezandisa ingozi. Isibonelo, uma ushayeke kakhulu esiswini, njengasengozini, i-placenta inamathuba amaningi okuhlukana.

Ingabe lokhu kwenzeka uma ucindezela isisu sakho noma uma usemotweni ehambayo?

Cha, udokotela wakho ngeke akwazi ukukuphula isisu ngesikhathi sokuhlolwa, noma ngisho noma imoto yakho ingena emgodini emgwaqweni. Kodwa-ke, ukushaywa kanzima esiswini (njengengozi yemoto noma ukuwa phansi ezitebhisini) kungabangela ukuthi i-placenta ihlukane. Yingakho odokotela bencoma ukuthi uhlale kude nemisebenzi engabangela ukuwa kanye nomonakalo esiswini (njengokugibela amahhashi noma ama-roller coaster) ngesikhathi sokukhulelwa.

Nazi ezinye zezinto ezibangela ingozi yokuphazamiseka kwe-placenta:

• Ingozi noma ukulimala kwesibeletho: njengengozi yemoto, ukuwa, noma ukushaywa esiswini.
• Uma i-placenta ihlukene ngesikhathi sokukhulelwa kwangaphambilini.
• Ukukhulelwa okuningi: Lokhu kusho ukuthi kunezingane ezingaphezu kweyodwa (njengamawele) esibelethweni.
• Izimo ezinjengomfutho wegazi ophakeme (umfutho wegazi ophakeme) , isifo sikashukela sokukhulelwa, noma i-preeclampsia.
• Uma ubhema noma usebenzisa izidakamizwa.
• Uma uneminyaka engaphezu kwengu-40 ubudala.
• Uma une-uterine fibroids.
• Uma unesifo sokujiya kwegazi (i-Thrombophilia).
• Ukuqhekeka kwangaphambi kwesikhathi kolwelwesi (ngaphambi kokuba umntwana akhule ngokugcwele) noma ukwehla okukhulu koketshezi lwe-amniotic (uketshezi oluzungeze umntwana).
• I-Chorioamnionitis, ukutheleleka koketshezi lwe-amniotic.

Yiziphi izinkinga ezingabangelwa yilokhu?

Ukuqhekeka kwe-placenta kuyisimo esisongela impilo kokubili enganeni kanye, kwezinye izimo, kuwe. Yingakho kuthathwa njengento ebaluleke kangaka.

Imiphumela engaba khona enganeni:

• Ukuzalwa Ngaphambi Kwesikhathi.
• Isisindo esiphansi sokuzalwa.
• Izinkinga zokukhula (Umkhawulo Wokukhula Kwangaphakathi Kwesibeletho).
• Ukulimala kobuchopho ngenxa yokuntuleka komoya-mpilo.
• Ukuzalwa kwengane ifile.

Imiphumela engaba khona kumama:

• I-anemia (ukuntuleka kwegazi).
• Izinkinga zokujiya kwegazi.
• Kudingeka ukumpontshelwa igazi.
• Ukopha kakhulu (Ukopha igazi).
• Ukwehluleka Kwezinso.

Lezi zinto zingase zesabe ukuzwa, kodwa khumbula, akuwona wonke umuntu ozoba nalezi zinkinga ezinkulu. Ukutholwa kusenesikhathi kanye nokwelashwa okufanele ngokuvamile kunganciphisa lezi zingozi.

Odokotela bakuthola kanjani lokhu?

Uma usola ukuthi une-placenta abruption, udokotela wakho uzokuxilonga bese enza izivivinyo ezithile. Kuye ngobukhulu besimo, ungase ungeniswe esibhedlela, noma ungase utshelwe ukuthi uye ekhaya uyophumula. Udokotela wakho uvame ukwenza okulandelayo:

• Ubuza ukuthi kulahleke igazi elingakanani .
• Bayabuza ukuthi ubuhlungu bukuphi nokuthi bubi kangakanani .
• Bayabuza ukuthi izimpawu ziqale nini .
• Umfutho wegazi lakho uyalinganiswa.
• Ubuhlungu besibeletho sakho buyaqashelwa.
• Iqapha ukushaya kwenhliziyo nokunyakaza kwengane .
• Kwenziwa i-ultrasound scan ukuze kuhlolwe indawo yokopha kanye nesimo somntwana.
• Bacela ukuhlolwa kwegazi nomchamo .

Ukulinganisa ngokwezinga lobunzima:

Odokotela ngokuvamile bahlukanisa ukuphahlazeka kwe-placenta ngezigaba ezintathu, noma izigaba:

• Ibanga 1: Kukhona ukuphuma kwegazi okuncane, futhi ngezinye izikhathi ukufinyela kwesibeletho, kodwa akukho ukungakhululeki okukhulu kuwe noma enganeni yakho. Lokhu kuvame ukuba ukuphambuka kwengxenye ye-placenta.
• Ibanga lesi-2: Kukhona ukopha okulinganiselwe, ukufinyela kwesibeletho, futhi umntwana angase abonise izimpawu zokungakhululeki okuthile.
• Ibanga Lesithathu (Ibanga 3):Ukopha okumaphakathi kuya kokukhulu, noma igazi livaleleke ngaphakathi. Ukuminyana kwesibeletho kuhlala njalo futhi akunciphi. Kungase kube nobuhlungu obukhulu besisu, umfutho wegazi ophansi, ngisho nokufa komntwana.

Iyini indlela yokwelapha lokhu?

Uma i-placenta isihlukene nesibeletho, ayikwazi ukuxhunywa noma ukulungiswa. Udokotela uzonquma ukwelashwa ngokusekelwe kulezi zici ezilandelayo:

• Ubunzima bokuhlengwa.
• Isikhathi sokukhulelwa/sokukhulelwa sengane singakanani?
• Ukuthi ingane ikhombisa izimpawu zokungakhululeki yini.
• Ulahlekelwe yigazi elingakanani.

Ngokuvamile, ubukhali bokuxhuzula kanye nobudala bomntwana yizinto ezimbili eziyinhloko ezinquma ukwelashwa.

Uma umntwana esencane (engakafiki isikhathi sokubeletha):

Uma ingane yakho isakhulelwe futhi i-placenta yakho isencane, udokotela wakho uzokuqapha eduze . Ungase utshelwe ukuthi uye ekhaya uyophumula, noma ungase ugcinwe esibhedlela. Ungase unikezwe nemithi yokwelapha ama-corticosteroids ukusiza amaphaphu engane yakho akhule ngokushesha. Uzoqashwa eduze.

Kodwa-ke, uma ukubeletha kunzima futhi kunengozi empilweni yakho noma yengane yakho, kungadingeka ukuthi ubelethe ingane kusenesikhathi, noma ngabe ingane ingakafiki isikhathi sokubeletha (ngaphansi kwamasonto angu-37).

Uma umntwana esekhulile manje (eseduze nokubeletha):

Uma ukushaqeka kwe-placenta kuncane futhi ukushaya kwenhliziyo kwengane kujwayelekile, udokotela wakho angakuvumela ukuthi uhlale esibelethweni kuze kube sekupheleni kokukhulelwa kwakho. Bazokunikeza ama-corticosteroids ukusiza amaphaphu engane yakho ukuba akhule, futhi bazoqhubeka nokukuqapha.

Kodwa-ke, uma ukubeletha kunzima, ingane kuzodingeka ibelethwe maduze. Uma kukhona ingozi kuwe noma enganeni nganoma yisiphi isikhathi, ingane izobelethwa (ngokuvamile ngokuhlinzwa okuphuthumayo).

Izimo lapho kudingeka khona ukulethwa okuphuthumayo:

Uma kwenzeka noma yini kulezi zinto nganoma yisiphi isikhathi, kungakhathaliseki ukuthi ingane ineminyaka emingaki, kungadingeka ukuthi uyithathe:

• Uma ukuqhekeka kwe-placenta kuba kubi/kuyanda.
• Uma wopha kakhulu noma une-anemia enzima.
• Uma ingane ingakhululekile futhi ikhombisa izimpawu zokungatholi umoya-mpilo owanele .

Kuthiwani uma i-placenta ihlukana kancane? Kuthiwani uma ihlukana kabi?

Ngisho noma ukukhubazeka kwe-placenta kuncane, udokotela wakho uzocabangela iminyaka yomntwana lapho ehlela ukwelashwa. Isibonelo, uma usuku lwakho lokuzalwa seluseduze, ungase utshelwe ukuthi ubangele ukubeletha. Uma usuku lwakho lokuzalwa lusesezinyangeni ezimbalwa, noma ngabe ukukhubazeka kuncane, udokotela wakho angase acabangele ukwelashwa okuhlukile. Ngokuvamile, uma ukukhubazeka noma ukopha kungadluli kakhulu, futhi ingane ingaphathekile kahle, ungalinda kuze kube sekupheleni kokukhulelwa kwakho.

Uma i-placenta inzima, ngokuvamile kuba yisimo esiphuthumayo sezokwelapha ngoba kungaholela ezinkingeni ezisongela ukuphila kumama nakumntwana. Ezimweni ezinjalo, umntwana kufanele abelethwe ngokushesha okukhulu.

Ingabe izingane zingasindiswa uma i-placenta ihlukana?

Izici ezimbili eziyinhloko ezithinta ukuthi ingane ingasindiswa yini ubudala bomntwana ekuzalweni kanye nobunzima bokuqhekeka kwe-placenta. Ukutholwa kusenesikhathi, ukuqapha eduze, kanye nokwelashwa okusheshayo kunganciphisa izinkinga. Ezimweni ezimbi kakhulu zokuqhekeka kwe-placenta, kunethuba elingaba ngu-15% lokuthi ingane izofa. Kodwa-ke, lokho kusho ukuthi iningi lezingane lingasindiswa.

Kungenzeka yini ukuthi lokhu kuzophinde kwenzeke?

Uma wake waba nokuqubuka kwe-placenta kanye, kunethuba elingu-15% lokuthi kuzophinde kwenzeke ekukhulelweni kwakho okulandelayo. Uma kwenzeke kabili ngaphambili, leli thuba linganda lifinyelele cishe ku-25%. Ngakho-ke, uma wake waba nokuqubuka kwe-placenta ngaphambili, tshela udokotela wakho.

Ingabe ikhona indlela yokuvimbela lokhu?

Ngokuvamile ayikho indlela yokuvimbela ngokuphelele ukuqhekeka kwe-placenta. Kodwa-ke, unganciphisa ingozi yakho ngokwenza okulandelayo:

• Ungabhemi, ungasebenzisi izidakamizwa, futhi buza udokotela wakho ngaphambi kokuthatha noma yimuphi umuthi ngesikhathi sokukhulelwa.
• Gcina umfutho wegazi lakho usezingeni elifanele.
• Phatha kahle izimo zakho zempilo ezingamahlalakhona.
• Thatha izinyathelo zokuphepha. Isibonelo, ukubopha ibhande lesihlalo uma ugibele imoto.
• Uma unezinkinga zesisu noma ukopha kwesitho sangasese sowesifazane, tshela udokotela wakho ngokushesha.

Kufanele ngimbone nini udokotela?

Uma uzwa ukopha, ubuhlungu besisu, noma izinhlungu ngesikhathi sokukhulelwa kwakho, ikakhulukazi ku-trimester yesithathu, bona udokotela wakho ngokushesha. Ungalibali.

Yimiphi imibuzo okufanele uyibuze udokotela?

Udokotela wakho kufanele akwazi ukuphendula imibuzo yakho futhi akufundise ukuthi ungayelapha kanjani le nkinga. Nazi ezinye zemibuzo ongayibuza:

• Ingabe impilo yomntwana wami isengozini?
• Yini engenzeka uma ngiba nokuqhekeka kwe-placenta?
• Yiziphi izindlela zokwelapha enginazo?
• Ngingamthola umntwana manje?
• Ngingazi kanjani ukuthi ukuqhekeka kwe-placenta yami kuya ngokuya kuba kubi?
• Yiziphi izinkinga ezingaba khona?
• Ingabe ngidinga ukwenza izivivinyo ezengeziwe?
• Ingabe lokhu kungenzeka ekukhulelweni kwesikhathi esizayo?

Ingabe ukuqhekeka kwe-placenta kanye ne-placenta previa kuyinto efanayo?

Yebo, lezi yizimo ezimbili ezahlukene. 'I-Placenta Previa' yilapho i-placenta imboza ngokuphelele noma ingxenye yomlomo wesibeletho. Kunjengokungathi kukhona okuvimba umnyango ophuma esibelethweni. Nakuba i-placenta isendaweni ehlukile, isanamathele esibelethweni.

Ukuqhekeka kwe-placenta kuwukuhlukaniswa kwe-placenta esibelethweni. Kuzo zombili izimo, ukuphuma kwegazi esithweni sangasese sowesifazane kungenzeka ngesikhathi sokukhulelwa nangesikhathi sokubeletha.

Ingabe lokhu kungabangelwa izinto ezifana nocansi, ukuthimula, njll.? Ingabe ukubhema kunemiphumela?

Ukuya ocansini akuyona imbangela eqondile yokuqhekeka kwe-placenta. Ezimweni eziningi, kuphephile ukuya ocansini ngesikhathi sokukhulelwa. Kodwa-ke, kungcono ukugwema imisebenzi engakubeka engozini yokuwa noma yokulimala ngesikhathi sokukhulelwa.

Izinto ezivamile njengokuthimula nokukhwehlela azibangeli ukuthi i-placenta ihlukane. Ngeke zilimaze ingane. Kodwa uma uthimula njalo noma ukhwehlela kakhulu, tshela udokotela wakho .

Ukubhema kwandisa ingozi yezinkinga eziningi ngesikhathi sokukhulelwa, okuhlanganisa nokuqhekeka kwe-placenta. Uma udinga usizo lokuyeka ukubhema, buza udokotela wakho.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

Ukuqhekeka kwe-placenta kuyisimo esibi kakhulu esingase senzeke ngesikhathi sokukhulelwa. Uma unesifo sokopha esithweni sangasese sowesifazane, ubuhlungu besisu, noma ukuqaqamba kwamalunga ngesikhathi sokukhulelwa, bona udokotela wakho ngokushesha. Udokotela wakho uzonquma ukuthi yini okufanele ayenze ngokulandelayo ngokusekelwe ebunzimeni bokuqhekeka, iminyaka yengane yakho, nezinye izici. Khumbula, isikhathi esiningi, akuyona into oyenzile ebangele lokho. Themba ukuthi udokotela wakho wenza okungcono kakhulu kuwe nakumntwana wakho. Ungesabi, kodwa qaphela.

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