Ukungapheleli kwe-placenta? Ungakhathazeki, ake sixoxe ngakho!

Ubuwazi ukuthi ngesikhathi sokukhulelwa, i-placenta iyisixhumanisi esibaluleke kakhulu phakathi kwakho nomntwana wakho. Ifana naleyo enikeza konke ukudla, amanzi, nomoya-mpilo ingane yakho ewudingayo. Kodwa ngezinye izikhathi, le placenta ayikwazi ukusebenza kahle. Namuhla, sizokhuluma ngesimo esinjalo, okuyi-Placental Insufficiency. Lokhu kungase kuzwakale kuyesabisa kancane, kodwa ungakhathazeki, sizoxoxa ngakho ngokuningiliziwe.

Kuyini Ukungakwazi Ukwanela Kwe-Placental?

Kalula nje, leli yigama esilibiza ngokuthi i-placenta yakho ayisebenzi kahle ngesikhathi sokukhulelwa. I-placenta iyisitho esikhethekile kakhulu esinikeza umntwana umoya-mpilo nezakhamzimba. Ngakho-ke, uma kungekho ukusebenza okwanele kwale placenta (i-Placental Insufficiency), i-placenta ayinikezi igazi, umoya-mpilo, noma izakhamzimba ezidingwa ngumntwana ngendlela efanele. Cabanga ngayo njengepayipi elithwala ukudla liye enganeni. Uma kukhona ukuvaleka noma ukuvinjelwa kuyo, umntwana ngeke akuthole akudingayo. Isizathu salokhu kungaba ukuthi i-placenta ayikhuli kahle noma yonakele. Ngenxa yalokho, umntwana akatholi ukudla okudingekile futhi angaba mncane ngokweminyaka yakhe, okusho ukuthi angaba nomkhawulo wokukhula kwe-Intrauterine Growth (IUGR) . Uma umntwana emncane kakhulu, ukuzalwa ngaphambi kwesikhathi kanye nezinye izinkinga zokukhulelwa kungase kwenzeke.

Lesi simo sivame kakhulu, singabonakala cishe koyedwa kwabayishumi abakhulelwe, ngakho-ke kubaluleke kakhulu ukuqaphela.

Ziyini izimpawu zalesi simo? Sazi kanjani?

Manje cishe ucabanga ukuthi, 'O, ngingazi kanjani ukuthi nami nginalokhu?' Empeleni, isikhathi esiningi azikho izimpawu ezicacile zalesi simo . Yingakho kudingeka uqaphele kancane. Kodwa-ke, ngezinye izikhathi ungathola umbono wokuthi kungase kube nenkinga nge-placenta ngezinto ezifana nalezi:

• Ukopha kwangasese kwenzeka ezigabeni zokuqala zokukhulelwa.
• Ukuzwa ukunyakaza okuncane kombungu . Uma uzizwa ingane yakho ingashukumi kakhulu kunangaphambili, lokho nakho kuyinto okufanele uyicabangele.
• Kungaba futhi uphawu lokuthi awukhuli kakhulu njengoba wawukhula ngesikhathi sokukhulelwa kwangaphambilini.

Kodwa khumbula, ukuthi nje unalezi zimpawu akusho ukuthi unalesi simo. Futhi, ungaba nalesi simo ngaphandle kwezimpawu. Yingakho kubaluleke kakhulu ukuya kohlolwa njalo kwezokwelapha.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Ukuntuleka kwe-placenta kwenzeka uma kungekho igazi elanele (igazi eliqukethe umoya-mpilo nezakhamzimba) elishintshaniswa phakathi kwakho nomntwana wakho. Lokhu kusho ukuthi umntwana akakutholi lokho akudingayo ukuze akhule. Lesi simo singabangelwa inkinga ngendlela i-placenta enamathela ngayo olwelwesini lwesibeletho.

Kunezinye izizathu eziningana:

• I-placenta yakho iyasuka odongeni lwesibeletho (ukuqhuma kwe-placenta)Lesi yisimo esiphuthumayo.
• Noma yimuphi umonakalo noma ukulimala kwe-placenta .
• Ukuma okungajwayelekile kwe-placenta .
• I-placenta ayikhuli ngokwanele noma incane kakhulu .

Ngaphezu kwalokhu, ukungasebenzi kahle kwe-placenta kungabangelwa yizimo ezithile zezokwelapha onazo noma izici ezithile endleleni yakho yokuphila. Ngezinye izikhathi, lesi simo singavela ngokungaqondile. Okusho ukuthi, kunezikhathi lapho kungenakwenzeka khona ukusho ngokuqondile ukuthi 'yingakho lokhu kwenzekile'.

Ubani osengozini enkulu yalesi simo?

Odokotela bathole ukuthi omama abanezimo ezithile zezokwelapha banamathuba amaningi okuba nezinkinga ngokukhula nokusebenza kwe-placenta ngesikhathi sokukhulelwa. Uma unesinye salezi zimo, ungase ube sengozini enkulu yokuthola izifo ze-placenta:

• Isifo sikashukela
• Umfutho wegazi ophezulu (Umfutho wegazi ophezulu / Umfutho wegazi ophakeme)
• Isifo senhliziyo
• Izimo zokujiya kwegazi
• Ukudlulela emasontweni angu-40 okukhulelwa . Sithi 'uphuthelwe usuku lokuzalwa'.
• I-Preeclampsia . Lesi yisimo lapho umfutho wegazi ukhuphuka khona ngesikhathi sokukhulelwa futhi kuthinta nezinye izitho zomzimba.
• Ukutheleleka kwesibeletho okungelashwanga .
• Ukopha ngokweqile noma ezinye izinkinga ngesikhathi sokukhulelwa kwasekuqaleni .
• Ukuba neminyaka engaphezu kwengu-35 ubudala .
• Ukusetshenziswa kwemithi ethile .

Futhi, izinto ezinjengokubhema, ukuphuza utshwala, nokusebenzisa kabi izidakamizwa ngesikhathi sokukhulelwa nazo zingaphazamisa ukusebenza kwe-placenta. Lezi yizinto esingazivimbela thina, akunjalo?

Yiziphi izinkinga ezingaba khona ngenxa yokusebenza okwanele kwe-placenta?

Ukuntuleka kwe-placenta kungabangela izinkinga kumama kanye nengane. Kodwa-ke, kungenzeka kakhulu ukuthi kube yingozi empilweni yengane . Yingakho sikhathazekile kakhulu ngalokhu.

Izinkinga ezingaba khona enganeni:

Uma i-placenta ingasebenzi kahle, umntwana angaba nezinkinga ezifana nalezi:

• Ukuzalwa ngaphambi kwesikhathi : Ingane izalwa ngaphambi kosuku lwayo lokuzalwa. Lokhu kungabangela ukuthi izinga lokushisa lomzimba wengane lehle kanye nesisindo sokuzalwa sehle. Cabanga nje, ingane iphuma ingakakulungeli nokuza emhlabeni.
• Umkhawulo Wokukhula Kwangaphakathi Kwesibeletho (IUGR) : Njengoba kushiwo ngaphambili, umntwana akakhuli esibelethweni ngesilinganiso esifanele ngokweminyaka yakhe.
• I-hypoxia yengane esanda kuzalwa : Lokhu kwenzeka lapho ubuchopho bomntwana nezinye izitho zomzimba zingatholi umoya-mpilo owanele. Lokhu kungaholela kwezinye izinkinga ezinkulu.
• I-anemia: Ukuntuleka kwegazi emzimbeni wengane.
• Ushukela ophansi egazini (i-Hypoglycemia) .
• Ukwehla kwamazinga e-calcium egazini (i-Hypocalcemia) .
• Ukwanda kwe-bilirubin egazini : Lokhu kungabangela umntwana ukuba abe nesimo esibizwa ngokuthi i-jaundice.
• Ukuzalwa Kwengane Ifile : Lona umphumela omubi kakhulu okungekho noyedwa kithi ofuna ukuzwa ngawo. Kusho ukufa komntwana esibelethweni.

Izinkinga ezingaba khona kumama:

Lokhu kungabangela nezinkinga ezithile kumama:

• Ukuphazamiseka kwe-placenta : Njengoba kushiwo ngaphambili, lokhu ukuhlukaniswa kwe-placenta nodonga lwesibeletho. Lokhu kuyisimo esiphuthumayo futhi kuyingozi kumama kanye nengane.
• Ukubeletha ngaphambi kwesikhathi : Ubuhlungu bokubeletha umntwana ngaphambi kosuku lokuzalwa.
• Ukubeletha ngaphambi kwesikhathi : Lokhu kusho ukuzalwa komntwana ngaphambi kosuku lokuzalwa.

Ngiyazi ukuthi kuyesabeka ukuzwa lezi zinto, kodwa ukuzazi kuzokukhuthaza ukuthi ufune iseluleko sezokwelapha ngokushesha.

Uyibona kanjani le nkinga?

Umhlinzeki wakho wokunakekelwa kokukhulelwa uzohlonza lesi simo, esivame ukutholakala ngesikhathi sokuhlolwa kokukhulelwa noma ukuhlolwa kwe-ultrasound .

I-ultrasound scan ingahlola izinto ezifana nokuthi igazi ligeleza kanjani phakathi kwe-placenta nomntwana, ubukhulu nendawo ye-placenta nomntwana. Cabanga nje, kukhombisa ngokucacile ukuthi kwenzekani ngaphakathi kwe-placenta.

Uma ingane yakho ibonakala incane kunokujwayelekile ku-scan, noma uma isilinganiso sakho sokuphakama kwe-fundal siphansi kunokulindelekile, udokotela wakho angase asole inkinga nge-placenta.

Kubalulekile futhi ukukhuluma nodokotela wakho ngokuthi uzizwa kangakanani ukunyakaza kwengane yakho kanye nanoma yiziphi ezinye izinto ezikukhathazayo. Lolu lwazi luzosiza udokotela wakho ukuthi athole umbono omuhle wokuthi ukukhulelwa kwakho kuqhubeka kanjani.

Akukho ukwelashwa kwalokhu? Ukuphatha kanjani lokhu?

Eqinisweni, okwamanje akukho ukwelashwa noma ikhambi elithile lokungasebenzi kahle kwe-placenta. Okusho ukuthi, akukho muthi ongabuyisela i-placenta ekusebenzeni kwayo okuvamile. Kodwa ungakhathazeki! Udokotela wakho wezifo zokubeletha uzosikisela izindlela zokuphatha lesi simo nokunciphisa umthelela waso ekukhulelweni kwakho.

Ukunakekelwa okudingayo kuhlukile ekukhulelweni kwakho. Lokho kusho ukuthi kungahluka kumuntu nomuntu. Ngokuvamile kuncike ezintweni ezifana nalezi:

• Ukweyiphi i-trimester yokukhulelwa ?
• Imiphumela yokuhlolwa kwakho.
• Noma yiziphi ezinye izinkinga noma izimpawu onazo.

Ukuqapha ukukhulelwa kwakho kuyingxenye ebalulekile yokuphathwa. Udokotela wakho kuzodingeka akubone njalo, futhi angase futhi enze ama-ultrasound scan kanye nokuqapha inhliziyo yengane ukuze ahlole ukukhula nempilo yayo.

Ukulawula kahle noma yiziphi ezinye izimo zezokwelapha ongase ube nazo (isibonelo, isifo sikashukela noma umfutho wegazi ophakeme) nakho kuyingxenye ebaluleke kakhulu yalokhu kuphathwa.

Ezimweni eziningi, uma ukhulelwe amasonto angu-37 , udokotela wakho angancoma ukubeletha uma kuphephile kuwe nakumntwana wakho.

Uma ungakafiki isikhathi sokubeletha, udokotela wakho uzokuqapha eduze ukuqinisekisa ukuthi ingane yakho iphila kahle ngesikhathi sokukhulelwa. Uma kunezimpawu zokuthi ingane yakho ayiphilile, okusho ukuthi isengozini enkulu yokuba ingane ibe sesibelethweni, kunganconywa ukubeletha kusenesikhathi . Lokhu kungenxa yokuthi kuyindlela ephephile ngaleso sikhathi. Uma kudingeka ukubeletha kusenesikhathi, ama-steroid anganikezwa ukusiza amaphaphu engane akhule.

Ingabe lesi simo singaba ngcono?

Uma usutholakale une-Placental Insufficiency, i-placenta yakho ngeke ibuyele esimweni sokusebenza kahle futhi esinempilo. Lokho kuyiqiniso. Kodwa-ke, udokotela wakho uzophatha lesi simo futhi aqaphe ingane eduze ukuthola noma yiziphi izimpawu zezinkinga.

Kodwa-ke, ukutholakala kusenesikhathi, ukuphathwa kahle kwanoma yiziphi izimo ezingaphansi okungenzeka ukuthi unazo, kanye nokuya kuzo zonke izikhathi zokunakekelwa kwangaphambi kokubeletha kungasiza ekuvimbeleni ukuthi i-placenta yakho ingabi yimbi kakhulu. Lokhu kusho ukuthi ingaphathwa ngaphandle kokudala umonakalo owengeziwe.

Lingakanani izinga lokusinda kwezinsana ezingenawo umsebenzi owanele we-placenta?

Abesifazane abaningi abakhulelwe abanenkinga yokuntuleka kwe-placenta bayaqhubeka nokubeletha ngempumelelo. Lezo yizindaba ezinhle. Kodwa-ke, lokhu kuncike kakhulu esimweni esiyisisekelo, ubucayi bokungasebenzi kahle kwe-placenta, kanye nokuthi ukhulelwe isikhathi esingakanani uma uxilongwa .

Yingakho ukutholakala kusenesikhathi kanye nokuphathwa okufanele kubaluleke kangaka.

Ingabe lesi simo singavinjelwa?

Ezimweni eziningi, asikwazi ukuvimbela ngokuphelele ukungakwazi ukuzala kahle kwe-Placental. Lelo yiqiniso. Ngoba ezinye izimbangela zingaphezu kwamandla ethu.

Kodwa-ke, into engcono kakhulu ongayenza ukuya ekunakekelweni kokubeletha ekuqaleni kokukhulelwa kwakho.Ngoba udokotela angakwazi ukuxilonga lesi simo kusenesikhathi. Ukutholwa nokuphathwa kusenesikhathi kunganciphisa ingozi yezinkinga ngesikhathi sokukhulelwa kwakho.

Futhi, ukuphatha kahle noma yiziphi izimo zempilo ezikhona noma ezintsha ongase ube nazo kungasiza ekuvimbeleni izinkinga ezengeziwe. Isibonelo, ukulawula izinto ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme kungasiza.

Uma nginalesi simo, kufanele ngizinakekele kanjani?

Uma une-placenta enganele, kubalulekile ukulandela imiyalelo kadokotela wakho ngqo. Indlela odokotela abaphatha ngayo lesi simo ingahluka. Kuya ngokuthi usesikhathini esingakanani ekukhulelweni kwakho kanye nobunzima besimo sakho.

Izinsana noma izinsana ezingaphambi kwesikhathi ezinezimo ezithile zempilo zingadinga ukunakekelwa okukhethekile eYunithi Yokunakekelwa Okujulile Kwezinsana Ezisanda Kuzalwa (i-NICU) . Ukuzilungiselela lokhu kungakusiza ukuthi ubhekane nesimo. Ungesabi ukukhuluma nodokotela wakho ngokwesaba kwakho nokukhathazeka kwakho. Buza udokotela wakho ukuthi yini ongayenza ukuze akusize ube nomntwana onempilo.

Khumbula ukuthi awuwedwa, futhi ithimba lezokwelapha likhona ukukusiza .

Kufanele ngimbone nini udokotela?

Njengoba ukungasebenzi kahle kwe-placenta kungahlali kubangela izimpawu, into engcono kakhulu ongayenza ukugcina zonke izikhathi zakho zokunakekelwa kwangaphambi kokubeletha . Futhi, khuluma nodokotela wakho nganoma yiziphi izimpawu ozizwayo. Lokhu kuzosiza udokotela wakho ukuthi abone noma yiziphi izinkinga ezingase zivele ngesikhathi sokukhulelwa kwakho.

Ngesikhathi sokukhulelwa, uma uzwa ukopha kwesitho sangasese sowesifazane noma ubuhlungu besisu , kufanele ubonane nodokotela ngokushesha . Ungakhohlwa lokho.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke sesikhulume kakhulu ngokuntuleka kwe-placenta, akunjalo? Nakuba kungekho ikhambi laso, kunezindlela zokuphatha lesi simo kahle nokwandisa amathuba akho okukhulelwa nokubeletha okunempilo .

Landela imiyalelo kadokotela wakho ngqo. Phatha noma yiziphi ezinye izimo zempilo ongase ube nazo, futhi uye emitholampilo yangaphambi kokubeletha ngesikhathi. Gwema ukusebenzisa utshwala, izidakamizwa, kanye nogwayi ngokuphelele ngesikhathi sokukhulelwa. Lokhu kuyingozi kakhulu kuwe nakumntwana wakho.

Udokotela wakho uzokugada eduze wena nomntwana wakho phakathi nokukhulelwa kwakho, ebheka noma yiziphi izimpawu zezinkinga. Uma kudingeka, bangase batuse nokuthi ubelethe kusenesikhathi. Konke lokhu kungenxa yokuphepha kwakho nokwengane yakho .

Ngakho-ke, into ebaluleke kakhulu ukuqaphela lokhu, ulandele iseluleko sezokwelapha, futhi uhlale unethemba. Sikufisela ukubeletha okujabulisayo!

I- Placenta, Ukuntuleka Kwe-Placenta, Ukukhulelwa, Ukukhula Komntwana, Ukuzalwa Ngaphambi Kwesikhathi, Izinkinga Zokubeletha, Ukuntuleka Kwe-Placenta