Uma uba ngumama okhulelwe, ukwesaba nokukhathazeka okuzwayo uma ubona ngisho nokopha okuncane akuchazeki. Umbuzo wokuqala ofika engqondweni uthi, 'Kwenzekeni enganeni yami?'. Esikhathini esiningi, sicabanga ukuthi kuwuphawu lokuphuphuma kwesisu. Kodwa ngesikhathi sokukhulelwa, ikakhulukazi ezinyangeni zokuqala, ukopha akuyona ukuphela kwembangela yokuphuphuma kwesisu. Namuhla, sizokhuluma ngesimo esivamile, kodwa esingaziwa kahle ngabaningi. Leso yi-Subchorionic Hematoma.
Kuyini i-Subchorionic Hematoma?
Kalula nje, leli inani elincane legazi eliqoqana phakathi kodonga lwesibeletho sakho kanye nolwelwesi olungaphandle (ulwelwesi lwe-chorionic) oluzungeze isikhwama se-amniotic lapho umntwana ekhona. Cabanga nje, lapho silimala endaweni ethile emzimbeni wethu, siphenduka sibe luhlaza okwesibhakabhaka bese kwakheka ihlule legazi ngaphansi kwesikhumba, akunjalo? Yilokho okufana nalokhu. Inani elincane lokopha livela lapho lelo lwelwesi likude kancane nodonga lwesibeletho, futhi lelo gazi liqoqana lapho. Lokhu kubizwa nangokuthi i-Subchorionic Hemorrhage.
Lena yimbangela eyinhloko yokopha kwegazi esithweni sangasese sowesifazane phakathi namasonto okuqala ayi-10 kuya kwangama-20 okukhulelwa. Esikhathini esiningi, la maqhubu egazi (ama-hematoma) mancane kakhulu. Awabangeli monakalo futhi azomuncwa ngumzimba ngokuhamba kwesikhathi futhi aphulukiswe. Ngakho-ke ungakhathazeki uma uzwa leli gama.
Zingaba yini izimpawu?
Uphawu oluyinhloko lwalesi simo ukopha kwesitho sangasese sowesifazane, kodwa akufani kuwo wonke umuntu.
| Isibonakaliso | Incazelo |
|---|---|
| Ukopha Kwangasese | Lokhu kungasukela ekubonakaleni kokukhanya kuya ekuphumeni kwegazi okukhulu okunamahlule egazi. Ngezinye izikhathi kungaba nsundu ngisho nangokwebala. |
| Ukuqaqamba Kwesinqe | Abanye abantu bangase babe nobuhlungu obuncane esiswini esingezansi njengoba ukuphuma kwegazi kuqhubeka, kodwa abantu abaningi ababuzwa nhlobo ubuhlungu. |
| Azikho izimpawu | Abantu abaningi ababonisi zimpawu. Kutholakala ngengozi ngesikhathi sokuhlolwa okuvamile kwe-ultrasound. |
Into ebaluleke kakhulu ukuthi uma uzwa ukopha ngesikhathi sokukhulelwa, kungakhathaliseki ukuthi kuncane noma kuningi, kufanele nakanjani wazise udokotela wakho ngakho ngaphandle kokukhathazeka. Angakwazi ukuthola imbangela bese enza okudingekayo.
Kungani lokhu kwenzeka? Ubani osengozini enkulu?
Njengoba sixoxile ngaphambili, lokhu kuqoqwa kwegazi kwenzeka lapho ulwelwesi lwangaphandle lwesikhwama (ulwelwesi lwe-chorion) lapho umntwana ezalwa khona luhlukana nodonga lwesibeletho. Isizathu esiqondile sokuthi lokhu kuhlukana kwenzeke asikatholakali. Kodwa-ke, kutholakale ukuthi izici ezithile zingase zandise kancane le ngozi.
| Isici Sengozi |
|---|
| Ukuba nokukhubazeka ngesimo sesibeletho. |
| Njengoba ngike ngaba nokutheleleka kwesibeletho. |
| Kube khona ingozi noma ukulimala esibelethweni. |
| Njengoba ngike ngaphuphunyelwa yisisu ngaphambilini. |
| Ukukhulelwa ngobuchwepheshe be-IVF (ukukhulelwa nge-IVF). |
| Ukuba nomfutho wegazi ophakeme. |
Ingabe lokhu kungabangela izinkinga?
Lo mbuzo ongase wesabe kancane ukuwuzwa. Yebo, ngezinye izikhathi, ikakhulukazi uma i-hematoma inkulu, kunengozi encane kakhulu yezinkinga. Isibonelo, izimo ezifana nokubeletha ngaphambi kwesikhathi kanye nokushaqeka kwe-placenta.
Kodwa ungesabi ukuzwa lokhu. Ngiyaphinda, ama-hematoma e-subchorionic angaphezu kuka-90% ayaziphilisa ngokwawo ngaphandle kwezinkinga.Izinkinga azivamile. Udokotela wakho uzokuchazela ukuthi usengozini yini ngemva kokuskena, ngokusekelwe kubukhulu behlule legazi, indawo elikuyo, kanye nesigaba sakho sokukhulelwa.
Iphathwa kanjani?
Esikhathini esiningi, lokhu akudingi ukwelashwa okukhethekile. Njengoba nje inxeba esikhumbeni sethu liphola lodwa, nalo lizomuncwa ngumzimba bese liyanyamalala. Kodwa-ke, kuye ngesimo sakho, udokotela wakho angase ancome izinto ezithile.
- Gwema imisebenzi enzima: Ungase ucelwe ukuthi uyeke ukwenza izinto ezifana nokuphakamisa izinsimbi nokuzivocavoca isikhashana.
- Ukuphumula embhedeni ngokuphelele: Ngezinye izikhathi, uma ukopha kukhulu kakhulu, ungase ucelwe ukuba uphumule embhedeni izinsuku ezimbalwa.
- Gwema ukuya ocansini: Kuyelulekwa ukugwema ukuya ocansini kuze kube yilapho isimo sithuthuka.
- Phinda ukuskena: Uzocelwa ukuthi wenze okunye ukuskena emavikini ambalwa ukuze ubone ukuthi ihlule legazi liya lincipha noma likhulu.
- Umuthi wokugomela okhethekile womama abangenayo i-RhD: Uma uhlobo lwegazi lakho lungenayo i-RhD, udokotela wakho angakunikeza umuthi wokugomela okhethekile obizwa ngokuthi i-`Anti-D immune globulin (Rh0(D))`. Lokhu kuzovimbela izinkinga ezingase zenzeke enganeni esikhathini esizayo.
Ingabe lokhu kuzolimaza ingane yami?
Lona ngumbuzo omkhulu engqondweni yabo bonke omama. Impendulo iwukuthi ezimweni eziningi, i-Subchorionic Hematoma ngeke ilimaze ingane yakho. Uma ihlule legazi lincane, ukukhulelwa kuzoqhubeka ngaphandle kwezinkinga. Uma ihlule legazi likhulu kancane, udokotela uzokuqapha wena nomntwana eduze kakhulu. Into ebalulekile ukuthi omama abaningi abanalesi simo bazale izingane ezinempilo.
Ezinye izimbangela zokopha ngesikhathi sokukhulelwa
I-subchorionic hematoma ingenye yezimbangela. Kungaba nezinye izimbangela zokopha ngesikhathi sokukhulelwa.
- Ukuphuphuma kwesisu
- Ukukhulelwa kwesisu
- Ukopha ngokufakelwa yikona okopha okuncane okwenzeka lapho umbungu ufakwa esibelethweni.
- Ukopha okuncane ngemva kocansi
- Ukutheleleka kwesitho sangasese sowesifazane noma somlomo wesibeletho
- Izinkinga ze-placenta (njengokuqedwa kwe-placenta noma ukuqedwa kwe-placenta)
Kungakhathaliseki ukuthi yisiphi isizathu, into engcono kakhulu ongayenza uma ubona ukopha ukwazisa udokotela wakho ngokushesha .
Umlayezo Wokuya Nawe Ekhaya
- Ungacabangi ukuthi ukopha ngesikhathi sokukhulelwa kuwukuphuphuma kwesisu. I-subchorionic hematoma iyimbangela evamile futhi ngokuvamile engenangozi.
- Ama-hematoma amaningi e-subchorionic angama-blood clots amancane futhi azophola ngokwawo ngokuhamba kwesikhathi ngaphandle kokwelashwa.
- Kungakhathaliseki ukuthi ukuphuma kwegazi kuncane noma kukhulu, noma kukhona ubuhlungu noma cha, khuluma nodokotela wakho nakanjani. Ungazihlolisisi.
- Uma udokotela ekweluleka ukuthi uphumule futhi ugweme ukwenza imisebenzi enzima, mlandele kahle. Kuphephile wena nomntwana wakho.
- Kuvamile ukuzizwa ukhathazekile futhi wesaba uma ufunda into efana nale. Khuluma nodokotela wakho ngokukhululekile ngemizwa yakho nokwesaba kwakho. Uzokunikeza induduzo nolwazi oludingayo.
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