I-Placenta Accreta - Singaxoxa ngalokhu?

Ukukhulelwa yisikhathi esihle kakhulu nesinomthwalo wemfanelo empilweni kamama. Phakathi nalesi sikhathi, kuyinto evamile ukuzizwa wesaba futhi unelukuluku lokwazi okwenzekayo emzimbeni wakho kanye nempilo yengane yakho. Namuhla sizokhuluma ngesimo esikhethekile abantu abaningi abangakaze basizwe, kodwa esibaluleke kakhulu ukuthi wonke umama okhulelwe asiqaphele. Leyo yi -Placenta Accreta . Ungakhathazeki, sizokhuluma ngakho konke kalula nangokucacile.

Okokuqala, ake sibone, iyini le placenta?

Kalula nje, i-placenta iyibhuloho phakathi kwakho nomntwana wakho ngesikhathi sokukhulelwa. Iyizicubu ezikhethekile ezikhula ngaphakathi kwesibeletho. Yile placenta lapho umntwana ethola khona lonke igazi, umoya-mpilo, kanye nezakhamzimba umzimba wakho ozidingayo. Yile placenta futhi lapho kususwa khona imfucuza yomntwana.

Okuvame ukwenzeka ukuthi ngemva kokuzalwa komntwana, i-placenta iyazihlukanisa nodonga lwesibeletho. Lokhu sikubiza nangokuthi "ukulethwa kwe-placenta."

Ngakho-ke, siyini lesi simo esibi esibizwa ngokuthi i-Placenta Accreta?

I-Placenta Accreta yilapho i-placenta inamathela ngokujulile futhi ngokuqinile odongeni lwesibeletho, okuyinto engavamile. Ngokuvamile, i-placenta inamathela kuphela olwelwesini oluncane lwesibeletho (i-endometrium). Kodwa-ke, kulokhu, i-placenta inganamathela ngokujulile, kuze kufike emisipheni yesibeletho.

Uma inamathele kahle, i-placenta ayikwazi ukuphuma kalula ngemva kokuzalwa komntwana. Uma uzama ukuyisusa, ingabangela ukopha okukhulu. Lena yinkinga enkulu neyingozi kakhulu lapha.

Kunezinhlobo ezimbili eziyinhloko ze-Placenta Accreta:

Lesi simo sihlukaniswe ngezinhlobo ezintathu eziyinhloko, kuye ngokuthi i-placenta inamathela kangakanani odongeni lwesibeletho. Ake siqonde lokhu ngethebula.

Kungani lesi simo senzeka?

Inani lemibiko yalesi simo liye landa kancane eminyakeni embalwa edlule. Isizathu esiyinhloko salokhu sitholakale ukwanda kwenani lokubeletha ngokuhlinzwa (ukuhlinzwa ngokuhlinzwa) .

Ake sithi ubunengane yangaphambilini ngokuhlinzwa ngokuhlinzwa. Lokho kuhlinzwa kushiya isibazi esincane (izicubu zesibazi) odongeni lwesibeletho. Ekukhulelweni okulandelayo, uma umbungu ufaka kuleyo sibazi noma eduze kwaso, i-placenta izokhula phezu kwaleyo sibazi, hhayi ezicutshini zesibeletho ezinempilo. Ngenxa yokuthi izibazi aziweluli njengezicubu zesibeletho ezivamile, i-placenta cishe izonamathela ngokujulile ngendlela engavamile.

Ezinye izinto eziyingozi:

Ngaphezu kokuhlinzwa ngokuhlinzwa kwe-C , ezinye izindlela zokuhlinzwa noma izimo ezibangela izibazi esibelethweni nazo zingandisa le ngozi.

• I-Myomectomy: Ukuhlinzwa kokususa ama-fibroids esibelethweni.
• Okunye ukuhlinzwa okwenziwe esibelethweni (isib. ukuhlinzwa kwe-Hysteroscopic, i-Endometrial ablation).
• Ukuba nesimo esibizwa ngokuthi i-placenta previa . Lokhu kusho ukuthi i-placenta iphansi esibelethweni, imboze umlomo wesibeletho. Cishe abantu abangu-80% abane-placenta accreta nabo banalesi simo.
• Ukuba neminyaka engaphezu kwengu-35 ubudala.
• Njengoba ebebelethe izingane eziningana ngaphambili.

Ngingathola kanjani ukuthi nginalesi simo?

I-Placenta Accreta ivame ukutholakala ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa kwakho okuvamile.Ukuskena. Uma unezinye zezinto eziyingozi okukhulunywe ngazo ngenhla, udokotela wakho angase akunake ngokukhethekile lokhu futhi enze ukuskena.

Ngezinye izikhathi, kungenziwa i-MRI scan ukuze kutholakale ukuthi i-placenta ijule kangakanani. Lolu lwazi lubaluleke kakhulu kodokotela ukuze bahlele ukubeletha.

Kodwa khumbula, ngezinye izikhathi kunzima ukubona ngo-100% ukuthi lesi simo sibi kangakanani. Abanye omama batholakala benalesi simo ngesikhathi sokubeletha.

Ziyini izimpawu zalokhu?

Into emangazayo lapha ukuthi ngokuvamile azikho izimpawu ezibonakalayo ze-Placenta Accreta. Lesi simo singakhula emzimbeni wakho ngaphandle kokuthi uqaphele noma yiziphi izinguquko noma ukungakhululeki.

Kodwa-ke, ezimweni ezinzima kakhulu njenge-Placenta Percreta, i-placenta icindezela ezinye izitho zomzimba, okubangela ubuhlungu be-pelvic noma igazi elincane emchameni.

Yiziphi izinkinga ezingabangelwa yilokhu?

Inkinga enkulu neyingozi kakhulu ngalesi simo yenzeka ngesikhathi sokubeletha. Njengoba i-placenta ingahlukani nesibeletho ngokuvamile, kungaba nezinkinga ezinkulu.

Imiphumela engaba khona enganeni

• Ukubeletha ngaphambi kwesikhathi: Kuye ngokuthi isimo sibucayi kangakanani, ingane ingadinga ukubeletha ngokuhlinzwa amasonto ama-3-6 ngaphambi kosuku lokubeletha.
• Ngenxa yokuzalwa ngaphambi kwesikhathi, umntwana usengozini enkulu yokudinga ukwelashwa e-NICU ( Neonatal Intensive Care Unit) .
• Uma umama eba nokopha okukhulu, ingane kungadingeka ibelethwe ngokuhlinzwa okuphuthumayo okungahleliwe.

Imiphumela engaba khona kumama

Kulesi simo, ingozi enkulu ilele kumama.

• Ukopha: Ukopha okukhulu, okungaba yingozi empilweni, kungenzeka.
• Ukususwa Kwesisu: Ezimweni eziningi, okuwukuphela kwendlela yokuvimbela ukopha ngokweqile nokusindisa impilo kamama ukukhipha isibeletho ngokuphelele ngesikhathi esifanayo nokubeletha komntwana. Lokhu kubizwa ngokuthi i-Cesarean Hysterectomy.

Iphathwa futhi iphathwa kanjani?

Uma kutholakale ukuthi une-Placenta Accreta, ungesabi. Ithimba lakho lezokwelapha lizokwakha uhlelo olungcono kakhulu lokuvikela wena nomntwana wakho.

• Ukuhlinzwa kwe-C okuhleliwe:Ukulethwa kuhlelwe futhi kwenziwa njengokuhlinzwa kokubeletha amasonto ambalwa ngaphambi kosuku lokugcina.
• Ukuhlinzwa Kwesisu: Ngokuvamile, ngemva kokubeletha umntwana, isibeletho sisuswa ngokuphelele kanye ne-placenta. Ngemva kwalokhu, ngeke usakwazi ukuba nabantwana. Nakuba lokhu kuyinto edabukisayo, kubalulekile ukuqonda ukuthi kuyisinyathelo esidingekayo ukusindisa impilo kamama.
• Khuluma nethimba lakho lezokwelapha: Ngaphambi kokuba ingane yakho izalwe, khuluma nodokotela wakho kanye nethimba lezokwelapha nganoma yimiphi imibuzo ongase ube nayo. Khuluma ngokuncelisa ngemva kokuhlinzwa kanye namathuba okubamba ingane yakho eduze.

Kwezinye izimo, uma umama efuna ukuba nezingane ezengeziwe, odokotela bangase bazame ukushiya ingxenye ye-placenta esibelethweni. Kodwa-ke, lokhu kuthwala ingozi yokutheleleka kanye nokuhlinzwa okulandelayo. Isinqumo esingcono kakhulu ngalokhu senziwa yithimba lakho lezokwelapha ngokusekelwe esimweni sakho.