Kujwayelekile ukuthi umama akhathazeke ngisho nangezinto ezincane kakhulu ngesikhathi sokukhulelwa. Ikakhulukazi uma umbiko wakho weskeni uthi "i-placenta ephansi", noma uma uqaphela ngokuzumayo ukuphuma kwegazi esithweni sangasese sowesifazane phakathi nokukhulelwa kwakho, kungaba yinto eyesabekayo kakhulu. Ngakho-ke, ungesabi. Namuhla, sizokhuluma ngalokhu kwesaba okuvamile kwe -placenta previa, noma ukuthi kuyini, ukuthi kufanelekile yini ukukhathazeka ngakho, nokuthi yini okufanele uyenze esimweni esinjalo.
Kalula nje, iyini i-placenta previa?
Cabanga nje, uma ingane yakho isesibelethweni sakho, ithola wonke umoya-mpilo kanye nokudla okunomsoco ekudingayo ngesitho esibizwa ngokuthi i-placenta. Kufana nebhokisi lesidlo sasemini lomntwana. Le placenta ixhunywe nengane ngentambo yesisu, futhi ithwala izakhamzimba ezivela kuwe ziye enganeni, kanye nokususa indle yomntwana. Le placenta ikhula ngaphakathi kwesibeletho.
Ngokuvamile, le placenta itholakala engxenyeni engenhla yesibeletho, kude nomgodi (isibeletho) lapho umntwana ephuma khona. Umlomo wesibeletho ufana "nomnyango" lapho umntwana ephuma khona.
I-placenta previa yilapho i-placenta, efana nebhokisi lesidlo sasemini lomntwana, itholakala phansi kwesibeletho, imboze ngokuphelele noma ingxenye "yomnyango" (isibeletho).
Manje cabanga, lapho umntwana esezozalwa, lowo mnyango (isibeletho) uqala ukuvuleka. Ngemuva kwalokho, imithambo yegazi ethambile exhunywe ku-placenta phezulu kwalowo mnyango ingadabuka. Yilapho-ke kuvela khona ukopha okukhulu, okubeka umama nomntwana engozini. Yingakho odokotela batusa ukuhlinzwa kokubeletha (ukuhlinzwa kokubeletha) komama abanalesi simo.
Yiziphi izinhlobo eziyinhloko ze-Placenta Previa?
Lesi simo asifani, kunezinhlobo eziningana. Imiphumela ingahluka kuye ngohlobo onalo.
| Uhlobo | Incazelo elula | Amaphuzu abalulekile |
|---|---|---|
| Kuqediwe (Okuqediwe Kwangaphambilini) | Umlomo wesibeletho (umnyango lapho umntwana engena khona) uvalwe ngokuphelele yi-placenta. | Esimweni esinjalo, ukuhlinzwa kokubeletha kuyadingeka ngempela. |
| Ingxenye (Okungaphambi Kwengxenye) | I-placenta imboza ingxenye yesibeletho kuphela. | Ukuhlinzwa ngokuhlinzwa kuvame ukudingeka, futhi isinqumo senziwa ngokusekelwe eselulekweni sikadokotela. |
| I-Marginal Previa / Ukulala phansi | I-placenta iseduze kakhulu nomlomo wesibeletho, kodwa ayiwumbozi. | Lolu uhlobo oluvame kakhulu. Izindaba ezinhle ukuthi cishe ezimweni ezingama-90%, i-placenta iyaphakama yodwa njengoba isibeletho sikhula. |
Ziyini izimpawu zalesi simo?
Esikhathini esiningi, omama abane-Placenta Previa ababonisi zimpawu. Kutholakala ngesikhathi sokuhlolwa okuvamile. Kodwa-ke, uma kuvela izimpawu , zingase zihlanganise:
- Uphawu oluyinhloko: Ukopha okungazelelwe, okungenabuhlungu, okubomvu kancane kwesitho sangasese sowesifazane engxenyeni yesibili yokukhulelwa (ngemuva kwamasonto angama-20). Lokhu kungaba lula noma kube nzima.
- Ukuqaqamba kwesisu: Ungase uzwe ubuhlungu besisu (ukushwabana) njengoba ukopha kwakho kuqhubeka. Kungase kuzwakale sengathi isisu sakho siyaqina, noma njengobuhlungu bomhlane.
Into ebalulekile ukuthi akuvamile ukuba nokopha kwesitho sangasese sowesifazane nganoma yisiphi isikhathi ngesikhathi sokukhulelwa, ikakhulukazi ku-trimester yesibili. Uma ukopha okuncane, ungakushayi indiva.
Uma ulahlekelwa igazi eliningi, ungase ubhekane nezinye izimpawu ze-anemia, njengesikhumba esikhanyayo, ukushaya kwenhliziyo okusheshayo nokubuthakathaka, ubunzima bokuphefumula, kanye nomfutho wegazi ophansi.
Ubani osengozini enkulu yokuthola i-Placenta Previa?
Nakuba lesi simo singaba khona kunoma ubani, abanye abantu basengozini enkulu.
- Kwabomama ababhemayo.
- Kulabo abasebenzisa izidakamizwa ezifana ne-cocaine.
- Kulabo abaneminyaka engaphezu kwengu-35 ubudala.
- Uma kube nokukhulelwa okuningana ngaphambilini.
- Uma uke wahlinzwa ngokuhlinzwa ngaphambilini (ukuhlinzwa ngokuhlinzwa kwe-C) noma okunye ukuhlinzwa kwesibeletho (isb., i-D&C).
- Uma ukhulelwe amawele noma amawele amathathu.
Ukuthola kanjani lokhu, Dokotela?
Esikhathini esiningi, lokhu kutholakala ngengozi. Udokotela wakho angakubona ngesikhathi sokuhlolwa okuvamile ngesikhathi sokukhulelwa kwakho, ikakhulukazi ngesikhathi sokuhlolwa okungavamile, okwenziwa cishe emavikini angama-20.
Kusetshenziswa i -ultrasound scan kulokhu. Okokuqala, uzohlolwa nge-ultrasound yesisu. Uma lokho kungacaci ngokwanele, udokotela wakho angenza i-scan encane ngesitho sangasese sowesifazane (i-transvaginal ultrasound) ukuze abone ngokunembile ukuthi i-placenta ikuphi. Asikho isidingo sokukhathazeka ngakho, kuwukuhlolwa okuphephile kakhulu.
Kuphathwa kanjani lokhu?
Into yokuqala okufanele uyiqonde ukuthi ayikho ikhambi noma ukwelashwa kwe-Placenta Previa, okuyisimo lapho i-placenta ikhona engxenyeni engezansi yesibeletho. Umgomo oyinhloko wokwelashwa ukulawula ukuphuma kwegazi nokwandisa isikhathi sokukhulelwa kuze kube yilapho umntwana esekhule ngokugcwele, okusho ukuthi usondele ngosuku lwakho lokuzalwa.
Ukwelashwa kuncike ezintweni eziningana:
- Inani lokopha.
- Ukuphi ngesikhathi sokukhulelwa kwakho?
- Impilo yakho neyengane yakho.
- Indawo ye-placenta kanye nomntwana.
Uma ukopha kuncane (Ukopha Okuncane)
Uma unesifo sokuphuma kwegazi okuncane, njengethonsi elilodwa noma amabili, udokotela wakho cishe uzokutshela ukuthi uphumule (uphumule embhedeni) futhi ugweme ngokuphelele imisebenzi enzima, ukuzivocavoca umzimba, kanye nocansi.
Uma kukhona ukopha okukhulu
Uma ukopha kukhulu, kuyisimo esiphuthumayo. Kuzodingeka ulaliswe esibhedlela ngokushesha. Uzovame ukungeniswa e-Emergency Treatment Unit (ETU) futhi uqashwe ngokucophelela. Uma kudingeka, ungase udinge ngisho nokumpontshelwa igazi.
Udokotela angase futhi akunike imijovo ye-corticosteroid ukusiza amaphaphu engane yakho akhule ngokushesha. Uma ingane yakho inamasonto angama-36 ekhulelwe futhi izizwa iphephile ukubeletha, uzohlela ukuhlinzwa ngokuhlinzwa kwebele okuhleliwe .
Kodwa-ke, uma ukopha kungenakulawuleka, kungadingeka ukuhlinzwa kwe-C-section okuphuthumayo ukuze kusindiswe impilo kamama, noma ngabe ingane ingakakhuli ngokugcwele.
Kufanele ngibone nini udokotela ngokushesha?
Khumbula lokhu kahle.
Uma uzwa ukopha kwesitho sangasese sowesifazane phakathi nekota yesibili noma yesithathu yokukhulelwa, kungakhathaliseki ukuthi kulula noma kunzima, shayela udokotela wakho ngokushesha.
Uma ukopha kukhulu, ungacabangi nganoma yini enye futhi uye esibhedlela esiseduze ngokushesha. Ungachithi isikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Placenta Previa yilapho i-placenta itholakala phansi esibelethweni, eduze noma imboze umsele wokuzalwa (isibeletho).
- Ngokuvamile azikho izimpawu, kodwa uphawu oluyinhloko ukuphuma kwegazi esithweni sangasese sowesifazane okungenabuhlungu.
- Lokhu kuvame ukutholakala nge-ultrasound scan.
- Umgomo wokwelashwa ukulawula ukopha nokugcina ukukhulelwa kuze kube yilapho ingane izalwa ngokuphephile (ngokuvamile kuze kube amasonto angu-36-37) bese kwenziwa ukuhlinzwa.
- Bona udokotela wakho ngokushesha uma kukhona ukopha okwenzekayo phakathi nengxenye yesibili yokukhulelwa. Uma kukhulu, hamba ngqo esibhedlela.
- Ama-90% amacala e-placenta aphansi ayazixazulula ngokwawo njengoba ukukhulelwa kuqhubeka, ngakho ungesabi futhi ulandele imiyalelo kadokotela wakho.
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