Ukukhulelwa yisikhathi esihle kakhulu nesinethemba kuwe, lowo onethemba lokuba ngumama. Kodwa-ke, kunezikhathi lapho ngisho nezinto ezincane kakhulu zingakwenza uzizwe wesaba futhi ukhathazekile. Mhlawumbe uma ufunda umbiko wakho weskeni bese udokotela ethi, "I-placenta iphansi kancane" noma "Kukhona isimo esibizwa ngokuthi i-placenta previa ," kumelwe ukuthi wazizwa wesaba kakhulu. "Kuyini lokho? Ingabe kuzongibangela izinkinga mina nomntwana?" Kumelwe ukuthi wacabanga. Ungakhathazeki. Lesi yisimo esibhekana nonina abaningi. Ngakho-ke namuhla, ake sixoxe ngalokhu, okungukuthi, i-Placenta Previa, ngendlela elula, futhi sithole izimpendulo zayo yonke imibuzo onayo engqondweni yakho.
Iyini i-Placenta Previa?
Kulungile, ake siqale sibheke ukuthi iyini i-placenta. Kalula nje, i-placenta iyisitho esikhethekile esikhula ngaphakathi kwesibeletho sakho ngesikhathi sokukhulelwa. Ixhunywe nengane yakho ngentambo yesisu. Umoya-mpilo wengane, ukudla okunomsoco, kanye nokudla konke kudluliselwa kusuka kuwe kuya enganeni ngale placenta. Iphinde ithwale imfucuza ekhiqizwa umzimba wengane iyibuyisele emzimbeni wakho bese iyilahla. Kufana "nesikhungo sokunikeza" sengane.
Ngokuvamile, le placenta itholakala engxenyeni engenhla yesibeletho. Kodwa-ke, uma kwenzeka i-Placenta Previa , esikhundleni sokuba sendaweni engenhla yesibeletho, itholakala engxenyeni engezansi yesibeletho, okungukuthi, eduze kwendawo lapho umntwana ephuma khona ngesikhathi sokubeletha, noma umlomo wesibeletho, noma uvalwe ngokuphelele.
Cabanga nje, le placenta inamathele eduze komnyango lapho umntwana ephuma khona. Yilapho inkinga iqala khona.
Lapho kuqala ukubeletha, umlomo wesibeletho uqala ukuvuleka. Ngemuva kwalokho, imithambo yegazi ekwi-placenta, emboze umlomo wesibeletho, inganwebeka futhi idabuke, okubangela ukopha. Lokhu kungaba yingozi kakhulu kumama kanye nomntwana. Yingakho odokotela bencoma ukuthi omama abane-Placenta Previa bahlinzwe ngokuhlinzwa (C-section) esikhundleni sokubeletha okuvamile.
Yiziphi izinhlobo eziyinhloko ze-Placenta Previa?
Lesi simo asifani. Kunezinhlobo eziningana eziyinhloko ze-placenta previa, kuye ngokuthi i-placenta imboza kangakanani umlomo wesibeletho. Kuye ngohlobo lwalolu hlobo, ukwelashwa kanye nezingozi ozitholayo kungahluka.
| Uhlobo | Incazelo | Okufanele ukwazi |
|---|---|---|
| Okuphelele Kwangaphambilini | Umlomo wesibeletho umbozwe ngokuphelele yi-placenta. | Lesi yisimo esiyingozi kakhulu futhi sizodinga ukuhlinzwa ngokuhlinzwa (C-section). |
| I-Previa Engaphelele | Ingxenye kuphela yomlomo wesibeletho emboziwe. | Nalapha futhi, ingozi yokopha iphezulu. Ezimweni eziningi, kunconywa ukuhlinzwa. |
| I-Marginal Previa (I-Placenta Ephansi) | I-placenta iseduze kakhulu nomlomo wesibeletho, kodwa umlomo wesibeletho awuvaliwe. | Izindaba ezinhle ukuthi njengoba ukukhulelwa kuqhubeka futhi isibeletho sikhula, kunethuba elingu-90% lokuthi le placenta izokhuphuka. Ngakho-ke, lokhu kuvame ukuxazululeka ngaphandle kwenkinga ngesikhathi sokubeletha. |
Ziyini izimpawu ze-Placenta Previa?
Esikhathini esiningi, omama abanalesi simo ababonisi zimpawu. Kutholakala kuphela ngokuskena. Kodwa uma kuvela izimpawu , into eyinhloko yile:
- Ukopha okungazelelwe, okungenabuhlungu, okubomvu kancane kwesitho sangasese sowesifazane. Lokhu kuvame ukwenzeka phakathi nekota yesibili noma yesithathu yokukhulelwa. Inani lokopha lingaba lincane noma linzima.
- Ngezinye izikhathi, njengoba ukopha kuqhubeka , ungase uzizwe uqina esiswini sakho (ukubhidlika) kanye nobuhlungu besisu. Noma ungase uzizwe uqina emhlane wakho.
Into ebaluleke kakhulu ukuthi, uma uzwa ukopha kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa nganoma yisiphi isizathu, ungacabangi ukuthi kuyinto evamile. Bonana nodokotela ngokushesha.
Uma ulahlekelwa igazi eliningi, ungase ube ne-anemia.Izimpawu ezifana nokufiphala, ubunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo nokubuthakathaka, kanye nomfutho wegazi ophansi nakho kungavela.
Ubani osengozini enkulu yalesi simo?
Nakuba odokotela bengayazi imbangela eqondile ye-placenta previa, bathole ukuthi abanye abantu basengozini enkulu.
- Kwababhemayo
- Kulabo abasebenzisa izidakamizwa ezifana ne-cocaine
- Kulabo abake bakhulelwa kaningana ngaphambilini
- Kulabo abaneminyaka engaphezu kwengu-35 ubudala
- Labo abake bahlinzwa isibeletho ngaphambilini, ikakhulukazi ngokuhlinzwa (ukuhlinzwa kwe-C-section)
- Kulabo abakhulelwe amawele noma amawele amathathu
Ingabe i-Placenta Previa Ingabangela Ukuzalwa Ngaphambi Kwesikhathi?
Yebo. Lena enye yezinkinga ezinkulu ze-Placenta Previa. Uma kukhona ukopha okukhulu okungalawuleki, odokotela kufanele benze ukuhlinzwa okuphuthumayo ukuze basindise impilo kamama nomntwana ngaphambi kokuba umntwana akhule ngokugcwele, okungukuthi, ngaphambi kwamasonto angu-37. Lokhu yilokho esikubiza ngokuthi ukubeletha ngaphambi kwesikhathi.
Udokotela uhlonza futhi aphathe kanjani lokhu?
Lesi simo sivame ukutholakala ngesikhathi sokuhlolwa kwe-ultrasound okuvamile, okwenziwa cishe emavikini angama-20 okukhulelwa kwakho. Kubonisa ngokusobala ukuthi i-placenta ikuphi.
Akukho "khambi" eliqondile lalokhu. Okusho ukuthi, i-placenta ayikwazi ukususwa endaweni yayo yokuqala. Umgomo oyinhloko wokwelashwa ukulawula ukopha nokugcina ukukhulelwa ngokuphephile kuze kube yilapho usuku lokubeletha selusondele ngangokunokwenzeka.
Ukwelashwa okutholayo kuzoncika kulezi zici ezilandelayo:
- Inani lokopha: Uma kungekho ukopha noma ukopha okuncane kakhulu, udokotela wakho uzokutshela ukuthi uphumule embhedeni ngokuphelele ekhaya. Lokhu kusho ukuthi uzokwelulekwa ukuthi ugweme ngokuphelele imisebenzi enzima, ukuphakamisa izinsimbi, ukuya ocansini, nokuzivocavoca . Kodwa-ke, uma ukopha kukhulu, kuzodingeka uyiswe ekamelweni lezimo eziphuthumayo (ETU) lesibhedlela ngokushesha. Ungagcinwa esibhedlela futhi ungadinga ngisho nokumpontshelwa igazi uma kudingeka.
- Ukukhula komntwana: Ngenxa yengozi yokuzalwa ngaphambi kwesikhathi, imijovo ye-corticosteroid ingase inikezwe ukusiza amaphaphu omntwana akhule ngokushesha.
- Ukubeletha: Uma konke kuhamba kahle, uma kufika isikhathi sokuba umntwana abelethwe ngokuphepha (cishe amasonto angu-36-37), udokotela wakho uzokuhlelela ukuhlinzwa kwe-C-section. Kodwa-ke, uma uphuma igazi ngokungalawuleki, noma uma ingane ingakakhuli ngokugcwele, ukuhlinzwa kwe-C-section okuphuthumayo kungadingeka ukuze kusindiswe impilo kamama nengane.
Kufanele ubonane nodokotela ngokushesha nini?
Lokhu kubaluleke kakhulu.
Uma uzwa ukopha kwesitho sangasese sowesifazane phakathi nekota yesibili noma yesithathu yokukhulelwa kwakho, shayela udokotela wakho ngokushesha ngaphandle kokulibala.
Uma ukopha kukhulu, noma uma uzizwa unesiyezi noma unesisu esiqinile, hamba ngqo esibhedlela esiseduze noma egumbini lezimo eziphuthumayo (ETU). Ukuthatha isinyathelo ngokushesha ngesikhathi esinjengalesi kubaluleke kakhulu empilweni yakho neyengane yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Placenta Previa yilapho i-placenta itholakala phansi esibelethweni, eduze noma imboze imbobo lapho umntwana ephuma khona (umlomo wesibeletho).
- Uphawu oluyinhloko ukopha okungenabuhlungu okwenzeka ekupheleni kokukhulelwa.
- Lesi simo sivame ukutholakala ngokuskena. Ungakhathazeki, udokotela wakho uzokweluleka ngendlela yokuphatha lesi simo.
- Umgomo wokwelashwa ukulawula ukopha nokubeletha umntwana ngokuhlinzwa okuphephile ngesikhathi esifanele.
- Uma uzwa ukopha phakathi nekota yesibili noma yesithathu yokukhulelwa, ungakushayi indiva. Bona udokotela wakho ngokushesha. Ukopha kakhulu kuyisimo esiphuthumayo.
- Landela imiyalelo kadokotela wakho mayelana nemikhawulo yokuphumula kanye nemisebenzi ngokucophelela. Kubaluleke kakhulu ekuphepheni kwakho kanye nokwengane yakho.
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