Ukukhulelwa kanye nempilo kamamaJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 5 min

Ukuqhekeka Kwe-Placental Ngesikhathi Sokukhulelwa? (Ukuqhekeka Kwe-Placental) - Ungesabi, ake siqaphele lokhu

Creator: Dr. Priya Sammani
Published: 2026-07-16T13:51:58.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Uma ungumama onothando othwele umntwana, mingaki imibuzo, amathemba, ngisho nokwesaba okuncane okukukhathazayo ngalesi sikhathi? Kuvamile kakhulu. Ufuna ukuvikela ingane yakho kukho konke ize ifike kuleli zwe. Ngakho-ke, kumelwe ukuthi uzwile 'nge-placenta' eletha konke kusukela ekudleni okunomsoco kuya ku-oxygen kumntwana. Le placenta ifana negazi lokuphila komntwana. Kodwa akuvamile kakhulu, le placenta ingahlukana nodonga lwesibeletho ngaphambi kokuba umntwana azalwe. Yilokho esikubiza ngokuthi ukuphahlazeka kwe-placenta kwezokwelapha. Ngisho noma leli gama lingase lizwakale lesabeka, kubaluleke kakhulu ukuba nolwazi olufanele ngalokhu.

Kalula nje, kuyini ukuqedwa kwe-placenta?

Cabanga nje, kukhona umntwana ngaphakathi kwesibeletho sakho. I-placenta iyisitho esikhethekile esinamathele odongeni lwesibeletho. Ingane ixhunywe kule placenta ngentambo yesisu. Ingane ithola ukudla okunomsoco ezintweni ozidlayo noziphuzayo, umoya-mpilo ovela emoyeni owuphefumulayo, konke lokhu ngale placenta. Futhi, le placenta isusa imfucuza ekhiqizwa emzimbeni womntwana. Kufana 'nensizakalo yokuhlinzeka' enikeza ingane konke.

Ngokuvamile, i-placenta iyahlukana nesibeletho ngemva kokuzalwa komntwana. Kodwa-ke, esimweni esibizwa ngokuthi i-Placental Abruption , i-placenta ihlukana ngokuphelele noma ngokwengxenye nodonga lwesibeletho ngesikhathi sokukhulelwa, ngaphambi kokuba umntwana azalwe. Lokhu kungaba yingozi kuwe nakumntwana wakho. Ngenhlanhla, lokhu akuvamile kakhulu. Kuthinta cishe owesifazane oyedwa kwabayi-100 (1%) abakhulelwe.

Siyibona kanjani le nkinga? Ziyini izimpawu zayo?

Lesi simo sivame ukubonakala ngemva kwamasonto angama-20 okukhulelwa , ikakhulukazi ku-trimester yesithathu. Ngezinye izikhathi kungenzeka kancane kancane, noma kungenzeka ngokuzumayo.

Ake sihlolisise lezi zinhlobo ezimbili zezimpawu kuthebula elingezansi.

Uhlobo lwesibonakaliso

Izimpawu ongase uzibone

Ukuqhuma Okungazelelwe

Kungazelelwe kusuka esithweni sangasese sowesifazaneUkopha (ngezinye izikhathi inani lokopha lingase libe lincane noma lingabonakali. Ubunzima abunakulinganiswa ngenani lokopha lodwa, njengoba igazi lingabanjwa ngaphakathi).

Ubuhlungu obukhulu esiswini noma emhlane.

Isibeletho sihlala siqinile noma sinokuncipha okusheshayo okuqhubekayo.

Izinguquko ekushayeni kwenhliziyo yengane.

Ukuqhuma Okungapheli

Ukopha okuncane kwesitho sangasese sowesifazane okungapheli.

Ukwehla koketshezi lwe-amniotic.

Ukukhula komntwana akusheshi njengoba kulindelekile.

Into ebaluleke kakhulu ukuthi noma ngabe inani lokopha kwesitho sangasese sowesifazane lincane, ungacabangi ukuthi akukubi kangako. Ngezinye izikhathi, igazi lingabanjwa phakathi kwe-placenta nodonga lwesibeletho. Ngakho-ke, uma uzwa noma yiluphi uhlobo lokopha noma ubuhlungu obukhulu besisu, funa iseluleko sikadokotela ngokushesha.

Yiziphi izinto ezingabangela lokhu?

Ngokuvamile kunzima ukuthola imbangela ethile yalokhu, kodwa kutholakale ukuthi ezinye izici zandisa ingozi.

Ukuba nalesi simo ekukhulelweni kwangaphambilini: Uma uke waba nalesi simo ekukhulelweni kwangaphambilini, kunethuba elingaba ngu-10% lokuthi sizophinde senzeke. Ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho.
Ukubhema: Le ngozi iphakeme kwabesifazane ababhemayo ngaphambi kokuba bakhulelwe. Ezinye izifundo ziphakamisa ukuthi ingozi iyanda cishe ngo-40% unyaka ngamunye wokubhema.
Utshwala nezidakamizwa: Ukuphuza utshwala nokusebenzisa izidakamizwa ezifana ne-cocaine ngesikhathi sokukhulelwa kwandisa kakhulu ingozi yalokhu.
Umfutho Wegazi Ophakeme: Kungakhathaliseki ukuthi wawunomfutho wegazi ophakeme ngaphambi kokukhulelwa noma uma ukhula ngesikhathi sokukhulelwa, kubalulekile ukusebenzisana nodokotela wakho ukuze uwuphathe kahle.
Izinkinga zoketshezi lwe-amniotic: Le ngozi inganda uma isikhwama esiqukethe uketshezi lwe-amniotic oluvikela umntwana siqhuma ngaphambi kwesikhathi noma sivuza uketshezi.
Ubudala: Le ngozi iphakeme kancane komama abaneminyaka engaphezu kwengu-35, ikakhulukazi labo abaneminyaka engaphezu kwengu-40.
Ukuthwala izingane ezingaphezu kweyodwa:Uma kunezingane eziningi, njengamawele, i-placenta ingahlukana ngemva kokuzalwa komntwana wokuqala nangaphambi kokuzalwa komntwana wesibili.
Ukulimala Kwesisu: Cabanga ukuthi uwele phansi ngokuzumayo, washaya isisu endaweni ethile, noma walimala esiswini sakho, njengasengozini yemoto. Lezi zinto zingabangela nokuthi i-placenta ihlukane. Ngakho-ke cabanga njalo ngokuphepha.

Udokotela uhlonza futhi aphathe kanjani lokhu?

Uma unezinye zezimpawu ezibalwe ngenhla, ikakhulukazi ukopha noma ubuhlungu besisu, kufanele uye esibhedlela noma kudokotela wakho ngokushesha . Udokotela uzokuxilonga.

Kuzohlolwa umzimba ukuze kuhlolwe ukuthi kukhona yini ukuthamba kanye nokuqina kwesibeletho sakho.
Kuhlolwa igazi kaningana.
I-ultrasound scan izama ukubheka ngaphakathi kwesibeletho kanye nesimo se-placenta. Kodwa-ke, khumbula ukuthi lokhu kuhlolwa akubonisi njalo ukuphazamiseka kwe-placenta.

Yiziphi izindlela zokwelapha?

Into yokuqala okudingeka siyiqonde ukuthi i-placenta previa ayikwazi ukuxhunywa odongeni lwesibeletho . Ngakho-ke, ukwelashwa kuncike eminyakeni yakho yokukhulelwa (ngamasonto), ubukhulu be-placenta previa, kanye nempilo yakho neyomntwana wakho.

Uma ungaphansi kwamasonto angu-34 ukhulelwe: Uma ukuphahlazeka kwe-placenta kungekubi kakhulu futhi ukushaya kwenhliziyo kwengane kujwayelekile, uzogcinwa esibhedlela ukuze ubhekwe. Uma ukuphuma kwegazi kuyeka, ungase ukwazi ukuya ekhaya. Futhi, ngoba ingane ingase izalwe ngaphambi kwesikhathi, ungase unikezwe ama-steroid ukusiza amaphaphu engane akhule ngokushesha.
Uma ukhulelwe amasonto angaphezu kwama-34: Uma ukopha kuncane, ungase ukwazi ukubeletha ngesitho sangasese sowesifazane. Kodwa-ke, uma isimo sibi kakhulu, okusho ukuthi impilo yakho noma yengane yakho isengozini, kungadingeka wenze ukuhlinzwa okuphuthumayo (C-section) . Ungadinga futhi ukumpontshelwa igazi.

Yiziphi izinkinga ezingabangelwa yilokhu?

Lesi yisimo esibucayi. Uma ingxenye encane kuphela ye-placenta ihlukana, kungase kungabi yinkinga enkulu. Kodwa uma ingxenye enkulu ihlukana, kungathinta umama kanye nengane.

Imiphumela engaba khona kumama

Ukushaqeka noma ukudinga ukumpontshelwa igazi ngenxa yokopha okukhulu.
Izinkinga ngohlelo lokujiya kwegazi.
Ukwehluleka kwezinso noma ezinye izitho zomzimba.
Akuvamile kakhulu ukuthi impilo kamama ibe sengozini.

Imiphumela engaba khona enganeni

Ukuzalwa ngaphambi kwesikhathi: Ingane ezelwe ngaphambi kwamasonto angu-37.
Izinkinga zokukhula: Ukuzalwa ngaphambi kwesikhathi kubeka ingane engozini yokuthola izinkinga zempilo kamuva ekuphileni.
Ukuzalwa kwengane isishonile: Ukufa komntwana esibelethweni ngemva kwamasonto angu-20 okukhulelwa.

Kuyiqiniso ukuthi lezi zinto ziyesabeka ukuzwa. Kodwa siyaziqaphela ukuze sizivikele kuzo. Eziningi zalezi zinkinga zingavinjelwa ngokuthatha isinyathelo ngokushesha nje lapho kuvela izimpawu.

Umlayezo Wokuya Nawe Ekhaya

Uma uzwa ukopha kwesitho sangasese sowesifazane, ubuhlungu obukhulu besisu, noma ubuhlungu obuqhubekayo besibeletho ngesikhathi sokukhulelwa, ungachithi isikhathi futhi ubone udokotela wakho ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.

Ukuqhekeka kwe-placenta kuyisimo esibi kakhulu. Kodwa kwenzeka kuwo wonke umuntu, futhi akuvamile kakhulu. Ngakho-ke ungesabi ngokungadingekile. Ukuqwashisa kuyinto ebaluleke kakhulu.

Gwema ukubhema, utshwala, nezidakamizwa ezingadingekile ngokuphelele ngesikhathi sokukhulelwa. Uma unomfutho wegazi ophakeme, lawula kahle ngokwemiyalelo kadokotela wakho.

Uma uke waba nalesi simo ekukhulelweni kwangaphambilini, qiniseka ukuthi utshela udokotela okwelaphayo ngokukhulelwa kwakho kwamanje ukuze akwazi ukukunaka kakhulu.

Ukukhipha Isisu, Ukukhulelwa, Isibeletho, Ubuhlungu Besisu, Ukopha Engxenyeni Yangasese, I-Abruptio Placentae

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Ukukhulelwa kanye nempilo kamamaJulayi 16, 2026
Ukuqhekeka Kwe-Placental Ngesikhathi Sokukhulelwa? (Ukuqhekeka Kwe-Placental) - Ungesabi, ake siqaphele lokhu
Dr. Priya SammaniMedical Verification
⏱ 5 min read
📋Table of Contents
1. Kalula nje, kuyini ukuqedwa kwe-placenta?
2. Siyibona kanjani le nkinga? Ziyini izimpawu zayo?
3. Yiziphi izinto ezingabangela lokhu?
4. Udokotela uhlonza futhi aphathe kanjani lokhu?
5. Yiziphi izindlela zokwelapha?
6. Yiziphi izinkinga ezingabangelwa yilokhu?
7. Umlayezo Wokuya Nawe Ekhaya
Uma ungumama onothando othwele umntwana, mingaki imibuzo, amathemba, ngisho nokwesaba okuncane okukukhathazayo ngalesi sikhathi? Kuvamile kakhulu. Ufuna ukuvikela ingane yakho kukho konke ize ifike kuleli zwe. Ngakho-ke, kumelwe ukuthi uzwile 'nge-placenta' eletha konke kusukela ekudleni okunomsoco kuya ku-oxygen kumntwana. Le placenta ifana negazi lokuphila komntwana. Kodwa akuvamile kakhulu, le placenta ingahlukana nodonga lwesibeletho ngaphambi kokuba umntwana azalwe. Yilokho esikubiza ngokuthi ukuphahlazeka kwe-placenta kwezokwelapha. Ngisho noma leli gama lingase lizwakale lesabeka, kubaluleke kakhulu ukuba nolwazi olufanele ngalokhu.
Kalula nje, kuyini ukuqedwa kwe-placenta?
Cabanga nje, kukhona umntwana ngaphakathi kwesibeletho sakho. I-placenta iyisitho esikhethekile esinamathele odongeni lwesibeletho. Ingane ixhunywe kule placenta ngentambo yesisu. Ingane ithola ukudla okunomsoco ezintweni ozidlayo noziphuzayo, umoya-mpilo ovela emoyeni owuphefumulayo, konke lokhu ngale placenta. Futhi, le placenta isusa imfucuza ekhiqizwa emzimbeni womntwana. Kufana 'nensizakalo yokuhlinzeka' enikeza ingane konke.
Ngokuvamile, i-placenta iyahlukana nesibeletho ngemva kokuzalwa komntwana. Kodwa-ke, esimweni esibizwa ngokuthi i-Placental Abruption , i-placenta ihlukana ngokuphelele noma ngokwengxenye nodonga lwesibeletho ngesikhathi sokukhulelwa, ngaphambi kokuba umntwana azalwe. Lokhu kungaba yingozi kuwe nakumntwana wakho. Ngenhlanhla, lokhu akuvamile kakhulu. Kuthinta cishe owesifazane oyedwa kwabayi-100 (1%) abakhulelwe.
Siyibona kanjani le nkinga? Ziyini izimpawu zayo?
Lesi simo sivame ukubonakala ngemva kwamasonto angama-20 okukhulelwa , ikakhulukazi ku-trimester yesithathu. Ngezinye izikhathi kungenzeka kancane kancane, noma kungenzeka ngokuzumayo.
Ake sihlolisise lezi zinhlobo ezimbili zezimpawu kuthebula elingezansi.
Uhlobo lwesibonakaliso Izimpawu ongase uzibone
Ukuqhuma Okungazelelwe
Kungazelelwe kusuka esithweni sangasese sowesifazaneUkopha (ngezinye izikhathi inani lokopha lingase libe lincane noma lingabonakali. Ubunzima abunakulinganiswa ngenani lokopha lodwa, njengoba igazi lingabanjwa ngaphakathi).
Ubuhlungu obukhulu esiswini noma emhlane.
Isibeletho sihlala siqinile noma sinokuncipha okusheshayo okuqhubekayo.
Izinguquko ekushayeni kwenhliziyo yengane.
Ukuqhuma Okungapheli
Ukopha okuncane kwesitho sangasese sowesifazane okungapheli.
Ukwehla koketshezi lwe-amniotic.
Ukukhula komntwana akusheshi njengoba kulindelekile.
Into ebaluleke kakhulu ukuthi noma ngabe inani lokopha kwesitho sangasese sowesifazane lincane, ungacabangi ukuthi akukubi kangako. Ngezinye izikhathi, igazi lingabanjwa phakathi kwe-placenta nodonga lwesibeletho. Ngakho-ke, uma uzwa noma yiluphi uhlobo lokopha noma ubuhlungu obukhulu besisu, funa iseluleko sikadokotela ngokushesha.
Yiziphi izinto ezingabangela lokhu?
Ngokuvamile kunzima ukuthola imbangela ethile yalokhu, kodwa kutholakale ukuthi ezinye izici zandisa ingozi.
Ukuba nalesi simo ekukhulelweni kwangaphambilini: Uma uke waba nalesi simo ekukhulelweni kwangaphambilini, kunethuba elingaba ngu-10% lokuthi sizophinde senzeke. Ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho.
Ukubhema: Le ngozi iphakeme kwabesifazane ababhemayo ngaphambi kokuba bakhulelwe. Ezinye izifundo ziphakamisa ukuthi ingozi iyanda cishe ngo-40% unyaka ngamunye wokubhema.
Utshwala nezidakamizwa: Ukuphuza utshwala nokusebenzisa izidakamizwa ezifana ne-cocaine ngesikhathi sokukhulelwa kwandisa kakhulu ingozi yalokhu.
Umfutho Wegazi Ophakeme: Kungakhathaliseki ukuthi wawunomfutho wegazi ophakeme ngaphambi kokukhulelwa noma uma ukhula ngesikhathi sokukhulelwa, kubalulekile ukusebenzisana nodokotela wakho ukuze uwuphathe kahle.
Izinkinga zoketshezi lwe-amniotic: Le ngozi inganda uma isikhwama esiqukethe uketshezi lwe-amniotic oluvikela umntwana siqhuma ngaphambi kwesikhathi noma sivuza uketshezi.
Ubudala: Le ngozi iphakeme kancane komama abaneminyaka engaphezu kwengu-35, ikakhulukazi labo abaneminyaka engaphezu kwengu-40.
Ukuthwala izingane ezingaphezu kweyodwa:Uma kunezingane eziningi, njengamawele, i-placenta ingahlukana ngemva kokuzalwa komntwana wokuqala nangaphambi kokuzalwa komntwana wesibili.
Ukulimala Kwesisu: Cabanga ukuthi uwele phansi ngokuzumayo, washaya isisu endaweni ethile, noma walimala esiswini sakho, njengasengozini yemoto. Lezi zinto zingabangela nokuthi i-placenta ihlukane. Ngakho-ke cabanga njalo ngokuphepha.
Udokotela uhlonza futhi aphathe kanjani lokhu?
Uma unezinye zezimpawu ezibalwe ngenhla, ikakhulukazi ukopha noma ubuhlungu besisu, kufanele uye esibhedlela noma kudokotela wakho ngokushesha . Udokotela uzokuxilonga.
Kuzohlolwa umzimba ukuze kuhlolwe ukuthi kukhona yini ukuthamba kanye nokuqina kwesibeletho sakho.
Kuhlolwa igazi kaningana.
I-ultrasound scan izama ukubheka ngaphakathi kwesibeletho kanye nesimo se-placenta. Kodwa-ke, khumbula ukuthi lokhu kuhlolwa akubonisi njalo ukuphazamiseka kwe-placenta.
Yiziphi izindlela zokwelapha?
Into yokuqala okudingeka siyiqonde ukuthi i-placenta previa ayikwazi ukuxhunywa odongeni lwesibeletho . Ngakho-ke, ukwelashwa kuncike eminyakeni yakho yokukhulelwa (ngamasonto), ubukhulu be-placenta previa, kanye nempilo yakho neyomntwana wakho.
Uma ungaphansi kwamasonto angu-34 ukhulelwe: Uma ukuphahlazeka kwe-placenta kungekubi kakhulu futhi ukushaya kwenhliziyo kwengane kujwayelekile, uzogcinwa esibhedlela ukuze ubhekwe. Uma ukuphuma kwegazi kuyeka, ungase ukwazi ukuya ekhaya. Futhi, ngoba ingane ingase izalwe ngaphambi kwesikhathi, ungase unikezwe ama-steroid ukusiza amaphaphu engane akhule ngokushesha.
Uma ukhulelwe amasonto angaphezu kwama-34: Uma ukopha kuncane, ungase ukwazi ukubeletha ngesitho sangasese sowesifazane. Kodwa-ke, uma isimo sibi kakhulu, okusho ukuthi impilo yakho noma yengane yakho isengozini, kungadingeka wenze ukuhlinzwa okuphuthumayo (C-section) . Ungadinga futhi ukumpontshelwa igazi.
Yiziphi izinkinga ezingabangelwa yilokhu?
Lesi yisimo esibucayi. Uma ingxenye encane kuphela ye-placenta ihlukana, kungase kungabi yinkinga enkulu. Kodwa uma ingxenye enkulu ihlukana, kungathinta umama kanye nengane.
Imiphumela engaba khona kumama
Ukushaqeka noma ukudinga ukumpontshelwa igazi ngenxa yokopha okukhulu.
Izinkinga ngohlelo lokujiya kwegazi.
Ukwehluleka kwezinso noma ezinye izitho zomzimba.
Akuvamile kakhulu ukuthi impilo kamama ibe sengozini.
Imiphumela engaba khona enganeni
Ukuzalwa ngaphambi kwesikhathi: Ingane ezelwe ngaphambi kwamasonto angu-37.
Izinkinga zokukhula: Ukuzalwa ngaphambi kwesikhathi kubeka ingane engozini yokuthola izinkinga zempilo kamuva ekuphileni.
Ukuzalwa kwengane isishonile: Ukufa komntwana esibelethweni ngemva kwamasonto angu-20 okukhulelwa.
Kuyiqiniso ukuthi lezi zinto ziyesabeka ukuzwa. Kodwa siyaziqaphela ukuze sizivikele kuzo. Eziningi zalezi zinkinga zingavinjelwa ngokuthatha isinyathelo ngokushesha nje lapho kuvela izimpawu.
Umlayezo Wokuya Nawe Ekhaya
Uma uzwa ukopha kwesitho sangasese sowesifazane, ubuhlungu obukhulu besisu, noma ubuhlungu obuqhubekayo besibeletho ngesikhathi sokukhulelwa, ungachithi isikhathi futhi ubone udokotela wakho ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ukuqhekeka kwe-placenta kuyisimo esibi kakhulu. Kodwa kwenzeka kuwo wonke umuntu, futhi akuvamile kakhulu. Ngakho-ke ungesabi ngokungadingekile. Ukuqwashisa kuyinto ebaluleke kakhulu.
Gwema ukubhema, utshwala, nezidakamizwa ezingadingekile ngokuphelele ngesikhathi sokukhulelwa. Uma unomfutho wegazi ophakeme, lawula kahle ngokwemiyalelo kadokotela wakho.
Uma uke waba nalesi simo ekukhulelweni kwangaphambilini, qiniseka ukuthi utshela udokotela okwelaphayo ngokukhulelwa kwakho kwamanje ukuze akwazi ukukunaka kakhulu.
Ukukhipha Isisu, Ukukhulelwa, Isibeletho, Ubuhlungu Besisu, Ukopha Engxenyeni Yangasese, I-Abruptio Placentae
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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