Ukukhulelwa yisikhathi lapho wonke umama enethemba elikhulu futhi eqaphela kakhulu, akunjalo? Ukuqaphela ezinye zezinkinga ezingase zenzeke phakathi nalesi sikhathi kubaluleke kakhulu ekuzalweni okunempilo. Ngokufanayo, nakuba kungakhulunywa ngakho njalo, isimo esingavamile kodwa esibucayi okufanele sisiqaphele nakanjani sibizwa ngokuthi i-Vasa Previa. Ungakhathazeki, ake sixoxe ngakho konke ngamagama alula.
Kalula nje, iyini i-Vasa Previa?
Cabanga nje, siyazi ukuthi ingane esibelethweni sakho ithola umoya-mpilo wayo kanye nokudla okunempilo ngentambo yomgogodla. Le ntambo yomgogodla ixhunywe ne-placenta. Imithambo yegazi evela ku-placenta ithwala impilo iye enganeni ngentambo yomgogodla.
Ngokuvamile, le mithambo yegazi iphephile kakhulu ngaphakathi kwe-placenta kanye ne-umbilical cord. Kodwa endabeni ye -Vasa Previa , eminye yale mithambo yegazi, ebalulekile enganeni, idlula ingavikelekile eduze noma eduze komnyango wesibeletho, lapho umntwana ezalelwa khona.
Cabanga nje, kufana nomgwaqo omkhulu onenqwaba yemithambo yegazi, odlula endaweni yokuhlangana ngaphandle kokuvikelwa. Lokhu kuyingozi kakhulu, akunjalo?
Uma amanzi akho ephuka ngesikhathi sokubeletha, le mithambo yegazi esengozini ingaqhuma. Uma lokho kwenzeka, igazi eliningi lingaphuma emzimbeni womntwana, okungase kubangele umonakalo omkhulu empilweni yomntwana. Yingakho kubaluleke kakhulu ukuthola i-Vasa Previa kusenesikhathi.
Yiziphi izimbangela ze-Vasa Previa?
Nakuba kunzima ukukhomba imbangela eqondile yalesi simo, kunezici eziningana eziyinhloko ezibangela lokhu.
| Imbangela | Kuchazwe kalula |
|---|---|
| Ukufakwa kwentambo ethambile | Lokhu kwenzeka lapho intambo yesisu ingaxhunywanga ngqo ne-placenta, kodwa ixhunywa emaqakaleni, kude kancane ne-placenta. Lokhu kusho ukuthi imithambo yegazi ayisavikelwe yinto efana ne-jelly evikelayo (i-Wharton's jelly). Ngakho-ke, kungenzeka kakhulu ukuthi yonakale. |
| I-placenta ene-bilobed | Lapha, i-placenta yakho ihlukaniswe izingxenye ezimbili ezilinganayo (ama-lobes) esikhundleni seyodwa. Imithambo yegazi ehamba phakathi kwalezi zingxenye ezimbili ingadlula nasemlonyeni wesibeletho. |
| I-placenta ekhulayo | Lokhu kufana nalokho okungenhla, kodwa lapha, ngaphezu kwe-placenta eyinhloko, kukhula ingxenye encane noma izingxenye eziningana ze-placenta. Imithambo yegazi ehamba phakathi kwale ngxenye eyinhloko nengxenye eyengeziwe nayo ingabekwa ngendlela eyingozi. |
Ingabe i-Vasa Previa ne-Placenta Previa ziyinto efanayo?
Cha. Lezi yizimo ezimbili ezihluke ngokuphelele. Abantu abaningi bayadida lezi zimo ezimbili.
- I-placenta previa: Lokhu kwenzeka lapho i-placenta iphansi kakhulu esibelethweni, kunokuba ibe phezulu, imboze umlomo wesibeletho ngokuphelele noma ingxenye. Lokhu kuyingozi ku-placenta.
- I-Vasa Previa: Lokhu akuyona inkinga ngendawo lapho i-placenta ikhona. Inkinga lapha ukuthi imithambo yegazi evela ku-placenta idlula emlonyeni wesibeletho. Ingozi lapha itholakala ngqo emithanjeni yegazi yomntwana.
Okubalulekile, umuntu one-Placenta Previa angase abe nengozi eyengeziwe kancane yokuthola i-Vasa Previa.
Ziyini izimpawu ze-Vasa Previa?
Into eyesabekayo lapha ukuthi isikhathi esiningi azikho izimpawu. Ungase ungezwa ubuhlungu noma ukungakhululeki. Yingakho ukuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa kubaluleke kangaka.
Akuvamile kakhulu, abanye abantu bangase babe nokopha okumnyama (okumnyama) kwesitho sangasese sowesifazane ngaphandle kobuhlungu.
Ubani osengozini enkulu?
Nakuba lesi simo singase senzeke kunoma yikuphi ukukhulelwa, ingozi iphakeme kancane kwabanye abantu.
- Ukuba ne -Plac ENT eshiwo ngenhla kuyisimo se-Previa .
- I-placenta ephansi.
- Ukuba khona kwezimo ezifana nokufakwa kwentambo ye-Velamentous okukhulunywe ngayo ngaphambili, i-Bilobed noma i-Succenturiate placenta .
- i-IVF (ukwelashwa nge-IVF)Uma ukukhulelwa kutholakale ngokusebenzisa ubuchwepheshe be- In Vitro Fertilization (IVF ).
- Uma uthwele izingane eziningi, njengamawele noma amawele amathathu.
Ungasibona kanjani lesi simo kusenesikhathi?
Ngenhlanhla, lesi simo singatholakala ngesikhathi sokukhulelwa. Udokotela wakho uzokwenza ezinye izivivinyo uma kusolwa ukuthi lokhu kwenzeka ngesikhathi sokuhlolwa okuvamile kwe-anomaly ngesikhathi sokukhulelwa, ikakhulukazi phakathi kwamasonto ayi-18 nama-26 .
Uma ungabaza, udokotela wakho angase akuncome ukuthi kwenziwe i-ultrasound edlulisa isitho sangasese sowesifazane . Lokhu kungayibona kahle imithambo yegazi eduze komlomo wesibeletho. Kungasiza futhi ukuqinisekisa indawo kanye nesimo se-placenta.
Uma kutholakale ukuthi unesifo, selashwa kanjani?
Ungakhathazeki uma utholakale une-Vasa Previa. Uma itholakale kusenesikhathi, ingaphathwa kahle kakhulu futhi ungaba nomntwana onempilo ngaphandle kwezinkinga. Umgomo oyinhloko ukugcina wena nomntwana wakho niphephile kuze kube yilapho nibeletha, futhi nibelethe ingane yakho ngokuhlinzwa kokuhlinzwa ngesikhathi esihleliwe .
Udokotela wakho angase ancome izinto ezifana nalezi:
- Ukuhlola impilo yengane njalo: Izinto ezifana nokushaya kwenhliziyo yengane ziqashelwa njalo.
- Ukulaliswa esibhedlela: Cishe emavikini angu-30-32 okukhulelwa kwakho, ungase ungeniswe esibhedlela ukuze uqashwe ngokuseduze, njengoba kudingeka ukunakekelwa okuphuthumayo ngokushesha uma kwenzeka isimo esiphuthumayo.
- Imijovo ye-Corticosteroid: Uma umntwana ebelethwe ngaphambi kosuku oluhleliwe, le mijovo inikezwa ukusiza amaphaphu omntwana akhule kahle.
- Ukuphumula kwe-pelvic: Uyalulekwa ukuthi ugweme ukuya ocansini futhi ugweme ukufaka noma yini esithweni sangasese sowesifazane.
- Ukuhlinzwa kwe-C okuhleliwe: Umntwana ubelethwa ngokuhlinzwa okuhleliwe, ngokuvamile phakathi kwamasonto angu-34 no-37 , ngaphambi kokuba amanzi aqhume.
- Ukuhlinzwa Kwesibeletho Esiphuthumayo: Uma amanzi ephuka ngaphambi kwesikhathi, kukhona ukopha, noma umntwana etholakala esesimweni esibucayi sombungu, kuzokwenziwa ukuhlinzwa kwesisu okuphuthumayo ngokushesha.
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Bazohlela ukuthi yini engcono kakhulu kuwe nakumntwana wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Vasa Previa yisimo esingavamile esingaba khona ngesikhathi sokukhulelwa, kodwa singaba sibi kakhulu uma singatholakali kusenesikhathi.
- Okwenzekayo lapha ukuthi imithambo yegazi yomntwana idlula emlonyeni wesibeletho ngaphandle kokuvikelwa.
- Ukuskena nge-ultrasound ngesikhathi sokukhulelwa kubaluleke kakhulu, njengoba ngokuvamile kungabangeli zimpawu .
- Uma lesi simo sitholakala kusenesikhathi , siphathwa kahle, futhi kwenziwa ukuhlinzwa okuhleliwe , kunethuba elicishe libe yi-100% lokubeletha umntwana onempilo.
- Uma unokungabaza ngalokhu noma uma ungoweqembu elisengozini, khuluma nodokotela wakho ngakho ngokukhululekile. Into ebaluleke kakhulu ukuhloma ngolwazi olufanele, ungesabi.
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