I-Placenta previa ingenye yezinkinga ezinkulu kakhulu zokukhulelwa. Ngokuvamile, i-placenta itholakala ezingxenyeni ezingenhla zesisu. Nge-placenta previa, indawo yengaphakathi lomphimbo wesibeletho ivinjiwe. Kuye ngokuthi indawo ye-placenta ivela ku-pharynx yangaphakathi, isethulo esiphelele sihlukanisiwe (umgudu womlomo wesibeletho uvinjelwe ngokuphelele), i-placenta previa engaphelele (i-pharynx yangaphakathi ivaliwe kancane) nesethulo esincane (i-placenta ithinta umphetho we-pharynx yangaphakathi). Cabanga ngesimo esiyingozi kakhulu - i-placenta previa ephelele.
Iyiphi i-placenta previa eyingozi?
Ukuqedela isethulo se-placenta kwenzeka ngokungajwayelekile - 0.9% yenani labantu abakhulelwe. Kodwa-ke, lesi simo sisongela impilo nempilo kanina nomntwana. Njengoba i-placenta igwema ngokuphelele umlomo wesibeletho womlomo womlomo wesibeletho, cishe kunengozi yokuphazamiseka kwamapayipi. Uma umlomo wesibeletho uvula, ingane ingase ife, futhi umama angase alahlekelwe isamba esikhulu segazi.
Ngaphezu kwalokho, isethulo esiphelele se-placenta cishe ngaso sonke isikhathi sihambisane nokuntuleka kwe-fetoplacental, ukuthuthukiswa kokubambezeleka kwe-fetus ne- hypoxia yayo.
Izimbangela ze-placenta previa
Ngokuvamile, i-placenta previa ephelele itholakala kwabesifazane abaye bazalwa. Odokotela babiza amaqembu amabili wezinto ezibangela i-placenta previa engafanele: isimo sempilo yowesifazane nokulimala okungafanelekile kweqanda lesisu uma linamathele ezingxenyeni eziphansi zesibindi.
Iqembu lesingozi lihlanganisa abesifazane abane:
- i-endometriosis;
- ukungaqiniseki kwe-isthmico-verbs kanye nokuvuvukala komlomo wesibeletho;
- i-myoma yesibeletho;
- ukudluliselwa imisebenzi esibelethweni;
- ukukhipha isisu okuhlehlisiwe, ukukhipha;
- ukuphazamiseka kwe-hormonal yokujikeleza kokuya esikhathini;
- i-pathology yokuthuthukiswa kwesibeletho.
Isethulo se-Placenta - ukuxilongwa
I-previa ephelele ye-placenta ingacatshangwa ukuthi ukuphuma kwegazi okungapheli kuvela emgqeni wesisu. Zivela ngokuzumayo futhi zingaba zichichima. Kulesi simo, kufanele ushayele i-ambulensi ngokushesha, futhi ngaphambi kokufika kwakhe, ugcine ukuphumula okuphelele.
Njengomthetho, owesifazane okhulelwe uyabhedlela. Esikhathini esibhedlela udokotela uqhuba ukuhlolwa kwangaphandle futhi uyithumele ku-ultrasound. Uma i-ultrasound iqinisekisa ukutholakala kwe-placenta previa ephelele, ukuhlolwa kwebesifazane ngeke kwenzeke ngenxa yengozi enkulu yokuqhuma okuqhubekayo kwe-placental nokuthuthukiswa kwegazi.
Indlela yokuphatha i-placenta previa?
Uma i-placenta previa itholakele ngesikhathi sokuhlola i-ultrasound engxenyeni yokuqala yokukhulelwa futhi ayikho i-extractions yegazi, owesifazane angaba ekhaya ekugcineni ukuthula okuphelele, kufaka phakathi ubulili. Uma isikhathi sokubeletha singamaviki angu-24 noma ngaphezulu, kuyadingeka ukuya esibhedlela bese uhlala lapho kuze kube sekuzalweni, noma ngabe ukuphuma kwegazi kuyekile. Ukukhulelwa kuzama ukugcina amasonto angu-37-38.
Indlela kuphela yokuletha nge-placenta previa egcwele yi-section caesarean, ngoba i-placenta ivala umlomo wesibeletho somlomo wesibeletho. Ukwehla okuphuthumayo kuyenzeka uma impilo yomama isengozini.