I-placenta ekukhutheni yisitho esibaluleke kunazo zonke esixhuma umama emntwaneni futhi siqinisekise ukusebenza okuvamile kwe-fetus. Ngokuhamba kwesikhathi, njengoba umbungu uqala, i-placenta inendawo yokuguga, noma, ngokwesayensi, idlula ngezigaba eziningana zokuvuthwa.
Ukwenyuka kwe-placenta kuyinkqubo yemvelo edingekayo ekuhlinzekeni okugcwele kwengane ezayo nazo zonke izakhi ezidingekayo.
Isiqu sesibili sokuvuthwa kwe-placenta ngokuvamile kuvumelana nemigomo esuka emavikini angu-34 kuya kwangu-37 wokubeletha. Phakathi nalesi sikhathi, ukukhanya kwe-wavy kancane kwe-placenta kuba yisifo esibuhlungu kakhulu, ukufakela okufakiwe okubonakalayo okucacile kuvela. Inkomba yokuvuthwa ye-placenta ngokuvamile ihlolwe ukuxilongwa kwe-ultrasound, kanye nokuqina kwe-placenta, okuyisici esibalulekile sokusebenza okujwayelekile kwe-fetus. Ku-2 degrees yokuvuthwa kwe-placenta, ubukhulu bayo kufanele bube bubanzi kusukela ku-28 ukuya ku-49 mm. Ukungqubuzana phakathi kokuqina kwe-placenta kanye nesikhathi sokuvuthwa kubonisa ukwephulwa kwenkambo yokukhulelwa kanye nosongo olungenzeka emntwaneni.
Ukuphazamiseka nezifo ezihlobene nezinga lokuvuthwa kwe-placenta
Njengoba sekushiwo ngenhla, i-placenta yesilinganiso sesibili sokuvuthwa ngokuvamile ihambisana neviki 34-37 lamasonto wokubeletha. Uma, nge-ultrasound, owesifazane efakwa ukuvuthwa okubili kwe-placenta esikhathini esidlule, bathi ukuguga ngaphambi kwesikhathi se-placenta .
Ukuguga kusengaphambili kusendaweni ye-placenta
Kubonakala ukuthuthukiswa kwangaphambili kwe-placenta (ukuguga), okubandakanya izimo ezingasongela impilo yengane. Iningi livame ukukhuluma nge-hypoxia ye-fetus, okungukuthi, ukungeneli okwanele oksijini, okuholela ekufweni kwendlala yomoya. Ngesikhathi esifanayo, ngenxa yokunikezwa okwanele kwengane ezayo enezakhi, kungase kube nokungajwayelekile emisebenzini yobuchopho, kanye nenqubo yokulethwa, ukuqala kokuqala ngaphambi kwesikhathi kanye nenkambo enkulu.
Izimbangela zokuguga ngaphambi kwesikhathi se-placenta:
- isifo sikashukela kanye nezinye izifo ze-hormonal emzimbeni womama;
- Ukukhipha izisu, okwenziwa ngumfazi ngaphambi kokuqala kokukhulelwa;
- izifo ze-endocrine zomama ozayo (isifo se-thyroid);
- i-toxicosis ephuzile - igestosis;
- ukubhema noma ukuphuza utshwala ngumama;
- izinkinga ezingapheli zenhliziyo;
- isifo sofuba nezinye izifo zesibindi;
- izifo zesistimu yomchamo;
- izifo zegciwane lesisu nangesibeletho.
Kodwa-ke, naphezu kwalolu datha olusongelayo, owesifazane otholakala enesiteji sokuvuthwa kwe-placenta 2 esikhathini esingaphansi kwamasonto angama-33 akumele akhathazeke. Udokotela uzokhipha izivivinyo ezengeziwe nokuhlolwa kokugeleza kwegazi lesisu. Uma lesi sifo singatholakali, khona-ke lona wesifazane akanayo okumele akhathazeke ngakho. Endabeni yokuqinisekiswa kokusongela kwangempela empilweni evamile ye-fetus, ukwelashwa okuphumelelayo esibhedlela kunqunywe. Njengomthetho, inkambo yezidakamizwa ihloswe ukubuyisela imisebenzi ye-placenta ngokunikezwa ngokugcwele kwengane enomsoco wonke
2 izinga lokuvuthwa kwe-placenta ngesikhathi esingavumelani nesimilo akusho ngaso sonke isikhathi ukuba khona kwe-pathology. Uma udokotela engaboni ukuthi usengozini yangempela yokuzala ngaphambi kwesikhathi, cishe kungenzeka ukuthi ukwelashwa ngezidakamizwa i-Curantil noma eminye imithi efanele ekhaya iyobekwa. Kunoma yikuphi, owesifazane kufanele alandele izincomo zesidakamizwa futhi avame ukufika ekamelweni.
Futhi-ke, njalo ukhuthaza ukuhamba okuhle emoyeni ovulekile, okungenani amahora angu-2 ngosuku. Lokhu kuyilungelo lokuvimbela i-hypoxia ye-fetal, kanye nokwelapha okusizayo kakhulu kokuguga okungakapheli kwe-placenta.