Inqola yangaphambi kwesimiso se-placenta evamile iholela ekusenikeni, futhi ngokuhamba kwesikhathi, ngaphandle kokwelashwa okuphuthumayo, ukukhulelwa kwesisu. Uma kwenzeka ukuthi i-detachment ibonwe emaphethelweni e-placenta futhi igazi lingene phakathi kodonga nesibindi, ukuphuma kwegazi kubhekisela ekuphumeni kwangaphandle. Isibonakaliso sokuphuma kwegazi kungukuhlukaniswa kwegazi kwe-placenta, okuholela ekubeni i-hematoma. Kulesi simo, kukhona isithombe somtholampilo esivamile. Igazi lingena odongeni lwe-uterine, lushintsha imicu ye-muscle, lifaka ingxenyeni yangaphandle yodonga lwe-uterine, ngenxa yalokho isisu esiba yinto ehlukile.
Ake sibone ukuthi yini ebangela isithandwa se-placenta ngesikhathi sokukhulelwa?
Izimbangela nezinqubo zesifo esenzekayo
Ukuguqulwa kwe-Vascular endaweni ye-uterine ye-placental kubhekwa odokotela njengokungabikho komsebenzi ophansi komama ozayo futhi kuqhathaniswa ne-pathology yezitsha ezinoshukela, hypovitaminosis, nephritis. Odokotela benza ucwaningo ukuze babone izimbangela ezikhona futhi bathole isithombe esitholakalayo somtholampilo, esibonakala ngokucindezeleka kwesibeletho (nge-protrusion, kanye ne-foci yezinhlungu kuvele, futhi ukuqubuzana komntwana okungenzeka kuvele). I-anemia ephawulekayo iyabonakala endaweni enkulu ngokwanele lapho i-placenta ivinjelwe. Zonke lezi zibonakaliso zihlangene nokubonakala kokushaqeka: isiguli sigxeka ukuthi ikhanda lakhe liyaphenya, uyagula, izinyembezi, zikhona ubuhlungu obukhulu ebuhlungu esiswini. Isiguli sibukeka sibala, isikhumba sakhe sithuthumele, umfutho uyashesha, ingcindezi iphansi, ayinakuphumula kakhulu.
Odokotela benzani ekutholeni ukuphazamiseka kwamapayipi ngesikhathi sokukhulelwa?
Uma inqola ye-placenta ngesikhathi sokukhulelwa yenziwa yi-cearean. Ngesikhathi sokubeletha, kudingekile ukuvula isambatho sesisu, okuyinto ezimweni eziningi eziyeka ukumiswa kwe-placenta, ukusheshisa ukuxoshwa kwesibeletho ngokusebenzisa i-forceps noma idivayisi ekhethekile esetshenziselwa ukubeletha ukubeletha. Esikhathini se-postpartum, ukukhishwa kwe-manual kwe-placenta kuyimpoqo, futhi isigxobo se-uterine sibhekene nokuhlolwa okugunyazayo.
Isikhathi sokuqala emva kokubeletha singase sibe nzima ngokuphuma kwegazi ngenxa ye-tonus enganele ngokwezifo zesibindi (atony) noma ngaphansi kwe-hypo-fibrinogenemia (i-clotting disorders, isigaba sesithathu). Ngezibilini ezinkulu kakhulu esibelethweni, odokotela batusa isigaba sokulahla, emva kwalokho ukukhishwa okungaphezulu kwesigqila kwenziwa.
Ingabe ukukhulelwa kungenzeka ngemuva kokuphazamiseka kwe-placental?
Odokotela batusa ukuba bakhulelwe emva kokungenelela kokusebenza okudlulisiwe ngonyaka odlule, hhayi ngaphambili. Phakathi nalesi sikhathi, isibeletho sowesifazane siyokwazi ukubuyisela emsebenzini, futhi owesifazane uzophinde ahlale elungele ukuzwa injabulo yokuzalwa kokuphila okusha ngaphakathi kwakhe.