Indawo ephansi ye-placenta ekukhulelweni - i-pathology eyenzeka ngo-15-20% wabesifazane abahamba phambili.
Uma i-placenta ifakwe emphinjeni wesibeletho ezingeni lika-6 cm noma ngaphansi, le ndawo ye-placenta ngesikhathi sokukhulelwa ibhekwa njengokujwayelekile. Ngokuyinhloko, itholakala ngenkathi i-ultrasound futhi ingenayo ingozi. Uma konke kuvamile ekupheleni kokukhulelwa, i-placenta iphakama ngaphezulu.
Akudingekile ukwethuka kusasa, ngoba amaphesenti amahlanu kuphela omama anezindawo eziphansi lapho bekhulelwe kuze kube sekupheleni kweviki elingamashumi amathathu nesibini, kanti ingxenye yesithathu yabo ikhona i-placenta ehlala endaweni efanayo kuleveki engamashumi amathathu nesikhombisa.
Uma, ngemva kwamasonto angamashumi amabili nesishiyagalombili wokukhulelwa, i-placenta isesezingeni eliphansi, ngakho-ke kulokhu sikhuluma nge-placenta previa. Kusukela kulolu cala i-uterine pharynx, nakuba iyingxenye, kodwa igoqwa yi-placenta.
Ukunamathiselwa okuphansi kwe-placenta ngesikhathi sokukhulelwa kubonakala kungenakuthi, kuphela lapho lesi sizukulwane sizalwa, ungakhuluma ngesifo sokutholwa. Ezimweni ezinjalo, kusukela emaphethelweni lapho amagobolondo aphuka khona, ibanga eliya e-placenta alikho ngaphezu kwamamitha angu-7. Odokotela batusa ukuhlolwa kwebesifazane ngosizo lwezibuko.
Esinye sezimbangela zokusabalalisa kwe-placenta ku-postpartum eyedlule nokuvuvukala kwe-post-vascular of the womb, okwaholela ekuphazanyisweni ngesakhiwo sesisu esihlinzekwa ngezitsha, kanye nezindonga zesisu ezinamahlumela nezinkinga ngenxa yalokhu kuhlanganiswa kweqanda elivundisiwe. Ngesilinganiso esincane kakhulu, imbangela ingase ibe ukuqiniswa kweqanda (kakade kufakwe umanyolo) ezingxenyeni eziphansi zesibindi.
Ukukhipha isisu kubangelwa: i-detecental wall from the uterine wall kanye nokuvulwa kwezikhala phakathi kwe-villi ephakama ngenxa yezinkinga zokubeletha, ukwehluleka kwe-placenta ukulandela ukuhlukana kwesibindi okuhambayo. Ukukhipha isisu ngesikhathi sokubeletha noma ngesikhathi sokukhulelwa yisifo esibalulekile se-placenta previa. Ukukhipha igazi, njengombuso, kuyisici se-lateral futhi kaningi okukhulunywa ngayo phakathi. Khona-ke, lapho i-placenta ngesikhathi sokukhulelwa iphansi, ukuphuma kwegazi kwenzeka phakathi nesikhathi sokuqala.
Ukwelashwa kwe-placenta previa, kufaka phakathi amanga aphansi
Isiguli sithunyelwa esibhedlela, lapho sinikeza ukuthula futhi siqondiswa ngokucophelela ukuqinisekisa ukuthi senza ukuphumula kombhede. Ngesikhathi esifanayo, izidakamizwa ezinciphisa umsebenzi wesivumelwano esibelethweni, kanye nezidakamizwa ezithuthukisa i-blood clotting, zinganiki ngaphezu kuka-500 mg ngosuku lwe-ascorbic acid. Yenza ukumpontshelwa igazi ukuvimbela ukuwa kwe-hemoglobin, kungakhathaliseki ukungabikho noma ukutholakala kwegazi. Ngisho noma ukuphuma kwegazi kuyekile, isiguli asikhiphi esibhedlela. Isigaba saseKesariya senziwa uma kutholakala ukuthi ukutholakala kwe-placenta ephelele futhi uma ukuphuma kwegazi kuphindaphinda ekupheleni kokukhulelwa. I-autopsy yesibindi sesisu isasebenza ngethulo elincinci. Uma indawo yokuphuza ihlala ingasetshenziswanga yingxenye yamanje, ngisho nangemva kokuvula isambatho sesisu, odokotela bangasebenzisa le divayisi ukuba baqale umsebenzi, okufakwa emzimbeni wesibeletho somlomo wesibeletho (wangaphakathi) futhi wagcwala uketshezi oyinyumba.
Sithemba ukuthi uthole ulwazi olwanele mayelana nendawo ye-placenta ngesikhathi ukhulelwe. Ungakhohlwa ukubonisana nokugcina nodokotela wakho.