Yiziphi izinhlobo zenqola ezikhona?
Njengoba sisebenzé iqiniso lokuthi ukuphazamiseka okunjalo kwephacenta ekukhulelwe okwamanje, siyaqhubeka nokuhlelwa kwalokhu kwephulwa.
Ngakho, kuye ngesikhathi sokuthuthukiswa, hlukanisa:
- inqola ngesikhathi sokuqala (1 trimester);
- ngesikhathi sokuphela (ekupheleni kwemigomo yesibili kanye nemithathu);
- ngesikhathi sokulethwa kwezidingo.
Ngemuva kokuhlolwa kwe-placenta, ekhishwa, udokotela uthola ukuxilongwa:
- inqola ephelele (indawo yengane inqamula ngokuphelele udonga lwe-uterine);
- okuyingxenye (ingaba emkhawulweni (uhlukanisa kuphela umkhawulo we-placenta) kanye nendawo (inqola ibonakala phakathi kwendawo yengane).
- Futhi, kuye ngokuthi inqubo yensimbi ngokwayo iqhubeka kanjani, umuntu angahlukanisa izinhlobo zayo njenge:
- ukuthuthuka (kunokwanda kwendawo ye-placenta yokuhlunga ngesikhathi esifushane);
- hhayi okuqhubekayo (lapho inqola inqamuka).
Ngenxa yalokhu ingcindezi ingahlakulela kuphi?
Njengombana kungabonakala kuhlathululo olungenhla, ukuhlukumeza ukukhulelwa kungakhula kokubili ngesikhathi sokubeletha ngokwayo, begodu ngesikhathi sokubeletha. Noma kunjalo, leli qiniso alithembeki kulokho okubangele ukuphulwa.
Phakathi kwezici ezivusa ukuthuthukiswa kokuphazamiseka kwamapayipi, kuyadingeka, ngaphezu kwakho konke, ukubiza okulandelayo:
- izifo zesimiso senhliziyo (ukwanda komfutho wegazi, isibonelo);
- ukuphazamiseka kwesistimu yomchamo ( nephritis );
- izifo zesimiso se-endocrine (isifo sikashukela sabantu);
- ukutholakala esikhathini esedlule sokuphendula okweqile;
- ukulimala kwesisu;
- ukufakwa kwesimo se-thrombosis;
- gestosis sekwephuzile.
Izizathu ezinjalo ziyisizathu sokuthi kungani le nhlangano ingakhula ngesikhathi sokukhulelwa. Uma sikhuluma ngalokhu kwephulwa, okwenzeka ngesikhathi sokuzalwa, ngakho-ke, njengombuso, kubangelwa:
- sekwephuzile, ukuphuka okungapheli kwesibindi sesisu (ngokudalulwa ngokugcwele kwenduku yesisu kugcina ubuqotho bayo);
- ukukhishwa kusenesikhathi kwe-amniotic fluid, ikakhulukazi nge-polyhydramnios;
- ukuvuselela isikhathi eside kwesibeletho, okuholela ekubhekaneni okuthiwa ukuxilongwa (ngokulawulwa kwezidakamizwa ezinkulu ze-oxytocin);
- i-fetus inomsindo omfushane we-umbilical.
I-detachment ibonakala kanjani futhi yiziphi degree zayo?
Kuye ngohlobo lwesithombe somtholampilo, kunezinombolo eziyisi-3 zobukhulu bokuphulwa okunjalo, njengokuphazamiseka kwe-placental:
- Ifomu elikhanyayo. Ubuningi bayo ukuthi isimo esiphezulu sowesifazane okhulelwe asiphuli. Kukhona ukulinganisa kwengxenye encane ye-placenta, ehambisana nokukhululwa kwesilinganiso esincane segazi kusukela kumgogodla womzimba.
- Idijithali elijwayelekile libhekene nomsebenzi we-1/3 wengane yengane. Ngaphandle kokuphuma kwegazi, igazi lihle kakhulu, ngokuvamile ligcwele izindwangu. Kukhona ubuhlungu esiswini, ukwanda kwethenda ye-uterine. I-fetal hypoxia iqala, okudinga ukungenelela odokotela.
- Izinga elikhulu. Kukhona ukukhishwa kwe-50% noma ngaphezulu kwendawo yonke ye-placenta. Isimo esiphelele sowesifazane okhulelwe sihlahloka ngokuqinile, kukhona ukuphuma kwegazi lomzimba okhulayo, i-fetus ifa. Lesi simo sidinga ukunakekelwa okuphuthumayo esibhedlela.
Yini esongela ukusho i-placenta nokuthi yini okufanele yenze ngokuthuthukiswa kwayo?
Lapho kuvela izimpawu zokuqala (ubuhlungu esiswini esingaphansi, igazi elivela emzimbeni wesisu, ukwanda kwethambo lomzimba, ukungabi khona kokuhamba phansi), kuyaphuthuma ukubona udokotela.
Ukuze unqume izinga lezinqola, i-ultrasound yenziwa.
Uma sikhuluma ngalokho okungaqondakali okungaholela kukho, yilokhu okulandelayo:
- hypoxia emntwaneni;
- ukuphuma kwegazi;
- ukushaqeka okukhulu kwabesifazane;
- ukufa kwe-fetus.