Placenta abruptio

Umkhaya udibanisa umbungu (usana olungekazalwa) kwisibeleko sikanina. Ivumela umntwana ukuba afumane izakhamzimba, igazi kunye neoksijini kumama. Kuyanceda nosana ukulahla inkunkuma.

I-Placenta abruptio (ekwabizwa ngokuba kukuphazamiseka kweplacenta) kuxa i-placenta yohlukana nodonga lwangaphakathi lwesibeleko ngaphambi kokuba umntwana azalwe.

Kuninzi lokukhulelwa, i-placenta ihlala incamathele kwinxalenye ephezulu yodonga lwesibeleko.

Kwinani elincinci lokukhulelwa, i-placenta iyazibamba (izitsale ngokwayo eludongeni lwesibeleko) kwangoko. Uninzi lwexesha, kuphela yinxalenye yepascenta emkayo. Ngamanye amaxesha ikhupha ngokupheleleyo. Ukuba oku kuyenzeka, kuhlala rhoqo kwikota yesi-3.

I-placenta yindlela yokuphila yomntwana. Iingxaki ezinzulu zenzeka ukuba ziyavela. Usana lufumana ioksijini encinci kunye nezakha mzimba ezimbalwa. Olunye usana luthintelwa ukukhula (kuncinci kakhulu), kwaye kwinani elincinci lamatyala, kuyabulala. Inokubangela ukulahleka kwegazi okubalulekileyo kumama.

Akukho mntu waziyo ukuba yintoni ebangela ukuphazamiseka kweplacental. Kodwa ezi zinto ziphakamisa umngcipheko kumfazi:

• Imbali yokuphazamiseka kweplacenta ekukhulelweni kwangaphambili
• Ixesha elide (elingapheliyo) uxinzelelo lwegazi
• Ngokukhawuleza uxinzelelo lwegazi oluphezulu kwabasetyhini abakhulelweyo ababenexinzelelo oluqhelekileyo lwegazi ngaphambili
• Isifo sentliziyo
• Ukuqaqanjelwa sisisu
• Ukutshaya
• Ukusetyenziswa kotywala okanye icocaine
• Ukuphazamiseka kweplacental ekukhulelweni kwangaphambili
• Iifibroids kwisibeleko
• Ukulimala kumama (njengokuphahlazeka kwemoto okanye ukuwa apho isisu sabethwa khona)
• Ukuba mdala kunama-40

Ezona mpawu zixhaphakileyo kukopha kwilungu lobufazi kunye nokuqaqanjelwa zentlungu. Inani lokopha lixhomekeke kubungakanani be-placenta ethe yafunyanwa. Ngamanye amaxesha igazi eliqokelelayo xa i-placenta idibana lihlala phakathi kwe-placenta kunye nodonga lwe-uterine, ukuze ungabinagazi kwilungu lakho lobufazi.

• Ukuba ukwahlukana kuyinto encinci, unokuba negazi elikhanyayo kuphela. Unokuba neekram okanye uzive uthambile esiswini sakho.
• Ukuba ukwahlukana kumodareyitha, unokuba nokopha okunzima. Iintlambo kunye neentlungu zesisu ziya kuba nzima ngakumbi.
• Ukuba ngaphezulu kwesiqingatha se-placenta iyanqamuka, unokuba nentlungu esiswini kunye nokopha kakhulu. Unokuba neentsimbi. Usana lunokuhamba ngaphezulu okanye ngaphantsi kunesiqhelo.

Ukuba unayo nayiphi na le mpawu ngexesha lokukhulelwa kwakho, xelela umboneleli wakho wezempilo kwangoko.

Umboneleli wakho uya:

• Yenza uvavanyo lomzimba
• Qaphela ukuhlukana kwakho kunye nendlela umntwana wakho asabela ngayo kubo
• Ngamanye amaxesha yenza i-ultrasound ukujonga i-placenta yakho (kodwa i-ultrasound ayisoloko ibonisa ukuphazamiseka kweplacenta)
• Jonga ukubetha kwentliziyo yomntwana wakho kunye nesingqisho

Ukuba ukuphazamiseka kwakho kweplacenta kuncinci, umboneleli wakho unokukubeka ebhedini ukuphumla ukopha. Emva kweentsuku ezimbalwa, uninzi lwabasetyhini lunokubuyela kwimisebenzi yabo yesiqhelo kwiimeko ezininzi.

Ukwahlukana okumodareyitha, kuya kufuneka uhlale esibhedlele. Esibhedlele:

• Isantya sentliziyo yomntwana wakho siya kujongwa.
• Unokufuna utofelo-gazi.
• Ukuba umntwana wakho ubonakalisa naziphi na iimpawu zoxinzelelo, umboneleli wakho unokubangela ukuba abasebenzi bakho basebenze kwangoko. Ukuba awukwazi ukuzala kwilungu lobufazi, uyakufuna icandelo-C.

Ukuphazamiseka okukhulu kweplacenta kungxamiseko. Uya kudinga ukuhambisa kwangoko, ubukhulu becala licandelo le-C. Kunqabile, kodwa umntwana unokuzalwa ngokuzalwa ukuba kukho ukuphazamiseka okukhulu.

Awunakho ukuthintela ukuphazamiseka kweplacental, kodwa unokulawula iimeko ezinobungozi ezinxulumene nayo ngu:

• Ukugcina uxinzelelo lwegazi oluphezulu, isifo sentliziyo, kunye nesifo seswekile phantsi kolawulo
• Ukungasebenzisi icuba, utywala, okanye icocaine
• Ukulandela iingcebiso zomboneleli wakho malunga neendlela zokunciphisa umngcipheko ukuba ubunokuphazamiseka kukukhulelwa okudlulileyo

Ukuhlukana kwangaphambili kweplacenta; Ukwahlula kweplacental; Ukuphazamiseka kweplacental; Ukopha kwilungu lobufazi - ukuphazamiseka; Ukukhulelwa - ukuphazamiseka

• Icandelo leKesareya
• I-Ultrasound xa ukhulelwe
• I-Anatomy ye-placenta eqhelekileyo
• Placenta
• Placenta
• I-Ultrasound, i-placenta eqhelekileyo-iBraxton Hicks
• I-Ultrasound, umbungu oqhelekileyo - iingalo kunye nemilenze
• I-Ultrasound, indawo yesiqhelo ekhululekile
• I-Ultrasound, umbala-intambo eqhelekileyo ye-umbilical
• Placenta

UFrancois KE, uFoley MR. I-Antepartum kunye ne-postpartum hemorrhage. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 18.

IHull AD, iResnik R, iSilver RM. Placenta previa kunye ne-accreta, i-vasa previa, i-subchorionic hemorrhage, kunye ne-abruptio placentae. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Isilivere RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 46.

I-Salhi BA, i-Nagrani S.Iingxaki ezinzima zokukhulelwa. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 178.

• Iingxaki zempilo ekukhulelweni