Placenta acreta: yintoni, iimpawu, ukuxilongwa kunye nobungozi

Umxholo

• Iimpawu zePlacenta Acreta
• Uxilongo lwenziwa njani
• Imingcipheko enokwenzeka
• Unyango lwePlacenta Acreta

I-placenta accreta, ekwabizwa ngokuba yi-placental accretism, yimeko apho i-placenta ingalandelwanga ngokuchanekileyo kwisibeleko, isenza kube nzima ukuphuma kwayo ngexesha lokuhanjiswa. Le meko ngoyena nobangela weengxaki kunye nokufa kwasemva kokubeleka, njengoko kunxulunyaniswa nomngcipheko omkhulu wokopha.

I-Placental accretism inokuhlelwa ngokobunzulu bokumiliselwa kwe-placenta kwisibeleko kwi:

• Placenta acreta elula, apho i-placenta ingena kwinxalenye ye-myometrium, engumaleko ophakathi wesibeleko;
• I-placenta emangalisayo, apho i-placenta ingena ngokupheleleyo kwi-myometrium;
• I-Percrete placenta, apho i-placenta inokufikelela kuphela kwi-serous okanye kumalungu akufutshane.

Kubalulekile ukuba i-placenta accreta ifunyanwe ngexesha loviwo ngaphambi kokubeleka ukuze icandelo le-cearean licwangciswe lilandelwe yi-hysterectomy, edla ngokuba lunyango olubonisiweyo, kwaye ke iingxaki zithintelwe umama nosana.

Iimpawu zePlacenta Acreta

Ngokwesiqhelo, owasetyhini akafumani naziphi na iimpawu zotshintsho kwi-placenta, ke kubalulekile ukuba owasetyhini enze unonophelo lwangaphambi kokubeleka ngokuchanekileyo ukuze olu tshintsho lubonakale.

Nangona iimpawu kunye neempawu zingahlali rhoqo kwezi meko, abanye abantu basetyhini banokufumana ukopha kancinci kubufazi, ngaphandle kwentlungu kwaye ngaphandle kwesizathu esibonakalayo ngexesha lokukhulelwa, kwaye kuyacetyiswa ukuba uye kugqirha wamazinyo / ugqirha wokubelekisa uchaze unobangela wokopha kwaye uqale unyango.

Uxilongo lwenziwa njani

Ukuchongwa kwe-placenta accreta kufuneka kwenziwe kusetyenziswa iimvavanyo zokucinga, ezinje nge-ultrasound kunye nemagnetic resonance imaging, ukongeza kwimilinganiselo yamakishi egazi anokubonisa utshintsho. Olu vavanyo lunokwenziwa ngexesha lokhathalelo lwaphambi kokubeleka kunye nokuchongwa kwangoko kwe-placental accretism kunciphisa umngcipheko weengxaki kubafazi. Yazi ezinye iimviwo zokubeleka.

I-Ultrasonography ihlala iboniswa kwizigulana ezithathwa njengezisemngciphekweni omkhulu kwaye yindlela ekhuselekileyo kubo bobabini umama nosana. Ukusetyenziswa kwe-imaging resonance imaging yokufumanisa isifo kwi-placenta accreta kuyimpikiswano, nangona kunjalo inokubonakaliswa xa isiphumo se-ultrasound sithathwa njengokuthandabuza okanye ukungangqinelani.

I-Ultrasonography yokuchonga i-placenta accreta ibonakaliswe ngakumbi kwabasetyhini abasemngciphekweni omkhulu wokukhula kwale ngxaki, njengabasetyhini abadala, abaye benza utyando lwesibeleko ngaphambili, kubandakanya necandelo lokuyeka, babe ne-uterine fibroids okanye abo babene-placenta ngaphambili, apho i-placenta ikhula ngokuyinxenye okanye ngokupheleleyo kummandla ongezantsi wesibeleko. Qonda ngakumbi malunga ne-placenta previa kunye nendlela olwenziwa ngayo unyango.

Imingcipheko enokwenzeka

Umngcipheko we-placenta accreta unxulumene nomzuzu xa i-placenta accreta ichongiwe. Kwangoko ukuxilongwa kwenzekile, umngcipheko wokuphalala kwegazi lasemva kokubeleka, usezantsi umngcipheko, iingxaki ngexesha lokuhanjiswa, ukuhanjiswa kwangaphambi kwexesha kunye nemfuno yecandelo lonyango olukhawulezileyo.

Ukongeza, kunokubakho usulelo, iingxaki ezinxulumene nokuqunjelwa, ukuqhekeka kwesinyi, ukuphulukana nokuchuma kwaye, ukuba ayichongwanga kwaye inyangwe ngokuchanekileyo, inokukhokelela ekufeni.

Unyango lwePlacenta Acreta

Unyango lwe-placental accretism lungahluka ukusuka kumfazi ukuya kumfazi, kwaye icandelo le-cearean linokwenziwa kunye ne-hysterectomy, eyinkqubo yonyango apho isibeleko sisuswe khona kwaye, ngokuxhomekeke kubukhali, bezinto ezinxulumene nazo, ezinje ngemibhobho kunye amaqanda.

Kwezinye iimeko, unyango olulondolozayo lunokubonakaliswa ukugcina ukuzala komfazi, kunye necandelo le-cearean kunye nokususwa kwe-placenta, ngaphezu kokubeka iliso kumfazi emva kokubeleka ukujonga ukuphuma kwegazi okanye iingxaki.