I-Placenta eLala ngokuLala (Placenta Previa)

Umxholo

• Yintoni i-placenta previa?
• Iimpawu ezinxulumene ne-placenta previa
• Imiba yomngcipheko wokuphuhlisa i-placenta previa
• Ifunyaniswa njani i-placenta previa?
• Iindidi ze-placenta previa
• Inxalenye
• Ukuxoka
• Ngaphantsi
• Mkhulu okanye ugqibe
• Unyango lwe-placenta previa
• Incinci kungabikho gazi
• Ukopha kakhulu
• Ukopha okungalawulekiyo
• Iingxaki ze-placenta previa
• Ukujongana nokuxhasa oomama abakhulelweyo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni i-placenta previa?

I-Placenta previa, okanye i-placenta ephantsi, iyenzeka xa i-placenta igubungela inxenye okanye wonke umlomo wesibeleko kwiinyanga zokugqibela zokukhulelwa. Le meko inokubangela ukopha kakhulu ngaphambi okanye ngexesha lomsebenzi.

I-placenta ikhula kwisibeleko somfazi ngexesha lokukhulelwa. Eli lungu lifana nengxowa linika umntwana okhulayo ukutya kunye neoksijini. Ikwasusa iimveliso zenkunkuma egazini lomntwana. Ipharasenta ikwabizwa ngokuba "kukuzala" ngenxa yokuba iyaphuma emzimbeni emva kokuba umntwana ezelwe.

Ngexesha lokukhulelwa, i-placenta iyahamba njengoko isibeleko sisolula kwaye sikhula. Kuqhelekile ukuba i-placenta ibe sezantsi kwisibeleko ekukhulelweni kwasekuqaleni. Njengoko ukukhulelwa kuyaqhubeka kwaye isibeleko sisolula, i-placenta ihlala isiya phezulu kwisibeleko. Ngekota yesithathu, i-placenta kufuneka ibe kufutshane nomphezulu wesibeleko. Esi sikhundla sivumela umlomo wesibeleko, okanye umnyango wesibeleko emazantsi esibeleko, indlela ecacileyo yokuhanjiswa.

Ukuba i-placenta incamathele endaweni esezantsi yesibeleko, inokugubungela inxenye okanye wonke umlomo wesibeleko. Xa i-placenta igubungela inxenye okanye wonke umlomo wesibeleko kwiinyanga zokugqibela zokukhulelwa, imeko yaziwa ngokuba yi-placenta previa, okanye indawo yokulala esezantsi. Uninzi lwabasetyhini abanale meko baya kufuna ukuphumla ebhedini.

Iimpawu ezinxulumene ne-placenta previa

Olona phawu luphambili kukukhanya ngequbuliso kokopha okunzima kwilungu lobufazi, kodwa ukuba kukho naziphi na iimpawu ezingezantsi ezenzekayo, kuya kufuneka ufumane unyango kwangoko:

• isijwili okanye iintlungu ezibukhali
• Ukopha okuqala, kuyeke, kwaye kuqale kwakhona kwiintsuku okanye kwiiveki kamva
• ukopha emva kokwabelana ngesondo
• ukopha ebudeni besiqingatha sesibini sokukhulelwa

Imiba yomngcipheko wokuphuhlisa i-placenta previa

Imingcipheko yophuhliso lwe-placenta previa ibandakanya:

• Indawo engaqhelekanga yosana: ibreech (iimpundu kuqala) okanye unqamleze (ulele ngokuthe tye kwisibeleko)
• Utyando lwangaphambili olubandakanya isibeleko: ukuhanjiswa kwe-cearean, utyando lokususa i-uterine fibroids, dilation and curettage (D&C)
• ukukhulelwa amawele okanye ezinye ukuphindaphinda
• Ukuphuma kwesisu kwangaphambili
• I-placenta enkulu
• isibeleko esimile ngokungaqhelekanga
• sele ezele umntwana omnye
• ukuxilongwa kwangaphambili kwe-placenta previa
• ukuba mdala kuno 35
• ukuba waseAsia
• ukutshaya

Ifunyaniswa njani i-placenta previa?

Ngokwesiqhelo, imiqondiso yokuqala ye-placenta previa iya kubonakala ngexesha lokuvavanywa kwe-ultrasound yeeveki ezingama-20. Le miqondiso yokuqala ayisosizathu sokuba nexhala, kuba i-placenta ihlala iphantsi esibelekweni ngexesha lokuqala lokukhulelwa komfazi.

I-placenta idla ngokuzilungisa. Ngokutsho kweKholeji yaseRoyal ye-Obstetricians kunye ne-Gynecologists, kuphela iipesenti ezili-10 zamatyala aya kuqhubeka nokukhula kwi-placenta previa epheleleyo.

Ukuba ufumana ukopha kwisiqingatha sesibini sokukhulelwa kwakho, oogqirha baya kubeka esweni imeko ye-placenta besebenzisa enye yezi ndlela zikhethiweyo:

• I-ultrasound yangaphantsi: Ugqirha wakho ubeka iprobe ngaphakathi kwilungu lobufazi ukubonelela ngombono wangaphakathi kumjelo wakho wobufazi kunye nomlomo wesibeleko. Le yeyona ndlela ikhethwayo kwaye ichanekileyo yokumisela i-placenta previa.
• I-ultrasound yeTransabdominal: Uchwepheshe wezonyango ubeka ijeli kwisisu sakho kwaye ahambise iyunithi ephethe ngesandla ebizwa ngokuba yitransducer ejikeleze isisu sakho ukujonga amalungu omzimba. Amaza esandi enza umfanekiso kwiscreen esifana nomabonwakude.
• I-MRI (imaging resonance imaging): Le scaning imaging iya kunceda ukucacisa indawo ekuyo i-placenta.

Iindidi ze-placenta previa

Kukho iintlobo ezine ze-placenta previa, ukusuka kumncinci ukuya kumkhulu. Elinye liya kuba nefuthe lalo lokuba ingaba umama anganakho na ukuhanjiswa okuqhelekileyo okanye nokuba uya kufuna ukuhanjiswa okokhuselo. Unyango lwe-placenta previa luya kusekelwa kuhlobo onalo.

Inxalenye

I-placenta igubungela kuphela ukuvulwa komlomo wesibeleko. Ukuzalwa komfazi kusenokwenzeka.

Ukuxoka

Olu hlobo luqala kwasekuqaleni ukuya ekukhulelweni phakathi. I-placenta ibekwe ecaleni komlomo wesibeleko, kwaye kukho ithuba elihle lokuhanjiswa kwelungu lobufazi.

Ngaphantsi

I-placenta iqala ukukhula ezantsi kwesibeleko. I-placenta iya kutyhala ngokuchasene nomlomo wesibeleko kodwa ingagqumi. Kuba umda we-placenta uchukumisa ukuvulwa kwangaphakathi komlomo wesibeleko, nakuphi na ukungqubana ngexesha lomsebenzi kunokubangela ukopha kancinci. Nangona kunjalo, ukuzalwa kwelungu lobufazi kuhlala kukhuselekile.

Mkhulu okanye ugqibe

Olu lolona hlobo lubaluleke kakhulu. Kwi-placenta previa enkulu, i-placenta ekugqibeleni iya kugubungela wonke umlomo wesibeleko. Amacandelo e-C ahlala ekhuthazwa, kwaye kwiimeko ezinzima, umntwana kungafuneka abelekiswe ngaphambi kwexesha.

Ngazo zonke iintlobo, ukuphuma kwegazi okunzima okanye okungalawulekiyo kunokubangela ukuba uhambiso olungxamisekileyo lokuyeka ukukhusela wena nosana lwakho.

Unyango lwe-placenta previa

Oogqirha baya kuthatha isigqibo sokuba bayiphatha njani i-placenta previa yakho ngokusekwe:

• ubungakanani bokopha
• inyanga yokukhulelwa kwakho
• impilo yosana
• Indawo ye-placenta kunye nosana

Isixa sokopha kukuqwalaselwa okuphambili ngugqirha xa usenza isigqibo ngendlela yokuyinyanga le meko.

Incinci kungabikho gazi

Kwiimeko ze-placenta previa ngaphandle kokuphuma kancinci okanye ukungabikho kwegazi, ugqirha wakho uya kuphakamisa ukuphumla kombhede. Oku kuthetha ukuphumla ebhedini kangangoko kunokwenzeka, kwaye kukuma nokuhlala kuphela xa kufanelekile. Uya kucelwa kwakhona ukuba uphephe isondo kunye nokuzilolonga ngokunjalo. Ukuba ukopha kwenzeka ngeli xesha, kuya kufuneka ufune unyango ngokukhawuleza.

Ukopha kakhulu

Amatyala wokopha kakhulu anokufuna ukuphumla ebhedini yasesibhedlele. Kuxhomekeke kubungakanani begazi elilahlekileyo, unokufuna utofelo-gazi. Kuya kufuneka ukuba uthathe amayeza ukuthintela ukusebenza ngaphambi kwexesha.

Kwimeko yokopha kakhulu, ugqirha wakho uya kukucebisa icandelo le-C ukuba licwangciswe kwakamsinya nje ukuba kukhuselekile ukuhanjiswa-ngakumbi emva kweeveki ezingama-36. Ukuba icandelo le-C kufuneka licwangciswe kwakamsinya, umntwana wakho unokunikwa inaliti ye-corticosteroid ukukhawulezisa ukukhula kwakhe kwemiphunga.

Ukopha okungalawulekiyo

Kwimeko yokopha okungalawulekiyo, kuya kufuneka kwenziwe ugcino olungxamisekileyo.

Iingxaki ze-placenta previa

Ngexesha lokubeleka, umlomo wesibeleko uya kuvula ukuvumela umntwana ukuba angene kumsele wangasese xa ezalwa. Ukuba i-placenta iphambi komlomo wesibeleko, iya kuqala ukwahlula njengoko umlomo wesibeleko uvula, ibangele ukopha ngaphakathi. Oku kunokunyanzelisa icandelo le-C likaxakeka, nokuba umntwana ungaphambi kwexesha, nanjengoko umama wopha xa esifa ukuba akukho manyathelo athathwayo. Ukuzalwa komfazi nako kubeka umngcipheko omkhulu kunina, onokufumana ukopha kakhulu ngexesha lokubeleka, ukubeleka, okanye emva kweeyure zokuqala zokuhanjiswa.

Ukujongana nokuxhasa oomama abakhulelweyo

I-placenta previa diagnostic inokubothusa oomama abakhulelweyo. Ikliniki yaseMayo ibonelela ngezimvo malunga nendlela yokujongana nemeko yakho kunye nendlela yokuzilungiselela ukubeleka.

Fumana imfundo: Okukhona uyazi, kokukhona uya kukwazi okulindelekileyo. Nxibelelana nabanye abantu basetyhini abaye bazalwa njenge-placenta previa yokuzalwa.

Zilungiselele ukuhanjiswa kwe-cearean: Kuxhomekeka kuhlobo lwe-placenta previa yakho, ngekhe ube nakho ukuzala kwilungu lobufazi. Kuhle ukukhumbula eyona njongo iphambili- impilo yakho kunye nosana lwakho.

Yonwabela ukuphumla ebhedini: Ukuba uyasebenza, ukuphumla ebhedini kunokuziva kukuvalele. Nangona kunjalo, ungalisebenzisa ngobulumko ixesha ngokufumana iiprojekthi ezincinci, ezinje:

• ukudibanisa ialbham yefoto
• iileta zokubhala
• Ukufunda malunga notshintsho lwakho oluzayo lobomi

Zenzele umzekelo: Ukuzibandakanya kwiziyolo ezincinci, ezinje:

• ukuthenga isibini esitsha seepijama
• ukufunda incwadi elungileyo
• ubukele inkqubo oyithandayo yeTV
• Ukugcina ijenali yombulelo

Qiniseka ukuba uxhomekeke kwisangqa sabahlobo kunye nosapho kwingxoxo kunye nenkxaso.