Placenta previa: yintoni, iimpawu kunye nonyango

Umxholo

• Ubungozi be-placenta previa
• Unikezelo luhamba njani kwimeko ye-placenta previa

I-placenta previa, ekwabizwa ngokuba yi-placenta esezantsi, yenzeka xa kufakwa i-placenta ngokuyinxenye okanye ngokupheleleyo kummandla ongezantsi wesibeleko, kwaye inokugubungela ukuvulwa kwangaphakathi komlomo wesibeleko.

Ihlala ifunyenwe kwikota yesibini yokumitha, kodwa ayisiyongxaki enkulu, njengoko isibeleko sikhula, sihambela phezulu sivumela ukuvulwa komlomo wesibeleko simahla ukuhanjiswa. Nangona kunjalo, kwezinye iimeko, inokuqhubeka, iqinisekiswe yi-ultrasound kwikota yesithathu, malunga neeveki ezingama-32.

Unyango luboniswa ngugqirha obelethisayo, kwaye kwimeko ye-placenta previa enophawo oluncinci phumla nje kwaye unqabe ukwabelana ngesondo. Nangona kunjalo, xa i-placenta previa isopha kakhulu, kunokuba yimfuneko ukuba ulaliswe esibhedlele kuvavanyo lomntwana olungekazalwa kunye noomama.

Ubungozi be-placenta previa

Umngcipheko ophambili we-placenta previa kukubangela ukuhanjiswa kwangaphambi kwexesha kunye nokopha, okuya kwenzakalisa impilo kamama nosana. Ukongeza, i-placenta previa nayo inokubangela i-placental accretism, kulapho i-placenta incanyathiselwe eludongeni lwesibeleko, isenza kube nzima ukushiya ngexesha lokuhanjiswa. Oku kukonyuka kungabangela ukopha okufuna utofelo-gazi kwaye, kwezona meko zinzima, ukususwa ngokupheleleyo kwesibeleko kunye nokusongela ubomi kukamama. Zintathu iintlobo ze-placebo accretism:

• I-placenta accreta: xa i-placenta iqhotyoshelwe eludongeni lwesibeleko ngokulula;
• Placenta increta: I-placenta ibambeke nzulu kunakwindawo ye-accreta;
• Ipercenta placenta: lelona tyala libaluleke kakhulu, xa iplacenta inamandla ngakumbi kwaye incamathele ngokunzulu kwisibeleko.

I-Placental accretism ixhaphake kakhulu kwabasetyhini abaye banesiqendu esidlulileyo sokuya ngenxa ye-placenta previa, kwaye ubukhulu becala ubungqongqo bayo baziwa kuphela ngexesha lokuhanjiswa.

Unikezelo luhamba njani kwimeko ye-placenta previa

Ukuhanjiswa okuqhelekileyo kukhuselekile xa i-placenta ibekwe ubuncinci i-2 cm ukusuka ekuvulekeni komlomo wesibeleko. Nangona kunjalo, kwezinye iimeko okanye ukuba kukho ukopha okukhulu, kuyafuneka ukuba ube necandelo lokuhlinzwa, njengoko ukhuseleko lomlomo wesibeleko luthintela usana ukuba lungadluli kwaye kunokubangela ukopha kunina ngexesha lokuhanjiswa kwesiqhelo.

Ukongeza, kunokuba yimfuneko ukuba umntwana azalwe ngaphambi kwexesha, njengoko iplacenta inokuhamba kwangoko kakhulu kwaye iphazamise ukubonelelwa kweoksijini yosana.