I-Placenta previa yenye yeengxaki ezinzima kakhulu zokukhulelwa. Ngokuqhelekileyo, i-placenta ikhona kwiindawo eziphezulu zesisu. Nge-placenta previa, indawo yomlomo wesibeleko somlomo wesibeleko uvaliwe. Ngokuxhomekeka kwendawo yokubeka i-placenta ukusuka kwi-pharynx yangaphakathi, isalathiso esipheleleyo iyahlukana (isalathisi somlomo wesibeletho ivalwe ngokupheleleyo), i-placenta previa engaphelelanga (i-pharynx yangaphakathi ivalwe ngokukhawuleza) kunye neentetho ezingezantsi (i-placenta ichukumisa umda we-pharynx yangaphakathi). Cinga ngesimo esiyingozi kakhulu - i-placenta previa epheleleyo.
Yiyiphi i-placenta previa eyingozi?
Ukugqitywa kweentetho ze-placenta kwenzeka ngokungaqheleki - 0.9% yenani lokukhulelwa. Nangona kunjalo, le meko ihlala isongela ubomi kunye nempilo kamama nomntwana. Ekubeni i-placenta igqithisa ngokupheleleyo umlomo wesibeleko somlomo wesibeleko, kukho phantse kukho ingozi yokuphazamiseka kwamaplazi. Ukuba umlomo wesibeleko uvula, umntwana usenokufa, kwaye umama angalahlekelwa ngumthamo omkhulu wegazi.
Ukongezelela, umboniso opheleleyo we-placenta ihlala ihamba kunye ne-fetoplacental insufficiency, ukuphuculwa kwexesha lomntwana kunye ne- hypoxia yayo.
Izizathu zeplascenta previa
Ngokuqhelekileyo, i-placenta previa epheleleyo ifunyenwe kwabasetyhini abaye bazala. Oogqirha babiza amaqela amabini enkcazo ejongene ne-placenta previa engafanelekanga: imeko yempilweni yempilo yomfazi kunye nokukhubazeka kweqanda lomntwana xa iqhotyoshelwe kwiindawo ezingezantsi zesisu.
Iqela elijongene nobungozi liquka abafazi abane:
- endometriosis;
- i-isthmico-intsholongwane engaphelelanga kunye nokuvuvukala komlomo wesibeleko;
- i-myoma yesisu;
- idluliselwe imisebenzi kwisibeleko;
- ukukhupha isisu, ukutshiza;
- iingxaki ze-hormonal yomjikelezo wesini;
- ukukhubazeka kokuphuhliswa kwesisu.
Isethulo se-Placenta - ukuxilongwa
I-previa ye-placenta epheleleyo inokukrokrelwa ngokuphuma kwintlungu engapheliyo kwinqanaba lomzimba. Ziyabonakala ngokukhawuleza kwaye zinokuba zininzi. Kule meko, kufuneka uqale ubize i-ambulensi kwaye, ngaphambi kokufika kwakhe, gcina ukuphumla okupheleleyo.
Njengomthetho, umfazi okhulelwe uyabhedlele. Esibhedlele ugqirha uqhuba uviwo lwangaphandle kwaye uyithumela kwi-ultrasound. Ukuba i-ultrasound iqinisekisa ubungqina be-placenta previa epheleleyo, ngoko uvavanyo lwama-vagin alukwazi ukuqhutyelwa ngenxa yengozi ephezulu yokuphazamiseka kwamaplani kunye nokuphuhliswa kwegazi.
Indlela yokuphatha i-placenta previa?
Ukuba i-placenta previa ifunyenwe ngexesha lokujonga i-ultrasound kwisiqingatha sokuqala sokukhulelwa kwaye akukho mveliso yegazi, umfazi unokuhlala ekhaya egcina uxolo olupheleleyo, kuquka ukulala ngesondo. Ukuba ixesha lokuthoba liiiveki ezingama-24 okanye ngaphezulu, kuyimfuneko ukuya esibhedlele kwaye uhlale apho de kube sekuzalweni, nangona ukuphuma kwegazi kuyekile. Ukukhulelwa kuzama ukugcina ukufikelela kwiiveki ezingama-37-38.
Indlela yodwa yokuhambisa kunye ne-placenta previa yecandelo le-caesarean, ekubeni i-placenta ivala umlomo wesibeleko somlomo wesibeleko. I-alerasan engxamisekileyo eyenziwa xa ubomi bomama busemngciphekweni.