Indawo ephantsi ye-placenta ekukhulelweni-ukukhubazeka okwenzeka kwi-15-20% yabasetyhini abasemakhaya.
Xa i-placenta iqhotyoshelwe emqaleni womlomo wesibeleko kwizinga le-6 cm okanye ngaphantsi, le ndawo yepentecenta ngexesha lokukhulelwa ithathwa njengesiqhelo. Eyona nto, ifunyanwe ngexesha le-ultrasound kwaye ayinayo nayiphi na ingozi. Ukuba yonke into eqhelekileyo ekupheleni kokukhulelwa, i-placenta iphakamileyo.
Akukho mfuneko yokwethusa kusasa, kuba iifesenti ezi-5 kuphela zoomama banendawo ephantsi kwindawo yokukhulelwa ngexesha lokukhulelwa kuze kube yiveki engamashumi amathathu nesibini, ngelixa i-third-party yazo ibe ne-placenta ehlala kwindawo enye kwiveki engamashumi amathathu nesikhombisa.
Ukuba, emva kweeveki ezingamashumi amabini anesibhozo zokukhulelwa, i-placenta isaphantsi, ngoko kwimeko esithetha ngayo nge-placenta previa. Ekubeni kweli phepha i-uterine pharynx, nangona iyingxenye, kodwa igqitywa yi-placenta.
Ukuqhotyoshela okuphantsi kwe-placenta ngexesha lokukhulelwa kubonakala kungenakwenzeka, kuphela xa kuzalwa umntwana ozayo, unokuthetha ngesifo sokugqibela. Kwiimeko ezinjalo, ukusuka kumaphethelo apho iigobolondo zaphuka, umgama ukuya kwi-placenta awukho ngaphaya kweesentimitha ezi-7. Oogqirha bancomela uvavanyo lwamanzi ngokuncediswa kwezibuko.
Esinye sezimbangela zokuxhaphaka kwe-placenta kwisithuba esidlulileyo sesithuba sokugqibela kunye nesifo se-post-vascular inflammation ye-uterus, eyakhokelela ekuphazamiseni kwisakhiwo sesisu esisinikwe iinqanawa, kunye neendonga zesisu esinezihlunu kunye nobunzima ngenxa yolu luhlaza lweqanda elichumayo. Ngomlinganiselo omncinci wokuba unokwenzeka, imbangela inokuqiniswa kweqanda (esele iqulethwe) kwiindawo ezingezantsi zesisu.
Ukuhlamba kubangelwa: i-placental detachment ukusuka eludongeni lwe-uterine kunye nokuvulwa kwezikhala phakathi kwe-villi ephakamileyo ngenxa yokuchasana kwe-uterine, ukungakwazi kwe-placenta ukulandela ulwahlulo lwe-uterine oluhambayo. Ukukrazula ngexesha lokubeleka okanye ngexesha lokukhulelwa kukubonakalisa uphawu oluphambili lwe-placenta previa. Ukuhlanjululwa, njengomthetho, kuyimpawu yokubambisana kunye nokudla ngokubanzi. Emva koko, xa i-placenta ngexesha lokukhulelwa liphantsi, ukuphuma kwegazi kwenzeka phakathi kunye nokuqala kwexesha lokuvula.
Unyango lwe-placenta previa, kuquka ukulala okuphantsi
Isigulana sithunyelwa kwisibhedlele, apho sinikeza uxolo kwaye silawulwa ngokungqongqo ukuqinisekisa ukuba wenza ukuphumla kombhede. Ngexesha elifanayo, iziyobisi ezinciphisa umsebenzi onesivumelwano sokubeleka, kunye neziyobisi eziphucula ukucima igazi, zinganiki ngaphezu kwama-500 mg ngosuku lwe-ascorbic acid. Ukukhupha igazi ukukhusela ukuwa kwe-hemoglobin, kungakhathaliseki ukuba kungabikho okanye ukufumaneka kwe-anemia. Nangona ukuphuma kwegazi kuyekile, isigulane asikhululwa esibhedlele. Icandelo laseKesariya lenziwa xa ukuxilongwa kwe-placenta esele ifikelelekile kwaye ukuba ukuphuma kwegazi kuphinda kuphinde kuphelelwe ukukhulelwa. I-Autopsy ye-fetal bladder isebenzayo kwintetho. Ukuba indawo yokuphuma kwamanzi ingasetshenziswanga yile ngxenye, nangona emva kokuvula isisu, uogqirha bangasebenzisa idivaysi ukuba iqalise abasebenzi, ehlanjelwe kwisibeleko somlomo wesibeleko (ngaphakathi) kwaye igcwaliswe ngamanzi angenayo.
Siyathemba ukuba ufumene ulwazi olwaneleyo malunga nendawo ye-placenta ngexesha lokukhulelwa. Ungalibali ukuthetha kunye nokugcina ugqirha wakho.