Ngexesha lokukhulelwa, kubalulekile ukugcina uphuhliso oluchanekileyo lwe-placenta, kuba luyisondlo esikhulu somntwana ongakazalwa, kwaye ukuchaneka kwendawo yayo siqinisekiso soqeqesho oluqhelekileyo lokukhulelwa kuze kube yilapho kuhanjiswa. Ngokuqhelekileyo, i-placenta ifumaneka kwindawo yomzimba okanye phantsi kwesibindi, ngasemva kwodonga lwangemuva, kunye nokutshintshela kwi-lateral, njengoko kule ndawo zihamba kakuhle. Ngaphantsi kancinci i-placenta ingabakho kwindonga yangaphambili, kuba ixhomekeke kwiinguqu kunokuba yithuba elide.
I-Placenta previa yi-pathology ebonakaliswa ngokungaqhelekanga kwe-placenta kwiindonga ezingxenyeni ezisezantsi zesisu, ngelixa uqukumbela indawo ye-pharynx yangaphakathi.
Iintlobo zeeplacenta praevia
- Indawo ephantsi ye-placenta-engagqithanga indawo yomqala we-throat, umda we-placenta usezingeni eliphantsi kunokuba liqhelekile;
- ukuzaliswa (okanye kumbindi) umboniso weplacenta - indawo yomlomo we-throat ivalwe ngokupheleleyo yi-placenta;
- intetho engaphelelanga (okanye inxenye) yepentecenta - i-placenta ihlanganisa inxalenye yomlomo wesibeletho sangaphakathi.
Isingeniso esingapheliyo sepentekoji sahlula ngo:
- emgceni - umgca wezantsi we-placenta ufumaneka kwinqanaba le-pharynx yangaphakathi;
- i-latal - umgca we-placenta ihlanganisa i-pharynx yangaphakathi.
I-Placenta previa - izizathu
Utshintsho lwe-Dystrophic kwi-membrane ye-uterus inokuba yisona sizathu esibalulekileyo sokuba kwenzeke kwe-placenta previa ngexesha lokukhulelwa. Oku kunokwenzeka ngenxa yokukhipha izisu zangaphambili, ukusuleleka ngesondo, ukuvutha okanye ngenxa yezifo zecala eziphambili. Iimbangela ze-pathology zingabakho intliziyo, isifo okanye isifo sesibindi. Kufuneka kuqatshelwe ukuba ininzi i-placenta previa ivela kubasetyhini ababelethanga ngethuba lokuqala.
I-Placenta previa - iimpawu
Olu lukhuseleko, njengoko lungahambelanga, lunokuthi lube lugqithiso. Kodwa nangona kunjalo, uphawu oluphambili ebusweni be-placenta previa luphuma. Oku kuya kuchazwa ngento yokuba izicubu ze-placental azixhumi, ngoko ziyakwazi ukuxhamla xa isisu sisoluliwe, okubangelwa ukuphuma kwegazi. Njengomthetho, le mpawu ihamba kakuhle kwaye ingayeka ngokukhawuleza, kodwa emva kwexeshana, vuka kwakhona.
Olunye uphawu lwe-placenta previa lungaba yi-fetal hypoxia. Iqondo le-hypoxia lixhomekeke kubukhulu becala lokuphazamiseka, njengesiphumo sokuthi inxalenye ye-exfoliate inxaxheba ithintela ukuthatha inxaxheba kwinkqubo yokujikeleza i-utero-placental system. Ukuchonga ngokucacileyo i-placenta previa okanye isinamathiselo sayo esiphantsi sinokwenzeka ngexesha lokuhlolwa kwe-ultrasound.
I-placenta previa - unyango
Ukuba i-placenta ikhona, owesifazane okhulelweyo kufuneka abe phantsi kolawulo lwezonyango rhoqo. Unyango luxhomekeke kubukho, ubude kunye namandla okukhutshwa kwamanzi. Xa kuphuma igazi ngexesha lokukhulelwa ngaphaya kwamaveki angama-24, unyango luqhutyelwa esibhedlele apho uphulo lwabhedlele lucetyiswa khona, ngaphezu koko, amalungiselelo anqunywe ukunciphisa ithoni yesisu kunye nokuphucula umjikelezo wegazi. Kwiimeko apho ukukhulelwa kwamanzi kungabonwa, ibhinqa linokuhlala ekhaya. Kodwa, ngokuqinisekileyo, kufuneka ugweme ukunyamezela ngokomzimba nangokwenyama, kwaye ungabandakanyi ukuxhatshazwa ngokwesondo. Kubalulekile ukuchitha ixesha elingaphezulu emoyeni, ukuphumla nokutya kakuhle.
Ukuzalwa nge-placenta praevia
Ukuhanjiswa ngokukhawuleza akunakwenzeka nge-placenta previa epheleleyo. Utyando lwecandelo le-Caesarea luqhutywa rhoqo kwiiveki ezingama-38, nangona kungekho ukuphuma kwegazi.
Kuyakwazi ukuqedela ukuzalwa ngokwemvelo ngokubonisa inxalenye yecalamente, kodwa isigqibo sokugqibela esiza kuziswa siya kuthathwa ngugqirha xa umlomo wesibeleko uvula u-5-6 cm. Ukuba intshumayelo encinci kwaye ingabalulekanga, ukuvula kwesikhumba se-fetal senziwa. Ngenxa yoko, intloko yomntwana ihla kwaye iminyanisa imivenge yegazi ephuma. Kule meko, umsebenzi osebenza ngokukhawuleza unokwenzeka, kodwa ukuba ukusetyenziswa kwezinto ezingenzi kakuhle, umsebenzi ugqityiwe ngokukhawuleza.