Ziziphi iintlobo zentsimbi?
Xa sisebenzisana nenyaniso yokuba ukuphazamiseka kwephacenta ngokukhulelwa kwangoku, siyaqhubeka nokuhlelwa kwalo mthetho.
Ngoko, kuxhomekeka ngexesha lokuphuhlisa, ukwahlula:
- i-detachment kwikota yokuqala (1 trimester);
- ekupheleni kwekota (ekupheleni kwemigangatho yesibini kunye neyesithathu);
- kwinkqubo yokuhanjiswa.
Emva kokuba ummandla we-placenta uvavanywa, ogqithiswayo, ugqirha wenza i-diagnostic:
- iqela elipheleleyo (indawo yomntwana inqumla ngokupheleleyo eludongeni lwe-uterine);
- nxalenye (ingaba ngumda wecala (uhlukanisa kuphela umda we-placenta) kunye nombindi (i-detachment iyenzeka phakathi kwendawo yomntwana).
- Kwakhona, kuxhomekeke kwindlela inkqubo yokusebenza ngayo i-detachment ngokwayo, umntu unokukwazi ukwahlula iifom zayo njenge:
- ukuqhubela phambili (kukho ukwanda kwendawo ye-placenta ye-peeling ngexesha elifutshane);
- ezingenayo inkqubela phambili (xa iqela liyeka).
Kungenxa yintoni le nkcenkcesha yokukhula?
Njengoko kunokubonwa ukusuka kuluhlu olukhankanywe ngentla, ukuphulwa kokukhulelwa kungahlakulela zombini ngexesha lokuxhatshazwa ngokwaso, kwaye ngokukhawuleza ngexesha lokunikezelwa. Nangona kunjalo, eli qiniso alixhomekeke kwinto ebangela ukuphulwa.
Phakathi kwezinto ezinokubangela ukuphuhliswa kweplenti, kuyimfuneko, ngaphezu kwayo yonke into, ukubiza oku kulandelayo:
- izifo zesimo senhliziyo (ukwanda kwimixinzelelo yegazi, umzekelo);
- ukuphazamiseka kwenkqubo yokucoca (i- nephritis );
- izifo zesimo se-endocrine (isifo sikashukela);
- ubukho kwixesha elidlulileyo leempendulo ezithintekayo;
- ukulimala esiswini;
- ukuxhomekeka kwi-thrombosis;
- gestosis ekupheleni.
Ezi zizathu zikhonza njengengcaciso yoko kutheni inkunkuma ingahlakulela ngexesha lokukhulelwa. Ukuba sithetha ngale mpazamo, eyenzeka ngexesha lokuzalwa, ngoko, njengommiselo, kubangelwa:
- ngokukhawuleza, ukuphulukana ngokungapheli komfesane wesisu (ngokubhengezwa ngokugcwele kwintanyeni ye-uterine kugcina ingqibelelo yayo);
- ukukhulelwa kwangaphambili kwe-amniotic fluid, ingakumbi nge-polyhydramnios;
- Ukuvuselela ixesha elide le-uterus, okukhokelela ekuthiwa yi-hyperstimulation (kunye nokulawulwa kwamanani amakhulu e-oxytocin);
- i-fetus inomtya omfutshane.
Liyayibonakalisa njani i-detachment kwaye yiyiphi idigri zayo?
Ngokuxhomekeka kohlobo lwesithombeni seklinikhi, kukho i-degrees eziqinileyo zobundlobongela obunjalo, njengokuba ukuphazamiseka kweplenti:
- Ifowuni yokukhanya. Ubunqwenelekayo kukuba iimeko eziqhelekileyo zowesifazane okhulelweyo akaphuli. Kukho ukukhangela kwesahlulo esincinane se-placenta, ehamba kunye nokukhutshwa kwesincinci segazi kwiphepha lomzimba.
- Iqondo eliqhelekileyo libonakaliswe ngumbutho we-1/3 wendawo yomntwana. Ngaphandle kwegazi eliphuma ngaphandle, igazi likhulu kakhulu, kaninzi lihamba ngamabala. Kukho intlungu kwisisu, ukwanda kwetoni ye-uterine. I-hypoalia ye-Fetal ikhula, efuna ukungenelelo ngamagqirha.
- Likhulu. Kukho ukutshatyalaliswa kwe-50% okanye ngaphezulu kwendawo yonke ye-placenta. Isimo esipheleleyo somfazi okhulelweyo sihlahloka ngokukhawuleza, kukho i-uterine yegazi ephezulu, i-fetus ifa. Le meko idinga ukunakekelwa kwezibhedlele eziphuthumayo.
Yintoni eyongela ukufaka i-placenta kunye nento enokuyenza ngayo nophuhliso lwayo?
Xa kubonakala iimpawu zokuqala (intlungu kwisisu esezantsi, igazi ukusuka kwindlela yokuzala, ukwanda kwetoni ye-uterine, ukungabikho kokuhamba komgangatho), kuyiphuthuma ukubona ugqirha.
Ukuze kuqinisekiswe umlinganiselo we-detachment, i-ultrasound yenziwa.
Ukuba sithetha malunga nale nkcenkcesho ingakhokelela kuyo, ke oku:
- u-hypoxia kumntwana;
- ukuphuma kwegazi;
- Ukutshatyalaliswa okukhulu kwabasetyhini;
- ukufa komntwana.