Lesi simo singakhula kanye ne-placenta previa
I-Vasa previa iyinkimbinkimbi enkulu yokukhulelwa eyenzeka ku-1 ku-2 500 ukukhulelwa. Thola amaqiniso kule nkinga yezokwelapha futhi ngabe usengozini.
Ku-vasa previa, imithwalo yegazi ehilelekile ekusakazeni kwezingane ikhula eduze kwezingqimba ezingxenyeni ezingezansi zesibeletho ekuvuleni komlomo wesibeletho . Uma isimo singatholakali kusengaphambili, imithwalo yegazi ingaphula ngesikhathi sokubeletha.
I-Vasa previa ingase ifake ukufakwa okufakiwe kwe-string embilical futhi ingahlakulela ngokuhlanganyela ne-placenta previa. Ukungatholakali i-vasa previa kungaholela ekubelethweni noma ekulahlekeni kwezingane.
Izimbangela zikaVasa Previa
Ngokukhulelwa okuvamile, imithwalo yegazi yomthambo we-umbilical kanye ne-placenta yenziwe ngaphakathi kwe-sac amniotic. Ku-vasa previa, imithwalo yegazi ikhona emakhankeni ngaphandle kwalokhu kuvikeleka ngenxa yokungeniswa okunamandla komthambo womzimba noma i-placenta eningi ene-multi-lobed.
I-Vasa previa yohlu luhlobo olungahle lukhule njengengxube ye- placenta previa , noma i-placenta ephansi, ekhona noma ekhona ngesikhathi esithile sokukhulelwa. I-cervical umbilical cord noma i-placenta ene-multi-lobed ephezulu ngaphakathi kwesibeletho akusho ukuthi i-vasa previa.
Okwenza i-Vasa Previa Iyingozi
Uma owesifazane ophethe i-vasa previa engena emzabalazweni futhi umlomo wesibeletho uqala ukuphuza, imithwalo yegazi ekhona emlonyeni wesibeletho ingaqhekeka.
Uma lokhu kwenzeka, ingane izobhekana nokulahlekelwa okusheshayo kwegazi futhi ingafa ngaphambi kokuba odokotela bakwazi ukwenza noma yini ngesimo. Uma i-vasa previa ingatholakali ngaphambi kokuqala komsebenzi, ithuba lokubeletha lingase liphakeme ngamaphesenti angu-95.
Ngaphandle kokuphuka ngokuqondile, imithwalo yegazi ewela umlomo wesibeletho ingakwazi ukucindezelwa kalula lapho umntwana ehla ekhuphukeni ekhanda, ekwehliseni igazi lomntwana futhi edala amaconsi ngenhliziyo .
Ukuxilongwa kwe-Vasa Previa
I-Vasa previa ngokuvamile ayibangeli izibonakaliso zangaphandle ngesikhathi sokukhulelwa, kodwa odokotela bangathatha izimpawu zaleso simo ngokushesha nje ngemva kwe- trimester yesibili nge-ultrasound. Ukulandela i-ultrasound ejwayelekile nge-color Doppler ultrasound kunganika odokotela umbono omuhle ukuthi i-vasa previa ikhona yini.
Izingozi Zezingozi
Ukuzibophezela okubandakanya i-placenta previa eyaziwayo, ukufaka i-corded cord, noma i-placenta ene-multi-lobed ingase ibe engozini ye-vasa previa. Ngaphezu kwalokho, ukukhulelwa okuningi noma ukukhulelwa okukhulelwe nge-IVF kuyingozi enkulu. I-Vasa previa esikhathini sokukhulelwa kwangaphambilini ayibonakali njengengozi engozini.
Ukwelapha i-Vasa Previa
Uma odokotela bekwazi ukuhlola i-vasa previa ekuqaleni kokukhulelwa ngaphambi kokuqala komsebenzi, omama bangase babanjwe esibhedlela sesithathu ukuze baqinisekise ukufinyelela okusheshayo ekunakekelweni kwezempilo uma imithwalo yegazi iphela. Udokotela cishe uzokwenza isigaba C-ezungeze amasonto angama-35 okukhulelwa.
Leli qhinga lithuthukisa kakhulu ukuthi ingane izosinda. Ukulethwa kokuqala kubeka engozini enganeni ngenxa yemiphumela evamile yokungabi nesikhathi sokuqala, kodwa izingozi zingaphansi kakhulu uma i-vasa previa ingatholakali futhi umsebenzi uqhubeka ngokujwayelekile.
Imithombo:
I-International Vasa Previa Foundation, "i-FAQ."
U-Lee, uWesley, uVirginia L. Lee, uJanet S. Kirk, uChristopher T. Sloan, uRamada S. Smith, noChristine H. Comstock, "Vasa Previa: Ukuhlolwa Kwesandulela Ngaphambi Kokuzalwa, Ukuziphendukela Kwemvelo, Nemiphumela Yomtholampilo." I-Obstetrics & Gynecology 2000.
Oyelese, Yinka, noJohn C. Smulian, "Placenta Previa, Placenta Accreta, noVasa Previa." I-Obstetrics & Gynecology 2006.