Qaphela ukuphulukiswa kwama-vaginal okungenalutho ku-Trimeter yakho yesithathu
Ngesikhathi sokukhulelwa, i-placenta ijwayele ukufaka engxenyeni engenhla kwesibeletho, kude nomlomo wesibeletho. Nge-placenta previa, i- placenta ifinyelela phansi ngaphakathi kwesibeletho, ihlanganisa konke noma ingxenye yomlomo wesibeletho.
Lokhu kungase kube inkinga kamuva ekukhulelweni, ngoba kungabangela ukuphuma kwegazi okukhulu, okuholela ekulebeni kokuqala.
Yiziphi izinhlobo ezintathu ze-Placenta Previa?
- Gcwalisa i-previa: ukuvulwa komlomo wesibeletho (lapho umlomo wesibeletho uvula khona esibelethweni) uhlanganiswe ngokuphelele yi-placenta
- I-previa eqondile: ezinye zokuvula komlomo zimbozwa yi-placenta
- I-previa ye-Marginal: i-placenta iya emaphethelweni we-cevix (isondelene kakhulu kodwa ayihlanganisi)
I-Placenta Previa ihlolwe kanjani?
Phakathi ne-trimester yesi- ultrasound yesibili, (ezenziwe ezindaweni eziningi ngesimiso esizungeze isonto lama-20) abanye besifazane bayothola ukuxilongwa kwe-placenta previa. Izindaba ezinhle ukuthi iningi lala ma-placenta lilungiselela ukuxazulula ngokwabo.
Abanye besifazane bangase bathole ukuxilongwa nge-placenta previa uma beqala ukuphuma ekuphuleni okungenabuhlungu besifazane babo ngesikhathi se-trimester yesithathu. Uma sekushiwo, kubalulekile ukuqaphela ukuthi akuwona wonke abesifazane abane-placenta previa abazwa ukuphuma kwegazi. Ngaphezu kokuphuma kwegciwane lesisu, abanye besifazane nabo bahlangabezana nezinkinga zokubeletha ngaphambi kwesikhathi.
Izingozi ze-Placenta Previa for Mother and Baby
I-placenta yangempela ye-previa ngesikhathi esiphelele ingathà sina. Ezinye izinkinga ezingase zenzeke kumntwana zihlanganisa:
- izinkinga zezempilo ezinganeni, ezidinga ukuvunyelwa kwe-NICU
- ukuzalwa kwangaphambi
- umkhawulo wokukhula we-intrauterine (i-IUGR) ngenxa yokungenwa okuncane okungenawo ama-placental
- ingozi eyengeziwe yokushona komzimba / ukubeletha kwezinyanga eziyisithupha (ukubeletha noma izinsana ezifa phakathi nesonto elilodwa kuya enyangeni eyodwa yokuphila).
Le ngozi eyanda kakhulu yokufa komuntu oyedwa noma yokubeletha kungabangela ukuthi izingane zizalwe kusenesikhathi.
Kubomama emazweni athuthukile afana ne-United States, i-placenta previa ayidabuli neze. Lokhu kuthiwa, ukuphuma kwegazi kungase kwenzeke ngaphambi, ngesikhathi, noma emva kokusebenza nokudiliva. Ngesinye isikhathi, owesifazane angadinga ukumpontshelwa ngegazi ngenxa yokugula okukhulu, okusongela impilo.
Ezinye izingozi ezingase zibe khona kumama wokuba ne-placenta previa zihlanganisa:
- umsebenzi wokuqala nokuqhekeka ngaphambi kwesikhathi
- isidingo sokulethwa kwe-cearean (lokhu kuvamile)
- ingozi eyengeziwe ye-placenta accreta (yilapho i-placenta ihambela ngokuqondile emisipha ye-uterine)
Ukwelashwa kwe-Placenta Previa ku-Third Trimester
Uma une-placenta previa eqhubekayo ku-trimester yesithathu, udokotela wakho angase anikeze iseluleko sokuthi ugweme ucansi, ukuzivocavoca okunzima, nokusebenzisa amathoni. Udokotela angase futhi ancoma ukuphumula ukulala , njalo esibhedlela. Kuye ngeminyaka yobuhlungu, ama-steroid shots anganikezwa ukusiza ukuvuthwa kwamapayipi omntwana.
Uma i-placenta previa ingaxazululwa yi-trimester yesithathu, ukulethwa kwe-cearean kuzohlale kuyenziwa ngaso sonke isikhathi. Ngaphezu kwalokho, uma kunoma yisiphi isikhathi, ukuphuma kwegazi akukwazi ukulawulwa, ukulethwa okusheshayo kwe-cearean kuyadingeka.
Ingabe Ngisengozini Ye-Placenta Previa?
Kunezici eziningana ezingenzeka ukuthi zingandisa ithuba lomfazi lokuba ne-placenta previa.
Khumbula, ithuba lakho lokuba ne-placenta previa namanje liphansi (cishe kwabafazi abangamakhulu amabili ku-trimester yesithathu), noma ngabe unesisodwa noma eziningi zezici eziyingozi:
- ngaphambilini placenta previa
- iminyaka yobudala ekhulelwe
- ubunye obuningi (inombolo yokukhulelwa)
- ukukhulelwa kwengane engaphezu kweyodwa (isibonelo, amawele noma kathathu)
- ukuhlinzwa kokubeletha kwangaphambili, kufaka phakathi isigaba se-cearean (kungakhathaliseki ukuthi uhlobo lwama-incision ) noma i- D & C
- ngaphambi kokukhipha isisu
- ukwelapha ukungabi nabantwana
- ukubhema ugwayi
- ukusetshenziswa kwe-cocaine
Izwi elivela ku-Verywell
I-Placenta previa ingaba ukuxilongwa okucindezelayo kubo bonke abahilelekile. Isikhathi sesikhathi esivela ekuxilongweni ukuya ekubelethweni kuvame ukuba nezinkathazo zokukhathazeka okukhulu nokwesaba.
Izindaba ezinhle ukuthi kukhona amaqembu okusekela kulabo abaye bathola ukuthi bane-placenta previa, kanye / noma abasebenza ngaphansi kwama-rest rest orders.
Qinisekisa ukuthi ungafinyelela kudokotela wakho uma uthola ukuphaphaza kwamagciwane ngesikhathi ukhulelwe, noma uma unemibuzo noma ukukhathazeka okuhlobene ne-placenta previa yakho noma ukukhulelwa ngokujwayelekile.
> Imithombo:
> I-American Pregnancy Association. (2015). I-Placenta Previa.
> Lockwood CJ, Russo-Stieglitz K. Izici zokwelapha, ukuxilongwa, kanye nenkambo ye-placenta previa. Ku: UpToDate, Levine D, Ramin SM (Eds), UpToDate, Waltham, MA.
> NgoMashi we-Dimes. (2012). I-Placenta Previa.
> Sakornbut E, Leeman L, Fontaine P. Ukukhipha ukukhulelwa kwesikhathi eside. Am Fam Physician . 2007 Apr 15; 75 (8): 1199-1206.
> Vahanian SA, Lavery JA, Ananth CV, Vintzileos A. Ukufakelwa kwe-placental okungajwayelekile kanye nokufaka ingozi yokulethwa kwangaphambi kokuqala: ukubuyekezwa okuhlelekile kanye ne-metaanalysis. Am J Obstet Gynecol . 2015 I-Oct; 213 (I-Four Suppl): S78-90.