I-placenta accreta yisimo esesongela ukuphila esiqala ekukhulelweni lapho i-placenta ikhula kakhulu emdongeni wakho we-uterine okwenza ihluleke ukuhlukanisa kalula. Ngokujwayelekile i-placenta ifinyelela esibelethweni ngendlela yokuthi, emva kokuzalwa komntwana, izivumelwano zesibindi kanye ne-placenta kukhishwa-ngokuvamile ngaphakathi kwesigamu sehora ngemva kokuzalwa komntwana.
Lokhu akukwenzeki uma kunesibalo se-placenta, esingabangela ukuphuma kwegazi ngokweqile, ukuphazamiseka kwesisu, ukulahlekelwa kwesibeletho, ngisho nokufa komama. Uma i-placenta ikhula ukuze ihlanganise imisipha yesibeletho, ibizwa ngokuthi i-placenta increta. Uma i-placenta ikhula ngodonga lwe-uterine, yaziwa ngokuthi i-percentre percreta.
Izingozi Zezingozi
Usengozini enkulu yokuba ne-placenta accreta uma uke wahambisa ukudiliva kwangaphambili kanye nezimpande ze-placenta phezu kwesibalo sakho. I-ultrasound evamile ingaba ithuluzi elihle kakhulu lokunquma uma unesifo esiphambene ne-placenta yakho. Ngakho-ke uma uke wazalwa esikhathini esidlule, uzofuna ukubuza umhlinzeki wakho wezempilo ngokubheka i-ultrasound ukuze uqinisekise ukuthi i-placenta yakho ivame ukunamathela.
Izinga le-placenta accreta liye lakhuphuka, elihambisana nokuphakama kwamazinga abuyele. Ngawo-1970, ucwaningi lubonisa isilinganiso se-1 ku-4,027 ukukhulelwa kwaba nesibalo sokukhulelwa, esakhuphuka kwaba ngu-1 ku-2,510 ukukhulelwa ngo-1982.
Kodwa-ke, uma ubuka idatha ka-1982-2002, izinga lokunciphisa laliyi-1 ku-533 ukukhulelwa.
Uma une- placenta previa , lapho izimpande ze-placenta eziseduze nengxenyeni engezansi yesibeletho, zihlanganisa zonke noma ingxenye yengane yomlomo wesibeletho, ingozi ye-accentta ye-placenta ikhuphuka nokulethwa kwezikhathi ezidlule.
Abacwaningi bathola ukuthi ingozi ye-placenta accreta uma une-placenta previa kanye ne-oneare eyedlule ngamaphesenti amathathu.
Njengoba inani lama-ceareans likhuphuka, kunjalo futhi ingozi ye-placenta accreta. Ngemva kokuzalwa kwezinhlanu noma ngaphezulu-uma une-placenta previa-unethuba elingamaphesenti angu-67 lokuthola i-accreta. Ukuze ubeke lokhu ngokubheka, uma une-placenta previa ngaphandle kokuhlinzwa kokubeletha kwangaphambili, uzobe usengozini engamaphesenti angamahlanu we-accreta.
Kunezinye izici eziyingozi ezingakwandisa ingozi yokuba ne-placenta accreta, nakuba i-cearean yangaphambilini iyona enkulu kakhulu. Lokhu kufaka:
- Ubudala bomama obukhulile
- Ukuba nengane engaphezu kweyodwa
- I-myomectomy yangaphambilini
- Ukuphumula kwe-thermal
- Ukwenziwa komthambo wesibindi
- I-Asherman syndrome
Ukuthumela Nge-Placenta Accreta
Uma unecala eliyaziwayo le-accentta ye-placenta, uzokwaziswa ukuthi ube nokulethwa okulethiwe okuhleliwe. Ngesikhathi usuku olukhethiwe luzolinganisela impilo yengane yakho ngempilo yakho, lokhu kungase kube ngemuva kwamasonto angu-34 ukubeletha. Ngokuvamile kusho ukuthi ukwelashwa nge-steroids ukusiza ukuthuthukisa amaphaphu wengane yakho kuyokwaziswa. Futhi, ngisho nangokulethwa okuhleliwe, kufanele ubuze ukuthi yini okufanele uyenze uma ucabanga ukuthi uke waqala ukusebenza futhi yiziphi ezinye izimpawu okufanele uzibheke.
Udokotela wakho uzohlangana neqembu ukuze asize ngesikhathi sokuhlinzwa kwakho. Lokhu kungase kusho ukuthi udinga ukuthuthela esibhedlela esihlomele ukuphatha lolu hlobo lokubeletha. Izibhedlela ezikhudlwana, ezihlomele kakhulu zinikeza ithuba elihle kakhulu lomphumela onempilo kakhulu. Kusukela cishe amaphesenti angama-90 omama abane-placenta accreta badinga ukumpontshelwa igazi, ukuhlela phambili nokuxhumanisa nabasebenzi basebhedlela kanye nebhange legazi yizinyathelo ezibalulekile. Ngezinye izikhathi, ungacela udokotela wakho ngegazi lasebhange ngokuqondene nokusebenzisa kwakho, uma ukhathazekile.
Udokotela wakho kufanele futhi akhulume nawe ngokuthi ungase ulahlekelwe isisu sakho enkambisweni.
Ezinye izifundo zibonisa ukuthi imiphumela emihle ibandakanya ukuhlela ngaphambili ukwenza i-hysterectomy learean. Lokhu kusho ukuthi emva kokubeletha kwengane ngesigaba se- cearean , lesi sibeletho sisuswa kunokuba sengozini yokuzama ukukhipha i-placenta esibelethweni futhi senze ingozi enkulu yokugaya nokulimala. Lesi yisimo esibi kakhulu. Eqinisweni, ingozi yokufa komama okuhambisana nalesi senzo ingaphezulu kwamaphesenti ayisikhombisa.
Izindaba ezinhle ukuthi sinebuchwepheshe bokunquma uma unemvume yokubeka i-placenta ngaphambi kokubeletha. Siphinde sibe nobuchwepheshe kanye nentuthuko yokuhlinzeka ukusiza ekusizeni ngesikhathi sokuzalwa. Uma uthola ukuthi une-accreta ye-placenta, ungase ucele udokotela wakho ukuthi akusize ukuxhuma nawe nabanye abaye bahlangabezana nakho okufanayo. Ukukhuluma ngalokhu kungasiza kakhulu futhi kukuzwe uzizwele ngenqubo.
Imithombo
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