Ukuhlukaniswa nokuphuma kwegazi kuyimpawu zalesi simo esiyingozi
Ukuphazamiseka kwamapulazi yigama lapho ingxenye noma yonke i-placenta ihlukanisa ngokungalindelekile kusuka esibelethweni emva kweviki lama-20 lokukhulelwa. Ukuphazamiseka okukhulu kwe-placental kuyisimo esiyinhloko engozini yokubeletha noma ukuhanjiswa kwangaphambi kwesikhathi.
Kuyaziwa ngokuthi ukuhlukaniswa ngaphambi kwesikhathi ngaphambi kwe-placenta, i-ablatio placentae, i-abruptio placentae noma ukuphazamiseka kwe-placenta. Isimo senzeke kumaphesenti angu-1 azo zonke ukukhulelwa, okuvame ukuvela ku-trimester yesithathu.
Izimpawu Nezibonakaliso
Izimpawu zokuphazamiseka kwamapayipi zingase zibandakanye ukuphuma kwegciwane lesisu , ububele noma ubuhlungu emithanjeni nasezintweni eziphindaphindiwe. Konke ukuphuma kwamagciwane ku-trimester wesibili noma yesithathu kufanele kufanele ukushayela udokotela wezempilo. Ukuphazamiseka kwamapayipi akuyona imbangela yokuphaphaza kwamagciwane, kepha kunjalo, ngakho kufanele ushayele njalo uma usola ukuthi ungase ube nokuphazamiseka kwamapayipi. (Kungcono ukuphutha eceleni kokuqapha uma ungabaza.)
Izingozi Nezimbangela Zengozi
Ukuhlukunyezwa kwesisu esiswini sokukhulelwa kokubeletha kanye nokutheleleka esibelethweni kungabangela ukuphazamiseka kwe-placental, kodwa isimo singabuye senzeke ngaphandle kwesixwayiso. Izici eziyingozi zokuphazamiseka kwephacenta zihlanganisa:
- Ukubhema
- Ukusebenzisa i-cocaine ngesikhathi sokukhulelwa
- Uneminyaka engaphezu kwengu-35 ubudala
- Ukuba nokukhulelwa okuningi
- Umfutho wegazi ophezulu
- Ukuba ne-blood clotting disorder efana ne- antiphospholipid syndrome
- Ukuphazamiseka kwamapayipi esikhathini sokukhulelwa kwangaphambilini
- Ukuqhekeka kwangaphambi kwezibungu
Ukwelapha Ukuphazamiseka Kwebala
Ezimweni eziningi zokuphazamiseka kwamapayipi, i-placenta ihlukaniswe kancane kwesibeletho kunokuba ihlukaniswe ngokuphelele. Uma iphesenti enkulu ye-placenta ihlukanisiwe, ingozi iphakeme kunokuba uma ukuhlukana kuhilela ingxenye encane ye-placenta.
Izimo zokubeletha zikhuphuka kakhulu emacaleni okuphazamiseka kwamapayipi lapho amaphesenti angaba ngu-50 we-placenta ahlukaniswa.
Uma owesifazane enezibonakaliso zokuphazamiseka kwamapayipi, udokotela wezempilo uzovame ukuhlolwa ngokomzimba kanye ne-ultrasound. Uma odokotela besolwa ngokuphazamiseka okukhulu kwe-placenta, ukwelashwa okujwayelekile ukuletha umntwana - ngesigaba C kwezinye izimo.
Ngeshwa, ukulethwa akusho ukuthi ingane isinda. Uma ukuphazamiseka okukhulu kwenzeka ngaphambi kokuba ingane ikwazi ukusebenza, njengaphambi kwamasonto angu-24 okukhulelwa, odokotela bangase bangakwazi ukusindisa ingane nhlobo. Abomama abaye bahlukunyezwa ngokweqile ngamapayipi bangase babone ukulahlekelwa kwegazi okunzima, kanti abantwana abasinda ekubelethweni bangabhekene nezinkinga ezivela ekungeneni kokuqala nokuphelelwa umoya kwe-oksijeni.
Lapho ukuphazamiseka okuphazamisayo okuncane kunzima kakhulu futhi kungabonakali ingozi kumama noma umntwana, odokotela bangase bahlalise umama bese bemgcina belele embhedeni ngokuqapha ngokucophelela. Lokhu kungandisa amathuba okuthi ingane izosinda ngaphandle kokucindezeleka okukhulu kwezempilo.
Ngezinye izikhathi ukuphuma kwegazi kuzomisa futhi owesifazane uzokwazi ukubuyela ekhaya isikhathi esisele sokukhulelwa, kodwa abanye bangadinga ukuhlala esibhedlela.
Uma odokotela bekulindele ukuthi umntwana akhululwe phakathi kwamasonto angu-24 kuya kwangu-34, bangase banikeze i-steroids ukusiza amaphaphu wengane avuthwe ngokushesha ukuze kuthuthukiswe izinkinga zokusinda.
Abesifazane abaye baphazamiseka ngokweqile esikhathini sokukhulelwa esidlule bangabhekwa njengengozi enkulu kuzo zonke ukukhulelwa esikhathini esizayo, njengoba kuthiwa isimo siphumelela amaphesenti angu-10 esikhathi.
Imithombo
I-American Association of pregnancy Association, "Ukubhujiswa kwePlacental: Abruptio Placentae." Nov 2006.
U-Ananth, uCande V., uGertrud S. Berkowitz, uDavid A. Savitz, noRobert H. Lapinski, "Ukuphazamiseka Kwendawo Ephansi kanye Nemiphumela Eyingozi YePerinatal." Umagazini we-American Medical Association uNgo 1999.
March of Dimes, "Izimo Ezimbi." Izinkomba ezisheshayo namaSpredishithi Eqiniso ngoMashi 2007.