Iintlukwano kunye nokuphuma kwegazi zibonakalisa le meko yingozi
Ukuphazamiseka kwe-Placental yikota xa inxalenye okanye yonke ipentecenta ihlukanisa ngokungalindelekanga ukusuka kwisibeleko emva kweveki ye-20 yokukhulelwa. Ukuphazamiseka okukhulu kwepakethe kuyingozi enkulu yokungabikho kokuzalwa okanye ukuhanjiswa kwangaphambili.
Kwakhona kwaziwa ngokuba ukuhlukana kwangaphambi kwepentecenta, i-ablatio placentae, i-abruptio placentae okanye i-placenta. Le meko ivela kwi-1 pesenti yokukhulelwa konke, ngokuqhelekileyo kwi-trimester yesithathu.
Izimpawu kunye neMpawu
Izibonakaliso zokuphazamiseka kwamaplanga zingabandakanya ukuphuma kwegazi , ububele okanye intlungu esiswini kunye nokuqhekeza rhoqo. Ukuphuma kwegazi okwesibini kwinqanaba lesibini okanye lesithathu kulungele ukufowunelwa kumsebenzi wezempilo. Ukuphazamiseka kwe-Placental akusoloko kubangela ukuphuma kwegazi, nangona kunjalo, kufuneka uhlale ubiza ukuba unokukrokrela ukuba unokufumana ukuphazamiseka kweplacental. (Kungcono ukuphosakela kwicala lokulumkisa xa ungathandabuzeki.)
Izizathu Neengozi
Ingxaki yomzimba kwisisu ngokukhulelwa kwangaphambili kunye nezifo kwisibindi zingabangela ukuphazamiseka kwe-placental, kodwa imeko ingafumaneka ngaphandle kwesixwayiso. Imiba eyaziwayo yengozi yokuphazamiseka kwepentecenta iquka:
- Ukutshaya
- Ukusebenzisa i-cocaine ngexesha lokukhulelwa
- Ukuba ngaphezu kweminyaka engama-35 ubudala
- Ukukhulelwa okubanzi
- Igazi elonyukayo
- Ukuba ne-blood clotting disorder efana ne- antiphospholipid syndrome
- Ukuphazamiseka kwePlacental ekukhulelweni kwangaphambili
- Ukuqhekeka kwangaphambili kweembrane
Unyango lwePropical Abruption
Kwiimeko ezininzi zokuphazamiseka kwamaplanga, i-placenta ihlukaniswe ngokwahlukileyo kwisibeleko kunokuba ihluke ngokupheleleyo. Xa ipesenti enkulu yepentecenta ihlukanisiwe, umngcipheko uphezulu kunokuba xa ukwahlukana kuquka kuphela inxalenye encinci yepentecenta.
Iziganeko zokubeleka zikhuphuka ngokukhawuleza kwiimeko zokuphazamiseka kwamaplacenti apho amaphesenti angama-50 e-placenta ahlukana.
Xa ibhinqa linempawu yokuphazamiseka kwamaplanga, utyando lonyango luya kwenza uvavanyo lomzimba kunye ne-ultrasound. Ukuba oogqirha bacinga ukuba ukuphazamiseka okukhulu kwipentecenta, unyango oluqhelekileyo luza kuzisa umntwana - ngeC-candelo kwezinye iimeko.
Ngelishwa, ukuhanjiswa akuthethi ukuba umntwana usaphila. Ukuba ukuphazamiseka okukhulu kunokwenzeka ngaphambi kokuba umntwana asebenze, njengaphambi kweeveki ezingama-24 zokukhulelwa, oogqirha abanako ukugcina umntwana ngokupheleleyo. Oomama abaye bafumana ukuphazamiseka okukhulu kwiphalacenti banokuphulukana nokulahleka kwegazi, kwaye iintsana eziphila kwiinkonzo zingabhekana neengxaki ezibangelwa kukungcoliseka kokuqala kunye nokunyanzelwa kwe-oxygen.
Xa ukuphazamiseka kwembulunga kuncinci kwaye kungabikho mngcipheko kumama okanye umntwana, oogqirha banokubhedlele umama kwaye bahlale belele ekuphumleni. Oku kunokwandisa iingxaki ukuba umntwana uya kusinda ngaphandle kwengxaki enkulu yempilo.
Ngamanye amaxesha ukuphuma kwegazi kuya kumisa kwaye loo ntokazi iya kubuyela ekhaya ukuze isele ikhulelwe, kodwa abanye bafuna ukuhlala esibhedlele.
Ukuba oogqirha balindele ukuba umntwana anikezelwe phakathi kweeveki ezingama-24 neye-34, banokumisela i-steroids ukunceda imiphunga yengane ikhule ngokukhawuleza ukuphucula iingxaki zokusinda.
Abasetyhini abanobuchopho obuncitshisiweyo kwixesha lokukhulelwa kwangaphambili banokubhekwa njengengozi enkulu ekukhulelweni kwexesha elizayo, ngenxa yokuba imeko iphindaphinda iipesenti ezili-10 zexesha.
Imithombo
Umbutho Wokukhulelwa KwamaMelika, "Ukuphazamiseka Kwendawo Ephahleni: i-Abruptio Placentae." Novemba 2006.
UAnanth, uCande V., uGertrud S. Berkowitz, uDavid A. Savitz, noRobert H. Lapinski, "Ukuphazamiseka kwePlacental kunye neziPhumo eziPhezulu eziPhezulu." Umbhalo we-American Medical Association uNgo 1999.
NgoMatshi weDimes, "iiMeko eziPhezulu." Iingcaciso ezikhawulezayo kunye neeNkcukacha zeeNkcukacha ngoMatshi 2007.