Jonga i-Bineeding Engenasiphelo ye-Vaginal Bleeding kwi-Third Trimester yakho
Ngethuba lokukhulelwa, i-placenta ibambelela kwi-upper part of the uterus, kude nomlomo wesibeleko. Nge-placenta previa, i- placenta ifakela ngaphantsi kwesibeleko, ihlanganisa zonke okanye inxalenye yomlomo wesibeleko.
Oku kunokubangela ingxaki kamva xa ukhulelwe, njengoko kungabangela ukuphuma kwegazi elikhulu, okukhokelela ekuhambisweni kwangaphambili.
Ziziphi iintlobo ezintathu ze-Placenta Previa?
- Gcwalisa i-previa: ukuvula umlomo wesibeleko (apho umlomo wesibeleko uvula khona kwisibeletho) ugoceke ngokupheleleyo kwi-placenta
- I-previa ekhethekileyo: ezinye zezivalo zentsholongwane zihlanganiswe yi-placenta
- I-previa yangaphambili: i-placenta iya kwinqanaba le-cevix (ngokusondeleyo kodwa kungabinxibe)
I-Placenta Previa ifunyenwe njani?
Ngexesha lesibini le-trimester ultrasound , (eyenziwe kwiindawo ezininzi kwixesha eliqhelekileyo malunga neveki ye-20) abanye abafazi baya kufumana ukuxilongwa kwe-placenta previa. Iindaba ezilungileyo kukuba uninzi lwama-placenta lubangela isombululo ngokwabo.
Abanye abesifazana banokufumana ukuxilongwa kwe-placenta previa xa beqala ukuphuma kwintlungu ebudeni babo ngexesha lesithathu. Oko kuthethwa, kubalulekile ukuqaphela ukuba akubona bonke abafazi abanepentecenta previa abanamava okuphuma. Ukongezelela ukuphuma kwegazi, abanye besetyhini banamava e-uterine ngaphambi kokuqala.
Izingozi zePlacenta Previa yoMama neNtsana
I-placenta yangaphambili previa ngexesha elipheleleyo likhulu. Ezinye iingxaki ezinokuthi zenze umntwana ziquka:
- iingxaki zempilo kwintsana, efuna ukuvunyelwa kwe-NICU
- ukuzalwa kwangaphambi
- umda wokukhula kwe-intrauterine (IUGR) ngenxa yokungcoliswa kwamaplastiki okubi
- ukwanda komngcipheko wokufa kwangaphambi kokubeletha / kokuzalwa komntwana (ukubeletha okanye iintsana ezifa kwisonto elinye ukuya kwinyanga enye yobomi).
Lo mngcipheko wokufa kokubeleka komntwana okanye ukuzalwa komntwana ongasemva kokuzalwa komntwana kubangelwa ukuba iintsana zizalwe ekuqaleni.
Oomama emazweni aphakamileyo afana ne-United States, i-placenta previa ayifanele ibulawe. Oko kuthethwa, ukuphuma kwamanzi kungenzeka ngaphambi kokuba, ngexesha, okanye emva kokusebenza kunye nokuhanjiswa. Ngamanye amaxesha, ibhinqa lingafuna ukuba igazi ligxininiswe, lube lukhupha igazi.
Ezinye iingozi ezibangelwa ngumama ukuba ne-placenta previa ziquka:
- ukuqala komsebenzi kunye nokuqhekeka kwangaphambili kweembrane
- imfuneko yokunikezelwa kwezibonelelo (oku kuqhelekileyo)
- ukwanda komngcipheko we-placenta accreta (yilapho i-placenta ifake ngqo ngqo kwi-muscle ye-uterine)
Unyango lwePlacenta Previa kwiSithathu yeThathu
Ukuba unalo ipentecenta previa kwi-trimester yesithathu, ugqirha wakho unokucebisa ukuba ugweme isondo, usebenzise umzimba kwaye usebenzisa iitamponi. Ugqirha unokucebisa nokuphumla kokulala , rhoqo kwisibhedlele. Ngokuxhomekeke kwiminyaka yobudala, i-steroid shots ingahanjiswa ukunceda ukukhula kwemiphunga yengane.
Ukuba i-placenta previa ayisombululi kwi-trimester yesithathu, ukuhanjiswa kwe-cearean kuya kuphantse kwenziwa. Ukongezelela, ukuba nayiphi na ixesha, ukuphuma kwegazi akukwazi ukulawulwa, ukuhanjiswa kwexesha elikhawulezayo kuyadingeka.
Ngaba Ndiyingozi kwiPlacenta Previa?
Kukho inani lezinto ezinokuthi zonyusa ithuba lomfazi lokuba ne-placenta previa.
Khumbula, ithuba lakho lokuba ne-placenta previa sisesezantsi (malunga neyodwa ngamakhulu amabhinqa amabini kwi-trimester yesithathu), nokuba unayo okanye enye yezi zinto zengozi:
- ipentecenta previa ngaphambili
- yobudala bomama
- ukwanda okwenyukayo (inani lokukhulelwa)
- ukhulelwe ngaphezu komntwana omnye (umzekelo, amawele okanye kathathu)
- utyando lwangaphambili lwangaphakathi, kuquka necandelo le-care (kungakhathaliseki uhlobo lwe-incision ) okanye iD & C
- isisu
- unyango lokungabikho
- ukutshaya ugwayi
- benzisa i-cocaine
Igama elivela kwi-Verywell
I-Placenta previa ingaba uxilongo oluxinzelelekileyo kubo bonke abachaphazelekayo. Ixesha lexesha ukusuka kwi-diagnostic ukuya ekuhanjisweni kudla ngamaxesha okukhathazeka okukhulu kunye noyiko.
Iindaba ezilungileyo kukuba kukho amaqela enkxaso kulabo baye bafumanisa ukuba bane-placenta previa, kunye / okanye ngubani ophantsi kolawulo lokuphumla komntu wokulala.
Qinisekisa ukufikelela kumgqirha wakho ukuba unayo nayiphi na igazi eliphuma kumama ngexesha lokukhulelwa, okanye ukuba unemibuzo okanye uxhalaba olunxulumene ne-placenta previa okanye ukukhulelwa ngokubanzi.
> Imithombo:
> I-American Pregnancy Association. (2015). Placenta Previa.
> Lockwood CJ, Russo-Stieglitz K. Iinkalo zonyango, ukuxilongwa, kunye nekhosi ye-placenta previa. Ku: U-UpToDate, i-Levine D, i-Ramin SM (i-Eds), i-UpToDate, i-Waltham, i-MA.
> Matshi weDimes. (2012). Placenta Previa.
> Sakornbut E, Leeman L, Fontaine P. Ukukhulelwa kwexesha lokukhulelwa. I-Phys Physician . 2007 Apr 15; 75 (8): 1199-1206.
> I-Vahanian SA, i-Lavery JA, i-Ananth CV, i-Vintzileos A. Ukufakelwa kwe-placental ukungalingani kunye nomngcipheko wokunikezelwa kwangaphambili: ukuhlolwa ngokucwangcisiweyo kunye ne-metaanalysis. IJ Obstet Gynecol . 2015 I-Oktobha; 213 (I-Suppl ye-4): S78-90.