Okuqukethwe
Ukuhlukaniswa kwe-placenta: kuyini?
Ukutholakala kwe-placenta, noma i-hematoma ye-retroplacental, kuyinkinga engavamile kodwa enamandla yokukhulelwa engabeka impilo yombungu engozini, noma ngisho nonina. Ubukhali bayo obungaba khona buvumela ukuqapha umfutho wegazi ophakeme, okuyiyona nto eyingozi, kanye nokubonisana nokopha nje okuncane, uphawu lwayo olukhulu.
Kuyini ukuphazamiseka kweplacenta?
Ebizwa nangokuthi i-retroplacental hematoma (HRP), i-placental detachment ifana nokulahleka kokunamathela kwe-placenta odongeni lwesibeletho. Kuyisimo esiphuthumayo sokubelethisa, i-hematoma yakha ukuphazamisa ukusakazwa kukamama-fetus. Cishe i-0,25% yokukhulelwa iyathinteka eFrance. Imiphumela yayo iyahluka ngokuya ngesigaba sokukhulelwa kanye nobukhulu beqembu.
Izimbangela zokuphazamiseka kweplacenta
Ukuvela kokuphazamiseka kweplacenta kuvame ukuzuma futhi kungalindelekile, kepha kunezimo eziyingozi. Okudume kakhulu yilokhu:
- Lumfutho wegazi ophakeme gravidarum nomphumela wayo oqondile, i-pre-eclampsia. Ngakho-ke ukubaluleka kokunaka izimpawu zabo: ikhanda eliqinile, ukukhala ezindlebeni, izimpukane phambi kwamehlo, ukuhlanza, i-edema ebalulekile. Futhi okufanele ulandelwe kukho konke ukukhulelwa kwakho ukuze uzuze ezilinganisweni zomfutho wegazi ojwayelekile.
- Ukubhema nokubhema i-cocaine. Odokotela nababelethisi bangaphansi kwemfihlo yezokwelapha. Unganqikazi ukuxoxa ngezinkinga zokulutha umlutha nabo. Ukwelashwa okuqondile kungenzeka ngesikhathi sokukhulelwa.
- Ukuhlukumezeka esiswini. Imvamisa umbungu uvikelekile emiphumeleni yokushaqeka nokuwa yi-amniotic fluid esebenza njenge-airbag. Kodwa-ke, noma yimuphi umthelela esiswini udinga ukwelulekwa ngabezempilo.
- Umlando wokuphazamiseka kweplacenta.
- Ukukhulelwa ngemuva kweminyaka engama-35.
Izimpawu nokuxilongwa
Ukutholakala kwe-placenta kuvame ukuholela ekulahlekelweni kwegazi okumnyama okuhambisana nobuhlungu besisu obunobudlova, isicanucanu, umuzwa wobuthakathaka noma ukulahlekelwa ukwazi. Kepha ubunzima besimo abulingani nobukhulu besifo sopha noma sesisu. Ngakho-ke lezi zimpawu kufanele njalo zithathwe njengezimpawu zokuxwayisa.
I-Ultrasound ingaqinisekisa ubukhona be-hematoma futhi ihlole ukubaluleka kwayo kepha futhi ibone nokuphikelela kokushaya kwenhliziyo embungwini.
Izinkinga nezingozi kumama nasenganeni
Ngenxa yokuthi ibeka engozini i-oxygenation efanelekile yombungu, ukuphazamiseka kweplacenta kungadala ukufa. ku-utero noma ukuphazamiseka okungenakulungiswa, ikakhulukazi i-neurological. Ubungozi buba bukhulu lapho ingxenye engaphezulu kwengxenye yendawo ye-placenta ithinteka yiqembu. Ukufa komama kuyivelakancane kepha kungenzeka, ikakhulukazi kulandela ukopha okukhulu.
Ukuphathwa kokuphazamiseka kweplacenta
Uma iqembu lincane futhi livela ekuqaleni kokukhulelwa, ukuphumula okuphelele kungavumela i-hematoma ukuthi ixazulule futhi ukukhulelwa kuqhubeke ngaphansi kweso elibukhali.
Ngendlela eyenzeka ngayo njalo, okusho ukuthi kwenzeka ku-trimester yesithathu, ukuphazamiseka kweplacenta kuvame ukudinga isigaba esiphuthumayo sokuhlinzwa ukuze kunciphise ukuhlupheka kwengane kanye nengozi yokopha kukamama.