Okuqukethwe
I-Placenta accreta: inkinga okufanele uyiqaphele
Ukungafakwa kahle kwe-placenta
I-placenta accreta, increta noma i-percreta ihambisana ne-a isimo esingesihle se-placenta ngaphakathi kwesibeletho, kuchaza uDkt Frédéric Sabban, udokotela wezifo zabesifazane eParis. Esikhundleni sokunamathela kuphela olwelweni lwesibeletho (noma i-endometrium), i-placenta ihlala ijule kakhulu. Sikhuluma ngayo i-placenta accreta lapho i-placenta ifakwa kancane ku-myometrium (imisipha yesibeletho), ukwanda kwe-placenta lapho ifakwe ngokugcwele kulowo msipha, noma i-placenta lapho "ichitheka" ngaphesheya kwe-myometrium kwezinye izitho.
Kuhileleke, isibeletho esinezibazi
NgokukaDkt Sabban, ingozi enkulu yalokhu i-placenta engavamile uthola a isibeletho esinezibazi. Empeleni yisibeletho esiqukethe isibazi (izibazi) esisodwa noma ngaphezulu ngenxa yokuhlinzwa. Kungase futhi kube isibazi ngenxa yokungasebenzi kahle kwesibeletho (i-fibroid, i-endometriosis ye-intrauterine, njll.) noma isibazi esibangelwa ukuhlinzwa. Ngesikhathi sokukhipha isisu noma ukuphuphunyelwa kwesisu, a curettage ivame ukwenziwa. Kuhilela ukukhuhla ingaphezulu lesibeletho ngethuluzi lokuhlinza ukuze kukhishwe izinsalela ze-placenta futhi lokhu kungase kubangele isibazi bese kuholela kulokhu kungavamile kwesibeletho.
Nokho, ukuba khona kwe-placenta accreta noma okunye kokuphuma kwayo akuvamile : ithinta u-2 kuya ku-3% wabesifazane abanezibazi zesibeletho. Ingozi yokuba nalolu hlobo lwe-placental abnormality nayo ayivamile kakhulu kwabanye besifazane.
Kutholakala nini futhi kanjani?
Kunezimpawu ezimbalwa zokuphakamisa i-placenta accreta. Futhi, le pathology ye-placenta ngokuvamile kutholakale sekwephuzile, ngesikhathi se-3rd trimester yokukhulelwa noma ekupheleni kokukhulelwa. Esikhathini esiningi, ukuxilongwa kwenziwa nge-ultrasound noma i-MRI ye-pelvic. Lezi zivamile ukopha okungajwayelekile ekupheleni kokukhulelwa noma ekuqaleni kokusikwa okubonisa ukuba khona kwalokhu kuphazamiseka.
Ukubeletha ngaphansi kokuqondisa kodokotela
Uma ngesikhathi sokukhulelwa, i-placenta accreta ayidingi ukuqapha okukhethekile, idinga ukunakekelwa okukhethekile ngesikhathi sokubeletha. Lokhu kungenxa yokuthi ingozi enkulu evela ku-placenta accreta ingu ukopha kusukela ekubelethweni, okusongela impilo kamama. Ukunciphisa izinkinga, ithimba lezokwelapha lizokwenza isigaba sokuhlinzwa. NgokukaDkt Sabban, ukukhulelwa nge-placenta accreta kudinga a ukubeletha okwenziwa ngokwemithi kakhulu, ukuze isiguli simpontshelwe uma kunokopha okukhulu.
Ngemva kwalokho, odokotela bazokwazi ukuphakamisa ukususwa kwesibeletho (hysterectomy) noma ukuhlinzwa okuvamile kuye ngesifiso sesiguli sokukhulelwa okusha.