La yakaderera placenta kana previa Ichi chishamiso chinoitika mukati mechikamu chekutanga chenhumbu umo placenta inodzika (inodzika) zvachose kana kuti zvishoma yakananga kuzasi kwechibereko, kwainodyara uye inogona kukanganisa mukati mechibereko chechibereko.
Munyaya ino tichawana sei zvichiitika placenta previa, madhigirii ayo akasiyana ekuratidzwa, mibairo ipi yainayo kuna amai nemwana wavo, pamwe nekurapa kunoratidzwa kwechiitiko ichi.
Chii chinonzi low placenta kana previa?
In a normal pregnancy the placenta inowanikwa yakanamatira kumusoro kana lateral chikamu chechibereko. Asi mune mamwe mamiriro ezvinhu, placenta inogona kuchinja nzvimbo nekudzika yakananga pasi pechibereko, ichivhara muromo wechibereko uye zvachose kana kuti zvishoma.
Nei inogadzirwa?
Placenta previa inowanzoitika pakati pemwedzi wechipiri kana wechitatu wekuzvitakura uye inobata mukadzi mumwe chete pa200 ane pamuviri. Zvinowanzoitika kune vakadzi vanosvuta, vakwegura, vane nhoroondo yezvikamu zvecesarean kana kubvisa pamuviri, vane uterine malformations kana zvirwere (zvakadai se fibroids), pamuviri wakawanda, zvirwere, kana kunwa zvinodhaka zvakadai secocaine.
Mhando dze placenta previa uye zviratidzo
Mufananidzo kubva www.reproduccionasistida.org
Placenta previa inoongororwa kuburikidza ne transvaginal kana abdominal ultrasound, ndicho chikonzero zvakakosha kuenda kuongororo dzese dzenguva nenguva dzakarongwa nanyanzvi.
Kubata uku kunogona kuzviratidza mumadhigirii akasiyana:
- Yese placenta previa: apo placenta yakavhara zvachose muromo wechibereko.
- Partial placenta previa: kana yakavhara muromo wechibereko ichisiya kachikamu kasina kuvharika.
- Placenta previa marginal: kana ikasvika mukati mekervical os asi isingaifukidze.
- lateral kana pasi placenta: kana iyo placenta yakaiswa munzvimbo yakaderera inosvika pazasi uterine segment. Iri ndiro dambudziko diki pane ese.
Chimwe chezviratidzo zvikuru zvepasi peplacenta kana previa kubuda ropa kunhengo yesikarudzi iyo inomira pachena nekutsvuka kwakajeka. Kazhinji chiratidzo ichi hachiperekedzwi nekurwadziwa uye chinoitika mushure memavhiki makumi maviri ekuzvitakura. Dzimwe nguva unogona kuona mamwe mavara eropa anoonekwa pamberi pechiitiko chinokonzeresa kurasikirwa kweropa.
Kufungidzira kwe placenta previa kwakanaka. kana ukarapwa nemazvo uye njodzi yerufu inoenderana nedambudziko iri yakadzikira, pakati pe2% ne5%. Chero zvazvingava, zvakanakisisa kutungamirira mararamiro ane hutano anokurudzira kukura kwakanaka kwe fetal uye kubata pamuviri kune utano.
Kune rumwe rutivi, kubuda ropa kunogonawo kuperekedzwa nekukandira kusati kwasvika kwechibereko kunokonzera kurwadziwa kwakanyanya. Mukuwedzera, kubuda ropa kunogona kuonekwa mumamiriro ezvinhu mushure mekuita zvepabonde kana panguva yekuongororwa kwechiremba. Pane dzimwe nguva zvinoonekwa kusvika pakusununguka. Muchidimbu, zvinogona kutaurwa kuti hapana chiitiko chaicho chinokonzera akati chitsvene.
Kuti udzivise matambudziko anogona kuitika, zvinokurudzirwa kuonana nachiremba panguva yechipiri kana yechitatu trimester yekuzvitakura chero bedzi kubuda ropa kwakanyanya panguva yakataurwa.
Migumisiro uye kurapwa
Kazhinji placenta previa inobuda pamavhiki makumi maviri nemasere ekuzvitakura kana muromo wechibereko wawedzera. Nekudaro, izvi zvinogona kusaitika, saka nhevedzano yekurapa inofanirwa kuitwa kudzivirira dzimwe njodzi dzayo dzakabatana, senge kusamira zvakanaka kwemwana pakuzvara, kukura uye neurodevelopment matambudziko, kubuda kwe fetal, nezvimwe.
Chiratidzo chekiriniki chinoratidzwa nevakadzi vane pamuviri vane placenta previa kubuda ropa kusingarwadzi, kwekuwanda kwakasiyana-siyana uye nguva nenguva. Saka haisi chiratidzo chekuenda kumwedzi uye chiratidzo chakasiyana chekuvapo kwe placenta previa. Muchiitiko ichi, zvichave zvakakosha kuita zvakatevedzana zvekupindira kuchengetedza kuchengetedzwa kwaamai nemwana.
Kazhinji kazhinji, kurudziro kune varwere vane placenta previa zororo remubhedha rakakwana. Uyewo rega kusvuta muchiitiko icho amai vane tsika iyi uye mune dzimwe nguva kukanganiswa kwekuita zvepabonde kunogona kuratidzwa.
Neruzivo urwu iwe uchakwanisa kudzidza zvakawanda nezve zviratidzo, maitiro uye kuzivikanwa kweiyo yakaderera placenta kana previa uye inogona kurapwa.