Xa ukhulelwe ungena kwihlabathi elitsha, kunye nesigama okanye iingcamango ukuba nangona nivile ngazo, kwaye abaninzi benu nizazi, zityhileka phambi kwenu ngeentsingiselo ezintsha. Ngoba? Ewe, kuba ezo ngcinga ziba yinyama emzimbeni wakho, kumava akho.
Elinye lala magama amadala liqhelekileyo i-placenta. Sele sisazi ukuba isisiseko ekukhulelweni, ukuba sisakhiwo esivumela ubomi kunye nophuhliso lomntwana kunye nezinye izinto esizifunde ngokuqinisekileyo apha naphaya, okanye sazibona kwiTV, ngaphandle kokunikela ingqalelo (ukuba ukukhulelwa kunye nokubeleka bekunjalo. Kuseneminyaka elula kude nale yethu yangoku). Makhe sijonge namhlanje ingxaki onokuba unayo i-placenta: i-detachment yayo, yintoni?
Indawo yesibeleko
Njengoko besesitshilo ngasentla, lilungu elisisiseko ekukhuleni komntwana kuba inika izondlo kunye neoksijini Kwizidalwa ezazalelwayo iinyanga ezisithoba. Ukongeza, iyasebenza kangangokuba ukuba kwelinye icala ibeka izondlo kwelinye skwaye lahla inkunkuma kuwo wonke lo msebenzi ukuze ubomi bukhule kwezona ndawo zintle.
Indawo yesibeleko incanyathiselwe eludongeni lwesibeleko kwaye inenkaba kwakhona. i-placenta Inokuthi ifakwe kwisibeleko esingentla, ngaphambili, ngasemva, kwelinye icala o ecaleni, kodwa kukho iimeko apho ngenxa yesizathu esithile unamathela emazantsi Kwaye ukuba oko kuyenzeka, ukuba i-placenta iphantsi, oogqirha bayamxelela "i-placenta yangaphambili".
Ukuba konke kuhamba kakuhle, ukukhulelwa kuqhubeka ngokungafaniyo kwiinyanga ezilithoba, ngokumangalisayo kunika umntu, kodwa izinto ezininzi zinokutshintsha ukusebenza okuqhelekileyo kweli lungu, kube nzima ukukhulelwa. Yeyiphi? Uyazi, iminyaka yowesifazane, ukuphuka kwesikhwama se-amniotic ngaphambi kokuqala komsebenzi, ukukhulelwa okuninzi, uxinzelelo lwegazi oluphezulu, iingxaki ze-coagulation, izinto ezithile ezidliwe ngumfazi okhulelweyo okanye isisulu sesisu, umzekelo.
Ukonakala kwendawo
Ngamaxesha athile enye yezi ngxaki inokubangela ukuqhambuka kwe-placenta. Ayiyiyo kuphela ingxaki abanokuthi bayivelise, kukwakho ne-placenta ebambelelayo okanye i-placenta previa, kodwa ukuqhawuka kwe-placenta. inobuzaza kwaye inokukhokelela kwingozi esongela ubomi kusana nomama.
Kutheni kwenzeka? Izizathu azaziwa ngokuqinisekileyo, kodwa indlela icacile: i-placenta Iphuma kwindawo apho imithambo yegazi kamama idibana naleyo yosana, kukho ukopha kwaye ngenxa yoko i-placenta iyaphuma.
Njengoko igama layo libonisa, yi-detachment ye-placenta ukusuka eludongeni lwesibeleko ukuba Isenokuba ngokupheleleyo okanye inxalenye. Ukuba oko kuyenzeka ukuntsonkotha, ukunciphisa okanye ukuvimba ngokuthe ngqo ukuhamba kweoksijini kunye nezondlo kumntwana kananjalo loo nto umama wopha kakhulu.
Ufanele ukwazi ukuba ukuqhambuka kwe-placenta inzulu kodwa inqabile, ayichaphazeli i I-1% yokukhulelwa, kwaye ukuba, ukuba uya kwigumbi likaxakeka ngokukhawuleza, inokunyangwa. Iqhele ukwenzeka nini? Inokwenzeka kwikota yokugqibela.
Ziziphi iimpawu ze-placental abruption? Kufuneka uqaphele ukuba kukho ukopha kwilungu lobufazi okanye akukho, nangona kunokubakho i-detachment ngaphandle kokopha, okanye ukopha okwethutyana okanye kancinci kakhulu; iintlungu zesisu okanye zangasemva eziza ngesiquphe kunye nokucutheka.
Bayixilonga njani oogqirha? Kwenza a Ultrasound. Nangona kungasebenzi ngokuthe ngqo, iyakwazi ukubona i-bradycardia ye-fetus, ebangelwa yi-hypoxia eveliswa yi-placental abruption; enye nayo yenziwe i-cardiotocography, ukuvavanya i-fetus kunye ne-uterine contractions, kunye a Uvavanyo lwegazi ukufumanisa ukuba kukho i-anemia.
Siyazi ukuba yintoni, xa inokwenzeka, ifunyaniswa njani ... kwaye inokunyangwa njani? Oku kuya kuxhomekeka kwimeko yomama kunye ne-fetus, iqondo apho i-placenta iye yahlukana, kunye nexesha lokukhulelwa komntwana. Ukuba i-detachment ingaphambi kwexesha, ekukhulelweni phantsi kweeveki ze-34, siya kulinda kude kube yiveki ye-37 okanye i-38 ukukhupha ukuhanjiswa., ukuphumla okugqithisileyo phakathi.
Ngaba ikho into esinokuyenza ngathi umlinganiselo wothintelo? Kulungile sinako kuphephe ukutshaya, nikela ingqalelo Ukunqongophala kwe-folic acid, ukungathathi iziyobisi, sihlala sizilawule ukuba "ngoomama abadala" okanye sihlupheka xi nzelelo ezingapheliyo, mhlawumbi ngokukhulelwa okanye ukususela ngaphambili.