Xa ukhulelwe okanye uceba ukuba nomntwana, usenokuba uvile igama elithi "i-placenta ephezulu yangaphambili" ngaphambili. Kodwa yintoni kanye kanye? Okulandelayo Siza kuthetha ngesi sihloko nzulu ukuze usiqonde ngcono.
Ngale ndlela, ukuba yimeko eyenzeka kuwe ngoku, uya kuyazi ngcono yonke imiba enxulumene nayo.
Yintoni i-placenta ephezulu yangaphambili?
I-placenta lilungu elikhula ngexesha lokukhulelwa kwaye linomsebenzi wokubonelela ngezondlo kunye ne-oxygen kwi-fetus. Ngokuqhelekileyo ifakwe kwindonga ye-uterine yangasemva okanye esecaleni, kodwa kwamanye amabhinqa inokufakelwa kwindonga yangaphambili ye-uterine, eyaziwa ngokuba yi-placenta yangaphambili.
Xa i-placenta ifakela kwindawo ephezulu yodonga lwesibeleko olungaphambili, ibizwa ngokuba yi-placenta ephezulu yangaphambili. Oku kuthetha ukuba Ifumaneka kwindawo ephezulu yesibeleko, kufutshane nenkaba.
Ziziphi iimpawu ze-placenta ephezulu yangaphambili?
Kwiimeko ezininzi, awunazimpawu. Nangona kunjalo, abanye abafazi banokubona ukopha kwilungu lobufazi, ngakumbi kwi-trimester yokuqala yokukhulelwa.
Ukuba unalo naluphi na uhlobo lokopha kwilungu lobufazi ngelixa ukhulelwe, kufuneka udibane nogqirha wakho ngokukhawuleza. Ukopha kwilungu lobufazi kunokuba luphawu lweengxaki ngexesha lokukhulelwa, kuquka i-placenta previa, enokuba yingozi kumama kunye nosana olungekazalwa.
Ziziphi iingozi ze-placenta ephezulu yangaphambili?
Ayiqhelekanga ukubeka ingozi kwimpilo kumama nakumntwana, kodwa inokunyusa umngcipheko weengxaki ngexesha lokubeleka. Ngokomzekelo, ukuba i<em>placenta ikwindawo engasentla yesibeleko, inokuthintela umjelo wokubeleka ize yenze kube nzima ukuba umntwana aphume. Kwakhona, ukuba i-placenta ikufuphi nomlomo wesibeleko, Inokunyusa ingozi yokopha ngexesha lokubeleka.
Kunqabile kodwa kusenokwenzeka ukuba le meko inxulunyaniswa nokuthintelwa kokukhula komntwana kunye nokugqabhuka kwangaphambi kwexesha kwenwebu.
Ifunyaniswa njani i-placenta ephezulu yangaphambili?
Ngokuqhelekileyo kufunyaniswa nge-ultrasound. Ngexesha le-ultrasound, ugqirha uya kukwazi ukubona indawo ye-placenta kunye ukuvavanya ukuba kukho nawuphi na umngcipheko weengxaki ngexesha lokubeleka.
Kusenokufuneka ube ne-ultrasound ye-transvaginal ukuze ufumane umfanekiso ocacileyo wendawo ye-placenta. Ngexesha le-ultrasound ye-transvaginal, iprobe ye-ultrasound ifakwa kwilungu lobufazi ukufumana umfanekiso ocacileyo wesibeleko kunye ne-placenta.
Iphathwa njani i-placenta ephezulu yangaphambili?
Kwiimeko ezininzi, ayifuni naluphi na unyango olukhethekileyo. Nangona kunjalo, ukuba i-placenta yangaphambili ephantsi ifunyanwe, unokufuna ukulandelwa rhoqo ngexesha lokukhulelwa kwakho qinisekisa ukuba akukho zingxaki zivelayo.
Ukuba i-placenta esezantsi engaphambili ifunyaniswe, kuya kufuneka ukuba ube ne-C-section endaweni yonikezelo lwelungu lobufazi. Ukuba ubungayazi, Icaesarean section yinkqubo yotyando apho kwenziwa uqhaqho kwisisu kunye nesibeleko ukukhupha umntwana kwaye ngaloo ndlela kuncitshiswe imingcipheko enokubakho ukubelekwa kwilungu lobufazi.
Kuya kuba njani ukuziswa kwam ukuba ndine-placenta ephezulu ngaphambili?
Ukuba unayo le meko, kubalulekile ukuxoxa ngeendlela zakho zokuzalwa kunye nogqirha wakho. Kwezinye iimeko, kunokwenzeka ukuba ube nokuzalwa kwesisu ngaphandle kweengxaki. Nangona kunjalo, kwezinye iimeko, njengoko sele sichazile ngasentla, utyando lunokuba yimfuneko ukuqinisekisa ukhuseleko lukamama nosana.
Ukuba ugqirha wakho uncoma icandelo le-C, kubalulekile ukuba ulungiselele inkqubo kwaye uqonde iingozi kunye neenzuzo zenkqubo. I-C-section ingaba nemingcipheko ethile, efana nokuchacha ixesha elide kunye nosulelo olunokwenzeka ukuba inxeba alipholi kakuhle. Nangona kunjalo, inokuba yindlela ekhuselekileyo yokuqinisekisa impilo-ntle kamama nosana ngexesha lokubeleka.
Ngaba i-placenta ephezulu yangaphambili inokuthintelwa?
I-placenta ephezulu ngaphambili yimeko engenakuthintelwa. Nangona kunjalo, kukho imilinganiselo onokuthi uyithathele ingqalelo ukunciphisa umngcipheko weengxaki ngexesha lokukhulelwa kunye nokuzala.
Okokuqala, kubalulekile ukuba utye ukutya okunesondlo ngexesha lokukhulelwa ukuqinisekisa ukuba umzimba wakho ufumana izondlo ezifunekayo ukuze umntwana wakho akhule esempilweni kwaye yomelele. Ikwabalulekile kuphephe ukutshaya nokusela utywala ngexesha lokukhulelwa, ekubeni le mikhwa inokwandisa umngcipheko weengxaki.
Kwelinye icala, kuyafuneka ukuba uye kuzo zonke iindibano zakho zaphambi kokubeleka kwaye ulandele iingcebiso zikagqirha wakho. Ukuba unayo nayiphi na inkxalabo okanye imibuzo malunga nokukhulelwa kwakho, unganqikazi ukuthetha nodokotela wakho ngolwazi olungakumbi kunye nesikhokelo.
Zeziphi ezona ngxaki zixhaphakileyo nge-placenta ephezulu yangaphambili?
Kubalulekile ukuqwalasela oko kunokuthi kube yingxaki eqhelekileyo ehambelana ne-placenta ephezulu yangaphambili. Okulandelayo siza kukhankanya ezona zixhaphakileyo.
Ukuvalwa komjelo wokuzala
Enye yeengxaki ezixhaphakileyo ze-placenta ephezulu yangaphambili kukuthintela umjelo wokuzala. Kwezinye iimeko, iplacenta inokuvala intloko yosana xa uzama ukudlula kumjelo wokuzala. Oku kunokwenza kube nzima ukubeleka, ixesha elide, kwaye kunokonyusa umngcipheko wokwenzakala komntwana.
Ukopha
Ukopha kwakhona yingxaki eqhelekileyo ehambelana ne-placenta ephezulu yangaphambili. I-placenta inokwahlukana nodonga lwesibeleko ngaphambi okanye ngexesha lokubeleka, nto leyo enokubangela ukopha okuyingozi kumama nosana.
I-Placenta accreta
Kwiimeko ezinqabileyo kakhulu, i-placenta ephezulu ngaphambili ingakhokelela kwimeko eyaziwa ngokuba yi-placenta accreta, apho i-placenta ibambelela ngokuqinileyo kudonga lwesibeleko. Oku kunokubangela ukuba i-placenta ingabikho ngokufanelekileyo emva kokunikezelwa, oku kunokukhokelela ekuphumeni okuyingozi kwaye kufuneke i-hysterectomy engxamisekileyo.
Preeclampsia
Ukongeza kwiingxaki ezixoxwe ngasentla, i-placenta ephezulu yangaphambili inokunyusa umngcipheko wezinye iingxaki ngexesha lokukhulelwa. Ngokomzekelo, abafazi abane-placenta ephezulu yangaphambili banomngcipheko ophezulu wokuphuhlisa i-preeclampsia, imeko leyo Ibonakala ngoxinzelelo lwegazi oluphezulu kunye nomonakalo kwizitho, ezifana nesibindi kunye nezintso.
Ukuthintelwa kokukhula kwe-Fetal
Kukwakho nomngcipheko owongezelelweyo wokuthintelwa kokukhula komntwana kubasetyhini abane-placenta ephezulu yangaphambili. Oku kungenxa i-placenta inokuphazamisa ukuhamba kwegazi kwi-fetus; enokubangela ukukhula komntwana ongekazalwa kade kunesiqhelo.
Ndingenza ntoni ukuba kufunyaniswe ukuba ndine-placenta ephezulu ngaphambili?
Ukuba nale meko kunokunyusa umngcipheko weengxaki ngexesha lokukhulelwa kunye nokuzala. Kodwa abaninzi abafazi abanesi sifo bakhulelwe kwaye ukuhanjiswa okunempilo kunye nokulula.
Xa ufunyaniswe ngexesha lokukhulelwa, i-ultrasounds eyongezelelweyo iya kwenziwa ukujonga indawo ye-placenta kwaye ibone ukuba ihambele phezulu njengoko isibeleko sikhula. Kwiimeko ezininzi, i-placenta ikhutshiwe ngokwaneleyo ukuvumela unikezelo olukhuselekileyo lwelungu lobufazi; nangona njengoko sikuxelele, kwezinye iimeko utyando lunokucwangciswa ukunqanda iingxaki ezinkulu.
Ngokuqhelekileyo, kubalulekile ukukhumbula ukuba akusiyo isigwebo seengxaki ngexesha lokukhulelwa nokubeletha. Ngononophelo olufanelekileyo kunye nengqalelo, kunokwenzeka ukuba ube nokukhulelwa okunempilo kunye nokubeletha. Ukuba unayo nayiphi na inkxalabo okanye imibuzo malunga ne-placenta ephezulu yangaphambili okanye ukukhulelwa kwakho ngokubanzi, unganqikazi ukuthetha nodokotela wakho.
Ugqirha wakho unokukunika ulwazi malunga nokhetho lwakho lokuzalwa kunye neengxaki ezinokubakho ezinxulumene nayo nganye yazo. Ungaxoxa ngeengozi kunye neenzuzo zokubeleka kwelungu lobufazi ngokuchasene necandelo le-C, kwaye wenze isigqibo esilungele wena kunye nosana lwakho.
Khumbula ukuba akufuneki ukuba kubi
Kwakhona, kubalulekile ukukhumbula ukuba uninzi lwabasetyhini abane-placenta ephezulu yangaphambili banonikezelo olungenasiphelo. Ngononophelo olufanelekileyo kunye nengqalelo, kunokwenzeka ukuba ube nokuzalwa okuphumelelayo kunye nempilo yangasese.
Ngoko ke, yimeko eqhelekileyo ngexesha lokukhulelwa apho i-placenta ifakela phezulu kwodonga lwangaphambili lwesibeleko. Nangona uninzi lwabasetyhini bengenazo iimpawu, le meko inokunyusa umngcipheko weengxaki ngexesha lokubeleka, kubandakanywa ukuvaleka komjelo wokubeleka kunye nokopha.
Khumbula ukuba ukukhulelwa ngalunye kuyingqayizivele kwaye kubalulekile ukusebenzisana nogqirha wakho ukuqinisekisa impilo kunye nokuphila kakuhle kwakho kunye nosana lwakho. Le nto iyona nto ibalulekileyo kuyo yonke inkqubo yokukhulelwa kunye nokubeletha.
Into ebaluleke ngaphezu kwayo yonke into kukuba unakekele ngokwaneleyo ukuba ujabulele ukukhulelwa kwakho kwaye ubeke ingqalelo kwiingcebiso zonyango ukwenzela ukuba ngale ndlela unokunandipha yonke inkqubo ngaphandle kokwesaba okanye ukungaqiniseki. Ufanelwe bubomi obude nobunempilo, njengomntwana wakho.