Uma ukhulelwa ungena emhlabeni omusha, onesilulumagama noma imiqondo ukuthi nakuba nizwile ngazo, futhi abaningi benu nizazi, zembuleka phambi kwenu ngezincazelo ezintsha. Ngoba? Hhayi-ke, ngoba leyo miqondo iba yinyama emzimbeni wakho, kokuhlangenwe nakho kwakho.
Elinye lala magama amadala ajwayelekile lithi i-placenta. Sesiyazi ukuthi kuyisisekelo ekukhulelweni, ukuthi kuyisakhiwo esivumela impilo nokukhula komntwana kanye nezinye izinto esizifunde lapha nalaphaya, noma sazibona kumabonakude, ngaphandle kokunaka (uma ukukhulelwa nokubeletha bekukhona. kusasele iminyaka elula kude nale yethu). Ake sibheke namuhla inkinga ongase ube nayo i-placenta: ukuhlukaniswa kwayo, kuyini?
I-placenta
Njengoba sishilo ngenhla, iyisitho esiyisisekelo ekukhulelweni komntwana ngoba inikeza izakhi kanye ne-oxygen esilwaneni esizala lapho izinyanga eziyisishiyagalolunye. Ngaphezu kwalokho, isebenza kahle kangangokuthi uma ngakolunye uhlangothi ibeka imisoco ngokusebenzisa enye sfuthi ulahle imfucuza kuwo wonke lo msebenzi ukuze impilo ithuthuke endaweni engcono kakhulu.
I-placenta ixhunywe odongeni lwesibeletho futhi inenkaba. i-placenta Ingaxhunywa esibelethweni ngenhla, ngaphambili, ngemuva, ngakolunye uhlangothi o emaceleni, kodwa kunezimo lapho ngesizathu esithile izinduku phansi Futhi uma lokho kwenzeka, ukuthi i-placenta iphansi, odokotela bayamtshela "i-placenta yangaphambili".
Uma konke kuhamba kahle, ukukhulelwa kuqhubeka ngokungafani nezinyanga eziyisishiyagalolunye, ngokumangalisayo kubangele umuntu, kodwa izici eziningi zingashintsha ukusebenza okuvamile kwalesi sitho, kube nzima ukukhulelwa. Ikuphi? Uyazi, iminyaka yowesifazane, ukuphuka kwesikhwama se-amniotic ngaphambi kokuqala komsebenzi, ukukhulelwa okuningi, umfutho wegazi ophakeme, izinkinga ze-coagulation, izinto ezithile ezidliwa owesifazane okhulelwe noma ukuhlukunyezwa kwesisu, isibonelo.
Ukuphazamiseka kwe-Placental
Kwesinye isikhathi enye yalezi zinkinga ingabangela ukuphuma kwe-placenta. Akuyona inkinga kuphela abangayikhiqiza, kukhona ne-placenta enamathelayo noma i-placenta previa, kodwa ukuqubuka kwe-placenta. ibucayi futhi ingaholela esimweni esiphuthumayo esisongela ukuphila komntwana nomama.
Kungani kwenzeka? Izizathu azaziwa ngokuqinisekile, kodwa indlela icacile: i-placenta liphuma endaweni lapho imithambo yegazi kamama ihlangana khona neyengane, kuba nokopha futhi ngenxa yalokho i-placenta iyahlukanisiwe.
Njengoba igama layo libonisa, kungukuhlukaniswa kwe-placenta kusuka odongeni lwesibeletho lokho Kungaba ngokuphelele noma ingxenye. Uma lokho kungenzeka yinkimbinkimbi, yehlise noma ivimbe ngokuqondile ukudlula komoya-mpilo nezakhamzimba enganeni futhi nalokho umama wopha kakhulu.
Kufanele wazi ukuthi ukuqubuka kwe-placenta ibucayi kodwa ayivamile, ayithinti neze U-1% wokukhulelwa, nokuthi, uma uya egumbini lezimo eziphuthumayo maduzane, lingelapheka. Ngokuvamile kwenzeka nini? Kungenzeka ku-trimester yokugcina.
Yiziphi izimpawu ze-placenta abruption? Kufanele uqaphele ukuthi kunokopha noma cha, nakuba kungase kube khona ukugoqa ngaphandle kokopha, noma ukopha kwezikhawu noma okuncane kakhulu; ubuhlungu besisu noma umhlane obufika ngokuzumayo kanye nokufinyela.
Odokotela bakuxilonga kanjani? Kwenza a i-ultrasound. Nakuba kungasebenzi ngokuqondile, ingakwazi ukubona i-fetus bradycardia, okuwumphumela we-hypoxia ekhiqizwa ukuqubuka kwe-placenta; eyodwa nayo yenziwa i-cardiotocography, ukuhlola ukufinyela kwe-fetus nesibeletho, kanye a ukuhlolwa kwegazi ukuze uthole ukuthi kukhona i-anemia.
Siyazi ukuthi iyini, ingenzeka nini, ixilongwa kanjani... futhi ingalashwa kanjani? Lokhu kuzoncika esimweni sikamama kanye ne-fetus, izinga lapho i-placenta ihlukane khona, kanye neminyaka yokukhulelwa kwengane. Uma ithimba lingaphambi kwesikhathi, ekukhulelweni ngaphansi kwamaviki angama-34, sizolinda kuze kube isonto lama-37 noma lama-38 ukuze senze ukulethwa., ukuphumula okwedlulele phakathi.
Ingabe kukhona esingakwenza njengokuthandayo isilinganiso sokuvimbela? Kuhle singakwazi gwema ukubhema, qaphela Ukungabi nokuntuleka kwe-folic acid, ukungathathi izidakamizwa, njalo sizithibe uma "singomama asebekhulile" noma sihlupheka umfutho wegazi ophakeme ezingamahlalakhona, kungaba ngokukhulelwa noma kusukela ngaphambili.