Uma ukhulelwe noma uhlela ukuba nomntwana, kungenzeka ukuthi uke wezwa igama elithi "i-placenta ephezulu yangaphambili" ngaphambili. Kodwa kuyini ngempela? Olandelayo Sizokhuluma ngalesi sihloko ngokujulile ukuze usiqonde kangcono.
Ngale ndlela, uma kuyisimo okwenzeka kuwe njengamanje, uzokwazi kangcono zonke izici ezihlobene naso.
Iyini i-placenta ephezulu yangaphambili?
I-placenta iyisitho esikhula ngesikhathi sokukhulelwa futhi sinomsebenzi wokunikeza umsoco nomoya-mpilo ku-fetus. Ngokuvamile kufakwe odongeni lwesibeletho olungemuva noma olungemuva, kodwa kwabanye besifazane lungafakwa odongeni lwangaphambili lwesibeletho, olwaziwa ngokuthi i-placenta yangaphambili.
Lapho i-placenta ifakwa engxenyeni engenhla yodonga lwesibeletho olungaphambili, ibizwa ngokuthi i-placenta ephakeme yangaphambili. Lokhu kusho ukuthi Itholakala engxenyeni engenhla yesibeletho, eduze nje nenkaba.
Yiziphi izimpawu ze-placenta ephezulu yangaphambili?
Ezimweni eziningi, awunazo izimpawu. Nokho, abanye besifazane bangabona ukopha kwesitho sangasese sowesifazane, ikakhulukazi ku-trimester yokuqala yokukhulelwa.
Uma unanoma yiluphi uhlobo lokopha kwesitho sangasese sowesifazane ngenkathi ukhulelwe, kufanele uthintane nodokotela wakho ngokushesha. Ukopha esithweni sangasese kungaba uphawu lwezinkinga ngesikhathi sokukhulelwa, kuhlanganise ne-placenta previa, engaba yingozi kokubili kumama nosana olungakazalwa.
Yiziphi izingozi ze-placenta ephezulu yangaphambili?
Akuvamisile ukubeka izingozi empilweni kamama neyomntwana, kodwa kungandisa ingozi yezinkinga ngesikhathi sokubeletha. Ngokwesibonelo, uma i-placenta isendaweni engenhla yesibeletho, ingavala umgudu wokuzala futhi yenze kube nzima ngomntwana ukuphuma. Futhi, uma i-placenta iseduze nomlomo wesibeletho, Ingase yenyuse ingozi yokopha ngesikhathi sokubeletha.
Akuvamile kodwa kungenzeka ukuthi lesi simo sihlotshaniswa nokunqunyelwa ukukhula kombungu kanye nokugqashuka kolwelwesi ngaphambi kwesikhathi.
Itholakala kanjani i-placenta ephezulu yangaphambili?
Ngokuvamile kutholakala nge-ultrasound. Ngesikhathi se-ultrasound, udokotela uzokwazi ukubona indawo ye-placenta kanye hlola ukuthi ingabe ikhona yini ingozi yezinkinga ngesikhathi sokubeletha.
Kungase kudingeke wenze i-ultrasound ye-transvaginal ukuze uthole isithombe esicacile sokuma kwe-placenta. Ngesikhathi se-ultrasound ye-transvaginal, i-ultrasound probe ifakwa esithweni sangasese sowesifazane ukuze uthole isithombe esinemininingwane eminingi yesibeletho ne-placenta.
Ilashwa kanjani i-placenta ephezulu yangaphambili?
Ezimweni eziningi, akudingi ukwelashwa okukhethekile. Kodwa-ke, uma kutholakala i-placenta yangaphambili ephansi, ungase udinge ukulandelelwa kaningi phakathi nokukhulelwa kwakho qiniseka ukuthi azikho izinkinga eziba khona.
Uma kutholakala i-placenta yangaphambili ephansi, cishe kuzodingeka ukuthi ube ne-C-section esikhundleni sokubeletha kwesitho sangasese sowesifazane. Ukube ubungazi, I-Caesarean section iyinqubo yokuhlinzwa lapho kukhishwa khona isisu kanye nesibeletho ukuze kukhishwe ingane futhi ngaleyo ndlela kuncishiswe izingozi ukubeletha okungase kube nazo.
Ngabe ukulethwa kwami kuzoba njani uma ngine-placenta ephakeme ngaphambili?
Uma unalesi simo, kubalulekile ukuxoxa nodokotela wakho ngezinketho zakho zokubeletha. Kwezinye izimo, kungenzeka ukubeletha ngesitho sangasese sowesifazane ngaphandle kwezinkinga. Nokho, kwezinye izimo, njengoba sesishilo ngenhla, ukuhlinzwa kungase kudingeke ukuze kuqinisekiswe ukuphepha kukamama nengane.
Uma udokotela wakho encoma i-C-section, kubalulekile ukuthi ulungiselele inqubo futhi uqonde ubungozi nezinzuzo zenqubo. I-C-section ingaba nezingozi ezithile, njengokululama isikhathi eside kanye nokutheleleka okungenzeka uma isilonda singapholi kahle. Nokho, kungase futhi kube indlela ephephile yokuqinisekisa inhlalakahle kamama nengane ngesikhathi sokubeletha.
Ingabe i-placenta ephezulu yangaphambili ingavinjelwa?
I-placenta ephezulu ngaphambili yisimo esingenakuvinjelwa. Kodwa-ke, kunezinyathelo ezithile ongazicabangela ukuze unciphise ingozi yezinkinga ngesikhathi sokukhulelwa nokubeletha.
Okokuqala, kubalulekile ukuthi udle ukudla okunomsoco ngesikhathi sokukhulelwa ukuze uqinisekise ukuthi umzimba wakho uthola imisoco oyidingayo ukuze ingane yakho ikhule inempilo futhi inamandla. Kubalulekile futhi gwema ukubhema nokuphuza utshwala ngesikhathi sokukhulelwa, njengoba le mikhuba ingandisa ingozi yezinkinga.
Ngakolunye uhlangothi, kuyadingeka ukuthi uye kuwo wonke ama-aphoyintimenti akho ngaphambi kokubeletha futhi ulandele izincomo zikadokotela wakho. Uma unokuthile okukukhathazayo noma imibuzo mayelana nokukhulelwa kwakho, ungangabazi ukukhuluma nodokotela wakho ukuze uthole ulwazi olwengeziwe nesiqondiso.
Yiziphi izinkinga ezivame kakhulu nge-placenta ephezulu yangaphambili?
Kubalulekile ukucabangela lokho okungase kube yizinkinga ezivame kakhulu ezihlobene ne-placenta yangaphambili ephezulu. Okulandelayo sizobiza ezivame kakhulu.
Ukuvinjwa komgudu wokuzalwa
Enye yezinkinga ezivame kakhulu ze-placenta ephezulu yangaphambili ukuvinjelwa komgudu wokuzalwa. Kwezinye izimo, i-placenta ingavimba ikhanda lomntwana lapho uzama ukudlula emgudwini wokuzalwa. Lokhu kungenza ukuzala kube nzima kakhulu, kube isikhathi eside, futhi kungase kwandise ingozi yokulimala kombungu.
Ukopha
Ukopha nakho kuyinkinga evamile ehambisana ne-placenta ephezulu yangaphambili. I-placenta ingase ihlukane nodonga lwesibeletho ngaphambi noma ngesikhathi sokubeletha, okungadala ukopha okuyingozi kumama nengane.
I-Placenta accreta
Ezimweni ezingavamile kakhulu, i-placenta anterior ephezulu ingaholela esimweni esaziwa ngokuthi i-placenta accreta, lapho i-placenta inamathela kakhulu odongeni lwesibeletho. Lokhu kungabangela ukuthi i-placenta ingahlukani kahle ngemva kokubeletha, okungaholela ekopheni okuyingozi futhi kudinga ukukhishwa kwesibeletho esiphuthumayo.
Preeclampsia
Ngaphandle kwezinkinga okukhulunywe ngazo ngenhla, i-placenta ephezulu yangaphambili ingase futhi yandise ingozi yezinye izinkinga ngesikhathi sokukhulelwa. Isibonelo, abesifazane abane-placenta ephezulu yangaphambili basengozini enkulu yokuba ne-preeclampsia, isimo leso Ibonakala ngomfutho wegazi ophakeme kanye nokulimala kwezitho, njengesibindi nezinso.
Umkhawulo wokukhula kwe-fetus
Kukhona futhi ingozi eyengeziwe yokuvinjelwa ukukhula kwengane kwabesifazane abane-placenta ephezulu yangaphambili. Lokhu kungenxa yokuthi i-placenta ingaphazamisa ukugeleza kwegazi ku-fetus, okungadala ukukhula kwe-fetus kancane kunokujwayelekile.
Yini engingayenza uma ngitholwe ngine-placenta yangaphambili ephezulu?
Ukuba nalesi simo kungandisa ingozi yezinkinga ngesikhathi sokukhulelwa kanye nokubeletha. Kodwa abesifazane abaningi abanalesi simo bayakhulelwa futhi ukudiliva okunempilo nokungeyona inkimbinkimbi.
Uma kutholakala ngesikhathi sokukhulelwa, kuzokwenziwa ama-ultrasound engeziwe ukuze kubhekwe indawo ye-placenta futhi kubonakale ukuthi inyukile yini njengoba isibeletho sikhula. Ezimweni eziningi, i-placenta iyasuswa ngokwanele ukuvumela ukubeletha okuphephile kwesitho sangasese sowesifazane, nakuba sesikutshelile, kwezinye izimo ukuhlinzwa kokuhlinzwa kungahlelwa ukuze kugwenywe izinkinga ezinkulu.
Ngokuvamile, kubalulekile ukukhumbula ukuthi akusona isigwebo sezinkinga ngesikhathi sokukhulelwa nokubeletha. Ngokunakekelwa okufanele nokunakwa, kungenzeka ukukhulelwa nokubeletha okunempilo. Uma unokukhathazeka noma imibuzo mayelana ne-placenta ephakeme yangaphambili noma ukukhulelwa kwakho ngokuvamile, ungangabazi ukukhuluma nodokotela wakho.
Udokotela wakho angakunikeza ulwazi mayelana nezinketho zakho zokuzalwa kanye nezinkinga ezingase zibe khona ezihlobene nenye yazo. Ningaxoxa ngezingozi nezinzuzo zokubeletha kwesitho sangasese sowesifazane ngokuqhathanisa nesigaba C, futhi nithathe isinqumo esilungele wena nengane yakho.
Khumbula ukuthi akufanele kube kubi
Futhi, kubalulekile ukukhumbula ukuthi abesifazane abaningi abane-placenta ephezulu yangaphambili banokubeletha okungenasimo. Ngokunakekelwa okufanele nokunakwa, kungenzeka ukuthi ube nokuzalwa okuphumelelayo nokunempilo kwesitho sangasese sowesifazane.
Ngakho-ke, kuyisimo esivamile ngesikhathi sokukhulelwa lapho i-placenta ifaka phezu kodonga lwangaphambili lwesibeletho. Nakuba abesifazane abaningi bengenazo izimpawu, lesi simo singandisa ingozi yezinkinga ngesikhathi sokubeletha, okuhlanganisa ukuvinjwa komgudu wokuzalwa kanye nokopha.
Khumbula ukuthi ukukhulelwa ngakunye kuhlukile futhi kubalulekile ukusebenza ngokubambisana nodokotela wakho ukuze uqinisekise impilo nempilo yakho nengane yakho. Lokhu kuyinto ebaluleke kakhulu kuyo yonke inqubo yokukhulelwa nokubeletha.
Okubalulekile ngaphezu kwakho konke ukuthi uzinakekele ngokwanele ukuze ujabulele ukukhulelwa kwakho futhi unake izincomo zezokwelapha ukuze ngale ndlela ujabulele yonke inqubo ngaphandle kokwesaba noma ukungaqiniseki. Ufanelwe impilo ende nenempilo, njengengane yakho.