Asemphethweni placenta previa - usongo inkambo evamile yokukhulelwa

Placenta - isitho linendima ebaluleke kakhulu ekuthuthukeni umbungu. Ukuze wakhe owakho placenta iqala okwamanje lapho kukhona ukunamathela lesizalo odongeni esibelethweni, futhi isonto weshumi nambili ka-sokukhulelwa, uthatha phezu ukudla, zokuphefumula, excretory, umsebenzi zokuzivikela namangqamuzana.

Ngokuvamile, placenta ungaphakathi kwesibeletho noma ingxenye emuva yalo ngesikhathi kwathatha izindonga side, okungenani - ngaphambili odongeni. Kodwa kukhona zokugula ezinjalo, njengoba isethulo umzanyana. Placenta, ukuyohlala ezansi kwesibeletho, ke ligamanxa lo os yangaphakathi kancane noma ngokuphelele. Kuye lokhu umehluko ephelele (central) esinqunyiwe kanye ongaphakeme-placenta previa.

Qedela placenta previa, lapho wesibeletho ivinjelwe ngokuphelele, ngempela ezingavamile. Kwengxenye placenta previa kungenzeka onqenqemeni futhi ohlangothini. Asemphethweni placenta previa - kuyinto indawo yi-placenta, lapho nemihlathi kwangaphakathi ivaliwe eyodwa; lateral praevia - lapho ivaliwe ezimbili kwezintathu. With ongaphakeme placenta previa lokhu umzimba ebalulekile itholakala at ibanga kungekho amasentimitha angaphezu kwayisihlanu kusukela os yangaphakathi. Kodwa zokugula placentation ongaphakeme kubhekwa kuphela yokuthathu yesithathu yokukhulelwa, kuze kube yileso sikhathi, placenta ongama kahle.

Isizathu esiyinhloko esenza kukhona previa placenta, ohlukanisa itholakala lokuthi ukuthi ulwelwesi kwesibeletho uye savela, okuyinto ithiye nenkanuko edlulele kahle esibelethweni elivundisiwe. Lezi zinguquko bungase bubangelwe esivimba amanzi ukuvuvukala, ukusetshenziswa intrauterine zokukhukhumala, iziyaluyalu endometrial ngenxa isisu noma curettage intrauterine, lesizalo fibroids. Kuzo zonke lezi zimo, uma odokotela ukuxilonga abekelwe emaceleni placenta previa, 75% bangabesifazane, wakhulelwa. Futhi sinomthelela sokuhlanganiswa engafanele umbungu kungenzeka izibilini sifo kwabesifazane abakhulelwe.

izimpawu zokwelashwa, enquma ukuthi abekelwe emaceleni placenta previa, nezinye izinhlobo zokusetshenziswa kabi indawo yayo, is opha ipheshana zangasese, ephelezelwa ubuhlungu. Kungenzeka emazingeni ahlukahlukeneko wendlela ukukhulelwa - engxenyeni yezinyanga ezintathu zokuqala, futhi nje ngaphambi kokuzalwa. Imbangela ukopha kuyinto esinqunyiwe abruption esinomhlapho. udonga kwesibeletho ngesikhathi sokukhulelwa, yokwelula, futhi placenta ayikwazi ukungezwani okunjalo, umphumela uba ihlukane ngwengwzi.

Uma ungathathi imithi ngesikhathi ngesilinganiso, isithelo uzoqala ukuzwa hypoxia, futhi owesifazane okhulelwe angase baba nesifo sokuntuleka kwegazi okukhulu. Ngezinye izikhathi ukopha kungabangela ngisho nokufa. Ngakho-ke, uma udokotela wezifo zabesifazane kuthola lateral ngokugcwele noma abekelwe emaceleni placenta previa, kumelwe ulandele ngokucacile imiyalelo yakhe. Ukugxila izikhalazo we abakhulelwe owesifazane kanye ultrasound imiphumela, wayeyomisa embhedeni, ukunciphisa amalungiselelo kwesibeletho uma njalo ukopha yansukuzonke - esibhedlela futhi ukwelashwa esibhedlela. Delivery, kungenzeka kwenziwe Ukubeletha, umzanyana ilungiselelo encane eshiya indawo ukuzalwa zemvelo.