Indawo Kubi umzanyana ngesikhathi sokukhulelwa, kuyini lokho?

Placenta - umzimba ekhethekile kwakhiwa ngesikhathi sokukhulelwa okuyinto. Kusukela ngesonto 7th, ihlinzeka umbungu umsoco, umoya-mpilo, ngosizo okukhipha nokungcola. Ngamanye amazwi, placenta - kuyinto isitho kubaluleke kakhulu ukuthi ukuphila intrauterine ingane yakho engakazalwa.

I-placenta, okuyinto unamathisele ongaphakeme - esinjengalesi?

Ngokuvamile, uma placenta itholakala engxenyeni engenhla kwesibeletho (eduze nephansi lalo). Pathology kubhekwe indawo yayo iseduze emnyango wesibeletho (os yangaphakathi). indawo Kubi umzanyana ngesikhathi sokukhulelwa - lokhu kwenzeka, lapho placenta unamathele at ibanga cishe 5 cm lisuke emnyango wesibeletho. Uma okunamathiselwe livelile emnyango wesibeletho, ku-5 cm kusukela os yangaphakathi, simo sibizwa ngokuthi yi-placenta previa. Kungaba lateral, noma emaphethelweni ukuqedela kuncike kanjani placenta ligamanxa lo os yangaphakathi. okunamathiselwe okuphansi umzanyana kanye isethulo yayo - yizinto ezimbili ezahlukene, futhi isimo yesibili ubhekwa isifo esiyingozi kakhulu futhi kudinga ukunakekelwa okwengeziwe. Nakuba isikhundla esiphansi placenta ngesikhathi sokukhulelwa ne kwesikhathi futhi zabasebenzi kungase ayeka ukuba khona inkinga nhlobo. Iqiniso lokuthi okunamathiselwe wezibalo ongaphakeme umzanyana kwenzeka cishe ngo-30% abesifazane ekukhulelweni ekuseni, kwabe sekuthi ngemva kwamasonto 20 isibeletho siqala ukukhula ngokushesha, futhi placenta ngokuvamile "ayahamba", futhi eyodwa kuphela kuzo amacala ezingamakhulu amabili, uhlala endaweni eduze wesibeletho. Nokho, naphezu izibikezelo zazizinhle ngaleyo ndlela, ungapheli abanganaki ngempilo yabo futhi ukuvumela izinto ukuthatha inkambo yabo, abanethemba "mhlawumbe ukuxazulula." Uma ultrasound lokuqala usuthole isikhundla esiphansi placenta ngesikhathi sokukhulelwa - kuyimbangela lokuqapha sina udokotela ngesikhathi sonke isikhathi sokukhulelwa.

Ngenxa yalokho okwenzeka?

Akukhona njalo kulula ukunquma izimbangela yalesi sifo. Yiqiniso, labo abaye batholakala bene-isimo esinjalo, ezimweni okwengeziwe, izizathu azibalulekile ngakho. Kubalulekile ukwelashwa okufanele uma kunesidingo, futhi wakhulelwa wabeletha ingane ephile saka. Kodwa udokotela yakho kubalulekile ukwazi ngaphambi kokuba udale i cesarean, ukwenza noma yikuphi ukuhlinza kwesibeletho, ngoba isizathu esiyinhloko ukuphulwa odongeni lesizalo. Ngokuvamile, placenta unamathele izinga ovumelekile aphansi kwenzeka e ngalabo ababhema, isisu, ngubani ngaphuphunyelwa isisu, ukuvuvukala njalo izitho zobulili, nenhliziyo embi, izinso, njll Isiphetho kuyinto zinakekele, unakekele impilo ngaphambi kokukhulelwa.

Kungenzeka yini ngaphandle ultrasound on izimpawu ukucacisa lokhu zokugula?

Indlela eyinhloko ekuxilongweni isikhundla esiphansi placenta ngesikhathi sokukhulelwa, ultrasound ngoba izimpawu zalesi sifo kungukuthi liphinyiselwe njalo. Owesifazane kungenzeka ukubeka amabala abampofu ephelezelwa ezingemnandi (awazange abe buhlungu) emizweni esiswini aphansi, egazini sibizwa cishe njalo encishisiwe-hemoglobin.

Okufanele do, indlela yokuphatha okunamathiselwe abampofu umzanyana?

Ngaphandle imizwa engadingekile futhi bethukile kufanele ayevame ukuvakashela udokotela elengamele sokukhulelwa, ukuphathwa esiyinhloko lokhu yinto control unomphela. Ekukhombeni yezinkinga ezisongela ukuphila umbungu owesifazane kuyinto efiselekayo ukuba alaliswe esibhedlela, ukuvikela kusuka ngokomzimba ukuzikhandla nangokomzwelo nakho, ukunikeza okunomsoco. Uma ungahambisani embhedeni ukuphumula futhi zonke izincomo likadokotela, ungalahlekelwa ingane (okusezingeni eliphezulu ingozi kwesisu), njengoba isikhundla engezansi placenta uvame ukuhambisana hypoxia fetus. On ngesonto lama-36 bekhulelwe, uzonikezwa i-ultrasound okwengeziwe, imiphumela lapho udokotela izocacisa ukuthi ukulethwa kuyokwenzeka (noma ngabe eyedwa noma cesarean). Kunoma ikuphi, uvula kuphela yalokho omuhle, ngoba maduzane uzothola nengane yakho.