I-placenta iyisici esibalulekile, esimweni lapho inkambo nomphumela wokukhulelwa kuxhomeke khona. Okubaluleke kakhulu ukunamathiswa kwe-placenta: okuphakeme kakhulu, ukukhulelwa kuzoba ngcono futhi amathuba okuqeda ukukhulelwa ngaphambi kokukhulelwa angeke anciphise. Ngokuvamile, i-placenta yenziwa ngemuva kwesibeletho, futhi lokhu kubhekwa njengendlela enhle kunazo zonke.
Kungani indawo ye-placenta ngemuva kwesibeletho inhle kakhulu?
Cabangela ukuthi kungani indawo ye-placenta emdongeni obusemva kwesibeletho ifaneleka kulowo ongaphakathi. Uma kungabikho ukukhulelwa, isisu sikhambi kwesibeletho. Ngesikhathi sokukhulelwa, kunomthamo omkhulu wesikhumba sangaphakathi sesisu esibelethweni kune-posterior one. Ukukhula kwendonga yangaphambili yesibindi esibelethwayo kuyashesha kunokukhula kwe-placenta nokuphuma kwegazi kungenzeka ngenxa yokuthunjwa ngaphambi kwesikhathi. Njengoba ukuhanjiswa kwesidumbu sangasemva kwesibeletho akupheli ukukhula kwe-placenta, ukunamathiselwe kwe-placenta emdongeni omelele kunomusa kakhulu. Kungenzeka futhi ukuthi owesifazane uzoba nesibonakaliso sigaba esilungiselelwe noma esiphuthumayo se-cearean, futhi uma i-placenta ikhona ngemuva kwesibeletho, yenza kube lula ukusebenza kobuchwepheshe bokusebenza. Uma i- placenta itholakala edongeni langaphambili lesisu , kungenzeka ukuthi ulilimaze ngesikhathi sokusakazwa kwesibeletho.
I-placenta ephansi emdongeni omile ngemuva kwesibeletho
Ukuxilongwa kwe-placentation ephansi ekukhulelwe kufakwe ezimweni lapho umphetho we-placenta ungaphansi kuka-6 cm ukusuka emphinjeni ongaphakathi. Ukukhulelwa njalo, ukukhipha isisu emlandweni, izifo ezivuvukalayo ze-endometrium (okuvame ukwanda kwamaphutha) zingabangela ukubeka phansi okuphansi. Ukuxilongwa okuyingozi yi- placenta previa emgqeni ongemuva wesibeletho. Kuvezwa uma kwenzeka umngcele ophansi we-placenta ungaphansi kuka-6 cm ukusuka ku-pharynx yangaphakathi. Kuyingozi ukuthi ngesikhathi sokukhulelwa ingxenye engezansi yesibeletho ilula ngaphezu kwayo yonke indawo futhi kukhona usongo lomsebenzi we-placenta ongakafiki ngaphambi kwesikhathi, okuzobangela ukuphuma kwegazi okukhulu. Abesifazane abanjalo kufanele baphathe i-ultrasound ngesikhathi, futhi, uma kunesidingo, ngaphezu kwalokho. Uma emasontweni angama-36 okukhulelwa lokhu kutholakala, kuleso sikhatsi owesifazane onjalo uyabhediswa emnyangweni wezokukhulelwa nokuhlinzeka ngezidingo.
Ngakho-ke, sasihlolisise izinketho ezihle kakhulu zokuhlanganisa i-placenta ngesikhathi sokukhulelwa, futhi sicabange ngezici zokuphathwa kwabesifazane abakhulelwe abane-placenta ephansi ne-placenta previa.