Isimo esihle se-placenta siseduze nengaphansi kwesibeletho, kaningi emgqeni wangaphambili, futhi kaningi kakhulu - ngemuva. Akuzona njalo ukuthi i-placenta ingakwazi ukunamathela futhi iqale ukuthuthukisa ngokugcwele kule ndawo, khona-ke lesi sici esibalulekile sosana sinamathele ohlangothini oluphambene eduze kwesibeletho sesisu.
Kuye indawo yokunamathiselwe, i-placenta ihlukile:
- isethulo esigcwele;
- isethulo esiphakathi;
- isethulo se-lateral;
- isethulo esincane.
Isethulo esingaphansi kwe-placenta sinqunywa ngesikhathi se-ultrasound yesibili ehleliwe, kuze kube manje le-placenta ingahamba futhi iphakamise isikhundla esivamile kusukela engalungile ngaphambili. Kodwa-ke, ukuxilongwa kokugcina kungenziwa kusondelene nokubeletha. Lesi sifo sibhekwa njengesethulo esinqunyiwe. Esikhathini isethulo esincane, i-uterine pharynx ivinjelwe emaphethelweni e-placenta cishe okwesithathu.
I-placenta yesifunda se-previa - izimbangela
Izimbangela zesethulo sangaphakathi zingafihlwa empilweni yowesifazane. Isizathu esivame kakhulu ukutholakala kwezifo zegciwane, ukukhipha isisu, kanye nezinkinga ekukhulelweni kokuqala. Ngaphezu kwalokho, le nkulumo ibonakala kwabesifazane abaye bathola ukuthi bane-uterine fibroids noma bane-pathology engakazalwa yokukhubazeka kwesisu. I-Endometriosis ingabangela nokunamathiselwe okungavamile kwe-placenta. Phela, kuleli cala leli qanda le-fetal lalinamathele kuleso sigaba sesibeletho lapho isendlalelo esiphezulu kakhulu se-endometrium. Indawo engafanele ye-placenta ivame ukurekhodwa kubesifazane abanokuzalwa okuningi.
Yisiphi isethulo esiyingozi se-placenta?
Ngesethulo esincane, owesifazane angase aphuze. Kulesi simo, ukuphuma kwegazi kuqala ngokungalindelekile, ngaphandle kokuzwa okungathandekayo nezinhlungu zowesifazane okhulelwe. Ngokuvamile, isikhathi esiyingozi siqala ngo-trimester wesithathu emavikini angu-28-32 wokubeletha noma ngesikhathi sokubeletha.
Ngesethulo esingalungile se-placenta, kufaka phakathi i-krai, isongo sokukhulelwa kwesisu kutholakala kaningi kakhulu. Futhi kungabonakala ekukhulekeni okukhulelwe - ukucindezeleka kwegazi okuphansi; futhi ukuthuthukiswa kwe-anemia akukhishwa. Ngaphezu kwalokho, ngesethulo esincane, ingane ingase ithathe isikhundla esingalungile emgodini we-uterine, okuzodinga ukungenelela okuhlinzekwa.
I-placenta yesifunda se-previa - ukwelashwa
Njengomthetho, ukwelashwa okuthile okwelashwa kwesethulo sangaphakathi akusetshenziswanga. Amaphuzu aphambili yiyona yokuphumula okuphelele noma okuyingxenye yomama uqobo. Lokhu akubandakanyi ukuphakamisa izisindo. Kusukela ocansini ngesethulo sesigcawu se-placenta, njengokunye uhlobo, kungcono ukwenqaba.
Noma kunjalo, ngesethulo esincane, ukuphathwa kwezokwelapha njalo kanye nokuxilongwa okufika ngesikhathi kuyadingeka. Izinkomba eziyinhloko okufanele zihlolwe yizivivinyo zegazi for hemoglobin and coagulation. Phela, uma i-anemia iqala, owesifazane uzodinga ukubeka izidakamizwa ezinezinsimbi. I-blood coagulation kufanele ibe yinto evamile uma kuphuma igazi. Ukucindezelwa kwegazi kubuye kulinganiswa njalo. Futhi, yebo, i-ultrasound, engakwazi ukunquma ngokunembile izinguquko endaweni ye-placenta.
Ukuzalwa nge-presentation yangaphakathi ye-placenta
Isinqumo sendlela ukulethwa kwezidingo kuzokwenziwa ngayo ngodokotela ozoya khona, kanye nodokotela othatha ukudiliva. Ngakho-ke, kungcono ukuxhumana nesigceme sokubeletha ngaphambi kokuqala komsebenzi.
Ukubeletha ngesethulo esingaphansi kwe-placenta kungenzeka ngokwemvelo, uma kungekho ezinye izinkomba zokuqhuba isigaba sokulondoloza esilungisiwe . Uma lokhu kuhlolisiswa, ukuphuma kwamanzi, njengokubusa, akulona okweqile futhi kuyama ngokushesha nje lapho ikhanda lomntwana lihlanganisa ukhala kwesibeletho. Kodwa-ke, kunamathuba amaningi okuqedwa komsebenzi ngendlela yokusebenza, emva kwakho konke, kuvame ukukwazi ukucacisa ukuthi i-placenta ivinjiwe kanjani isigxobo se-uterine kuphela emva kokuvulwa komlomo wesibeletho ngo-5-6 cm.
Ezingeni lezokwelapha kanye nemithi yesimanje, owesifazane otholakala ene-placenta previa yesifunda angase angakhathazeki ngempilo yakhe kanye nokuphila kwengane yakhe.