I-placentation ephansi ekukhulelwe - amasonto angu-20

Isici esibalulekile ekukhulelwe okwamanje yindawo yokunamathisela kwe-placenta nendawo yayo ngokuphathelene nesibindi sesisu. Le pharamitha yayibizwa ngokuthi "ukufakwa kwamaphesenti" ku-midwifery. Ake sikhulume ngakho ngokuningiliziwe futhi sithole ukuthi kungani kwenziwa nge-US ngesonto eli-20 lokukhulelwa, ukufakwa kwesigcawu esincane kungatholakaliswa, kunokuba esongela, futhi yikuphi okusemthethweni owesifazane okhulelwe okufanele aqaphele ukuphulwa okunjalo.

Iyini i-placenta ephansi?

Njengoba wazi, ngenkathi ingane isesisu, zonke izinto eziwusizo ziza kuye nge-placenta, isitho esakhiwa kuphela ngesikhathi sokukhulelwa. Ngaphezu kwalokho, i-oksijeni, edingekayo kunoma yimuphi umzimba, umfanyana uthola kuwo, kanye negazi.

Ukwakhiwa kwalesi sitho kwenzeka ngokuqondile endaweni lapho iseli lamaqanda lihlanganiswe nodonga lwe-uterine emva kokukhulelwa. Ngokuvamile lokhu kungodonga lwangaphakathi noma oluse-posterior kwesibeletho, eduze kwesisekelo saso. Kodwa-ke, kuyinto engavamile ukuthi ukufakelwa kutholakale engxenyeni engezansi kwesibeletho, esiseduze nomphimbo wayo wangaphakathi. Kungenxa yezimo ezinjalo ukuthi i-placenta ephansi ivela kamuva. Ukuxilongwa okunjalo kwenziwa odokotela lapho ibanga eliphakathi kwephuzu elidlule le-placenta ne-uterine pharynx lingaphansi kuka-6 cm.

Ngenxa yalokho okuthuthukisa ukwephulwa okunjalo?

Izimbangela ze-placentation ephansi, ezitholakala ngesikhathi sokukhulelwa emavikini angu-20, aziqondi kahle. Abanye odokotela bathi ithonya elikhulu kule parametri linikezwa indlela yokuphila kowesifazane okhulelwe, kanti abanye bakholelwa ukuthi lesi sici sincike ekutheni uhlala ngokweqile.

Kuyaziwa ukuthi isizathu sokunamathiswa okuphansi kweqanda lokubeletha ekuqaleni kokukhulelwa kungalimaza i-endometrium. Ezimweni ezinjalo, umbungu ozayo uzofuna indawo engathinteki yilesi sifo, futhi ifakwe eduze eduze komkhuhlane we-uterine.

Yini owesifazane okufanele ayenze uma i-placentation yakhe ephansi itholakala emavikini angu-20?

Njengomthetho, ayikho imithi yalesi sifo. Ngakho-ke, owesifazane uphoqeleka ukuba ahlale ehlolwa ukuhlolwa kwe-ultrasound ukuze athole ukuthi i-placenta ishintshile yini.

Into yokuthi njengoba ingane ikhula futhi isibeletho sikhula ngevolumu, okuthiwa "ukufuduka kwendawo yengane" kwenzeka, futhi i-placenta iphakama, eduze kwesibindi. Lokhu kungafika emavikini angu-34-36 wokukhulelwa. Ngakho-ke, i-ultrasound yokugcina yenziwa ngalesi sikhathi, ngenhloso yokuthuthukisa amaqhinga ekulethwa kwezidingo.

Ngokuqondene nowesifazane okhulelwe kakhulu, ngalesosikhathi esendaweni ephansi, wembule ngesikhathi sokukhulelwa emavikini angu-20, kufanele abheke imithetho eminingi:

1. Ukuqeda ngokuphelele ukuphakanyiswa kwezisindo: ngisho nokuya esitolo kumacala anjalo kufanele unikezwe kumlingani wakho. Mayelana nanoma imuphi umdlalo, ukuqina nomzimba we-yoga ngesikhathi kukhulelwa kufanelekile ukulibala.
2. Ubulili nama-placentas aphansi nawo aphikisiwe. Lokhu kuchazwa ukuthi ukwandisa ithoni ye-uterine, okungenakugwema lapho wenza uthando, kungaholela ekuthunjweni okuyingxenye ye-placenta.
3. Ekuphumleni kuyadingeka, ukuthi imilenze yayisegqumeni. Ngakho, odokotela abaningi ngesikhathi sokulala batusa ukufaka umcamelo.
4. Ukuhamba ngemoto nokuthutha komphakathi kufanele kuncishiswe.
5. Uma ukuxilongwa kuvela ngokuzumayo kukhishwa emzimbeni wesisu, nakanjani kuyadingeka ukwazisa udokotela.

Ezimweni eziningi, ukuzalwa kule ndawo ye-placenta kwenzeka ngokwemvelo. Kodwa-ke, kulezo zimo lapho i-placenta itholakala kakhulu eduze kwesibeletho sesisu, i- amniotomy ingenziwa-ukuvulwa kwamanzi amniotic ngezindlela zokufakelwa.