Placenta previa

Placenta previa ndi vuto la kutenga pakati pomwe latuluka limakula kumunsi kwenikweni kwa chiberekero (chiberekero) ndikuphimba gawo lonse kapena gawo lakutsegulira kwa khomo lachiberekero.

Placenta imakula panthawi yapakati ndikudyetsa mwana yemwe akukula. Khomo lachiberekero ndilo lotsegulira ngalande yobadwira.

Mukakhala ndi pakati, nsengwa imayenda pamene chiberekero chimatambasula ndikukula. Ndizofala kwambiri kuti chiwalo chazakhalira chimakhala chotsika m'mimba nthawi yapakati. Koma pamene mimba ikupitirira, nsengwa imapita pamwamba pamimba. Pofika miyezi itatu yachitatu, latuluka liyenera kukhala lili pamwamba pamimba, motero khomo lachiberekero limakhala lotseguka kuti libereke.

Nthawi zina, nsengwayo imatha kuphimba chiberekero. Izi zimatchedwa previa.

Pali mitundu yosiyanasiyana ya placenta previa:

• M'mphepete: Maluwa amakhala pafupi ndi khomo pachibelekeropo koma sawaphimba.
• Tsankho: The placenta chimakwirira mbali ya khomo lachiberekero kutsegula.
• Zomaliza: The placenta imakhudza kutseguka konse kwa khomo lachiberekero.

Placenta previa imachitika pakati pa mimba 200 pa 200. Amakonda kwambiri amayi omwe ali ndi:

• Chiberekero chopangidwa modabwitsa
• Ndinali ndi mimba zambiri m'mbuyomu
• Anali ndi pakati kangapo, monga mapasa kapena atatu
• Kusokonekera pakhungu la chiberekero chifukwa cha mbiri yakuchita opaleshoni, gawo la C, kapena kuchotsa mimba
• In vitro umuna

Azimayi omwe amasuta, kugwiritsa ntchito mankhwala osokoneza bongo a cocaine, kapena kukhala ndi ana atakalamba atha kukhala ndi chiopsezo chowonjezeka.

Chizindikiro chachikulu cha placenta previa ndikutuluka mwadzidzidzi kuchokera kumaliseche. Amayi ena amakhalanso ndi kukokana. Kutuluka magazi nthawi zambiri kumayambira kumapeto kwa miyezi itatu kapena kuyamba kwa trimester yachitatu.

Kutaya magazi kumatha kukhala koopsa komanso kowopsa. Itha kuyima yokha koma imayambanso masiku kapena milungu ingapo pambuyo pake.

Ntchito nthawi zina imayamba pakadutsa masiku angapo kuchokera pamene magazi amatuluka kwambiri. Nthawi zina, kutaya magazi sikungachitike mpaka kubereka kutayamba.

Wothandizira zaumoyo wanu amatha kudziwa kuti ali ndi pakati pa ultrasound.

Omwe amakupatsani mwayi adzaganiziranso za kuopsa kodzitaya magazi mukamabereka mwana msanga. Pambuyo pa milungu 36, kubereka mwana kumatha kukhala chithandizo chabwino kwambiri.

Pafupifupi azimayi onse omwe ali ndi placenta previa amafunika gawo la C. Ngati nsengwa ikuphimba chiberekero chonse kapena gawo lina, kubereka kumaliseche kumatha kuyambitsa magazi. Izi zitha kupha mayi ndi mwana.

Ngati placenta ili pafupi kapena ikuphimba gawo la chiberekero, omwe amakupatsani angakulimbikitseni kuti:

• Kuchepetsa zochita zanu
• Mpumulo wa bedi
• Kupumula kwa pelvic, komwe kumatanthauza kuti palibe kugonana, kulibe ma tampon, kapena kugwiranagwirana

Palibe choyenera kuyikidwa mu nyini.

Mungafunike kukhala mchipatala kuti gulu lanu lazaumoyo likhoza kukuyang'anirani mosamala ndi mwana wanu.

Mankhwala ena omwe mungalandire:

• Kuikidwa magazi
• Mankhwala oletsa kubereka msanga
• Mankhwala othandizira kutenga pakati amapitilira kwa milungu ingapo makumi atatu mphambu zisanu ndi zitatu
• Kuwombera mankhwala apadera otchedwa Rhogam ngati mtundu wamagazi anu ndi Rh-negative
• Steroid akatemera kuti athandize mapapo a mwana kukhwima

Gawo ladzidzidzi la C lingachitike ngati magazi akutuluka kwambiri ndipo sangathe kuwalamulira.

Chiwopsezo chachikulu ndikutaya magazi kwambiri komwe kumatha kuopseza amayi ndi mwana. Ngati mwakhala mukutuluka magazi kwambiri, mwana wanu angafunike kubadwa msanga, ziwalo zazikulu, monga mapapu, zisanakhwime.

Itanani omwe akukuthandizani ngati muli ndi magazi ukazi mukakhala ndi pakati. Placenta previa ikhoza kukhala yowopsa kwa inu ndi mwana wanu.

Ukazi magazi - latuluka latuluka; Mimba - placenta previa

• Gawo la Kaisara
• Ultrasound pa mimba
• Anatomy ya placenta yachibadwa
• Placenta previa
• Placenta
• Ultrasound, yachibadwa mwana wosabadwayo - mikono ndi miyendo
• Ultrasound, yachibadwa omasuka latuluka
• Ultrasound, mtundu - yachibadwa umbilical chingwe
• Placenta

Francois KE, Foley MR. Kutaya magazi kwa Antepartum ndi postpartum. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 18.

Hull AD, Resnik R, Siliva RM. Placenta previa ndi accreta, vasa previa, subchorionic hemorrhage, ndi abruptio placentae. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 46.

Salhi BA, Nagrani S. Zovuta zoyipa zakuyembekezera. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 178.