Kuphulika kwaplacental: ndi chiyani, zizindikilo ndi momwe mungachiritsire

Zamkati

• Zomwe zimayambitsa
• Momwe mankhwalawa amachitikira
• Malangizo ena
• Momwe mungadziwire ngati ndi gulu lankhondo

Kuphulika kwapakhosi kumachitika pamene nsengwa imasiyanitsidwa ndi khoma la chiberekero, ndikupangitsa m'mimba kutuluka magazi komanso kumaliseche kwa amayi apakati pamasabata 20 obadwa.

Izi ndizovuta, chifukwa zitha kuyika thanzi la mayi ndi mwana pachiwopsezo, chifukwa chake ngati angakayikire, tikulimbikitsidwa kuti mupite mwachangu kuchipatala kuti mukalandire thandizo kwa azamba, kuti mupeze matenda ndikuchiza izi zotheka.

Kuphatikiza apo, ngati gulu limapezeka m'mimba koyambirira, kapena milungu isanu ndi iwiri isanachitike, amatchedwa gulu lokhala ndi ovular, lomwe limakhala ndi zizindikiro zofananira. Ngati mukufuna kudziwa zambiri za izi, onani momwe mungadziwire ndi zomwe mungachite mukakhala ndi ovular detachment.

Zomwe zimayambitsa

Mayi aliyense wapakati amatha kukhala ndi gulu la nsengwa, ndipo chifukwa chake chimakhudzana ndikusintha kwa kayendedwe ka magazi mu placenta ndi kutupa, komwe kumatha kuyambitsidwa ndi:

• Kulimbikira thupi;
• Bumphuka kumbuyo kapena m'mimba;
• Kuthamanga kwa magazi kapena pre-eclampsia;
• Kusuta;
• Kugwiritsa ntchito mankhwala;
• Kutuluka kwa thumba nthawi isanakwane;
• Amniotic madzi pang'ono m'thumba;
• Matenda;
• Matenda omwe amasintha magazi kuundana.

Placental detachment ndi yomwe imayambitsa kutuluka kwa magazi mu trimester yachitatu ya mimba, nthawi yomwe mwana wosabadwa ndi placenta amakhala akulu. Chithandizo chake chiyenera kuyambika akangokayikiridwa, kuti achepetse chiopsezo ku thanzi la mwana ndi mayi, chifukwa cha zotsatira za magazi ndi kusowa kwa mpweya.

Momwe mankhwalawa amachitikira

Ngati mukukayika kuti mwadzidzidzi mwadzidzidzi, ndibwino kuti mupite kuchipinda chadzidzidzi mwachangu, kuti azamba ayambe njira zowunikira ndi kuwachiritsa. Zitha kukhala zofunikira kuti mayi wapakati agonekedwe mchipatala kwakanthawi, kupumula, pogwiritsa ntchito mpweya komanso kuwongolera kuthamanga kwa magazi ndi kugunda kwa mtima, kuphatikiza pakuwunika magazi akayesedwa.

Pofuna kuthana ndi zotupa m'mimba, ndikofunikira kuti aliyense azisankha chilichonse, malinga ndi kuchuluka kwa milungu yomwe mayiyu ali ndi pakati komanso thanzi la mayi wapakati ndi mwana.

Chifukwa chake, mwana wosakhwima akakula, kapena wopitilira milungu 34, wodwalayo nthawi zambiri amalimbikitsa kuyembekezera kubereka, ndipo kubereka koyenera kumatha kuchitidwa ngati gulu ndilochepa, koma ndikofunikira kukhala ndi opatsirana ngati gululi ndilolimba.

Mwana akakhala ndi pakati pamasabata osachepera 34, kuyezetsa magazi kuyenera kuchitidwa mpaka magazi atasiya komanso mpaka zizindikilo zake zofunika komanso za mwanayo zikhazikike. Mankhwala ochepetsa chiberekero amathanso kuwonetsedwa.

Malangizo ena

Ngati mayi ndi mwana ali bwino ndipo magazi akusiya, mayi wapakati atha kutulutsidwa, mothandizidwa ndi zodzitetezera monga:

• Pewani kuyimirira kupitilira maola awiri, makamaka kukhala kapena kugona miyendo yanu itakwezedwa pang'ono;
• Osapanga chilichonse monga kuyeretsa m'nyumba kapena kusamalira ana;
• Imwani madzi osachepera 2 malita patsiku.

Ngati sizingakhazikitse vutoli, pangafunike kuyembekezera kubereka, ngakhale munthawi imeneyi, kuti zitsimikizire thanzi la mwana ndi mayiyo.

Popeza sikutheka kuneneratu kuti gulu la placental lidzachitika liti kapena ayi, ndikofunikira kuchita chisamaliro chokwanira cha amayi asanabadwe, ndipo ndizotheka kuzindikira kusintha kulikonse pakupanga nsengwa pasadakhale, kuti athe kuchitapo kanthu mwachangu . Pezani zambiri za placenta ndi zomwe zingasinthe.

Momwe mungadziwire ngati ndi gulu lankhondo

Gulu lakale la msanga lisanayambike limatha kuyambitsa zizindikilo, monga:

• Kupweteka kwambiri m'mimba;
• Kupweteka kumunsi kumbuyo;
• Kutuluka kumaliseche.

Pali milandu yomwe magazi akazi samapezeka, chifukwa amatha kubisala, ndiye kuti, atsekereredwa pakati pa placenta ndi chiberekero.

Kuphatikiza apo, ngati gulu lili laling'ono, kapena pang'ono, mwina sizingayambitse zizindikiro, koma, ngati ndi lalikulu kwambiri, kapena lathunthu, vutoli limakhala lalikulu kwambiri, chifukwa kutuluka magazi ndikochulukirapo, kuphatikiza pakudula mpweya gwero lakumwa.

Kuzindikira kwaphulika kwapadera kumapangidwa ndi mayi wochizira, potengera mbiri ya zamankhwala ndikuwunika kwakuthupi, kuphatikiza pa ultrasound, yomwe imatha kuzindikira mikwingwirima, kuundana, mphamvu yakutuluka kwa magazi ndikusiyanitsa ndi matenda ena omwe angasokoneze, monga placenta previa. Phunzirani zambiri pazifukwa zofunika izi zotuluka magazi mwa amayi apakati, ndipo onani zomwe mungachite ngati placenta previa