Placenta Yotsika Kwambiri (Placenta Previa)

Zamkati

• Kodi placenta previa ndi chiyani?
• Zizindikiro zogwirizana ndi placenta previa
• Zowopsa zopanga placenta previa
• Kodi placenta previa imapezeka bwanji?
• Mitundu ya placenta previa
• Tsankho
• Wonama
• M'mbali
• Zazikulu kapena zangwiro
• Chithandizo cha placenta previa
• Ochepa osatulutsa magazi
• Kutaya magazi kwambiri
• Kutaya magazi kosalamulirika
• Zovuta za placenta previa
• Kulimbana ndi kuthandizira amayi oyembekezera

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi placenta previa ndi chiyani?

Placenta previa, kapena placenta wotsika, imachitika pamene placenta imakwirira gawo kapena khomo pachibelekeropo m'miyezi yapitayi yamimba. Vutoli limatha kuyambitsa magazi ambiri asanakwanitse nthawi yobereka.

Placenta imayamba m'chiberekero cha mayi nthawi yapakati. Chiwalo chonga thumba ichi chimapatsa mwana wakhanda chakudya ndi mpweya wabwino. Zimachotsanso zonyansa m'mwazi wa mwana. The placenta imatchedwanso "pambuyo pobadwa" chifukwa amatuluka thupi mwana akabadwa.

Mukakhala ndi pakati, nsengwa imayenda ngati chiberekero chimatambasula ndikukula. Zimakhala zachilendo kuti placenta ikhale yotsika m'chiberekero pakuyembekezera. Pamene mimba ikupitirira ndipo chiberekero chimatambasula, nsengwa imapita pamwamba pa chiberekero. Pofika gawo lachitatu lachitatu, nsengwa iyenera kukhala ili pamwamba pamimba. Malowa amalola khomo lachiberekero, kapena khomo lolowera m'mimba pansi pa chiberekero, njira yowonekera bwino yoberekera.

Ngati latuluka limalumikiza kumunsi kwa chiberekero, limatha kuphimba gawo limodzi kapena khomo lachiberekero lonse. Pamene latuluka limakwirira gawo limodzi kapena khomo pachibelekeropo m'miyezi yapitayi yamimba, vutoli limadziwika kuti placenta previa, kapena placenta wotsika. Amayi ambiri omwe ali ndi vutoli amafunika kupumula pabedi.

Zizindikiro zogwirizana ndi placenta previa

Chizindikiro chachikulu ndikutuluka mwadzidzidzi kwa magazi kuchokera kumaliseche, koma ngati zina mwazizindikiro zili pansipa, muyenera kupita kuchipatala mwachangu:

• kukokana kapena kupweteka kwakuthwa
• Kutaya magazi komwe kumayambira, kuyima, ndikuyambiranso patatha masiku kapena milungu
• kutuluka magazi mutagonana
• Kutuluka magazi mkati mwa theka lachiwiri la mimba

Zowopsa zopanga placenta previa

Zowopsa pakukula kwa placenta previa ndizo:

• malo achilendo a khanda: mphepo (matako oyamba) kapena osunthika (atagona mopingasa pamimba)
• maopaleshoni am'mbuyomu omwe amaphatikiza chiberekero: kuberekera kwa operekera, opaleshoni yochotsa uterine fibroids, dilation ndi curettage (D&C)
• kukhala ndi pakati pa mapasa kapena kuchulukana kwina
• kuperewera padera
• nsengwa yaikulu
• chiberekero chopangidwa modabwitsa
• atabala kale mwana m'modzi
• asanadziwe kuti latuluka latuluka
• okalamba kuposa 35
• kukhala waku Asia
• kukhala wosuta

Kodi placenta previa imapezeka bwanji?

Kawirikawiri, zizindikiro zoyamba za placenta previa zimawonekera pamasabata 20 a ultrasound scan. Zizindikiro zoyambazi sizomwe zimayambitsa nkhawa, popeza kuti placenta nthawi zambiri imakhala yotsika m'mimba chiberekero nthawi yoyamba yamayi.

Nthawi zambiri nsato imadzikonza yokha. Malinga ndi Royal College of Obstetricians and Gynecologists, 10% yokha ya milandu ipitilira kukhala placenta previa yathunthu.

Ngati mukumva kutuluka kwa magazi mu theka lachiwiri la mimba yanu, madokotala adzawunika momwe placenta imagwirira ntchito pogwiritsa ntchito njira izi:

• Transvaginal ultrasound: Dokotala wanu amaika kafukufuku mkati mwa nyini kuti apereke mawonekedwe amkati mwa ngalande yanu yamkati ndi khomo lachiberekero. Imeneyi ndi njira yovomerezeka komanso yolondola kwambiri yodziwira placenta previa.
• Transabdominal ultrasound: Katswiri wa zamankhwala amaika gel pamimba panu ndikusuntha kachipangizo kam'manja kotchedwa transducer mozungulira mimba yanu kuti muwone ziwalo zam'mimba. Mafunde akumveka amapanga chithunzi pamakanema ngati TV.
• MRI (imaginization resonance imaging): Kujambula kotereku kumathandiza kudziwa bwino komwe placenta ili.

Mitundu ya placenta previa

Pali mitundu inayi ya placenta previa, kuyambira zazing'ono mpaka zazikulu. Iliyonse idzakhala ndi zotsatirapo zake ngati mayi angathe kubereka bwino kapena ngati angafune kubadwa kwakanthawi. Chithandizo cha placenta previa chithandizanso kutengera mtundu womwe muli nawo.

Tsankho

The latuluka amangoti pang'ono chimakwirira kutsegula kwa khomo pachibelekeropo. Kubadwa kumaliseche ndikotheka.

Wonama

Mtundu uwu umayamba koyambirira mpaka mkatikati mwa mimba. Phukusi limakhala pamphepete mwa khomo lachiberekero, ndipo pali mwayi wambiri wobereka ukazi.

M'mbali

Placenta imayamba kumera pansi pa chiberekero. The latuluka nthawi zambiri kukankhira pa khomo pachibelekeropo koma osati kuphimba. Popeza malire a placenta amakhudza kutseguka kwamkati kwa khomo pachibelekeropo, kulumikizana kulikonse panthawi ya kubereka kumatha kuyambitsa magazi pang'ono. Komabe, kubadwa kwa nyini nthawi zambiri kumakhala kotetezeka.

Zazikulu kapena zangwiro

Uwu ndiye mtundu wovuta kwambiri. M'malo akuluakulu a placenta previa, malowo amatha kuphimba khomo lachiberekero lonse. Magawo a C nthawi zambiri amalimbikitsidwa, ndipo pamavuto akulu, mwanayo amafunika kuti abereke asanakwane.

Ndi mitundu yonse, magazi akulemera kwambiri kapena osalamulirika atha kufunikira kuti abweretsedwe mwadzidzidzi kuti akutetezeni inu ndi mwana wanu.

Chithandizo cha placenta previa

Madokotala asankha momwe angachiritse placenta previa kutengera:

• kuchuluka kwa magazi
• mwezi woyembekezera
• thanzi la mwanayo
• malo a placenta ndi mwana

Kuchuluka kwa magazi ndikofunikira kwambiri kwa dokotala posankha momwe angachiritse vutoli.

Ochepa osatulutsa magazi

Ngati muli ndi placenta previa osataya magazi pang'ono kapena osataya magazi, dokotala wanu angakupatseni mpumulo wogona. Izi zikutanthauza kupuma pabedi momwe zingathere, ndi kungoyima ndikukhala pakafunika kutero. Mufunsidwanso kuti mupewe kugonana komanso mwina kuchita masewera olimbitsa thupi. Ngati magazi akutuluka panthawiyi, muyenera kupita kuchipatala mwachangu.

Kutaya magazi kwambiri

Milandu yotaya magazi kwambiri imafunikira kupumula pakama kuchipatala. Kutengera kuchuluka kwa magazi omwe atayika, mungafunike kuthiridwa magazi. Muyeneranso kumwa mankhwala kuti muteteze msanga ntchito.

Pankhani yotaya magazi kwambiri, dokotala wanu amalangiza gawo la C kuti likonzekere mukangobereka bwino - makamaka pambuyo pa masabata 36. Ngati gawo la C liyenera kukonzekera msanga, mwana wanu akhoza kupatsidwa jakisoni wa corticosteroid kuti afulumizitse mapapo ake.

Kutaya magazi kosalamulirika

Pankhani yotaya magazi mosalamulirika, kuyenera kuchititsa njira yadzidzidzi kuyenera kuchitidwa.

Zovuta za placenta previa

Pakati pa kubereka, khomo lachiberekero limatseguka kuti mwana asunthire njira yoberekera kuti abadwe. Ngati placenta ili patsogolo pa khomo pachibelekeropo, imayamba kupatukana pamene khomo lachiberekero limatseguka, ndikupangitsa magazi kutuluka mkati. Izi zitha kufunikira gawo ladzidzidzi la C, ngakhale mwanayo asanabadwe, chifukwa mayi amatha kutuluka magazi mpaka kufa ngati palibe zomwe achitepo. Kubereka kumaliseche kumakhalanso ndi zoopsa zambiri kwa mayi, yemwe amatha kutuluka magazi kwambiri nthawi yobereka, kapenanso atangobereka kumene.

Kulimbana ndi kuthandizira amayi oyembekezera

Kuzindikira kwa placenta previa kumatha kukhala koopsa kwa amayi oyembekezera. Chipatala cha Mayo chimapereka malingaliro amomwe mungalimbanirane ndi matenda anu komanso momwe mungakonzekerere kubereka.

Phunzirani: Mukamadziwa zambiri, mudzadziwa zambiri zomwe muyenera kuyembekezera. Lumikizanani ndi amayi ena omwe adabadwira m'mimba mwa placenta previa.

Khalani okonzekera kutumizidwa kosalekeza: Kutengera mtundu wa placenta previa yanu, mwina simungathe kubereka kumaliseche. Ndibwino kukumbukira cholinga chachikulu - thanzi la inu ndi mwana wanu.

Sangalalani ndi kupumula pabedi: Ngati mukugwira ntchito, kupumula pabedi kumamveka kocheperako. Komabe, mutha kugwiritsa ntchito nthawi mwanzeru pochita zina zing'onozing'ono, monga:

• kuphatikiza chithunzi chazithunzi
• kulemba makalata
• kuwerenga zakusintha kwa moyo wanu womwe ukubwera

Dzichepetseni nokha: Chitani zosangalatsa zazing'ono, monga:

• kugula zovala zatsopano zogona
• kuwerenga buku labwino
• kuonera pulogalamu mumaikonda TV
• kusunga magazini yoyamikira

Onetsetsani kuti mudalira anzanu ndi abale anu pazokambirana ndi kuthandizira.