Zovuta Zamimba: Placenta Accreta

Zamkati

• Kodi Zizindikiro Za Placenta Accreta Ndi Ziti?
• Kodi Zimayambitsa Ziti?
• Kodi Amachizindikira Bwanji?
• Ndani Ali Pangozi?
• Kodi Placenta Accreta Imayendetsedwa Bwanji?
• Kodi Ndizovuta Zotani?
• Kodi Chiyembekezo Ndi Chiyani?
• Kodi Placenta Accreta Itha Kupewedwa?

Kodi Placenta Accreta ndi Chiyani?

Pakati pa mimba, placenta ya mkazi imadziphatika ku khoma lake la chiberekero ndipo imasokonekera pambuyo pobereka. Placenta accreta ndi vuto lalikulu lokhala ndi pakati lomwe limatha kuchitika pamene placenta imadziphatika kwambiri kukhoma lachiberekero.

Izi zimapangitsa gawo kapena dzenje lonse kuti likhale lolimba pachiberekero pobereka. Placenta accreta imatha kutulutsa magazi atabereka.

Malinga ndi American Congress of Obstetricians and Gynecologists (ACOG), m'modzi mwa amayi 533 aku America amakhala ndi placenta accreta chaka chilichonse. Nthawi zina placenta accreta, nsengwa ya mkazi imalumikizana kwambiri ndi khoma lachiberekero lomwe limalumikizana ndi minofu ya chiberekero. Izi zimatchedwa placenta increta. Itha kupita kwambiri kudzera mumtambo wa chiberekero ndikupita m'chiwalo china, monga chikhodzodzo. Izi zimatchedwa placenta percreta.

American Pregnancy Association, akuti pakati pa azimayi omwe amakhala ndi placenta acreta, pafupifupi 15% amakumana ndi placenta increta, pomwe pafupifupi 5% amakhala ndi placenta percreta.

Placenta accreta imawerengedwa kuti ndi vuto lomwe lingawopseze kutenga pakati. Nthawi zina placenta accreta imapezeka mukamabereka. Koma nthawi zambiri, amayi amapezeka akakhala ndi pakati. Madokotala nthawi zambiri amachita kubereka mwachangu kenako ndikuchotsa chiberekero cha mayi, ngati zovuta zimapezeka asanabadwe. Kuchotsa chiberekero kumatchedwa hysterectomy.

Kodi Zizindikiro Za Placenta Accreta Ndi Ziti?

Amayi omwe ali ndi placenta accreta nthawi zambiri samawonetsa zizindikiritso zilizonse zapakati. Nthawi zina dokotala amatha kuzizindikira nthawi zonse.

Koma nthawi zina, placenta accreta imayambitsa kutuluka kwa magazi kumwezi wachitatu (milungu 27 mpaka 40). Lumikizanani ndi dokotala nthawi yomweyo ngati mukumva magazi kumaliseche m'nthawi yanu yachitatu. Ngati mukumva kutuluka magazi kwambiri, monga magazi omwe amalowerera pad mu mphindi zosachepera 45, kapena omwe ndi olemera komanso opweteka m'mimba, muyenera kuyimbira 911.

Kodi Zimayambitsa Ziti?

Sizikudziwika bwinobwino zomwe zimayambitsa placenta accreta. Koma madokotala amaganiza kuti imalumikizidwa ndi zolakwika zomwe zilipo m'chiberekero cha chiberekero komanso kuchuluka kwa alpha-fetoprotein, puloteni yopangidwa ndi khanda yomwe imatha kupezeka m'magazi a mayi.

Zoyipa izi zimatha kubwera chifukwa cha zipsera atabereka kapena kuchitira opaleshoni ya uterine. Zipsera izi zimalola kuti placenta ikule kwambiri mu khoma la chiberekero. Amayi oyembekezera omwe placenta yawo imafundira pang'ono chiberekero (placenta previa) amakhalanso pachiwopsezo chachikulu cha placenta accreta. Koma nthawi zina, placenta accreta imapezeka mwa amayi opanda mbiri ya opaleshoni ya uterine kapena placenta previa.

Kukhala ndi kubereka kosalekeza kumawonjezera chiopsezo cha mayi ku placenta accreta panthawi yoyembekezera. Kuchulukitsa kwakubereka komwe mayi amakhala nako, kumawonjezera ngozi zake. American Pregnancy Association imaganiza kuti azimayi omwe adabadwa kangapo amatenga 60% ya milandu yonse ya placenta accreta.

Kodi Amachizindikira Bwanji?

Nthawi zina madokotala amatenga placenta accreta panthawi yoyezetsa magazi. Komabe, dokotala wanu amayesa mayesero angapo kuti atsimikizire kuti nsengwa sikukula mu khoma la uterine ngati muli ndi zifukwa zingapo zoopsa za placenta accreta. Mayeso ena omwe amapezeka kuti afufuze placenta accreta amaphatikizapo kuyesa kulingalira, monga ultrasound kapena magnetic resonance imaging (MRI) ndi kuyesa magazi kuti muwone kuchuluka kwa alpha-fetoprotein.

Ndani Ali Pangozi?

Zinthu zingapo zimaganiziridwa kuti zimawonjezera chiopsezo cha mayi kukhala ndi placenta accreta. Izi zikuphatikiza:

• Kuchita opaleshoni yapachiberekero (kapena maopaleshoni), monga kuperekera kwa operekera kapena opaleshoni kuchotsa uterine fibroids
• placenta previa, vuto lomwe limapangitsa kuti placenta itsekereze khomo pachibelekeropo
• nsengwa yomwe ili kumunsi kwa chiberekero
• kukhala wazaka zopitilira 35
• kubadwa kwakale
• zovuta za chiberekero, monga zipsera kapena uterine fibroids

Kodi Placenta Accreta Imayendetsedwa Bwanji?

Nkhani zonse za placenta accreta ndizosiyana. Ngati dokotala wanu wapeza placenta accreta, apanga dongosolo lowonetsetsa kuti mwana wanu wabadwa mosatekeseka.

Matenda owopsa a placenta accreta amathandizidwa ndi opaleshoni. Choyamba, madokotala adzapereka njira yobayira kuti apereke mwana wanu. Kenako, atha kupanga chiberekero, kapena kuchotsa chiberekero chanu. Izi ndikuti tipewe kutaya magazi kwambiri komwe kumatha kuchitika ngati gawo, kapena lonse, la placenta limasiyidwa mchiberekero mwana wanu akabadwa.

Ngati mukufuna kutenganso pakati, pali njira yothandizira mukamabereka yomwe ingasunge kubereka kwanu. Ndi njira yochitira opaleshoni yomwe imasiya nsengwa zambiri m'chiberekero. Komabe, amayi omwe amalandira mankhwalawa ali pachiwopsezo chachikulu chazovuta. Dokotala wanu angakulimbikitseni kuchotsa chiberekero mukapitiliza kutuluka magazi kumaliseche mukatha kuchita izi. Malinga ndi ACOG, ndizovuta kwambiri kutenga pathupi pambuyo pa njirayi.

Kambiranani zonse zomwe mungachite ndi dokotala wanu. Akuthandizani kusankha chithandizo kutengera momwe mulili.

Kodi Ndizovuta Zotani?

Placenta accreta imatha kubweretsa zovuta zazikulu. Izi zikuphatikiza:

• Kutuluka magazi kwambiri kumaliseche, komwe kumafunikira kuthiridwa magazi
• Mavuto a magazi, kapena kufalikira kwa intravascular coagulopathy
• Kulephera kwamapapu, kapena matenda achikulire opuma
• impso kulephera
• kubadwa msanga

Mofanana ndi maopareshoni onse, kupereka njira yoberekera ndi hysterectomy kuchotsa nsengwa m'thupi kumatha kubweretsa zovuta. Zowopsa kwa amayi ndizo:

• zochita kwa ochititsa dzanzi
• kuundana kwamagazi
• matenda opha mabala
• kuchuluka magazi
• kuvulala kwa opaleshoni
• kuwonongeka kwa ziwalo zina, monga chikhodzodzo, ngati latuluka ladziphatika

Zowopsa kwa mwana panthawi yobereka mosavomerezeka ndizochepa ndipo zimaphatikizaponso kuvulala kwa opaleshoni kapena kupuma.

Nthawi zina madotolo amasiya pulasenta mthupi lanu, chifukwa imatha kupasuka pakapita nthawi. Koma kuchita izi kumatha kubweretsa zovuta zazikulu. Izi zingaphatikizepo:

• Kutaya magazi kumaliseche koopsa
• matenda
• chotsekera magazi chotchinga mitsempha imodzi kapena zingapo m'mapapu, kapena embolism ya m'mapapo mwanga
• kufunikira kwa kachilombo ka HIV m'tsogolo
• zovuta zamtsogolo zamtsogolo, kuphatikizapo kupita padera, kubadwa msanga, ndi placenta accreta

Kodi Chiyembekezo Ndi Chiyani?

Ngati placenta accreta imapezeka ndikuthandizidwa moyenera, amayi nthawi zambiri amakhala ndi thanzi labwino popanda zovuta zomwe zingachitike.

Mkazi sangathenso kutenga pakati ngati atachita chiberekero. Muyenera kukambirana ndi mimba zonse zamtsogolo ndi dokotala ngati chiberekero chanu chimasiyidwa musanathe mankhwala. Kafukufuku wofalitsidwa mu nyuzipepala ya Human Reproduction akuwonetsa kuti chiwopsezo chobwerezabwereza kwa placenta accreta nchambiri mwa azimayi omwe adakhalapo kale.

Kodi Placenta Accreta Itha Kupewedwa?

Palibe njira yoletsera placenta accreta. Dokotala wanu amayang'anitsitsa mimba yanu kuti ateteze zovuta zilizonse mukapezeka ndi vutoli.