Placenta previa ndi chimodzi mwa mavuto aakulu kwambiri a mimba. Kawirikawiri, placenta ili pamwamba pa chiberekero. Ndi placenta previa, dera la mkati mwa khomo lachiberekero latsekedwa. Malingana ndi malo a placenta kuchokera m'katikati mwazitali, mitu yonse imasiyanitsidwa (khola lachiberekero limatsekedwa kwathunthu), placenta previa (yosatsekedwa mkati mwake imatsekedwa pang'ono) ndi phokoso lamkati (placenta imakhudza m'mphepete mwa mkati mwa pharynx). Ganizirani zoopsa kwambiri - zonse zapadera.
Kodi ndizowopsa zotani placenta previa?
Kutulutsa kwathunthu kwa placenta kumachitika kawirikawiri - 0,9% ya chiwerengero cha mimba. Komabe, izi zimawopsyeza moyo ndi thanzi la mayi ndi mwana. Popeza kuti placenta imatseka kwambiri chiberekero cha mkodzo, m'kati mwathu mumakhala chiopsezo chokhalitsa. Ngati chiberekero chimatsegula, mwanayo amatha kufa, ndipo amayi akhoza kutaya magazi ambiri.
Kuonjezera apo, mafotokozedwe athunthu a placenta nthawi zonse amatsatiridwa ndi fetoplacental insufficiency, kuchedwa kukula kwa mwana wosabadwa ndi hypoxia yake.
Zotsatira za placenta previa
Kawirikawiri, zonsezi zimapezeka mwa amayi omwe abereka. Madokotala amatchula magulu awiri a zinthu zomwe zimachititsa kuti pasposta previa ikhale yolakwika: mkhalidwe wa thanzi la mayi komanso kufooka kwa dzira la fetal pamene limaphatikizidwa ku chiberekero cha m'mimba.
Gulu loopsya limaphatikizapo amayi omwe ali ndi:
- endometriosis;
- kachilombo kosavomerezeka ndi chifuwa cha chiberekero;
- myoma wa chiberekero;
- anasamutsidwa ntchito pachiberekero;
- Kuchotsa mimba, kupopera;
- Matenda a mahomoni a msambo;
- matenda a chitukuko cha chiberekero.
Mafotokozedwe a Placenta - matenda
Polemba placenta previa amatha kukayikira kuti amapitirizabe kutuluka magazi mopanda ululu kuchokera kumatenda opatsirana. Iwo amawoneka mwadzidzidzi ndipo akhoza kukhala ochuluka. Pankhaniyi, muyenera kutchula ambulansi mwamsanga ndipo, musanafike, muzipuma mokwanira.
Monga lamulo, mayi wapakati ali m'chipatala. Mu chipatala dokotala amapanga kufufuza kunja ndikukutumiza ku ultrasound. Ngati ultrasound imatsimikizira kukhalapo kwa placenta previa, ndiye kuti kuyeza kwa amayi sikungatheke chifukwa cha chiopsezo chachikulu cha kuwonongeka kwapadera ndi chitukuko cha magazi.
Kodi mungatani kuti musamalire placenta previa?
Ngati placenta previa imapezeka pakapita koyambirira ya mimba ndipo palibe magawo a magazi, mayi akhoza kukhala panyumba akuwona mtendere wamphumphu, kuphatikizapo kugonana. Ngati nthawi yogonana ili ndi masabata 24 kapena kuposerapo, m'pofunika kupita kuchipatala ndikukhala komweko mpaka kubadwa, ngakhale magazi atasiya. Mimba imayesera kupulumutsa mpaka masabata 37-38.
Njira yokhayo yoperekera ndi full placenta previa ndi gawo la msuzi, popeza placenta imatseka chibelekero cha khola. Zomwe zimachitika mwadzidzidzi zimachitika ngati moyo wa mayi uli pangozi.