Placenta previa

Placenta previa idambudziko repamuviri umo rukuvhute runokura munzvimbo yepasi pechibereko (chibereko) uye inovhara zvese kana chikamu chekuvhura kumuromo wechibereko.

Iyo placenta inokura panguva yepamuviri uye inopa mwana ari kukura. Cervix ndiko kuvhurika kwegwanza rekuzvara.

Munguva yepamuviri, rukuvhute rwunofamba apo dumbu rinotambanuka nekukura. Izvo zvakajairika kuti iyo placenta ive yakaderera mudumbu mukutanga kwepamuviri. Asi nhumbu painopfuurira, rukuvhute rwunotamira kumusoro kwechibereko. Pakazosvika chetatu trimester, iyo placenta inofanira kunge iri padyo nepamusoro pechibereko, saka chibereko chakavhurika kuti chiendeswe.

Dzimwe nguva, iyo placenta zvishoma kana inovhara zvachose chibereko chechibereko. Izvi zvinonzi previa.

Kune akasiyana mafomu epascenta previa:

• Kumucheto: Iyo placenta iri padyo nemuromo wechibereko asi haina kuvhara kuvhura.
• Chikamu: Iyo placenta inovhara chikamu chekuvhurwa kwechibereko.
• Pedzisa: Iyo placenta inovhara ese ekuvhura kwechibereko.

Placenta previa inoitika mune imwechete kubva pamazana maviri ekuzvitakura. Inowanzoitika kune vakadzi vane:

• Chibereko chisina kujairika
• Aive aine nhumbu dzakawanda kare
• Aive nepamuviri pakawanda, senge mapatya kana matatu
• Kuora pachigadziko chechibereko nekuda kwenhoroondo yekuvhiya, C-chikamu, kana kubvisa nhumbu
• In vitro kuberekesa

Vakadzi vanosvuta, vanoshandisa cocaine, kana kuva nevana vavo pazera rakura vanogona zvakare kuva nenjodzi yakawedzera.

Chiratidzo chikuru cheplacenta previa kubuda ropa kamwe kamwe kubva mukati memukadzi. Vamwe vanhukadzi vanewo maronda. Kubuda ropa kunowanzotanga padhuze nekuguma kwetatu trimester kana kutanga kwetatu trimester.

Kubuda ropa kunogona kunge kwakanyanya uye kutyisidzira hupenyu. Inogona kumira yega asi inogona kutanga zvakare mazuva kana vhiki dzinotevera.

Basa dzimwe nguva rinotanga mukati memazuva akati wandei eropa rinorema. Dzimwe nguva, kubuda ropa kunogona kusaitika kusvikira mushure mekutanga kwebasa.

Mutapi wako wezvehutano anogona kuongorora mamiriro aya aine nhumbu ultrasound.

Mupiki wako anonyatso tarisa njodzi yekubuda ropa pakurwisa kwekutanga kwevana vako. Mushure memasvondo makumi matatu nematanhatu, kusununguka kwemwana kunogona kunge kuri kurapwa kwakanyanya.

Vanenge vese vakadzi vane placenta previa vanoda C-chikamu. Kana iyo placenta yakafukidza zvese kana chikamu chechibereko chechibereko, kubereka kwemukadzi kunogona kukonzera kubuda ropa zvakanyanya. Izvi zvinogona kuuraya vese amai nemwana.

Kana iyo placenta iri padyo kana kuvhara chikamu chechibereko, wako mupi anogona kukurudzira:

• Kuderedza zviitiko zvako
• Zororo remubhedha
• Kuzorora kwepelvic, zvinoreva kuti hapana bonde, hapana matamponi, uye hapana douching

Hapana chinhu chinofanira kuiswa mukati memukadzi.

Ungangoda kugara muchipatara kuitira kuti timu yako yekutarisira hutano igone kukucherechedza iwe nemwana wako.

Mimwe mishonga yaunogamuchira:

• Kuisirwa ropa
• Mishonga yekudzivirira basa rekutanga
• Mishonga inobatsira kubata nhumbu inoenderera kusvika makumi masere makumi matatu nemasere
• Shot yemushonga wakasarudzika unonzi Rhogam kana yako yeropa mhando iri Rh-isina
• Steroid inopfura kubatsira mapapu emwana kukura

Yechimbichimbi C-chikamu chinogona kuitwa kana kubuda ropa kuri kurema uye kusingakwanise kudzorwa.

Njodzi huru ndeye kubuda ropa kwakanyanya uko kunogona kutyisidzira amai nemwana. Kana iwe uine kubuda kwakanyanya kweropa, mwana wako angangoda kuendeswa nekukurumidza, pamberi pemitezo mikuru, semapapu, asati akura.

Fonera wako mupi kana uine nyini kubuda ropa panguva yepamuviri. Placenta previa inogona kuva nenjodzi kuna iwe nemwana wako.

Kusangana nekutsi kwemukadzi kubuda ropa - placenta previa; Kubata - placenta previa

• Cesarean chikamu
• Ultrasound pakuzvitakura
• Anatomy yeyakajairika placenta
• Placenta previa
• Placenta
• Ultrasound, zvakajairika fetus - maoko nemakumbo
• Ultrasound, yakasununguka yakasununguka placenta
• Ultrasound, ruvara - yakajairika umbilical tambo
• Placenta

Francois KE, Foley MR. Antepartum uye postpartum kubuda ropa. Mune: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics yaGabbe: Yakajairika uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 18.

Hull AD, Resnik R, Sirivha RM. Placenta previa uye accreta, vasa previa, subchorionic hemorrhage, uye abruptio placentae. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chits.

Salhi BA, Nagrani S. Zvinetso zvakakomba zvekuzvitakura. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 178.