Zamkatimu
Placenta accreta: vuto lomwe muyenera kusamala nalo
Kusakhazikika kwa plasenta
The placenta accreta, increta kapena percreta imafanana ndi a kusayenda bwino kwa placenta mkati mwa chiberekero, akufotokoza motero Dr Frédéric Sabban, dokotala wa obereketsa ndi amayi ku Paris. M'malo mongomangiriridwa ku chiberekero (kapena endometrium), thumba latuluka limakhala lakuya kwambiri. Tikukamba za placenta accreta pamene placenta imayikidwa mopepuka mu myometrium (minofu ya chiberekero), kuchuluka kwa placenta pamene walowetsedwa mokwanira mu minofu imeneyo, kapena chotupa cha placenta pamene "kutayika" kupitirira myometrium kupita ku ziwalo zina.
Kuphatikizidwa, chiberekero chokhala ndi chipsera
Malinga ndi Dr Sabban, chiopsezo chachikulu cha izi kusakhazikika kwa placenta kukhala ndi chiberekero chochepa. Ndi chiberekero chomwe chimakhala ndi zipsera chimodzi kapena zingapo chifukwa cha opareshoni. Kungakhalenso chipsera chifukwa cha kuphwanya kwa uterine (fibroid, intrauterine endometriosis, etc.) kapena chilonda chobwera chifukwa chopanga opaleshoni. Panthawi yochotsa mimba kapena kuchotsa mimba, a curettage nthawi zambiri amachitidwa. Zimaphatikizapo kukanda pamwamba pa chiberekero ndi chida chopangira opaleshoni kuchotsa zotsalira za placenta ndipo izi zingayambitsenso chilonda kenako kuchititsa kuti chiberekero chikhale chovuta.
Komabe, kukhalapo kwa placenta accreta kapena chimodzi mwazotuluka zake ndizosowa : imakhudza 2 mpaka 3% ya amayi omwe ali ndi chiberekero chokhala ndi zipsera. Chiwopsezo chokhala ndi vuto lamtunduwu ndi chosowa kwambiri mwa amayi ena.
Ndi liti ndipo amazindikiridwa bwanji?
Pali zizindikiro zochepa zomwe zimasonyeza placenta accreta. Komanso, matenda a placenta nthawi zambiri amakhala anapezeka mochedwa, pa 3 trimester ya mimba kapena kumapeto kwenikweni kwa mimba. Nthawi zambiri, matendawa amapangidwa ndi ultrasound kapena pelvic MRI. Izi kawirikawiri kutuluka magazi kwachilendo kumapeto kwa mimba kapena kumayambiriro kwa ntchito zomwe zimasonyeza kukhalapo kwa vutoli.
Kubadwa kwa mwana moyang'aniridwa ndi achipatala
Ngati pa mimba, latuluka accreta sikutanthauza kuwunika mwapadera, pamafunika chisamaliro chapadera pa yobereka. Izi zili choncho chifukwa chiopsezo chachikulu chochokera ku placenta accreta ndi kukha mwazi kuchokera pobereka, zomwe zimawopseza thanzi la amayi. Kuti muchepetse zovuta, gulu lachipatala lidzapanga gawo la cesarean. Malinga ndi Dr Sabban, mimba yokhala ndi placenta accreta imafunika kubereka kwachipatala kwambiri, kuti wodwalayo athe kuikidwa magazi ngati pali magazi ambiri.
Pambuyo pake, madokotala adzatha kupereka kuchotsa chiberekero (hysterectomy) kapena opaleshoni yokhazikika malinga ndi chikhumbo cha wodwalayo cha mimba yatsopano.