Placenta Accreta ni iki? Ibimenyetso, Impamvu, n’Uko Ivurwa

Placenta accreta ni ikibazo gikomeye cy’inda aho umusemburo uterwa mu nda cyane mu rukuta rw’inda. Aho kwikuraho wenyine nyuma yo kubyara, umusemburo uba uhanye cyane n’umukaya w’inda yawe. Iki kibazo kiba ku bagore bagera kuri 1 kuri 500 batwite kandi gisaba ubufasha bwa muganga kugira ngo umutekano wawe n’uw’umwana wawe birindwe.

Placenta Accreta ni iki?

Placenta accreta iba iyo umusemburo uterwa cyane mu rukuta rw’inda yawe mu gihe utwite. Ubusanzwe, umusemburo uba uhanye n’urukuta rw’inda yawe, ukavamo byoroshye nyuma yo kubyara. Ariko kuri placenta accreta, umusemburo uba uhanye cyane n’umukaya w’inda yawe, bigatuma bikuraho bigoye cyangwa bikaba bidashoboka.

Iki kibazo gifite ibyiciro bitandukanye by’ubukomeye. Igice cyoroshye ni uko umusemburo uhanye n’umukaya w’inda, ariko ibindi byiciro bikomeye bishobora kuba byahanye cyane mu rukuta rw’inda, cyangwa bikagera no ku zindi nzego z’umubiri nka vesi.

Ni iyihe mitype ya Placenta Accreta?

Hari ubwoko butatu nyamukuru bwa placenta accreta, buri bwoko bugereranya uburyo umusemburo uhanye cyane mu rukuta rw’inda yawe. Gusobanukirwa ubwoko bw’iki kibazo bifasha itsinda ry’abaganga bawe gutegura uburyo bwiza bwo kubyara.

• Placenta accreta (70% by’ababibonamo): Umusemburo uhanye n’umukaya w’inda ariko ntujye mu mbere.
• Placenta increta (20% by’ababibonamo): Umusemburo uhanye cyane mu mubiri w’inda.
• Placenta percreta (10% by’ababibonamo): Umusemburo uhanye cyane mu rukuta rw’inda, ukagera no ku zindi nzego z’umubiri nka vesi cyangwa amara.

Placenta percreta ni yo mbi cyane kandi isaba gutegura igikorwa cy’ubuganga gikomeye. Itsinda ry’abaganga bawe rizakoresha ibizamini byo kubona ishusho y’inda yawe kugira ngo bamenye ubwoko bw’iki kibazo ufite, hanyuma bategurire uburyo bwiza bwo kuvura.

Ni ibihe bimenyetso bya Placenta Accreta?

Abagore benshi bafite placenta accreta nta bimenyetso bigaragara bagira mu gihe batwite. Iki kibazo kenshi kimenyekana binyuze mu bizamini bisanzwe byo kureba uko inda imeze cyangwa ibindi bizamini byo kureba uko inda imeze.

Dore ibimenyetso ushobora kubona:

• Kuva amaraso mu gitsina mu gihe cy’amezi atatu ya nyuma y’inda.
• Amaraso ashobora kuba umutuku cyangwa umukara.
• Kuva amaraso rimwe na rimwe.
• Kubabara mu nda cyangwa gufata mu nda (bibujijwe).
• Kumva unaniwe cyane cyangwa unanutse.

Ni ingenzi kwibuka ko kuva amaraso mu gihe cy’amezi atatu ya nyuma y’inda bishobora guterwa n’ibintu byinshi, kandi placenta accreta ni kimwe muri byo. Niba ubonye amaraso mu gihe utwite, hamagara muganga wawe vuba kugira ngo akurebe.

Ni iki giteza Placenta Accreta?

Placenta accreta iterwa n’uko uruzitiro rusanzwe ruri hagati y’umusemburo n’umukaya w’inda ruba rwangiritse cyangwa rutarimo. Ibi bikunze kubaho kubera ibikomere cyangwa impinduka mu rukuta rw’inda ziterwa n’ibikorwa by’abaganga mbere.

Impamvu nyamukuru zirimo:

• Kubyarwa na Cesarean mbere.
• Ibindi bikorwa by’abaganga ku nda nko gukuraho fibroids cyangwa dilation and curettage (D&C).
• Placenta previa (iyo umusemburo ukingira umuyoboro w’inda).
• Indwara z’inda mbere.
• Gutwita kenshi.
• Kuba umubyeyi mukuru (asaga imyaka 35).

Kugira placenta previa hamwe n’amateka yo kubyarwa na Cesarean byongera ibyago. Ihuriro ry’ibi bintu rikorera ahantu umusemburo ushobora gukura nabi mu mubiri w’inda.

Ni ryari ukwiye kujya kwa muganga kubera Placenta Accreta?

Ugomba guhamagara muganga wawe ako kanya niba ubonye amaraso mu gitsina mu gihe utwite, cyane cyane mu mezi atatu ya nyuma. Nubwo amaraso ashobora guterwa n’ibintu byinshi, buri gihe bisaba ko muganga akureba kugira ngo umutekano wawe n’uw’umwana wawe birindwe.

Shaka ubufasha bwa muganga ako kanya niba ubonye:

• Amaraso menshi yuzura agatambakazi mu isaha imwe.
• Amaraso hamwe n’ububabare bukomeye mu nda.
• Kuzenguruka, guta ubwenge, cyangwa kumva unanutse cyane.
• Umutima ukubita cyane cyangwa guhumeka nabi.
• Gutakaza cyane cyangwa kubabara mu nda.

Ndetse niba amaraso asa nka make, ntutinye guhamagara muganga wawe. Kumenya hakiri kare no gukurikirana placenta accreta bishobora gufasha kwirinda ibibazo bikomeye kandi bikabuza ibyiza byiza kuri wowe n’umwana wawe.

Ni ibihe bintu byongera ibyago bya Placenta Accreta?

Hari ibintu byinshi bishobora kongera ibyago byo kurwara placenta accreta. Gusobanukirwa ibi bintu bifasha itsinda ry’abaganga bawe gutanga ubufasha bukwiye mu gihe utwite.

Ibintu byongera ibyago cyane birimo:

• Kubyarwa na Cesarean mbere (ibyago byiyongera uko ubayeho).
• Placenta previa mu gihe utwite.
• Kuba umubyeyi mukuru (imyaka 35 cyangwa irenga).
• Gutwita kenshi mbere.
• Ibindi bikorwa by’abaganga ku nda mbere.
• Amateka y’indwara z’inda.
• Ibindi bikorwa bya dilation and curettage (D&C) mbere.
• Asherman’s syndrome (ibikomere by’inda).

Kugira kimwe muri ibi bintu ntibisobanura ko uzabona placenta accreta. Ariko, muganga wawe ashobora kugusaba gukurikiranwa n’ibizamini byo kubona ishusho y’inda yawe kugira ngo barebe niba ufite iki kibazo.

Ni ibihe bibazo bishoboka bya Placenta Accreta?

Placenta accreta ishobora gutera ibibazo bikomeye, ahanini bijyanye no kuva amaraso menshi mu gihe cyo kubyara. Gusobanukirwa ibi bibazo bishobora kugufasha wowe n’itsinda ry’abaganga bawe gutegura uburyo bwiza bwo kubyara.

Ibibazo nyamukuru birimo:

• Kuva amaraso menshi mu gihe cyo kubyara bikaba ngombwa ko umenyeshwa amaraso.
• Gutakaza inda (gukuraho inda).
• Kwangirizwa kw’izindi nzego z’umubiri nka vesi cyangwa amara.
• Ibibazo byo gukomera amaraso.
• Indwara.
• Kubyara imburagihe.
• Kujya mu bitaro by’ubuvuzi bukomeye.

Nubwo ibi bibazo bishobora gutera ubwoba, ibuka ko kubera gutegura neza no kwitabwaho n’itsinda ry’abaganga bafite ubunararibonye, abagore benshi bafite placenta accreta bagira ibyiza.

Uko Placenta Accreta imenyekanishwa

Placenta accreta imenyekanishwa hakoreshejwe ibizamini byo kubona ishusho y’inda mu gihe utwite. Muganga wawe azakoresha ultrasound nk’intangiriro, akakurikiraho MRI kugira ngo abone amakuru arambuye yerekeye uburemere bw’iki kibazo.

Uburyo bwo kumenya iki kibazo busanzwe burimo:

• Isuzuma rya ultrasound ryakozwe n’inzobere mu bijyanye n’ubuzima bw’umubyeyi n’umwana.
• MRI scan kugira ngo barebe neza umusemburo n’imiterere iwugose.
• Kureba amateka yawe y’ubuzima n’ibintu byongera ibyago.
• Rimwe na rimwe ibindi bizamini byo kubona ishusho y’inda.

Ibi bizamini bifasha itsinda ry’abaganga bawe kumenya ubwoko n’ubukomeye bwa placenta accreta. Aya makuru ni ingenzi mu gutegura uburyo bwo kubyara no kwemeza ko abaganga bakwiye bahari igihe uzabyara.

Uko Placenta Accreta ivurwa

Uburyo bwo kuvura placenta accreta bugamije gutegura igihe cyo kubyara neza no kugira itsinda ry’abaganga bakwiye. Uburyo nyamukuru bwo kuvura ni ukubyarwa na Cesarean hakurikijwe uburemere bw’iki kibazo.

Uburyo bwo kuvura buzakubiyemo:

• Kubyarwa na Cesarean hagati y’icyumweru cya 34-36 cy’inda.
• Itsinda ry’abaganga barimo abahanga mu bijyanye n’ubuzima bw’umubyeyi n’umwana, abahanga mu kubaga, n’abahanga mu maraso.
• Gutegura gutakaza inda niba amaraso adashobora guhagarara.
• Amaraso yateguwe yo gukoresha niba bibaye ngombwa.
• Gushyiraho imiyoboro y’amaraso y’agateganyo kugira ngo amaraso ahagarare.

Mu bindi bihe, itsinda ry’abaganga bawe rishobora kugerageza kubungabunga inda yawe hakoreshejwe uburyo bwihariye. Ariko, niba amaraso menshi, gutakaza inda bishobora kuba ngombwa kugira ngo ubuzima bwawe burindwe. Abaganga bawe bazakuganira kuri ibi mbere yo kubyara.

Uko wakwitaho mu gihe utwite ufite Placenta Accreta

Niba umaze kumenya ko ufite placenta accreta, kwitaho neza biba ingenzi kurushaho. Itsinda ry’abaganga bawe rizakugira inama yihariye, ariko hari intambwe rusange ushobora gukora kugira ngo ubungabunge ubuzima bwawe n’iterambere ry’umwana wawe.

Dore uko wakwitaho:

• Jya mu buvuzi bwose bw’inda kandi ukore ibyo muganga wawe akugira inama.
• Fata imiti y’inda, cyane cyane umuringa niba muganga akugira inama.
• Ruhukira igihe unaniwe kandi wirinde imirimo ikomeye.
• Nywa amazi ahagije kandi urye indyo yuzuye.
• Kwirinda ibimenyetso byose by’amaraso cyangwa ibindi bimenyetso bidasanzwe.
• Tegura uburyo bwo kujya kwa muganga vuba niba bibaye ngombwa.

Muganga wawe ashobora kugira inama yo kugabanya imirimo cyangwa kuruhuka mu buriri bitewe n’uko uhagaze. Gukurikiza ibi bishobora kugabanya ibyago by’ibibazo kandi bikabuza ibyiza byiza kuri wowe n’umwana wawe.

Uko wakwitegura kujya kwa muganga

Kwitabira neza igihe ugiye kwa muganga bifasha kwemeza ko uzungukira cyane igihe umaze n’itsinda ry’abaganga bawe. Kugira placenta accreta bisobanura ko ushobora kujya kwa muganga kenshi kandi ukabona abaganga benshi.

Dore uko wakwitegura kujya kwa muganga:

• Andika ibibazo byawe byose mbere yo kujya kwa muganga.
• Zana urutonde rw’imiti n’ibindi ukoresha byose.
• Komeza kwandika ibimenyetso byose, amaraso, cyangwa ibyo uhangayikishijwe.
• Zana umuntu uzagutabara niba bishoboka.
• Saba amabwiriza cyangwa amakuru yo kujyana mu rugo.
• Sobanukirwa uburyo bwo kubyara n’ibyo utegereje.

Ntugatinye kubwira itsinda ry’abaganga bawe ikintu udasobanukiwe. Gusobanukirwa uko uhagaze n’uburyo bwo kuvura bigufasha kumva ufite icyizere kandi witeguye ibyo ugiye gukora.

Icyo ukwiye kumenya kuri Placenta Accreta

Placenta accreta ni ikibazo gikomeye cy’inda ariko gishobora kuvurwa neza igihe kimenyekanye hakiri kare kandi kivuwe n’itsinda ry’abaganga bafite ubunararibonye. Nubwo bishobora kuba byoroshye, ibuka ko abagore ibihumbi bavura iki kibazo buri mwaka bafite ubufasha bukwiye.

Ikintu cy’ingenzi ni ugukorana n’itsinda ry’abaganga bawe kugira ngo mutegure uburyo bwiza bwo kubyara. Kubera kumenya hakiri kare, gukurikirana neza, no kwitabwaho n’abaganga bafite ubunararibonye, abagore benshi bafite placenta accreta bagira ibyiza.

Gira icyizere mu buhanga bw’itsinda ry’abaganga bawe kandi ntutinye kubabaza ibibazo cyangwa kuvuga ibyo uhangayikishijwe. Kugira uruhare rwawe mu kuvurwa kwawe, hamwe no kwitabwaho n’abaganga bafite ubunararibonye, biguha amahirwe meza yo kubyara neza no gukira.

Ibibazo Bikunze Kubazwa Kuri Placenta Accreta

Nshobora kubyara mu nda mfite placenta accreta?

Kubyarwa mu nda ntibisanzwe bigira inama kuri placenta accreta kubera ibyago byinshi byo kuva amaraso menshi. Itsinda ry’abaganga bawe rizategura kubyara na Cesarean bafite abaganga biteguye guhangana n’ibibazo bishobora kubaho.

Nzagomba gutakaza inda niba mfite placenta accreta?

Abagore bose bafite placenta accreta ntibagomba gutakaza inda. Itsinda ry’abaganga bawe rizagerageza kubanza kubyara umwana wawe no gukuraho umusemburo neza. Ariko, niba amaraso adashobora guhagarara, gutakaza inda bishobora kuba ngombwa kugira ngo ubuzima bwawe burindwe. Abaganga bawe bazakuganira kuri ibi mbere.

Placenta accreta ishobora kwirindwa?

Nta buryo bwo kwirinda placenta accreta kuko ikunze guterwa n’ibikorwa by’abaganga ku nda mbere cyangwa ibikomere. Ariko, kwirinda kubyarwa na Cesarean igihe bishoboka no gutandukanya gutwita bishobora kugabanya ibyago mu gihe cy’inda itaha.

Ni iki kibaho ku mwana wanjye niba mfite placenta accreta?

Ubusanzwe umwana wawe ntabwo akorerwaho na placenta accreta. Ikibazo nyamukuru ni ukutegura igihe cyo kubyara kugira ngo umwana wawe abe afite ibihaha byuzuye kandi amaraso atava menshi. Abana benshi bavutse ku babyeyi bafite placenta accreta bakura neza, nubwo bashobora kuba bakeneye ubufasha bwihariye niba bavutse mbere y’icyumweru cya 37.

Nshobora kongera gutwita nyuma yo kugira placenta accreta?

Niba inda yawe yarabitswe mu gihe cyo kuvurwa, gutwita mu gihe kizaza bishoboka, ariko bizaba bifite ibyago byinshi. Niba ukeneye gutakaza inda, ntushobora kongera gutwita. Ganira n’itsinda ry’abaganga bawe ku buryo bwo kubungabunga umuryango bitewe n’uko uhagaze.