Ese Kuvuka kw’umwana mu nda kwa Placenta Previa? Ibimenyetso, Intandaro, n’Ubuvuzi

Placenta previa ibaho iyo placenta yawe ikinga igice cyangwa byose by’umuyoboro w’inda yawe mu gihe utwite. Iyi ndwara igaragara ku bagore batwite bagera kuri 1 kuri 200 kandi ishobora gutera kuva amaraso, cyane cyane mu mezi ya nyuma y’inda.

Tekereza ku muyoboro w’inda yawe nk’umuhanda umwana wawe azanyuramo mu gihe cy’ivuka. Iyo placenta ikinga uwo muhanda, bishobora gutera ibibazo mu gihe cy’ivuka. Inkuru nziza ni uko, hakoreshejwe ubuvuzi bukwiye no gukurikiranira hafi, abagore benshi bafite placenta previa bakuramo abana bazima.

Ese placenta previa ni iki?

Placenta previa ni indwara iba mu gihe utwite aho placenta yawe iba ihambiriye hasi mu nda yawe maze iga kinga umuyoboro w’inda. Placenta ni umusemburo utanga umwuka n’ibiribwa ku mwana wawe urimo gukura mu gihe cyose utwite.

Ubusanzwe, placenta yawe iba ihambiriye hejuru mu nda yawe, kure cyane y’umuyoboro w’inda. Muri placenta previa, iba ihambiriye hasi cyane uko bikwiye. Iyi myanya ishobora kuziba inzira y’umwana wawe mu gihe cy’ivuka kandi ishobora gutera kuva amaraso mu gihe utwite.

Iyi ndwara isanzwe imenyekana mu bugenzuzi busanzwe bwakorwa hakoreshejwe ikoranabuhanga rya ultrasound. Imibare myinshi ya placenta previa imenyekana hakiri kare mu gihe utwite ishobora kwikemura ubwayo uko umura wawe ukura maze placenta igakurwa hejuru.

Ese ni iyihe mitype ya placenta previa?

Abaganga bagabanya placenta previa mu bwoko butandukanye bushingiye ku kigero cy’umuyoboro w’inda yawe ukingiye. Gusobanukirwa ubwo bwoko bufasha itsinda ry’abaganga bawe gutegura ubuvuzi bukwiye kuri wowe n’umwana wawe.

Placenta previa yuzuye bisobanura ko placenta yawe ikinga umuyoboro w’inda yawe rwose. Ubu ni bwo bwoko bukomeye kandi busaba kubagwa.

Placenta previa ikinga igice kimwe cy’umuyoboro w’inda yawe. Igipimo cy’ubwo bukingiye gishobora guhinduka, kandi uburyo bwo kubyara buzaterwa n’ibikingiye n’ibindi bintu byihariye mu gihe utwite.

Placenta previa yo ku nkengero ibaho iyo placenta yawe igera ku nkengero y’umuyoboro w’inda yawe ariko ntiyawukinge. Ubu bwoko bushobora kwemerera kubyara mu buryo busanzwe mu bihe bimwe na bimwe, nubwo muganga wawe azakusuzumira hafi uko ibintu byihariye biri.

Ese ni ibihe bimenyetso bya placenta previa?

Ikimenyetso nyamukuru cya placenta previa ni kuva amaraso atukura adafite ububabare, akenshi bibaho nyuma y’ibyumweru 20 utwite. Aya maraso ashobora kuba make cyangwa menshi kandi ashobora guhagarara agasubira.

Si buri wese ufite placenta previa uba afite amaraso ako kanya. Bamwe mu bagore nta bimenyetso baba bafite kugeza mu mezi ya nyuma y’inda. Dore ibimenyetso byo kwitondera:

• Amaraso atukura ava mu gitsina, aza agashira
• Amaraso atangira make ariko akaba menshi
• Amaraso adafite ububabare
• Amaraso nyuma yo gukora imyitozo cyangwa imibonano mpuzabitsina
• Amaraso aba kenshi mu byumweru byinshi

Bamwe mu bagore bashobora kumva ububabare hamwe n’amaraso, nubwo bitabaho kenshi. Niba ubona amaraso ava mu gitsina mu gihe utwite, ni ingenzi kuvugana na muganga wawe ako kanya, nubwo amaraso ahagarara.

Ese ni iki gitera placenta previa?

Intandaro nyayo ya placenta previa ntiyumvikana neza, ariko ibaho iyo placenta yawe ihambiriye hasi mu nda yawe aho kuba hejuru. Ibi bisanzwe bibaho mu byumweru byambere by’inda iyo placenta irimo gushinga.

Umuhogo wawe uhindura byinshi mu gihe utwite, kandi rimwe na rimwe placenta iba ihambiriye ahantu hasi cyane. Ibi ntabwo ari ikintu wakoze nabi cyangwa wari wakwirinda. Ni ikintu kibaho ku bushake gishobora kubaho ku mugore wese utwite.

Ibintu bimwe na bimwe bishobora gutuma placenta previa ibaho cyane, ariko kugira ibyo bintu ntibisobanura ko uzayirwara. Abagore benshi bafite ibyago ntabwo bayirwara.

Ese ni iyihe mpamvu zongerera ibyago bya placenta previa?

Nubwo placenta previa ishobora kubaho kuri buri wese, ibintu bimwe na bimwe bishobora kongera amahirwe yo kuyirwara. Gusobanukirwa ibyo bintu bishobora kugufasha wowe na muganga wawe kuba maso ku bimenyetso bishoboka.

Dore ibintu bishobora kongera ibyago byawe:

• Kubagwaho inda mbere cyangwa kubagwa mu nda
• Kuba waragize placenta previa mu gihe cyashize utwite
• Kuba ufite imyaka irenga 35 mu gihe utwite
• Gutwita abana benshi (impanga, ubwinshi, n’ibindi)
• Kugwa inda mbere cyangwa gukuramo inda
• Kunywesha itabi mu gihe utwite
• Kunywa ibiyobyabwenge
• Kugira placenta nini
• Indwara z’umura

Kugira kimwe cyangwa byinshi muri ibyo bintu ntibisobanura ko uzirwara placenta previa. Abagore benshi bafite ibyago byinshi ntibayirwara. Muganga wawe azakukurikirana hafi niba ufite ibyo bintu.

Ni ryari ukwiye kujya kwa muganga kubera placenta previa?

Ukwiye kuvugana na muganga wawe ako kanya niba ubona amaraso ava mu gitsina mu gihe utwite, cyane cyane amaraso atukura adafite ububabare. Ndetse n’amaraso make akeneye ubuvuzi kugira ngo hamenyekane niba ari placenta previa cyangwa ibindi bibazo.

Hamagara muganga wawe ako kanya niba ufite amaraso menshi asohora mu gipapuro mu gihe kitarenze isaha imwe. Ibi bishobora kuba ikimenyetso cya placenta previa ikomeye isaba ubuvuzi bw’ako kanya. Ntugatege amatwi ngo urebe niba amaraso ahagarara ubwabyo.

Ukwiye kandi gushaka ubuvuzi bw’ako kanya niba ufite amaraso hamwe n’uburwayi, intege nke, cyangwa kumva ugiye gupfa. Ibi bimenyetso bishobora kwerekana ko urimo gutakaza amaraso menshi kandi ukeneye ubuvuzi bw’ibanze.

Kujya kwa muganga buri gihe ni ingenzi cyane niba umaze kuvurirwa placenta previa. Muganga wawe azashaka kukukurikirana hafi kandi ashobora gutegura ibindi bipimo bya ultrasound kugira ngo arebe aho placenta yawe iherereye uko inda yawe ikura.

Ese ni ibihe bibazo bishoboka bya placenta previa?

Placenta previa ishobora gutera ibibazo bikomeye byo kuva amaraso, haba mu gihe utwite no mu gihe cy’ivuka. Ikibazo nyamukuru ni uko placenta ishobora gutandukana n’urukuta rw’inda, ikatera kuva amaraso menshi bishobora kuba bibi kuri wowe n’umwana wawe.

Dore ibibazo bishoboka ukwiye kumenya:

• Kuva amaraso menshi bisaba guterwa amaraso
• Kubyara imburagihe
• Ibibazo byo gukura kw’umwana wawe kubera kugabanuka kw’amaraso
• Placenta accreta (placenta ikura cyane mu rukuta rw’inda)
• Kubagwa
• Kubagwa kugira ngo bakure umura mu bihe bike bikomeye
• Ibibazo byo gukomera kw’amaraso
• Gutakaza ubwenge kubera gutakaza amaraso

Nubwo ibyo bibazo byumvikana biteye ubwoba, ibuka ko hakoreshejwe ubuvuzi bukwiye no gukurikiranira hafi, abagore benshi bafite placenta previa bagira inda nziza. Itsinda ry’abaganga bawe ryatojwe gucunga ibyo bibazo kandi rizakorana nawe kugira ngo umenye ibyiza bishoboka.

Ibibazo bike bishobora kubaho iyo placenta previa ihuriweho n’izindi ndwara. Urugero, niba ufite placenta accreta hamwe na placenta previa, placenta yawe ishobora gukura cyane mu rukuta rw’inda yawe, bigatuma kubyara bigorana.

Ese placenta previa imenyekanwa ite?

Placenta previa isanzwe imenyekana hakoreshejwe ultrasound mu bugenzuzi busanzwe bw’inda. Muganga wawe ashobora kubona aho placenta yawe iherereye kandi agasobanukirwa niba ikinga cyangwa iri hafi y’umuyoboro w’inda.

Iyi ndwara ikunze kumenyekana mu bipimo bya ultrasound by’igihembwe cya kabiri, akenshi hagati y’ibyumweru 18-20 utwite. Niba bakeka placenta previa, muganga wawe azakora ibindi bipimo bya ultrasound kugira ngo akurikirane iyi ndwara uko inda yawe ikura.

Rimwe na rimwe placenta previa imenyekana iyo uje kwa muganga ufite amaraso. Muri ibyo bihe, muganga wawe azakora ultrasound kugira ngo arebe aho placenta iherereye kandi amenye icyateye amaraso.

Muganga wawe ashobora kandi gukoresha ultrasound ya transvaginal, itanga ishusho isobanutse y’umuyoboro w’inda yawe na placenta. Ubwo bwoko bwa ultrasound ni bwiza kandi butanga amakuru meza ku itsinda ry’abaganga bawe ku bijyanye n’ibintu byihariye.

Ese ni iki kivura placenta previa?

Ubuvuzi bwa placenta previa bugamije gucunga amaraso, gukurikirana ubuzima bw’umwana wawe, no gutegura kubyara mu mutekano.

Niba ufite amaraso, muganga wawe azakugira inama yo kuruhuka no kwirinda ibikorwa bishobora gutera amaraso menshi. Ibi birimo kwirinda imibonano mpuzabitsina, imirimo ikomeye, n’imyitozo ikomeye. Intego ni ukugabanya igitutu ku placenta yawe.

Itsinda ry’abaganga bawe rizakukurikirana hafi wowe n’umwana wawe mu gihe cyose utwite. Ibi bishobora kuba harimo kujya kwa muganga kenshi, gukora ultrasound buri gihe, no gupima amaraso kugira ngo harebwe niba hari ubuke bw’amaraso.

Niba ufite placenta previa yuzuye, uzakenera kubagwa. Muganga wawe azabitegura hagati y’ibyumweru 36-37 utwite, cyangwa mbere niba ufite amaraso menshi cyangwa ibindi bibazo.

Kuri placenta previa ikinga igice cyangwa ku nkengero, muganga wawe ashobora kugira inama yo gutegereza kugira ngo arebe niba placenta igenda ikurwa ku muyoboro w’inda yawe uko umura wawe ukura. Imibare myinshi ya placenta previa imenyekana hakiri kare mu gihe utwite ikemuka ubwayo.

Mu bihe bikomeye ufite amaraso menshi, ushobora gukenera kurara mu bitaro kugira ngo ukurikiwe hafi kandi ubone ubuvuzi bw’ako kanya. Itsinda ry’abaganga bawe rizaba rifite amaraso ahagije mu gihe ukeneye guterwa.

Uko wakwitwara mu rugo ufite placenta previa

Kwitwara mu rugo ufite placenta previa birimo gukurikiza amabwiriza ya muganga wawe no kwitondera ibimenyetso by’uburwayi. Muganga wawe azakugira inama yihariye ishingiye ku mimerere yawe.

Kuruhuka ni ingenzi iyo ufite placenta previa. Ibi ntibisobanura ko ugomba kurara mu buriri umunsi wose, ariko bisobanura kwirinda ibikorwa bishobora gutera amaraso. Fata ibiruhuko byinshi kandi wirinda gutwara ikintu kiremereye.

Kwima imibonano mpuzabitsina n’ibindi bishobora gushyira igitutu ku muyoboro w’inda yawe. Ibi birimo ibintu byo mu gitsina, gukaraba, n’imyitozo ikomeye. Ibikorwa byoroheje nko kugenda gato bisanzwe byemewe, ariko banza ubaze muganga wawe.

Kanda ku maraso yose ava mu gitsina, harimo igihe bibaho, ubwinshi bwabyo, n’icyo wakoraga mbere. Aya makuru afasha itsinda ry’abaganga bawe gusobanukirwa neza uko ibintu byihariye biri kandi bagahindura uburyo bwo kuvura niba bibaye ngombwa.

Kora gahunda yo kujya mu bitaro vuba niba amaraso menshi atangira. Komeza ufite imifuka yawe y’ibintu byo mu bitaro kandi ufite uburyo bwo kujyayo. Ntujyane imodoka niba ufite amaraso.

Uko wakwitegura kujya kwa muganga

Kwitwara neza mu gihe ugiye kwa muganga iyo ufite placenta previa bigufasha kubona ibyiza byo kujya kwa muganga. Zaza ufite ibibazo n’amakuru yerekeye ibimenyetso byawe.

Komeza ukande ku maraso yose ava mu gitsina, harimo itariki, igihe, n’ubwinshi bw’amaraso. Andika ibikorwa wakoraga igihe amaraso atangira niba byari bifatanije n’ububabare cyangwa ububabare.

Andika ibibazo byawe mbere yo kujya kwa muganga kugira ngo utabyibagirwa. Ibibazo bisanzwe bishobora kuba harimo kubaza ibyo wakora, igihe wakwiye guhamagara muganga, n’icyo witeze uko inda yawe ikura.

Zana umuntu ugushakira inkunga mu gihe ugiye kwa muganga niba bishoboka. Bashobora kugufasha kwibuka amakuru akomeye no kugufasha mu gihe kigoye.

Kora uko ushoboye kugira ngo usobanukirwe amabwiriza ya muganga wawe yo kwitwara mu rugo. Ntuzuzagira ubwoba bwo gusaba ibisobanuro niba hari ikintu kitasobanuwe. Itsinda ry’abaganga bawe rishaka ko wizeye uko witwara.

Icyo ukwiye kumenya cyane kuri placenta previa

Placenta previa ni indwara ishobora kuvurwa mu gihe utwite isaba gukurikiranira hafi no kuvurwa. Nubwo ishobora gutera ibibazo, abagore benshi bafite placenta previa bakuramo abana bazima hakoreshejwe ubuvuzi bukwiye.

Ikintu cy’ingenzi cyane ushobora gukora ni ugukurikiza amabwiriza ya muganga wawe no kuba maso ku bimenyetso by’uburwayi nko kuva amaraso. Ntugatere amatwi ibimenyetso, nubwo bisa nkaho ari bito. Kumenya hakiri kare no kuvurwa neza bigira uruhare rukomeye mu mibereho.

Ibuke ko kugira placenta previa ntibikwereka ikintu wakoze nabi. Ni ikintu kibaho ku bushake gishobora kubaho ku mugore wese utwite. Ibaze kwita ku buzima bwawe no gukurikiza amabwiriza y’itsinda ry’abaganga bawe.

Uko ubuvuzi bw’iki gihe buteye n’uburyo bwo gukurikirana, ubuzima bw’abagore bafite placenta previa busanzwe bwiza cyane. Itsinda ry’abaganga bawe rifite ubunararibonye n’ibikoresho bikenewe kugufasha wowe n’umwana wawe mu iyi ndwara mu mutekano.

Ibibazo byakunda kubazwa kuri placenta previa

Ese placenta previa ishobora kwikemura ubwayo?

Yego, placenta previa ishobora kwikemura ubwayo, cyane cyane iyo imenyekanye hakiri kare mu gihe utwite. Uko umura wawe ukura, placenta ikunze kuva ku muyoboro w’inda. Ibihe bigera kuri 90% bya placenta previa bimenyekanye mbere y’ibyumweru 20 by’inda bikemuka igihe cyo kubyara kigeze. Muganga wawe azakurikirana aho placenta iherereye akoresheje ultrasound kugira ngo arebe niba igenda.

Ese placenta previa isaba kubagwa buri gihe?

Placenta previa yuzuye isaba kubagwa buri gihe kuko placenta ikinga inzira y’ivuka rwose. Ariko, placenta previa ikinga igice cyangwa ku nkengero ishobora kwemerera kubyara mu buryo busanzwe mu bihe bimwe na bimwe. Muganga wawe azakusuzumira hafi uko ibintu byihariye biri, harimo uko igice cy’umuyoboro w’inda yawe ukingiye n’ibindi bintu, kugira ngo amenye uburyo bwiza bwo kubyara kuri wowe n’umwana wawe.

Ese nzagira placenta previa mu gihe cya nyuma ntwite?

Kugira placenta previa mu gihe kimwe utwite byongera ibyago byo kuyigira ukundi, ariko ntibihamya ko bizaba. Igipimo cyo kuyisubiramo ni hafi 2-3%, bisobanura ko abagore benshi bagize placenta previa rimwe batayigira mu gihe cya nyuma batwite. Muganga wawe azakukurikirana hafi mu gihe cya nyuma utwite kandi ashobora kugira inama yo gukora ultrasound hakiri kare kugira ngo arebe aho placenta iherereye.

Ese nshobora kwirinda placenta previa?

Nta buryo bwo kwirinda placenta previa kuko ibaho ku bushake mu gihe cyambere cy’inda iyo placenta irimo gushinga. Ariko, ushobora kugabanya ibyago bimwe na bimwe utabyara, ukirinda ibiyobyabwenge, kandi ukagira ubuzima bwiza mbere no mu gihe utwite. Kwita ku buzima bw’inda bigufasha kumenya hakiri kare no kuvurwa neza niba placenta previa ibaho.

Ese nzaguma mu bitaro igihe kingana iki niba mfite placenta previa?

Igihe cyo kurara mu bitaro gitandukanye bitewe n’uko ibintu byihariye biri. Niba utarimo kuva amaraso kandi ibintu byawe bikaba byiza, ushobora kutakenera kurara mu bitaro na gato. Ariko, niba ufite amaraso menshi cyangwa ibindi bibazo, ushobora gukenera kurara mu bitaro iminsi cyangwa ibyumweru kugira ngo ukurikiwe hafi. Muganga wawe azagena aho uri mu mutekano bitewe n’ibimenyetso byawe n’uko inda yawe imeze.