Placenta Previa
Incamake
Placenta previa (pluh-SEN-tuh PREH-vee-uh) ikibazo kiba mu gihe cyo gutwita aho umusemburo uterwa cyangwa ukingira urubibi rw'umukobwa (umuyoboro w'inda).
Ibimenyetso
Ikimenyetso nyamukuru cya placenta previa ni ukuvuza amaraso y'umutuku ugaragara mu gitsina, akenshi nta kuribwa, nyuma y'ibyumweru 20 byo gutwita. Rimwe na rimwe, habaho imyanda mbere y'ikintu gikomeye cy'amaraso menshi.
Ukuvuza amaraso bishobora kubaho hamwe n'imitego y'inda mbere y'umurimo uterwa no kuribwa. Ukuvuza amaraso bishobora kandi guterwa n'imibonano mpuzabitsina cyangwa mu isuzuma rya muganga. Ku bagore bamwe, kuva amaraso bishobora kutabaho kugeza igihe cyo kubyara. Akenshi nta kintu gikomeye kigaragara gitera kuva amaraso.
Igihe cyo kubona umuganga
Niba ufite kuva amaraso mu gitsina mu gihe cy'amezi atatu ya kabiri cyangwa aya gatatu y'inda, hamagara umuvuzi wawe vuba. Niba amaraso ava cyane, shaka ubuvuzi bwihuse.
Impamvu
Impamvu nyakuri y'indwara ya placenta previa ntirazwi.
Ingaruka zishobora guteza
Placenta previa ikunze kugaragara cyane mu bagore bafite izi mico:
- Basanzwe babyara
- Basanzwe babyariwe na Cesareenne
- Bafite inkovu ku kibuno zikomoka ku kubagwa cyangwa ibindi bikorwa byakozwe
- Basanzwe bagize placenta previa mu gihe cyo gutwita
- Batwite nyuma yo gukoresha uburyo bwo kubyara bujyanye n'ikoranabuhanga (ART) mu kuvura ikibazo cyo kudapfa gutwita
- Batwite abana benshi
- Bafite imyaka 35 cyangwa irenga
- Baranywa itabi
- Bakoresha Cocaine
Ingaruka
Niba ufite placenta previa, umuvuzi wawe azakukurikirana wowe n'umwana wawe kugira ngo agabanye ibyago by'izi ngorane zikomeye:
- Kuva amaraso. Umuvuduko ukomeye, ushobora no guhitana, wo kuva amaraso mu gitsina (hemorrhagie) ushobora kubaho mu gihe cyo gutwita, kubyara, cyangwa mu masaha make nyuma yo kubyara.
- Kubyara imburagihe. Kuva amaraso cyane bishobora gutuma hakorwa igikorwa cyihutirwa cyo kubaga umwana (C-section) mbere y'uko umwana yuzuza igihe cyo kuvuka.
- Placenta accreta spectrum. Placenta previa ifitanye isano n'indwara zitwa placenta accreta spectrum. Muri izi ndwara, umusemburo uterwa cyangwa uca mu ruhande rw'umura. Placenta accreta ifite ibyago byinshi byo kuva amaraso mu gihe cyo gutwita cyangwa mu gihe cyo kubyara no nyuma yo kubyara.
Kupima
Placenta previa imenyeshwa hakoreshejwe ubuganga bw’amashusho, haba mu bugenzuzi busanzwe bw’inda cyangwa nyuma y’igihe cy’ivuza ry’amaraso mu gitsina. Benshi mu barwaye placenta previa babimenyeshwa mu bipimo by’amashusho byo mu gihembwe cya kabiri cy’inda. Ubwa mbere ibizamini bishobora gukorwa hakoreshejwe igikoresho cy’amashusho ku nda yawe. Kugira ngo amafoto abe meza, ushobora kandi gukenera ubuganga bw’amashusho bwinjira mu gitsina, bukoresha igikoresho gisa n’inkoni gishyirwa mu gitsina cyawe. Umuganga wawe azitaho aho igikoresho gishyirwa kugira ngo adahungabanya placenta cyangwa akatera amaraso.
Uburyo bwo kuvura
Niba placenta previa imenyekanye mu isuzuma rya buri munsi, ushobora gukora ibizamini bya ultrasound kenshi kugira ngo hagenzurwe impinduka zose mu mburura.
Mu bagore benshi bapimwe bafite placenta previa hakiri kare mu nda zabo, iyi ndwara ikira yonyine. Uko umura uhindagurika, intera iri hagati y'umuyoboro w'inda n'imbura irashobora kwiyongera. Nanone, icyerekezo cy'ukura kw'imbura gishobora kuba hejuru mu mura, kandi imiterere y'imbura iri hafi y'umuyoboro w'inda ishobora kugabanuka.
Niba placenta previa ikize, ushobora guteganya kubyara mu nzira y'umubyeyi. Niba idakize, uzateganya kubyara mu buryo bwa C-section.
Kuva amaraso mu gitsina nyuma y'ibyumweru 20 bifatwa nk'ubuhanga bw'ubuvuzi. Ushobora kwakirwa mu bitaro mu ishami ry'ababyeyi. Wowe n'umwana wawe muza kugenzurwa, kandi ushobora gukenera amaraso kugira ngo usige amaraso yatakaye.
Niba uri mu cyumweru cya 36, ushobora gukenera kubagwa kugira ngo umwana avutse. Niba watakaje amaraso menshi cyangwa hari ikibazo ku buzima bwawe cyangwa umwana wawe, kubagwa muri C-section bishobora kuba ngombwa mbere y'icyumweru cya 36.
Niba ari ubwa mbere wavutse amaraso kandi amaraso arahagaze byibuze amasaha 48, ushobora gutaha mu rugo uvuye mu bitaro. Niba ukomeza kugira amaraso menshi, itsinda ry'abaganga bawe rishobora kugusaba kuguma mu bitaro.
Iyo nta maraso hariho, intego y'ubuvuzi ni uguteza imbere ibyago byo kuva amaraso no kugera hafi y'itariki yo kubyara. Umuganga wawe ashobora kugusaba kwirinda ibi bikurikira:
Niba uvuye mu bitaro nyuma yo kuva amaraso ubwa mbere, uzategerezwa gukurikiza izi nama kugira ngo ugabanye ibyago byo kuva amaraso ubwa kabiri.
Uzajya uhabwa ubufasha bw'ubuvuzi bwihuse niba ufite amaraso mu gitsina cyangwa ububabare. Umuganga wawe ashobora kukubaza niba ufite ubufasha mu rugo bukuberaho kugira ngo ujye mu bitaro biri hafi.
Nubwo utaravutse amaraso mu gihe cyo gutwita kubera placenta previa-cyangwa nta maraso kuva ubwa mbere-ushobora guteganya kubagwa muri C-section hagati y'icyumweru cya 36 na 37.
Niba kubyara kwawe biteganyijwe mbere y'icyumweru cya 37, umuganga wawe azakugira inama yo gufata imiti ya corticosteroids kugira ngo afashe ibihaha by'umwana wawe gukura.
- Imibonano mpuzabitsina cyangwa igikorwa cy'imibonano mpuzabitsina gishobora gutera iseseme
- Imikino ikomeye cyangwa ikomeye
- Gutwara ibiremereye cyangwa biremereye
- Guhagarara igihe kirekire
Kwitegura guhura na muganga
Placenta previa ibonezwa cyane mu isuzuma rya ultrasound isanzwe cyangwa nyuma y’igihe cy’ivuza ry’amaraso ava mu gitsina. Bityo, ushobora kutabona umwanya wo kwitegura gupima placenta previa nk’uko wabikora mu bipimo bisanzwe byo kwita ku nda.
Niba udafite icyo ukeneye cyihutirwa cy’ubuvuzi cyangwa ugiye murugo nyuma yo kuvurwa amaraso ava mu gitsina, ni ingenzi kumva gahunda yo kwita no gucunga.
Ibibazo ushobora kwibaza umuvuzi wawe nyuma yo kubona indwara cyangwa mu isuzuma ryo gukurikirana birimo:
Umuganga wawe arashobora kukubaza ibibazo byinshi, bijyanye n’ubushobozi bwawe bwo kwita ku buzima bw’iwanyu, cyane cyane niba umaze kugira amaraso ava mu gitsina. Ibi birimo:
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Ni ibihe bimenyetso cyangwa ibimenyetso bikwiye kumpesha impamvu yo kukubona?
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Ni ibihe bimenyetso cyangwa ibimenyetso bikwiye kumpesha impamvu yo kujya kwa muganga?
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Nizahita nsuzumwa na ultrasound igihe ki?
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Ni iyihe yindi serivisi yo gukurikirana nzakeneye?
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Ni ibihe bikorwa nkwiye guhagarika cyangwa kugabanya?
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Ni iyihe siporo usaba?
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Hariho uburyo placenta previa yakemuka yonyine?
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Nizamenya ryari niba nshobora kubyara mu gitsina?
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Niba tugomba gutegura kubyara cesarienne, ni ryari usaba kuyitegura?
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Ufite amakuru yongeyeho kuri placenta previa?
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Ufite amakuru yerekeye amatsinda y’ubufasha cyangwa serivisi z’abagore bafite placenta previa?
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Utuye kure iki kwa muganga?
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Byatwara igihe kingana iki kugera kwa muganga mu gihe cy’ubuhangange, harimo n’igihe cyo gutegura ubwishingizi bw’abana n’ubwikorezi?
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Ufite umuntu wakwitaho cyangwa wakugoboka mu bikorwa bya buri munsi, kugira ngo ugabanye ibikorwa byawe cyangwa uruhuke?
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.