Gucika Kw'Umwana Mu Nda

Ukwangirika kw'umwanya (abruptio placentae) ni ingorane idakunze kugaragara ariko ikomeye y'inda. Umwanya uterwa mu kibuno mu gihe cy'inda. Ufata ku rukuta rw'umubiri w'inda kandi utera umwana intungamubiri na ogisijeni.

Ukwangirika kw'umwanya bibaho iyo umwanya utandukanye igice cyangwa byose ku rukuta rw'imbere rw'umubiri w'inda mbere y'igihe cyo kubyara. Ibi bishobora kugabanya cyangwa kuburizamo umwana ogisijeni n'intungamubiri kandi bigatera kuva amaraso menshi ku mubyeyi.

Gutandukana kw'umwana mu nda bibaho cyane cyane mu mezi ya nyuma y'inda, cyane cyane mu byumweru bike mbere y'uko umwana avuka. Ibimenyetso n'ibyiyemererwa byo gutandukana kw'umwana mu nda birimo:

• Ukuva amaraso mu gitsina, nubwo bishobora kudashoboka
• Kubabara mu nda
• Kubabara mu mugongo
• Kubabara cyangwa gukomera kw'inda
• Kugira imitego y'inda, ikunze kuza imwe ikurikiye indi

Kubabara mu nda no kubabara mu mugongo bikunze gutangira mu buryo butunguranye. Ingano y'amaraso ava mu gitsina ishobora guhinduka cyane, kandi ntibyerekana uko umwana atandukanye n'inda. Birashoboka ko amaraso afungirwa mu nda, bityo nubwo gutandukana kw'umwana mu nda ari gakondo, bishobora kudasobanuka.

Mu mubare w'ibintu, gutandukana kw'umwana mu nda gutera buhoro buhoro (gutandukana gahoraho), bishobora gutera kuva amaraso make, rimwe na rimwe mu gitsina. Umwana wawe ashobora kudakura vuba nkuko byari biteganyijwe, kandi ushobora kugira amazi make mu nda cyangwa ibindi bibazo.

Niba ufite ibimenyetso cyangwa ibimenyetso byo gutandukana kw'umwana, shaka ubufasha bwihuse.

Impamvu itera placenta kwaka akenshi ntibazwi. Impamvu zishoboka zirimo gutumbagira cyangwa gukomeretsa igice cy'inda - urugero nk'impanuka y'imodoka cyangwa kugwa - cyangwa kubura vuba kwa liquide izunguruka kandi ikarinda umwana mu nda (amazi yo mu nda).

Ibintu bishobora kongera ibyago byo gutandukana kw'umwana mu nda harimo:

• Gutandukana kw'umwana mu nda mu gihe cyo gutwita mbere, bitatewe n'igikomere mu nda
• Umuvuduko ukabije w'amaraso (hypertension)
• Ibibazo bifitanye isano n'umuvuduko ukabije w'amaraso mu gihe cyo gutwita, birimo preeclampsia, HELLP syndrome cyangwa eclampsia
• Kugwa cyangwa undi muvune mu nda
• Kunywa itabi
• Gukoresha Cocaine mu gihe cyo gutwita
• Kwatuka k'amazi mbere y'igihe, bituma amazi yo mu nda asohoka mbere y'uko umwana avuka
• Dukurire mu nda mu gihe cyo gutwita (chorioamnionitis)
• Kuba umukecuru, cyane cyane abarengeje imyaka 40

Ukwangirika kw'umura (placental abruption) bishobora gutera ibibazo bikomeye bishobora no gutera urupfu kuri nyina n'umwana. Kuri nyina, ukwangirika kw'umura bishobora gutera:

• Gucika intege kubera kubura amaraso
• Ibibazo byo gukomera kw'amaraso
• Gusabwa guterwa amaraso
• Kudakora neza kw'impyiko cyangwa izindi nzego kubera kubura amaraso
• Mu bihe bitoroshye, gusabwa kubagwa bagakura umura (hysterectomy), niba imyeyo iva mu mura idashobora guhagarara

Kuri umwana, ukwangirika kw'umura bishobora gutera:

• Kudakura neza kubera kutabona intungamubiri zihagije
• Kutabona ogisijeni ihagije
• Kuzana imburagihe
• Kuzanwa apfuye

Ntiwabasha gukumira kuvunguka kw'umwenda uterura imbanyi, ariko ushobora kugabanya ibyago bimwe na bimwe. Urugero, ntukore itabi cyangwa ntukoreshe ibiyobyabwenge bitemewe, nka cocaïne. Niba ufite umuvuduko ukabije w'amaraso, korana n'abaganga bawe kugira ngo bakurikirane uko ubuzima bwawe buhagaze. Iteka jya wambara umukandara w'umutekano iyo uri mu modoka. Niba wahuye n'ubukomere mu nda - buturutse impanuka y'imodoka, kugwa cyangwa undi muvune - shaka ubufasha bw'abaganga ako kanya. Niba wahuye no kuvunguka kw'umwenda uterura imbanyi, kandi uteganya gutwita ukundi, banza uganire n'abaganga bawe mbere y'uko utwita kugira ngo urebe ko hari uburyo bwo kugabanya ibyago byo kuvunguka ukundi.

Niba umuvuzi wawe akekako hari ikibazo cyo gutandukana kw'umura, azakora isuzuma ngaruka mbere kugira ngo arebe niba hari ububabare cyangwa ukubana kw'inda. Kugira ngo afashe kumenya aho amaraso ava mu gitsina, umuvuzi ashobora kugusaba gupimisha amaraso n'inkari no gukorerwa iskaneri y'amajwi (échographie).

Mu gihe cy'isuzuma rya ecographie, amajwi y'umuvuduko mwinshi akora ishusho y'inda yawe kuri ecran. Ariko rero, ntibishoboka buri gihe kubona ikibazo cyo gutandukana kw'umura kuri ecographie.

Ntibishoboka kongera gufata umusemburo watandukanye n'urukuta rw'umura. Uburyo bwo kuvura kwangirika kw'umusemburo biterwa n'imimerere:

Umwana atarageza igihe cyo kuvuka. Niba kwangirika kw'umusemburo bigaragara ko ari guke, umuvuduko w'umutima w'umwana ukaba ari mwiza kandi hakiri kare ngo umwana avuke, ushobora kujyanwa mu bitaro kugira ngo ugenzurwe hafi. Niba amaraso ahagarika kandi ubuzima bw'umwana bukaba bwiza, ushobora kuruhuka iwawe.

Ushobora guhabwa imiti ifasha imyanya y'ubuhumekero y'umwana gukura no kurinda ubwonko bw'umwana, mu gihe byaba ngombwa kubyara hakiri kare.

Ku bwinshi bw'amaraso, ushobora gukenera guterwa amaraso.

• Umwana atarageza igihe cyo kuvuka. Niba kwangirika kw'umusemburo bigaragara ko ari guke, umuvuduko w'umutima w'umwana ukaba ari mwiza kandi hakiri kare ngo umwana avuke, ushobora kujyanwa mu bitaro kugira ngo ugenzurwe hafi. Niba amaraso ahagarika kandi ubuzima bw'umwana bukaba bwiza, ushobora kuruhuka iwawe.

Ushobora guhabwa imiti ifasha imyanya y'ubuhumekero y'umwana gukura no kurinda ubwonko bw'umwana, mu gihe byaba ngombwa kubyara hakiri kare.

• Umwana ageze hafi igihe cyo kuvuka. Muri rusange nyuma y'ibyumweru 34 byo gutwita, niba kwangirika kw'umusemburo bigaragara ko ari guke, kubyara mu nzira y'inda bishobora kuba bishoboka, hagenzurwa hafi. Niba kwangirika kw'umusemburo kuriyongera cyangwa bikabangamira ubuzima bwawe cyangwa ubwa nyir'umwana, uzakenera kubyara vuba — akenshi binyuze mu kubaga.