I-Subchorionic Hematoma: Izimbangela, Izimpawu, Nezinketho Zokwelashwa

I-Subchorionic hematoma (SCH) yisimo esibandakanya ukuqoqwa kwegazi phakathi kodonga lwesibeletho kanye ne-placenta ngesikhathi sokukhulelwa. Nakuba kungase kuzwakale kuphathelene, abesifazane abaningi abane-SCH bayaqhubeka nokukhulelwa okunempilo. Kulesi sihloko, sizohlola izimbangela, izimpawu, izingozi ezihambisanayo, izinketho zokwelapha, kanye nesikhathi sokufuna usizo lwezokwelapha nge-subchorionic hematoma.

Iyini i-Subchorionic Hematoma?

I-subchorionic hematoma yenzeka lapho igazi linqwabelana phakathi kwe-chorion (ulwelwesi lwangaphandle oluzungeze umbungu) kanye nodonga lwesibeletho. Lesi simo sivamile ekukhulelweni kokuqala futhi singahluka ngosayizi. Ezimweni eziningi, ama-subchorionic hematomas azixazulula ngokwawo ngaphandle kokulimaza umama noma ingane, nakuba ukuqapha kubalulekile ukuze kuqinisekiswe ukuthi azikho izinkinga.

Izinkinga ze-Subchorionic Hematoma

I-Subchorionic hematoma ingenzeka ngenxa yezizathu eziningana, kuhlanganise:

• Izinkinga ze-Placental: Noma yiziphi izinkinga nge-placenta, njengokunamathiselwe okungalungile, zingandisa amathuba okuba ne-hematoma.
• Ukopha Kokufakelwa: Lapho iqanda elivundisiwe lifaka esibelethweni, imithambo yegazi emincane ingase iqhume, okuholela ekuphumeni kwegazi okwakha i-hematoma.
• Ukuhlukumezeka noma Ukulimala: Ukuhlukumezeka ngokomzimba, njengokuwa noma ukushaywa kwesisu, kungaholela ku-SCH.
• Ukugeleza Kwegazi Okunyukile: Ukushintsha kwama-hormone ngesikhathi sokukhulelwa kungabangela imithambo yegazi ukuba ivuleke, okwandisa amathuba okunqwabelana kwegazi.
• Iminyaka Yomama Ethuthukisiwe: Abesifazane asebekhulile bangase babe namathuba amaningi okuthuthukisa i-SCH ngenxa yezinguquko ku-placenta kanye nemvelo yesibeletho.

Izimpawu Ezihambisanayo

Abesifazane abaningi abane-subchorionic hematoma bangase bangabi nazo izimpawu, kodwa uma izimpawu zenzeka, zingabandakanya:

• Ukopha kwesitho sangasese sowesifazane: Lolu uphawu oluvame kakhulu. Ukopha kungasukela ekubonakaleni okuncane kuye kokopha kakhulu, okufana nesikhathi.
• Ubuhlungu Besisu: Abanye besifazane bangase bazwe ubuhlungu be-cramping noma besisu obufiphele.
• Ukuhlungu obusemhlane: Ubuhlungu obuncane beqolo bungase buhambisane nokopha noma ukuminya kwezinye izimo.
• Imiphumela ye-Ultrasound: I-SCH ivame ukutholwa ngesikhathi sokuhlolwa kwe-ultrasound kokunye ukuqapha okuhlobene nokukhulelwa.

Kufanele Ufune Nini Ukunakekelwa Kwezokwelapha

Nakuba i-hematoma ye-subchorionic ingase ingadingi ukungenelela kwezokwelapha ngaso sonke isikhathi, kubalulekile ukufuna usizo lwezokwelapha uma:

• Ukopha kuba nzima noma kuhambisana nokujiyisa.
• Uzwa ubuhlungu obukhulu besisu noma i-cramping engapheli.
• Ubona ukwehla kungazelelwe kokunyakaza kwe-fetus ngemva kokuqala ukopha.
• Unomlando wokuphuphuma kwesisu noma ezinye izinkinga futhi ufuna ukuqinisekisa ukugadwa okufanele.

Ukuxilongwa kwe-Subchorionic Hematoma

I-subchorionic hematomas ngokuvamile itholakala nge-ultrasound. Inqubo isiza umhlinzeki wezempilo ukuthi ahlole usayizi, indawo, kanye nezingozi ezingaba khona ezihlobene ne-hematoma. Uma ukuphuma kwegazi kwenzeka, udokotela wakho angase ahlele ama-ultrasound alandelayo ukuze aqaphe i-hematoma futhi aqinisekise ukuthi ixazulula ngendlela efanele.

Izinketho Zokwelashwa kwe-Subchorionic Hematoma

Ukwelashwa kwe-subchorionic hematoma kuncike kakhulu kusayizi we-hematoma, indawo yayo, kanye nesigaba sokukhulelwa. Izinketho zihlanganisa:

• Ukuphumula: Odokotela bangase batuse ukuphumula kwe-pelvic, okuhlanganisa ukugwema ukuya ocansini nokusebenza kanzima komzimba, ukusiza ukunciphisa ingozi yezinkinga.
• Ukuqaphela: Ezimweni eziningi, i-hematomas encane ye-subchorionic izoxazulula ngokwayo. Umhlinzeki wakho wokunakekelwa kwezempilo angase aphakamise ukuqapha ngokusebenzisa ama-ultrasound alandelayo.
• Imithi: Ezimweni ezingavamile, imithi yokunciphisa ukuvinjelwa kwesibeletho noma ukwelapha izimo ezingaphansi ingase ibekwe.
• Ukulaliswa esibhedlela: Uma ukopha kunzima, noma uma kukhona ukukhathazeka mayelana nokuzala ngaphambi kwesikhathi, ukulaliswa esibhedlela kungase kunconywe ukuze kuqashwe eduze.

Izinganekwane namaqiniso Mayelana ne-Subchorionic Hematoma

Ake sibheke ezinye izinganekwane ezivamile mayelana ne-subchorionic hematoma:

• Inganekwane: I-Subchorionic hematoma ihlale iholela ekuphuphumeni kwesisu.
• Iqiniso: Nakuba i-SCH ingandisa ingozi yokukhulelwa kwesisu, abesifazane abaningi abanalesi simo baqhubeka nokukhulelwa okunempilo, ikakhulukazi uma i-hematoma ixazulula ngokwayo.
• Inganekwane: Ukuphumula akudingekile uma une-hematoma ye-subchorionic.
• Iqiniso: Ukuphumula kungasiza ukunciphisa ubunzima esibelethweni futhi kungase kuvimbele izinkinga, kodwa akuzona zonke izimo ezidinga ukuphumula okuphelele kombhede.

Izinkinga ze-Subchorionic Hematoma

Ezimweni eziningi, i-hematoma ye-subchorionic ayiholeli ezinkingeni ezibalulekile. Kodwa-ke, izimo ezingalashwa noma ezinzima zingaholela ku:

• Ukuphuphunyelwa yisisu: Nakuba kungavamile, i-hematoma enkulu ingandisa ingozi yokukhulelwa kwesisu, ikakhulukazi uma ibangela ukuhlukana okuphawulekayo phakathi kwe-placenta nodonga lwesibeletho.
• Umsebenzi Wangaphambi Kwesikhathi: Ukopha kakhulu okubangelwa i-SCH kungase kubangele isizo ngaphambi kwesikhathi noma kuthinte ukukhula nokukhula kombungu.
• I-Placenta Abruption: Ezimweni ezingavamile, i-SCH ingabangela i-placenta ukuthi iphume odongeni lwesibeletho, okuholela ezinkingeni ezinzima kokubili umama nosana.

Imibuzo Evame Ukubuzwa Mayelana Ne-Subchorionic Hematoma

1. Ingabe i-subchorionic hematoma ingathinta umntwana?

Ezimweni eziningi, i-subchorionic hematomas ayilimazi ngokuqondile umntwana. Kodwa-ke, ama-hematomas amakhulu noma aphikelelayo angandisa ingozi yezinkinga ezifana nokuzalwa ngaphambi kwesikhathi noma isisindo sokuzalwa esiphansi. Ukuqapha kanye nokulandelela ama-ultrasounds kubalulekile ukuze kuqinisekiswe impilo yengane.

2. Ngingakwazi yini ukuzivocavoca uma ngine-subchorionic hematoma?

Uma une-subchorionic hematoma, ngokuvamile kutuswa ukuba ugweme imisebenzi ekhandlayo kanye nokuzivocavoca okungase kubeke ukucindezeleka okwengeziwe esibelethweni. Udokotela wakho uzokweluleka ngokuthi kuphephile nini ukuqhubeka nemisebenzi evamile ngokusekelwe esimweni sakho.

3. Kuthatha isikhathi esingakanani ukuthi i-hematoma ye-subchorionic iphole?

Isikhathi sokuphulukisa se-hematoma ye-subchorionic siyahlukahluka kuye ngobukhulu bayo nendawo. Ezimweni eziningi, ama-hematomas amancane axazulula phakathi namasonto ambalwa, kuyilapho amakhulu angase athathe isikhathi eside ukuphola. Ama-ultrasound ajwayelekile azosiza udokotela wakho ukuthi aqaphe inqubekelaphambili.

4. Ingabe i-subchorionic hematoma ingabangela ukukhulelwa kwesisu ekuqaleni kokukhulelwa?

Nakuba kunengozi yokukhulelwa kwesisu nge-subchorionic hematoma, ikakhulukazi ekukhulelweni kokuqala, abesifazane abaningi abanalesi simo baqhubeka nokukhulelwa okuphumelelayo. Ukuqapha okufanele nokunakekelwa kwezokwelapha kungasiza ukuphatha ubungozi obuhlobene ne-SCH.

5. I-subchorionic hematoma ivame kangakanani ngesikhathi sokukhulelwa?

I-Subchorionic hematoma ivame kakhulu, kwenzeka ku-25% wokukhulelwa. Kuvame ukutholakala ku-trimester yokuqala kodwa ngezinye izikhathi kungenzeka kamuva. Ukutholwa kusenesikhathi nokuphatha kuyisihluthulelo sokuqinisekisa ukukhulelwa okunempilo.

Isiphetho

I-Subchorionic hematoma yisimo esivamile esivame ukuxazulula ngaphandle kokulimaza umama noma ingane. Ngokunakekelwa okufanele kwezokwelapha, ukuqapha, nokuphumula, abesifazane abaningi abanalesi simo bangakwazi ukukhulelwa okunempilo. Uma uhlangabezana nanoma yiziphi izimpawu noma ukopha, kubalulekile ukuthintana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole ukuxilongwa okunembile kanye nohlelo lokwelapha lomuntu siqu.