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Placenta acreta: rikitarwa don lura da shi
Rashin dasawa na mahaifa
Matsarin mahaifa, increta ko percreta yayi daidai da a mummunan matsayi na mahaifa a cikin mahaifa, in ji Dr Frédéric Sabban, likitan mata da mata a birnin Paris. Maimakon kawai an haɗa shi da rufin mahaifa (ko endometrium), mahaifa yana zaune da zurfi sosai. Muna magana ne game da mahaifa acreta lokacin da aka sanya mahaifa a hankali a cikin myometrium (tsohon mahaifa), placenta increta lokacin da aka cika ta cikin wannan tsokar, ko placenta percreta lokacin da ya "zube" bayan myometrium zuwa wasu gabobin.
Ciki, mahaifa mai tabo
A cewar Dr Sabban, babban abin da ke haddasa hakan rashin daidaituwar mahaifa yana da ciwon tabo cikin mahaifa. Hasali ma mahaifa ce da ke dauke da tabo daya ko fiye, sakamakon tiyatar da aka yi. Hakanan yana iya zama tabo saboda anomaly na mahaifa (fibroid, intrauterine endometriosis, da sauransu) ko tabo da ke fitowa daga sashin cesarean. Yayin zubar da ciki ko zubar da ciki, a curettage yawanci ana aikatawa. Ya hada da goge saman mahaifa da kayan aikin tiyata don cire ragowar mahaifa kuma hakan na iya haifar da tabo sannan kuma ya haifar da wannan matsala ta mahaifar.
Duk da haka, Kasancewar acreta na mahaifa ko ɗaya daga cikin abubuwan da aka samo ta yana da wuya : ya shafi kashi 2 zuwa 3% na mata masu tabo. Hadarin samun wannan nau'in rashin daidaituwar mahaifa shima ba kasafai bane a wasu mata.
Yaushe kuma ta yaya ake gano ta?
Akwai 'yan alamun bayyanar da ke nuna alamar acreta. Har ila yau, wannan Pathology na mahaifa yakan kasance kamuwa da cutar a makara, a lokacin 3rd trimester na ciki ko kuma a ƙarshen ciki. Yawancin lokaci, ana yin ganewar asali ta hanyar duban dan tayi ko pelvic MRI. Waɗannan su ne gabaɗaya ƙarancin zubar jini a karshen ciki ko a farkon nakuda wanda ke nuna kasancewar wannan anomaly.
Haihuwa a ƙarƙashin kulawar likita
Idan a lokacin daukar ciki, acreta na mahaifa baya buƙatar kulawa ta musamman, yana buƙatar kulawa ta musamman a lokacin haihuwa. Wannan saboda babban haɗari daga acreta na mahaifa shine zubar jini daga haihuwa, wanda ke barazana ga lafiyar mahaifiyar. Don rage rikice-rikice, ƙungiyar likita za ta yi sashin cesarean. A cewar Dr Sabban, ciki tare da acreta na mahaifa yana buƙatar a haihuwar likita sosai, ta yadda za a iya saka ma majiyyaci idan an samu zubar jini mai yawa.
Bayan haka, likitoci za su iya ba da shawara cire mahaifa (hysterectomy) ko tiyata na mazan jiya dangane da sha'awar mai haƙuri don sabon ciki.