Chisangalalo chomwe mumamva mwana wanu akabwera padziko lapansi sichingathe kufotokozedwa m'mawu, sichoncho? Koma pamodzi ndi chisangalalochi, tiyenera kudziwa kusintha kwa thupi lanu monga mayi. Ndizachibadwa kutuluka magazi pang'ono mutabereka mwana . Koma ngati kutuluka magaziko kukuchulukirachulukira, kungakhale vuto loopsa. Limodzi mwa mavuto akuluakulu omwe angachitike panthawi yotereyi ndi Uterine Atony. Tiyeni tikambirane za izi lero, popanda mantha, mwachidule.
Kodi Uterine Atony ndi chiyani?
Mwachidule, panthawi yonse ya mimba yanu, yomwe ndi miyezi 9, mwana wanu amalandira zakudya zonse ndi mpweya womwe amafunikira kudzera m'mitsempha yamagazi yomwe ili m'chiberekero chanu. Mwana akabadwa, placenta ikabereka, mitsempha yamagazi iyi imatseguka.
Chomwe chimachitika nthawi zambiri ndichakuti mwana akangobadwa, minofu ya m'chiberekero imakoka mwamphamvu, kutseka mitsempha yamagazi yotseguka ndikuletsa kutuluka kwa magazi. Taganizirani izi ngati kufinya chitoliro cha madzi ndi dzanja lanu ndipo madzi amasiya kuyenda.
Komabe, mu vuto lotchedwa Uterine Atony , minofu ya chiberekero siimachepa monga momwe imayembekezeredwa. Imakhala yomasuka komanso "yaulesi" (ndicho chomwe atony ili). Kenako, mitsempha yamagazi yotsegukayo imayamba kutuluka magazi mosalamulirika.
Izi zitha kuchitika panthawi yobereka mwana m'njira yoberekera kapena opaleshoni ya opaleshoni. Zitha kuchitikanso mutachotsa mimba. Muyenera kukumbukira kuti iyi ndi vuto lalikulu kwambiri lomwe limafuna chithandizo chadzidzidzi .
Kodi ndi zinthu ziti zomwe zimawonjezera chiopsezo cha vutoli?
Matendawa sachitika kwa aliyense. Komabe, anthu ena akhoza kukhala pachiwopsezo chachikulu chifukwa cha zinthu zina. Ichi ndichifukwa chake dokotala nthawi zonse amadziwa za zinthuzi.
| Zoopsa | Kufotokoza mwachidule |
|---|---|
| Ntchito yayitali komanso yovuta | Pambuyo pa nthawi yayitali yobereka komanso kubereka kovuta, minofu ya chiberekero imatha kutopa. |
| Kupweteka kwambiri kwa chiberekero | Ngati mwana akulemera kwambiri (monga kupitirira 4 kg), ngati ndi mapasa, kapena ngati pali madzi ambiri amniotic (madzi) m'chiberekero (polyhydramnios), chiberekero chikhoza kutambasulidwa mopitirira muyeso. |
| Kupanga duwa mwaluso | Mwana akabadwa mwa kupatsidwa mankhwala monga oxytocin ndi kuyambitsa kubereka kwa nthawi yayitali. |
| Ma Fibroids | Ma fibroids m'chiberekero amatha kuletsa chiberekero kuti chisakoke bwino. |
| Matenda opatsirana | Matenda a nembanemba yozungulira mwana (chorioamnionitis). |
| Kunenepa kwambiri | Kunenepa kwambiri ndi chinthu china chomwe chingayambitse mavuto. |
Kodi zizindikiro za izi ndi ziti?
Chizindikiro chachikulu komanso choopsa kwambiri cha vutoli ndi kutuluka magazi ambiri mosalamulirika pambuyo pobereka ( Postpartum Hemorrhage ) .
Ngakhale kuti ndi zachilendo kutuluka magazi pang'ono mutabereka, ngati mukuona kuti kutuluka magazi n'kochuluka, kapena ngati chotsukira chomwe mukugwiritsa ntchito chanyowa kwathunthu pakapita nthawi yochepa, monga ola limodzi, kapena ngati magazi anu akuundana kwambiri, musaganize kuti ndi zachilendo. Uzani dokotala wanu kapena ogwira ntchito ya anamwino nthawi yomweyo.
Pamene magazi ochulukirapo atuluka m'thupi, zizindikiro zina zingawonekerenso.
- Kuthamanga kwa magazi pang'ono (Hypotension)
- Kuwonjezeka kwa kugunda kwa mtima
- Thupi limakhala lozizira komanso lotumbululuka
- Kumva chizungulire, maso akusanduka abuluu
- Kuchepa kwa mkodzo
- Kutaya chidziwitso m'milandu yovuta kwambiri
Kodi dokotalayo amazindikira bwanji izi?
Dokotala wanu.Matendawa amapezeka makamaka pofufuza chiberekero.
Pambuyo pobereka bwino, dokotala adzaika dzanja lake pamimba panu ndikuyang'ana chiberekero chanu. Ngati munachitidwa opaleshoni, kuyezetsa kumeneku kumachitika kumapeto kwa opaleshoni. Nthawi zambiri, mukabereka, chiberekero chanu chiyenera kukhala chitachepa ndikumva cholimba ngati mwala . Komabe, pakakhala vuto la chiberekero, chiberekero chimakhala chachikulu kwambiri ndipo chimamva chofewa mukachikhudza.
Dokotala adzafufuzanso ngati pali zifukwa zina zomwe zimayambitsa kutuluka magazi mopitirira muyeso. Mwachitsanzo:
- Kodi pali kuvulala kulikonse kapena kung'ambika kwa chiberekero kapena nyini?
- Kodi mbali zina za placenta zikadali m'chiberekero (placenta yosungidwa)?
Dokotala akutsimikizira mkhalidwe wa atony ya uterine atatha kuwona zonsezi.
Kodi mankhwala ochizira izi ndi otani?
Izi ndi zadzidzidzi, kotero chithandizo chiyenera kuyamba nthawi yomweyo. Cholinga chachikulu ndikuletsa kutuluka magazi mwachangu momwe mungathere. Pakadali pano, mudzapatsidwa saline kuti mulowe m'malo mwa madzi omwe atayika m'thupi lanu, komanso mpweya ngati pakufunika kutero. Ngati magazi atayika kwambiri, kuikidwa magazi kungakhale kofunikira.
Pali njira zingapo zochiritsira.
| Njira yochizira | Kodi chimachitika ndi chiyani? |
|---|---|
| Chithandizo cha Zamankhwala | |
| Oxytocin (Pitocin) | Homoni yomwe imathandiza kuti chiberekero chizigwira ntchito. Imaperekedwa kudzera m'mitsempha ndi saline. |
| Mankhwala ena (monga Methylergonovine, Prostaglandins) | Mankhwala awa amaperekedwa kuti chiberekero chikoke mwamphamvu kwambiri. Ena amaperekedwa ngati jakisoni, pomwe ena amaperekedwa ngati mapiritsi omwe amalowetsedwa mu nyini kapena m'matumbo. |
| Njira Zopangira Opaleshoni ndi Zina | |
| Kulongedza/Kuyika Baluni mu Uterine | Chovala chapadera chozungulira kapena baluni chimayikidwa mkati mwa chiberekero, chomwe chimatseka mitsempha yamagazi kuchokera mkati ndikuletsa kutuluka kwa magazi. |
| Kutsekeka kwa Mitsempha ya Uterine | Iyi ndi opaleshoni yaying'ono. Mtsempha waukulu wamagazi womwe umatumiza magazi ku chiberekero umamangidwa, zomwe zimaletsa kutuluka kwa magazi. |
| Kuchotsa mimba (hysterectomy) | Ngati palibe china chilichonse chomwe chingaletse kutuluka kwa magazi, ngati njira yomaliza , chiberekero chanu chingafunike kuchotsedwa kwathunthu kuti mupulumutse moyo wanu. Iyi ndi opaleshoni yayikulu. |
Kuchotsa mimba kumachitika pokhapokha ngati palibe njira ina yopulumutsira moyo, choncho musachite mantha.
Uthenga Wopita Nawo Kunyumba
- Kufooka kwa chiberekero ndi vuto lomwe minofu ya chiberekero siimachepa bwino pambuyo pobereka, zomwe zimapangitsa kuti magazi azituluka kwambiri. Izi ndi zadzidzidzi zomwe zimafuna chithandizo chachangu.
- Ngati mukukayikira kuti mukutuluka magazi ambiri mukabereka (paketi imanyowa mwachangu, magazi ambiri amatuluka), uzani dokotala wanu kapena namwino nthawi yomweyo. Musazengereze.
- Ngakhale kuti pali zinthu zingapo zomwe zimayambitsa vutoli, limatha kuchitika kwa aliyense, choncho ndikofunikira kwambiri kubereka kuchipatala chokhala ndi antchito ophunzitsidwa bwino.
- Pali njira zothandiza kwambiri zochizira izi. Madokotala amagwiritsa ntchito njira zosiyanasiyana, kuyambira mankhwala mpaka opaleshoni, kuti aletse kutuluka magazi.
- Kambiranani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo zokhudza thupi lanu, musanabereke komanso mutabereka.
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