Umura ntuba ugifata neza nyuma yo kubyara? Reka tuvuge kuri (Atony y'umura)!

Kuba umubyeyi ni kimwe mu bintu byiza kandi birangwa n'inshingano mu buzima. Ariko, hamwe n'ibi byishimo, rimwe na rimwe hashobora kuvuka ibibazo by'ubuzima bitunguranye. Uyu munsi, tugiye kuvuga ku ndwara ikomeye ariko ishobora kuvurwa bamwe mu babyeyi nyuma yo kubyara. Iyi ndwara yitwa uterine atony, cyangwa mu mvugo y'ubuvuzi , uterine atony .

Uterine Atony ni iki? Mu magambo make...

Muri make, Gutuza kw'umura ni igihe umura wawe udatuza neza cyangwa ngo ukomeze neza nyuma yo kubyara. Ubusanzwe, nyuma yo kuvuka k'umwana, umura ugenda urushaho gukurura neza kandi ukagenzura kuva amaraso nyuma yo kubyara. Ariko, muri iki kibazo, imitsi y'umura ntikora neza, bivuze ko iba ifunguye kandi idakomeye cyane. Ibi ni bibi cyane kuko bishobora gutera kuva amaraso menshi bishobora gushyira ubuzima mu kaga .

Tekereza nawe, iyo umwana wawe arimo gukura mu mura mu gihe atwite, umwana abona amaraso yose, ogisijeni, n'indyo akeneye binyuze muri placenta. Hariho imiyoboro myinshi y'amaraso itanga amaraso muri iyi placenta. Nyuma y'uko umwana avutse, nyababyeyi irafungana kugira ngo ikuremo nyababyeyi. Iyo ifunganye, iyo miyoboro y'amaraso irakomera kandi ihagarike kuva amaraso. Rero, iyo nyababyeyi idafunganye neza, ni ukuvuga niba hari (utubuto), iyo miyoboro y'amaraso itangira kuva amaraso ubudasiba. Ibi ni byo twita kuva amaraso nyuma yo kubyara .

Iyi ndwara (atony y'umura) ishobora kubaho nyuma yo gukuramo inda cyangwa kubagwa mu gihe cyo kubyara. Ishobora kubaho mu gihe cyo kubyara bisanzwe ndetse no mu gihe cyo kubagwa. Nubwo iyi ndwara ibaho ku bana bagera kuri 2% by'abana bavuka, si ko buri gihe itera kuva amaraso menshi. Ariko, iyi ni indwara isaba ubuvuzi bwihuse. Iyo ivuwe vuba, irakira neza.

Bigenda bite iyo umura udafashe nyuma yo kubyara?

Iyo imitsi yo mu nda idafashe neza nyuma yo kubyara, uba ufite ibyago byinshi byo kuva amaraso. Nkuko twabivuze mbere, nyuma yo kubyara, placenta igomba gutandukana n'urukuta rw'inda. Ibi bifungura imiyoboro y'amaraso aho. Imitsi yo mu nda ikomeza gufunga iyo miyoboro y'amaraso kandi igahagarika kuva amaraso. Rero, iyo imitsi idafashe neza, kuva amaraso kuzakomeza. Iki ni ikibazo cyihutirwa cy'ubuvuzi, kuko gishobora gushyira ubuzima mu kaga.

Ni ibihe bintu byongera ibyago byo kurwara iyi ndwara?

Hari ibintu byinshi bishobora gutera ubwivumbure bw'umura. Ibi bintu bishobora kubangamira ubwivumbure bw'umura wawe nyuma yo kubyara:

• Niba uyu ari umwana wawe wa mbere , cyangwa niba ufite abana barenga batanu .
• Niba utwite impanga, impanga eshatu, cyangwa nyinshi .
• Umwana waweIyo ari nini kuruta ibisanzwe (abaganga babyita Fetal Macrosomia) .
• Niba ufite imyaka irenga 35 .
• Niba ufite amazi menshi ya amniotic (amazi akikije umwana) (ibi byitwa polyhydramnios) .
• Niba ufite umubyibuho ukabije .
• Niba ufite fibroids zo mu mura .

Nanone, abaganga bizera ko ibi bintu biramutse bibaye mu gihe cyo kubyara, nyababyeyi ishobora kudacika nyuma yo kubyara:

• Niba waragize ububabare bw'igihe kirekire cyane bwo kubyara , cyangwa niba warabyaye vuba cyane .
• Niba warabyaye bigoranye .
• Niba waratewe n'akazi kawe.
• Niba waragize ikibazo cyitwa Chorioamnionitis (ubwandu bw'udusimba tukikije umwana).
• Niba warahawe ikinya rusange .
• Niba ufite nyababyeyi yagutse .

Icy'ingenzi: Niba ufite ibi bintu birenze bibiri muri ibyo bishobora gutera ibyago, uba uri mu kaga ko kurwara nyababyeyi. Abaganga bamenya ibishobora gutera ibyago hakiri kare kandi bagategura mbere yo kubyara, kugira ngo bishyirwe mu bikorwa vuba.

Kuki ibi bibaho? Impamvu ni izihe?

Kugabanuka k'umura bibaho iyo imitsi yo mu mura idakira neza imisemburo (oxytocin) umubiri wawe ukora kugira ngo ikubye inda mbere no mu gihe cyo kubyara. Muri make, ni nk'aho umura "utabyumva."

Ni ibihe bimenyetso by'ibi?

Ikimenyetso gikomeye kandi cy'ingenzi cy'uko nyababyeyi ikura ni ukuva amaraso menshi cyangwa menshi mu mura . Akenshi, muganga wawe azabibona ukimara kubyara. Byongeye kandi, nyuma yo kubyara, nyababyeyi yawe ishobora kuba irekuye, idafite imbaraga, kandi ntikomere.

Ibindi bimenyetso ni ibi bikurikira:

• Umuvuduko w'amaraso uri hasi .
• Umutima utera vuba .
• Kumva umeze nk'uzunguza cyangwa unaniwe .
• Kugaragara nk'umukara .
• Gutakaza ubwenge .
• Kunanirwa kunyara .
• Kubabara, cyane cyane kubabara umugongo .

Abaganga babimenya bate ?

Abaganga bacu bahuguwe gusuzuma no kuvura indwara yo mu nda vuba. Ibi bikunze gusuzumwa hakoreshejwe intoki gusuzuma ingano n'uburyo bworoshye bwa nyababyeyi yawe nyuma yo kubyara. Muganga azashyira ikiganza kimwe ku nda yawe hanyuma ashyire intoki z'ikindi kiganza mu gitsina cyawe kugira ngo asuzume nyababyeyi yawe. Hari abaganga bazapima udupira cyangwa ishashi ikoreshwa mu kwinjiza amaraso kugira ngo bamenye umubare w'amaraso watakaje.

Niba ufite nyababyeyi, nyababyeyi yawe iba nini, yoroshye kandi ifite intege nke. Mu gihe cyo kubyara gisanzwe, nyababyeyi igomba kwifata (gukomera cyangwa gukomera) igatangira kugabanuka nyuma yo kuvuka k'umwana.

Kubera ko kugabanuka k'umura ari yo mpamvu ikomeye itera kuva amaraso menshi nyuma yo kubyara, muganga wawe azasuzuma ibi bikurikira:

• Ese hari amarira mu mura wawe, mu gitsina cyawe, cyangwa mu mura wawe ?
• Niba ibice bya placenta (Imitsi ya placenta igumanye) byafatiwe mu mura.

Muganga wawe azakomeza gukurikirana umuvuduko w'amaraso yawe n'umuvuduko w'umutima wawe kugira ngo arebe impinduka. Ashobora kandi gukora ibizamini by'amaraso kugira ngo arebe umubare w'uturemangingo tw'amaraso dutukura hamwe n'ibipimo byo kuvura amaraso.

Ni ubuhe buryo bwo kuvura?

Kugabanuka k'umura ni ikibazo cyihutirwa, bityo bisaba ko itsinda ry'abaganga rigira icyo rikora byihutirwa. Intego nyamukuru yo kuvura ni uguhagarika kuva amaraso vuba bishoboka no gusimbuza amaraso cyangwa amazi yatakaye . Ndetse na nyuma yo kuva amaraso, ushobora gukenera guterwa amaraso cyangwa amazi ya IV kugira ngo usimbuze ibyatakaye.

Ubusanzwe umuganga w’abagore n’umuganga w’abagore atangira kuvura akoresha massage ku mura kugira ngo awufashe kwikuramo cyane. Bitewe n’ubukana bw’indwara, ibi bishobora no gufasha gukira indwara yo mu mura.

Uretse gusigwa nyababyeyi nyuma yo kubyara, muganga wawe ashobora gukoresha imiti myinshi kugira ngo afashe nyababyeyi yawe kwifata. Iyi miti ikubiyemo:

• (Oxytocin) (izina ry'ikirango Pitocin®)
• (Methylergonovine) (izina ry'ikirango Methergine®)
• Prostaglandins , urugero nka 15-methyl-PGF2 (Hemabate®), misoprostol (Cytotec®) cyangwa dinoprostone .
• Ubwoko bwa Ergot Alkaloids , urugero (Ergometrine) .

Gushyira igitutu ku nkuta z'umura (Tamponade Techniques)

Muganga wawe ashobora gukenera gushyira igitutu kinini ku mura wawe kugira ngo agabanye ingano y'amaraso ava. Ubu buryo burimo gupakira nyababyeyi ukoresheje agatambaro cyangwa gushyiramo agapira k'inyuma mu mura. Muri ubu buryo, muganga ashyira igitutu ku rukuta rw'umura kugira ngo ahagarike amaraso.

Ubuvuzi bukorwa hakoreshejwe ubuvuzi

Niba ubundi buryo bwose bunaniwe guhagarika kuva amaraso, kubagwa bishobora kuba ngombwa. Uburyo bwo kubaga bukoreshwa mu kuvura indwara yo mu mura burimo:

• (Uterine Curettage): Muri ibi, muganga akuramo kandi agakuraho ibice byose by'amaraso cyangwa placenta biri mu mura (nk'uko D&C imeze).
• Gufunga imitsi yo mu nda: Uburyo bwo guhuza imitsi ijyana amaraso mu nda.
• (Embolization y'imitsi yo mu nda): Uburyo bukoresha uduce duto tumeze nk'umucanga kugira ngo buhagarike kuva amaraso mu nda.
• Gukuraho igitsina: Niyo byaba binaniranye, gukuramo nyababyeyi.

Ni izihe ngorane zindi ibi bishobora gutera?

Kugabanuka k'umura bishobora gutera ingorane nk'izi:

• Anemia - bivuze kubura amaraso.
• Kumva unaniwe cyane cyangwa ufite akazi kenshi .
• Kumva umeze nk'uzu ... uvukow'amaraso.
• Ingaruka zo kuva amaraso mu gihe cyo gutwita ziriyongera .

Ese ibi bishobora kwirindwa?

Akenshi, kugabanuka k'umura ntibishobora kwirindwa. Ariko niba uri mu kaga, muganga wawe ashobora gufata ingamba zo kwitegura kuva amaraso menshi. Urugero, kugira abafasha cyangwa ibikoresho by'inyongera mu cyumba cyo kubyariramo, cyangwa kubyara umwana wawe mu bitaro bitandukanye, bishobora gufasha. Ushobora gufata ingamba zo kugira inda nziza. Ibi birimo gufata vitamine zo kubyara , kubahiriza gahunda zawe zo kubyara , no kugira ibiro byiza mu gihe utwite.

Niba warigeze kuva amaraso menshi mu gihe cyo kubyara mbere, nyamuneka menyesha umuganga w'abagore n'umuganga w'abagore ibyabyo.

Ese ibi bishobora kongera kubaho?

Yego, birashoboka kugira atony y'umura inshuro zirenze imwe. Niba warigeze kuyigira mbere, uba ufite ibyago byinshi byo kongera kuyigira.

Amaherezo, ngomba kukubwira... (Ubutumwa bwo kujyana mu rugo)

Kurwara nyababyeyi ni ikibazo gikomeye gishobora kubaho nyuma yo kubyara. Niba ufite iki kibazo, itsinda ry’abaganga rizakenera kukuvura vuba kugira ngo wirinde kuva amaraso menshi. Vugana na muganga wawe ku bijyanye no kurwara nyababyeyi no kumenya niba uri mu kaga ko kurwara. Kumenya ingaruka zabyo mbere y’igihe bizagufasha kwitegura ubuvuzi bwihutirwa nibiba ngombwa. Wibuke ko kumenya ibi bintu atari impamvu yo gutinya, ahubwo ni amahirwe yo kubona ubufasha vuba nibiba ngombwa. Nturi wenyine, kandi abaganga bahora biteguye kugufasha.

Kubyimba kw'umura , Kugabanya umubyimba w'umura, Kuva amaraso nyuma yo kubyara, Kubyara, Umura, Ubuzima bw'abagore, Placenta