Kuba umubyeyi ni kimwe mu bintu bishimishije cyane mu buzima. Hamwe n'ubwo bunararibonye bwiza, ni ingenzi cyane ko tumenya bimwe mu bibazo by'ubuzima bishobora kuvuka nyuma yo kubyara. Kuko icyo gihe dushobora guhangana nabyo neza tudatinya. Uyu munsi turimo kuvuga ku ndwara ikomeye, ariko idasanzwe nko kuva amaraso nyuma yo kubyara, cyangwa kuva amaraso nyuma yo kubyara (PPH) . Ibi bikunze kubaho mu masaha 24 ya mbere nyuma yo kubyara, ariko rimwe na rimwe bishobora kubaho kugeza ku byumweru 12.
Ibi bibaho bite koko?
Reka tubivuge mu buryo bworoshye. Iyo utwite, urugingo rwihariye rwitwa placenta rukurira mu nda ya nyababyeyi yawe. Ibi nibyo biha umwana umwuka n'intungamubiri akeneye. Nyuma y'uko umwana avutse, nyababyeyi yawe irushaho gukurura kandi igasohora nyababyeyi. Uku gukurura ni ingenzi cyane. Kuko bifasha guhagarika kuva amaraso binyuze mu gufunga imiyoboro y'amaraso aho nyababyeyi yari ifatanye na nyababyeyi.
Tekereza, bigenda bite iyo ku mpamvu runaka iyi mitsi idakomeye bihagije? Iyo miyoboro y'amaraso itangira kuva amaraso. Hari igihe, iyo uduce duto twa placenta tugumye mu mura, ibyo bishobora no gutera kuva amaraso menshi. Iyo placenta idasohotse mu minota 30 nyuma yo kubyara, tuyita "Inyuma y'inyuma". Ibi bishobora kandi gutera kuva amaraso menshi no kwandura indwara zikomeye.
Niba ufite ikibazo cyangwa impungenge ku bijyanye n'ingobyi, ntugatinye kubibwira muganga wawe mu gihe utwite.
Ni ibihe bimenyetso by'ingenzi by'ibi?
Kuva amaraso nyuma yo kubyara (PPH) ntibigira ingaruka ku bagore bose mu buryo bumwe. Ariko hari ibimenyetso bimwe na bimwe by’ingenzi bigomba kwitabwaho.
| Ibimenyetso | Ibisobanuro byoroshye |
|---|---|
| Kuva amaraso menshi mu buryo butunguranye | Iki ni cyo kimenyetso nyamukuru kandi kigaragara cyane. Niba uva amaraso menshi kuruta uko bisanzwe, ugomba kugira impungenge. |
| Kugabanuka k'umuvuduko w'amaraso | Iyo amaraso menshi asohotse mu mubiri, umuvuduko w'amaraso ushobora kugabanuka mu buryo butunguranye. Ibi bishobora gutera kumva unaniwe kandi uzumva umeze nk'ufite isereri. |
| Umutima utera cyane | Nk'aho ari ukwishyura umuvuduko w'amaraso uri hasi, umutima utangira gutera cyane. |
| Kugabanuka k'umubare w'uturemangingo dutukura mu maraso | Kubera ko umubare munini w'uturemangingo dutukura dusohoka mu mubiri hamwe n'amaraso, ibi bishobora kugaragara mu isuzuma ry'amaraso. |
| Kubyimba no kubabara mu gitsina no hafi yacyo | Hari igihe amaraso aterana mu ngingo (hematoma), bigatera ububabare no kubyimba. |
Ni izihe mpamvu zishobora gutuma habaho iyi ngaruka mbi?
Abagore bamwe bafite amahirwe menshi yo kurwara PPH kurusha abandi. Hari ibintu byinshi bishobora gutera ibi. Niba ufite kimwe muri ibi bibazo, ni byiza kubimenyesha muganga wawe mbere y'igihe.
- Ibibazo byo mu gihe cyo gutera akabariro :
- Gucika kw'inyuma y'umura: Inyuma y'umura iva mu mura mbere yuko umwana avuka.
- Placenta Previa: Placenta iherereye hasi mu mura, hafi y'umura.
- Kurambura cyane umura: Niba utwite impanga, niba umwana apima ibiro byinshi, cyangwa niba hari amazi menshi ya amniotic mu mura, umura ushobora kuba wararambuye cyane.
- Umuvuduko ukabije w'amaraso mu gihe cyo gutwita: Indwara nk'umuvuduko ukabije w'amaraso mu gihe cyo gutwita cyangwa preeclampsia.
- Kuba yarabyaye abana benshi mbere.
- Kubyara bifata igihe kirekire kuruta uko bisanzwe.
- Hari indwara zimwe na zimwe zandura .
- Umubyibuho ukabije.
- Gukoresha imiti yo gutera ububabare.
- Gukoresha imiti ihagarika ububabare bw'umura ku bana bavutse igihe kitageze .
- Gukoresha ibikoresho nk'ibinini cyangwa ibikoresho byo mu gikoni mu gihe cyo kubyara.
- Gutanga ikinya rusange.
Byongeye kandi, PPH ishobora guterwa no gucika cyangwa gukomereka mu mitsi y'amaraso mu mura w'inkondo y'umura, mu gitsina cy'umugore, cyangwa mu mura, ibibazo byo kuvura amaraso, n'ibindi bibazo bifitanye isano n'ingobyi.
Abaganga bavura bate ibi?
Nubwo iki kibazo gikomeye, ntugatinye . Mu bitaro, abaganga n'abaforomo bahuguwe guhangana n'iki kibazo. Intego yabo ya mbere kandi y'ingenzi ni uguhagarika kuva amaraso vuba bishoboka. Bakoresha uburyo butandukanye bwo kuvura.
Muganga azaguhitiramo uburyo bwiza bwo kuvura akurikije ibintu nk'amateka y'ubuzima bwawe n'uburemere bw'indwara yawe.
Uburyo butandukanye bwo kuvura:
- Gutanga imiti: Imiti itangwa kugira ngo ifashe nyababyeyi kwifunga.
- Massage yo mu mura: Muganga akoresha massage yo mu mura ari hejuru y'inda kugira ngo afashe guhagarika kuva amaraso no gufunga umura.
- Gukuraho ibice bya placenta: nyababyeyi irasuzumwa kugira ngo irebe ko hari ibice bya placenta bisigaye hanyuma ikabikuramo.
- Gusuzuma umura: Bisuzuma niba hari amarira mu gitsina cyangwa mu mura.
- Tamponade y'ibaluni yo mu mura: Ibaluni yihariye yitwa tamponade y'ibaluni yo mu mura ishyirwa mu mura ikayitera umwuka mwinshi kugira ngo ikandagire imiyoboro y'amaraso kandi ihagarike kuva amaraso.
- Kubagwa: Hari igihe biba ngombwa kubagwa gato kugira ngo hakorwe ibintu nko gufunga umuyoboro w'amaraso. Ni gake cyane, niba nta bundi buryo bwo kuvura bushobora guhagarika kuva amaraso, kubagwa igitsina bishobora gukorwa nk'uburyo bwa nyuma bwo kurokora ubuzima bw'umubyeyi.
Hamwe n'ubu buryo bwo kuvura, ni ingenzi cyane gusimbuza amaraso n'amazi yatakaye. Ibi bikorwa vuba hakoreshejwe umunyu (IV fluids) kandi, nibiba ngombwa, guterwa amaraso.
Ubutumwa bwo kujyana mu rugo
- Kuva amaraso nyuma yo kubyara (PPH) ni indwara ikomeye, ariko ivurwa vuba kandi neza . Ikintu cy'ingenzi ni ukumenya ibimenyetso hakiri kare no gushaka ubuvuzi mu bitaro.
- Ibi si ikosa ryawe, ntukabyibagirwe ngo wumve ubabaye.
- Niba ukeka ko urimo kuva amaraso menshi cyane, haba mu bitaro cyangwa mu rugo, nyuma yo kubyara, hamagara muganga wawe ako kanya cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe .
- Vugana na muganga wawe nta guhishanya mu gihe cyose utwite. Ni ngombwa kumenya ibintu bishobora gutuma urwara hakiri kare.
- Iyo basanze barwaye kandi bakavurwa hakiri kare, ababyeyi benshi bashobora gukira neza.
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