Ngaba usandul’ ukuba nomntwana? Okanye ngaba udlule kumava abuhlungu njengokuphuphuma kwesisu? Emva kwesiganeko esinjalo, umzimba uthatha ixesha ukuba uphile. Ngoko ke, kuqhelekile ukuba nokopha kancinci kwilungu lobufazi kunye nentlungu encinci kangangeentsuku ezimbalwa. Nangona kunjalo, ukuba oku kukopha kunzima kakhulu kunesiqhelo, ukuba uphuma amahlwili amakhulu, okanye ukuba akukho phuculo emva kweentsuku ezimbalwa, ayilocebo lilungileyo ukuyeka nje. Isenokuba yimeko ebizwa ngokuba yi-"retained uterine tissue," esithetha ngayo namhlanje.
Ngamafutshane, yintoni inxalenye yesibeleko egciniweyo (RPOC)?
Oku kunokuvakala kunzima xa usiva igama, kodwa kulula kakhulu.
Emva kokuba ixesha lokukhulelwa liphelile, oko kukuthi, emva kokuba umntwana ezelwe, emva kokuphuphuma kwesisu, okanye emva kokukhipha isisu, kukho iindawo zezicubu ezisele ngaphakathi kwesibeleko ezinxulumene nelo xesha lokukhulelwa, nto leyo esiyibiza ngokwezonyango ngokuthi `(Iimveliso Ezigciniweyo Zokukhulelwa - RPOC)`. Cinga ngayo, ngexesha lokukhulelwa, enye into ebalulekileyo ebizwa ngokuba yi-placenta ikhula esibelekweni kunye nomntwana, akunjalo? Umntwana ufumana isondlo kunye neoksijini ayidingayo ngale placenta. Emva kokuba umntwana ezelwe, le placenta kufuneka iphume ngokupheleleyo esibelekweni ize iphume. Kodwa ngamanye amaxesha, iziqwenga ezincinci zale placenta, iindawo zezicubu ze-embryo okanye i-fetus, okanye ezinye iindawo zezicubu ezinxulumene nexesha lokukhulelwa zisenokungasuswa ngokupheleleyo kwaye zihlale zinamathele ngaphakathi kwesibeleko. Yiyo loo nto siyibiza le meko.
Ngaba oku kufana ne "Retained Placenta"?
Hayi, zahlukile kancinci. Siyibiza ngokuba yi-"Retained Placenta" xa i-placenta yonke ingaphumi esibelekweni kwimizuzu engama-30-60 emva kokuzalwa. Kwimeko enjalo, sithetha nge
-placenta yonke . Kodwa `(RPOC)` yimeko ebanzi kancinci. Apha, asiyo-placenta yonke, kodwa
sisiqwenga esincinci se-placenta, isiqwenga sesicwili se-fetus, okanye nantoni na enokushiyeka esibelekweni. Ngamafutshane, `(Retained Placenta)` inokuthathwa njengohlobo lwe `(RPOC)`.
Zithini iimpawu zale meko? Uyibona njani?
Ngenxa yokuba umzimba wakho udlula kwiinguqu ezininzi emva kokuba nomntwana, ngamanye amaxesha kulula ukuphambanisa ezi mpawu nento eqhelekileyo. Kodwa kubalulekile ukuqaphela oku.
Khumbula, kuqhelekile ukopha kancinci kwiiveki ezimbalwa emva kokuba nomntwana okanye ukuphuphuma kwesisu. Kodwa kufuneka kunciphe kancinci kancinci. Ukuba akunjalo, yinto ekufuneka uyiqwalasele.
Uphawu oluphambili noluqhelekileyo
kukuphuma kwegazi elingaqhelekanga okanye ukopha kakhulu kwilungu lobufazi. Masicacise oku ngakumbi:
- Ukopha kakhulu : Ukuba wopha ngokwaneleyo ukumanzisa ngokupheleleyo iphedi rhoqo emva kweeyure ezimbini.
- Ukuphuma kwamahlwili egazi amakhulu: Ukuba uphuma amahlwili egazi amakhulu kunesiqhelo.
- Ukopha okukhawulezileyo: Ukuba ukopha kuyeka iintsuku ezimbalwa uze ngequbuliso uqale ukopha kakhulu kwakhona.
- Ukuphuma kolwelo olunevumba elibi: Ukuba ukukhupha kolwelo oluvela kwilungu lobufazi kunevumba elibi, oko kungaba luphawu losulelo.
Ukongeza kolu phawu luphambili, kukho nezinye iimpawu ezininzi ezinokubonwa.
| Uphawu | Inkcazo |
|---|
| Umkhuhlane kunye nokubanda | Ukuba usulelo luvela ngenxa yeendawo eziseleyo ngaphakathi kwesibeleko, umkhuhlane unokubakho. |
| Intlungu yesisu esisezantsi | Isenokuvakala ngathi yintlungu ebukhali, engapheliyo okanye ukuqaqamba esiswini esisezantsi. |
| Isibeleko esikhulu nesinobuthathaka | Ngexesha lovavanyo, ugqirha unokufumanisa ukuba isibeleko sikhulu kunokuba bekulindelwe kwaye sibuhlungu ukusichukumisa. |
| Ukungaphumeleli ukuqalisa ukuya exesheni rhoqo ngenyanga | Ukuba awuncancisi, ixesha lakho kufuneka liqale kwakhona kwiiveki ezi-6-8. Ukuba aliqali, lisenokuba luphawu lwesi sifo. |
Kutheni oku kusenzeka? Ngaba kukho isizathu esithile soku?
Kudla ngokuba nzima ukuchonga unobangela omnye. Nangona kunjalo, oogqirha bachonge izinto ezininzi ezibangela umngcipheko wokuba nale meko.
Eyona nto iphambili kukuba ukuba ukhe waba nale meko (RPOC) kukukhulelwa kwangaphambili,Umngcipheko wokuba oku kwenzeke kwakhona ekukhulelweni okulandelayo nawo uphezulu. Ukongeza, ezi meko zilandelayo zinokwandisa umngcipheko.
| Into enobungozi | Ingcaciso elula |
|---|
| I-Placenta Accreta | Le yimeko apho i-placenta inamathele ngqo eludongeni lwesibeleko. Emva koko, emva kokuba umntwana ezelwe, ayiphumi lula. Kukho amathuba aphezulu okuba iindawo ezithile zihlale. |
| Ukuba neminyaka engaphezu kwama-35 ubudala | Umngcipheko uyanda kancinci ukuba umama uneminyaka engaphezu kwama-35 ubudala ngexesha lokukhulelwa. |
| Ukuhanjiswa ngoncedo | Ukuba kufuneka usebenzise izixhobo ezifana ne-forceps okanye i-vacuum ukususa umntwana. |
| Ukuphuma kwesisu okanye ukuzalwa komntwana oswelekileyo ngexesha lekota yesibini yokukhulelwa (iiveki 13-26) | Ngeli xesha, kukho ithuba elikhulu lokuba i-placenta ayizukusulwa ngokupheleleyo kwaye ezinye iindawo ziya kuhlala. |
| Ukungaphumeleli kwiNtlalo-phambili ekuBelekeni | Njengoko ukuzala kuqhubeka, isibeleko sinokudinwa kwaye singabi nazintlungu ezifunekayo zokukhupha i-placenta ngokupheleleyo. |
| Utyando lwangaphambili lwesibeleko | Ukuba ukhe wabeleka utyando lwebele ngaphambili (C-sections) okanye i-D&Cs, izicubu zesilonda esibelekweni zinokubangela ukuba i-placenta inamathele nzulu. |
| Ukuba nesibeleko esimile ngendlela engaqhelekanga | Izibeleko zabanye abafazi zahlukile kancinci kwimilo yokuzalwa, kwaye nangona kunjalo, iinxalenye zisenokuhlala. |
Kuza kwenzeka ntoni ukuba ezi ndawo azisuswa? Ngaba kuza kubakho iingxaki ezinkulu?
Ewe. Ukuba le meko ayinyangwa, ngamanye amaxesha inokukhokelela kwiingxaki ezinkulu. Yiyo loo nto sithi kufuneka siqaphele ezi mpawu.
- I-anemia : Ukopha kakhulu kunokubangela ukwehla komthamo wegazi emzimbeni, nto leyo ekhokelela kwiimpawu ezinje ngokudinwa kunye nesiyezi .
- Iintsholongwane: Izicubu eziseleyo ngaphakathi kwesibeleko yindawo efanelekileyo yokukhula kweentsholongwane . Olu sulelo lunokusasazeka luye kwiityhubhu ze-fallopian kunye nama-ovari , luchaphazele amandla akho okuba nabantwana kwixesha elizayo. Ngamanye amaxesha, olu sulelo lunokusasazeka emzimbeni wonke luze lubangele iimeko ezisongela ubomi ezifana ne -sepsis .
- Intlungu Yesinqe Engapheliyo: Usenokuba nentlungu esezantsi kwesisu ixesha elide.
- Isifo sika-Asherman: Esi sisifo esingaqhelekanga. Usulelo okanye unyango ngaphakathi kwesibeleko (ingakumbi i-D&C) lunokubangela ukuba iindonga zesibeleko zinamathele. Oku kunokukhokelela ekuwangeni okungacwangciswanga, ekuphunyelweni kwesisu, kunye nobunzima bokukhulelwa kwixesha elizayo.
Oogqirha bayixilonga njani le meko?
Kunzima ukuqiniseka nge-100% ukuba unale meko ngokusekelwe kwiimpawu zodwa. Ezi mpawu zinokubonakala nakwezinye iimeko zonyango. Ke ngoko, ugqirha wakho unokwenza iimvavanyo ezininzi ukuqinisekisa oku.
| Indlela yovavanyo | Ufunda ntoni kuloo nto? |
|---|
| Iskeni se-Ultrasound esidluliselwa kwisini | Olu vavanyo, olubandakanya ukufakwa kweprobe encinci kwilungu lobufazi, lunokubona ngokucacileyo ukuba udonga lwangaphakathi lwesibeleko lujiyile okanye ukuba kukho naziphi na iziqwenga zezicubu. |
| I-Ultrasound yeDoppler yoMbala | Olu lukwaluhlobo lweskeni. Lunokubona ukuba izicwili ezisele kwisibeleko zisenalo na igazi. Ukuba kukho igazi, kusenokwenzeka ukuba liyinxalenye yeplacenta. |
| Uvavanyo lwegazi lweHCG (Uvavanyo lweChorionic Gonadotropin yoLuntu) | I-HCG yi-hormone eveliswa yi-placenta ngexesha lokukhulelwa. Ukuba inqanaba lale hormone egazini lisaphezulu kwiiveki ezimbalwa emva kokuphela kokukhulelwa, oko kubonisa ukuba iindawo ezithile ze-placenta zisenokuba zisekho kwisibeleko. |
| I-Hysteroscopy | Kule meko, ityhubhu encinci enekhamera eqhotyoshelweyo idluliselwa kwilungu lobufazi iye esibelekweni kwaye ingaphakathi lijongwa ngqo kwiscreen. Oku kukuvumela ukuba ubone kakuhle ukuba zeziphi iindawo eziseleyo. |
Zithini iindlela zonyango zoku?
Ukuba le meko iqinisekisiwe, iindawo eziseleyo kufuneka zisuswe. Kukho iindlela ezimbini eziphambili zonyango loku. Ugqirha wakho uya kumisela unyango olufanelekileyo kuwe ngokusekwe kwimeko yakho, ubukhali beempawu zakho, kunye nobungakanani bezicubu ezisele. 1.
Ulawulo lwezonyango:- I-Misoprostol: Eli liyeza elithathwa njengepilisi okanye lifakwe kwilungu lobufazi. Libangela ukuba isibeleko sinciphe (sivuleke). Xa isibeleko sincipha, sikhupha okuseleyo.
2.
Ulawulo lotyando:- Ukwanda kunye nokuCurettage (D&C): Olu lutyando oluncinci. NgesiSinhala, sikwalubiza ngokuba "kukuhlamba isibeleko." Apha, umlomo wesibeleko uvulwa kancinci, kufakwa isixhobo esikhethekileyo (ngokuqhelekileyo ityhubhu yokufunxa), kwaye nayiphi na inkunkuma eseleyo enamathele eludongeni lwesibeleko iyacocwa kwaye isuswe. Oku kudla ngokwenziwa phantsi kwe-anesthesia.
Ngaba kukho naziphi na iingozi ngezi ndlela zonyango?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu ngezi nkqubo. Izinto ezinje ngokopha kakhulu kunye nosulelo zinokwenzeka kuzo zombini ezi nkqubo, kodwa amathuba okuba ne-D&C anqabile.
Ukugqobhoka kwesibeleko kunokwenzeka, kodwa kudla ngokuziphilisa ngokwako. Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho malunga nolu nyango kunye nezinto ezilungileyo nezingalunganga. Emva koko ungenza isigqibo esinolwazi.
Ziziphi iimeko ezingxamisekileyo ezifuna ukubona ugqirha?
Emva kokuphela kokukhulelwa kwakho, ukuba unezinye zezi mpawu zilandelayo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko okanye wazise ugqirha wakho.- Ubunzima bokuphefumla
- Ukopha kakhulu kwilungu lobufazi (ukumanzisa ngaphezu kwephedi enye ngeyure)
- Umkhuhlane ophezulu
- Isicaphucaphu nokuhlanza
- Intlungu ebuhlungu nenganyamezelekiyo esezantsi kwesisu
Kwimeko enjalo, musa ukulinda ekhaya. Eyona nto ikhuselekileyo onokuyenza kukufuna ingcebiso kagqirha ngoko nangoko. Ndiyazi ukuba ukujongana nemeko enjalo kunokuba nzima kakhulu, kwanangokwengqondo. Xa ufuna ukufumana uvuyo lokuba nomntwana, okanye xa uzama ukususa intlungu yokuphuphuma kwesisu, kuyinto eqhelekileyo ukuziva umthwalo omkhulu xa uxelelwa ukuba kuya kufuneka ufumane olunye unyango. Kodwa khumbula, le yimeko enokunyangeka ngokupheleleyo ngonyango. Abafazi abaninzi bayakwazi ukukhulelwa kwakhona ngaphandle kweengxaki emva kolu nyango kwaye babe nabantwana abasempilweni. Thetha ngokukhululekileyo nogqirha wakho, umyeni wakho, kunye nosapho lwakho malunga nemibuzo yakho, uloyiko, kunye neemvakalelo zakho. Kuya kuba luncedo kakhulu kuwe. Umyalezo Wokuya Ekhaya
- Ukubakho kweentsalela zezicubu zesibeleko emva kokuphela kokukhulelwa (ukuzala, ukukhupha isisu) kubizwa ngokuba yi-residual uterine tissue (RPOC) .
- Iimpawu eziphambili kukopha kakhulu, umkhuhlane, kunye nentlungu esezantsi kwesisu .
- Ukuba ukopha akuyehli kancinci emva kokubeleka okanye ukukhupha isisu, kodwa kuyanda okanye kuqale kwakhona, bona ugqirha ngoko nangoko.
- Ukuba le meko ayinyangwa, inokukhokelela kwi-anemia kunye nosulelo olunzima.
- Oku kunokufunyaniswa ngee-ultrasound scans kunye novavanyo lwegazi, kwaye kunokunyangwa ngokupheleleyo ngamayeza okanye utyando oluncinci (D&C).
- Emva kokufumana unyango olufanelekileyo, ngokuqhelekileyo akukho mpembelelo ekukhulelweni okunempilo kwixesha elizayo.
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