Isibeleko asinciphisi kakuhle emva kokuba nomntwana? Masithethe nge (Ukuqina kwesibeleko)!

Ukuba ngumama yenye yezona zinto zintle nezinoxanduva ebomini. Nangona kunjalo, ngolu vuyo, ngamanye amaxesha iingxaki zempilo ezingalindelekanga zinokuvela. Namhlanje, siza kuthetha ngemeko enzima kodwa enyangekayo abanye oomama abajongana nayo emva kokubeleka. Oku kubizwa ngokuba yi-uterine atony, okanye ngokwezonyango , i-uterine atony .

Yintoni i-Uterine Atony? Ngamafutshane...

Ngamafutshane, i-Uterine Atony iyenzeka xa isibeleko sakho singanciphi kakuhle okanye singaqini kakuhle emva kokubeleka. Ngokwesiqhelo, emva kokuba umntwana ezelwe, isibeleko siyanciphiswa kakuhle kwaye silawule ukopha emva kokuba i-placenta izelwe. Nangona kunjalo, kule meko, izihlunu zesibeleko azisebenzi kakuhle, oko kuthetha ukuba zikhululekile kwaye aziqini kangako. Oku kuyingozi kakhulu kuba kunokubangela ukopha okukhulu okunokuba yingozi ebomini .

Cinga ngale nto, xa umntwana wakho ekhula ngaphakathi kwesibeleko ngexesha lokukhulelwa, umntwana ufumana lonke igazi, ioksijini, kunye nesondlo esifunekayo nge-placenta. Kukho imithambo yegazi emininzi ehambisa igazi kule placenta. Emva kokuba umntwana ezelwe, isibeleko siyafinyela ukuze sikhuphe i-placenta. Xa ifinyela, loo mithambo yegazi iyaqina kwaye iyeke ukopha. Ngoko ke, ukuba isibeleko asifinyeli kakuhle, oko kukuthi, ukuba kukho (i-uterine atony), loo mithambo yegazi iqala ukopha rhoqo. Oku sikubiza ngokuba yi-postpartum hemorrhage .

Le meko (i-uterine atony) ingenzeka emva kokuphuphuma kwesisu okanye olunye utyando olubandakanya isibeleko. Ingenzeka ngexesha lokubeleka okuqhelekileyo kunye nangexesha lokubeleka ngotyando. Nangona le meko isenzeka malunga ne-2% yazo zonke iimveku ezizalwayo, ayisoloko ibangela ukopha kakhulu. Nangona kunjalo, le yimeko efuna unyango olukhawulezileyo. Ukuba inyangwa ngokukhawuleza, ukuchacha ngokupheleleyo kunokwenzeka.

Kuza kwenzeka ntoni ukuba isibeleko asifinyeleli emva kokufumana umntwana?

Ukuba izihlunu zesibeleko azinciphi kakuhle emva kokubeleka, usengozini enkulu yokopha. Njengoko besitshilo ngaphambili, emva kokubeleka, i-placenta kufuneka yahlukane nodonga lwesibeleko. Oku kuvula imithambo yegazi apho. Ukunciphiswa kwesibeleko kuqinisa loo mithambo yegazi kwaye kumise ukopha. Ngoko ke, ukuba izihlunu azinciphi kakuhle, ukopha kuya kuqhubeka. Le yingxamiseko yezonyango, njengoko inokuba yingozi ebomini.

Zeziphi izinto ezibangela umngcipheko wale meko?

Kukho izinto ezininzi ezinokubangela ukudumba kwesibeleko. Ezi zinto zinokuphazamisana nokudumba kwesibeleko sakho emva kokuzala:

• Ukuba lo ngumntwana wakho wokuqala , okanye ukuba unabantwana abangaphezu kwesihlanu .
• Ukuba ulindele amawele, amawele amathathu, okanye nangaphezulu .
• Umntwana wakhoUkuba inkulu kunesiqhelo (oogqirha bayibiza le nto ngokuba yiFetal Macrosomia) .
• Ukuba uneminyaka engaphezu kwama-35 ubudala .
• Ukuba une-amniotic fluid eninzi kakhulu (amanzi ajikeleze umntwana) (oku kubizwa ngokuba yi-polyhydramnios) .
• Ukuba utyebile kakhulu .
• Ukuba une- uterine fibroids .

Kwakhona, oogqirha bakholelwa ukuba ukuba ezi zinto zenzeka ngexesha lokubeleka, isibeleko sisenokunganciphi emva kokubeleka:

• Ukuba ubunentlungu yokubeleka ende kakhulu , okanye ukuba ubeleke ngokukhawuleza kakhulu .
• Ukuba ube nobunzima ekubelekeni .
• Ukuba umsebenzi wakho wawubangelwe .
• Ukuba ukhe waba nesifo esibizwa ngokuba yiChorioamnionitis (usulelo lwe-membranes ejikeleze umntwana).
• Ukuba unikwe i-anesthesia eqhelekileyo .
• Ukuba unesibeleko esikhulu .

Kubalulekile: Ukuba unezi zinto zingaphezulu kwezimbini kwezi zinobungozi, usemngciphekweni omkhulu wokufumana i-uterine atony. Oogqirha bachonga abo basengozini kwangethuba baze benze amalungiselelo afunekayo ngaphambi kokuba babeleke, ukuze bakwazi ukuqalisa ngokukhawuleza.

Kutheni oku kusenzeka? Zithini izizathu?

I-atony yesibeleko yenzeka xa izihlunu zesibeleko zingasabeli kakuhle kwi-hormone (i-oxytocin) eveliswa ngumzimba wakho ukuze ivuselele ukushwabana kwesibeleko ngaphambi nangexesha lokubeleka. Ngamafutshane, kufana nokuba isibeleko "asiva."

Zithini iimpawu zoku?

Uphawu olukhulu nolubalulekileyo lwe-uterine atony kukuphuma kwegazi rhoqo okanye okugqithisileyo esibelekweni . Uninzi lwexesha, ugqirha wakho uya kuyibona le meko emva kokuba ubeleke umntwana wakho. Ukongeza, emva kokubeleka, isibeleko sakho sinokukhululeka, sibe buthathaka, singaqini.

Ezinye iimpawu zezi:

• Uxinzelelo lwegazi oluphantsi .
• Isantya sentliziyo esikhawulezayo .
• Ukuziva unesizungu okanye utyhafile .
• Ibonakala imhlophe qhwa .
• Ukulahlekelwa yingqondo .
• Ukungakwazi ukuchama .
• Intlungu, ingakumbi intlungu yomqolo .

Oogqirha bayibona njani le nto?

Oogqirha bethu baqeqeshwe ukuxilonga nokunyanga i-Uterine Atony ngokukhawuleza. Oku kudla ngokuxilonga ngesandla ubukhulu kunye nokuthamba kwesibeleko sakho emva kokubeleka. Ugqirha uza kubeka isandla esinye esiswini sakho aze afake iminwe yesinye isandla kwisini sakho ukuze ahlole isibeleko sakho. Abanye oogqirha baza kulinganisa iipads okanye i-gauze esetyenziselwa ukufunxa igazi ukuze baqikelele ukuba lingakanani igazi olilahlekileyo.

Ukuba une-uterine atony, isibeleko sakho sikhulu, sithambile, kwaye sibuthathaka. Xa ubeleka ngendlela eqhelekileyo, isibeleko kufuneka sinciphe (siqine okanye siqine) size siqale ukuncipha emva kokuba umntwana ezelwe.

Ekubeni i-uterine atony yeyona nto iphambili ebangela ukopha okukhulu emva kokubeleka, ugqirha wakho uya kujonga oku kulandelayo:

• Ngaba kukho iinyembezi emlonyeni wakho wesibeleko, kwilungu lobufazi, okanye kwisibeleko ?
• Nokuba iindawo ze-placenta (i-Retained Placental Tissue) zinamathele ngaphakathi kwesibeleko.

Ugqirha wakho uza kuqhubeka ejonga uxinzelelo lwegazi kunye nesantya sentliziyo yakho ukuze abone utshintsho. Banokwenza novavanyo lwegazi ukujonga inani leeseli zakho ezibomvu zegazi kunye ne-blood clotting factor.

Zithini iindlela zonyango?

Ukungapheleli kwesibeleko yimeko engxamisekileyo, ngoko ke kufuna inyathelo elikhawulezileyo kwiqela lakho lezonyango. Injongo ephambili yonyango kukuyeka ukopha ngokukhawuleza kangangoko kunokwenzeka nokubuyisela igazi okanye ulwelo olulahlekileyo . Kwanasemva kokuba ukopha kulawulwe, unokufuna ukufakelwa igazi okanye ulwelo lwe-IV ukuze kuthathelwe indawo oko kulahlekileyo.

Ugqirha wakho wezifo zabesifazane uya kuqala unyango ngokuhlikihla isibeleko ukuze sinciphe ngamandla. Ngokuxhomekeke kubunzima bemeko, oku kunokunceda nokunyanga ukudumba kwesibeleko.

Ukongeza ekuphululeni isibeleko emva kokubeleka, ugqirha wakho angasebenzisa amayeza aliqela ukunceda isibeleko sakho sinciphe. La mayeza aquka:

• (Oxytocin) (igama lophawu lwePitocin®)
• (iMethylergonovine) (igama lophawu iMethergine®)
• IiProstaglandins , umzekelo i-15-methyl-PGF2 (Hemabate®), i-misoprostol (Cytotec®) okanye i-dinoprostone .
• Iintlobo ze- Ergot Alkaloids , umzekelo (i-Ergometrine) .

Ukufaka uxinzelelo eludongeni lwesibeleko (iindlela zeTamponade)

Ugqirha wakho unokufuna ukufaka uxinzelelo olungakumbi kwisibeleko sakho ukuze kuncitshiswe ukopha. Ezi ndlela ziquka ukupakisha isibeleko nge-gauze okanye ukufutha ibhaluni ngaphakathi kwesibeleko. Ngezi ndlela, ugqirha usebenzisa uxinzelelo oluthe ngqo eludongeni lwesibeleko ukuze ayeke ukopha.

Unyango ngotyando

Ukuba zonke ezinye iindlela azikwazi ukunqanda ukopha, utyando lunokufuneka. Iinkqubo zotyando ezisetyenziselwa ukunyanga i-uterine atony ziquka:

• (Unyango lwe-Uterine Curettage): Kule meko, ugqirha ukhuhla aze asuse naziphi na iziqwenga zegazi okanye ze-placenta ezivaleleke ngaphakathi kwesibeleko (ngokufana ne-D&C).
• Ukubopha imithambo yegazi yesibeleko: Yinkqubo edibanisa imithambo yegazi ehambisa igazi kwisibeleko.
• (Ukufakelwa kwemithambo yesibeleko): Inkqubo esebenzisa amasuntswana amancinci afana nesanti ukunqanda ukopha esibelekweni.
• Ukususwa kwesibeleko: Njengendlela yokugqibela, ukuba konke okunye kuyasilela, ukususwa kwesibeleko.

Zeziphi ezinye iingxaki ezinokubangela oku?

Ukungakhululeki kwesibeleko kunokubangela iingxaki ezifana nezi:

• I-anemia - oko kuthetha ukunqongophala kwegazi.
• Ukuziva udiniwe kakhulu okanye usebenza kakhulu .
• Ukuziva unesizungu okanye ubuthathaka ngenxa yoxinzelelo lwegazi oluphantsi.
• Umngcipheko ophezulu wokopha xa umntu ekhulelwe.

Ngaba oku kungathintelwa?

Uninzi lwexesha, i-uterine atony ayinakuthintelwa. Kodwa ukuba usemngciphekweni, ugqirha wakho unokuthatha amanyathelo okulungiselela ukopha kakhulu. Umzekelo, ukuba nabancedisi okanye izixhobo ezongezelelweyo kwigumbi lokubeleka, okanye ukuba ubelekele umntwana wakho kwisibhedlele esahlukileyo, kunokunceda. Ungathatha amanyathelo okuba nokukhulelwa okunempilo. Oku kuquka ukuthatha iivithamini zokukhulelwa , ukugcina idinga lakho lokukhulelwa , kunye nokugcina ubunzima obusempilweni ngexesha lokukhulelwa.

Ukuba ukhe wopha kakhulu ngexesha lokubeleka kwangaphambili, nceda uqiniseke ukuba wazisa ugqirha wakho wokubelekisa kunye nogqirha wezifo zabesifazane ngalo mba.

Ngaba oku kungenzeka kwakhona?

Ewe, kunokwenzeka ukuba ube ne-uterine atony ngaphezu kwesihlandlo esinye. Ukuba ukhe wanayo ngaphambili, usemngciphekweni omkhulu wokuba nayo kwakhona.

Okokugqibela, kufuneka ndikuxelele... (Umyalezo Wokuya Ekhaya)

I-uterine atony yingxaki enkulu enokwenzeka emva kokubeleka. Ukuba unale meko, iqela lakho lezonyango kuya kufuneka likunyange ngokukhawuleza ukuze uthintele ukopha kakhulu. Thetha nogqirha wakho malunga ne-uterine atony kunye nokuba usemngciphekweni wokuba nayo. Ukuqaphela iingozi kwangaphambili kuya kukunceda ulungele unyango olungxamisekileyo ukuba kuyimfuneko. Khumbula, ukuqaphela ezi zinto akusosizathu sokoyika, kodwa lithuba lokufumana uncedo ngokukhawuleza ukuba luyimfuneko. Awuwedwa, kwaye oogqirha bahlala bekulungele ukukunceda.

Ukuqunjelwa kwesibeleko , Ukungakhuli kwesibeleko, Ukopha emva kokubeleka, Ukubeleka, Isibeleko, Impilo yabasetyhini, iPlacenta