Ngaba uyazi ngokuguquguquka kwesibeleko? Nazi izinto ezibalulekileyo koomama!

Ukuba ngumama yenye yezona zinto zintle ebomini. Nangona kunjalo, ukuzala lixesha lolonwabo, kodwa ngamanye amaxesha, ezinye iingxaki zinokwenzeka. Namhlanje siza kuthetha ngemeko engaqhelekanga kakhulu efuna unyango olungxamisekileyo. Oko kukuguqulwa kwesibeleko, okanye njengoko oogqirha bekubiza, "Ukuguqulwa kwesibeleko". Ukuva oku kusenokuvakala kuyoyikisa kancinci, kodwa ungoyiki. Kubaluleke kakhulu ukuqaphela oku.

Yintoni i-uterine inversion? Masiyiqonde ngokulula!

Cinga ngento eyenzekayo ngexesha lokuzalwa okuqhelekileyo. Umntwana wakho uphuma esibelekweni (esibelekweni) aze angene ehlabathini ngelungu lobufazi. Kungekudala emva koko, i-placenta, ilungu elondla umntwana ngexesha lokukhulelwa, nayo iphuma emzimbeni. Sikwabiza oku ngokuthi "ukuzala." Isibeleko sigcina imo yaso kulo lonke eli xesha.

Nangona kunjalo, kule meko ibizwa ngokuba yi-uterine inversion, umphezulu wesibeleko ungena ngaphakathi uze ujike ngokupheleleyo okanye ngokuyinxenye ngaphakathi uphume. Kufana nokuguqula ikawusi ngaphakathi iphume. Ngamanye amaxesha, isibeleko, esiguqulwe ngolu hlobo, sinokuphuma ngelungu lobufazi. Ukuba oku kuyenzeka, kunokubangela ukopha okukhulu, ukothuka, kwaye, ngelishwa, nokufa.

Kodwa, ungoyiki. Iqela lezonyango elilungiselelwe kakuhle lingenza ngokukhawuleza kwaye lithintele ezi ziphumo zimbi. Yiyo loo nto kubalulekile ukuqaphela oku.

Kubaluleke kangakanani oku? Ngawaphi amanqanaba okuguquka?

Le meko yahlulwe yangamanqanaba amane, kuxhomekeka ekubeni isibeleko siqengqeleke kangakanani na ngaphakathi kunye nokuba sichaphazela kangakanani amanye amalungu omzimba:

• Inqanaba 1 (ukuguqulwa okungaphelelanga): Inxalenye ephezulu yesibeleko yehle yaya kwi-uterine cavity.
• Inqanaba lesibini (ukuguqulwa okupheleleyo): Inxalenye ephezulu yesibeleko, njengesokisi ejike ngaphakathi ngaphandle, igoqwe ngaphakathi nge-cervix.
• Inqanaba lesi-3 (elihlaziyiweyo): Inxalenye ephezulu yesibeleko ifikelele kweyona ndawo inzulu yesini.
• Inqanaba lesi-4 (ukuncipha kokuzala): Isibeleko kunye nelungu lobufazi ziphume emzimbeni.

Ixesha elininzi, abantu abajongene nale meko bakwinqanaba lesibini okanye lesithathu.

Kuqheleke kangakanani ukuguquka kwesibeleko?

Le yimeko engaqhelekanga kakhulu. Iyenzeka kumntwana omnye kwabangama-3,500 abazelweyo, okanye ngokweengxelo ezithile, kumntwana omnye kwabangama-20,000 abazelweyo. Ihlala isenzeka kwiiyure zokuqala ezingama-24 emva kokubeleka (i-acute uterine inversion) . Nangona ingaqhelekanga, inokuchongwa kwinyanga emva kokubeleka (i-subacute uterine inversion) okanye emva kwenyanga (i-chronic uterine inversion).

Amaxesha amaninzi (malunga ne-5% yeemeko), isibeleko siyathambekela kungengenxa yokuzala. Sisenokubangelwa ziimvumba ezikwisibeleko, ezifana ne-fibroids, okanye ezinye izifo zomhlaza.

Kutheni oku kusenzeka? Zithini izizathu?

Isizathu esichanekileyo sokuguqulwa kwesibeleko asikafunyanwa ngokupheleleyo.

Nangona kunjalo, kukho uluvo oluxhaphakileyo lokuba oku kunokwenzeka ukuba oogqirha batsala kakhulu i-umbilical cord xa bezama ukususa i-placenta. Le ayisiyompazamo kagqirha. Yenye nje yeengxaki ezininzi ezinokubakho ngexesha lokubeleka.

Ugqirha uza kutsala intambo yomntwana (ilungu elidibanisa umntwana ne-placenta) aze ancede ekutyhaleni i-placenta ngaphandle ngokucinezela isisu. Oku kubizwa ngokuba yi-"Crede maneuver". Isibeleko sinokuthi siqengqeleke ngakumbi ngeli xesha lenkqubo ukuba:

• Ukuba i-placenta yakho ifakwe kwinxalenye ephezulu yesibeleko sakho (i-fundal placental implantation). Ngexesha lokukhulelwa, i-placenta ingafakwa phezulu, ecaleni, ngaphambili, okanye ngasemva kodonga lwesibeleko. Ngokuqhelekileyo, ifakwa phezulu.
• Ukuba isibeleko asinciphi emva kokubeleka (uterine atony). Ngokwesiqhelo, isibeleko siyanciphiswa kakhulu emva kokuba umntwana ezelwe. Oku kuqinisa kunceda i-placenta ukuba iphume kwaye kunciphisa ukopha ngokucinezela imithambo yegazi. Oku kubizwa ngokuba yi-"uterine atony", oko kuthetha ukuba isibeleko asinciphiswanga kakuhle.

Nangona kunjalo, le ngcamango kunzima ukuyingqina, kuba isibeleko sele siguqulwe ngaphandle kwezi meko. Kwakhona, iindlela zokuzala ezifana ne-"Crede maneuver" zisetyenziswa kakhulu, kwaye ukuphindaphindeka kokuguqulwa kwesibeleko kuphantsi kakhulu.

Ngubani osengozini enkulu yoku?

Malunga nesiqingatha sazo zonke iimeko zokuguqulwa kwesibeleko zinenye okanye ezingaphezulu kwezi zinto zilandelayo zomngcipheko:

• Ukuba nentambo emfutshane yesisu.
• Ukuzala okukhawulezileyo okanye okude.
• Ukusebenzisa amayeza aphumza isibeleko.
• Ukuba nomntwana wakho wokuqala (akunyanzelekanga ukuba kube kukukhulelwa kwakho kokuqala. Kusenokwenzeka ukuba ukhe wakhulelwa ngaphambili kodwa awuzange ube nomntwana).
• Ukuba nomntwana omkhulu kunesiqhelo (i-fetal macrosomia).
• I-placenta egciniweyo (ukuphazamiseka kwe-placenta) (ukuphazamiseka kwe-placenta akuphumi kwimizuzu engama-30 emva kokuzalwa).
• I-preeclampsia eqatha (imeko enxulunyaniswa noxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa).
• I-Placenta accreta spectrum (apho i-placenta inamathele kakhulu eludongeni lwesibeleko kangangokuba ayihlukani ngexesha lokubeleka).

Zithini iimpawu? Uzibona njani?

Ukugoba kwesibeleko kunokubangela ukopha okukhulu kunye nokothuka. Iimpawu ziyahluka ngokuxhomekeke kubukhali bokugoba kwesibeleko:

• Ukopha kwangasese (kunokuba kuncinci okanye kunzima).
• Intlungu yesisu esisezantsi kunye nokuziva uxinezelekile.
• Iqhuma eligudileyo nelingqukuva eliphuma kwilungu lobufazi.
• Ukuhla koxinzelelo lwegazi.

Iimpawu zomothuko:

Ezi mpawu zinokuhamba neempawu zokothuka. Ezi ziyingozi kakhulu kwaye zifuna unyango olukhawulezileyo.

• Ukuba nesiyezi, ukuba nentloko ebuthathaka, ubuthathaka, ukudideka, ukudinwa, okanye ukozela.
• Ukubetha kwentliziyo ngokukhawuleza kunye nokuphefumla kancinci.
• Ulusu olubandayo kunye nokubila.
• Ukuqaqamba kwemisipha.
• Ukuziva unqwenela kakhulu ukuhlamba (unxano).

Oogqirha bakuqonda njani oku kanye kanye?

Kwimeko yokuguquka ngokupheleleyo , ugqirha unokuyibona ngoko nangoko. Iimpawu eziphambili sisibeleko esiphumayo kunye nokopha kakhulu. Ugqirha uya kukuva isisu sakho ukuze ajonge ukuba isibeleko sihambile na endaweni yaso.

Olu xilongo kufuneka lwenziwe ngokukhawuleza kuba unyango olusindisa ubomi kufuneka luqalwe ngoko nangoko.

Iphathwa njani?

Unyango oluphumelelayo luxhomekeke ekubeni iqela lezonyango lisebenza ngokukhawuleza kangakanani, lizinzisa iimpawu zakho ezibalulekileyo, kwaye libuyisele umphezulu wesibeleko sakho kwindawo yaso yokuqala. Unyango olufumanayo luya kuxhomekeka kwinqanaba lokuguqulwa. Oku kunokuquka:

• Abasebenzi bezonyango abongezelelweyo: Kusenokufuneka abasebenzi abongezelelweyo ukuze banike amayeza okubulala iintlungu ukunciphisa iintlungu, bajonge amanqanaba egazi, banike igazi ukuba kuyimfuneko, baze bancede ugqirha.
• Ukufakelwa kwakhona ngesandla: Ugqirha uza kuzama ukubuyisela umphezulu wesibeleko endaweni yawo ngokufaka inaliti kwilungu lobufazi kunye nomlomo wesibeleko. Unganikwa amayeza okuphumza isibeleko ukuze kube lula ukusiphatha. Ukuba kunokwenzeka, i-placenta iyafakwa kwakhona ngelixa isanamathele kwisibeleko, ukuba ayikahlukani. Ukuba i-placenta isusiwe ngelixa isibeleko singaphandle komzimba, kukho umngcipheko omkhulu wokopha kakhulu.
• Utyando (i-laparotomy): Ukuba isibeleko asinakufakwa nge-cervix, okanye ukuba wopha kakhulu, ugqirha angenza utyando olubizwa ngokuba yi-laparotomy. Kule meko, ugqirha wenza i-incision esiswini sakho, angene kwi-pelvic cavity, aze abuyisele isibeleko endaweni yaso.
• Ukuzinzisa isibeleko: Emva kokuba isibeleko sibuyiselwe endaweni yaso, uza kunikwa amayeza okusinceda siphinde sinciphe. Oku kuncipha kuya kunceda ekunciphiseni ukopha kwaye kugcine isibeleko sisendaweni yaso.

Olu nyango lusindisa ubomi lwenziwa kwigumbi lotyando. Emva kokuba ukopha kuphelile, ungadluliselwa kwiYunithi yoKhathalelo oluPhezulu (ICU) ukuba kufuneka utofelwe igazi. Uza kunikwa utofelwe igazi njengoko kufuneka.

Ngaba ikho indlela yokuthintela oku?

Ngelishwa, akukho ndlela yokuthintela ukuguqulwa kwesibeleko. Nangona kunjalo, ukuba iqela lakho lezonyango lithatha amanyathelo ngokukhawuleza, oku kunokubangelaInganyangwa ngempumelelo.

Kuza kwenzeka ntoni xa ujongene nale meko?

Ukugoba kwesibeleko kunokuba yingozi ebomini ukuba akulawuleki kakuhle. Nangona kunjalo, xa iqela lezonyango likulungele ukusabela kwiimeko ezingxamisekileyo, amathuba okusinda aphezulu kakhulu. Abantu abafumana olu hlobo lonyango baphila ubomi obusempilweni ngaphandle kweengxaki zexesha elide.

Ungakhulelwa kwakhona emva kokuba isibeleko siguqulwe?

Abantu abaye bakhulelwa ngendlela eguqulweyo yesibeleko baye baphumelela ekukhulelweni. Nangona kunjalo, kufuneka ulwazi oluthe kratya ukuze kuqondwe kakuhle indlela oku okuchaphazela ngayo ukukhulelwa kwixesha elizayo. Ukuba unembali yokukhulelwa ngendlela eguqulweyo yesibeleko ngaphambili, kufuneka wazise ugqirha wakho. Olu lwazi lunokukunceda ucwangcise unyango lwakho kwixesha elizayo.

Ndingazinyamekela njani?

Emva kokuguqulwa kwesibeleko, kubalulekile ukutya ukutya okunempilo, ukusela amanzi amaninzi, uphumle kangangoko kunokwenzeka, kwaye ulandele imiyalelo kagqirha wakho ngqo. Unyango ekufuneka ulwenze ekhaya luya kuxhomekeka ekubeni unyango lwakho belungakanani kwaye ulahlekelwe ligazi elingakanani. Umzekelo, unokufuna ukuvavanywa igazi kwakhona ngenxa yokulahleka kwegazi, okanye unokufuna ukuthatha izongezo zesinyithi. Ngoko ke, landela imiyalelo kagqirha wakho ngqo.

Amathuba okuba uqhambuke isibeleko aphantsi kakhulu. Nangona kunjalo, ukuba uyaqhambukeka, ukuba neqela lezonyango eliza kukunceda ngokukhawuleza kunokusindisa ubomi bakho. Thetha nogqirha wakho malunga nazo naziphi na iingxaki onazo malunga neengxaki ezingxamisekileyo ezifana nokuqhambukeka kwesibeleko. Kwakhona, buza ngeendlela zokunyamekela ezinokukunceda xa kuvela imeko engxamisekileyo.

Isishwankathelo kunye nomyalezo oya nawo ekhaya

Kulungile, makhe sijonge isishwankathelo sento esithethe ngayo ukuze sikuncede ukhumbule ezona zinto zibalulekileyo:

• Ukuguqulwa kwesibeleko yimeko enzima enokwenzeka ngexesha lokubeleka, kodwa ayiqhelekanga kwaye ifuna unyango olungxamisekileyo.
• Kwimeko enjalo, isibeleko sijika singene ngaphakathi, kwaye sinokuphuma nakwilungu lobufazi.
• Ukopha kakhulu kunye nokothuka zezona ngozi ziphambili.
• Nangona izizathu ezichanekileyo zingaziwa, izinto ezinje ngokuqhawuka kwe-placenta kunye nokungabikho kokushwabana kwesibeleko kwandisa umngcipheko.
• Ukuxilongwa kwangoko kunye nonyango olukhawulezileyo kusindisa ubomi. Unyango lunokubandakanya ukufakelwa kwakhona kwesibeleko ngesandla okanye utyando.
• Nangona oku kungenakuthintelwa, ngonyango olufanelekileyo, ungachacha kwaye uphile ubomi obusempilweni.
• Kubalulekile ukuthetha nogqirha wakho malunga nokukhulelwa kwixesha elizayo.

Khumbula, olu lwazi lulungiselelwe ulwazi kuphela. Alufanele lusetyenziswe endaweni yeengcebiso zonyango. Ukuba unemibuzo okanye iinkxalabo, nceda udibane nogqirha wakho okanye ingcali yezempilo efanelekileyo. Sininqwenelela nonke ukuzalwa okunempilo kunye nokuba ngumama!

"Ukuguqulwa kwesibeleko, Iingxaki zokubeleka, iPlacenta, Ukopha kakhulu, Ukothuka, iGynecology, Impilo yoMama