Ukuba ngumama yenye yezona zinto zivuyisayo ebomini. Kunye naloo mava amnandi, kubaluleke kakhulu ukuba siqaphele ezinye zeengxaki zempilo ezinokuvela emva kokuba nomntwana. Kuba ngoko sinokujongana nazo ngokuchanekileyo ngaphandle kokukhathazeka. Namhlanje sithetha ngemeko enzima, kodwa engaqhelekanga efana nokuphuma kwegazi emva kokubeletha, okanye ukuphuma kwegazi emva kokubeletha (PPH) . Oku kudla ngokuvela kwiiyure ezingama-24 zokuqala zokufumana umntwana, kodwa ngamanye amaxesha kunokufika kwiiveki ezili-12.
Kwenzeka njani ngokwenene oku?
Masiyibeke ngokulula. Xa ukhulelwe, ilungu elithile elibizwa ngokuba yi-placenta liyakhula ngaphakathi kwesibeleko sakho. Yile nto inika umntwana ioksijini kunye nezondlo azidingayo. Emva kokuba umntwana ezelwe, isibeleko sakho siyafinyela nangakumbi size sikhuphe i-placenta. Oku kufinyela kubaluleke kakhulu. Kuba kunceda ekumiseni ukopha ngokuqinisa imithambo yegazi apho i-placenta yayinamathele khona kwisibeleko.
Khawucinge nje, kuya kwenzeka ntoni ukuba ngesizathu esithile la maqhuqhuva awanamandla ngokwaneleyo? Loo mithambo yegazi iqala ukopha. Ngamanye amaxesha, ukuba amaqhekeza amancinci e-placenta ahlala ngaphakathi kwesibeleko, oko kunokubangela ukopha okukhulu. Ukuba i-placenta ayiphumi kwimizuzu engama-30 emva kokuzalwa, siyibiza ngokuba yi-"Retained Placenta". Oku kunokubangela ukopha okukhulu kunye nosulelo olukhulu.
Ukuba unemibuzo okanye iinkxalabo malunga ne-placenta, ungaze woyike ukuthetha nogqirha wakho ngayo ngexesha lokukhulelwa kwakho.
Ziziphi iimpawu eziphambili zoku?
I-Postpartum Hemorrhage (PPH) ayichaphazeli wonke umfazi ngendlela efanayo. Nangona kunjalo, kukho iimpawu eziqhelekileyo ezibalulekileyo ekufuneka ziqwalaselwe.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukopha kakhulu okungalawulekiyo | Olu lolona phawu luphambili nolucacileyo. Ukuba wopha kakhulu kunesiqhelo, kufuneka ukhathazeke. |
| Uxinzelelo lwegazi oluphantsi | Xa igazi elininzi liphuma emzimbeni, uxinzelelo lwegazi lunokwehla ngequbuliso. Oku kunokubangela iimvakalelo zokuquleka kunye nesiyezi. |
| Ukunyuka kwesantya sentliziyo | Njengokungathi ilungisa uxinzelelo lwegazi oluphantsi, intliziyo iqala ukubetha ngokukhawuleza. |
| Ukuncipha kwenani leeseli ezibomvu zegazi | Ekubeni inani elikhulu leeseli ezibomvu zegazi likhutshwa emzimbeni kunye negazi, oku kunokubonwa kuvavanyo lwegazi. |
| Ukudumba kunye nentlungu ngaphakathi nangaphandle kwelungu lobufazi | Ngamanye amaxesha igazi liqokelelana ngaphakathi kwithishu (i-hematoma), nto leyo ebangela iintlungu nokudumba. |
Ziziphi izizathu ezinokubangela ukuba kubekho umngcipheko okhulayo?
Abanye abafazi banamathuba amaninzi okufumana i-PPH kunabanye. Zininzi izinto ezinokubangela oku. Ukuba unayo nayiphi na kwezi meko, kulungile ukwazisa ugqirha wakho ngazo kwangethuba.
- Iingxaki ze-placenta :
- Ukuqhawuka kwe-placenta: I-placenta iphuma kwisibeleko ngaphambi kokuba umntwana azalwe.
- I-Placenta previa: I-Placenta isezantsi kwesibeleko, kufutshane nomlomo wesibeleko.
- Ukolula kakhulu kwesibeleko: Ukuba uthwele amawele, ukuba umntwana unobunzima obukhulu, okanye ukuba kukho ulwelo oluninzi lwe-amniotic esibelekweni, isibeleko sinokuba soluliwe kakhulu.
- Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa: Iimeko ezifana noxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa okanye i-preeclampsia.
- Ukuba ndibe nokuzalwa kaninzi ngaphambili.
- Ukuzala kuthatha ixesha elide kunesiqhelo.
- Iimeko ezithile ezibangela usulelo .
- Ukutyeba kakhulu.
- Ukusetyenziswa kwamayeza okubangela ukuzala.
- Ukusetyenziswa kwamayeza okuthintela ukushwabana kwesibeleko xa kuzalwa ngaphambi kwexesha .
- Ukusebenzisa izixhobo ezifana ne-vacuum okanye i-forceps ngexesha lokubeleka.
- Ukubonelela nge-anesthesia jikelele.
Ukongeza, i-PPH inokubangelwa kukukrazuka okanye ukunqunyulwa kwemithambo yegazi kwisibeleko, kwizicubu zangasese, okanye kwisibeleko, iingxaki zokujiya kwegazi, kunye nezinye iingxaki ezinxulumene ne-placenta.
Oogqirha baphatha njani oku?
Nangona le yimeko enzima, musani ukoyika . Esibhedlele, oogqirha kunye nabasebenzi bonyango baqeqeshwe ukujongana nale meko. Injongo yabo yokuqala neyona iphambili kukuyeka ukopha ngokukhawuleza. Basebenzisa iindlela ezahlukeneyo zonyango kule meko.
Ugqirha uza kumisela unyango olufanelekileyo kuwe ngokusekelwe kwizinto ezifana nembali yakho yempilo kunye nobunzima bemeko yakho.
Iindlela ezininzi zonyango:
- Ukunika amayeza: Kunikwa amayeza okunceda isibeleko siqine.
- Ukuphulula isibeleko: Ugqirha uphulula isibeleko ephezu kwesisu ukunceda ukuyeka ukopha nokufinyeza isibeleko.
- Ukususwa kweziqwenga ze-placenta: Isibeleko sijongwa ukuba akukho ziqwenga ze-placenta eziseleyo size sisuswe.
- Uvavanyo lwesibeleko: Luhlola ukuba akukho nanye into ekrazukileyo kwilungu lobufazi okanye isibeleko.
- I-tamponade yebhaluni yesibeleko: Ibhaluni ekhethekileyo ebizwa ngokuba yi-tamponade yebhaluni yesibeleko ifakwa ngaphakathi kwesibeleko ize ivuthelwe umoya ukuze icinezele imithambo yegazi kwaye iyeke ukopha.
- Utyando: Ngamanye amaxesha kufuneka utyando oluncinci ukuze kwenziwe izinto ezifana nokubopha umthambo wegazi. Kunqabile kakhulu, ukuba akukho nyango lunokuthintela ukopha, i-hysterectomy inokwenziwa njengesisombululo sokugqibela ukusindisa ubomi bomama.
Kunye nolu nyango, kubaluleke kakhulu ukubuyisela igazi kunye nolwelo olulahlekileyo. Oku kwenziwa ngokukhawuleza nge-saline (IV fluids) kwaye, ukuba kuyimfuneko, utofelo-gazi.
Umyalezo Wokuya Ekhaya
- I-Postpartum Hemorrhage (PPH) yimeko enzima, kodwa inonyango olukhawulezayo nolusebenzayo . Eyona nto ibalulekileyo kukubona iimpawu kwangethuba kwaye ufune unyango esibhedlele.
- Asikuko oku okubangela ingxaki, ngoko ke ungaze ucinge ngako uze uzive ulusizi.
- Ukuba ukrokrela ukuba wopha kakhulu, nokuba usesibhedlele okanye ekhaya, emva kokubeleka, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane .
- Thetha ngokukhululekileyo nogqirha wakho ngalo lonke ixesha lokukhulelwa kwakho. Kubalulekile ukuzazi izinto ezikubangela umngcipheko kwasekuqaleni.
- Ukuba ifunyenwe kwaye yanyangwa kwangethuba, uninzi loomama lunokuphila ngokupheleleyo.
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