Uvuyo oluvayo emva kokuba umntwana wakho efikile kweli hlabathi alunakuchazwa ngamazwi, akunjalo? Kodwa kunye nolu vuyo, kufuneka siqaphele utshintsho emzimbeni wakho njengomama. Kuqhelekile ukopha ukuya kwinqanaba elithile emva kokuba nomntwana . Kodwa ukuba ukopha oko kuyanda ukuya kwinqanaba elingalawulekiyo, kunokuba yimeko eyingozi. Enye yeengxaki eziphambili ezinokwenzeka ngexesha elinjalo yi-Uterine Atony. Makhe sithethe ngale nto namhlanje, ngaphandle koloyiko, ngokulula.
Yintoni i-Uterine Atony?
Ngamafutshane, kulo lonke ixesha lokukhulelwa kwakho, eliziinyanga ezili-9, umntwana wakho ufumana zonke izondlo kunye neoksijini ayidingayo ngemithambo yegazi esibelekweni sakho. Emva kokuba umntwana ezelwe, xa i-placenta izalwa, le mithambo yegazi iyavuleka.
Okuqhele ukwenzeka kukuba kwangoko nje umntwana ezelwe, izihlunu esibelekweni ziyafinyela ngamandla, zivale le mithambo yegazi ivulekileyo kwaye ziyeke ukopha. Cinga ngayo njengokucinezela umbhobho wamanzi ngesandla sakho aze amanzi ayeke ukuhamba.
Nangona kunjalo, kwimeko ebizwa ngokuba yi -Uterine Atony , izihlunu zesibeleko azinciphi njengoko kulindelekile. Ziyakhululeka kwaye "ziyonqena" (yiloo nto i-atony). Emva koko, loo mithambo yegazi ivulekileyo iqala ukopha ngokungalawulekiyo.
Oku kungenzeka ngexesha lokuzala okanye ngexesha lotyando. Kunokwenzeka nasemva kokuphuma kwesisu. Kufuneka ukhumbule ukuba le yimeko enzima kakhulu efuna unyango olungxamisekileyo .
Ziziphi izinto ezibangela umngcipheko wale meko?
Le meko ayifumaneki kuye wonke umntu. Nangona kunjalo, abanye abantu banokuba semngciphekweni omkhulu ngenxa yezizathu ezithile. Yiyo loo nto ugqirha wakho esoloko ezazi ezi zinto zinobungozi.
| Into Engumngcipheko | Icacisiwe ngokulula |
|---|---|
| Umsebenzi omde nonzima | Emva kwexesha elide lokubeleka kunye nobunzima bokuzala, izihlunu zesibeleko zinokudinwa. |
| Ukushwabana okugqithisileyo kwesibeleko | Ukuba umntwana unobunzima obukhulu (umz., ngaphezu kwe-4 kg), ukuba liwele, okanye ukuba kukho ulwelo lwe-amniotic (amanzi) amaninzi kwisibeleko (i-polyhydramnios), isibeleko sinokolulwa kakhulu. |
| Ukudala intyatyambo ngokwenziwa | Xa umntwana ezalwa ngokumnika iyeza elifana ne-oxytocin aze abangele ukuzala ixesha elide. |
| Iifibroids | Iifibroids kwisibeleko zinokuthintela isibeleko ukuba singaqini kakuhle. |
| Iimeko ezichaphazelayo | Usulelo lwee-membrane ezijikeleze umntwana (i-chorioamnionitis). |
| Ukutyeba kakhulu | Ukutyeba kakhulu nako kukwangumngcipheko. |
Zithini iimpawu zoku?
Uphawu oluphambili noluyingozi kakhulu lwale meko kukuphuma kwegazi elininzi kakhulu emva kokubeleka ( Postpartum Hemorrhage ) .
Nangona kuyinto eqhelekileyo ukopha kancinci emva kokubeleka, ukuba uvakalelwa kukuba ukopha kugqithisile, okanye ukuba iphedi oyisebenzisayo imanzi ngokupheleleyo kwixesha elifutshane, njengeyure, okanye ukuba uphuma amahlwili egazi amakhulu, ungaze ucinge ukuba kuyinto eqhelekileyo. Yazisa ugqirha wakho okanye abasebenzi bomongikazi ngokukhawuleza.
Xa igazi elininzi liphuma emzimbeni, ezinye iimpawu zinokuvela.
- Uxinzelelo lwegazi oluphantsi (iHypotension)
- Ukunyuka kwesantya sentliziyo
- Umzimba uba mdaka kwaye ube mdaka
- Ndiziva ndidinwe, amehlo ejika abe luhlaza okwesibhakabhaka
- Ukuncipha kokuphuma komchamo
- Ukulahlekelwa yingqondo kwiimeko ezinzima kakhulu
Ugqirha uyibona njani le nto?
Ugqirha wakho.Esi sifo sichongwa kakhulu ngokuhlola isibeleko.
Emva kokubeleka okuqhelekileyo, ugqirha uza kubeka isandla sakhe esiswini sakho aze ahlole isibeleko sakho. Ukuba ubunotyando lotyando, olu vavanyo lwenziwa ekupheleni kotyando. Ngokwesiqhelo, emva kokubeleka, isibeleko sakho kufuneka sinciphe size siqine njengelitye . Nangona kunjalo, kwiimeko zokungakhululeki kwesibeleko, isibeleko sikhulu kakhulu kwaye sivakala sithambile xa usichukumisa.
Ugqirha uza kujonga ukuba kukho ezinye izizathu zokuphuma kwegazi okugqithisileyo na. Umzekelo:
- Ngaba kukho ukwenzakala okanye ukukrazuka komlomo wesibeleko okanye kwilungu lobufazi?
- Ngaba iindawo ezithile ze-placenta zisasele esibelekweni (i-placenta egciniweyo)?
Ugqirha uqinisekisa imeko ye-uterine atony emva kokuyihlola yonke le nto.
Zithini iindlela zonyango zoku?
Le yingxamiseko, ngoko ke unyango kufuneka luqale ngoko nangoko. Injongo ephambili kukuyeka ukopha ngokukhawuleza. Okwangoku, uza kunikwa i-saline ukuze ithathe indawo yolwelo olulahlekileyo emzimbeni wakho, kunye ne-oksijini ukuba kuyimfuneko. Ukuba kukho ukulahleka kwegazi okuninzi, kunokufuneka utofelwe igazi .
Kukho iindlela ezahlukeneyo zonyango.
| Indlela yonyango | Kwenzeka ntoni kuyo? |
|---|---|
| Unyango lwezonyango | |
| I-Oxytocin (iPitocin) | Ihomoni enceda isibeleko ukuba siqine. Le inikwa ngemithambo yegazi kunye ne-saline. |
| Amanye amayeza (umz. iMethylergonovine, iProstaglandins) | La ngamayeza anikwa ukwenza isibeleko siqine ngakumbi. Amanye anikwa njengeenaliti, ngelixa amanye enikwa njengeepilisi ezifakwa kwilungu lobufazi okanye kwi-rectum. |
| Iinkqubo zotyando kunye nezinye | |
| Ukupakisha isibeleko/Ibhaluni | I-gauze roll okanye ibhaluni ekhethekileyo ifakwa ngaphakathi kwesibeleko, ebamba imithambo yegazi ngaphakathi ize iyeke ukopha. |
| Ukubopha imithambo yesibeleko | Olu lutyando oluncinci. Umthambo wegazi ophambili ohambisa igazi esibelekweni ubotshelelwe, nto leyo ethintela ukopha. |
| Utyando lwe-Hysterectomy | Ukuba akukho nto inokubangela ukuba igazi liphume, ekugqibeleni , isibeleko sakho sisenokufuna ukususwa ngokupheleleyo ukuze kusindiswe ubomi bakho. Olu lutyando olukhulu. |
Utyando lwe-Hysterectomy lwenziwa kuphela kwiimeko ezisindisa ubomi apho kungekho ndlela yimbi, ngoko ke musa ukuyoyika ngokungeyomfuneko.
Umyalezo Wokuya Ekhaya
- I-atony yesibeleko yimeko apho izihlunu zesibeleko zinganciphisi kakuhle emva kokubeleka, nto leyo ebangela ukopha kakhulu. Le yingxamiseko yezonyango efuna unyango olukhawulezileyo.
- Ukuba unesikrokro sokuba wopha kakhulu emva kokubeleka (ipadi imanzi ngokukhawuleza, amahlwili egazi amakhulu ayadlula), xelela ugqirha wakho okanye umongikazi wakho ngoko nangoko. Musa ukulibazisa.
- Nangona kukho izinto ezininzi ezibangela esi sifo, sinokwenzeka nakubani na, ngoko ke kubaluleke kakhulu ukubelekela esibhedlele esinabasebenzi abaqeqeshiweyo.
- Kukho unyango olusebenzayo kakhulu koku. Oogqirha basebenzisa iindlela ezahlukeneyo, ukusuka kumayeza ukuya kutyando, ukunqanda ukopha.
- Thetha ngokukhululekileyo nogqirha wakho malunga nemibuzo okanye izinto ezikuxhalabisayo ngomzimba wakho, ngaphambi nasemva kokubeleka.
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