Ingabe usanda kuba nomntwana? Noma ingabe udlule kokuhlangenwe nakho okubuhlungu njengokuphuphuma kwesisu? Ngemva kwesehlakalo esinjalo, umzimba uthatha isikhathi ukuze ululame. Ngakho-ke, kuyinto evamile ukuba nokopha okuthile kwesitho sangasese sowesifazane kanye nobuhlungu obuncane izinsuku ezimbalwa. Kodwa-ke, uma lokhu kukopha kunzima kakhulu kunokujwayelekile, uma uphuma amahlule amakhulu, noma uma kungekho ngcono ngemva kwezinsuku ezimbalwa, akuwona umqondo omuhle ukuyeka. Kungase kube ngenxa yesimo esibizwa ngokuthi "izicubu zesibeletho ezigciniwe," esikhuluma ngaso namuhla.
Kalula nje, yini ingxenye yesibeletho egciniwe (RPOC)?
Lokhu kungase kuzwakale kuyinkimbinkimbi uma uzwa igama, kodwa kulula kakhulu.
Ngemva kokuphela kwesikhathi sokukhulelwa, okungukuthi, ngemva kokuzalwa komntwana, ngemva kokuphuma kwesisu, noma ngemva kokukhipha isisu, kusala izingxenye zezicubu ngaphakathi kwesibeletho ezihlobene naleso sikhathi sokukhulelwa, okuyilokho esikubiza ngokwezokwelapha ngokuthi `(Imikhiqizo Egciniwe Yokukhulelwa - RPOC)`. Cabanga ngakho, ngesikhathi sokukhulelwa, enye into ebalulekile ebizwa ngokuthi i-placenta ikhula esibelethweni kanye nomntwana, akunjalo? Ingane ithola umsoco nomoya-mpilo eyidingayo ngale placenta. Ngemva kokuzalwa komntwana, le placenta kufanele iphume ngokuphelele esibelethweni iphume. Kodwa ngezinye izikhathi, izingcezu ezincane zale placenta, izingxenye zezicubu zombungu noma umbungu, noma ezinye izingxenye zezicubu ezihlobene nesikhathi sokukhulelwa zingase zingasuswa ngokuphelele futhi zihlale zinamathele ngaphakathi kwesibeletho. Yingakho sibiza lesi simo.
Ngakho-ke lokhu kufana nokuthi "i-Retained Placenta"?
Cha, zihlukile kancane. Sibiza ngokuthi "i-Retained Placenta" lapho yonke i-placenta ingaphumi esibelethweni zingakapheli imizuzu engama-30-60 yokubeletha. Kuleso simo, sikhuluma nge
-placenta yonke . Kodwa '(RPOC)' yisimo esibanzi kancane. Lapha, akuyona yonke i-placenta, kodwa
ingxenye encane ye-placenta, ingxenye yezicubu zesisu, noma yini enye engase ishiywe esibelethweni. Kalula nje, '(Retained Placenta)' ingabhekwa njengohlobo lwe-'(RPOC)'.
Ziyini izimpawu zalesi simo? Uzibona kanjani?
Ngenxa yokuthi umzimba wakho udlula ezinguqukweni eziningi ngemva kokuthola umntwana, ngezinye izikhathi kulula ukuphambanisa lezi zimpawu nento evamile. Kodwa kubalulekile ukuqaphela lokhu.
Khumbula, kuyinto evamile ukopha kancane amasonto ambalwa ngemva kokuthola umntwana noma ukuphuphuma kwesisu. Kodwa kufanele kwehle kancane kancane. Uma kungenjalo, kuyinto okufanele uyinake.
Uphawu oluyinhloko noluvame kakhulu
ukopha okungajwayelekile noma ukopha ngokweqile kwesitho sangasese sowesifazane. Ake sichaze lokhu kabanzi:
- Ukopha kakhulu : Uma wopha ngokwanele ukumanzisa i-pad ngokuphelele njalo emahoreni amabili.
- Ukuphuma kwamahlule amakhulu egazi: Uma uphuma amahlule amakhulu kunokuvamile.
- Ukopha okungapheli: Uma ukopha kuyeka izinsuku ezimbalwa bese ngokuzumayo kuqala ukopha kakhulu futhi.
- Ukuphuma koketshezi olunuka kabi: Uma ukukhishwa koketshezi lwesitho sangasese sowesifazane kunephunga elibi, kungaba uphawu lokutheleleka.
Ngaphezu kwalesi sibonakaliso esiyinhloko, ezinye izimpawu eziningana zingabonakala.
| Isibonakaliso | Incazelo |
|---|
| Umkhuhlane kanye nokubanda | Uma kwenzeka ukutheleleka ngenxa yezingxenye ezisele ngaphakathi kwesibeletho, kungase kube nomkhuhlane. |
| Ubuhlungu besisu esingezansi | Kungase kuzwakale njengobuhlungu obubukhali, obuhlala njalo noma ukuqaqamba esiswini esingezansi. |
| Isibeletho esikhulu nesizwelayo | Ngesikhathi sokuhlolwa, udokotela angathola ukuthi isibeletho sikhulu kunalokho obekulindelwe futhi sibuhlungu ukusithinta. |
| Ukwehluleka ukuqhubeka nokuya esikhathini kwanyanga zonke | Uma ungayincelisi ingane yakho, isikhathi sakho sokuya esikhathini kufanele siqale futhi phakathi kwamasonto ayi-6-8. Uma singakwenzi lokho, lokho kungaba uphawu lwalesi simo. |
Kungani lokhu kwenzeka? Ingabe kukhona isizathu esithile salokhu?
Ngokuvamile kunzima ukukhomba imbangela eyodwa. Kodwa-ke, odokotela bathole izici eziningana ezandisa ingozi yokuthola lesi simo.
Isici esiyinhloko sengozi ukuthi ngabe uke waba nalesi simo (RPOC) ekukhulelweni kwangaphambilini,Ingozi yokuthi lokhu kwenzeke futhi ekukhulelweni okulandelayo nayo iphakeme. Ngaphezu kwalokho, lezi zimo ezilandelayo zingandisa ingozi.
| Isici sengozi | Incazelo elula |
|---|
| I-Placenta Accreta | Lesi yisimo lapho i-placenta inamathele ngqo odongeni lwesibeletho. Ngemuva kwalokho, ngemva kokuzalwa komntwana, ayiphumi kalula. Kunethuba elikhulu lokuthi izingxenye zizosala. |
| Ukuba neminyaka engaphezu kwengu-35 ubudala | Ingozi iyanda kancane uma umama eneminyaka engaphezu kwengu-35 ubudala ngesikhathi sokukhulelwa. |
| Ukulethwa Okusizwayo | Uma kufanele usebenzise izinto ezifana ne-forceps noma i-vacuum ukuze ususe umntwana. |
| Ukukhipha isisu noma ukuzalwa kwengane ishonile ngesikhathi sekota yesibili yokukhulelwa (amasonto 13-26) | Phakathi nalesi sikhathi, kunethuba elikhulu lokuthi i-placenta ngeke isuswe ngokuphelele futhi izingxenye zayo zizosala. |
| Ukwehluleka Ukuthuthuka Ekubelethweni Kwengane | Njengoba ukubeletha kuqhubeka, isibeletho singase sikhathale futhi singabi nokufinyela okudingekayo ukuze kukhishwe ngokuphelele i-placenta. |
| Ukuhlinzwa kwesibeletho kwangaphambilini | Uma uke waba nokuhlinzwa kokubeletha ngaphambilini (C-sections) noma i-D&Cs, izicubu zesilonda esibelethweni zingabangela ukuthi i-placenta inamathele ngokujulile. |
| Ukuba nesibeletho esinomumo ongavamile | Izibeletho zabesifazane abathile zihlukile kancane ngesimo kusukela ekuzalweni, futhi ngisho nalapho, izingxenye zingasala. |
Kuzokwenzekani uma lezi zingxenye zingasuswa? Ingabe kuzoba nezinkinga ezinkulu?
Yebo. Uma lesi simo singelashwa, ngezinye izikhathi singaholela ezinkingeni ezinkulu. Yingakho sithi kufanele uqaphele lezi zimpawu.
- I-anemia : Ukopha ngokweqile kungabangela ukwehla kwenani legazi emzimbeni, okuholela ezimpawini ezifana nokukhathala kanye nesiyezi .
- Ukutheleleka: Izicubu ezisele ngaphakathi kwesibeletho ziyindawo efanelekile yokukhula kwamagciwane . Lokhu kutheleleka kungasakazeka kuma -fallopian tubes nasema -ovari , kuthinte ikhono lakho lokuba nabantwana esikhathini esizayo. Ngezinye izikhathi, lokhu kutheleleka kungasakazeka emzimbeni wonke futhi kubangele izimo ezisongela ukuphila njenge- sepsis .
- Ubuhlungu Besisu Obungapheli: Ungase ube nobuhlungu besisu esingezansi isikhathi eside.
- I-Asherman's Syndrome: Lesi yisimo esingavamile. Ukutheleleka noma ukwelashwa ngaphakathi kwesibeletho (ikakhulukazi i-D&C) kungabangela ukuthi izindonga zesibeletho zinamathele ndawonye. Lokhu kungaholela ekungeneni esikhathini okungajwayelekile, ukuphuphuma kwesisu, kanye nobunzima bokukhulelwa esikhathini esizayo.
Odokotela bakuthola kanjani lokhu?
Kunzima ukuqiniseka ngokuphelele ukuthi unalesi simo ngokusekelwe ezimpawu zodwa. Lezi zimpawu zingabonakala nakwezinye izimo zezokwelapha. Ngakho-ke, udokotela wakho angenza izivivinyo eziningana ukuqinisekisa lokhu.
| Indlela yokuhlola | Ufundani kulokho? |
|---|
| Ukuskena kwe-Ultrasound kwe-Transvaginal | Lokhu kuskena, okuhilela ukufaka i-probe encane ngesitho sangasese sowesifazane, kungabona ngokucacile ukuthi udonga lwangaphakathi lwesibeletho lujiyile noma ukuthi kukhona yini izigaxa zezicubu. |
| I-Ultrasound ye-Doppler yombala | Lolu futhi uhlobo lokuskena. Lungabona ukuthi izicubu ezisele esibelethweni zisakwazi yini ukunikezwa kwegazi. Uma kukhona ukunikezwa kwegazi, cishe liyingxenye ye-placenta. |
| Ukuhlolwa kwegazi le-HCG (Ukuhlolwa kwe-Human Chorionic Gonadotropin) | I-HCG iyi-hormone ekhiqizwa yi-placenta ngesikhathi sokukhulelwa. Uma izinga lale hormone egazini lisaphezulu emasontweni ambalwa ngemva kokuphela kokukhulelwa, kubonisa ukuthi izingxenye ze-placenta zingase zibe khona esibelethweni. |
| I-Hysteroscopy | Kulokhu, ipayipi elincane elinekhamera enamathiselwe lidluliselwa esithweni sangasese sowesifazane liye esibelethweni bese ingaphakathi libukwa ngqo esikrinini. Lokhu kukuvumela ukuthi ubone kahle ukuthi yiziphi izingxenye ezisele. |
Yiziphi izindlela zokwelapha lokhu?
Uma lesi simo siqinisekiswa, izingxenye ezisele zidinga ukususwa. Kunezindlela ezimbili zokwelapha eziyinhloko zalokhu. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu kuwe ngokusekelwe esimweni sakho, ubukhali bezimpawu zakho, kanye nenani lezicubu ezisele. 1.
Ukuphathwa Kwezokwelapha:- I-Misoprostol: Lona umuthi othathwa njengephilisi noma ofakwa esithweni sangasese sowesifazane. Ubangela ukuthi isibeletho sinciphe (sivuleke). Uma isibeletho sincipha, sikhipha okusele.
2.
Ukuphathwa Kokuhlinzwa:- Ukwanda Nokuchelela (D&C): Lokhu kuyindlela yokuhlinzwa encane. NgesiSinhala, sikubiza nangokuthi "ukuhlanza isibeletho." Lapha, umlomo wesibeletho uvulwa kancane, kufakwa ithuluzi elikhethekile (ngokuvamile ipayipi lokumunca), bese noma yikuphi ukungcola okusele okunamathele ezindongeni zesibeletho kuhlanzwa futhi kususwe. Lokhu kuvame ukwenziwa ngaphansi kwe-anesthesia.
Ingabe zikhona izingozi ngalezi zindlela zokwelapha?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu ngalezi zinqubo. Izinto ezifana nokopha kakhulu kanye nokutheleleka kungenzeka kuzo zombili, kodwa amathuba mancane kakhulu. I-D&C ayivamile.
Ukubhoboka kwesibeletho kungenzeka, kodwa kuvame ukuphola ngokwako. Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho ngalezi zindlela zokwelapha kanye nezinzuzo kanye nokungalungi kwazo. Ngemuva kwalokho ungenza isinqumo esinolwazi.
Yiziphi izimo eziphuthumayo ezidinga ukubona udokotela?
Ngemva kokuphela kokukhulelwa kwakho, uma unezinye zezimpawu ezilandelayo, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha noma wazise udokotela wakho.- Ubunzima bokuphefumula
- Ukopha kakhulu kwesitho sangasese sowesifazane (kumanzisa ngaphezu kwephedi elilodwa ngehora)
- Umkhuhlane ophezulu
- Isicanucanu nokuhlanza
- Ubuhlungu obukhulu obungabekezeleleki, obunamandla besisu esingezansi
Esimweni esinjalo, ungalindi ekhaya. Into ephephile ongayenza ukufuna iseluleko sezokwelapha ngokushesha. Ngiyazi ukuthi ukubhekana nesimo esinjalo kungaba nzima kakhulu, ngisho nasengqondweni. Uma ufuna ukuzwa injabulo yokuba nomntwana, noma uma uzama ukususa ubuhlungu bokuphuphuma kwesisu, kuyinto evamile ukuzizwa uthwele kanzima uma utshelwa ukuthi kuzodingeka wenze olunye ukwelashwa. Kodwa khumbula, lesi yisimo esingalapheka ngokuphelele ngokwelashwa. Abesifazane abaningi bayakwazi ukukhulelwa futhi ngaphandle kwezinkinga ngemva kwalokhu kwelashwa futhi babe nezingane ezinempilo. Khuluma ngokukhululekile nodokotela wakho, umyeni wakho, nomndeni wakho ngemibuzo yakho, ukwesaba, kanye nemizwa. Kuzoba impumuzo enkulu kuwe. Umlayezo Wokuya Nawe Ekhaya
- Ukuba khona kwezinsalela zezicubu zesibeletho ngemva kokuphela kokukhulelwa (ukubeletha, ukukhipha isisu) kubizwa ngokuthi izicubu zesibeletho ezisele (RPOC) .
- Izimpawu eziyinhloko ukopha okukhulu, umkhuhlane, kanye nobuhlungu besisu esingezansi .
- Uma ukopha kunganciphi kancane kancane ngemva kokubeletha noma ukukhipha isisu, kodwa kuyanda noma kuqale futhi, bona udokotela ngokushesha.
- Uma lesi simo singelashwa, singaholela ekulahlekelweni kwegazi kanye nokutheleleka okukhulu.
- Lokhu kungatholakala ngokuskena kwe-ultrasound kanye nokuhlolwa kwegazi, futhi kungelapheka ngokuphelele ngemithi noma ukuhlinzwa okuncane (D&C).
- Ngemva kokuthola ukwelashwa okufanele, ngokuvamile akukho mthelela ekukhulelweni okunempilo esikhathini esizayo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho