Kungenzeka ukuthi ubelethile, noma kungenzeka ukuthi uphuphunyelwe yisisu. Kodwa-ke, kuthatha isikhathi esithile ukuthi umzimba wakho ululame ngemva kwaleso senzakalo. Kuvamile ukuzwa ukopha okuthile phakathi nalesi sikhathi. Kodwa-ke, ngezinye izikhathi lesi simo singadlula izinga elijwayelekile. Esinye isizathu salokho yilesi simo esikhuluma ngaso namuhla.
Kusho ukuthini ngempela lokhu ngezingxenye ezigciniwe zesibeletho (RPOC)?
Kalula nje, i-Retained Products of Conception (RPOC) yilapho izicubu ezivela ku-fetus noma i-placenta zihlala ngaphakathi kwesibeletho sakho ngemva kokuphela kokukhulelwa. Kunezindlela eziningana lokhu okungenzeka ngazo:
- Ngemva kokulethwa okuvamile
- Ngemva kokuhlinzwa (ukuhlinzwa kwe-C)
- Ngemva kokukhipha isisu
- Ngemva kokukhipha isisu
Iningi lalokho okusele liyingxenye ye-placenta, kodwa ngezinye izikhathi izingxenye zombungu nazo zingase zisale.
Into ebalulekile ukuthi lesi akusona isimo esithinta abesifazane abaningi. Ngakho-ke ungesabi ngokungadingekile ngokufunda ngalokhu. Into ebaluleke kakhulu ukuqaphela.
Wazi kanjani ukuthi unalesi simo?
Umzimba wakho udlula ezinguqukweni eziningi ngemva kokukhulelwa. Ukopha okuthile kanye nokukhishwa koketshezi lwesitho sangasese sowesifazane kuyinto evamile. Kodwa-ke, uma uzwa ukopha okukhulu noma amahlule egazi amakhulu, kungaba uphawu lokuthi udinga ukufuna usizo lwezokwelapha.
Uphawu oluyinhloko noluvame kakhulu lwe-RPOC ukopha okukhulu noma okungajwayelekile . Ngaphezu kwalokho, lezi zimpawu zingase zivele.
| Isibonakaliso | Incazelo |
|---|---|
| Imfiva | Kungaba uphawu lokutheleleka emzimbeni. |
| Ubuhlungu besisu esingezansi | Ubuhlungu be-pelvic ubuhlungu noma ukungakhululeki emgodini we-pelvic. |
| Ukukhula kwesibeletho kanye nobuhlungu | Uma uhlolwa udokotela, isibeletho singase sibe sikhulu kunokujwayelekile futhi singase sizwakale sibuhlungu uma sithintekile. |
| Umjikelezo wokuya esikhathini awubuyi | Uma ungayincelisi ingane yakho, isikhathi sakho sokuya esikhathini kufanele siqale futhi. Uma singayincelisi, udinga ukuyinaka. |
Kungani lokhu kwenzeka? Yiziphi izinto ezibangela ingozi?
Kunzima ukukhomba isizathu esiqondile sokuthi kungani izicubu zesibeletho zisala ngemva kokukhulelwa. Kodwa-ke, izici ezithile zingandisa ingozi yalesi simo.
- Uma uke waba nalesi simo ngaphambili: Uma uke waba ne-RPOC ekubelethweni kwangaphambilini, kungenzeka ukuthi uphinde ube nayo.
- Izinkinga ze-placenta: Esimweni esibizwa ngokuthi ``Placenta Accreta'', lapho i-placenta inamathele khona odongeni lwesibeletho, i-placenta ingase ingahlukani ngokuphelele futhi iphume.
- Ubudala: Ingozi iphakeme kancane uma uneminyaka engaphezu kwengu-35 ubudala ngesikhathi sokukhulelwa.
- Ukubeletha ngezinsimbi zomculo: Le ngozi inganda lapho umntwana ezalwa kusetshenziswa izinsimbi ezifana ne-"Forceps" noma i-"Vacuum".
- Ukuphuphuma kwesisu kwekota yesibili: Uma ukubeletha, ukuphuphuma kwesisu, noma ukukhulelwa kwenzeka phakathi kwamasonto ayi-13 nama-26 okukhulelwa.
- Ukuhlinzwa kwangaphambilini: Uma uke wahlinzwa ngokuhlinzwa kwe-C noma ukuvulwa kwesisu (D&C) ngaphambilini, ukushaqeka kwesibeletho kungabangela izinkinga ngokuqhekeka kwe-placenta.
- Ukungahambi kahle ngesimo sesibeletho: Abanye besifazane bangazalwa benesimo esihlukile sesibeletho. Ezimweni ezinjalo, le ngozi ikhona.
Kwenzekani uma lezi zingxenye zingasuswa?
Uma izingxenye ezisele zesibeletho zisala, kungaholela ezinkingeni eziningana, ezinye zazo ezingaba zimbi kakhulu.
- I-anemia: Ukopha ngokweqile kungabangela ukwehla kwenani legazi emzimbeni, okuholela ekukhathaleni nasekuphelelweni amandla.
- Ukutheleleka: Ukutheleleka kungenzeka ngenxa yezingxenye ezisele zesibeletho. Uma lokhu kutheleleka kungelashwa kahle, kungalimaza uhlelo lokuzala futhi kungaze kube yisimo esiyingozi esibizwa ngokuthi i-'sepsis' .
- Ubuhlungu obungapheli besisu esingezansi: Ubuhlungu obuvamile besisu esingezansi bungase buvele.
- I-Asherman's syndrome: IzimpawuLesi yisimo esingavamile. Sihilela ukwakheka kwezicubu zesilonda (ukunamathela) ngaphakathi kwesibeletho. Lokhu kungabangela izinkinga ngokukhulelwa kwesikhathi esizayo kanye nokungahambi kahle kokuya esikhathini.
Odokotela bakuthola kanjani lesi simo?
Kunzima ukubona ukuthi une-RPOC ngokubheka nje izimpawu. Lezi zimpawu zingafana nezinye izimo ezingase zenzeke ngemva kokubeletha. Ngakho udokotela wakho angase enze izivivinyo ezimbalwa ukuqinisekisa isimo.
| Uhlobo lokuhlola | Kwenzekani? |
|---|---|
| Ukuhlolwa kwegazi nezicubu |
|
| Ukuskena |
|
Yiziphi izindlela zokwelapha lokhu?
Uma i-RPOC iqinisekisiwe, kwenziwa ukwelashwa ukuze kususwe izingxenye ezisele. Kunezindlela ezimbili eziyinhloko zokwelapha.
1. Imithi: I-Misoprostol umuthi othathwa ngomlomo noma ofakwa esithweni sangasese sowesifazane. Lo muthi usebenza ngokwenza isibeletho sifinyele futhi sikhiphe izicubu ngaphakathi.
2. I-D&C (Ukwanda Nokuchelela): Lokhu kuwukuhlinzwa okuncane. Kulokhu, umlomo wesibeletho uyavulwa bese kusetshenziswa ithuluzi elikhethekile ukukhipha zonke izicubu ngaphakathi kwesibeletho.
Zombili lezi zindlela zokwelapha ziyasebenza. Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okukulungele, ecabangela isimo sakho kanye nosayizi wezicubu ezisele.
Ingabe zikhona izingozi ngalezi zindlela zokwelapha?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu. Kunethuba elincane kakhulu lokopha kakhulu noma ukutheleleka. Kunethuba elingavamile kakhulu lokubhoboka kwesibeletho ngesikhathi se-D&C. Kodwa-ke, lokhu kuvame ukuzixazulula ngokwako.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokubeletha, ukukhipha isisu, noma ukuqeda ukukhulelwa, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha noma ubone udokotela wakho.
- Ubunzima bokuphefumula
- Ukopha kakhulu (ukumanzisa indwangu yokuhlanza engaphezu kweyodwa ngehora)
- Umkhuhlane ophezulu
- Isicanucanu nokuhlanza
- Ubuhlungu obukhulu obungabekezeleleki besisu esingezansi
Ngemva kokuthola umntwana noma ukuphuphuma kwesisu, udinga isikhathi sokuphumula nokululama, kokubili ngokomzimba nangokwengqondo. Kuvamile ukuzizwa udangele futhi udumele lapho utshelwa ukuthi kufanele wenze olunye ukwelashwa. Kodwa khumbula, ukushiya lesi simo ungelashwa kungaholela ezinkingeni zesikhathi eside. Ngakho ungesabi ukukhuluma nodokotela wakho. Ukukhuluma ngokukhululekile ngemizwa yakho kanye nokukhathazeka kwakho kuzokusiza uzizwe ungcono.
Umlayezo Wokuya Nawe Ekhaya
- Izicubu zesibeletho ezigciniwe (RPOC) ngemva kokuphela kokukhulelwa kungenzeka, kodwa akuvamile.
- Uphawu oluyinhloko ukopha okukhulu nokungajwayelekile ngemva kokubeletha/ukukhipha isisu. Ezinye izimpawu zifaka phakathi umkhuhlane kanye nobuhlungu besisu esingezansi.
- Uma unezinye zalezi zimpawu, ungazinaki bese utshela udokotela wakho ngokushesha .
- Lesi simo singelashwa ngempumelelo ngemithi noma ngokuhlinzwa okuncane okubizwa ngokuthi i-D&C.
- Ngemva kokuthola ukwelashwa okufanele, abesifazane abaningi bangakhulelwa futhi esikhathini esizayo ngaphandle kwezinkinga futhi bazale izingane ezinempilo.
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