Uyazi ngokuguqulwa kwesibeletho? Amanye amaqiniso abalulekile komama!

Ukuba ngumama kungenye yezinto ezinhle kakhulu empilweni. Kodwa-ke, ukubeletha kuyisikhathi senjabulo, kodwa ngezinye izikhathi, kungaba nezinkinga ezithile. Namuhla sizokhuluma ngesimo esingavamile kakhulu esidinga usizo oluphuthumayo lwezokwelapha. Lokho ukuguqulwa kwesibeletho, noma njengoba odokotela bekubiza kanjalo, "Ukuguqulwa kwesibeletho". Ukuzwa lokhu kungase kuzwakale kuyesabisa kancane, kodwa ungesabi. Kubaluleke kakhulu ukuqaphela lokhu.

Kuyini ukuguqulwa kwesibeletho? Masiqonde kalula!

Cabanga ngalokho okwenzekayo ngesikhathi sokubeletha okuvamile. Ingane yakho iphuma esibelethweni (esibelethweni) bese ingena emhlabeni ngesitho sangasese sowesifazane. Ngemva nje kwalokho, i-placenta, isitho esondla umntwana ngesikhathi sokukhulelwa, nayo iyaphuma emzimbeni. Siphinde sikubize ngokuthi "ukubeletha." Isibeletho sigcina isimo saso kulo lonke le nqubo.

Kodwa-ke, kulesi simo esibizwa ngokuthi ukuguqulwa kwesibeletho, ingxenye ephezulu yesibeletho ingena ngaphakathi bese iphenduka ngokuphelele noma ngokwengxenye ngaphakathi. Kufana nokuguqula isokisi ngaphakathi. Ngezinye izikhathi, isibeletho, esiguqulwe ngale ndlela, singaphuma ngesitho sangasese sowesifazane. Uma lokhu kwenzeka, kungabangela ukopha okukhulu, ukushaqeka, futhi, ngeshwa, ngisho nokufa.

Kodwa, ungesabi. Ithimba lezokwelapha elilungiselelwe kahle lingathatha isinyathelo ngokushesha futhi livimbele le miphumela emibi. Yingakho kubalulekile ukuqaphela lokhu.

Kubaluleke kangakanani lokhu? Yiziphi izigaba zokuguqulwa?

Lesi simo sihlukaniswe ngezigaba ezine, kuye ngokuthi isibeletho sesingene kangakanani nokuthi sithinta kangakanani ezinye izitho zomzimba:

• Isigaba 1 (ukuguqulwa okungaphelele): Ingxenye engenhla yesibeletho yehlele emgodini wesibeletho.
• Izinga lesibili (ukuguqulwa okuphelele): Ingxenye engenhla yesibeletho, njengesokisi eliphendulelwe ngaphakathi ngaphandle, igoqwa ngaphakathi ngomlomo wesibeletho.
• Isigaba 3 (esiphumile): Ingxenye engenhla yesibeletho isifinyelele engxenyeni ejulile yesitho sangasese sowesifazane.
• Isigaba sesi-4 (ukwehla kokuzala): Kokubili isibeletho kanye nesitho sangasese sowesifazane kuphume emzimbeni.

Esikhathini esiningi, abantu ababhekene nalesi simo basesigabeni sesibili noma sesithathu.

Kuvame kangakanani ukuguqulwa kwesibeletho?

Lesi yisimo esingavamile kakhulu. Sivela cishe koyedwa kwabangu-3,500 abazalwa, noma ngokusho kweminye imibiko, cishe koyedwa kwabangu-20,000 abazalwa. Ngokuvamile, sivela emahoreni okuqala angu-24 ngemva kokubeletha (ukuguqulwa kwesibeletho okubukhali) . Ngisho noma kungavamile, singatholakala phakathi nenyanga ngemva kokubeletha (ukuguqulwa kwesibeletho okungaphansi kwe-subacute) noma ngemva kwenyanga (ukuguqulwa kwesibeletho okungapheli).

Akuvamile kakhulu (cishe ama-5% ezimo), isibeletho siyathamba hhayi ngenxa yokubeletha. Kungabangelwa futhi yizimila esibelethweni, njenge-fibroids, noma ezinye izimo zomdlavuza.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Imbangela eqondile yokuguquka kwesibeletho ayikakatholakali ngokugcwele.

Kodwa-ke, kunombono ovamile wokuthi lokhu kungenzeka uma odokotela bedonsa kakhulu intambo yesisu lapho bezama ukususa i-placenta. Lokhu akulona iphutha likadokotela. Kumane kungenye yezinkinga eziningi ezingaba khona ngesikhathi sokubeletha.

Udokotela uzodonsa intambo yesisu (isitho esixhumanisa umntwana ne-placenta) futhi asize ekusunduzeni i-placenta ngokucindezela esiswini. Lokhu kubizwa ngokuthi "i-Crede maneuver". Isibeletho cishe sizogingqika phakathi nale nqubo uma:

• Uma i-placenta yakho itshalwe engxenyeni ephezulu yesibeletho sakho (i-fundal placental implantation). Ngesikhathi sokukhulelwa, i-placenta ingatshalwa phezulu, ohlangothini, ngaphambili, noma ngemuva kodonga lwesibeletho. Ngokuvamile, itshalwa phezulu.
• Uma isibeletho singafinyeleli ngemva kokubeletha (i-uterine atony). Ngokuvamile, isibeletho siyafinyelela kakhulu ngemva kokuzalwa komntwana. Lokhu kuqina kusiza i-placenta ukuba iphume futhi kunciphisa ukopha ngokuvimba imithambo yegazi. Lokhu kubizwa ngokuthi "i-uterine atony", okusho ukuthi isibeletho asifinyeleli kahle.

Kodwa-ke, le mbono kunzima ukuyifakazela, ngoba isibeletho sesivele siguqulwe ngaphandle kwalezi zimo. Futhi, amasu okubeletha anjenge-"Crede maneuver" avame ukusetshenziswa, futhi ukwanda kokuguqulwa kwesibeletho kuphansi kakhulu.

Ubani osengozini enkulu yalokhu?

Cishe ingxenye yazo zonke izimo zokuguqulwa kwesibeletho zinesinye noma ngaphezulu kwezici ezilandelayo eziyingozi:

• Ukuba nenkaba emfushane.
• Ukubeletha okusheshayo noma okuhlala isikhathi eside.
• Ukusebenzisa imithi ephumuza isibeletho.
• Ukuthola umntwana wakho wokuqala (lokhu akudingeki kube ukukhulelwa kwakho kokuqala. Kungenzeka ukuthi wake wakhulelwa ngaphambilini kodwa awuzange ube nomntwana).
• Ukuba nomntwana omkhulu kunokuvamile (i-fetal macrosomia).
• I-placenta egciniwe (ukuqhekeka kwe-placenta) (ukuqhekeka kwe-placenta akuphumi zingakapheli imizuzu engama-30 kusukela ekubelethweni).
• I-preeclampsia enzima (isimo esihambisana nomfutho wegazi ophezulu ngesikhathi sokukhulelwa).
• I-Placenta accreta spectrum (lapho i-placenta inamathele kakhulu odongeni lwesibeletho kangangokuthi ayihlukani ngesikhathi sokubeletha).

Ziyini izimpawu? Uzibona kanjani?

Ukugoba kwesibeletho kungabangela ukopha okukhulu kanye nokushaqeka. Izimpawu ziyahlukahluka kuye ngokuthi ukugoba kubukhali kangakanani:

• Ukopha kwesitho sangasese sowesifazane (kungaba lula noma kube nzima).
• Ubuhlungu besisu esingezansi kanye nomuzwa wokucindezeleka.
• Isigaxa esibushelelezi nesiyindilinga esiphuma esithweni sangasese sowesifazane.
• Ukwehla komfutho wegazi.

Izici zokushaqeka:

Lezi zimpawu zingase zihambisane nezimpawu zokushaqeka. Lezi ziyingozi kakhulu futhi zidinga ukwelashwa ngokushesha.

• Isiyezi, ikhanda elibuthakathaka, ubuthakathaka, ukudideka, ukukhathala, noma ukozela.
• Ukushaya kwenhliziyo okusheshayo nokuphefumula kancane.
• Isikhumba esibandayo nokujuluka.
• Ukuqaqamba kwemisipha.
• Ukuzizwa unesifiso esinamandla sokugeza (ukoma).

Odokotela bakuthola kanjani lokhu ngqo?

Uma kwenzeka ukuphenduka okuphelele , udokotela angakubona ngokushesha. Izimpawu eziyinhloko isibeletho esivele ngaphandle kanye nokopha okukhulu. Udokotela uzothinta nesisu sakho ukuze ahlole ukuthi isibeletho asisekho endaweni yaso.

Lokhu kutholakala kwesifo kudinga ukwenziwa ngokushesha ngoba ukwelashwa okusindisa impilo kudinga ukuqaliswa ngokushesha.

Iphathwa kanjani?

Ukwelashwa okuphumelelayo kuncike ekutheni ithimba lezokwelapha lishesha kangakanani ukwenza, lizinzisa izimpawu zakho ezibalulekile, futhi libuyisele ingxenye ephezulu yesibeletho sakho endaweni yaso yokuqala. Ukunakekelwa okutholayo kuzoncika esigabeni sokuguquka. Lokhu kungafaka:

• Abasebenzi bezokwelapha abengeziwe: Kungadingeka abasebenzi abengeziwe ukuze banikeze imithi yokubulala izinzwa ukuze kuncishiswe ubuhlungu, bahlole amazinga egazi, banikeze igazi uma kudingeka, futhi basize udokotela.
• Ukufakwa kabusha ngesandla: Udokotela uzozama ukubuyisela ingxenye engaphezulu yesibeletho endaweni yayo ngokufaka inaliti esithweni sakho sangasese sowesifazane kanye nomlomo wesibeletho. Ungase unikezwe imithi yokukhulula isibeletho ukuze kube lula ukusiphatha. Uma kungenzeka, i-placenta ifakwa kabusha isanamathele esibelethweni, uma ingakahlukani. Uma i-placenta isuswa ngenkathi isibeletho singaphandle komzimba, kunengozi enkulu yokopha kakhulu.
• Ukuhlinzwa (i-laparotomy): Uma isibeletho singenakufakwa ngesibeletho, noma uma wopha kakhulu, udokotela angenza ukuhlinzwa okubizwa ngokuthi i-laparotomy. Kulokhu, udokotela wenza i-incision esiswini sakho, angene emgodini we-pelvic, bese ebuyisela isibeletho endaweni yaso.
• Ukuqinisa isibeletho: Ngemva kokuba isibeletho sibuyiselwe endaweni yaso, uzonikezwa imithi yokusisiza ukuthi siphinde sinciphe. Lokhu kuncipha kuzosiza ekunciphiseni ukopha futhi kugcine isibeletho sisendaweni yaso.

Lokhu kwelashwa okusindisa impilo kwenziwa egumbini lokuhlinzwa. Ngemva kokuba ukopha sekuphelile, ungadluliselwa e-Intensive Care Unit (ICU) uma kudingeka ukumpontshelwa igazi. Uzompontshelwa igazi njengoba kudingeka.

Ingabe ikhona indlela yokuvimbela lokhu?

Ngeshwa, ayikho indlela yokuvimbela ukuguqulwa kwesibeletho. Kodwa-ke, uma ithimba lakho lezokwelapha lithatha isinyathelo ngokushesha, lokhu kungaba yimbangela.Kungelashwa ngempumelelo.

Kwenzekani uma ubhekene nalesi simo?

Ukugoba kwesibeletho kungaba yingozi empilweni uma kungaphathwa kahle. Kodwa-ke, uma ithimba lezokwelapha selikulungele ukusabela ezimweni eziphuthumayo, amathuba okusinda aphezulu kakhulu. Abantu abathola lolu hlobo lokunakekelwa baphila impilo enempilo ngaphandle kwezinkinga zesikhathi eside.

Ungakhulelwa futhi ngemva kokuba isibeletho sesiphendukezelwe?

Abantu abaye bakhulelwa ngempumelelo ngenxa yokuguqulwa kwesibeletho. Kodwa-ke, kudingeka ulwazi olwengeziwe ukuze kuqondwe kahle ukuthi lokhu kuthinta kanjani ukukhulelwa kwesikhathi esizayo. Uma unomlando wokuguqulwa kwesibeletho kwangaphambilini, kufanele wazise udokotela wakho. Lolo lwazi lungakusiza ukuhlela ukunakekelwa kwakho kwesikhathi esizayo.

Ngizinakekela kanjani?

Ngemva kokuguqulwa kwesibeletho, kubalulekile ukudla ukudla okunempilo, ukuphuza uketshezi oluningi, ukuphumula ngangokunokwenzeka, futhi ulandele imiyalelo kadokotela wakho ngqo. Ukunakekelwa okudingeka ukwenze ekhaya kuzoncika ekutheni ukwelashwa kwakho kube kukhulu kangakanani nokuthi ulahlekelwe yigazi elingakanani. Isibonelo, kungadingeka ukuthi uphinde uhlolwe igazi ngenxa yokulahlekelwa yigazi, noma kungadingeka ukuthi uthathe izithasiselo zensimbi. Ngakho-ke, landela imiyalelo kadokotela wakho ngqo.

Amathuba okuba uqhume isibeletho aphansi kakhulu. Kodwa-ke, uma kwenzeka, ukuba nethimba lezokwelapha elitholakalayo ukuze likwelaphe ngokushesha kungasindisa impilo yakho. Khuluma nodokotela wakho nganoma yikuphi ukukhathazeka onakho mayelana nezinkinga ezingazelelwe njengokuqhuma kwesibeletho. Futhi, buza ngezinketho zokunakekelwa ezisindisa impilo ezitholakalayo uma kwenzeka isimo esiphuthumayo.

Isifinyezo kanye nomyalezo wokuthatha uye ekhaya

Kulungile, ake sibheke isifinyezo salokho esikhulume ngakho ukuze sikusize ukhumbule izinto ezibaluleke kakhulu:

• Ukuguqulwa kwesibeletho kuyisimo esibi kakhulu esingase senzeke ngesikhathi sokubeletha, kodwa asivamile kakhulu futhi sidinga ukwelashwa okuphuthumayo.
• Kulesi simo, isibeletho siphenduka ngaphakathi siphume, futhi singase siphume ngisho nasesithweni sangasese sowesifazane.
• Ukopha ngokweqile kanye nokushaqeka yizona zingozi eziyinhloko.
• Nakuba izimbangela eziqondile zingaziwa, izici ezifana nokuqhekeka kwe-placenta kanye nokuntuleka kokufinyela kwesibeletho kwandisa ingozi.
• Ukuxilongwa kusenesikhathi kanye nokwelashwa okusheshayo kusindisa impilo. Ukwelashwa kungafaka phakathi ukufakwa kabusha kwesibeletho ngesandla noma ukuhlinzwa.
• Nakuba lokhu kungenakuvinjelwa, ngokwelashwa okuhle, ungalulama futhi uphile impilo enempilo.
• Kubalulekile ukukhuluma nodokotela wakho ngokukhulelwa kwesikhathi esizayo.

Khumbula, lolu lwazi lungolwezinjongo zolwazi kuphela. Akufanele lusetshenziswe esikhundleni seseluleko sezokwelapha. Uma unemibuzo noma ukukhathazeka, sicela uxhumane nodokotela wakho noma uchwepheshe wezempilo ofanelekayo. Sinifisela nonke ukubeletha okunempilo kanye nokuba ngumama!

'Ukuguqulwa Kwesibeletho, Izinkinga Zokubeletha, I-Placenta, Ukopha Okukhulu, Ukushaqeka, I-Gynecology, Impilo Yomama