Ukuba ngumama kungenye yezinjabulo ezinkulu empilweni. Kanye nalolo lwazi oluhle, kubaluleke kakhulu kithi ukuthi siqaphele ezinye zezinkinga zempilo ezingavela ngemva kokuthola umntwana. Ngoba singabhekana nazo ngendlela efanele ngaphandle kokwethuka. Namuhla sikhuluma ngesimo esibi kakhulu, kodwa esingajwayelekile njengokuphuma kwegazi ngemva kokubeletha, noma i-Postpartum Hemorrhage (PPH) . Lokhu kuvame ukwenzeka emahoreni okuqala angu-24 okuthola umntwana, kodwa ngezinye izikhathi kungenzeka kuze kube amasonto ayi-12.
Kwenzeka kanjani ngempela lokhu?
Ake sikubeke kalula. Uma ukhulelwe, kukhula isitho esikhethekile esibizwa ngokuthi i-placenta ngaphakathi kwesibeletho sakho. Yilokhu okunikeza ingane umoya-mpilo nezakhamzimba ezidingayo. Ngemva kokuzalwa kwengane, isibeletho sakho siyancipha kakhulu futhi sikhiphe i-placenta. Lokhu kuncipha kubaluleke kakhulu. Ngoba kusiza ekumiseni ukopha ngokuqinisa imithambo yegazi lapho i-placenta yayinamathele khona esibelethweni.
Cabanga nje, kwenzekani uma ngesizathu esithile lokhu kufinyela kungaqinile ngokwanele? Leyo mithambo yegazi iqala ukuphuma igazi. Ngezinye izikhathi, uma izingcezu ezincane ze-placenta zihlala ngaphakathi kwesibeletho, lokho kungabangela ukuphuma kwegazi okukhulu. Uma i-placenta ingaphumi zingakapheli imizuzu engama-30 yokubeletha, siyibiza ngokuthi "i-Retained Placenta". Lokhu kungabangela ukuphuma kwegazi okukhulu kanye nokutheleleka okukhulu.
Uma unemibuzo noma ukukhathazeka nge-placenta, ungesabi ukukhuluma nodokotela wakho ngayo ngesikhathi sokukhulelwa kwakho.
Yiziphi izimpawu eziyinhloko zalokhu?
Ukopha Kwangemva Kokubeletha (PPH) akuthinti wonke owesifazane ngendlela efanayo. Kodwa-ke, kunezimpawu ezithile ezivamile okubalulekile ukuziqaphela.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukopha okukhulu okungalawuleki | Lolu uphawu oluyinhloko nolusobala kakhulu. Uma wopha kakhulu kunokujwayelekile, kufanele ukhathazeke. |
| Ukwehla komfutho wegazi | Uma kulahleka igazi eliningi emzimbeni, umfutho wegazi ungehla ngokuzumayo. Lokhu kungabangela imizwa yokuquleka kanye nesiyezi. |
| Ukwanda kwesilinganiso senhliziyo | Njengokungathi uvala umfutho wegazi ophansi, inhliziyo iqala ukushaya ngokushesha. |
| Ukwehla kwenani lamaseli abomvu egazi | Njengoba inani elikhulu lamaseli abomvu egazi likhishwa emzimbeni kanye negazi, lokhu kungatholakala ekuhlolweni kwegazi. |
| Ukuvuvukala nobuhlungu ngaphakathi nangaphandle kwesitho sangasese sowesifazane | Ngezinye izikhathi igazi liqoqana ngaphakathi kwezicubu (i-hematoma), okubangela ubuhlungu nokuvuvukala. |
Yiziphi izizathu ezingaba khona zalokhu kwanda kwengozi?
Abanye besifazane banamathuba amaningi okuthola i-PPH kunabanye. Kunezici eziningana ezingaba nomthelela kulokhu. Uma unezinye zalezi zimo, kuwumqondo omuhle ukwazisa udokotela wakho ngazo kusenesikhathi.
- Izinkinga ze-placenta :
- Ukuphazamiseka kwe-placenta: I-placenta isuka esibelethweni ngaphambi kokuba umntwana azalwe.
- I-Placenta previa: I-Placenta itholakala phansi esibelethweni, eduze komlomo wesibeletho.
- Ukunwebeka kakhulu kwesibeletho: Uma uthwele amawele, uma umntwana enesisindo esikhulu, noma uma kunoketshezi oluningi lwe-amniotic esibelethweni, isibeletho singase sinwebeke kakhulu.
- Umfutho wegazi ophezulu ngesikhathi sokukhulelwa: Izimo ezifana nomfutho wegazi ophakeme wokukhulelwa noma i-preeclampsia.
- Njengoba ebe nokubeletha okuningi ngaphambilini.
- Ukubeletha kuthatha isikhathi eside kunokujwayelekile.
- Izimo ezithile ezithelelanayo .
- Ukukhuluphala ngokweqile.
- Ukusetshenziswa kwemithi yokwelapha ukubeletha.
- Ukusetshenziswa kwemithi yokuvimbela ukuminyana kwesibeletho ekuzalweni ngaphambi kwesikhathi .
- Ukusebenzisa amadivayisi anjenge-vacuum noma i-forceps ngesikhathi sokubeletha.
- Ukunikeza i-anesthesia ejwayelekile.
Ngaphezu kwalokho, i-PPH ingabangelwa ukudabuka noma ukusikeka emthanjeni wegazi emlonyeni wesibeletho, izicubu zesitho sangasese sowesifazane, noma esibelethweni, izinkinga zokujiya kwegazi, kanye nezinye izinkinga ezihlobene ne-placenta.
Odokotela bakuphatha kanjani lokhu?
Nakuba lesi kuyisimo esibucayi, ungesabi . Esibhedlela, odokotela kanye nabasebenzi abahlengikazi baqeqeshwe ukubhekana nalolu hlobo lwesimo. Umgomo wabo wokuqala nobaluleke kakhulu ukuvimba ukopha ngokushesha okukhulu. Basebenzisa izindlela zokwelapha ezahlukahlukene kulokhu.
Udokotela uzonquma ukwelashwa okufanele kakhulu kuwe ngokusekelwe ezicini ezifana nomlando wakho wezempilo kanye nobunzima besimo sakho.
Izindlela eziningana zokwelapha:
- Ukunikeza imithi: Imithi inikezwa ukusiza isibeletho ukuthi sifinyele.
- Ukuhlikihla kwesibeletho: Udokotela uhlikihla isibeletho ephezu kwesisu ukuze asize ekumiseni ukopha nokufinyela kwesibeletho.
- Ukususwa kwezingcezu ze-placenta: Isibeletho siyahlolwa ukuthi azikho yini izingcezu ze-placenta ezisele bese sisuswa.
- Ukuhlolwa kwesibeletho: Kuhlola ukuthi akukho yini ukudabuka esithweni sangasese sowesifazane noma esibelethweni.
- I-tamponade yebhaluni lesibeletho: Ibhaluni elikhethekile elibizwa ngokuthi i-tamponade yebhaluni lesibeletho lifakwa ngaphakathi kwesibeletho bese lifuthwa ukuze licindezele imithambo yegazi futhi limise ukuphuma kwegazi.
- Ukuhlinzwa: Ngezinye izikhathi kudingeka ukuhlinzwa okuncane ukuze kwenziwe izinto ezifana nokubopha umthambo wegazi. Akuvamile kakhulu, uma kungekho okunye ukwelashwa okungavimba ukuphuma kwegazi, ukuhlinzwa kwesibeletho kungenziwa njengendlela yokugcina yokusindisa impilo kamama.
Kanye nalezi zindlela zokwelapha, kubaluleke kakhulu futhi ukufaka esikhundleni segazi elilahlekile kanye noketshezi. Lokhu kwenziwa ngokushesha nge-saline (i-IV fluids) kanye, uma kudingeka, ukumpontshelwa igazi.
Umlayezo Wokuya Nawe Ekhaya
- Ukopha Kwangemva Kokubeletha (PPH) kuyisimo esibucayi, kodwa sinokwelashwa okusheshayo nokuphumelelayo . Into ebaluleke kakhulu ukuqaphela izimpawu kusenesikhathi bese ucela ukwelashwa esibhedlela.
- Akulona iphutha lakho leli, ngakho ungalokothi ucabange ngakho bese uzizwa udangele.
- Uma usola ukuthi wopha kakhulu, kungaba esibhedlela noma ekhaya, ngemva kokubeletha, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze .
- Khuluma nodokotela wakho ngokukhululekile phakathi nokukhulelwa kwakho. Kubalulekile ukuqaphela izinto ezikubangela ukugula kusenesikhathi.
- Uma kutholakale ukuthi unesifo futhi selashwe kusenesikhathi, omama abaningi bangalulama ngokuphelele.
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