Injabulo oyizwayo ngemva kokuzalwa kwengane yakho kuleli zwe ayinakuvezwa ngamazwi, akunjalo? Kodwa kanye nale njabulo, sidinga ukuqaphela izinguquko emzimbeni wakho njengomama. Kuvamile ukopha ngezinga elithile ngemva kokubeletha . Kodwa uma lokho kuphuma kwegazi kukhuphuka ngezinga elingalawuleki, kungaba yisimo esiyingozi. Enye yezinkinga ezinkulu ezingase zenzeke ngaleso sikhathi yi-Uterine Atony. Ake sixoxe ngalokhu namuhla, ngaphandle kokwesaba, kalula.
Kuyini i-Uterine Atony?
Kalula nje, phakathi nokukhulelwa kwakho, okuyizinyanga ezingu-9, ingane yakho ithola konke ukudla okunomsoco kanye nomoya-mpilo ekudingayo ngemithambo yegazi esibelethweni sakho. Ngemva kokuzalwa kwengane, lapho i-placenta isibelethiwe, le mithambo yegazi iyavuleka.
Okuvamile ukuthi lapho nje umntwana ezalwa, imisipha esibelethweni iyafinyela kakhulu, ivale le mithambo yegazi evulekile futhi imise ukopha. Cabanga ngakho njengokucindezela ipayipi lamanzi ngesandla sakho bese amanzi eyeka ukugeleza.
Kodwa-ke, esimweni esibizwa ngokuthi i-Uterine Atony , imisipha yesibeletho ayinciphi njengoba kulindelekile. Iyakhululeka futhi "ivila" (yilokho i-atony eyikho). Bese, leyo mithambo yegazi evulekile iqala ukuphuma igazi ngokungalawuleki.
Lokhu kungenzeka ngesikhathi sokubeletha ngesitho sangasese sowesifazane noma ngokuhlinzwa. Kungenzeka futhi ngemva kokukhipha isisu. Kufanele ukhumbule ukuthi lesi yisimo esibi kakhulu esidinga ukwelashwa okuphuthumayo .
Yiziphi izinto ezandisa ingozi yalesi simo?
Lesi simo asenzeki kuwo wonke umuntu. Kodwa-ke, abanye abantu bangase babe sengozini enkulu kancane ngenxa yezici ezithile. Yingakho udokotela wakho ehlala eqaphela lezi zici eziyingozi.
| Isici Sengozi | Kuchazwe kalula |
|---|---|
| Umsebenzi omude nonzima | Ngemva kwesikhathi eside sokubeletha kanye nokubeletha okunzima, imisipha yesibeletho ingakhathala. |
| Ukufinyela kwesibeletho ngokweqile | Uma ingane inesisindo esikhulu (isib., ngaphezu kwama-4 kg), uma kuyiwele, noma uma kukhona uketshezi oluningi lwe-amniotic (amanzi) esibelethweni (i-polyhydramnios), isibeletho singase sinwebeke kakhulu. |
| Ukudala imbali ngokwenziwa | Uma umntwana ezalwa ngokumnika umuthi onjenge-oxytocin nokukhuthaza ukubeletha isikhathi eside. |
| Ama-fibroid | Ama-fibroid esibelethweni angavimbela isibeletho ukuthi sinciphe kahle. |
| Izimo ezithathelwanayo | Ukutheleleka kwe-membrane ezungeze umntwana (i-chorioamnionitis). |
| Ukukhuluphala ngokweqile | Ukukhuluphala ngokweqile nakho kuyisici esiyingozi. |
Ziyini izimpawu zalokhu?
Uphawu oluyinhloko noluyingozi kakhulu lwalesi simo ukopha ngokweqile okungalawuleki ngemva kokubeletha ( i-Postpartum Hemorrhage ) .
Nakuba kuyinto evamile ukopha kancane ngemva kokubeletha, uma unomuzwa wokuthi ukopha kukhulu kakhulu, noma uma iphedi oyisebenzisayo imanzi ngokuphelele esikhathini esifushane, njengehora, noma uma uphuma amahlule amakhulu egazi, ungalokothi ucabange ukuthi kuyinto evamile. Yazisa udokotela wakho noma abasebenzi bobuhlengikazi ngokushesha.
Uma igazi eliningi likhishwa emzimbeni, kungase kuvele nezinye izimpawu.
- Umfutho wegazi ophansi (i-Hypotension)
- Ukwanda kwesilinganiso senhliziyo
- Umzimba uba makhaza futhi uphaphathekile
- Ukuzizwa udidekile, amehlo ephenduka aluhlaza okwesibhakabhaka
- Ukwehla kokukhishwa komchamo
- Ukulahlekelwa ukwazi ezimweni ezinzima kakhulu
Udokotela ukubona kanjani lokhu?
Udokotela wakho.Lesi sifo sitholakala kakhulu ngokuhlola isibeletho.
Ngemva kokubeletha okuvamile, udokotela uzobeka isandla sakhe esiswini sakho bese ehlola isibeletho sakho. Uma uke wahlinzwa ngokuhlinzwa, lokhu kuhlolwa kwenziwa ekupheleni kokuhlinzwa. Ngokuvamile, ngemva kokubeletha, isibeletho sakho kufanele sinciphe futhi sizizwe siqine njengetshe . Kodwa-ke, ezimweni zokuqina kwesibeletho, isibeletho sikhulu kakhulu futhi sizwakala sithambile uma usithinta.
Udokotela uzohlola futhi ukuze abone ukuthi zikhona yini ezinye izimbangela zalokhu kopha ngokweqile. Isibonelo:
- Ingabe kukhona ukulimala noma ukudabuka komlomo wesibeletho noma kwesitho sangasese sowesifazane?
- Ingabe izingxenye ze-placenta zisasele esibelethweni (i-placenta egciniwe)?
Udokotela uqinisekisa isimo se-uterine atony ngemuva kokuhlola konke lokhu.
Yiziphi izindlela zokwelapha lokhu?
Lesi yisimo esiphuthumayo, ngakho-ke ukwelashwa kufanele kuqale ngokushesha. Umgomo oyinhloko ukuvimba ukopha ngokushesha okukhulu. Okwamanje, uzonikezwa usawoti ukuze ubuyisele uketshezi olulahlekile emzimbeni wakho, kanye nomoya-mpilo uma kudingeka. Uma kunokulahleka kwegazi okuningi, kungadingeka ukumpontshelwa igazi .
Kunezindlela eziningana zokwelapha.
| Indlela yokwelapha | Kwenzekani kuyo? |
|---|---|
| Ukwelashwa Kwezokwelapha | |
| I-Oxytocin (i-Pitocin) | I-hormone esiza isibeletho ukuthi sifinyele. Lokhu kunikezwa ngemithambo yegazi kanye nosawoti. |
| Eminye imithi (isib. iMethylergonovine, iProstaglandins) | Lena imithi enikezwa ukwenza isibeletho siqine kakhulu. Eminye inikezwa njengomjovo, kanti eminye inikezwa njengamaphilisi afakwa esithweni sangasese sowesifazane noma endunu. |
| Izinqubo Zokuhlinzwa Nezinye | |
| Ukupakisha Kwesibeletho/Ibhaluni | Kufakwa i-gauze roll ekhethekile noma ibhaluni ngaphakathi kwesibeletho, ebopha imithambo yegazi ngaphakathi futhi imise ukuphuma kwegazi. |
| Ukubopha Umthambo Wesibeletho | Lokhu ukuhlinzwa okuncane. Umthambo wegazi oyinhloko ohambisa igazi esibelethweni uboshiwe, uvimba ukopha. |
| Ukususwa kwesisu | Uma kungekho okunye okungavimba ukuphuma kwegazi, njengesixazululo sokugcina , isibeletho sakho singase sidingeke sisuswe ngokuphelele ukuze kusindiswe impilo yakho. Lokhu kuwukuhlinzwa okukhulu. |
Ukususwa kwesibeletho kwenziwa kuphela ezimweni ezisindisa impilo lapho kungekho enye indlela, ngakho-ke ungesabi ngokungadingekile.
Umlayezo Wokuya Nawe Ekhaya
- I-atony yesibeletho yisimo lapho imisipha yesibeletho inganciphi kahle ngemva kokubeletha, okubangela ukopha ngokweqile. Lesi yisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha.
- Uma usola ukuthi wopha kakhulu ngemva kokubeletha (iphedi imanzi ngokushesha, amahlule amakhulu egazi ayadlula), tshela udokotela wakho noma umhlengikazi ngokushesha. Ungakuhlehlisi.
- Nakuba kunezici eziningana eziyingozi zalesi simo, singaba khona kunoma ubani, ngakho-ke kubaluleke kakhulu ukubelethela esibhedlela esinabasebenzi abaqeqeshiwe.
- Kunezindlela zokwelapha eziphumelela kakhulu kulokhu. Odokotela basebenzisa izindlela ezahlukene, kusukela emithini kuya ekuhlinzeni, ukuze bamise ukopha.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka onakho ngomzimba wakho, kokubili ngaphambi nangemva kokubeletha.
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