Izingozi kunye nonyango ngenxa yokuphuma kwegazi emva kokubeletha
Ukuzihlaziya akuyona into esifuna ukuyicinga ngayo xa kuvela ekuzaleni. Amaphesenti anesithoba anesihlanu ekuzalweni akayi kuba neengxaki ngokuqumba kwamanzi. Nangona kunjalo, kubalulekile ukwazi iziganeko zobungozi bokuzibulala kunye nokuxoxa ngeziganeko zobungozi bakho kunye nogqirha okanye umbeleki.
I-Postpartum hemorrhage ichazwa njengelahleko legazi kwixesha lokugqibela emva kokusuka kwe-500 mL.
Umyinge, ukuzalwa kwamanzi ngokwasemzimbeni kuya kuba ne-500 mL yokulahleka kwegazi. Ekuzalweni kwegazi, ilahleko lokulahleka kwegazi liphakama ukuya kuma-800 ukuya ku-1000 mL. Kukho umngcipheko omkhulu wokumisa isisu kwiiyure ezingama-24 zokuqala emva kokuzalwa, okubizwa ngokuba yi-primary postpartum hemorrhage. Isinye isisindo somzimba esisodwa esenzeka emva kweeyure ezingama-24 zokuzalwa.
Iengozi zeHemorrhages zePostpartum
Kukho izinto ezinobungozi obangela ukuba kubekho umonakalo omkhulu emva kokuhamba, kubandakanywa i-gestationn (amawele, njl njl. Njl), umntwana omdala kakhulu, okanye ngowesifazane okhulelwe ngaphambi kokukhulelwa.
Kukho neemeko ezininzi zonyango ezinokuthi zenze igalelo ekuphumeni kwe-postpartum, kunye ne- polyhydramnios (i-amniotic excessively fluid), i- placenta previa okanye i- placental breakdown . Zizo zonke iimeko apho umgqirha wakho oza kuwufuna ukuba aqaphele okanye abuze.
Ukongezelela, abafazi abathwala i-Pitocin ukuba banyuse abasebenzi bangabakho mngcipheko omkhulu wokutshatyalaliswa kwesisu, okanye abo bafakwa phantsi kwe-anesthesia jikelele ngexesha lokukhulelwa.
Yaye ukuba i-sulfate ye-magnesium ihanjiswa njengonyango lwabasebenzi be-preterm, nto leyo inokunyusa umngcipheko we-postpartum hemorrhaging.
Kubalulekile ukuba uqaphele ukuba le mingcipheko ingenza kube lula, kodwa ayikho izibonakaliso ezithile zokuqhwaba. Ukwazi ukuba kukho ingozi enkulu yabanye bangenza izicwangciso ezithile eziyimfuneko kunokuba basetyhini abasetyhini.
Kwiimeko ezininzi, imbangela yokuqhaqhayisa i-uterine atony, oku kuthetha ukuba i-uterus ayinayo inkontileka ngokwaneleyo ukulawula ukuphuma kwendawo kwindawo ye-placental. Ezinye izizathu zokumisa isisu ziza kubandakanya iziqhekeza ezigcinwe kwiindawo ezisemgangathweni (mhlawumbi ziquka i-placenta accreta), ukuxhwaleka kwesimo esithile, njengobunqunu bomlomo, ukuguqulwa kwamanzi okanye ukuphazamiseka komzimba, kunye nokuphazamiseka kwe-clotting.
Ukuba ukubola kwegazi kuyenzeka kukho amanyathelo amanyathelo angathathwa ukuze aphathe ukuphuma kwegazi, amanyathelo asetyenziswayo kuxhomekeke kwisizathu sokuphuma kwamanzi, kubandakanya ukuhluthwa kwe-uterine, ukubeka inyawo zikamama ngaphezu kwentliziyo yakhe, ukunika umama oksijini, ukumnika amayeza ukuba ayeke ukuphuma, okanye kwiimeko ezimbi kakhulu, ukuhlinzwa, okubandakanya i-hysterectomy (ukususwa kwesibeletho).
Ukuthintela iHemorrhage
Bonke abafazi baya kufumana ukunakekelwa ukunceda ukukhubaza ukubola emva kokuzalwa komntwana. Ngokukhawuleza emva kokuzalwa komntwana, iimpawu zokwahlukana kwamaplanga ziya kulinda ukuze wazi ukuba i-placenta ikulungele ukuhanjiswa.
Ezinye izibhedlele kunye namaziko okubeletha bakhetha ukunika onke amabhinqa ijojo ejwayelekile ye-pitocin ukukunceda ukukhusela isisu kunye nokunceda ukuqinisekisa ukuba i-placenta ifika ngokukhawuleza kwaye kulula. Nangona kunjalo, abaninzi banokukhetha indlela engokwemvelo, ekufuneka ilinde kwaye ibone ukuba kukho ingxaki yokuphuma kwegazi.
Abaninzi bayakhuthaza i-American Academy ye-Pediatrics isinconywa sokuncelisa ibele ukususela ngokukhawuleza emva kokuzalwa. Oku kuvumela ukuba umama akhuphe i-oktotocin yakhe ukuze ancedise isivumelwano se-uterus aze axoshe i-placenta.
Ukusasaza i-uterus kwenzelwa ukunceda ukukhupha iimbali zegazi. Kwakhona kusetyenziselwa ukujonga ithoni yesibindi kwaye uqinisekise ukuba ukubethelela ukukhusela ukuphuma kwegazi. Iphutha elibi le-uterus kule ndawo lidala iipesenti ezingama-70 zeemeko zokumisa isisu emva kokuphuma. Oku kunokuba nzima ukubuhlungu. Qinisekisa ukuba usebenzisa nayiphi na indlela yokuphumla kunye nokuphefumula kwaye ungasondeli imizimba yakho yesisu.
Ukuba ibuhlungu kakhulu, amayeza angasetyenziswa. Oku kuya kwenziwa ngokunciphisa amaninzi emva kokuzalwa, njengoko ukuphuma kwegazi kuhamba.
Ukuqinisekisa ukuba i-bladder yakho ayinalutho kuya kunceda ukuphepha ukubola. Ukugqithisa nje i-bladder nganoma iyiphi indlela unokukwenza oku. Abasetyhini abangazange basebenzise i-anesthesia yengingqi bangasetyenziselwa ukusebenzisa indlu yokuphumla ngokwabo emva kweyure emva kokuzalwa. Abo babephethe i-anesthesia yengingqi bangasebenzisa indlu yokulala okanye i-bedpan ngexesha lokunyuka kwexesha, kodwa ngokuqhelekileyo ngaphakathi kweyure ye-anesthesia egqityiweyo, ngaphandle kokuba kwenziwe i-laarean. I-Catheterization ingaba yinzuzo apha.
Ukuthetha nomgudu wakho ukubona ukuba yintoni emva kokuzalwa kwenkqubo eyisebenzisayo kwaye yintoni enokuba yinto engcono ngayo imeko yakho inokuhamba ixesha elide ekukuncedeni ukuba uqonde izinto zakho zokubeka ingozi kunye nesicwangciso sokukhusela isisu sokumva kwesisu.