Funda ukuhlukana phakathi kokulahlekelwa kwegazi nokuqhelekileyo kwegazi
Kutheni ufanele ukwazi ngokunyuka kwegazi okanye ukuphuma kwegazi ehambelana nokukhulelwa komzimba ? Xa ukuphuma kwegazi kuqhelekile kwaye nini kuninzi? Ziziphi izizathu ezibangelwa ukubola kwegazi ngexesha lokukhulelwa kwesisu, kuthathwa njani, kwaye ziziphi iingxaki ezikhoyo?
Kubalulekile ukuba uqaphele iimpawu kunye neempawu zokulahlekelwa kwegazi ngokugqithiseleyo ukuze ukwazi ukufumana unyango ngokukhawuleza xa kufuneka.
Ukuhlaselwa kwegazi ngexesha kunye nangemva kokusweleka kwesisu akuqhelekanga kodwa kubangelwa imbangela yokufa ehambelana nokulahleka kwezinto eziphathekayo, ngokukodwa ukutshatyalaliswa kwamathambo.
Ukuhlamba ngenxa yokutshatyalaliswa
Ukuqhekeza kuyinto eqhelekileyo emva kokuphuma kwesisu, kodwa unokwazi njani ukuba ukuphuma kwegazi kuninzi kangakanani?
Ukutshatyalaliswa kokutshatyalaliswa kwemali kuchazwa njengokulahleka kokukhulelwa okwenzeka ngaphambi kweveki ye-20 yesisu nangaphambi kokuba umntwana abe nako ukuhlala ngaphandle kwesibeleko. Xa ukukhulelwa kulahleka naliphi na ixesha phakathi kwexesha eliphosiweyo kunye neveki ezingama-20, imithwalo yegazi kwisibeleko iye yaqhuma kwaye izicubu zakhiwe ukuxhasa ukukhulelwa. Xa kuphuma isisu, le nto ifakwe.
Ngexesha eliqhelekileyo lokuphuphuma kwesisu, ukuphuma ngegazi lomfazi ngokuqhelekileyo kunzima kunexesha eliqhelekileyo lokuya esikhathini, ngoko unokukwazi njani ukuba ungazi njani ukuba uninzi kangakanani? Yintoni efanelekileyo "njengegazi eliqhelekileyo" kwaye yintoni ebonisa "ukubola kwegazi?"
Siza kuthetha ngakumbi malunga nencazelo yokumisa isisu, kodwa kubalulekile ukuba uncede ngokukhawuleza uncedo lwezonyango ukuba ukuphuma kwegazi kunzima ngokwaneleyo ukucwina ngetekisi yokuya esikhathini (ngokuqhelekileyo, kungekhona i-maxi okanye i-mini) ngaphantsi kweyure. Kwakhona kubalulekile ukufumana uncedo lwezonyango olukhawulezileyo ukuba unayo impawu ezingabonisa ukukhulelwa kwe- ectopic , kungakhathaliseki ukuba liphuma phi igazi.
Izibonakaliso zokukhulelwa kwe-ectopic zingabandakanya ukuqala ngokukhawuleza kwentlungu kwisisu sakho okanye ngasemva, i-pulse yokukhawuleza, ukukhanya okukhawulezayo, okanye ukulahleka kwengqondo.
Inkcazo yeHemorrhage
Ukunyuka kwegazi kubhekisela ekulahlekelweni kwegazi kwaye ihlukaniswe kwiindidi ezisekelwe kwipesenti yegazi ekhoyo emzimbeni wakho
- Udidi I-ukuya kuma-15 ekhulwini lomthamo wegazi
- Icandelo II - ukulahlekelwa kwe-15 kuya kuma-30 ekhulwini legazi
- Icandelo III - ukulahlekelwa kwama-30 ukuya kuma-40 ekhulwini kwegazi
- ICandelo IV - ukulahlekelwa kwama-40 ekhulwini kwegazi
Ukulinganisela ukulahlekelwa kwegazi (kunye nokufumaneka kweMimiselo) kunye noThatshulwa
Ekubeni abaninzi abantu abanalo indlela elula yokubala ipesenti yegazi lomzimba wabo olahlekileyo, kukho iindlela ezininzi zokulinganisela ukulahleka kwegazi.
Ukuze siqonde intsingiselo ye "ukubola kwegazi" makhe siqale sithethe ngokukhupha okuqhelekileyo. Ngexesha eliqhelekileyo lokuya esikhathini, uya kudlula ii-ccs ezingama-80 zegazi. Elinye ithisipuni lilingana nee-ccs ezintlanu, ngoko ixesha eliqhelekileyo liza kubangela iipaspuni ezingama-16 okanye iipunipoli eziyi-5 zegazi. Ngokwahlukileyo, inani lokuphuma kwegazi ngesondlo esisisidlangalaleni sisingaba ngu-500 cc. Ukuphuphuma kwesisu kungaqhelekanga kubangele ukulahleka kwegazi phakathi kwala manani, kodwa kusondele kwixesha eliqhelekileyo.
Ukuphuma kwegazi ngokugqithiseleyo kulula ngokuchazwa ngokwemiqathango yokuya esikhathini. Ukuba uphepha nge-pad ngexesha elingaphantsi kwama-2 iiyure, ukuphuma kwegazi kunokugqithisa. Ukuba ugaqa i-pad enkulu ngaphantsi kweyure, kufuneka ufune uncedo ngokukhawuleza.
Unokuva malunga nezinye iimpawu ezingabonakalisa ukulahleka kwegazi, kodwa kubalulekile ukufuna uncedo lwezonyango ngaphambi kokuba le mpawu ivele.
Ngokomzekelo, unokuva ukuba ukuphuma kwegazi kwinqanaba lentliziyo yakho kuya kwanda (tachycardia.) Kodwa iipesenti ezingama-30 zegazi lakho zingahle zilahleke ngaphambi kokuba iqondo lentliziyo likhawuleze. Kuyafana nezinye iimpawu kunye neentsholongwane zokulahleka kwegazi kunye nokuphelelwa kwegazi. Ukuba uxinzelelo lwegazi lwakho luhla, okanye wena ukuba ubonakala uphukile kwaye utyhukile, sele ulahlekile kakhulu igazi kwaye kufuneka ubize i-911.
Iimbangela zeHlmrrhage kunye noThatshutho
Kukho izimbalwa ezinokubangela ukuphuma kwegazi emva kokuphuphuma kwesisu, kodwa ngokugqithiseleyo kuninzi imveliso yokugcina isisu okanye ukungahambi kakuhle komzimba . Xa iimveliso zokukhulelwa zihlala kwisibeleko sakho, isivumelwano esiqhelekileyo sesibeletho sakho esenzeka emva kokuba i-stersion does not occur.
(Xa oku kungenzeki emva kokunikezelwa kwexesha elipheleleyo kuthiwa i-uterine atony.) Ukuze ukuphuma kwegazi kume, ukususwa kwemveliso yokukhulelwa kufuneka kwenzeke.
Ukongezelela kokusweleka komzimba okungaphelelanga, ezinye izinto ezibalulekileyo kodwa ezibalulekileyo ziquka:
- Izifo zokugqithisa ezifana ne-hemophilia kunye nesifo se-von Willebrands (isifo se-von Willebrands sichaphazela i-1.3 ekhulwini yabemi kunye nabasetyhini abaninzi abaqapheli le meko ade bachithe ngokugqithiseleyo emva kokuphuma kwesisu okanye ukuhanjiswa)
- Amachiza amancinci yegazi (iilisi ezinjengeHeparin, nangona kubalulekile ukuqaphela ukuba amanye amalungiselelo emfuyo angabangela ukuphuma kwegazi)
- Iiprosts ezigqithisiweyo
- I-fistula ye-AV (apho iirriyiti zidibanisa ngqo nemithanjeni yakho kwisibeletho okanye kwisibeletho)
- Ukutshitshiswa kulandelwa yintambo ye-intravascular coagulation (DIC)
- I-Choriocarcinomas (isisu esingaqhelekanga sesisu)
Ukuchonga iHemorrhage kunye nokuHotshwa komtshato
I-ultrasound inokukunceda ekuxilongweni kokulahlekelwa kwesisu esingaphelelanga, kubonakala ukugqithwa kwodonga lwe-uterine. Ukwenza uhlolisiso ugqirha wakho uya kujonga kwakhona kwimbali yakho (ingakumbi iminyaka yobudala bokukhulelwa kwakho) kunye nokuhlolwa ngokomzimba (ingaba umlomo wesibeleko uvulekile kwaye ingaba kukho nayiphi imveliso yokukhulelwa.)
Unyango lweMimiselo ngenxa yokutshatyalaliswa komtshato
Unyango lwemisonto emva kokusweleka kwesisu kungaxakeka kwizonyango. Isinyathelo sokuqala kukuqinisekisa ukuba uzinzile, uvavanya amanyathelo okukhawuleza afana nayo nayiphi na ingxamiseko-ukuhamba, ukuphefumla, kunye nokujikeleza.
Inkulu IV ivame ukufakwa kunye kunye namanzi amanzi. Igazi lakho liya kutsalwa ngohlobo kunye nokugqithiswa ukuze igazi lokunikezelwa ngegazi linikezelwe xa kuyimfuneko.
Isinyathelo esilandelayo kukuba uhlole ngokukhawuleza imbangela yokuphuma kwegazi (ukulawula izizathu eziqhelekileyo zokuphuma kwamanzi ezifana nokukhulelwa okukhulayo kunye ne-cyst ovarian dissters, ukuphaphazeleka kwegazi, njl.) Uze ulandele umthombo wokuphuma kwegazi. Ngokuqhelekileyo oku kuthetha ukuba i- D & C engxamisekileyo (ukuhlenga kunye nokukhutshwa) ukususa iimveliso zokukhulelwa. Amayeza angasetyenziselwa ukuncedisa ekuqhekekeni kwesibeletho sakho emva kokuba ezi zisuswe.
Iingxaki zeHemorrhage Secondary for Divorriage
Ukunyuka kwegazi ngokusweleka komzimba kuyinkxalabo esongela ubomi kunye nokunonyango okufunekayo. Ngaphandle koxinzelelo olungxamisekileyo, ukutshatyalaliswa kwanokufa kungenzeka. Ukulahleka kwegazi ngokugqithiseleyo kungabangela ukungabikho kokuphuma kwegazi ukuya kwingqondo, kunye neengxaki ezinxulumene ne-hypoxia (ukungabi naso oksijini kwimizimba yomzimba) kunokwenzeka ukuba unyango olungxamisekileyo lulibazisekile.
Ngokunyamekela unyango oluhle, ezininzi iingxaki zihlobene nokuhlinzwa (i-D & C kunye ne-hysterectomy ukuba inzima) okanye i-transfusion response.
Ukulandela isisu esisemgangathweni esiphathelene nokuphuphuma kwesisu, kunokuthatha ixesha elithile ukuba igazi lakho libale ukuba libuyele eliqhelekileyo, kwaye kubalulekile ukuba lithathe lula ngeli xesha.
Qaphela : Ukuba ukhangelele uncwadi ungakhathazeki xa ubona amanqaku athetha ngokukhipha isisu. Benzisa igama elithi "ukukhipha isisu" ukuchazwa kokukhipha isisu kunye nokulahleka kwesisu, ngokukhipha izisu ngokuzithandela kuthiwa "ukukhipha isisu" kunye nokulahlekelwa ngamathambo okubizwa ngokuthi "ukukhupha isisu."
Kuphelelwa Kangakanani Kangakapheli Ngomtshato?
Ngethuba lokukhulelwa kwegazi, ukuphuma kwegazi kunye neentlungu ezisifo esiswini (esinye isibonakaliso esikhulu sokusweleka kwesisu) sithandwa kakhulu xa usadlula i-placenta kunye nesigxoba kwisisu sakho. Le nkqubo inokuthi ithathe kuyo yonke imizuzu engama-60 ukuya kwiiyure ezimbalwa. Ukuba awukwazi ukudlula ezo zicubu ngokwemvelo, ugqirha unokunceda ukukususa ngokusebenzisa inkqubo yonyango ebizwa ngokuthi i-dilation kunye ne-curettage (edlalwa ngokuba yi-D & C).
Ukulandela ukuphuphuma kwesisu, ungase uhlaziye iincinci kwiiveki ezimbini ezizayo okanye kunjalo, kodwa inani legazi kufuneka lihla kancane. Umjikelezo oqhelekileyo wokuya esikhathini kufuneka ubuyele ngaphakathi kwiiveki ezintandathu
Izizathu zokutshatyalaliswa komtshato
Ubuninzi bamathambo abuhlungu ngenxa yeengxaki ze-chromosomal. Ukuba iiseli eziswini luqukethe i-chromosomes ezininzi, zimbalwa zazo, okanye ukuba zinezinto ezingaqhelekanga, ukungahambi kakuhle komzimba kungenzeka. Iimpazamo ezingahle zenzeke ngenxa ye-ovum enzima (xa i-egg fertilized implantants in the uterus kodwa ingasayi kuba yintsana), iziyobisi, utywala, ukutshaya, kwaye mhlawumbi i-caffeine xa ikhulelwe. Ngamanye amaxesha iimeko zempilo zomama nazo zinokufaka isandla, njenge-lupus, isifo se-thyroid, isifo sikashukela, izifo kunye neengxaki ze-hormone.
Ukuba awuqinisekanga ukuba unesisu, ugqirha unokusebenzisa i-ultrasound, ukuhlolwa kwe-pelvic, kunye nokuhlolwa kwegazi (ukulinganisa inani lakho le-chorionic gonadotropin okanye i-hCG) ukuze uphendule lo mbuzo.
Ukuba Unayo Ukutshatyalaliswa
Ukuphuphuma kwesisu kungaba buhlungu kakhulu emzimbeni nangokomzwelo. Kuyinto engokwemvelo ukuziva uxinezelekile , ukudideka, kunye nentukuthelo emva kwe nyaniso, kwaye ukuthetha nabanye abesifazana abaye bahlala nayo kunokukunceda ukuba usebenze. Buza ugqirha wakho ngolwazi olungakumbi, kwaye ukuba uyayazi iqela loxhaso lendawo. Kukho uluntu oluninzi oluxhasayo lwentlalo efumanekayo ukufumana uncedo kubantu abaye bafumana ukulahleka kokukhulelwa, kunye nemibutho emininzi exhasa abantu abaye bajamelana nokukhulelwa komzimba.
Okubaluleke kakhulu, zinike ixesha lokulila . Unokuva i-plethora yeembalo ezivela kubahlobo nakwiintsapho, ngamanye amaxesha kunokukwenza ukuba uzive ungakumbi. Siyazi ukuba akuncedi ukuva ukuba uselula okanye ukuba unokuzama kwakhona. Kufuneka udabuke oku kukhulelwa. Zizenzele ngeli xesha.
Imithombo
- > Kim, C., Barnard, S., Neilson, J., Hickey, M., Vazquez, J., noL. Dou. Unyango lwezoNyango zokuThatyathwa okungazalwanga. I-Cochrane Database yeeNkqubo eziPhezulu . 2017. 1: CD007223.
- Lane, B., Wong-You-Cheong, J., Javitt, M. et al. I-ACR Ukulungelelanisa Imigaqo-nkqubo yokuHlanywa kweThathu yeThathu. Iikota zekota . 2013. 29 (2): 91-6.
- > Rydze, R., Dixon, K., UCharely, J., noS S. Hawkins. Ukusetyenziswa kweBalloon ye-Obstetric yokuHlulelwa kweSithuba sokuHlukana kweMimiselo kunye nokuSasazwa kwe-Intravascular Coagulation. I-Obstetrics kunye neGynecology . 2015. 126 (5): 1019-21.