Izingozi kanye nokuphathwa kokwelapha ngokweqile ngemuva kokubeletha
Ukulimaza akuyona into esifuna ukucabanga ngayo uma kuziwa ekuzaleni. Amaphesenti angamashumi ayisishiyagalolunye nesishiyagalolunye ekubelethweni angeke abe nenkinga ngokumisa imithi nganoma yiluphi uhlobo. Kodwa-ke, kubalulekile ukwazi izici eziyingozi zokugaya izifo bese uxoxisana nezidakamizwa zakho siqu nodokotela noma umbelethisi wakho.
I-postpartum hemorrhage ichazwa njengokulahlekelwa kwegazi esikhathini sokuhamba kwesikhathi esingaphezu kuka-500 mL.
Ngokwesilinganiso, ukubeletha kwamagciwane okuzenzekelayo kuzoba nokulahleka kwegazi okungamamitha ayi-500. Ekuzalweni kwegazi, isilinganiso sokulahlekelwa kwegazi senyukela phakathi kuka-800 no-1000 mL. Kukhona ingozi enkulu yokugaya igazi esikhathini sokuqala ngemva kwamahora angu-24 emva kokuzalwa, okuthiwa yi-primary postpartum hemorrhage. I-hemorrhage yesibili enye eyenzeka ngemva kokuzalwa kwamahora angu-24 okuqala.
Izingozi zeHemorrhages ze-Postpartum
Kunezici ezithile ezingozini ezenza kube khona ukubola kwamathumbu e-postpartum, okubandakanya ama-gestationn amaningi (amawele, njll), umntwana omncane kakhulu ongasaboni, noma owesifazane oye waqala ukukhulelwa.
Kukhona nezimo eziningana zezokwelapha ezingaba nomthelela ekukhunjweni kwe-postpartum, kuhlanganise ne- polyhydramnios (ngokweqile amniotic fluid), i- placenta previa noma ukuphazamiseka kwamapayipi . Lezi yizona zonke izimo lapho udokotela wakho wezidakamizwa ozodinga khona ukuze aqaphele noma abonisane naye.
Ukwengeza, abesifazane abathatha i- Pitocin ukuba bakhiphe abasebenzi bangase babe engozini enkulu ye-postpartum hemorrhage, noma labo abafakwa ngaphansi kwe-anesthesia jikelele ngesikhathi sokukhulelwa.
Futhi uma i-sulfate ye-magnesium inikezwa njengokwelashwa komsebenzi wokutholwa komzimba, lokho kungakwandisa ingozi yokuthungathwa kwe-postpartum hemorrhaging.
Kubalulekile ukuqaphela ukuthi lezi zici eziyingozi zingenza kube lula, kodwa azikho izinkomba ezithile zokuqeda ukubola kwesisu. Ukwazi ukuthi kunezingozi ezinkulu kwabanye bangenza izinyathelo ezithile zokuqapha okudingekayo kunabesifazane abasengozini.
Ezimweni eziningi, imbangela yokugaya isisu i-uterine atony, okusho ukuthi lesi sibeletho asikatholi ngokwanele ukulawula ukuphuma kwegazi endaweni yesigcawu. Ezinye izizathu zokwehla kwesimiso zingabandakanya izingcezu ezigciniwe ezigciniwe (mhlawumbe kufaka phakathi i-placenta accreta), ukuhlukumezeka kwesimo esithile, njengendlela yokushaywa komlomo wesibeletho, ukuguqulwa kwamantombazane noma ukuhlukana kwesisu, nokuphazamiseka kwamagciwane.
Uma ukubola kwesisu kuyenzeka kunezinyathelo eziningana ezingathathwa ukuphatha ukuphuma kwegazi, izinyathelo ezisebenzisayo zixhomeke esizathu sokuphuma kwegazi, kufaka phakathi ukuhlunga uterine, ukubeka izinyawo zikamama ngaphezu kwenhliziyo yakhe, ukunikeza umama oksijini, ukumnika imithi yokuyeka ukuphuma kwamanzi, noma ezimweni ezimbi kakhulu, ukuhlinzeka, okungahlanganisa i-hysterectomy (ukususwa kwesibeletho).
Ukuvimbela ukulimaza
Bonke abesifazane bayothola ukunakekelwa ukusiza ukuvimbela ukubola kwesisu ngemuva kokuzalwa kwengane yabo. Ngokushesha ngemva kokuzalwa kwengane, izibonakaliso zokuhlukana okuyizintambo zizobukwa ukuze wazi ukuthi i-placenta ilungele yini ukuhanjiswa.
Ezinye izibhedlela kanye nezikhungo zokubeletha zikhetha ukunikeza wonke owesifazane isimiso somkhuba we-pitocin ukusiza ukuvimbela ukubola kwesisu nokusiza ukuqinisekisa ukuthi i-placenta ifika ngokushesha futhi kalula. Kodwa-ke, abaningi bakhetha umzila wemvelo owengeziwe, okumele ulinde futhi ubone uma kunenkinga yokuphuma.
Abaningi futhi bakhuthaza i-American Academy of Pediatrics ukuncoma kokuncelisa ibele kuqala ngokushesha ngangokunokwenzeka emva kokuzalwa. Lokhu kuvumela umama ukuba athole i-oxytocin yakhe ukuze asize isivumelwano sokubeletha futhi asuse i-placenta.
Ukususa lesi sibeletho kwenziwa futhi ukusiza ukuxosha ama-clots wegazi. Ibuye isetshenziselwe ukuhlola ithrekhi yesibindi futhi uqinisekise ukuthi ukuphoqa ukuze kuvimbele ukuphuma ngokweqile. Iphutha elimpofu lesibeletho kuleli phuzu lidala amaphesenti angama-70 e-postpartum-hemorrhage cases. Lokhu kungase kungakhululeki ukubuhlungu. Qinisekisa ukuthi usebenzisa noma yiziphi izindlela zokuphumula nezokuphefumula futhi ungazitholi imizimba yakho yesisu.
Uma ubuhlungu kakhulu, imithi ingasetshenziswa futhi. Lokhu kuzokwenziwa ngevolumu eyancipha emva kokuzalwa, njengoba ukuphuma kwegazi kuhamba kancane.
Ukuqinisekisa ukuthi isisindo sakho asinalutho sizokusiza ekugwemeni ukubola. Ukumane nje ukukhipha isikhumba nganoma iyiphi indlela kungenza lokhu. Abesifazane abangazange basebenzise i-anesthesia yesifunda bangase basebenzise indawo yokuphumula ngokwabo kungakapheli ihora ngemva kokuzalwa. Labo ababene-anesthesia yesifunda bangasebenzisa indawo yokuphumula noma i-bedpan ngezikhathi eziningana ezihlukahlukene, kodwa ngokuvamile ngaphakathi kwehora le-anesthesia egqamile, ngaphandle kokuba kwenziwe i-cearean. I-Catheterization ingaba yinzuzo lapha.
Ukukhuluma nodokotela wakho ukuze ubone ukuthi yikuphi emva kokulandela umthetho wokubeletha ayisebenzisayo nokuthi yini engase ibe ngcono kakhulu esimeni sakho ingahamba kakhulu ekusizeni ukuthi uqonde izici zakho zokuzilimaza kanye nokuvimbela isisu sokumisa kwe-postpartum.