Izinkinga Ngemva Kokuthatha Umshado

Uma usanda kuba nesisu, kungenzeka ukuthi uyazi izinselele ezingokomzimba nezingokomzwelo abantu ababhekana nazo. Kodwa ngezinye izikhathi abesifazane banenkinga emva kokukhulelwa kwesisu. Isibonelo, izimo ezinjengokuphuma ngokweqile, ukutheleleka, noma ukucindezeleka kungenzeka kwenzeke ngemuva kokukhulelwa kwesisu.

Nakuba iningi lezinkinga zokuhlukunyezwa kwezinto zokuqala ezingenakuyinkimbinkimbi-okungenani kusukela ekubukweni kwezempilo-ungafuna ukwazi ukuthi yini okufanele uyibuke. Qinisekisa ukuthi ukhuluma nodokotela wakho uma usola ukuthi unalezi zinkinga ukuze uphinde ululame futhi uqhubeke ukupholisa noma ukhulelwe futhi ngaphandle kokukhathazeka okwengeziwe.

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Ukususwa kokungaqedi

Ukukhulelwa kwesisu okungaphelele kuvamile. Lokhu kusho ukuthi usenayo izicubu ezithile ezigcinwe esibelethweni sakho kusukela ekukhulelwe. Isibonakaliso esivame kakhulu sokukhulelwa kwesisu esingaphelele siphuphuma noma sikhala isikhathi eside kunokuba singalindela emva kokukhulelwa komzimba okuphelele

Uma uke wahamba ngesisu, udokotela wakho uzokutshela ukuthi maduze ukuphuma kwegazi kumele kume. Uma usenayo izimpawu cishe amasonto amabili ngemuva kokukhulelwa kwesisu, kungaba ukukhulelwa okuphelele, futhi kufanele ukhulume nodokotela wakho.

Ngezinye izikhathi ukukhulelwa kwesisu okungaphelele kuzozixazulula ngokwakho, kodwa ngezinye izikhathi ungadinga i- D & C noma ukwelashwa nge-Cytotec (misoprostol) ukususa yonke imikhiqizo yokukhulelwa esibelethweni sakho.

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Ukweqa ngokweqile

Udokotela wakho uzokutshela ukuthi ukuphuma kwegazi kuyinto evamile njengoba kuqhuma isisu. Ukuphuza ngokweqile, noma kunjalo, kungaba yingozi kuwe.

Amaphesenti amancane abesifazane abhekana nokubola ngokweqile njengenkinga yokukhulelwa kwesisu . Umthetho ojwayelekile wukuthi kufanele ufune usizo lwezokwelapha masinyane uma ugibela phakathi kwekhadi lokuya esikhathini esikhathini esingaphansi kwehora.

Uma unezimpawu zokulahleka kwegazi njengezikhumba, isikhumba se-clammy, ikhanda elikhanyayo, noma izinga lokushaya kwenhliziyo, kungenzeka ukuthi usuvele ulahlekelwe inani elikhulu legazi. Ungalindi. Shayela u-911.

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Ukwelashwa Ngemva Kokuqothula

Amaphesenti angaba ngu-3 abesifazane bayothola isifo esithinta isisu . Lokhu kungabangelwa imikhiqizo egcinwe yokukhulelwa esibelethweni. Qinisekisa ukuthi uxhumane nodokotela wakho uma ucabanga ukuthi unezimpawu zesifo esinjengathi:

• Ukuphuma kwegazi okwesikhathi eside (ukude kunamaviki amabili)
• I-Fever (ukushisa kuka-100.4 F)
• Ama-Chills
• Ukuthunga okwephunga elimnandi

Ukutheleleka kokuphuma kwesisu kungaba yingozi kodwa ngokuvamile kuphathwa kalula ngama-antibiotics.

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Asherman Syndrome

I-Asherman syndrome iyinkinga engavamile yeD & C. (Kungenzeka nezinye izizathu, njengokutheleleka.)

Kule nkinga, izicubu ezibomvu, ezibizwa ngokuthi izibambiso, zifakwe esibelethweni. Lokhu kunamathela kungabangela izinkinga zokuzala nokunye ukulahleka. Uphawu oluvame kakhulu alukho, izikhathi ezilula noma ezingavamile.

Uhlolo oluthiwa i-hysteroscopy ngokuvamile lisetshenziselwa ukwenza noma ukukhipha ukuxilongwa kwe-Asherman syndrome. Ukuhlinzwa kungasetshenziswa ukususa ukunamathela ukuze uzame ukukhulelwa futhi.

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Imiphakathi ejwayelekile

Ngokusho kwe-American College of Obstetricians and Gynecologists, amaphesenti angu-1 kwabesifazane ayoba nokukhulelwa kwesisu okungaphezu kweyodwa. Lokhu kwaziwa ngokuthi ukukhulelwa kwesisu okuphindaphindiwe noma ukukhulelwa kwesisu okuphindaphindiwe.

Uma unezinsipho ezimbili noma ezintathu ezilandelanayo, khuluma nodokotela mayelana nokuhlolwa kwezimbangela ezikhona, njenge-Asherman Syndrome, i-uterine noma i-hormonal, okungavamile ukuzivikela nge-immune disorder antiphospholipid syndrome (APS) noma inkinga yezofuzo okuthiwa i-translocation elinganisiwe.

Ngeshwa, okungenani amaphesenti angu-50 wesikhathi, asikho isizathu esitholakala ukukhulelwa kwesisu okuphindaphindiwe.

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Ukucindezeleka

Ngokwe-March of Dimes, uma uhlangabezana nalezi zibonakaliso ezilandelayo isikhathi eside emva kokukhulelwa komzimba, noma uma uzizwa kakhulu futhi ziphazamisa impilo yakho, ungacindezeleka:

• Ukuba nesithakazelo emisebenzini yakho evamile noma ezithandwayo
• Ukuzwa ukhathele sonke isikhathi
• Ukuthola noma ukunciphisa umzimba
• Unenkinga yokulala noma yokulala kakhulu
• Ukukhathazeka ukugxila noma ukwenza izinqumo
• Ukucabanga ngokuzibulala noma ukufa

Ukudabuka kuyindlela evamile yokusabela kokukhulelwa kwesisu nokukhulelwa kokukhulelwa futhi akukho isikhathi somlingo lapho lokhu kuqhubeka khona. Kodwa uma uqala ukukhombisa izibonakaliso zokucindezeleka komtholampilo ngemuva kokukhulelwa kwesisu , khuluma nodokotela wakho. Kukhona ukungqubuzana kokuthi ukucindezeleka ngemva kokukhulelwa kwesisu kuyinto efanayo nokucindezeleka kwe-postpartum, kodwa noma yikuphi ukuxilongwa, ukucindezeleka kunzima kakhulu kunoma yiziphi ezinye izinkinga ezixoxwe lapha.

Ukululekwa kwempilo yengqondo kanye / noma imithi kungakusiza ukuthi ubuyele ngokushesha ngokujwayelekile, enempilo, ngokwakho.

Uma ungaqiniseki ukuthi uhlangabezana nosizi nokucindezeleka, ungalindi. Khuluma nodokotela wakho.

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Izinkinga zokukhathazeka

Olunye ucwaningo lubonisa ukuthi ukukhathazeka nokucindezeleka ngemva kokukhulelwa kwesisu kujwayelekile nakakhulu kunokucindezeleka komtholampilo, futhi kungaba yinto evamile uma ungabheki nazo.

Kungase kwenzeke ngisho nokuthuthukisa izimpawu zokucindezeleka ngemuva kokucindezeleka (PTSD) emva kokulahlekelwa kokukhulelwa. Nakulokhu, ukukhuluma nochwepheshe wezempilo yengqondo kanye namasu okufunda okubhekana nokukhathazeka kwakho, kungakusiza uzizwe uthanda ngokwakho emva kokukhulelwa kwesisu.

> Imithombo:

> Cunningham, F. Gary., NoJohn Whitridge Williams. Williams Obstetrics. ENew York: McGraw-Hill Medical Medical, 2014. Phrinta.

> Daugirdaite, V., van den Akker, O., no S. Purewal. Ukucindezeleka Kwesifo Esicindezelayo Sokuthutha Nokucindezeleka Kwangemva kokuphela kokukhulelwa nokulahlekelwa kokuzala: Ukubuyekezwa okuhlelekile. Journal of Ukukhulelwa . 2015 Feb 5. (Epub ngaphambili noma ukuphrinta).

> Hooker, A., Aydin, H., Brolmann, H., noJuime. Izinkinga Zesikhathi Eside kanye Nemiphumela Yokukhiqiza emva kokuphathwa kwemikhiqizo egcinwe ngokuklanywa: Ukubuyekezwa okuhlelekile. Ukuzala nokuhlunga . 2016. 105 (1): 156-64.e1-2.

> Kim, C., Barnard, S., Neilson, J. et al. Ukwelapha Ukwelashwa Okungaqediwe. I-Cochrane Database yezibuyekezo ezihleliwe . 2017. 1: CD007223.