Yini i-atony yesibeletho, kungani kwenzeka, ubungozi nendlela yokwelapha

-Delile

• Kungani kwenzeka
• Izingozi nezinkinga ze-atony yesibeletho
• Injani impatho

I-atony yesibeletho iyahambelana nokulahleka kwekhono lesibeletho lokuthola inkontileka ngemuva kokubeletha, okwandisa ubungozi bokuqhamuka kwangemva kokubeletha, okubeka impilo yowesifazane engcupheni. Lesi simo singenzeka kalula kwabesifazane abakhulelwe amawele, abangaphansi kweminyaka engama-20 noma ngaphezulu kwengu-40, noma abakhuluphele ngokweqile.

Kubalulekile ukukhomba izinto ezinobungozi ze-atony yesibeletho ukuze kusetshenziswe ukwelashwa kwe-prophylactic ukuze kuvinjelwe izinkinga ngesikhathi sokubeletha noma ngemuva kokubeletha, ngokuphathwa kwe-oxytocin esigabeni sesithathu somsebenzi okukhonjiswa ngaso sonke isikhathi ukukhuthaza ukusikwa kwesibeletho. , gwema i-atony.

Kungani kwenzeka

Ngaphansi kwezimo ezijwayelekile, ngemuva kokuhamba kwe-placenta, izivumelwano zesibeletho ngenhloso yokukhuthaza i-heestasis nokuvimbela ukopha ngokweqile. Kodwa-ke, lapho ikhono lesibeletho lokukhubazeka lingasebenzi kahle, imithambo yesibeletho ebhekele ukukhuthaza i-heestasis ayisebenzi kahle, ivuna ukuvela kokopha.

Ngakho-ke, ezinye zezimo ezingaphazamisa ikhono lesibeletho lokuthola izinkontileka yilezi:

• Ukukhulelwa amawele;
• Ukukhuluphala;
• Izinguquko zesizalo, njengobukhona be-fibroids nesibeletho se-bicornuate;
• Ukwelashwa kwe-pre-eclampsia noma i-eclampsia nge-magnesium sulfate;
• Ukubeletha isikhathi eside;
• Ubudala bowesifazane, ukuvama kakhulu kwabesifazane abangaphansi kweminyaka engama-20 nangaphezulu kweminyaka engama-40.

Ngaphezu kwalokho, abesifazane abake baba ne-atony yesibeletho ekukhulelweni kwangaphambilini basengozini enkulu yokuthola enye futhi ngakho-ke, kubalulekile ukuthi kwaziswe udokotela ukuze kuthathwe izinyathelo ze-prophylactic ukuvimbela i-atony.

Izingozi nezinkinga ze-atony yesibeletho

Inkinga enkulu ehlobene ne-atony yesibeletho ukuphuma kwangemva kokubeletha, ngoba izitsha zesibeletho azikwazi ukwenza isivumelwano kahle ukukhuthaza i-hemostasis. Ngakho-ke, kungahle kube nokulahleka kwegazi eliningi, elingabeka impilo yowesifazane engcupheni. Funda kabanzi mayelana nokuphuma kwegazi kwangemva kokubeletha.

Ngaphezu kokopha, i-atony yesibeletho nayo ingahlotshaniswa nezinye izingozi nezinkinga ezifana nokuhluleka kwezinso nesibindi, ushintsho enqubeni yokujiya emzimbeni, ukulahleka kokuzala nokwethuka kwe-hypovolemic, okubonakala ngokulahleka okukhulu koketshezi negazi futhi ukulahleka okuqhubekayo kokusebenza kwenhliziyo, okuholela ekwehleni kwenani lomoya-mpilo osatshalaliswa ngumzimba futhi ongabeka impilo yomuntu engcupheni. Qonda ukuthi kuyini ukushaqeka okukhohlisayo nokuthi ungakukhomba kanjani.

Injani impatho

Ukuvikela i-atony yesibeletho, kunconywa ukuthi i-oxytocin inikezwe lapho owesifazane engena esigabeni sesithathu sokubeletha, okuhambelana nesikhathi sokuxoshwa. Lokho kungenxa yokuthi i-oxytocin iyakwazi ukwenqaba ukusikeka kwesibeletho, ikwenza lula ukuxoshwa kwengane nokukhuthaza i-heestasis.

Ezimweni lapho i-oxytocin ingenawo umphumela oyifunayo, kungadingeka ukwenza inqubo yokuhlinza ukuvimbela ukopha nokwelapha i-atony yesibeletho, futhi i-tamponade yesibeletho ingenziwa ukuze kuncishiswe noma kumiswe ukopha, futhi kunconywa nokusetshenziswa ama-antibiotic ne-oxytocin ukuqinisekisa umphumela.

Ezimweni ezibucayi kakhulu, udokotela angancoma ukwenza i-hysterectomy ephelele, lapho kukhishwa khona isibeletho nomlomo wesibeletho, futhi kungenzeka ukuxazulula ukuphuma kwegazi. Bona ukuthi i-hysterectomy yenziwa kanjani.