I-Atony yesibeletho

-Delile

• Ziyini Izimpawu Ze-Atony Yesibeletho?
• Yini Ebangela I-Atony Yesibeletho?
• Ukuhlonza i-Atony yesibeletho
• Izinkinga ze-Atony ye-Uterus
• Ukwelashwa kwe-Atony yesibeletho
• Uyini Umbono Wabantu abane-Atony of the Uterus?
• Ukuvimbela i-Atony yesibeletho

Kuyini I-Atony Yesibeletho?

I-Atony yesibeletho, ebizwa nangokuthi i-uterine atony, yisimo esibi esingavela ngemuva kokubeletha. Kwenzeka lapho isibeletho sehluleka ukusebenza ngemuva kokubeletha ingane, futhi kungaholela esimweni esisongela impilo esaziwa ngokuthi yi-postpartum hemorrhage.

Ngemuva kokubeletha umntwana, imisipha yesibeletho iyaqina, noma inkontileka, yokuletha i-placenta. Ukuncipha kusiza futhi ukucindezela imithambo yegazi ebinanyathiselwe ku-placenta. Ukucindezelwa kusiza ukuvimbela ukuphuma kwegazi. Uma imisipha yesibeletho ingavumelani ngokwanele, imithambo yegazi ingopha ngokukhululeka. Lokhu kuholela ekopha ngokweqile, noma ukopha.

Uma une-atony yesibeletho, uzodinga ukwelashwa ngokushesha ukusiza ukumisa ukopha nokubuyisela igazi elilahlekile. Ukopha kwangemva kokubeletha kungaba kubi kakhulu. Kodwa-ke, ukuthola kusenesikhathi nokwelashwa kungaholela ekululameni ngokugcwele.

Ziyini Izimpawu Ze-Atony Yesibeletho?

Uphawu oluyinhloko lwe-atony yesibeletho yisibeletho esihlala sikhululekile futhi ngaphandle kokungezwani ngemuva kokubeletha. I-Atony yesibeletho ingenye yezimbangela ezivame kakhulu zokuphuma kwegazi kwangemva kokubeletha. Ukopha ngemuva kokubeletha kuchazwa njengokulahleka kwama-milliliters wegazi angaphezu kwama-500 ngemuva kokubeletha i-placenta.

Izimpawu zokopha zibandakanya:

• ukopha ngokweqile nokungalawulwa kulandela ukuzalwa kwengane
• kwehle umfutho wegazi
• ukukhuphuka kwenhliziyo
• ubuhlungu
• iqolo

Yini Ebangela I-Atony Yesibeletho?

Kunezici eziningana ezingavimbela imisipha yesibeletho ekungeneni ngemuva kokubeletha. Lokhu kufaka phakathi:

• ukusebenza isikhathi eside
• umsebenzi oshesha kakhulu
• ukweqiswa kwesibeletho ngokweqile, noma ukukhuliswa ngokweqile kwesibeletho
• ukusetshenziswa kwe-oxytocin (Pitocin) noma ezinye izidakamizwa noma i-anesthesia ejwayelekile ngesikhathi sokubeletha
• zabasebenzi

Ungaba sengozini enkulu ye-atony yesibeletho uma:

• uletha ukuphindaphinda, njengamawele noma amawele amathathu
• ingane yakho inkulu kakhulu kune-average, ebizwa nge-fetal macrosomia
• umdala kuneminyaka engama-35
• ukhuluphele
• une-amniotic fluid eningi kakhulu, ebizwa nge-polyhydramnios
• ube nokuzalwa okuningi kwangaphambili

I-atony yesibeletho nayo ingenzeka nakwabesifazane abangenazo izinto eziyingozi.

Ukuhlonza i-Atony yesibeletho

I-atony yesibeletho ivame ukutholakala lapho isibeletho sithambile futhi sikhululekile futhi kuba nokopha ngokweqile ngemuva kokubeletha. Udokotela wakho angalinganisa ukulahleka kwegazi ngokubala inani lamaphakethe agcwele noma ngokulinganisa izipanji ezisetshenziselwa ukumunca igazi.

Udokotela wakho uzokwenza nokuhlolwa ngokomzimba futhi akhiphe ezinye izimbangela zokopha. Lokhu kufaka phakathi ukuqinisekisa ukuthi azikho izinyembezi emlonyeni wesibeletho noma esithweni sangasese nokuthi azikho izingcezu ze-placenta ezisese esibelethweni.

Udokotela wakho angahlola noma aqaphe okulandelayo:

• ukushaya kwenhliziyo
• ukushaya kwegazi
• isibalo segazi elibomvu
• izinto ezijiyisayo egazini

Izinkinga ze-Atony ye-Uterus

I-Atony yesibeletho idala amaphesenti angama-90 wamacala okopha kwangemva kokubeletha, ngokusho kweGazi Transfusion kuClinical Practice. I-hemorrhage ivame ukwenzeka ngemuva kokubeletha i-placenta.

Ezinye izinkinga ze-atony yesibeletho zifaka:

• i-orthostatic hypotension, enekhanda elincane noma isiyezi ngenxa yengcindezi yegazi ephansi
• i-anemia
• ukukhathala
• ingozi eyengeziwe yokuphuma kwegazi ngemuva kokubeletha ekukhulelweni kamuva

Ukushoda kwegazi nokukhathala ngemuva kokuzalwa nakho kwandisa amathuba okuthi umama abe nokudangala kwangemva kokubeletha.

Inkinga enkulu ye-atony yesibeletho ukushaqeka kokopha. Lesi simo singasongela nokuphila.

Ukwelashwa kwe-Atony yesibeletho

Ukwelashwa kuhlose ukuvimba ukopha nokufaka igazi ebelilahlekile. Umama anganikezwa uketshezi lwe-IV, igazi nemikhiqizo yegazi ngokushesha okukhulu.

Ukwelashwa kwe-atony yesibeletho kufaka:

• ukubhucungwa kwesibeletho, okubandakanya udokotela wakho ukubeka isandla esisodwa esithweni sangasese nokucindezela isibeletho ngenkathi esinye isandla sicindezela isibeletho odongeni lwesisu
• izidakamizwa ze-uterotonic kufaka phakathi i-oxytocin, methylergonovine (Methergine), ne-prostaglandins, efana ne-Hemabate
• ukumpontshelwa igazi

Ezimweni ezimbi kakhulu, ukwelashwa kufaka:

• ukuhlinzwa ukubopha imithambo yegazi
• ukuhlanganiswa komthambo wesibeletho, okubandakanya ukujova izinhlayiya ezincane emthanjeni wesibeletho ukuvimba ukugeleza kwegazi kuye esibelethweni
• i-hysterectomy uma zonke ezinye izindlela zokwelapha zehluleka

Uyini Umbono Wabantu abane-Atony of the Uterus?

Ukopha ngemuva kokubeletha kuyimbangela enkulu yokufa ngemuva kokuzalwa emazweni anezikhungo ezinqunyelwe zokunakekelwa kwezempilo kanye nokuntuleka kwabasebenzi bezempilo abaqeqeshiwe. Ukufa okubangelwa ukopha kwangemva kokubeletha akuvamile kakhulu e-United States. Kwenzeka ezimweni ezingaphansi kwephesenti elilodwa lamacala.

Ingozi yowesifazane yokufa ngenxa yalesi simo iyanda lapho kukhona ukubambezeleka kwezokuthutha eziya esibhedlela, ekwenzeni ukuxilongwa, nasekutholeni ukwelashwa okunconywayo. Izinkinga azivamile uma kunikezwa ukwelashwa okufanele.

Ukuvimbela i-Atony yesibeletho

I-Atony yesibeletho ayinakuvinjelwa ngaso sonke isikhathi. Kubalulekile ukuthi udokotela wakho akwazi ukuphatha lesi simo kuzo zonke izigaba zomsebenzi. Uma usengozini enkulu ye-atony yesibeletho, kufanele uhambise ingane yakho esibhedlela noma esikhungweni esinayo yonke imishini eyenele yokubhekana nokulahleka kwegazi. Ulayini ofakwa emthanjeni (IV) kufanele ube ulungile kanti nemithi kufanele ibe khona. Abasebenzi abahlengikazi nababulawa izinzwa kufanele batholakale ngaso sonke isikhathi. Kungabaluleka futhi ukwazisa ibhange legazi ngesidingo segazi.

Udokotela wakho kufanele aqhubeke nokuqapha izimpawu zakho ezibalulekile kanye nenani lokopha okwenzeka ngemuva kokuzalwa ukuthola ukopha. I-Oxytocin enikezwe ngemuva nje kokubeletha ingasiza isivumelwano sesibeletho. Ukubhucungwa kwesibeletho ngemuva nje kokubeletha i-placenta nakho kunganciphisa ubungozi be-atony yesibeletho futhi manje sekuwumkhuba ovamile.

Ukuthatha amavithamini angaphambi kokubeletha, kufaka phakathi izithako zensimbi, kungasiza futhi ekuvimbeleni i-anemia nezinye izinkinga ze-atony yesibeletho kanye nokopha ngemuva kokubeletha.