Izinkinga Zokukhulelwa: Ukuguqulwa Kwesibeletho

-Delile

• Yini ebangela ukuguqulwa kwesibeletho?
• Ungakuthola kanjani ukuhlanekezela kwesibeletho
• Amabanga wokuguqulwa
• Ukuphatha kanjani ukuguqulwa kwesibeletho?
• Umbono

Ukubuka konke

Ukuguquguquka kwesibeletho kuyinkinga engajwayelekile yokulethwa kwesitho sangasese sowesifazane lapho isibeletho siphenduka ngokwengxenye noma ngokuphelele ngaphakathi.

Yize ukuguquka kwesibeletho kungenzeki kaningi, uma kwenzeka kuba nengozi enkulu yokufa ngenxa yokopha kakhulu nokushaqeka. Kodwa-ke, ingelashwa ngempumelelo ngokuxilongwa okusheshayo, uketshezi olufakwa emithanjeni, kanye nokumpontshelwa igazi.

Yini ebangela ukuguqulwa kwesibeletho?

Imbangela ngqo yokuguqulwa kwesibeletho ayiqondakali kahle. Kodwa-ke, izici eziyingozi ezilandelayo zihambisana nayo:

• umsebenzi uhlala isikhathi eside kunamahora angama-24
• intambo emfushane yenkaba
• ukulethwa kwangaphambili
• ukusetshenziswa kwezithokomisi zemisipha ngesikhathi sokubeletha
• isibeletho esingajwayelekile noma esibuthakathaka
• ukuguqulwa kwesibeletho kwangaphambilini
• i-placenta accreta, lapho i-placenta igxilile khona kakhulu odongeni lwesibeletho
• ukufakwa kwezimali kwe-placenta, lapho okufakwa khona i-placenta phezulu kakhulu kwesibeletho

Futhi, ukudonsa kanzima kakhulu entanjeni yokukhipha i-placenta kungadala ukuguqulwa kwesibeletho. Inkaba akufanele idonswe ngenkani. I-placenta kufanele iphathwe ngokucophelela nangobumnene.

Endabeni ye-placenta engakalethwa kungakapheli imizuzu engama-30 ngemuva kokubeletha, kufanele kususwe ukugudluka ngamandla. Ngaphandle kwalokho, kungahle kube nokopha futhi ukutheleleka kungavela.

Ungakuthola kanjani ukuhlanekezela kwesibeletho

Udokotela imvamisa angahlola ukuguquguquka kwesibeletho kalula. Izimpawu ezingaba khona zifaka:

• isibeletho siphuma esithweni sangasese
• isibeletho asizizwa sengathi sisendaweni efanele
• ukulahleka okukhulu kwegazi noma ukwehla ngokushesha komfutho wegazi

Umama futhi angahlangabezana nezinye zezimpawu zokushaqeka ezilandelayo:

• ubumhlophe
• isiyezi
• ukubanda
• ukukhathala
• ukuphelelwa umoya

Amabanga wokuguqulwa

Ukuphendukezelwa kwesibeletho kuchazwa ngukuqina kokuguqulwa. Lezi zigaba zifaka:

• ukuguquka okungaphelele, lapho iqonga lesibeletho liwile khona, kepha asikho isibeletho esike sangena ngomlomo wesibeletho
• ukuguqulwa okuphelele, lapho isibeletho singaphakathi ngaphakathi futhi siphume umlomo wesibeletho
• inversion eqhume, lapho phezulu kwesibeletho kuphuma khona esithweni sangasese
• ukuguqulwa okuphelele, lapho kokubili isibeletho nesitho sangasese sowesifazane kungaphakathi ngaphandle

Ukuphatha kanjani ukuguqulwa kwesibeletho?

Ukwelashwa kufanele kuqale ngokushesha lapho ukuguqulwa kwesibeletho kubonakala. Udokotela angakwazi ukusunduza ingaphezulu lesibeletho libuyele emuva okhalweni ngomlomo wesibeletho eseluliwe. Uma i-placenta ingakahlukanisi isibeletho ivamise ukubekwa kabusha kuqala.

Kungadingeka i-anesthesia ejwayelekile, efana negesi ye-halothane (Fluothane), noma imishanguzo efana ne-magnesium sulfate, i-nitroglycerin, noma i-terbutaline.

Lapho isibeletho sesibekiwe kabusha, i-oxytocin (Pitocin) ne-methylergonovine (Methergine) zinikezwa ukusiza isivumelwano sesibeletho nokusivimbela ukuthi singaphinde siguquke. Kuphakathi kokuthi udokotela noma umhlengikazi uzobhucunga isibeletho kuze kube yilapho sisebenza ngokuphelele futhi ukuphuma kwegazi kuyeka.

Umama uzofakwa uketshezi olufakwa emithanjeni futhi ampontshelwe igazi uma kunesidingo. Uzonikezwa nama-antibiotic ukuvikela ukutheleleka. Uma i-placenta ingakadalulwa, udokotela kungadingeka ukuthi ayisuse ngesandla.

Kukhona futhi inqubo entsha yokulungisa ukuguqulwa kwesibeletho usebenzisa ibhaluni nengcindezi yamanzi. Ibhaluni lifakwa ngaphakathi komgodi wesibeletho bese ligcwaliswa ngesisombululo sosawoti ukusunduza isibeletho sibuyele esimeni.

Inqubo ilula futhi iphumelele ekubekeni kabusha isibeletho. Kuyasebenza futhi ekunqandeni ukulahleka kwegazi nokuvikela ukuthi isibeletho singaphinde siguquke.

Uma udokotela engakwazi ukubeka kabusha isibeletho ngesandla ukuhlinzwa kungadingeka. Umama uzonikezwa i-anesthesia bese kuvulwa isisu sakhe ngokuhlinzwa. Isibeletho sizobe sesibekwa kabusha futhi isisu savalwa.

Uma ibhande eliqinile lezicubu ezinesivumelwano esibelethweni livimbela ukuthi lingabekwa kabusha, kungenziwa ukusikeka engxenyeni engemuva yesibeletho. Isibeletho singabe sesishintshwa bese kulungiswa imbobo.

Uma kudingeka ukuhlinzwa, ukukhulelwa ngokuzayo kuzodinga ukulethwa ngokuhlinzwa. Uma i-placenta ingenakuhlukaniswa nesibeletho, i-hysterectomy ingadingeka.

Umbono

Ukuguqulwa kwesibeletho yisimo esingajwayelekile futhi esibi. Kungadala ukopha okukhulu, ukushaqeka, futhi kungabulala nokufa. Kunezici ezibeka abanye besifazane engcupheni ephezulu, kepha isimo singehlela noma ngubani. Ezimweni lapho isibeletho singeke sabuyiselwa esimeni, ukuhlinzwa kungadingeka.

Lesi simo ngokuvamile kulula ukusithola futhi kuthathwe izinyathelo ezisheshayo nokwelashwa kubalulekile ukulungisa lesi simo nokuqinisekisa impilo nenhlalakahle kamama. Uma welashwa ngokushesha, umama angalulama ngokuphelele ngaphandle kokulimala isikhathi eside esibelethweni sakhe.