Kuyini ukuqhekeka kwesibeletho, izimbangela eziyinhloko nokuthi kufanele welashwe kanjani
-Delile
Ukuqhekeka kwesibeletho, okwaziwa nangokuthi ukuqhekeka kwesibeletho, kuyinkinga ebucayi yokubelethisa lapho kukhona ukuphazamiseka kwemisipha yesibeletho phakathi ne-trimester yokugcina yokukhulelwa noma ngesikhathi sokubeletha, okungadala ukopha ngokweqile nobuhlungu besisu obukhulu, ingabeka engcupheni impilo yowesifazane nengane.
Lesi simo sivame kakhulu kwabesifazane abanezibazi zesibeletho, kungaba ngenxa yokuzalwa kwangaphambilini noma ukuhlinzwa kwabesifazane, futhi kubalulekile kuzo zonke izimo ukuthi ukukhulelwa kuhambisane nodokotela wokubelethisa ukuze kuvinjelwe izinkinga.
Izimbangela eziyinhloko
Ukuqhekeka kwesibeletho yisimo esenzeka kalula kubantu besifazane abanezibazi zesibeletho, okungenzeka kungenxa yokuzalwa kwesitho sangasese sowesifazane sangaphambilini noma izingxenye zokuhlinzwa, ngokwesibonelo. Ezinye izimo ezandisa ubungozi bokuqhekeka yilezi:
- Ukwelashwa kwesibeletho;
- Izinguquko esibelethweni;
- Ukusetshenziswa kwezidakamizwa ezingekho emthethweni, njenge-cocaine;
- Iphutha ngesikhathi sokwenziwa noma ukusebenza okungafanele kokuhamba kukaKristeller;
- Amanxeba esifundeni sesisu;
- Ukuphathwa kwenani elinganele le-oxytocin noma elinye i-uterotonic ngesikhathi senqubo yokulethwa;
- Iphutha ngesikhathi senqubo yokuphoqa abasebenzi;
- I-Endometriosis.
Ngaphezu kwalokho, ukuqhekeka kwesibeletho kungenzeka futhi njengomphumela we-placenta accreta, okuyisimo lapho i-placenta ilungiswe khona ngokungafanele, ukuze ingaphumi kalula ngesikhathi sokubeletha. Qonda ukuthi i-placenta igxila kanjani nokuthi ungayibona kanjani.
Ungasibona kanjani ukuqhekeka kwesibeletho
Ukuqhekeka kwesibeletho kubonakala ngezimpawu nezimpawu ezingavela ngesikhathi sokukhulelwa sokuqala noma ngesikhathi sokubeletha futhi kungahle kuhlobene nowesifazane noma umntwana.
Endabeni yabesifazane, izimpawu ezingakhomba ukuqhuma kwesibeletho ubuhlungu besisu, ukopha ngokweqile esithweni sangasese sowesifazane nombala obomvu ngokugqamile nezimpawu zokushaqeka kwe-hypovolemic, okuyisimo esivela njengomphumela wokulahleka kwegazi elikhulu futhi lokho kuholela ekubonakaleni kwezimpawu ezithile njengesikhumba esiphaphathekile nesibandayo, ukudideka kwengqondo neminwe nezindebe ezinsomi. Funda ukuthi ungabona kanjani ukushaqeka okukhulu.
Ngaphezu kwalokho, izinguquko ekushayeni kwenhliziyo, ukwehla kwengcindezi yegazi nokumisa izingqinamba ngemuva kobuhlungu obukhulu besisu kungabonakala. Njengomphumela walezi zimpawu nokuqhekeka kwesibeletho, ingane ingahle ibe nokuguqulwa okuthile, ngokuncipha okusheshayo kokushaya kwenhliziyo.
Ukwelashwa kufanele kube kanjani
Ukwelashwa kokuqhekeka kwesibeletho kuqukethe ukulethwa nokwamukelwa kwezinyathelo ezikhuthaza ukunciphisa ukopha, ukuvimbela izinkinga kumama nasenganeni. Kwezinye izimo, ukumisa ukuphuma kwegazi, i-hysterectomy ingakhonjiswa ngudokotela, okuyindlela yokuhlinzwa lapho kukhishwa khona isibeletho. Qonda ukuthi yini i-hysterectomy nokuthi yini okufanele uyenze.
Ngaphezu kwalokho, kungacatshangelwa nethuba lokumpontshelwa igazi esikhundleni segazi elilahlekile futhi ngaleyo ndlela kukhuthazwe ukukhululeka kwezimpawu nokuthuthuka kwabesifazane.
Endabeni yengane, njengoba ukuqhekeka kwesibeletho kungakhuthaza ukwehla kwenhliziyo, kujwayelekile ukuthi kulezi zimo ingane idluliselwe e-ICU esanda kuzalwa ukuthi ibhekwe futhi ilandelwe, ukuze kuvinjelwe izinkinga.