Izimpawu Zesixwayiso Sokubeletha

-Delile

• Izinguquko ezi-5 ezivamile zangemva kokubeletha
• 1. Ukopha ngemuva kokubeletha
• 2. Placental ukugcinwa
• 3. I-venous thrombosis
• 4. Embolism yamaphaphu
• 5. ukushaqeka Hypovolemic
• Imuphi udokotela okufanele amfune

Ngemuva kokubeletha, owesifazane kufanele azi ezinye zezimpawu ezingakhombisa izifo okufanele zikhonjwe futhi ziphathwe kahle ngudokotela ukuqinisekisa impilo yakhe nokuphila kahle. Ezinye izimpawu okungafanele zinganakwa umkhuhlane, ukulahleka kwegazi eliningi, ukuphuma ngephunga elibi, umkhuhlane nokuphefumula okuncane.

Ngokuvela kwanoma yiziphi zalezi zimpawu, owesifazane kumele ngokushesha aye esibhedlela, ayohlolwa aphathwe ngendlela efanele, ngoba lezi zimpawu zingakhombisa izinkinga ezinkulu, njengokugcinwa kwamathambo, i-thrombosis noma i-embolism, ngokwesibonelo.

Izinguquko ezi-5 ezivamile zangemva kokubeletha

Lapha sibonisa izimpawu nokwelashwa kwezinye zezimo ezivame kakhulu ngemuva kokubeletha. Ingabe:

1. Ukopha ngemuva kokubeletha

Ukulahleka kwegazi eliningi ngesitho sangasese kuvame ukwenzeka phakathi kwamahora angama-24 okuqala ngemuva kokuzalwa kwengane, noma kunjalo, lolu shintsho lungenzeka futhi kuze kube amasonto ayi-12 ngemuva kokulethwa okujwayelekile noma kokubeletha ngenxa yokutholwa ngokungazelelwe kwezinsalela zeplacenta noma ukuqhuma kwesibeletho.

Ukopha kwangemva kokubeletha kubonakala ngokulahleka okungazelelwe kwegazi eliningi nokopha okukhulu kwesitho sangasese sowesifazane, futhi kuyadingeka ukushintsha iphedi njalo ngehora. Bona ukuthi uzokhathazeka nini ngokuphuma kwegazi ngemuva kokubeletha.

Okufanele ngikwenze:Umuntu kufanele aye kudokotela ngokushesha, ngoba kunesidingo sokuphendukela ekusetshenzisweni kwemithi ekhuthaza ukusikwa kwesibeletho. Udokotela futhi angenza ukusikhipha ngamandla kwesibeletho kuze kube yilapho sisebenza ngokuphelele futhi ukuphuma kwegazi sekuxazululiwe. Funda kabanzi mayelana nokuphuma kwegazi kwangemva kokubeletha.

2. Placental ukugcinwa

Ngemuva kwanoma yiluphi uhlobo lokulethwa, izinsalela ezincane zeplasenta zingahlala zinanyathiselwe esibelethweni esidala ukutheleleka. Kulokhu kunokwanda kwamagciwane ngaphakathi kwesibeletho, okungahle kube kubi kakhulu, ngoba la mabhaktheriya angafinyelela egazini futhi abangele i-septicemia, okuyisimo esibi kakhulu esibeka impilo yowesifazane engcupheni. Funda ukuthi ungazibona kanjani futhi uziphathe kanjani izinsalela ze-placenta esibelethweni.

Ukugcinwa kweplacental kubonakala ngokutholakala kokungcola okunephunga elibi, umkhuhlane ongaphezu kuka-38 andC kanye nokulahleka kwegazi elimnyama nelibukhali, noma ngabe selivele lucacile futhi lunamanzi amaningi.

Okufanele ngikwenze:Udokotela anganikeza imithi yokwelashwa kwesibeletho nokusetshenziswa kwama-antibiotic, kepha imvamisa izinsalela zomgogodla zisuswa kuphela ngomuthi wesizalo, inqubo elula yokuhlinza engenziwa ehhovisi likadokotela, kepha kulokhu, kuvame ukwenziwa esibhedlela . Qondisisa ukuthi uyini umuthi wesizalo nokuthi wenziwa kanjani.

3. I-venous thrombosis

Iqiniso lokuqamba amanga amahora amaningi, noma ngokubeletha, nangenxa yokuba khona kwama-emboli amancane egazi noma amagesi, kungahle kube nokwakheka kwe-thrombi evimbela ukudlula kwegazi okulungile ngemithambo yegazi yomlenze. Uma i-thrombus isuka, ingafinyelela enhliziyweni noma emaphashini ibangele ezinye izinkinga. I-Thrombosis ibonakala ngokuvuvukala komunye wemilenze, ubuhlungu enkonyane, ukushaya kwenhliziyo okusheshayo nokuphefumula okuncane. Funda ukuthi ungayibona kanjani i-thrombosis.

Okufanele ngikwenze: Udokotela angancoma ukusetshenziswa kwezidakamizwa ze-anticoagulant ukwenza ukudlula kwegazi njenge-warfarin ne-heparin, ngokwesibonelo.

4. Embolism yamaphaphu

I-pulmonary embolism yenzeka lapho umbungu noma ihlwili lifinyelela emaphashini, lifaka engcupheni ukunisela kwalo. Ngokuncipha kokujikeleza kwegazi, lesi sitho sengozini futhi izimpawu zokuphefumula, ubunzima bokuphefumula, ubuhlungu besifuba, ukukhuphuka kwenhliziyo, umfutho ophansi wegazi nomkhuhlane. Qonda ukuthi yini embolism yamaphaphu.

Okufanele ngikwenze:Udokotela angahle anikeze amaphilisi ezinhlungu nama-anticoagulants ukwenza lula ukudlula kwegazi nokusetshenziswa kwesifonyo somoya-mpilo futhi kwezinye izimo kungadingeka ukuphendukela kokuhlinzwa. Bona ukuthi ukwelashwa kwe-pulmonary embolism kwenziwa kanjani.

5. ukushaqeka Hypovolemic

Ukushaqeka kwe-hypovolemic, okwaziwa nangokuthi ukushaqeka kokopha, kuwumphumela wokopha kwangemva kokubeletha, njengoba lesi simo senzeka lapho owesifazane elahlekelwa yigazi eliningi, futhi inhliziyo ingakwazi ukumpompa kahle igazi emzimbeni wonke.

Lolu hlobo lokushaqeka luphawulwa ukushaya ngamandla, isiyezi, ukujuluka, ubuthakathaka, ukuqina kwekhanda okuqinile nokuphikelelayo, ukuphefumula kanzima noma ukuphefumula kanzima, ngaphezu kokubeka impilo yowesifazane engcupheni. Thola ukuthi yiziphi izinyathelo zokuqala zosizo ngokushaqeka okungenamqondo.

Okufanele ngikwenze:Kudinga ukumpontshelwa igazi ukugcwalisa inani legazi elidingekayo ukugcina ukusebenza kwazo zonke izitho nezinhlelo. Kungathatha ukumpontshelwa okungaphezu koku-1, ngaphezu kokusebenzisa izengezo zensimbi amasonto ambalwa. Ngemuva kokubalwa kwegazi kukhombisa ubukhona be-hemoglobin ne-ferritin ngamanani ajwayelekile, ukwelashwa kunganqanyulwa.

Imuphi udokotela okufanele amfune

Udokotela okhombise ukwelapha ushintsho ngemuva kokubeletha usengudokotela obelethayo kepha okubaluleke kakhulu ukuya esibhedlela ngokushesha nje lapho ubona ezinye zalezi zimpawu, ukwazisa ukuthi zivele nini namandla azo. Udokotela anga-oda ukuhlolwa okufana nokuhlolwa kwegazi ne-transvaginal ultrasound, ngokwesibonelo, ukukhomba imbangela bese uqala ukwelashwa.

Owesifazane kumele athathe umuntu ahamba naye futhi kungakhululeka kakhudlwana ukushiya ingane ekhaya nomzanyana noma omunye umuntu ongakwazi ukuyinakekela aze abuyele ekhaya ukuze akwazi ukuyinakekela.