I-Detachment yeqanda le-fetal ekuqaleni kwezigaba zokukhulelwa

Esinye sezimbangela ezibangela ukukhipha isisu ingqamuzana leqanda lomntwana wesisu ekuqaleni, cishe ekuqaleni. Ukuphulwa okunjalo ezimweni eziningi kungenye yezinyathelo zokuqala zokukhipha isisu kwabesifazane. Masihlole futhi sitshele ngezimbangela ezenzekayo, nokuthi nokuthi owesifazane ngokwakhe angakwazi kanjani ukucabanga ukuphulwa okunjalo.

Kusho ukuthini igama elithi "inqola yeqanda le-fetal"?

Ngaphansi kwalesi sihloko ezinkingeni zokuzivikela, kuyisiko ukuqonda inqubo lapho iqanda le-fetal lixhuma khona. Ngenxa yalokho, kule ndawo kukhona ukulimala ezitsheni, futhi kamuva kule ndawo kukhona ukuqoqwa kwegazi okuvela kuyo i-hematoma (i-retrochorial).

Lokhu kwakheka, okwandisa ngosayizi, kuholela ekutheni inqwaba engabalulekile, inhlanganiso ekhethiwe yeqanda lesisu, iyasongela ukuqedwa kokukhulelwa. Ekugcineni, uma ungahlinzeki usizo oludingekayo, kunqatshelwe ukufa nokufa.

Kungenxa yalokho okwenzekayo inqola ephelele yeqanda lokukhushulwa ezinkathini zokuqala?

Hlola ngokuqondile ngenxa yalokho okwenzekile lokhu kuphulwa kunzima kakhulu. Ezikhathini eziningi, odokotela bakhuluma ngezici ezilandelayo eziholela emasosha:

• ukuphazamiseka kwesimiso se-hormonal (ukungabi khona kweprogesterone);
• izimo ezicindezelayo nokuhlangenwe nakho;
• umsebenzi womzimba oqinile;
• izimo ezinzima ezakhiweni zezitho zokuzala;
• ukulimazeka kwe-fetus;
• I-Rhesus-impikiswano ;
• izicubu nama-neoplasms esibelethweni;
• ukuvela kwezisu ku-anamnesis.

Yiziphi izimpawu ezisemqoka zesonto lomkhuhlane?

Ukuze siphendule ngesikhathi esifanele ekuthuthukiseni ukwephulwa komthetho, wonke owesifazane, esesimweni, kufanele azi ukuthi inqola ngokuvamile ibonakala kanjani.

Uphawu lokuqala yilona ubuhlungu bokudonsa esiswini esingaphansi. Ngokuvamile bayagxila esifundeni se-lumbar futhi bahambisane nokukhishwa igazi egazini. Uma owesifazane okhulelwe eqaphela ukubonakala komfutho omsundu, njengomthetho, lokhu kubonisa ukuthi i-hematoma iqala ukuxazulula kancane kancane, kodwa ngesikhathi esifanayo, akunakwenzeka ukukhipha ngokuphelele ukuthi ngeke kube khona izinyembezi kule ndawo.

Akunakwenzeka ukucacisa ngokunembile lokhu kwephulwa kwezingcingo zegazi kusuka emgodini wesisu kuphela. Ngakho-ke, ukuxilongwa kokugcina kodokotela kwenziwa ngesisekelo semiphumela ye-ultrasound.

Iyiphi indlela yokwelashwa kwemasosha eqanda lesisu?

Kumele kuqashelwe ukuthi ngokubonakala kwesifo esichazwe ngenhla, owesifazane okhulelwe kufanele abonane nodokotela ngokushesha. Uma, emva kokutholakala kwegazi, kusungulwe ukuthi imbangela yokubonakala kwegazi ezivela ezithombeni zokubeletha ukuphazamiseka, owesifazane ufakwa esibhedlela.

Into yokuqala odokotela abazama ukuyenza ukuqinisekisa ukuthula okuphelele kwalowo wesifazane nokunciphisa umsebenzi wakhe wemoto. Kubaluleke kakhulu ukuthi imisipha yodonga lwangaphakathi lwesisu lukhona isimo esikhululekile.

Ukuze kuqinisekiswe ukuphuma kwegazi endaweni yangasese, ngokuvamile kuvunyelwe ukuba abesifazane bafake i-roller ngaphansi kwembongolo.

Isisekelo sezinyathelo zokwelapha ngokuphulwa okunjalo yimithi. Okokuqala futhi okubaluleke kakhulu, yi-hemostatic (etamzilate), ukutholisa (i-valerian, i-spasmolytics (Papaverin), izidakamizwa ze-hormonal (i-Utrozestan, i-Dyufaston) .Izilinganiso zonke zezidakamizwa zikhethwa ngabanye, kucatshangelwa izinga lokuphazanyiswa.Ukuphela kwesikhathi kwenqubo yokwelapha kuvamile izinsuku ezingu-14.