Ngokuvamile uma uvakashela udokotela ngesikhathi sokukhulelwa, omama abazayo bayakuzwa kusuka ochwepheshe njengethi "hypertonic uterine myometrium" (kubantu - ithoni lesibeletho). Lesi simo ngokuvamile siyabonakala ekukhulelwe kokuqala , ezinkathini zokuqala. Kodwa-ke, lokhu akusho ukuthi izimpawu zethoni ye-uterine ezibonwayo ngesikhathi sokukhulelwa azikwazi ukuvela ku-trimester yesibili. Ake sihlolisise le disorder futhi sitshele ukuthi owesifazane ngokwakhe anganquma kanjani ukuthi okhulwini lwesibili unethonya lesibeletho.
Ziyini izimpawu zethonya lesibeletho esivela ku-trimester yesibili?
Okokuqala, kufanele kuqashelwe ukuthi lesi simo siwumphumela wokucindezeleka ngokweqile kwezingcingo ze-muscular of the uterus. Lokhu kungabonakala njalo ngokucindezela ngokweqile, ukucindezeleka ngokomzimba, ukucindezeleka.
Ngokungafani ne-trimester yokuqala, lapho umfutho wegazi ophezulu we-myometrium wesibeletho kubangelwa ikakhulukazi ngenxa yokwephulwa kohlelo lwe-hormone progesterone, kule-trimester yesibili lesi simo siwumphumela wokuphila okungalungile kokukhulelwa okukhulelwe noma okuqinile ngokomzimba.
Uma sicabangela izimpawu ezivame kakhulu zethonya lesibeletho ku-trimester, ngokuvamile lokhu:
- izinhlungu zokudonsa ikakhulukazi esiswini esingaphansi, ukuqhuma endaweni yesimungulu;
- isisu esinzima ;
- uzizwa ukhuluphele emhlane ophansi.
Uma unalolu hlobo lwezimpawu zethoni ye-myometrium ye-uterine ku-trimester yesibili, umama olindelekile kufanele abonane nodokotela.
Odokotela bayakwazi kanjani ukubona ithonya lesibeletho esenzeka ku-trimester yesibili sokukhulelwa?
Indlela yokuqala yokuxilongwa, okuyinto odokotela abayisebenzisa lapho behlola owesifazane okhulelwe, i-palpation (ukuhlola) kwesisu. Ezimweni ezinjalo, isisu sinzima kakhulu ukuthinta. Lolu hlobo lokuhlola luvumela kuphela ukuthi kuthathwe ukwephulwa.
Ukuze uthole ukuxilongwa okunembile nokuxilongwa, indlela yokuxilonga efana ne-tonusometry isetshenziswa. Kulokhu, udokotela usebenzisa idivaysi ekhethekile ehlome inzwa ebonisa izinga lokuhlupha kwezingcingo zomzimba.
Uma wenza i-ultrasound, ungabona kalula lokhu kuphulwa. Ngesikhathi esifanayo, esikrinini sokuqapha, odokotela babhalise inani (inani) noma ukuphakama kwendawo yengqamuzana yemisipha yesibeletho.
Kanjani ukwelashwa kwesibindi segazi?
Njengoba sibhekane nendlela ithonya lesibeletho, esasidlala ngayo ku-trimester yesibili, sibonakala, sizocubungula izinkomba eziyinhloko zokwelashwa kulokhu kuphulwa.
Okokuqala, kufanele kuqashelwe ukuthi uma ku-1 trimester into enjalo ingabhekwa njengomphumela wokulungiswa kwe-hormone, okungadingi ukungenelela odokotela, kanti okwesibili, ukwanda kwe-mythrium ye-uterine ngeke kube yinto evamile. Ngakho-ke, owesifazane okhulelwe kufanele ahlale elalela imizwa yakhe futhi lapho amandla adonsela phansi noma ubuhlungu evela esiswini esingaphansi, kuyadingeka ukuthi utshele umjovo wezinyanga eziholayo ngalokhu.
Ngokuphathelene nokwelashwa komfutho wegazi ophezulu wesibeletho, yingxenye ebalulekile yokuphumula kombhede nokunciphisa umzimba ngokomzimba. Ukuze uthole ukwelashwa okuphawulekayo ngokuvamile okushiwo ama-antispasmodics,
Ngokuvamile kuzo zonke izimo, uma kwenzeka okufanayo lapho kuhambisana nokuchoboza noma ukuzwakala ubuhlungu obukhulu, owesifazane okhulelwe uyiswa esibhedlela. Iphuzu eliphelele ukuthi lesi simo singabangela, kokubili ukukhulelwa kwesisu okuzenzakalelayo, nokubeletha ngaphambi kwesikhathi.
Indima ekhethekile inikezwe ekuvimbeleni ithoni ye-uterine, ehlanganisa ukugcina umbuso onomusa ngesikhathi sokubeletha kwengane: ukunciphisa ukuzikhandla ngokomzimba, ukuqeda ukucindezeleka kwengqondo, ukubuka umbuso wosuku, njalonjalo.