Odokotela bakholelwa ukuthi ukwesatshiswa kokukhipha isisu esikhathini sokuqala sokukhulelwa kuyindlela yokukhetha yemvelo, ngenxa yalokho umuntu onempilo aqhubeka esaphila, futhi ingane egulayo engenakuvikelwa ifa.
Izimpawu Zokususa Isisu
Lapho kususelwa isisu esisongelayo:
- ubuhlungu esithombeni esingaphansi, ukubuyisela esifundeni se-lumbar;
- ekukhuculweni okuvela emaseni akukho ukuxubana kwegazi;
- i-cervix yangaphandle ivaliwe, futhi uma kwenzeka ukungafinyeleleki kwe- isthmico-komlomo kuvulwa kancane.
Lesi sigaba sokwesusa isisu kubhekwa ukuthi siyabuyiselwa futhi ukwelashwa okufika ngesikhathi kuqale ukukhulelwa kuvela ngaphandle kokucindezeleka, njengokuthuthukiswa komntwana. Ukwelashwa kokukhipha izisu ngalezo zimpawu kuhlanganisa ukuqinisa isimo sengqondo, ukudala indawo enhle yowesifazane okhulelwe, ukuphumula kombhede, ukuhlolwa komzimba akukwenziwa ngenxa yokwesatshiswa kokukhushulwa nokukhushulwa kwesibeletho.
Uqale ukukhipha isisu
Ukwesabisa ukukhipha isisu ngokubonakala kokukhishwa ngegazi, ngokuhlaselwa okuqinile kwezinhlungu, ukukhanya kwangaphandle okuvulekile kwangaphandle kubhekwa njengengozi kumntwana, kanti ukubikezela komunye umgomo wokukhulelwa okungahle kwenzeke kulokhu.
Ukukhipha isisu okusongelayo, izimpawu zazo ezihlanganisa ukubonakaliswa okulandelayo, kubhekwa ukuthi sekuqalile:
- ukuphuma kwegazi;
- ukucindezela ubuhlungu esiswini esingaphansi;
- ukuxoshwa kweqanda le-fetal ;
- ukuxoshwa esibelethweni se-fetus.
Izimpawu ezinjalo zokukhipha isisu esikhathini - isibikezelo ku-99% esibi. Uma ukuhlolwa kwamagciwane kubonisa ukuthi isibeletho sivulekile, ubukhulu besibeletho buhambisana nobude bokukhulelwa, kanti i-palpation yembula iqanda le-fetal namaqabunga egazi. Ukukhipha isisu kule nkambo kungaba yikhiphe isisu esingaphelele, lapho ingxenye ye-fetus ne-blood clots ihlala khona esibelethweni futhi iqhubhise ukuphuma kwegazi okukhulu, okuyingozi empilweni yomfazi.
Esikhathini ngasinye isisu sokukhipha isisu, ukwelashwa kwenziwa, ngokuyinhloko okuhloselwe ukulondoloza isisu kanye nempilo nokuphila kowesifazane okhulelwe. Kuye ngohlobo lomtholampilo wokukhipha isisu okuzenzekelayo: ukusongela, ukuqala nokukhipha isisu ngenkathi kuhamba; engaphelele noma ephelele; isifo; indlela yokwelashwa nokukhethwa kwemithi ikhethiwe.