Ukukhipha isisu ngesikhathi sokukhulelwa

Igama elithi "haemorrhages ye-obstetric" lisho ukuphazamiseka lapho ukukhululwa kwegazi kusuka ohlelweni lokuzala kubonakala ngesikhathi sokukhulelwa okwamanje noma kwinqubo yokulethwa. Lolu hlobo lwezinto eziyisikhathi eside luyisizathu sokufa. Ngokuthuthukiswa kwemithi, inani lezinkinga ezinjalo liyehla kakhulu, kodwa alikwazi ukuqedwa ngokuphelele namuhla.

Yini ebangela ukuphuma kwegazi engxenyeni yokuqala yokukhulelwa?

Ngokusho kwedatha, izizathu ezivame kakhulu zokuthuthukiswa kwalolu hlobo lokuphulwa kwesaziso esifushane yizi:

• ukuphumula okungahambi kahle;
• isikhumba sesisindo;
• ukukhulelwa kwesibeletho;
• izimo ezincane zesifo somlomo wesibeletho somlomo wesibeletho somlomo wesibeletho, umdlavuza womlomo wesibeletho (awuvamile), ama-polyps ajwayelekile.

Ngakho-ke, ngokukhipha isisu ngokuzenzakalelayo, ukuxilongwa kwesifo kuncike ebukhosini bezinhlungu kanye nezimpawu zokugaya isisu, kanye nokuqina kwesifo segazi nokushintsha kwesakhiwo emqaleni.

Ukushayela kwesisu kubonakala ngokuguqulwa kwe-chorionic villi ibe uhlobo lwezinhlobo ezinjenge-groin. Ngenxa yalokho, i-villi iba yi-vesicles, equkethe inani elikhulu la-estrogens ngaphakathi. Ngokuvamile, lesi sifo sivela kwabesifazane abaye baba ne-anamnesis yokuvuvukala amazinyo, ukuphulwa komsebenzi we-hormone wama-ovari.

Ukukhulelwa kwangasese, lapho ukuphuma kwegazi kuvela khona kaningi, kubonakala ukwephulwa kweqanda lesisu, elifakwe ku-endometrium esifundeni sezintamo. Ezimweni ezinjalo, njengomthetho, inqubo yokugaya iphazanyiswa yedwa ngamasonto angama-12. Ngokuvamile, ukwephulwa okunjalo kwenzeka kubantu besifazane abanomlando wokuvimbela izithiyo ezinzima: izinqubo zokuvuvukala ohlelweni lokuzala, isifo somlomo wesibeletho, ukuphazanyiswa komjikelezo wokuya esikhathini. Okubalulekile kule nkinga ukuhamba okukhulayo kweqanda lesisu, okuyinto, ngokungafani nokujwayelekile, kuphawulwe esigabeni sayo esingaphansi.

I-pathologies ye-cervix ibuye iholele ekukhenizeni ngesikhathi sokukhulelwa. Izivame kakhulu lezi ziyi-polyps yomlomo wesibeletho. Ngesikhathi esifushane, isifo esinjalo siyaphathwa ngendlela yokuhlinzwa, ngaphandle kokuqothulwa kwesibeletho. Ukwelashwa kuhloswe nge-haemostatics (ukuyeka ukuphuma) nokugcina ukukhulelwa.

Yiziphi izimbangela zokugaya izifo ekukhulelweni kwesikhathi sekwephuzile?

Phakathi kwalabo, okokuqala, kubalulekile ukubiza igama:

• i-placenta previa;
• ukuchithwa kwe-placental ngaphambi kwesikhathi;
• i-uterus ephukile.

Iphrezentheshini ye-placenta ayikho namuhla i-0.5% yazo zonke ukuzalwa. Kuyinto evamile ukuhlukanisa phakathi kwamafomu amabili okuphulwa okunjalo: aphelele futhi aphelele. Esikhathini sokuqala, cishe akunakwenzeka ukugcina ukukhulelwa.

Inqola yangaphambi kwesimiso se-placenta, njengombuso, iqala kakade ekuzalweni kwenqubo. Ngesikhathi esifanayo, owesifazane uzwa ubuhlungu be-pelvic, engaxhunyiwe nokulwa, ama-clots wegazi avela. Imbangela yentuthuko ekubelethweni ivame ukugqugquzela ngokweqile inqubo yokulethwa kwezidingo.

Ukuphuma ngokweqile ngesikhathi sokukhulelwa kwamanje kungabangelwa ukuhlukana kwesitho sobulili - isisu. Iba khona phambi kwesibalo esiqenjini ngokwalo, esakhiwa emva kwesigaba se-cearean. Ngakho-ke, ukulethwa kwezi-2 nokukhulelwa okulandelayo ngemuva kwe-cearean kwenziwa kuphela ngale ndlela.

Ungamisa kanjani ukuphuma kwegazi ngesikhathi ukhulelwe?

Ukubonakala kwegazi ngesikhathi sokuthwala ingane kufanele kube isizathu sokuxhumana nodokotela. Emtholampilo, owesifazane unikezwa:

• ukuthula;
• ukuphumula kombhede;
• ukubuka njalo.

Okokuqala, odokotela bazama ukusungula nokuqeda ngokuphelele imbangela eyaholela ekusenikeni. Ngesikhathi esifanayo, ukwelashwa kwakuhlose ukumisa igazi (ukwethulwa kwe-inhibitors ye-fibrinolysis), ukulwa nokulahlekelwa igazi (ukusungulwa kwezixazululo ezinama-aqueous, colloidal ngenjongo yokulawula umfutho wegazi).