Ukopha kwilungu lobufazi ekukhulelweni

Ukopha kwilungu lobufazi ekukhulelweni kuko nakuphi na ukuphuma kwegazi kwilungu lobufazi ngexesha lokukhulelwa.

Ukuya kuthi ga kwi-1 kwabasetyhini abane-ukopha kwilungu lobufazi ngexesha lokukhulelwa kwabo. Ukopha kuxhaphake kakhulu kwiinyanga ezintathu zokuqala (ukuqala kwenyanga ezintathu zokuqala), ngakumbi amawele.

Inani elincinci lokujonga ukukhanya okanye ukopha kunokubonwa kwiintsuku ezili-10 ukuya kwezi-14 emva kokukhulelwa. Oku kuphawulwa kuphuma kwiqanda elichumileyo elizincamathele kuludwe lwesibeleko. Ucinga ukuba kukhanya kwaye akuhlali xesha lide, oku kufumanisa kuhlala kungabikho nto inokukhathazeka.

Ngexesha leenyanga ezintathu zokuqala, ukopha kwilungu lobufazi kunokuba luphawu lokukhulelwa kwesisu okanye ukukhulelwa kwe-ectopic. Nxibelelana nomboneleli wezempilo kwangoko.

Ngexesha leenyanga ezi-4 ukuya kwezi-9, ukopha kunokuba ngumqondiso:

• I-placenta eyahlulahlula eludongeni lwangaphakathi lwesibeleko ngaphambi kokuba umntwana azalwe (abruptio placentae)
• Ukuphuma kwesisu
• I-placenta egubungela konke okanye inxenye yokuvulwa komlomo wesibeleko (placenta previa)
• IVasa previa (imithambo yegazi yosana evezwe ngapha nangapha okanye kufutshane nokuvulwa kwangaphakathi kwesibeleko)

Ezinye izinto ezinokubangela ukopha kwilungu lobufazi ngexesha lokukhulelwa:

• Ipolyp yomlomo wesibeleko okanye ukukhula
• Umsebenzi wokuqala (umboniso wegazi)
• Ukukhulelwa kwe-Ectopic
• Usulelo lomlomo wesibeleko
• Ukuxhwaleka kumlomo wesibeleko ngenxa yokwabelana ngesondo (inani elincinci lokopha) okanye uvavanyo lwamva nje lwepelevic

Gwema ukulala ngesondo de umboneleli wakho akuxelele ukuba kukhuselekile ukuqala ukulala kwakhona.

Sebenzisa kuphela ulwelo ukuba ukuphuma kwegazi kunye necramping ziqatha.

Kuya kufuneka unqumle umsebenzi wakho okanye ubeke indawo yokuphumla ekhaya.

• Ukuphumla ebhedini ekhaya kunokuba kuko konke ukukhulelwa kwakho okanye kude kuyeke ukopha.
• Indawo yokuphumla inokugqitywa.
• Okanye, unokukwazi ukuphakama uye kwigumbi lokuhlambela, ujikeleze indlu, okanye wenze imisebenzi elula.

Iyeza alifuneki kwiimeko ezininzi. Sukuthatha nawaphi na amayeza ngaphandle kokuthetha nomboneleli wakho.

Thetha nomboneleli wakho malunga nokuba ujonge ntoni, njengesixa sokopha kunye nombala wegazi.

Nxibelelana nomboneleli wakho ukuba:

• Unalo naliphi na ukopha kwilungu lobufazi ngexesha lokukhulelwa. Phatha oku njengonxunguphalo olunokubakho.
• Ukopha kwilungu lobufazi kwaye une-placenta previa (fika esibhedlele kwangoko).
• Unemihlaba ebambekayo okanye yeentlungu zokubeleka.

Umboneleli wakho uya kuthatha imbali yezonyango kwaye enze uvavanyo lomzimba.

Uya kuba novavanyo lwe-pelvic, okanye i-ultrasound ngokunjalo.

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi
• Ukukhulelwa kwe-ultrasound
• I-Ultrasound ye-pelvis

Unokuthunyelwa kwingcali yomngcipheko omkhulu ngexesha lokukhulelwa.

Ukukhulelwa - ukopha kwilungu lobufazi; Ukuphulukana kwegazi koomama-kwilungu lobufazi

• I-Ultrasound xa ukhulelwe
• I-anatomy yokuzala yabasetyhini
• I-Anatomy ye-placenta eqhelekileyo
• Placenta previa
• Ukopha kwilungu lobufazi ngexesha lokukhulelwa

UFrancois KE, uFoley MR. I-Antepartum kunye ne-postpartum hemorrhage. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 18.

I-Salhi BA, i-Nagrani S.Iingxaki ezinzima zokukhulelwa. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 178.