Yintoni i-atony yesibeleko, kutheni isenzeka, umngcipheko kunye nendlela yokunyanga

Umxholo

• Kutheni le nto isenzeka
• Umngcipheko kunye neengxaki ze-atony yesibeleko
• Unjani unyango

I-atony yesibeleko iyahambelana nelahleko yesakhono sesibeleko sokungena emva kokubeleka, oko kwandisa umngcipheko wokopha emva kokubeleka, kubeka ubomi bomfazi emngciphekweni. Le meko inokwenzeka ngokulula kwabasetyhini abakhulelweyo ngamawele, abangaphantsi kweminyaka engama-20 okanye ngaphezulu kwama-40, okanye abatyebe kakhulu.

Kubalulekile ukuba uchonge umngcipheko we-atony yesibeleko ukuze kunyanzeliswe unyango lweprophylactic ukuthintela iingxaki ngexesha okanye emva kokubeleka, kunye nolawulo lwe-oxytocin kwisigaba sesithathu sabasebenzi esihlala siboniswa ukukhuthaza ukucutha kwesibeleko. , thintela i-atony.

Kutheni le nto isenzeka

Phantsi kweemeko eziqhelekileyo, emva kokuhamba kweplasenta, izivumelwano zesibeleko ngenjongo yokukhuthaza i-heestasis kunye nokuthintela ukopha kakhulu. Nangona kunjalo, xa amandla esibeleko sokungena engasebenzi kakuhle, iinqanawa zesibeleko ezinoxanduva lokukhuthaza i-heestasis azisebenzi kakuhle, zithanda ukwenzeka kokopha.

Ke, ezinye zeemeko ezinokuthi ziphazamise ukubanakho kwesibeleko ukwenza isivumelwano zezi:

• Ukukhulelwa amawele;
• Ukutyeba kakhulu;
• Utshintsho lwesibeleko, njengobukho be-fibroids kunye ne-bicornuate uterus;
• Unyango lwe-pre-eclampsia okanye i-eclampsia nge-magnesium sulfate;
• Ukuzala ixesha elide;
• Ubudala bomfazi, ukuba rhoqo rhoqo kwabasetyhini abangaphantsi kweminyaka engama-20 ubudala nangaphezulu kweminyaka engama-40 ubudala.

Ukongeza, abasetyhini abaye bafumana i-atony yesibeleko ekukhulelweni kwangaphambilini basemngciphekweni omkhulu wokuphinda bakhulelwe kwaye, ke ngoko, kubalulekile ukuba kwaziswe ugqirha ukuze kuthathwe amanyathelo othintelo ukuthintela i-atony.

Umngcipheko kunye neengxaki ze-atony yesibeleko

Eyona ngxaki iphambili enxulumene ne-atony yesibeleko kukuyeka ukuphuma kwegazi emva kokubeleka, kuba iinqanawa zesibeleko azikwazi ukwenza isivumelwano ngokufanelekileyo ukukhuthaza i-heestasis. Ke, kunokubakho ilahleko yegazi elininzi, elinokuthi libeke ubomi bomfazi esichengeni. Funda ngakumbi malunga nokuphuma kwegazi emva kokubeleka.

Ukongeza kwi-hemorrhage, i-uterine atony nayo inokunxulunyaniswa neminye imingcipheko kunye neengxaki ezinjengezintso kunye nokusilela kwesibindi, utshintsho kwinkqubo yokujiya emzimbeni, ukuphulukana nokuchuma kunye nokothuka, okubonakaliswa kukulahleka okukhulu kwamanzi kunye negazi kunye ukulahleka okuqhubekayo kokusebenza kwentliziyo, okukhokelela ekunciphiseni kwenani leoksijini ehanjiswa ngumzimba kwaye inokubeka ubomi bomntu emngciphekweni. Qonda ukuba yintoni ukothuka kunye nendlela yokuchonga.

Unjani unyango

Ukuthintela i-atony yesibeleko, kuyacetyiswa ukuba i-oxytocin ilawulwe xa owasetyhini engena kwinqanaba lesithathu lokubeleka, elihambelana nexesha lokugxothwa. Kungenxa yokuba i-oxytocin iyakwazi ukuthanda ukuncipha kwesibeleko, ukuququzelela ukugxothwa komntwana kunye nokukhuthaza i-heestasis.

Kwiimeko apho i-oxytocin ingenasiphumo sinqwenelekayo, kunokuba yimfuneko ukwenza inkqubo yotyando yokuthintela ukopha nokunyanga i-atony yesibeleko, kwaye itamponade yesibeleko inokwenziwa ukunciphisa okanye ukuyeka ukopha, kwaye kuyacetyiswa ukuba kusetyenziswe I-antibiotics kunye ne-oxytocin ukuqinisekisa umphumo.

Kwiimeko ezimandundu ngakumbi, ugqirha unokucebisa ukwenza isisu esipheleleyo, apho isibeleko kunye nomlomo wesibeleko ususwe khona, kwaye ke kunokwenzeka ukusombulula ukopha. Jonga ukuba yenziwa njani i-hysterectomy.