Iingxaki zokukhulelwa: Inverine Uterine

Umxholo

• Yintoni ebangela ukuguquka kwesibeleko?
• Ungayichonga njani inversion yesibeleko
• Amanqanaba okuguqula
• Uyiphatha njani inversion yesibeleko?
• Imbonakalo

Ushwankathelo

Ukuguqululwa kwesibeleko yinto enqabileyo yokuhanjiswa kwelungu lobufazi apho isibeleko ngokuyinxenye okanye sijike siphume ngaphakathi ngaphakathi.

Nangona inversion uterine ingenzeki rhoqo, xa isenzeka kukho umngcipheko omkhulu wokufa ngenxa yokopha kakhulu kunye nokothuka. Nangona kunjalo, inokunyangwa ngempumelelo ngokuxilongwa ngokukhawuleza, ulwelo olufakwa ngaphakathi, kunye notofelo-gazi.

Yintoni ebangela ukuguquka kwesibeleko?

Esona sizathu sokuguqulana kwesibeleko asiqondakali kakuhle. Nangona kunjalo, le miba ilandelayo yomngcipheko inxulunyaniswa nayo:

• Umsebenzi uhlala ixesha elide kuneeyure ezingama-24
• intambo emfutshane yenkaba
• ukuhanjiswa kwangaphambili
• ukusetyenziswa kwezihlaziyi zemisipha ngexesha lomsebenzi
• isibeleko esingaqhelekanga okanye esibuthathaka
• Ukuguqulwa kwesibeleko sangaphambili
• I-placenta accreta, apho i-placenta ingene nzulu kakhulu eludongeni lwesibeleko
• ukufakelwa kwengxowa-mali kwi-placenta, apho ukufakwa kwe-placenta phezulu phezulu kwesibeleko

Ukutsala nzima kakhulu kwintambo yokususa i-placenta kunokubangela ukuguquka kwesibeleko. Umtya awufanele utsalwe ngenkani. I-placenta kufuneka ilawulwe ngononophelo kwaye ngobunono.

Kwimeko ye-placenta engakhange ihanjiswe kwisithuba semizuzu engama-30 emva kokubeleka, ukususwa okunyanzelekileyo kwesandla kufuneka kuthintelwe. Ngaphandle koko, kunokubakho ukopha kwaye usulelo lungakhula.

Ungayichonga njani inversion yesibeleko

Ugqirha unokuchonga ngokulula ukuguqulwa kwesibeleko. Iimpawu ezinokubakho zibandakanya:

• isibeleko siphuma kwilungu lobufazi
• isibeleko asive ngathi sikwindawo elungileyo
• ukulahleka okukhulu kwegazi okanye ukwehla ngokukhawuleza koxinzelelo lwegazi

Umama unokufumana ezinye zeempawu zokuothuka:

• intloko elula
• isiyezi
• ukubanda
• ukudinwa
• ukuqhawukelwa ngumphefumlo

Amanqanaba okuguqula

Ukuguqululwa kwesibeletho kuchazwa bubukhali bentshintsho. Ezi ndidi zibandakanya:

• inversion engaphelelanga, apho umphezulu wesibeleko uwile, kodwa akukho nanye esibelekweni eye yangena ngomlomo wesibeleko
• ukuguqula ngokupheleleyo, apho isibeleko singaphakathi ngaphandle kwaye siphume umlomo wesibeleko
• inversion eqhume kakhulu, apho umphezulu wesibeleko uphuma kwilungu lobufazi
• Inversion iyonke, apho zombini isibeleko kunye nelungu lobufazi lingaphakathi ngaphandle

Uyiphatha njani inversion yesibeleko?

Unyango kufuneka luqale kwangoko xa ukuguqulwa kwesibeleko kuqatshelwe. Ugqirha unokukwazi ukutyhala umphezulu wesibeleko ubuyele kwi-pelvis ngokusebenzisa umlomo wesibeleko esihluziweyo. Ukuba i-placenta ayikahlulanga isibeleko ihlala ibekwa ngokutsha kuqala.

I-anesthesia ngokubanzi, efana negesi ye-halothane (Fluothane), okanye amayeza afana ne-magnesium sulphate, i-nitroglycerin, okanye i-terbutaline inokufuneka.

Nje ukuba isibeleko sibekwe kwakhona, i-oxytocin (Pitocin) kunye ne-methylergonovine (Methergine) zinikezelwa ukunceda ikhontrakthi yesibeleko kunye nokuthintela ukuba ingaphinde iguquke. Nokuba ugqirha okanye umongikazi uya kusiphulula isibeleko de sigqibe ngokupheleleyo kwaye ukuphuma kwegazi kuyeke.

Umama uyakufakwa kulwelo olufakwa egazini kunye notofelo-gazi xa kukho imfuneko. Uyakunikwa nezibulala ntsholongwane ukuthintela usulelo. Ukuba i-placenta ayikasasazwa, ugqirha unokufuneka ayisuse ngesandla.

Kukho ubuchwephesha obutsha bokulungisa ukuguquka kwesibeleko kusetyenziswa isixhobo sebhaluni kunye noxinzelelo lwamanzi. Ibhaluni ibekwe ngaphakathi kwisibeleko kwaye igcwaliswe ngesisombululo saline sokutyhala isibeleko sibuyele endaweni.

Inkqubo ilula kwaye iphumelele ekubekeni kwakhona isibeleko. Kuyasebenza ekumiseni ukulahleka kwegazi kunye nokuthintela isibeleko ekuphambukeni kwakhona.

Ukuba ugqirha akakwazi ukubeka kwakhona isibeleko ngesandla kunokufuneka kwenziwe utyando. Umama uya kunikwa i-anesthesia kwaye isisu sakhe siya kuvulwa ngotyando. Isibeleko ke siya kubekwa kwakhona kwaye isisu sivaliwe.

Ukuba ibhendi eqinileyo yethishu enesivumelwano esibelekweni iyayithintela ukuba ibuye ibekwe, kunokwenziwa incision ecaleni kwenxalenye yangasemva yesibeleko. Isibeleko sinokutshintshwa kwaye ukulungiswa kulungiswe.

Ukuba utyando luyafuneka, ukukhulelwa okuzayo kuya kufuna ukuhanjiswa kwe-cearean. Ukuba i-placenta ayinakuhlulwa kwisibeleko, i-hysterectomy ingafuneka.

Imbonakalo

Ukuguqulwa kwesibeleko yimeko enqabileyo kwaye imbi. Ingakhokelela ekuphumeni kwegazi, ukothuka, kwaye inokubulala. Kukho izinto ezibeka abanye abantu basetyhini emngciphekweni omkhulu, kodwa imeko inokwenzeka nakubani na. Kwiimeko apho isibeleko singenakubekwa endaweni, kufuneka utyando.

Imeko ngokubanzi kulula ukuba ichongwe kwaye inyathelo elikhawulezileyo kwaye unyango lubalulekile ukulungisa le meko kunye nokuqinisekisa impilo kunye nokuba sempilweni kukamama. Ukuba unyangwa ngokukhawuleza, umama unokuphola ngokupheleleyo ngaphandle kokonakala kwexesha elide kwisibeleko sakhe.