Ukopha emva kokubeleka: yintoni, unobangela kunye nendlela yokuphepha

Umxholo

• Izinto ezibangela ukopha emva kokubeleka
• Iimpawu ezilumkisayo
• Unyango lwenziwa njani
• Unjani uchacha

Ukopha emva kokubeleka kuhambelana nokulahleka kwegazi okugqithisileyo emva kokubeleka ngenxa yokunqongophala kwesibeleko emva kokuba umntwana ehambile. I-hemorrhage ithathwa xa owasetyhini ephulukana ne-500 mL yegazi emva kokuhanjiswa okuqhelekileyo okanye ngaphezulu kwe-1000 mL emva kwecandelo le-cearean. Ukopha emva kokubeleka yeyona nto iphambili ngexesha nasemva kokubeleka, elinokukhokelela kukothuka kwaye, ngenxa yoko, kukufa. Fumanisa ukuba zeziphi ezona zinto zibangela ukufa xa kuzalwa umntwana.

Olu hlobo lokopha lwenzeka rhoqo kwabasetyhini abaye bazama ukuhanjiswa okuqhelekileyo iiyure ezininzi kodwa bagqibela ngokuba necandelo lokuyeka. Nangona kunjalo, inokwenzeka nakwabasetyhini abanesigaba seCesarean esicwangcisiweyo kwaye abangakhange baye kusebenza.

Izinto ezibangela ukopha emva kokubeleka

Ukopha emva kokubeleka, okwaziwa njenge-locus, kuhlala iiveki ezimbalwa kwaye kubonakala ngokuphuma kwegazi elifanayo nokuya exesheni, kuthathwa njengesiqhelo. Nangona kunjalo, xa kukho ilahleko yegazi elininzi kakhulu, luphawu lokopha, unobangela kufuneka uchongwe kwaye unyango kufuneka luqaliswe kwangoko emva koko. Ezinye zezinto ezinokubangela ukopha emva kokubeleka zezi:

• Umsebenzi ixesha elide, ngaphezulu kweeyure ezili-12;
• Isibeleko atony, Kukuphulukana nobuchule besibeleko sokufumana ikhontrakthi emva kokubeleka;
• Ukuhanjiswa okukhulu kwesibeleko ngexesha lokukhulelwa kwamawele okanye ngaphezulu kweentsana;
• Ubukho be-fibroids kwisibeleko, esenza ukuba kube nzima ukufumana isibeleko ngexesha lokubeleka;
• Ukusetyenziswa kwamayeza, njengesihlunu sokuphumla, okanye isixa esikhulu semagniziyam ngexesha lokukhulelwa;
• Inxeba esibelekweni kubangelwa kukuhanjiswa okuzenzekelayo;
• Utshintsho kwinkqubo yokunqanda igazi, xa ukopha kunzima ngakumbi ukuyeka;

Xa kukho enye okanye ezingaphezulu izinto, umngcipheko wokopha emva kokuhanjiswa mkhulu ngakumbi.

Ngaphandle kokuba ixhaphake kakhulu ngexesha lokubeleka, le hemorrhage inokwenzeka kude kube yinyanga yokuqala emva kokubeleka, ukuba kukho umkhondo we-placenta osancamathele esibelekweni, nangona kunjalo, le yokugqibela ayibeki ubomi bukanina emngciphekweni wokufa. Jonga ukuba ungakhathazeka nini xa usopha emva kokubeleka.

Iimpawu ezilumkisayo

Olona phawu luphambili lwesilumkiso kukuphulukana negazi elingaphezulu kwama-500 ml, elinokuthi libonwe ngezinye zeempawu ezinje ngokutyhafa, ukuthamba, ubuthathaka, ubunzima bokuma okanye ukubamba usana, ngaphandle kokuba kunokubakhona umkhuhlane kunye nentlungu esiswini. .

Nangona kungenakwenzeka ukuqikelela ukuba kuya kubakho ukopha ngexesha lokubeleka, kunokuthintelwa ngokwamkela amanyathelo athile, njengokunyanga i-anemia ngexesha lokukhulelwa, ukulungiselela ukuzala okuqhelekileyo ngokubakho kweeklasi zokulungiselela ukuzala nokuzilolonga ngexesha lokukhulelwa ukufumana okungakumbi ukuxhathisa kunye nokuhanjiswa okuqhelekileyo ngokukhawuleza.

Ukongeza, kubalulekile ukuthatha kuphela amayeza aboniswe ngugqirha, kumthamo kunye nexesha elinconyelwe ngugqirha wokubelekisa, ufunde nokufakwa kwephakeji kwaye ujonge ukuba ngaba kukho imiqondiso yokuba kukho into engalunganga ngaphambi nangexesha lomsebenzi.

Unyango lwenziwa njani

Ukulawulwa kokopha emva kokubeleka kwenziwa ngoogqirha ngokuthanjiswa ngokuthe ngqo esibelekweni kunye nolawulo lwe-oxytocin ngqo emthanjeni, njengoko le hormone ikhuthaza ukucutha kwesibeleko. Kwiimeko ezinzima kakhulu, ugqirha unokukhetha ukusika imithambo ehambisa isibeleko okanye ade ayisuse, ukulawula ukopha nokusindisa ubomi bomfazi.

Ukongeza, ugqirha unokucebisa utofelo-gazi endaweni yentsimbi kunye nehemoglobin emzimbeni kunye nokubuyisela ukuhanjiswa kweoksijini kumalungu. Emva kwesiqendu sokuphuma kwegazi lasemva kokubeleka, kuyinto eqhelekileyo ukuba umfazi abe ne-anemia iiveki ezimbalwa, efuna ukuthatha isongezelelo se-iron iinyanga ezimbalwa.

Unjani uchacha

Ngenxa yokulahleka kwegazi okukhulu, umfazi unokuba ne-anemia iiveki ezimbalwa, eyimfuneko ukwenza unyango oluboniswe ngugqirha, oluhlala lubandakanya ukwanda kokusetyenziswa kwentsimbi. Phakathi kweempawu zokungabikho kwegazi kukudinwa kunye nokozela okungaphaya, okunokuthintela ukhathalelo lokuqala losana ekhaya. Yazi okona kutya kulungileyo kwi-anemia.

Ngaphandle koku, ukuncancisa akufuneki kwenzakaliswe kwaye onke amandla omama kufuneka enzele ukuzondla kunye nokuqinisekisa ukhuseleko lwakhe kunye nolomntwana wakhe. Ukongeza, ukuba nomntu ekhaya wokuncedisa ekuphekeni, ekucoceni indlu nasekuhlambeni izinto kubalulekile ukugcina uzolile kwaye ugcine yonke into iphantsi kolawulo.