Idata leqanda le-fetal kwiindawo zokuqala zokukhulelwa

Enye yezona zinto ezibangela ukukhipha isisu ngumgca weqanda lomntwana kwizigaba zokuqala, phantse ekuqaleni kwawo. Ukuphulwa okunjalo kwiimeko ezininzi kunesinye sezigaba zokuqala zokukhupha izithandwa kwabasetyhini. Makhe sijonge ngakumbi kwaye sitsho malunga nezizathu ezinokuthi zenzeke, kunye nendlela umfazi angakwazi ngayo ukuthatha uphuhliso lophulo olunjalo.

Kuthetha ukuthini igama elithi "inqola yeqanda lomntwana"?

Ngaphantsi kwesi sigqibo kwiimbandezelo, kuyinto yesiko ukuqonda inkqubo apho iqanda lomntwana elikhuphayo likhupha kwi-chorion. Ngenxa yoko, kule ndawo kukho umonakalo kwiinqanawa, kwaye kamva kule ndawo kukho ukuqokelela kwegazi apho i-hematoma (i-retrochorial) yenziwe khona.

Olu lwakhiwo, olwandayo ngobungakanani, lukhokelela ekubeni inkohlakalo engabalulekanga, inxalenye yeqanda le-fetal yanda, eyongela ukupheliswa kokukhulelwa. Ekugqibeleni, ukuba unganikezeli uncedo oluyimfuneko, kukho ukukhanselwa okupheleleyo kunye nokufa.

Kungenxa yintoni eyenzekayo iqela elipheleleyo leqanda le-fetal kumazinga okuqala?

Qinisekisa ngokukodwa ngenxa yento eyenzekayo ukuphulwa kolukhuni kunzima. Kwiimeko ezininzi, oogqirha bakhuluma ngezi zinto zilandelayo ezikhokelela kwinqaku:

• ukuphazamiseka kwenkqubo ye-hormonal (ukungabikho kweprogesterone);
• imeko kunye namava okucinezelayo;
• msebenzi oqinileyo;
• iziganeko zentsholongwane kwizakhiwo zobuncwane;
• ukungalunganga komntwana;
• Ulwaphulo lweRhesus ;
• iisisu kunye neeplasms kwi-uterus;
• ubukho bokukhupha isisu e-anamnesis.

Ziziphi iimpawu ezisemqoka zentambo yeqanda lomntwana?

Ukuze iphendule ngokukhawuleza ekuphuhlisweni kokuphulaphula, elowo umfazi, ephakamileyo, kufuneka azi ukuba i-detachment ibonakala njani.

Isiqalo sokuqala yintlungu yokudonsa kwisisu esezantsi. Ngokuqhelekileyo baxilisa kwingingqi ye-lumbar kwaye bahamba kunye nokukhupha igazi kwi-vagina. Xa ibhinqa elikhulelweyo libona ukubonakala komdaka obomvu, njengomthetho, oku kubonisa ukuba i-hematoma iqala ukucombulula, kodwa ngelo xesha, akunakwenzeka ukuba ungabandakanyi ngokupheleleyo ukuba akukho nto iyakubakho iinyembezi kule ndawo.

Akunakwenzeka ukuchonga ngokuchanekileyo oku kuphulwa kweemfihlo zegazi ukusuka kwisigxina esiswini. Ngoko ke, ukugqatswa kokugqibela koogqirha kwenziwa ngesiseko seziphumo ze-ultrasound.

Unjani unyango lwentambo yeqanda lomntwana?

Kufuneka kuqatshelwe ukuba ngokubonakala kweempawu ezichazwe ngasentla, ngamnye umfazi okhulelweyo kufuneka abonane nodokotela ngokukhawuleza. Ukuba, emva kokuxilongwa, kuqinisekiswe ukuba imbangela yokubonakala kwegazi ukusuka kwimizimba yokuzala inokuphazamiseka, ibhinqa ifakwa esibhedlele.

Into yokuqala oogqirha abazama ukuyenza kukuba kuqinisekiswe uxolo olupheleleyo lwabafazi kwaye banciphise umqhubi walo mqhubi. Kubaluleke kakhulu ukuba izidumbu zodonga lwangaphakathi lomzimba zingaphakathi likhululekile.

Ukuze kuqinisekiswe ukuphuma kwegazi kwindawo ye-pelvic, kudla ukucetyiswa kubafazi ukuba bafake i-roller phantsi kweesile.

Isiseko samanyathelo okwelapha okwephulo olunjalo ngamayeza. Okokuqala kwaye ngokugqithiseleyo, yiyo i-hemostatic (etamzilate), ukutholisa (i-valerian, i-spasmolytics (i-Papaverin), iziyobisi ze-hormona (Utrozestan, iDyufaston) .Izithako zonke zezidakamizwa zikhethwe ngabanye, ziqwalasele iqondo lokuphazamiseka. Ubude beenkqubo zokwelapha ngokwemitha ezili-14 iintsuku.