Ukuhlamba ngexesha lokukhulelwa

Igama elithi "isifo se-obstetric" sibhekisela kwiintlupheko apho ukukhululwa kwegazi kwinkqubo yokuzala kubonakala ngexesha lokukhulelwa kwangoku okanye kwinkqubo yokuhanjiswa. Olu hlobo lwesichaso luye lubangelwa ukufa. Ngokuphuhliswa kweyeza, inani leengxaki ezincitshisiweyo liye linciphisa ngokukhawuleza, kodwa azinakupheliswa ngokupheleleyo namhlanje.

Yintoni eyenza ukuphuma kwegazi kwisiqingatha sokuqala sokukhulelwa?

Ngokwezibalo zenkcukacha, izizathu eziqhelekileyo zokuphuhliswa kwale hlobo lokuphulwa kwesaziso esifutshane zi:

• ukukhulelwa kwangaphambili;
• isikhumba sesisu;
• ukukhulelwa komlomo;
• Iimeko zesifo se-cervix uteri-polyps kwi-canal yomlomo wesibeleko, umhlaza wesibeleko (unqabile), ii-polyps eziqhelekileyo.

Ngaloo ndlela, ngokukhipha isisu, ukuxilongwa kwentsholongwane kusekelwe ebuhlungu besifo kunye neempawu zokumisa isisu, kunye nobunzima beempawu zegazi kunye nokutshintshwa kwesakhiwo kwintanyeni ye-uterine.

Ukuhamba kwebladder kubonakaliswe ngenguqu ye-chorionic villi ibe uhlobo oluthile lwezakhiwo ezinjenge-groin. Ngenxa yoko, i-villi iya kuba yi-vesicles, equle inani elikhulu la-estrogens ngaphakathi. Ngokuqhelekileyo, esi sifo sikhula kwabasetyhini ababenama-annesis ekuvukeleni kwezitho zangasese, ukuphulwa komsebenzi we-hormone wama-ovari.

Ukukhulelwa kwangasese, apho ukuphuma kwegazi kwenzeka rhoqo, kubonakaliswe ukuphulwa kommandla weqanda lomntwana, ofakwe kwi-endometrium kwingingqi yentamo. Kwiimeko ezinjalo, njengomthetho, inkqubo yokunyusa iphazamisekile yodwa ukuya kwiiveki eziyi-12. Ngokuqhelekileyo, ukuphulwa okunjalo kwenzeka kubasetyhini abanembali yesithintelo esithintekayo: iinkqubo zokuvuvukala kwinkqubo yokuzala, isifo somlomo wesibeleko, ukuphazamiseka komjikelezo wesini. Kubalulekile kule meko kukunyuka kwenyuka yeqanda lomntwana, okungafani nomgangatho, kuboniswe kwicandelo layo eliphantsi.

Iintsholongwane ze-cervix nazo zikhokelela ekuphumeni kwegazi ngexesha lokukhulelwa. Izihlandlo eziqhelekileyo zezi zi-polyps ze-cervix. Ngethuba elincinci, eso sifo siphathwe ngokugqithiseleyo, kungabikho ukutshatyalaliswa kwesigxina se-uterine. Unyango lujoliswe kwi-haemostatics (ukuyeka ukuphuma) nokugcina ukukhulelwa.

Ziziphi iimbangela zokuphuma kwamathambo ekukhulelweni kokugqibela?

Phakathi kwabo, kwindawo yokuqala, kuyimfuneko ukubiza igama:

• placenta previa;
• ukuchithwa kweplacental premature;
• uterter rupture.

Ukunikezwa kwepentecenta ayikho namhlanje malunga ne-0.5% yazo zonke izizukulwana. Kuyinto yesiko ukuhlukanisa phakathi kweendlela ezimbini zokuphula umthetho: zizalisekile kwaye zingaphelelanga. Kwimeko yokuqala, akunakwenzeka ukugcina ukukhulelwa.

I-detachature yamashishini e-placenta, njengomthetho, iqala ukuqala kwinkqubo yokuzalwa. Ngelo xesha, umfazi ufumana ubuhlungu beentlungu, ezingaxhunyiwe kunye nokulwa, iifom zegazi zivela. Isizathu sokuphuhliswa ekuzalweni kudla ngokukhawuleza kwindlela yokuhambisa.

Ukuphuma kwegazi ngokukhawuleza ngexesha lokukhulelwa kwangoku kunokubangelwa ukuphuka kwesitho somzimba - isisu. Ikhula phambi kobunqamlezo kwiqumrhu ngokwalo, eliyilwe emva kwecandelo lesaja. Ngoko ke, ukuhanjiswa kwe-2 kunye nokukhulelwa okulandelayo emva kokuba i-cearean yenziwa kuphela ngale ndlela.

Indlela yokuyeka ukuphuma kwegazi ngexesha lokukhulelwa?

Ukubonakala kwegazi ngexesha lokuthwala umntwana kufuneka kube sisizathu sokudibana nodokotela. Kwiklinikhi, ibhinqa inikwe:

• uxolo;
• ukuphumla kombhede;
• ukujonga rhoqo.

Okokuqala, oogqirha bazama ukuseka nokuphelisa ngokupheleleyo imbangela eyakhokelela ekuphumeni kwegazi. Ngelo xesha, unyango lujoliswe ekunqandeni ukuphuma (ukuqaliswa kwe-inhibitors ye-fibrinolysis), ukulwa nokulahleka kwegazi (ukuqaliswa kwezisombululo ezinamanzi, kunye ne-colloidal ngenjongo yokulawula uxinzelelo lwegazi).