Ngomsebenzi wesithintelo, iingxaki zegazi zichaphazeleka kakhulu. Emva koko, ukulahleka kwegazi okukhulu kungabi yimbangela yokufa kwe-fetus, kodwa yimeko esongela ubomi bomfazi.
Ukuhlonywa kwegazi kwizitho zengqungquthela
Ukuphuma kwe-Obstetric ngexesha lokukhulelwa kubalwa kumaqela alandelayo:
- ukuphuma kumxheshana wokuqala wokukhulelwa;
- ukuxhoma kwehafu yesibini yokukhulelwa;
- kuphuma ngexesha lomsebenzi;
- isifo semva.
Ndiyabulela kule nkcazo ye-obstetric hemorrhages, kuyacaca ukuba zinokuthi zenzeke kwizigaba ezahlukeneyo zokukhulelwa. Kubalulekile ukuba uqaphele ukuba izizathu zokuphuma kwamanzi ziyahlukahluka ngokuxhomekeka kwixesha lokugaya. Kwaye ngoku, ukulahleka kwegazi kuya kuhamba kunye nemimiselo ethile yesifo sempawu.
Ukuphuma kwegazi kungabangela
Izimbangela zokuqhaqhaqhaqhaqhaza kwisigamu sokuqala sokukhulelwa kungabakho ukukhulelwa kwe-ectopic, isisu , ukukhulelwa kwesisu. Kwisiqingatha sesibini sesisu, ukuphuma kwamanzi kuhamba kunye nenqanawa engaphambi kwexesha le-placenta okanye umboniso walo.
Ngokwahlukileyo, siza kuhlalutya imbangela yezibilini ezithintekayo ngokukhawuleza ngexesha lokubeletha. Ukuba ukuphuma kwegazi kwenzeka ngexesha lokuqala lobasebenzi, oko kukuthi, ngexesha lokuvula umlomo wesibeleko, oku kungakho umphumo:
- ukuchithwa kweplacental premature;
- intlungu yomlomo wesibeleko;
- ukukhulelwa kwesibeleko .
Iimeko ezifanayo ziyimbangela yokulahleka kwegazi kwisigaba sesibini senkqubo yokuzalwa. Ixesha lesithathu lezabasebenzi, oko kukuthi, ukuhlukana kwe-placenta, kuhambelana nemimandla emininzi yokuqhaqhaqhayisa kwiimeko ezilandelayo:
- kunye nentsundu, ukuhluma okujulileyo kwepil placenta ukuya eludongeni lwesisu;
- kunye nokulibaziseka kwamacandelo amacwecwe e-placental kwisigxina se-uterine;
- umonakalo kwizicubu ezithambileyo zomsele wokuzalwa.
Kwixesha lokugqibela, ukuphuma kwamanzi kungabangelwa ithoni eyanciphayo yesisu. Kule meko, iifayili ze-muscle aziyivumelwano kunye nemithambo yegazi ayinakudluli, ngenxa yokulahlekelwa kwegazi. Kwakhona kwizizathu zokuphuma kwegazi ngeli xesha zibandakanya ukuphazamiseka kwegazi kunye nokuxhamla nge-amniotic fluid.
Ukuthetha ngokuphuma kwegazi, kuyimfuneko ukuqaphela izizathu eziqhelekileyo zokuphuma kwamagciwane ngaphandle kwexesha lokuthwala umntwana. Ezi ziquka i-polyps kunye nomhlaza wesibeleko, i-uterine fibroids, i-endometriosis kunye neengxaki ze-hormonal.
Ukuthintela unyango
Ukuthintela izibilini ezinqabileyo kufuneka ziqalise ixesha elide ngaphambi kokuqala kokukhulelwa. Emva koko, ukuphuculwa kokuvisisana kwenkqubo yokuzala inzala kuye kwanciphise umngcipheko wokuphuhliswa kwezilwanyana ngexesha lokuzala abantwana. Kubalulekile ekukhuseleni kukunyangwa kwezifo ezingenasiphelo.
Naluphi na ukuphuma kwegazi kufuna ukuthunyelwa ngokukhawuleza esibhedlele. Unyango lwe-obstetric hemorrhages kufuneka uthethe ngamanqanaba alandelayo:
- ukuyeka ukuphuma kwegazi;
- ukupheliswa kweso sizathu esabangela ukuphuma kwegazi;
- ukubuyiselwa kwe-hemodynamics ngokuphelisa ukulahleka komthamo wokujikeleza kwegazi.
Zonke iinjongo ezijoliswe ekupheliseni ukulahleka kwegazi kufuneka zenziwe ngokukhawuleza.
Unonophelo olungxamisekileyo kwimeko yokuqhaqhaqhaqhaqhaqhaqhayisa kukulwa nokutshatyalaliswa kwe-hypovolemic. Ukwenza oku, sebenzisa unyango lwe-infusion ngezisombululo ezahlukeneyo. Ukuze uzame ukuyeka ukuphuma kwegazi, i-Dicinone, i-aminocaproic ne-tranexamic acid, i-NovoSeven ilawulwa.