Ukukhulelwa kuyashintsha nokubunjwa kwegazi, futhi ngezinye izikhathi kunokwanda kwenani lamaplatelet. Lesi simo sibangela ingozi ethile empilweni yowesifazane okhulelwe. Futhi njengoba izibalo zibonisa, abesifazane abangu-10% babhekene nale ngozi. Ngisho noma ukukhulelwa kuqhubeka kahle, kusekhona engozini yokukhungulwa kwegazi.
Cishe isonto lama-20 lokukhulelwa emzimbeni liqala ukwenza izinguquko. Futhi phakathi nalesi sikhathi, amaplatelets ayenze kakhulu ukukhushulwa kwe-thrombogenesis kanye "nokugcoba" okuphawulekayo. Ngakho-ke, amafutha e-heparin ngesikhathi sokukhulelwa ayobe engahleleki. Amafutha anesakhiwo esinamandla, kodwa nawo anezimo ezimbi. Umphumela omuhle wokuthi amafutha anesimo esimweni sowesifazane okhulelwe udlula imiphumela emibi.
Sekuyiminyaka eminingana, ososayensi bezinye izizwe baye baqhuba izifundo, lapho kwafakazelwa ukuthi amafutha e-heparin ayithinti ukuthuthukiswa kwe-intrauterine yengane. Kodwa-ke, sebenzisa amafutha we-heparin ngesikhathi ukhulelwe kufanele kube kuphela ngaphansi kokuqondiswa kwedokotela oqeqeshiwe nolwazile ulwazi olukhethayo umthamo kanye nemodi yokuphatha amafutha. Njengomthetho, umthamo ubalwa kuphela ngokuhambisana nesisindo sowesifazane okhulelwe. Ukuvama kokusetshenziswa kwamafutha kufanele kwehle kancane kancane izikhathi ezimbili nsuku zonke.
Uma ngabe unqunywe amafutha we-heparin ngenkathi kuthwala ingane, ungakhathazeki kakhulu, ukuthi yini okuzodingeka ukwenze ukugcinwa ngokucophelela udokotela, okuyiqiniso ukuthi kuyokuzuzisa wena kanye nezingane ezizayo. Ngemuva kokuzalwa, labo besifazane abakhulelwe ngesikhathi sokukhulelwa ngudokotela wamafutha we-heparin, kwakungekho ukuphuma kwegazi.
Ezinye izikhathi ngesikhathi sokubeletha ingane zidinga ukusetshenziswa kwesikhathi eside kwe-heparin, okumele kwenziwe ngokucophelela ngaphansi kokuqondiswa komzimba wezifo zengqondo. Ngezikhathi ezithile, kufanele uthathe ukuhlolwa kwegazi ukuhlola i-blood coagulability. Uma ukwelashwa kudlula isonto elilodwa, kuyadingeka ukunikeza igazi ukuhlaziywa njalo kwezinsuku ezintathu. Uma usebenzisa le mafutha ngesikhathi ukhulelwe, ukuyeka ukucima okukhulu kulokhu akuvumelekile, ngaphandle kwalokho ungalimaza kakhulu impilo yakho. Udokotela owaziwa kuphela onquma ukuyeka ukusebenzisa i-heparin amafutha noma cha, uma ecabanga ukuthi kufanele imiswe, khona-ke uzoqala kancane ukwehlisa umthamo ngokunakekelwa okukhethekile, futhi abuyele esikhundleni somunye umuthi.
Kumele kuqashelwe, nokuthi ngesikhathi sokusebenzisa i-heparin emzimbeni wesifazane okhulelwe, okuqukethwe kwe-calcium kunciphise kakhulu. Kulolu daba, udokotela ubeka izithako eziphilayo ezisebenzayo, ezihloswe ukwandisa okuqukethwe kwe-calcium emzimbeni womama ozayo.
Ukwakhiwa kwalesi sidakamizwa, ngaphezu kwe-heparin, kufaka phakathi i-benzyl nicotinate ne-benzocaine, ngakho-ke amafutha we-heparin kubhekwa ukulungiswa okuhlangene, okusho ukuthi uma usebenzisa, izingxenye zithuthukisa izenzo zomunye nomunye. Lesi sidakamizwa singasiza ngokuvuvukala kwemithanjeni ekhona ku-anus futhi uma ukuvinjelwa kwemithanjeni. Amafutha we-Heparin angasetshenziselwa ukulimala, okuhambisana ne-hemorrhages eqinile.
Sebenzisa le mithi eyingqayizivele ngokucophelela, ikakhulukazi uma ulindele ingane. Futhi ekugcineni, zizinakekele!