Ziyini izingozi zokukhipha isisu?
Akukhona ngisho nangomdlalo wesigodi womuntu wesifazane, ukuhlupheka kwakhe kokuziphatha nokungabaza. Nakuba lokhu kuyisici esibalulekile, ngezinye izikhathi kuholela ekuphazamiseni okukhulu kwengqondo. Iqiniso lokuthi ukukhipha isisu kungathwala ingozi yangempela hhayi kuphela impilo yabesifazane, kodwa nokuphila kwakhe.
Uma kuziwa ekukhipha isisu, ingozi ayiyona inqubo kakhulu ngokwayo, kodwa imiphumela engenzeka yokuhlinzwa, izinkinga kanye nokuthuthukisa izifo. Kungenzeka ukuthi izinkinga zikhula kanjani kuncike eningi. Lesi yisikhathi sowesifazane, nesimo sempilo yakhe, nesimo sokukhulelwa kwakhe kwangaphambili.
Akekho ngisho noma ochwepheshe oqeqeshiwe kakhulu ozokwazi ukunikeza isiqiniseko esingu-100% sokukhipha isisu kuzodlula ngokuphelele ngaphandle kwemiphumela, futhi akukho zinkinga kwabesifazane ezisongelwayo. Eqinisweni, izinkinga ezingathandeki zivela ku-10-20% yabesifazane abaye banquma ngalesi sinyathelo esinzima futhi baphazamisa ukukhulelwa.
Izifo
Okuvamile kakhulu futhi kuyingozi kakhulu izinkinga ezithathelwanayo. Ngesikhathi sokusebenza, izinambuzane ezinobungozi eziyingozi zingena emzimbeni wesibeletho, okungabangela ukuvuvukala okukhulu. Ngezikhathi ezithile ukwethuka kwebhaktheriya noma kwe-septic kukhula, okuyinto esongela ngokuqondile impilo yowesifazane. Ngaphezu kwengxenye yokufa emva kokukhipha isisu kubangela izinkinga ezithathelwanayo ngemuva kokuhlinzwa, okuholela ekuthuthukiseni ukwethuka kwe-septic.
Ezithathelwaneni zebhaktheriya, zonke izitho kanye nezicubu zithintekile. Lokhu kungaphazamisa umsebenzi wobuchopho, inhliziyo, izinso nesibindi, futhi kungaholela ekufeni. Abesifazane abaningi, ngezizathu ezihlukahlukene, basathanda ukukhipha isisu ekhaya, kodwa lokhu kukwenza ngcono amathuba okuthuthukisa izinkinga ezithathelwanayo, ikakhulukazi, amabhaktheriya. Ukufa kuka-80% kwabesifazane kwenzeka ngemuva kokunquma ukukhipha ngaphandle kwesibhedlela.
Ngezinye izikhathi, okuholela ekukhipha isisu, hhayi okubonakalayo ngokushesha. Kwezinye izimo, ukutheleleka kungase kumise okwesikhashana ukukhumbuza nokuhlala kungapheli. Kubonakala kowesifazane ukuthi usevele enempilo, kodwa umzimba ufihlile igciwane. Ulinde ngempela umzuzu ofanelekile ukuze usebenze futhi ubangele ukugula. Lokhu kwenzeka, njengomthetho, kusukela ekukhathaleni kwamandla omzimba omzimba, okusho ngemibanda noma ukuqhuma kwezifo ezingapheli.
Ukuhluleka kwe-Hormonal
Ukukhipha isisu kuphazamiseka ngaso sonke isikhathi nokucindezeleka ngokweqile kumzimba wonke. Futhi lokhu akufanele nje kuphela isici sengqondo, kodwa futhi nokukhathazeka okukhulu kwe-hormonal kubangelwa ngokuhlakanipha. Umzimba usuvele usethelwe ukuzala ingane, amahomoni akhiqizwa ngokushesha. Futhi ngokuzumayo - ukukhulelwa kuphelelwa yisikhathi, kukhona ukuphazamiseka kwamagciwane. Ngezinye izikhathi owesifazane angabhekana nezinguquko ezinzima ebhalweni lamahomoni ukuthi ukuphila kwakhe okuvamile okungenakwenzeka. Ngaphezu kwalokho, ukuphazamiseka okunjalo okuvela ngaphandle akufani nokuthobeka ngokuphelele. Ngeshwa, odokotela ngokuvamile banikeza inkambo yama-antibiotic emva kokucindezeleka okubhebhethekayo. Lokhu sekuvele kungasebenzi.
Ukuphuza
Enye ingcindezi enkulu ngemva kokuhlinzwa i-blood uterine. Abesifazane abayisikhombisa kwabayishumi abafile babenesizathu esiqondile sokufa. Ngesikhathi sokukhulelwa, isibeletho sikhula, siyaqina ngokukhulisa imisipha yodonga. Inombolo nobukhulu bezitsha zanda ngesisu. Lokhu kuhloswe ngemvelo ukuze ingane ikhule ngokujwayelekile futhi ikhule kuyo. Ukukhipha isisu yikususwa kwe-fetus kanye ne-membrane yayo kusukela esibelethweni ngosizo lwamathuluzi akhethekile. Ngesikhathi esifanayo ezindongeni zesisu, kunezibazi nokusika, lapho kunzima khona ukuyeka ukuphuma kwegazi. Eqinisweni, ukukhipha isisu kwenziwa "ngokuyimpumputhe", udokotela akakwazi ukufaka izigxobo ngaphakathi kwesibeletho futhi akakwazi ngisho ukubona ukuthi igazi liphuma kuphi.
Embolism
Enye inkinga eyingozi iyisiqu, okungukuthi, ingress yomoya emithanjeni yegazi. Ngokuvamile lokhu kwenzeka ngokukhipha isisu emibhalweni kamuva (ngemuva kwamasonto angu-12). Khona-ke, ngaphezu kwe-fetus ngokwayo, kuyadingeka ukususa i-amniotic fluid lapho umoya ungena khona futhi ngokushesha usakaze emithonjeni yinye isitho somzimba wesifazane. Lokhu kungaholela ekuvinjweni kwemishini yemithwalo yegazi yezitho ezibalulekile, okuyinto emaminithi ambalwa okuholela ekufeni.
Ukungenzi lutho
Amathuba okubhekana nezinkinga eziholela ekutheni ukungabi nabantwana kunkulu uma ukukhulelwa kungokuqala. Lokhu kuxwayiswa ngaso sonke isikhathi esibhedlela, lokhu kuzomele kukhunjulwe ngaso sonke isikhathi. Ngezinye izikhathi isinqumo sokukhwabanisa singadala amathuba okuba nomama. Ukucabanga ngakho kufanelekile wonke owesifazane othatha lesi sinyathelo.
Okuncane kakhulu mayelana nokukhipha isisu
Kunezindlela ezihlukahlukene zokuvimbela nokuvimbela ukuphuma kwamagciwane ngesikhathi sokuhlinzwa. Ngezinye izikhathi kunelungelo lokuthinta ngokomzimba isisu (ukubekwa kweqhwa esiswini esingaphansi), kepha ngokuvamile izigciwane zezinzwa zisebenzisa izidakamizwa. Zonke zinemithi yokudakayo emilutha. Iholela ekunciphiseni ukuphuma kwegazi, kodwa ngokuhoxiswa kwezimpawu kungabuya. Owesifazane uphoqeleka ukuba athathe lezi zidakamizwa, abese ethola ukuthi ngaphandle kwabo angeke esaba khona.
Lapho kwenzeka ukubola kwesinye isikhathi, ezinye izinto ezibikwa izidakamizwa ngaphambi kokusebenza zidlala indima. Ingozi yalesi nkinga iyanda kwabesifazane abanokukhubazeka kwegazi coagulability. Ezinye izici ezithathelwanayo zikhona ukukhipha izisu zangaphambilini, ukuguqulwa kwesibeletho noma izifo zezingaphakathi zangaphakathi zowesifazane.
Ngokwenza njalo, wonke umjozi wesifo somzimba anganikeza isibonelo lapho owesifazane ophilile ngokuphelele emva kokuphela kokufakelwa kokukhulelwa kokuphela kokulahlekelwa yithuba lakhe lokuba ngumama.