Lokhu kwenzeka lapho izingxenye zendawo yengane ziboshwe emgodini we-uterine, uhlelo lwe-coagulation luphukile, izinambuzane zezicubu ezithambile ze-canal zokuzalwa zakhiwa, futhi i-hypotension kanye ne-atony of the uterus zenzeka.
E-hypotension ye-uterus ithoni nekhono lebelemba liyehla kakhulu. Ngaphansi kwethonya lezindlela ezihlukahlukene kanye nezinyathelo ezihloswe ekuvuseleleni umsebenzi wesibeletho sesisu, imisipha yesibeletho iqala ukuvumelanisa, nakuba ngezinye izikhathi kwenzeka ukuthi amandla okusabela okunciphisa akuhambisani nemandla yomphumela.
Nge-atony kwesibeletho, ama-agent asebenze umsebenzi wokuthengisa wesibeletho awunayo impumelelo kuwo. Uhlelo lwe-neuromuscular of the uterus lusezingeni lokukhubazeka. I-Atony yesibeletho yinto engavamile, kodwa ihambisana nokuphuma okunzima.
I-etiology ye-atonic ne-hypotonic ukopha ihlukile futhi ibangelwa izici ezihlukahlukene:
- ukuphulukiswa komzimba kanye nesimiso sezinzwa, ngenxa yomsebenzi obuhlungu nobude, ukuhlupheka okuqhubekayo kwemisebenzi, i-oxytocin, ukulethwa ngokushesha, okusheshayo;
- gestosis enamandla kanye nomfutho wegazi ophakeme;
- okunamathiselwe okuphansi kwe-placenta nesethulo;
- ukwehla komzimba kwesibeletho - ukwanda kwesibindi ngenxa ye-polyhydramnios, i-fetus enkulu, amathumbu amaningi;
- ukungahleleki kwesisu - ukuthuthukiswa kwengqondo kanye nokukhubazeka kwesibeletho, izibazi esibelethweni ngemuva kokuhlinzwa, i-uterine fibroids, izifo ezishisayo zokuvuvukala nokukhipha izisu, okwenza ukuba kube khona ingxenye ebalulekile yezishukela zomzimba zesisu.
I-Atonic ne-hypotonic ukuphuma kwamanzi kungabangelwa nokuyinkimbinkimbi yezizathu eziningana ngenhla. Lokhu kuyoba impendulo yokuthi kungani lesi sibeletho singeke senze isivumelwano ngemva kokubeletha ngokushesha futhi emva kwamahora ambalwa.
Esimweni esinjalo, ukuphuma kwegazi kungathatha isimilo esingathí sina. Njengoba kunzima ukuthi ukuphuma kwamanzi i-atonic kunzima ukuhlukanisa ngokushesha ne-hypotonic, kuphakanyiswa ukusebenzisa igama elilodwa - i-hypotonic ukuphuma, kanti ukuxilongwa okunjalo njenge-atony kwesibeletho kufanele kubekwe lapho zonke izinyathelo ezenziwe zingasebenzi.
Izimpawu zomtholampilo ze-hypotonic ukuphuma kwegazi zibonakaliswa uphawu oluyinhloko - ukuphuma kwegazi kusuka esibelethweni se-postpartum, futhi lokhu kuholela kwezinye izimpawu ezihambisana nokuphazamiseka kwe-hemodynamic ne-anemia enkulu. Kunezibonakaliso zokuphazamiseka okukhulu.
Isimo sowesifazane wesifazane sincike esimweni sakhe esiphelele futhi ukuthi ukuphuma kwegazi isikhathi eside kangakanani. Ukulahleka kwegazi ngesikhathi sokubeletha akufanele kudlule ngamaphesenti angu-0.5 wesisindo somzimba, kodwa hhayi ngaphezu kwezigidigidi ezingu-450. Uma umzimba womama usuphelile, futhi ukusebenza komzimba kuncishiswe kakhulu, ngakho-ke ngisho nokunciphisa okuncane kwezinga lokulahlekelwa kwegazi kungaholela esithombeni esinamandla esibhedlela.
Ukuqina kokuphuma kwegazi kuxhomeke ebukhulu besithombe somtholampilo. Ngakho-ke, uma kube nokulahleka kwegazi okuningi - 1000 ml noma ngaphezulu, isikhathi eside, khona-ke umzimba wesifazane uphethwe nalesi simo kangcono kunokulahlekelwa kwegazi okusheshayo kumthamo ofanayo noma omncane, kunengozi yokuwa nokufa.
Ukuxilongwa kwe-hypotension kusungulwa ngokusekelwe uphawu lwegazi lomzimba kanye nesimo somgomo wesibeletho.
Ngokwelashwa okuyinkimbinkimbi yokwelapha hypotonic kwenziwa ngaphandle kokulibala. Ngesikhathi esifanayo, kuthathwa izinyathelo zokuyeka ukuphuma nokugcwalisa igazi. Yonke into okufanele isetshenziswe kumele yenziwe ngokuhlelekile okuhlelekile futhi ihlose ukwandisa isivumelwano nesikhumba.
Ngesimo esanelisayo sowesifazane wesifazane, ukunciphisa ngempumelelo isibeletho, kubalulekile ukusebenzisa isana esitheni esikhathini sokuqala emva kokuzalwa. Esikhathini esizayo, ukudla kumele kube njalo - njalo ngamahora amabili ngesikhathi semini. Lapho ingane icela isifuba, ukugqugquzelwa kokukhiqizwa kwe-hormone ye-oxytocin kwenzeka futhi lena yindlela ephumelela kakhulu yokuqhekeka kwesibeletho. Ngesikhathi sokuncelisa umntwana, lesi sibeletho sisebenza ngokuzikhandla futhi ngenxa yalokhu owesifazane angase abe nezinhlungu esiswini esingaphansi, ezizizwa zifana neziphambano. Ukuze isibeletho sivumelwano, ezinsukwini zokuqala emva kokubeletha, iqhwa kufanele lisetshenziswe imizuzu engama-30 futhi kaningi lilele esiswini. Kunconywa ukuqhuba ukwelashwa kokuvimbela ngamakhambi, ukuqala ngeyesine ngemuva kokuhamba kwesikhathi. Ngenxa yalezi zinhloso, ungasebenzisa utshani obunamanzi, amaqabunga e-birch, izikhwama zika-yarrow kanye nezikhwama zobusi. Noma, ngenye indlela, sebenzisa ingxube yamakhambi ukulungisa i-decoction.
Akunconywa ukuba uhlanganyele ekuzivocavoca umzimba okusebenzayo ukuze kuqiniswe ucingo lwesisu, ngoba umthelela oqinile esibelethweni nezinye izitho zangasese ezingakaze zithathe indawo yazo yangempela kungaholela enkambisweni yokuvuvukala futhi kubangele uhlelo olungalungile lwezitho.
Njengesivumelwano sesibindi, khona-ke ngesikhathi sokuqala emva kokubeletha, kukhishwa imali eningi yegazi - lochia. Uma ushintsha isimo somzimba futhi uma owesifazane ekhuphuka, lezi zimfihlo zingaqinisa. Kancane kancane baqala ukukhanya, bese bephuzi, bese beka amasonto ayisithupha emva kokuzalwa. Ukusheshisa inqubo yokuphulukisa nokugcina ubumsulwa, kubalulekile ukucubungula ngokucophelela izakhi zofuzo zangaphandle. Geza izikhathi ezintathu ngosuku kufanele uphelelwe ngokuhlanza kude ne-decoction ye-chamomile noma i-oak bark. Uma kuhlangene, ngemuva kokugeza, kumele baphathwe ngokungeziwe nge-agents agent yokuphulukisa. I-Linen kufanele yenziwe kuphela emikhondweni yemvelo.
Kubalulekile ukuqala inqubo yokuncelisa ngokugcwele kusukela ezinsukwini zokuqala. Inqubo evamile yokulahla i-lactation inomthelela ekusimeni kwesizinda semvelo ye-hormone yomzimba wesifazane, futhi isikhathi sokuphumula ngemuva kokubeletha sizophumelela kakhulu. Ukuze uvuselele amandla kangcono futhi ugcine igciwane lesandulela ngculaza, owesifazane angathatha izintambo zomzimba ngesimo sesiraphu, ukumnika noma ukufaka i-compote.