Ukukhulelwa kwakhona kuguqula ukubunjwa kwegazi, ngamanye amaxesha kukho ukwanda kwenani leeplatelet. Le meko ibangela ingozi ethile kwimpilo yowesifazane okhulelweyo. Yaye njengoko kubalwa amanani, i-10% yabasetyhini ibhekene nale ngozi. Nangona ukukhulelwa kuqhubeka kakuhle, kusekho umngcipheko wokunyuka kwegazi.
Ngokumalunga neveki ye-20 yokukhulelwa emzimbeni kuqala ukuvela kutshintsho. Kwaye ngeli xesha, iiplatelet zithandwa kakhulu kwi-thrombogenis kunye ne "gluing" ephawulekayo. Ngako oko, ioli ye-heparin ngexesha lokukhulelwa iya kuba yinto engenakwenzeka. Amafutha anempahla enamandla, kodwa nayo ineempembelelo. Impembelelo enokuthi ioli ifakwe kwimeko yomfazi okhulelweyo udlula imiphumo emibi.
Kwiminyaka emininzi, izazinzulu zangaphandle ziqhube izifundo, ngexesha liye labonakaliswa ukuba i-heparin amafutha awuchukumisi ukuphuhliswa kwe-intrauterine yomntwana. Nangona kunjalo, ukusebenzisa ioli ye-heparin ngexesha lokukhulelwa kufuneka kube kuphela phantsi kweliso lomgqirha oqeqeshekileyo nolwazileyo okhethiweyo ngokukhetha umlinganiselo kunye nendlela yokulawulwa kweoli. Njengomthetho, i-dosage ibalwa kuphela ngokuhambelana nesisindo somfazi okhulelweyo. Ubuninzi bokusetyenziswa kwamafutha kufuneka buthatyatheke ngokuphindaphindiweyo ukuya kwiihlandlo ezimbini ngosuku.
Ukuba wawunikwe ioli ye-heparin ngexesha lokuthwala umntwana, ungakhathazeki kakhulu, oko kuya kufuneka ukwenze ukuqwalaselwa ngokugqithiseleyo ngugqirha, okuqinisekileyo kuya kukunceda wena kunye nomntwana ozayo. Emva kokuzalwa, abo bafazi ababethe xa bekhulelwe bephantsi kolawulo logqirha weoli ye-heparin, kwakungekho ukuphuma kwegazi.
Ezinye iziganeko ngexesha lokuphatha umntwana zidinga ukusetyenziswa kwexesha elide le-heparin, elifanele lenziwe ngokucokisekileyo phantsi kolawulo lwe-gynecologist. Ngexesha elifanelekileyo, kufuneka uthathe uvavanyo lwegazi ukujonga i-coagulability yegazi. Ukuba unyango ludlula iveki enye, ke kuyimfuneko ukunika igazi ukuhlalutya nganye iintsuku ezintathu. Ukuba usebenzisa le mafutha ngexesha lokukhulelwa, ukupheliswa okubukhali kule meko akuvumelekanga, ngaphandle koko umngcipheko omkhulu kwimpilo yakho. Ugqirha onamava kuphela uzimisele ukuyeka ukusebenzisa ioli ye-heparin okanye kungenjalo, ukuba ucinga ukuba kufuneka imiswe, ngoko uya kuqala ukunciphisa umyinge ngokunyamekela okhethekileyo, kwaye uyifake esinye isilwanyana.
Kufuneka kuphawulwe, kwaye ukuba ngexesha lokusebenzisa i-heparin emzimbeni wesifazane okhulelwe, umxholo we-calcium uncitshiswa kakhulu. Kule meko, ugqirha ubeka izongezo zezinto eziphilayo, ezijoliswe ekunyuseni umxholo we-calcium emzimbeni womama ozayo.
Ukubunjwa kwesi sonyango, ngaphezu kwe-heparin, kubandakanya i-benzyl nicotinate kunye ne-benzocaine, ngoko i-heparin i-ointment ithathwa njengento yokulungiselela, oku kuthetha ukuba xa ukuyisebenzisa, izixhobo ziphucula izenzo. Esi sidakamizwa sinokukunceda ngokuvuvukala kweemvini ezise-anus kwaye xa kuthengiswa imivilini. Ioli ye-Heparin ingasetyenziselwa ukulimala, ezihambelana neziqhamo ezinzima.
Sebenzisa le ngqamle ngokukhethekileyo, ngokukodwa ukuba ulindele umntwana. Kwaye ekugqibeleni, zinyamekele!