Oku kwenzeka xa iinxalenye zendawo yomntwana ziboshwe kwisigxina se-uterine, inkqubo ye-coagulation iphukile, iisambuko zeetyhuse ezithambileyo zedaleli yokuzalwa zenziwe, kwaye i-hypotension kunye ne-aton ye-uterus yenzeke.
Kwinqanaba le-uterus ithoni kunye nekhono lombelethi luyehla kakhulu. Ngaphantsi kwefuthe leendlela ezahlukeneyo kunye namanyathelo okujoliswe ekuvuseleleni umsebenzi wesivumelwano sesisu, izihlunu zesisu ziqala ukuvumelwano, nangona ngamanye amaxesha kwenzeka ukuba amandla okusabela ekunciphiseni akuhambelani namandla okusebenza.
Nge-atony ye-uterus, ii-agents ezenza umsebenzi onesivumelwano unesiqhamo asinayo nayiphi na impembelelo kuwo. Inkqubo ye-neuromuscular of the uterus yimeko yokukhubazeka. I-Atony yesibeleko yinto enqabileyo, kodwa ihamba kunye nokuphuma kwegazi.
I-etiology ye-atonic kunye ne-hypotonic yokuphuma kwegazi ihlukeneyo kwaye ibangelwa yimimandla eyahlukeneyo:
- ukuchithwa komzimba kunye nenkqubo yesantya, ngenxa yesigxina esibuhlungu kunye nexesha elide, umsebenzi obuthathaka obunzima, u-oxytocin, ukukhawuleza ngokukhawuleza;
- gestosis enkulu kunye nomfutho wegazi ophezulu;
- Ukuncedisa okuphantsi kwepentela kunye nokunikezelwa;
- ukusetyenziswa phantsi kwe-uterus-overgrowth ye-uterus ngenxa ye-polyhydramnios, umntwana omkhulu, umntwana omdala;
- ukuhlaselwa kwe-anatomical ye-uterus - ukuphuhliswa kwengqondo kunye nokungalunganga kwesibeletho, izikrakra kwisisu emva kokuhlinzwa, i-uterine fibroids, izifo ezidlulayo zokukhupha kunye nokukhupha isisu, okubangele ukutshintshwa kwendima ebalulekileyo yezicubu zomzimba zesisu.
I-Atonic kunye ne-hypotonic ukuphuma kwamanzi kungabangela ukuxakeka kwezinto ezininzi apha ngasentla. Oku kuya kuba yimpendulo yoko kutheni i-uterus ingavumelananga emva kokubeletha kanye kanye emva kweeyure ezimbalwa.
Kwimeko enjalo, ukuphuma kwamanzi kungathatha umlingani obalaseleyo. Ngenxa yokuba i-atonic yegazi iyanzima kakhulu ukuhlula ngokukhawuleza kwi-hypotonic, kucetyiswa ukuba isebenzise elinye ixesha-i-hypotonic yokuphaphaza, kwaye ukuxilongwa okunjalo njenge-atony ye-uterus kufuneka kusekwe xa onke amanyathelo ayenziwe ayengasebenzi.
Iimpawu zeklinikhi ze-hypotonic bleeding zibonakaliswe yimpawu eziphambili - ukuphuma kwegazi kwi-postpartum uterus, kwaye oku kukhokelela kwezinye iimpawu ezinxulumene neengxaki ze-hemodynamic kunye ne-anemia enkulu. Kukho iimpawu zokutshatyalaliswa okukhulu.
Imeko yowesifazane ohamba ngokuxhomekeke kwimeko yakhe jikelele kwaye kudala kangakanani ukuphuma kwegazi. Ukulahleka kwegazi ngexesha lokubeletha akufanele kudlule i-0.5 ekhulwini lomzimba, kodwa kungabi ngaphezu kwama-milliliters ayi-450. Ukuba umzimba wokubeletha uphelelwe amandla, kwaye ukusetyenzwa komzimba kuncitshiswa kakhulu, ngoko ke ukugqithisa okuncinci kwegazi lokulahlekelwa kwexabiso kunokukhokelela kwisiganeko esinzulu seklinikhi.
Ubungakanani bokuphuma kwegazi buxhomekeke kubunzima beklinikhi yomfanekiso. Ngoko, ukuba kukho ukulahleka kwegazi ezininzi - 1000 ml okanye ngaphezulu, ixesha elide, ngoko umzimba womfazi uphepha nale meko engcono kunokuba ukulahleka kwegazi ngokukhawuleza kwimiqulu efanayo okanye encinane, kukho umngcipheko wokuwa nokufa.
Ukuxilongwa kwe-hypotension kusekwe kusetyenziswa uphawu lwegazi lokuphuma kwamanzi kunye nenjongo yesisu.
I-hypotonic yokuphuma kwinkqubo enzima yonyango yenziwa ngaphandle kokulibala. Ngelo xesha, amanyathelo athatyathwa ukuba ayeke ukuphuma kwigazi kwaye azalise ukulahleka kwegazi. Zonke iimpembelelo kufuneka zenziwe ngokulandelelana ngokucacileyo kwaye zijolise ekunyuseni isivumelwano kunye neyonto yebele.
Ngesimo esonelisayo sowesifazane, ukunciphisa ngempumelelo umbele, kuyimfuneko ukusebenzisa ilutsha olusiswini emva kweyure yokuqala emva kokuzalwa. Kwixesha elizayo, ukutya kufuneka kube rhoqo - nganye iiyure ezimbini ngelixa lemini. Xa umntwana esondeza isifuba, ukuvuselelwa kwemveliso ye-hormone ye-oxytocin kwenzeka kwaye oku kuyindlela efanelekileyo kakhulu yokuphambana kwesibeletho. Ngethuba lokusondeza umntwana, isisu sisenza isivumelwano esinamandla kwaye ngenxa yoko le ntokazi inokuba neentlungu kwisisu esisezantsi, eziziva zifana neziphene. Ukuze i-uterus ivumelwano, kwiintsuku zokuqala emva kokubeletha, i-ice kufuneka isetyenziswe imizuzu engama-30 kwaye kaninzi ilala esiswini. Kucetyiswa ukuba kwenziwe unyango lokukhusela kunye nemifuno, ukuqala ngeyesine emva kokuhamba. Kule njongo, unokusebenzisa uhlaza lweengcawa, amaqabunga e-birch, i-yarrow kunye neengxowa zomalusi zengca. Okanye, sebenzisa umxube wee-herbs ukulungiselela i-decoction.
Akukhuthazwa ukuba uhlanganyele ekuzilolweni komzimba okusebenzayo ukuqinisa intsimbi yesisu, kuba impembelelo enamandla kwisibeleko kunye nezinye izitho zangasese ezingazange zithathe indawo yazo yangaphambili zingakhokelela kwinkqubo yokuvuvukala kwaye kubangele ilungiselelo elingalunganga lezitho.
Njengeemvumelwano zesibindi, ngoko ngethuba lokuqala emva kokubeleka, ukukhutshwa kwegazi ezininzi kukhutshwa kuyo-lochia. Xa utshintshe isikhundla somzimba kwaye xa umfazi ekhulayo, le mfihlo iyakwandisa. Kancinci baqala ukukhanya, benyuka iphothiki eluhlaza, baze bayeke emva kweeveki ezintandathu emva kokuzalwa. Ukukhawuleza inkqubo yokuphulukisa nokugcina ucoceko lococeko, kuyimfuneko ukucwangcisa ngokucophelela i-genitalia yangaphandle. Geza amaxesha amathathu ngosuku kufuneka ugqitywe ngokuhlanjululwa kwi-decoction ye-chamomile okanye i-oak bark. Ukuba kukho izilwanyana, emva kokuhlamba, kufuneka baphathwe ngokungezelelwe kunye namayeza okuphilisa. I-Linen kufuneka yenziwe kuphela kwimizimba yendalo.
Kubaluleke kakhulu ukuqala inkqubo yokuncelisa ngokupheleleyo ukususela kwiintsuku zokuqala. Inkqubo eqhelekileyo yokuhlambulula igalelo inika isandla kwisiganeko semvelaphi ye-hormonal yomzimba wesetyhini, kwaye ixesha lokubuyiselwa emva kwe-postpartum liya kuphumelela. Ukubuyisela amandla ngakumbi nokugcina umgudu wokuzikhusela, umfazi unako ukuthabatha iinqumle ezinjengeesiraphu, ukumnika i-infusion okanye kwifom ye-compote.