I-detachedature yamatente eqhelekileyo iholela ekuphumeni kwegazi, kwaye kamva, ngaphandle kokunyanzeliswa ngokukhawuleza, ukukhulelwa kwesisu. Kwimeko apho i-detachment ibonwa kwimida ye-placenta kwaye igazi lingene phakathi kwodonga kunye nesisu, ukuphuma kwegazi kubhekisela ekuphumeni kwegazi kwangaphandle. Umqondiso wokuphuma kwegazi kukuhlukaniswa kwegazi kwipentecenta, okubangele i-hematoma. Kule meko, kukho enye imifanekiso yesithotholo esicacisiwe. Igalelo lingena eludongeni lwe-uterine, lugqithisa iifayili ze-muscle, lingena kwisigubungelo sangaphandle sodonga lwe-uterine, ngenxa yesibindi esisodwa.
Makhe sibone oko kubangela i-detentea isebenzi ngexesha lokukhulelwa?
Izizathu kunye neendlela zesifo esenzekayo
Ukuguqulwa kwe-Vascular kwindawo ye-uterine ye-placental site ithathwa njengogqirha njengobuncipheko obusebenzayo oomama kunye no-pathology yeempahla kwi-toxicoses, hypovitaminosis, nephritis. Oogqirha benza uphando ukuze bachaze izizathu ezibalulekileyo kwaye bafumane umfanekiso ocacileyo wekliniki, obonakaliswa ngcinezelo yentsholongwane (kunye nokukhupha kwayo, kunye neentlungu zentlungu, kwaye ukuxhatshazwa komntwana kungase kwenzeke). I-anemia ephawulekayo iyabonwa kwindawo efanelekileyo ngokwaneleyo xa i-placenta igxothwa. Yonke le miqondiso idibene nokubonakalisa ukwethuka: isigulane sikhalazela ukuba intloko yakhe ihamba, uyagula, iinyembezi, zibuhlungu obukhulu ngokwaneleyo esiswini. Isigulane sibukeka sibomile, isikhumba sakhe siphezu kwesifudumlilo esibandayo, i-pulse iyashesha, uxinzelelo lusezantsi, lukhulu.
Yintoni oogqirha abenzayo ekuxilongweni kokuphazamiseka kwepencental ngexesha lokukhulelwa?
Xa i-detache ye-placenta ngexesha lokukhulelwa lenziwa yileli. Ngexesha lokubambisa, kubalulekile ukuvula isisu esilula, esona zihlandlo ezininzi ziyeka ukutsala ngaphezulu kwe-placenta, ukukhawulezisa ukukhutshwa kwesibeletho ngokusebenzisa i-forceps okanye isistim esikhethekileyo esisetyenziselwa ukuququzelela ukubeletha. Kwixesha lokuthunyelwa kwexesha, ukukhishwa kwesikhokelo sepentecenta kuyimfuneko, kwaye isigxina se-uterine siphantsi koviwo olugunyazayo.
Ixesha lokuqala emva kokubeletha lunokuba nzima ngokukhupha ngenxa ye-tonus engeyaneleyo yesisu (i-atony) okanye i-hypo-fibrinogenemia (ukuphazamiseka kwegazi, isigaba sesithathu). Ngezidumbu ezinkulu kakhulu kwisibeleko, oogqirha bancoma isigaba sokugcina, emva koko ukukhishwa kwe-supravaginal kwenziwa.
Ingaba ukhulelwe emva kokuphazamiseka kwamaplanga?
Oogqirha bancomela ukuba bakhulelwe emva kokungenelela kokusebenza konyango emva konyaka, kungekudala. Ngeli xesha, isisu somfazi siya kukwazi ukubuyela kumsebenzi, kwaye umfazi uya kuphinda ahlale elungele ukuziva uvuyo lokuzalwa kobomi obutsha ngaphakathi kwakhe.