Uterine rupture: iziphumo. Ukuphuka komlomo ngexesha lokubeletha: iziphumo

Emzimbeni wowesifazane kukho ilungu ebalulekileyo eliyimfuneko yokukhulelwa nokuzala komntwana. Isibeleko. Iqulethwe ngumzimba, umsele womlomo wesibeleko kunye nomlomo wesibeleko. Zonke ezi ndawo zibandakanyeke ngqo kwinkqubo yesizukulwana. Ngakolunye uhlangothi lwesibindi kunezibini ezimbini kunye nama-ovari. Kulapha apho iiseli zivuthiwe, ezigqitywa kwaye ziguqulwe zibe yiintsana. Kukho imeko xa ibhinqa ijongene neengxaki ezahlukahlukeneyo ezidibene nomzimba ochazwe ngasentla. Enye yemingcipheko eyingozi kakhulu yintlungu yesisu. Imayelana nemiphumo yale pathologi eya kuxutyushwa kamva. Kwakhona uya kufunda ukuba yintoni ukuphuka komlomo. Makhe sichaze iqondo kunye nefom yeli qa, kunye nemiphumo.

Ukuphuka komlomo

Ekuzaleni lokhu le ntsholongwane kwenzeka rhoqo. Nangona kunjalo, kukho iimeko xa i-dissection ye-membrane ye-mucous ivela ngaphandle kwenkqubo. Izizathu ezibalulekileyo zeso simo ziinkqubo zokuvuvukala, izifo zesisu, kunye nobudala bomfazi. Ukuphuka komlomo wesibeleko ngexesha lokuzalwa komntwana kudla ngokuba ngumphumo wokungaziphathi kakuhle komfazi. Kungenzeka kwakhona ngenxa yesisindo somzimba omkhulu nokuphakama kwengane.

Iintlobo zomsele womlomo wesibeleko uyaqhekeka

Kukho amadidi amathathu omlomo wesibeleko. Zonke ziyahluka kwindawo yecolongo echaphazelekayo. Nguye kuphela ugqirha onokukwazi ukuvavanya ngokucophelela ubunzima be-pathology kunye nohlobo lokuphuka.

• Isigaba sokuqala. Kule meko, ubude be-dissection ebusweni be-mucosal abukho ngaphaya kweentimitha ezimbini.
• Isiganga sesibini. Umlomo wesibeleko uchitheka kakhulu. Kule meko i-dissection inebude obungaphezu kwamangentimitha amabini, kodwa isiseko sayo ayifinyelele kwi-arch.
• Isiganga singokugqibela (sesithathu). Izikhewu kulo mzekelo zininzi kakhulu. Umlomo wesibeleko ubonakaliswe ngokupheleleyo, i-dissection iya kudlulela phezulu kwindoda.

Ingaba kukho umphumo kwi-pathology?

Ukuphuka komlomo wesibeleko ngexesha lokubamba kakubi kakhulu. Ngokungathandabuzekiyo, abaninzi abafazi bayakwazi ukuphepha into enje. Ukwenza oku, kufuneka uthobele ugqirha ngexesha lwenkqubo. Nangona kunjalo, ummeli wesini obuthakathaka, olungiselela ukuba ngumama, kufuneka azi ukuba ukukhulelwa komlomo kungakhokelela ekubelekeni. Imiphumo iya kuchazwa ngezantsi.

Ukuphuma kwamanzi

Ukuba iimbumba zomlomo wesibeleko zonakaliswe, ukukhubazeka kungafunyanwa kuphela emva kokuvela komntwana kunye nokuxoshwa kokuzalwa komntwana. Ngeli xesha, ugqirha usebenzisa isibuko uhlola iimpahla zecala kunye nokubhala ubungqina beemivimbo okanye iziqwenga zenyama.

Kulo lonke ixesha kukho isabelo esibi segazi. Ngenxa yokulimala okukhulu, umfazi angakwazi ukuphazamiseka. Kwakhona, ukuba uncedo lungafumaneki ngexesha, ngoko kubekho isiphumo esibulalayo ngenxa yokulahlekelwa kwegazi.

Utyando luquka i-tissue suturing. Inkqubo yenziwa phantsi kwe-aneshesia yendawo okanye jikelele. Kwezinye iimeko, kunokuba kuyimfuneko ukudlulisa igazi okanye i-plasma kumntwana osandula.

Iinkqubo ezivuthayo

Ukuphuka komlomo wesibeleko kunokuba nemiphumo ngendlela yezilonda ezithathelwanayo. Ekubeni kwakukhona ukubetha kwezicubu, kukho amanxeba avulekileyo. Ukutshatyalaliswa kwe-postpartum kusiza ukuhlambulula isondo. Ngako oko iindawo zokuhlala ze-mucus kunye negazi. Konke oku kungena kwilonda elitsha kwaye kubangele inkqubo yokuvuvukala. Kule meko, umfazi uqala ukuphawula intlungu kwi-pelvis encinci, ukukhutshwa kwe-purulent , enokuvumba okungathandekiyo. Kwakhona kwezinye iimeko, ukushisa kuphakama.

Unyango kulolu hlobo ludla ngokuxilongwa kwaye lwenziwa kwithuba lokugula. Nangona kunjalo, kufuneka uxelele ugqirha ngokukhawuleza malunga nempawu zakho. Ngaphandle koko, usulelo luya kudlulela kumalungu angummelwane kwaye luchaphazele isibeleko, ama-tublopian tubes kunye nama-ovari.

Everlasting wesibeleko

Ukuba i-gap ayilungiswanga kakuhle, imiphumo ye-pathology ingaba yinto engalindelekanga. Ngoko, ngokungabikho kwezigodo kwisiseko somsele womlomo wesibeleko, umlomo wesibeleko uvela. Kule meko, loo nxalenye ye-mucosa, ngokuqhelekileyo ilele ngaphakathi, ingena kwimigqa yesondo. Oku kuholele kwinkqubo engapheliyo yokuvuvukala.

Unyango kulolu xwebhu luvame ukukhupha. Abanye abafazi banqwenela ukushiya yonke into njengoko kunjalo. Ngexesha elifanayo, ukukhulelwa kwamathambo, ukubeleka ngaphambi kokuzalwa okanye ukungaqiniseki kwintsholongwane ekukhulelweni okulandelelanayo kungabangela ukubekwa okungafanelekanga komlomo wesibeleko.

Ngaba ndinokuzala emva kokunyanga kwezilwanyana?

Ukubeleka emva kokuphuka komlomo wesibeleko kunokwenzeka. Ukuba unyango luqhutywe ngokuchanekileyo kwaye ngexesha, ngoko imiphumo ayiyi kuvela. Nangona kunjalo, ekungabikho kokulungiswa, ukukhulelwa okulandelayo kunokufumaneka ngeengxaki.

• Ngokuphindaphindiweyo xa umntwana ezalwa emva kokuphuka, kunokwenzeka ukuba unako ukukhubazeka kwengqondo. Kule meko, kuyimfuneko ukufaka iisundu entanyeni ukuphepha ukuzalwa kwangaphambi kokuzalwa.
• Ngethuba lokugungqa, umsele wentsholongwane awuyi kuvulwa ngokupheleleyo. Oku kukhokelela ekuqhubekeni ngokuphindaphindiweyo kweembrane ezinobumba.

I-pathologies ye-oncological

Emva kokuphuka komlomo wesibeleko ekukhulelweni kunye nokungabi nonyango, ingozi yezilonda ezibi ziyakhula. Ngokuqhelekileyo, isiqalo saloo ntsholongwane kukukhukhula. Oku kubangelwa ukuba i-epithelium yangaphakathi iyanzela ngaphandle kwaye ifakwe kwiindawo zokuhlala zesini.

Uterine yaphuka

Ukongezelela ukusabalalisa iimbumba ezinqamlekileyo zomsele wentsholongwane, umfazi unokufumana into efana nokugqitywa kwelungu lomzimba. Kubalulekile ukuba uqaphele ukuba le ntsholongwane iyingozi kakhulu. Akunakunqandwa. Ngokuqhelekileyo, i-uterine rupture ihamba neentlungu ezinzima esiswini esiswini. Ukuziva okunjalo kubangelwa ukunciphisa kwiindonga zelilungu kunye nokuphuma kwamanzi kwangaphakathi. Kwakhona, i-pulse yomfazi kunye noxinzelelo lwegazi unokwehla, utywala kunye nobuthathaka bubonakale . Konke oku kungenxa yokulahleka kwegazi.

Kwiyeza, kukho iintlobo ezintathu zokungahambelani kwiindonga zesisu: isiphumo esisongelayo, esaqala kwaye senzekile. Kufuneka kuqatshelwe ukuba ekuqaleni, iimpawu azibalulekanga njengokuba iimbumba zesitho somzimba zihluke ngokupheleleyo.

Xa kukho i-pathology kunye nendlela yokuyichitha?

Ukukhutshwa kwesibeleko kunokwenzeka ngokusetyenziswa kwamanye. Oku kubandakanya i-hysteroscopy, i-laparoscopy, ukutshitshiswa kwesigxina segciwane lesini, ukuseka ukuvutha kunye nokunye. Ukukhulelwa kwesibeleko ngexesha lokukhulelwa kudla ngokubakho ngenxa yobunzima kwindonga enye. Unyango kulolu hlobo kufuneka lwenziwe ngokukhawuleza. Iqhutyelwa phantsi kwe-anesthesia jikelele, xa isiguli sigxininiswa kwindawo yobuthongo obunzulu.

Ulungiso luhlala luxhomekeke kwinqanaba le-uterus eliye laphuka. Akungabazeki ukuba oogqirha benza konke okusemandleni abo ukuze balondoloze isitho somzimba. Nangona kunjalo, ngezinye iimeko oku akunakwenziwa. Ukuba oko kwenzeka, ugqirha uyasusa isibeleko kunye nomsele wentsholongwane nentamo. Ukuphuma kwesibeletho kungabangela imiphumo emibi kakhulu. Makhe siwaqwalasele ngokubanzi.

Ukubola kwamanzi

Ukuphuma kwesibeleko kuhlala kuhamba kunye nokulahleka kwegazi. Xa kukho ukungafani kweendonga, kukho umonakalo kwiinqanawa zeembrane zangaphakathi. Kule meko, igazi aliqhelekanga ukungena kwisisu esiswini. Nangona kunjalo, isigulane sinokuqaphela ukuba kukho ukudibanisa okupinki kumchamo kunye nokukhupha kwi-vagina. Ukukhutshwa kwesibeleko ngexesha lobambano luhlala luhamba kunye neentambo. Le nyaniso inganika umfanekiso weklinikhi ophazamisekileyo.

Ngokuqala okanye ukugqitywa okugqityiweyo kweembrane, kukho ukunyuka kwegazi ngaphakathi kwegazi, okukhushulwa ngokuqala kwezicatshulwa. Umfazi ubona intlungu eqhubekayo esiswini. Kwezinye iimeko, indawo engqonge inamba ingaba luhlaza okwesibhakabhaka.

Le meko iyingozi kakhulu. Isiphumo sentsholongwane sisoloko sibulala. Yingakho kubalulekile ngokukhawuleza kunokwenzeka ukuba kunikezelwe unyango kwintombazana. Ngekhefu, umntwana akaze alondolozwe. Kuphela abanenhlanhla basinda emva kokulamba kwendlala yomoya. Kule meko, ukukhubazeka kunokuchaphazela ubomi obusana bomntwana kwaye kubangele ukulibaziseka kokuphuhlisa okanye ezinye iziphumo.

Ukungenzi lutho

Ukuphuma kwesibeleko ngexesha lokubeletha kungenza kube nzima. Ukuba u-pathology ayitholakali ngexesha, ngoko oogqirha banyanzelekile ukuba basuse isitho somzimba. Oku kuya kunceda ukugcina ubomi bomfazi. Emva kokusebenza okunjalo, ummeli wesini obuthakathaka uthathwa njengongenabumba. Akaze akwazi ukuzalela nokuzala umntwana.

Kubalulekile ukuba siqaphele ukuba esi siphumo sisoloko sihamba kunye nokudakumba nokuxinezeleka. Ngokukodwa abafazi abahluphekileyo, abangenazo abantwana okanye iintsana bafe ngenxa yokuphelelwa yindlala yomoya.

Inkqubo yokunyusa kwinkqubo ye-pelvic

Ukuba kukho ukuphuka kwesibeletho kwinqaba okanye ngaphandle kwalo mhlaba, ukuphuma kwamanzi kubakhokelela ekudalweni kwamanyathelo. Zonke zichazwe ngokulula. Umkhuhlane owangena kwisisu esiswini awukwazi ukususwa ngokupheleleyo. Ngenxa yoko, iyancipha, ifilimu ye-thinnest ibonakala. Bamba iimbumba kunye. Kwimichiza, ezo zifundo zibizwa ngokuba yimpiksi.

Ukubonakala kwezo nxalenye kubangela intlungu rhoqo kwisisu esisezantsi, ukuphazanyiswa kwamalungu. Ngokuqhelekileyo zikhokelela ekungabikho komntwana kunye nomngcipheko wokukhulelwa kwe-ectopic.

Ukuvutha

Ukuba kukho ukuphazamiseka kwesibeletho, umphumo unokuba nokuvuvukala okanye isifo. Umngcipheko kufuneka uhlale unqunyulwa. Emva kokuphathwa okunjalo kukho ukwahlukana kwe-syphilis. Kwilonda lingafumana i-pathogenic microorganms kunye ne-bacteria. Konke oku kukhokelela ekusulelekeni.

Ukunyangwa kweziphumo ezinjalo kudla ngokusekelwe ekusebenziseni amayeza. Oku kubandakanya i-antimicrobial, antibacterial and immunomodulating therapy.

Uhlobo lwezobuchule kunye neengqondo

Isiphumo sokuphuka kwesibeleko sisoloko sigxininiswa kwi-sutures kwingxenyana engaphantsi kwesigxina esiswini. Kule meko, isinqununu sinokuba nesimo esinqamlekileyo okanye esicacileyo. Amanxeba anjalo ahlala ebomini babo kwaye ahlale ekhumbuza loo ntokazi ukuba kwenzekani kuye. Abammeli abaninzi besondo obuthakathaka baqala ukuziva benamahloni ngomzimba wabo ngenxa yobunzima obuninzi.

Kukwafanelekile ukukhankanya malunga neengqondo zengqondo. Uninzi lwabasetyhini lujamelana noxinzelelo emva kokuphathwa. Ukusetyenziswa kwe-anesthesia kunokuchaphazela imeko yesikhumba, iinwele, izipikili kunye nememori eyingozi.

Ngaba ndinokuzala emva kokunyanga kwezilwanyana?

Umsebenzi emva kokuphuka kwesibeleko kunokwenzeka kuphela ukuba loo ntokazi inomzimba wokuzala. Ngelo xesha, oogqirha banamathele ekuqhubeni isigaba sokugcina, njengoko besaba ukuphindaphinda kweengxaki.

Kufuneka kuphawulwe ukuba phambi kobunzima kwi-organ of child bearing organ, kuyimfuneko ukuba ilandele ngokucophelela inkqubo yokukhulelwa komnye. Abafazi abanjalo baninzi baqeshwe i-ultrasound kunye nokusetyenziswa okungeziwe.

Ukuba kukho umlotha kwisibeleko, ke kukho umngcipheko wokungena kuyo i-placenta. Oku kungafundwa kuphela kwinkqubo yokuzalwa. Kule meko, oogqirha bahlala becima indawo yengane yomzimba kunye nelilungu. Oku kwenzeka nakwicandelo lesondlo.

Ngaba kunokuphephelwa?

Ukuvuthwa kwesibeleko kunye nomlomo wesibeleko kunokuthintelwa. Ukwenza oku, kufuneka uphulaphule iingcebiso zeengcali kwaye ulandele zonke iingcebiso ngexesha lokubeletha. Uninzi lwabasetyhini lufumanisa nzima kunzima ukuzilawula kule nkqubo. Kungenxa yoko kukho iingxaki ezahlukeneyo.

Ngaphambi kokuba ukhulelwe, kuyimfuneko ukuba uphononongo kwaye, ukuba kuyimfuneko, ukuba uphathe unyango. Kubalulekile ukuphawula ukuba ubukho besifo kunye neenkqubo ezivuthayo kubangela ukuvela kweengozi. La maqela amabhinqa anamaqabunga e-mucous avulekileyo, anetyholongwane ngamagciwane.

Ukuququzelela kunye nesiphelo esincinci sale nqaku

Ukuba sele usuqhelile kwaye uceba enye ukukhulelwa, kufuneka u tyelele umjobi wesifo ngaphambi kokuba. Ugqirha uya kuqhuba uviwo kwaye akunike iingcebiso eziyimfuneko.

Kwezinye iimeko, ukulungiswa kwangaphambili kungafuneka, oku kuya kunceda ukuphelisa iingxaki kwixesha elizayo. Yiba nempilo kwaye ungagula!