Okuqukethwe
Imibuzo emi-5 mayelana nokopha kokukhululwa
Indlela yokubona ukopha kusukela ekubelethweni?
Imvamisa, ingxenye yesine yehora ukuya engxenyeni enkulu yehora ngemva kokukhululwa komntwana, i-placenta iphuma odongeni lwesibeletho bese ithuthela ngaphandle. Lesi sigaba sihambisana nokopha okulinganiselwe, ngokushesha kumiswe umsebenzi wesibeletho ohlanganisa imithwalo ye-uteroplacental. Uma umama, kungakapheli amahora angama-24 ebelethile, elahlekelwa igazi elingaphezu kuka-500 ml, kubizwa ngokuthi.ukopha kusukela ekubelethweni. Lokhu kungenzeka ngaphambi noma ngemva kokubeletha kwe-placenta futhi kuthinte cishe 5 kuya ku-10% wokubeletha. Kuyisimo esiphuthumayo esinakekelwa ithimba lezokwelapha ngokushesha.
Kungani singopha ekulethweni?
Kwabanye omama bakusasa, i-placenta ifakwa iphansi kakhulu ngasesibelethweni noma inamathela kuyo ngendlela engavamile. Ngesikhathi sokubeletha, ukuhlukaniswa kwayo kuzobe kungaphelele futhi kubangele ukopha ngokweqile.
Ngokuvamile, ukukhathazeka kuvela esibelethweni esingawenzi umsebenzi waso wemisipha ngendlela efanele. Lokhu kubizwa ngokuthii-atony yesibeletho. Lapho konke kuhamba ngokujwayelekile, ukuphuma kwegazi emithanjeni ye-placenta ngemva kokubeletha kumiswe ukufinyela kwesibeletho esivumela ukuba sicindezelwe. Uma isibeletho sihlala sithambile, ukopha kuyaqhubeka. Ngezinye izikhathi ingxenye encane ye-placenta ingahlala emgodini wesibeletho futhi ivimbele ukuthi ingafinyeleli ngokuphelele, okwandisa ukulahlekelwa kwegazi.
Ukopha ngesikhathi sokubeletha: ingabe bakhona omama abasengozini?
Izimo ezithile zingavuna le nkinga. Ikakhulukazi lapho isibeletho sesivuleke kakhulu. Yilokhu okwenzeka kwabesifazane abakhulelwe abakhulelwe jumeaux, ingane enkulu, noma obani abanakho uketshezi oluningi lwe-amniotic. Abesifazane abahlushwa umfutho wegazi ophakeme noma isifo sikashukela ngesikhathi bekhulelwe nabo basengozini enkulu. Ngokunjalo nalabo abanayo wabeletha izikhathi eziningana noma sebevele benza a ukopha ekubelethweni ekukhulelweni kwangaphambilini. I ukudiliva okude kakhulu nazo ziyathinteka.
Kwelashwa kanjani ukopha kokubeletha?
Kunezixazululo eziningana. Okokuqala, uma i- placenta akaxoshwa, udokotela wezifo zabesifazane uzokwenza umsebenzi wokubelethisa obizwa ngokuthi “ ukulethwa kokwenziwa “. Kubandakanya, ngaphansi kwe-epidural noma ngaphansi kwe-anesthesia ejwayelekile, ukuya ukucinga ngesandla i-placenta.
Uma noma iyiphi imfucumfucu ye-placenta ishiywe ngaphakathi kwesibeletho, udokotela uzoyisusa ngokuqondile ngokwenza "ukubuyekeza kwesibeletho". Ukuvumela isibeletho ukuthi siphinde sithole ithoni yaso, ukusikhipha umzimba okumnene nokuqhubekayo kungasebenza. Ngokuvamile, izidakamizwa ezinikezwa ngemithambo zivumela isibeletho ukuthi sifinyele ngokushesha okukhulu.
Ikakhulukazi, lapho zonke lezi zindlela zihluleka, i-gynecologist ngezinye izikhathi iphoqeleka ukuba icabangele ukuhlinzwa kokuhlinzwa noma ukubiza i-radiologist ukuze uthole inqubo eqondile.
Ngaphezu kwalezi zindlela, uma ulahlekelwe igazi eliningi, uzonakekelwa udokotela obulala izinzwa ozonquma ukuthi uyakumpompela yini noma cha.
Ingabe singakugwema ukopha kokukhululwa?
Bonke omama abasanda kubeletha bagcinwa egunjini lokubelethela amahora ambalwa ukuze kubhekwe ukuhlehla okulungile kwesibeletho kanye nokuhlola izinga lokopha kwangemva kokubeletha.
A ukuqapha okwengeziwe ngesikhathi sokubeletha kuyadingeka komama abasengozini, futhi ukuvimbela noma yiziphi izinkinga, udokotela wezifo zabesifazane noma umbelethisi wenza ” ukulethwa okuqondisiwe “. Lokhu kuhilela ukujova i-oxytocin (into ebamba isibeletho) ngomjovo, ngokunembile impela lapho kuvela ihlombe langaphambili lomntwana. Lokhu kuvumela ukuxoshwa ngokushesha kwe-placenta ngemva kokuzalwa kwengane.
Ngesikhathi sokukhulelwa, omama asebevele benabo ukopha kusukela ekubelethweni izothola i-iron supplementation ku-trimester yesithathu ukunciphisa ingozi ye-anemia.