Zovuta Zamimba: Uterine Inversion

Zamkati

• Nchiyani chimayambitsa kusintha kwa chiberekero?
• Momwe mungazindikire kupindika kwa uterine
• Mayeso osokonekera
• Kodi mumatani ngati kupindika kwa uterine?
• Chiwonetsero

Chidule

Kusintha kwa chiberekero ndimavuto achilendo oberekera m'mimba momwe chiberekero chimatembenukira pang'ono kapena kunja.

Ngakhale kusokonekera kwa chiberekero sikuchitika pafupipafupi, ikachitika pamakhala chiopsezo chachikulu chaimfa chifukwa chakutaya magazi kwambiri ndi mantha. Komabe, imatha kuchiritsidwa bwino ndikuzindikira mwachangu, madzi am'mitsempha, ndikuyika magazi.

Nchiyani chimayambitsa kusintha kwa chiberekero?

Zomwe zimayambitsa kusokoneza chiberekero sizimamveka bwino. Komabe, zifukwa zotsatirazi ndizoopsa:

• ntchito yotalikirapo kuposa maola 24
• chingwe chachifupi cha umbilical
• kutumizidwa koyambirira
• kugwiritsa ntchito zopumira minofu panthawi yogwira ntchito
• chiberekero chachilendo kapena chofooka
• kupindika koyambirira kwa chiberekero
• placenta accreta, momwe placenta imakhazikika kwambiri mumtambo wa uterine
• kukhazikika kwazomwe zimayambira, momwe zimayambira pamwamba pa chiberekero

Komanso, kukoka mwamphamvu kwambiri pa umbilical kuti uchotse nsengwa kumatha kuyambitsa chiberekero cha uterine. Chingwe cha umbilical sichiyenera kukokedwa mwamphamvu. The latuluka ayenera mosamala ndi modekha anakwanitsa.

Pankhani ya placenta yomwe sinaberekedwe mkati mwa mphindi 30 kuchokera pobereka, kuyenera kupewedwa mwamphamvu kuchotsa pamanja. Apo ayi, pakhoza kukhala kukha mwazi ndipo matenda amatha.

Momwe mungazindikire kupindika kwa uterine

Dokotala amatha kuzindikira mosavuta kuti chiberekero chimasokonekera mosavuta. Zizindikiro zina monga:

• chiberekero chikutuluka kumaliseche
• chiberekero sichimakhala ngati chili pamalo oyenera
• Kutaya magazi kwambiri kapena kuchepa kwa magazi

Amayi amathanso kukumana ndi izi:

• mutu wopepuka
• chizungulire
• kuzizira
• kutopa
• kupuma movutikira

Mayeso osokonekera

Kusintha kwa chiberekero kumatanthauzidwa ndi kuopsa kwa kusokonekera. Magulu awa ndi awa:

• kutembenuka kosakwanira, komwe chiberekero chagwa, koma palibe chiberekero chomwe chidabwera kudzera pachibelekeropo
• kutembenuza kwathunthu, momwe chiberekero chimakhala mkati ndikutuluka khomo pachibelekeropo
• kutembenuka kochuluka, komwe pamwamba pa chiberekero kumatulukira kumaliseche
• kusokonekera kwathunthu, momwe chiberekero ndi nyini zili mkati

Kodi mumatani ngati kupindika kwa uterine?

Chithandizo chikuyenera kuyamba posachedwa kupindika kwa uterine. Dokotala amatha kukankhira pamwamba pachiberekero kumbuyo m'chiuno kudzera pachibelekeropo. Ngati latuluka silinalekanitse chiberekero nthawi zambiri limayikidwanso koyamba.

Anesthesia wamba, monga halothane (Fluothane) gasi, kapena mankhwala monga magnesium sulphate, nitroglycerin, kapena terbutaline angafunike.

Chiberekero chikadzakhazikitsidwanso, oxytocin (Pitocin) ndi methylergonovine (Methergine) amapatsidwa kuti athandize chiberekero kuti chisagwedezeke. Dokotala kapena namwino azisisita chiberekero mpaka chilonda chimatha.

Mayi adzalandiridwa madzi amkati ndi kuthiridwa magazi ngati kuli kofunikira. Apatsidwanso maantibayotiki kuti ateteze matenda. Ngati placenta idakalibe, dokotala angafunikire kuchichotsa pamanja.

Palinso njira yatsopano yothetsera kusokonekera kwa uterine pogwiritsa ntchito buluni ndi kuthamanga kwa madzi. Buluni imayikidwa mkati mwa chiberekero cha uterine ndikudzazidwa ndi mankhwala amchere amakankhira chiberekero pamalo ake.

Njirayi ndi yosavuta ndipo yakwanitsa kukhazikitsa chiberekero. Imathandizanso pakuchepetsa kutaya magazi ndikutchingira chiberekero kuti isazungunuke.

Ngati dotolo akulephera kutulutsa chiberekero pamanja pangafunike kuchitidwa opaleshoni. Mayi adzalandira mankhwala ochititsa dzanzi ndipo mimba yake idzatsegulidwa mwa opaleshoni. Chiberekero chikhazikikanso ndipo mimba itsekedwa.

Ngati gulu lolimba la chiberekero m'chiberekero likulepheretsa kuti lisayikenso, angapangidwe pang'ono kumbuyo kwa chiberekero. Kenako munthu angalowetse chiberekero n'kulichotsa pamatumbawo.

Ngati opaleshoni ikufunika, kutenga mimba kwamtsogolo kudzafuna kubereka. Ngati latuluka silingathe kulekanitsidwa ndi chiberekero, hysterectomy itha kukhala yofunikira.

Chiwonetsero

Kusintha kwa chiberekero ndizovuta komanso zovuta. Zitha kubweretsa kukha magazi, mantha, ndipo zitha kupha. Pali zinthu zomwe zimaika amayi pachiwopsezo chachikulu, koma vutoli limatha kuchitika kwa aliyense. Pomwe chiberekero sichingabwezeretsedwe pamalo, pamafunika opaleshoni.

Matendawa amakhala osavuta kuwazindikira ndipo kuchitapo kanthu mwachangu ndi chithandizo ndikofunikira pakukonza vutoli ndikuwonetsetsa kuti mayiyo ali ndi thanzi labwino. Akachiritsidwa mwachangu, mayiyo amatha kuchira popanda kuwonongeka kwa chiberekero kwanthawi yayitali.