Mlembi: Roger Morrison
Tsiku La Chilengedwe: 2 Sepitembala 2021
Sinthani Tsiku: 14 Novembala 2024
Anonim
Zizindikiro Zochenjeza Pambuyo Pakubereka - Thanzi
Zizindikiro Zochenjeza Pambuyo Pakubereka - Thanzi

Zamkati

Pambuyo pobereka, mayiyo ayenera kudziwa zina mwazizindikiro zomwe zitha kuwonetsa matenda omwe akuyenera kudziwika ndikuwathandizidwa moyenera ndi adotolo kuti akhale ndi thanzi labwino. Zizindikiro zina zomwe siziyenera kunyalanyazidwa ndi malungo, kutayika kwa magazi ambiri, kutuluka ndi fungo loipa, malungo komanso kupuma movutikira.

Ndi mawonekedwe azizindikiro zilizonse, mayiyu ayenera kupita kuchipatala mwachangu, kukayezetsa ndikuchiritsidwa moyenera, chifukwa zizindikirazi zimatha kuwonetsa zovuta zazikulu, monga kusungika kwamatenda, thrombosis kapena embolism, mwachitsanzo.

5 wamba postpartum amasintha

Apa tikuwonetsa zizindikilo ndi chithandizo cha zina mwazofala kwambiri akabereka. Kodi ndi awa:

1. Kutaya magazi pambuyo pobereka

Kutaya magazi ambiri kudzera kumaliseche kumachitika mkati mwa maola 24 mwana akabadwa, komabe, kusintha kumeneku kumatha kuchitika mpaka masabata khumi ndi awiri atabereka mwachizolowezi kapena kubisala chifukwa chobowoleza mwadzidzidzi zotsalira zam'mimba kapena kuphulika kwa chiberekero.


Kutaya magazi kwa Postpartum kumadziwika ndikutaya mwadzidzidzi kwa magazi ambiri komanso kutuluka magazi kwambiri kumaliseche, ndipo ndikofunikira kusintha pedi ola lililonse. Onani nthawi yoti mudandaule za kutuluka magazi pambuyo pobereka.

Zoyenera kuchita:Munthu ayenera kupita kwa dokotala nthawi yomweyo, chifukwa ndikofunikira kugwiritsa ntchito mankhwala omwe amalimbikitsa kufinya kwa chiberekero. Dotolo amathanso kutikita msanga chiberekero mpaka chigwirane kwathunthu ndikutuluka magazi kuthetsedwa. Dziwani zambiri za kutaya magazi pambuyo pobereka.

2. Placental posungira

Pambuyo pobereka kwamtundu uliwonse, zotsalira zazing'ono zamasamba zimatha kulumikizidwa m'chiberekero zomwe zimayambitsa matenda. Pachifukwa ichi pali mabakiteriya ochulukirapo mkati mwa chiberekero, omwe atha kukhala owopsa, chifukwa mabakiteriyawa amatha kufikira magazi ndikupangitsa septicemia, vuto lalikulu lomwe limaika moyo wachikazi pachiwopsezo. Phunzirani momwe mungazindikire ndikusamalira zotsalira za placenta m'chiberekero.

Kusungidwa kwa Placental kumadziwika ndi kupezeka kwa zotuluka zonunkhira, malungo opitilira 38ºC komanso kutayika kwa magazi amdima komanso owoneka bwino, ngakhale atakhala owonekera kale komanso madzi ambiri.


Zoyenera kuchita:Dokotala amatha kupereka mankhwala othandizira chiberekero ndikugwiritsa ntchito maantibayotiki, koma nthawi zambiri zotsalira zimachotsedwa kudzera kuchipatala cha uterine, njira yosavuta yochitira opaleshoni yomwe ingachitike ku ofesi ya dokotala, koma pakadali pano, imachitika kuchipatala . Mvetsetsani tanthauzo la mankhwala a chiberekero komanso momwe zimachitikira.

3. Vousous thrombosis

Chowona chonama kwa maola ambiri, kapena mukumva zowawa, komanso chifukwa cha kupezeka kwa magazi ang'onoang'ono kapena mpweya, pakhoza kukhala mapangidwe a thrombi omwe amalepheretsa magazi kuyenda pamitsempha yamagazi ya mwendo. Thrombus ikasunthika, imatha kufikira mtima kapena mapapo zomwe zimayambitsanso mavuto ena. Thrombosis imadziwika ndi kutupa mu mwendo umodzi, kupweteka kwa ng'ombe, kugunda kwamtima mwachangu komanso kupuma movutikira. Phunzirani momwe mungadziwire thrombosis.

Zoyenera kuchita: Dokotala angalimbikitse kugwiritsa ntchito mankhwala oletsa antagagant kuti athe kuyendetsa magazi monga warfarin ndi heparin, mwachitsanzo.


4. Embolism embolism

Kuphatikizika kwa m'mapapo kumachitika pamene minyewa kapena chotsekera chafika m'mapapu, zomwe zimapangitsa kuti zisamayende bwino. Ndikuchepa kwa magazi, chiwalo ichi chimasokonekera ndipo zizindikiro za kupuma movutikira, kupuma movutikira, kupweteka pachifuwa, kugunda kwa mtima, kuthamanga kwa magazi ndi malungo zimawoneka. Mvetsetsani chomwe embolism ya m'mapapo.

Zoyenera kuchita:Dokotala amatha kupatsa mankhwala opha ululu ndi maanticoagulants kuti athandize magazi kuyenda komanso kugwiritsa ntchito chigoba cha oxygen ndipo nthawi zina kumakhala kofunikira kuchitira opaleshoni. Onani momwe chithandizo cham'mapapo am'mapapo chimachitikira.

5. Kusokoneza maganizo

Hypovolemic shock, yomwe imadziwikanso kuti hemorrhagic shock, ndi zotsatira za kukha magazi pambuyo pobereka, chifukwa izi zimachitika mayi atataya magazi ambiri, ndipo mtima sungathe kupopa magazi mthupi lonse moyenera.

Kugwedezeka kwamtunduwu kumadziwika ndi kugundagunda, chizungulire, thukuta, kufooka, mutu wamphamvu komanso wosalekeza, kupuma movutikira kapena kupuma movutikira, kuphatikiza pakuyika moyo wa mayiyo pachiwopsezo. Pezani njira zothandizila zoyamba kuthana ndi hypovolemic.

Zoyenera kuchita:Pamafunika kuthiridwa magazi kuti ubwezeretse kuchuluka kwa magazi ofunikira kuti ziwalo zonse ndi machitidwe azigwira bwino ntchito. Zitha kutenga kutenga magazi kamodzi, kuwonjezera pakugwiritsa ntchito zowonjezera mavitamini kwa milungu ingapo. Kuwerengera kwa magazi kukuwonetsa kupezeka kwa hemoglobin ndi ferritin munthawi zonse, chithandizo chitha kuthetsedwa.

Ndi dokotala uti amene muyenera kumuyang'ana

Dokotala yemwe adawonetsa kwambiri kuti athana ndi zosinthazi akabereka akadali wobereketsa koma chofunikira kwambiri ndikupita kuchipatala mukangoona chilichonse cha izi, ndikudziwitsa pomwe zidawonekera komanso kukula kwake. Dokotala amatha kuyitanitsa mayeso monga kuyezetsa magazi ndi transvaginal ultrasound, mwachitsanzo, kuti adziwe chomwe chimayambitsa ndikuyamba kulandira chithandizo.

Mayiyo ayenera kutenga mnzake ndipo zitha kukhala zomasuka kusiya mwana kunyumba ndi namwino kapena wina yemwe angamusamalire mpaka atabwerera kunyumba kuti adzamusamalire.

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