Pambuyo pa machiritso - hematometer: zizindikiro, matenda, matenda

Hematometer ndi kuphwanya kwachirengedwe kowonjezera kwa magazi kuchokera m'chiberekero, chifukwa chaichi chimayamba kudziunjikira pamenepo. Matendawa amapezeka m'mabanja ambiri. Matendawa amapezeka kawirikawiri pambuyo pobaya chiberekero kapena kubereka. Kuvuta kwa kutuluka kwa magazi kuchokera ku chiwalo ichi ndi chifukwa cha kupewera kwake kokwanira, komanso chifukwa cha kutsekemera kwa mapepala kapena mapepala a pulasitiki ya khola lachiberekero. Matendawa poyamba amapezeka popanda zizindikiro, kotero amayi amapita ku chipatala ndi matenda osanyalanyazidwa.

Zomwe zimayambitsa

Hematometry - ndi chiyani ndipo n'chifukwa chiyani zimachitika? Tinazindikira kuti izi ndizokusungira magazi mu chiberekero cha uterine, chomwe chimayambitsa kuwombera, kuchita ndi kuchotsa mimba, mimba yopanda chitukuko komanso cholinga cha matenda. Chifukwa cha opaleshoni imeneyi, kokha pamwamba pa uterine mucosa kuchotsedwa.

Mfundo zazikulu zomwe zimatsogolera ku hematometer ndi izi:

• Pulogalamu yamakono a chiberekero. Matenda oterewa amaonedwa kuti ndi owopsa ndipo amapezeka kawirikawiri pambuyo pa zaka makumi anayi. Koma mwinamwake kuti mapuloteni amatsogolera ku maonekedwe a ziwalo, ndizochepa.
• Postpartum nthawi. Kuwonjezeka kwa chiopsezo cha kupangika kwa matenda amenewa pambuyo pobereka kumakhudzana ndi kuvulala ndi kupasuka kwa ngalande yobadwa.
• Kuchotsa mimba, pambuyo pake mu mimba sizingakhalebe zokha za mucosa, komanso ziwalo za mwanayo. Izi zimapangitsa kuti matendawa azioneka.
• Kujambula kwa chiberekero, kenako hematoma imapezeka kawirikawiri, chifukwa khola lachiberekero limachepa.
• Khansara ya endometrial.

Kodi matendawa ndi owopsa?

Mankhwala a hematometer atapanga mimba yozizira kapena opaleshoni ina m'dera lino ndi owopsa osati kokha kwa thanzi, koma pa moyo wa mkazi. Ngati mumanyalanyaza vutoli ndipo simukuchiritsidwa, ndiye kuti kungakhale kotupa kotupa komwe kumapangitsa kuti chiberekerocho chichotsedwe ndipo kuperewera kwabwino kumakhala kwakukulu.

Kuopsa koopsa kwa mafupa am'mimba ndi sepsis (poizoni wa magazi), omwe amawopsa.

Zizindikiro

Zizindikiro zomwe zimabwera pambuyo pobaya kapena kutulutsa hematoma zingakhale zofunikira, ndipo ngati mkazi atayang'anapo pa nthawi yake, amatha kuchiritsidwa pa nthawi ndikupewa mavuto aakulu.

Hematometer imawonetseredwa ndi kupweteka kwambiri m'mimba pamunsi, chifukwa pali kuthamanga kwa magazi pamakoma a chiberekero. Komanso, mayi ayenera kuchenjezedwa kuti kusamba kwa mimba kapena postpartum kunatha . Ngati apitilira, adzakhala ndi mtundu wodabwitsa komanso fungo losasangalatsa.

Pamene matendawa akupita, ngati palibe mankhwala a hematoma, zizindikiro zikhoza kukhala ndi zotsatirazi: chiwombankhanga ndi kutentha thupi. Ngati matenda akuyamba m'chiberekero, ululu waukulu umapezeka kale mu chiuno ndi m'chiuno. Pankhaniyi, m'pofunika kufunsa dokotala mwamsanga, chifukwa m'tsogolomu ululu udzawonjezeka. Panthawi imeneyi, dziko la febrile likutuluka, kutentha kwa thupi kumalumphira. Mkaziyo akuvutika kale kusunthira, ndipo ayenera kupita kuchipatala mwamsanga. Izi ndizo zizindikiro zazikulu za maimfa pambuyo pa chithandizo.

Zofufuza

Dokotala woyenerera adzazindikira mwamsanga molondola, pogwiritsa ntchito deta ili:

• Kulankhulana kwakukulu ndi katswiri wa amayi, ngati kukambirana kwachinsinsi kumathandiza kupititsa patsogolo mankhwala othandiza.
• Kusonkhanitsa anamnesis.
• Kuyeza kwadzidzidzi ndi kuyesedwa kwa bimanual, kumapangidwa mosakayika.
• Ultrasound kuyesa ziwalo za m'mimba.
• Hysteroscopy.
• Smear kuchokera kumaliseche, khola lachiberekero ndi urethra.

Mankhwala

Hematometer yomwe yatuluka pambuyo pochiritsidwa imachiritsidwa muzigawo zingapo. Choyamba, chiberekero chikuyeretsedwa mwazi wokhazikika mothandizidwa ndi mankhwala omwe amathandiza kuchepetsa. Kukonzekera koteroku kumaphatikizapo "Oxytocin". Mankhwalawa amathamangitsa mofulumira madzi, ndipo amasiya magazi ndipo amachepetsa ululu.

Dokotala akuyenera kuti asachotse zizindikirozo, koma kuti athetse chifukwa chomwe chimayambitsa matenda ngati hemometer (pambuyo pobaya). Chithandizo chimaphatikizapo kugwiritsa ntchito mankhwala monga Methylergometrine, Ergothal, Ergothamine, zomwe zimathandizanso kuchepetsa chiberekero. Koma ziyenera kukumbukiridwa kuti mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha kuyang'aniridwa ndi katswiri, popeza ali ndi mavuto ambiri komanso zotsatirapo.

Pofuna kuchepetsa chikhalidwe cha mkazi, zizindikiro zotsatirazi zimayikidwa: No-shpa, Spazgan, Spazmalgon. Mankhwalawa amatulutsa mimba ya uterine ndikulimbikitsa kutulutsa magazi. Ndi kofunikira kuti musatenge mankhwala osagwiritsa ntchito steroidal anti-inflammatory, kawirikawiri sulfonamides ndi mankhwala a phenylacetic acid gulu.

Zida zamakono

Ngati, ali ndi matenda monga hematometer (pambuyo pa mankhwala), mankhwalawa sanathe kupereka zotsatira zoyenera, dokotala akhoza kupereka njira yapadera yomwe magazi omwe amasonkhanitsira amachotsedwa pachiberekero.

Kujambula ndi kusakanizidwa kumagwiritsidwa ntchito povutitsidwa kwambiri ndi ngalande ya uterine. Komabe, ngati atayambitsa matenda a hematometer akutsatiridwa ndi chitukuko cha matenda opatsirana, njira zoterezi zimaphatikiziridwa ndi chiwonetsero chokwanira cha uterine ndi kayendedwe ka maantibayotiki.

Kutulutsa mpweya wa zinthu zomwe zili mu uterine zimapangidwanso, ndiko kuti, kuyamwa magazi opezeka m'thupi ili ndi zipangizo zapadera.

Amayi ambiri amasankha kuchiza matenda monga chiberekero cha chiberekero, mankhwala ochizira, omwe amachititsa zotsatira zoipa kwambiri. Mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo angathandize ngati mankhwala othandiza komanso okonza. Chithandizo chamankhwala sichitha kusintha m'njira zimenezi.

Zingakhale zovuta

Ngati chitetezo cha hematometer sichingathetsedwe, chikhoza kuchititsa mavuto aakuluwa:

• Endometritis (njira yopatsirana ndi yotupa, ikuyenda mu uterine cavity);
• Pyometra (kuwonjezereka kwa chifuwa mu chiberekero, kuphatikizapo kutupa kwa mazira ochuluka);
• Peritonitis ndi pelvioperitonitis (njira yopatsirana mu ziwalo za m'mimba);
• Sepsis (poizoni magazi);
• Kusadziletsa.

Kupewa

Pofuna kupewa matenda oterowo, m'pofunika kuthandizira zotsatirazi:

• Endometritis;
• Vulvovaginitis;
• Salpingo-oophoritis.

Kawirikawiri matenda opweteka a ziwalo amkati amachititsa ndondomeko yothandizira, choncho nkofunika kuti mayi alembedwe ndi mayi wa amayi. Dokotala amathandiza kuthandizira thanzi la amayi, kulimbikitsa kusankha bwino kwa njira za kulera, kupeletsa kuthekera kochotsa mimba.

Azimayi ambiri amasangalatsidwa ndi funso la zomwe zinachitika pambuyo poti hematoma yathyoledwa sichidzasokoneza mimba. Yankho lake kwa azimayi sangathe kukhala, chifukwa zonse zimadalira mavuto omwe amachititsa kuti vutoli liziyenda.

Kutsiliza

Choncho, yankho la funsoli linatsimikizirika bwino: "Kutupa kwa magazi - ndi chiyani?" Matendawa amayamba chifukwa chochotsa chiwalo cha uterine, ndipo chithandizo chake chosadutsa chingayambitse imfa ya wodwalayo. Mwachizolowezi cha amayi, pali zitsanzo zambiri pamene mkazi, masiku angapo atachotsa mimba kapena kubereka, alowa mu chipatala chachikulu. Choyambitsa ichi ndi hematometer, yomwe inayamba chifukwa cha zotsalira mu uterine dzira la fetus kapena placenta. Choncho, ndikofunika kwambiri kusamalira thanzi lanu.