Nsogbu Ime Ime: Ntugharị Uterine

Ndinaya

• Kedụ ihe na - akpata mgbanwe akpa nwa?
• Etu esi achọpụta nchoputa nke akpanwa
• Ugo nke inversion
• Kedụ ka ị si emeso ntụgharị nke eriri akpa nwa?
• Echiche

Nchịkọta

Ntughari nke akpanwa bu ihe mgbagwoju anya nke nnyefe nwanyi ebe akpanwa na-agbanye ma obu kpamkpam n'ime.

Ọ bụ ezie na ntụgharị nke akpanwa anaghị eme ọtụtụ mgbe, mgbe ọ na-eme, enwere ike ịnwụ ọnwụ n'ihi oke ọbara ọgbụgba na ujo. Otú ọ dị, a pụrụ ịgwọ ya nke ọma site na nchoputa ngwa ngwa, mmiri ogwu n’akwara, na mmịnye ọbara.

Kedụ ihe na - akpata mgbanwe akpa nwa?

Achọpụtaghị ezi ihe kpatara ntụgharị nke akpanwa. Agbanyeghị, ihe metụtara nsogbu ndị a metụtara ya:

• ọrụ dị ogologo oge karịa awa 24
• ndu mkpụkpu
• tupu nnyefe
• iji mgbatị ahụ ike n'oge ọrụ
• ndiiche ma ọ bụ adịghị ike akpanwa
• ntụgharị nke akpanwa gara aga
• placenta accreta, nke placenta miri emi nke ukwuu na mgbidi eriri akpa nwa
• ntinye ego nke placenta, nke placenta na etinye ya na elu nke akpanwa

Ọzọkwa, ịdọrọ nke ọma na eriri nwa eriri afọ iji wepu placenta nwere ike ime ka mgbanwe nke akpanwa. Ejighị ike ịdọpụ eriri eriri nwa n'ike. Plasenta kwesiri iji nlezianya na nke oma.

N'ihe banyere placenta nke na-amụtabeghị n'ime minit 30 mgbe amuchara nwa, a ga-ezere iwepụ aka n'ike. Ma ọ bụghị ya, enwere ike ịmịnye ọbara na ọrịa nwere ike ịmalite.

Etu esi achọpụta nchoputa nke akpanwa

Dọkịta nwere ike ịchọpụta mgbanwe eriri akpa nwa na-adịkarị mfe. Ihe mgbaàmà nwere ike ịgụnye:

• akpa nwa na-apụta site na ikpu
• akpanwa anaghị adị ka ọ nọ n’ebe kwesịrị ekwesị
• ọbara na-erugharị ma ọ bụ na-ebelata ọbara mgbali elu ngwa ngwa

Nne ahụ nwekwara ike ịnata ụfọdụ n'ime ihe mgbaàmà ndị na-esonụ nke ujo:

• ọkụ isi
• Ibu ubo
• oyi
• ike ọgwụgwụ
• mkpụmkpụ nke ume

Ugo nke inversion

A na-akọwa ntụgharị nke akpanwa site na ike nke ntụgharị. Ndị a na-agụnye:

• ezighi ezi inversion, nke elu nke akpanwa dara, ma ọ dịghị nke akpanwa abatala site na cervix
• zuru ezu inversion, nke akpanwa dị n'ime ma pụta cervix
• prolapsed inversion, nke nke elu akpanwa na-apụta nke ikpu
• ngụkọta inversion, nke ma akpanwa na ikpu nọ n'ime

Kedụ ka ị si emeso ntụgharị nke eriri akpa nwa?

Ọgwụgwọ kwesiri ibido ozugbo amataghị ntụgharị akpanwa. Dọkịta nwere ike ịmanye elu nke akpanwa azụ n'ime pelvis site na cervix gbasaa. Ọ bụrụ na placenta anaghị ekewa akpanwa na-ebuteghachi ụzọ.

Anesthesia izugbe, dịka halothane (Fluothane) gas, ma ọ bụ ọgwụ ndị dị ka magnesium sulfate, nitroglycerin, ma ọ bụ terbutaline nwere ike ịchọ.

Ozugbo a gbanwere akpanwa, a na-enye oxytocin (Pitocin) na methylergonovine (Methergine) iji nyere akpanwa aka ịkwado ma gbochie ya ịghaghachi ọzọ. Ma ọ bụ dọkịta ma ọ bụ nọọsụ ga-ete aka akpanwa ruo mgbe ọ ga-agbatị kpamkpam na ọbara ọgbụgba ga-akwụsị.

A ga-enye nne ahụ mmiri ogwu n’akwara na mmịnye ọbara ma ọ bụrụ na ọ dị mkpa. A ga-enyekwa ya ọgwụ nje iji gbochie ọrịa. Ọ bụrụ na enwetaghị placenta, dọkịta nwere ike iji aka wepu ya.

E nwekwara usoro ohuru iji dozie mgbanwe nke akpanwa site na iji ngwaọrụ balloon na nrụgide mmiri. A na-etinye balloon n'ime oghere nke akpanwa ma jupụta na nnu nnu iji mee ka akpanwa laghachi n'ọnọdụ.

Usoro a dị mfe ma nwee ihe ịga nke ọma na ntinyeghachi akpanwa. Ọ dịkwa irè na ịkwụsị ọbara ọgbụgba na igbochi akpanwa ịmịgharị ọzọ.

Ọ bụrụ na dọkịta enweghị ike iji aka ya weghachite akpanwa ọrụ nwere ike ịdị mkpa. A ga-enye nne ahụ ọgwụ nrịanrịa na ịwa ahụ afọ. A ga-etinyezi akpanwa ahụ ma mechie afọ ya.

Ọ bụrụ na eriri anụ ahụ kpụkọrọ akpụkọ n’ime akpanwa na-egbochi ya ịbighachi ya, a ga-eme ihe mbepụ tinyere akụkụ azụ nke akpanwa. Enwere ike dochie akpanwa ahụ ma mezie ebe mgbatị ahụ.

Ọ bụrụ na ọ dị mkpa ịwa ahụ, ịtụrụ ime n'ọdịnihu ga-achọ ka a mụọ ya. Ọ bụrụ na placenta enweghị ike ikewa ya site na akpanwa, hysterectomy nwere ike ịdị mkpa.

Echiche

Ntughari nke eriri akpa nwa bụ ọnọdụ dị obere ma dị njọ. Ọ nwere ike ibute oke ọbara ọgbụgba, ujo, na ọ nwere ike ịnwụ. Enwere ihe na-etinye ụfọdụ ụmụ nwanyị n'ọnọdụ dị elu, mana ọnọdụ ahụ nwere ike ịdabara onye ọ bụla. N’ebe a na-enweghị ike iweghachi akpanwa ahụ, enwere ike ịchọ ịwa ahụ.

Ọnọdụ a na-adịkarị mfe nchọpụta ma mee ngwa ngwa na ọgwụgwọ dị mkpa iji dozie ọnọdụ a na ịhụ na ahụike na ahụike nke nne. Ọ bụrụ na a gwọọ ya ngwa ngwa, nne nwere ike gbakee n'ụzọ zuru oke n'emeghị ka ọ ghara imebi akpanwa ya ogologo oge.