Ihe ịrịba ama ịdọ aka na ntị mgbe emechara

Ndinaya

• 5 mgbanwe mgbanwe nwa mgbe ọ bụla
• 1. Ọbara na-esochi ọbara
• 2. entionnọchi Placental
• 3. Trombosis nke Venice
• 4. Akpuru akpa ume
• 5. Hypovolemic ujo
• Kedu dọkịta ị ga-achọ

Mgbe amuchara nwa nwanyi, nwanyi aghaghi ima ihe mgbaàmà ufodu nke puru igosiputa oria ndi aghagh ichoputa ma dozie ya nke oma iji dozie aru ike ya. Symptomsfọdụ ihe mgbaàmà ndị ekwesighi ileghara anya bụ ahụ ọkụ, nfu ọbara buru ibu, nhapu na isi ọjọọ, ahụ ọkụ na ume ọkụ ọkụ.

Na mpụta nke ọ bụla n’ime mgbaàmà ndị a, nwanyị ahụ ga-agarịrị ụlọọgwụ ngwa ngwa, ka enyocha ya ma lebara ya anya etu o kwesiri, dịka mgbaàmà ndị a nwere ike igosi oke nsogbu, dịka ijigide placental, thrombosis ma ọ bụ embolism, dịka ọmụmaatụ.

5 mgbanwe mgbanwe nwa mgbe ọ bụla

N'ebe a, anyị na-egosi mgbaàmà na ọgwụgwọ nke ụfọdụ ọnọdụ kachasị mgbe ịmụ nwa. Ndi ha bu:

1. Ọbara na-esochi ọbara

Ọnwụ nke ọbara buru ibu site na ikpu na-apụtakarị n'ime awa 24 mbụ mgbe amuchara nwa ahụ, agbanyeghị, mgbanwe a nwekwara ike ime ruo izu iri na abụọ mgbe nnyefe nkịtị ma ọ bụ nke ịwa ahụ n'ihi nhụsịrị nke placental fodt ma ọ bụ mgbawa nke akpanwa.

A na-ahụ ọbara ọgbụgba mgbe a nwụsịrị na mberede nke ọtụtụ ọbara na ọbara ọgbụgba siri ike, ọ dịkwa mkpa ịgbanwe pad ahụ kwa awa. Hụ mgbe ị ga-echegbu onwe gị gbasara ọbara ọgbụgba nwa.

Ihe a ga-eme:Mmadu kwesiri iga ozugbo na nke dibia, ebe obu na odi nkpa iji ogwu eji eme ka ndi mmadu ghara ikwusi. Dọkịta ahụ nwekwara ike ịhịa aka n'ahụ nke akpanwa ruo mgbe ọ ga-agbatị kpamkpam ma edozi ọbara ọgbụgba ahụ. Mụtakwuo banyere ọbara ọgbụgba nwa.

2. entionnọchi Placental

Mgbe ụdị ọ bụla nke nnyefe, obere foduru nke placenta nwere ike ịnọgide na-glued na akpanwa na-ebute ọrịa. N'okwu a enwere mmụba nke nje n'ime akpanwa, na-enwe nnukwu nsogbu, ebe ọ bụ na nje ndị a nwere ike iru n'ọbara ma bute septicemia, ọnọdụ dị oke njọ nke na-etinye ndụ nwanyị n'ihe ize ndụ. Mụọ otu esi amata ma gwọọ foduru nke placenta nọ n’ime akpanwa.

A na-ejigide njigide ebe a site na ọnụnọ nke ihe na-esi ísì ụtọ, ahụ ọkụ karịa 38ºC na ọnwụ nke ọbara na ọchịchịrị, ọbụlagodi mgbe ọ chachararịrị ma nwekwuo mmiri.

Ihe a ga-eme:Dọkịta nwere ike ịkọwa ọgwụ maka mgbatị nke akpanwa na iji ọgwụ nje mee ihe, mana mgbe mgbe, a na-ewepụ ihe ndị na-eme ka ọ bụrụ ebe a na-ewepu ya site na ọgwụgwọ uterine, usoro ịwa ahụ dị mfe nke enwere ike ịme n'ọfịs dọkịta, mana na nke a, a na-emekarị ya n'ụlọ ọgwụ . Ghọta ihe bụ ọgwụgwọ uterine na otu esi eme ya.

3. Trombosis nke Venice

Eziokwu nke ịgha ụgha ọtụtụ awa, ma ọ bụ na-arụ ọrụ, na n'ihi ọnụnọ nke obere ọbara ma ọ bụ gas, enwere ike ịmalite trombi nke na-egbochi ụzọ ziri ezi nke ọbara site na arịa ọbara nke ụkwụ. Ọ bụrụ na thrombus akwusi, ọ nwere ike iru obi ma ọ bụ ngụgụ na-ebute nsogbu ọzọ. Ihe eji eme thrombosis site na ọzịza na otu ụkwụ, mgbu nwa ehi, obi mgbawa ngwa ngwa na iku ume ọkụ ọkụ. Muta otu esi amata thrombosis.

Ihe a ga-eme: Dọkịta nwere ike ikwu na ị na-eji ọgwụ na-egbochi ọgwụ iji kwado nrịanrịa ọbara dịka warfarin na heparin, dịka ọmụmaatụ.

4. Akpuru akpa ume

Akpa ume embolism etịbe mgbe ihe embolus ma ọ bụ clot rute akpa ume, imebi ya ogbugba mmiri n'ubi. Site na mgbasa ọbara na-ebelata, akụkụ a na-emebi ma ihe mgbaàmà nke mkpụmkpụ ume, ike iku ume, mgbu obi, ụba obi, ọbara mgbali elu na ahụ ọkụ na-apụta. Ghọta ihe nkwanye akpa ume bụ.

Ihe a ga-eme:Dọkịta ahụ nwere ike ịkọwa ọgwụ mgbu na ndị na-egbochi ọgwụ mgbochi iji kwado nrịanrịa nke ọbara na iji ihe nkpuchi oxygen na n'ọnọdụ ụfọdụ ọ nwere ike ịdị mkpa ịwa ahụ. Hụ otu esi eme ọgwụgwọ nke akpa ume.

5. Hypovolemic ujo

Hypovolemic shock, nke a makwaara dị ka ọrịa ọgbụgba ọbara, bụ nsonaazụ nke ọgbụgba ọbara mgbe a mụsịrị nwa, n'ihi ọnọdụ a na-eme mgbe nwanyị ahụ tụfuru ọtụtụ ọbara, obi enweghị ike ịmịnye ọbara n'ụzọ zuru oke n'ime ahụ.

Typedị ujo a bụ ihe mgbakasị ahụ, uju, ọsụsọ, adịghị ike, isi ọwụwa siri ike ma na-adịgide adịgide, mkpụmkpụ ume ma ọ bụ ike iku ume, na mgbakwunye itinye ndụ nwanyị ahụ n'ihe egwu. Chọpụta ihe bụ ụzọ enyemaka mbụ maka ujo hypovolemic.

Ihe a ga-eme:Ọ chọrọ mmịnye ọbara iji mejupụta ọbara ole dị mkpa iji jigide ọrụ nke akụkụ niile na sistemụ. Ọ nwere ike were ihe karịrị 1 mmịnye ọbara, na mgbakwunye na iji ihe mgbakwunye ígwè maka izu ole na ole. Mgbe ọbara gụsịrị egosi na haemoglobin na ferritin dị na ụkpụrụ nkịtị, enwere ike ịkwụsị ọgwụgwọ.

Kedu dọkịta ị ga-achọ

Dọkịta egosiri na ọ ga-emeso mgbanwe ahụ mgbe ọ gwụchara ya ka nwere obstetrician mana ihe kachasị mkpa bụ ịga ụlọ ọgwụ ozugbo ị hụrụ otu n’ime mgbaàmà ndị a, na-agwa ha mgbe ha pụtara na ike ha. Dọkịta ahụ nwere ike ịnye nyocha dịka nyocha ọbara na transvaginal ultrasound, dịka ọmụmaatụ, iji chọpụta ihe kpatara ya wee si otú a malite ọgwụgwọ.

Nwanyị ga-enwerịrị onye otu enyi ma ọ nwere ike iru ala karịa ịhapụ nwa ahụ n'ụlọ ya na onye nlekọta ma ọ bụ onye ọzọ nwere ike ilekọta ya ruo mgbe ọ laghachiri ụlọ iji nwee ike ilekọta ya.