Kubuda ropa kusina

Muitiro unotambudza, zvinetso zvekubuda ropa zvinokosha kwazvo. Mushure mezvose, kurasikirwa kweropa kukuru hakusi kungoita chikonzero chekufa kwemucheche, asiwo chiitiko chekutyisidzira kwehupenyu hwemukadzi.

Chirongwa chekubuda ropa muchivande

Kubuda ropa musina kubatwa panguva yekuzvitakura kunoratidzwa mumapoka anotevera:

• kubuda ropa muhafu yekutanga yekuzvitakura;
• kupera kwechikamu chechipiri chepamuviri;
• kubuda ropa panguva yebasa;
• postpartum hemorrhage.

Kuvonga uku kuiswa kwezvinyorwa zvinokonzera kupisa, zvinova pachena kuti zvinogona kuitika pamatanho akasiyana ekudzivirira. Zvakakosha kuziva kuti zvikonzero zvinokonzera kubuda ropa zvichave zvakasiyana zvichienderana nekuita kwegore. Uye zvakadaro, kurasikirwa neropa kuchaendeswa kune imwe neimwe yezvirwere zvehutano zviratidzo.

Kubuda ropa kunokonzera

Zvinokonzera kuvhiringidzika kwemakumbo mukati mehafu yekutanga yekuzvitakura zvinogona kuva ectopic pamuviri, chikwereti, kupererwa pamuviri. Muchikamu chechipiri chekuvhara muviri, kubuda kunoenda pamwe nechisimba chine nguva isati yasvika.

Zvimwe, tichaongorora zvikonzero zvinokonzera kuparara kwepfungwa panguva yekuberekwa. Kana kubuda ropa kwakaitika munguva yekutanga yebasa, ndiko kuti, panguva yekuzarura chibereko chechivharo, zvino izvi zvinogona kuva nemigumisiro:

• premature placental abruption;
• kushungurudzika kwemukati;
• kuputika kwechibereko .

Izvo zviitiko ndizvo zvinokonzera kurasikirwa kweropa muchikamu chechipiri chekuberekwa. Nguva yechitatu yekushanda, ndiko kuti, kupatsanurwa kwepentecenta, inosangana nemasimba makuru ekudzivirira zvipembenene mumatambudziko anotevera:

• ane dense, yakadzika kumera kwevillip placenta mumadziro emuviri;
• uye kunonoka kwezvikamu zvepakati pezviputi zvemukati muuterine cavity;
• kukanganisa kumapfekete akarereka emubhedha wokuberekwa.

Mumaawa ekupedzisira, kubuda ropa kunogona kukonzerwa nezwi redu rechibereko. Muchiitiko ichi, mishonga yemisumbu haina kubvumirana uye midziyo yeropa haigoni kupera, sechikonzero chekurasikirwa kweropa kuchiripo. Uyewo kune zvinokonzera kubuda ropa munguva iyi zvinosanganisira kushungurudzwa kwekuvhara ropa uye embolism neamniotic fluid.

Kutaura nezvekubuda ropa, zvakakosha kuziva zvikonzero zvinowanzoita zvekudzivirira gynecological kunze kwenguva yekubereka mwana. Izvi zvinosanganisira mapurops uye kenza yemukomana, uterine fibroids, endometriosis uye zvirwere zvehomoni.

Kudzivirira uye kurapa

Kudzivirirwa kwezvinyorwa zvinokonzera kupisa kunofanira kutanga nguva refu kusati kwatanga kuberekwa. Pashure pezvose, kukurudzirana kwakagadzikana kwehutano hwekuberekwa kwemukadzi ikozvino kunoderedza mungozi yekukura kwehutano panguva yekutakura mwana. Zvinokosha mukudzivirira ndiko kurapwa kwezvirwere zvisingaiti.

Kwose kubuda ropa kunoda kutakura zvakananga kuchipatara. Kurapa kwekuvhara ropa kunofanirwa kunoreva zvinotevera:

• rega kubuda ropa;
• kubviswa kwechikonzero chakakonzera kubuda ropa;
• kudzorerwa kwehemodynamics nekubvisa kukanganisa kwehuwandu hwekupararira ropa.

Zvose zvinokonzera kukonzera kurasikirwa kweropa zvinofanira kuitwa nokukurumidza zvikuru. Maitiro ekurapwa zvakananga anobva pauwandu weropa kurasikirwa uye nguva yehutumbi. Kuvhara nekuvhiya kweropa kunowanzodiwa. Kana zvisingakwanisi kubvisa kubuda ropa kukuru, kubviswa kwechibereko kunoratidzwa. Semuenzaniso, ne hypo-andonic uterus mu postpartum period, kana pasina zvinokonzerwa nemishonga yeutterotonic.

Emergency care in the event of obstetric hemorrhage is the fight against hypovolemic shock. Kuti uite izvi, shandisa chirwere chinoputika nemhinduro dzakasiyana-siyana. Kuedza kumira kubuda ropa mukati, Dicinone, aminocaproic uye tranexamic acid, NovoSeven inoshandiswa.