Me yasa mata masu juna biyu da kuma bayan haihuwa ya kamata su kula da canje-canjen jini a cikin jini? Kashi na Daya


Marubuci: Magaji   

Mummunan sanadin mutuwar mace mai juna biyu bayan zubar jini na matsakaicin matsayi, embolism na ruwa mai amniotic, embolism na huhu, thrombosis, thrombocytopenia, da kamuwa da cutar puerperidal da aka sanya a cikin manyan biyar. Gano aikin coagulation na uwa zai iya hana tushen kimiyya na DIC mai tsanani da cututtukan thrombosis da ke haifar da zubar jini bayan haihuwa yayin haihuwa yayin haihuwa.

1. Zubar jini bayan haihuwa
Zubar jini bayan haihuwa yana ɗaya daga cikin manyan abubuwan da ke haifar da rikice-rikicen masu juna biyu a halin yanzu kuma manyan abubuwan da ke haifar da mutuwar mata masu juna biyu, kuma yawan faruwar hakan ya kai kashi 2%-3% na jimillar adadin haihuwa. Manyan abubuwan da ke haifar da zubar jini bayan haihuwa su ne matsewar kitse, abubuwan da ke haifar da mahaifa, laceration mai laushi na laceration da rashin aikin coagulation. Daga cikinsu, zubar jini da ke faruwa sakamakon rashin aikin coagulation sau da yawa yakan zama babban adadin zubar jini wanda yake da wahalar sarrafawa. Essence PT, APTT, TT, da FIB gwaje-gwaje ne na tantancewa da aka saba amfani da su a cikin plasma coagulation factor.

2. Cutar Thromic
Saboda halaye na musamman na jikin mata masu juna biyu, jinin yana da tsari mai yawa kuma kwararar jini yana raguwa. Yawan mata masu juna biyu da suka tsufa da waɗanda ke da haɗarin kamuwa da cutar yana ƙaruwa. Haɗarin mata masu juna biyu da ke fama da cutar thrombosis ya ninka na mata masu juna biyu sau 4 zuwa 5. Cutar thrombosis galibi ita ce zurfin jijiyoyin jini a ƙananan gaɓoɓi. Mace-macen embolism na huhu wanda thrombosis ke haifarwa ya kai kashi 30%. Ya yi barazana ga lafiyar mata masu juna biyu sosai, don haka yana da mahimmanci don gano da wuri da kuma magance cutar thrombosis ta venous. Musamman sashin cesarean na zubar jini ko kamuwa da cuta bayan haihuwa, ko marasa lafiya da ke da marasa lafiya kamar kiba, hauhawar jini, cututtukan autoimmune, cututtukan zuciya, cututtukan sickle cell, ciki da yawa, rikice-rikice na lokaci-lokaci kafin lokaci ko rikitarwa na haihuwa. Haɗarin thrombosis ta venous yana ƙaruwa sosai.