Imbangela yokufa komfazi okhulelweyo emva kokopha kwegazi kwabakumgangatho ophakathi, i-amniotic fluid embolism, i-pulmonary embolism, i-thrombosis, i-thrombocytopenia, usulelo lwe-puerperidal lubekwe phakathi kwezihlanu eziphezulu. Ukuchongwa komsebenzi wokujiya kwegazi kukamama kunokuthintela ngokufanelekileyo isiseko sesayensi se-DIC ebukhali kunye nesifo se-thrombosis esibangelwa kukopha kwegazi emva kokubeletha ngexesha lokuzala ngexesha lokuzala.

1. Ukopha emva kokubeleka
Ukopha kwegazi emva kokubeletha yenye yezona zinto ziphambili ezibangela iingxaki zokubeleka okwangoku kwaye zizizathu eziphambili zokufa kwabasetyhini abakhulelweyo, kwaye izinga lokwenzeka kwesifo libalelwa kwi-2%-3% yenani lilonke lokuzala. Ezona zinto ziphambili zokopha kwegazi emva kokubeletha kukuxinana kwamafutha, izinto ezibangela i-placenta, ukukrazuka okuthambileyo kokwaphuka kunye nokungasebenzi kakuhle kokwaphuka kwegazi. Phakathi kwazo, ukopha okubangelwa kukungasebenzi kakuhle kokwaphuka kwegazi kudla ngokuba kukuphuma kwegazi okuninzi okunzima ukukulawula. I-Essence PT, i-APTT, i-TT, kunye ne-FIB ziimvavanyo eziqhelekileyo zokuhlola ezisetyenziswa kakhulu kwi-plasma coagulation factor.

2. Isifo seTromic
Ngenxa yeempawu ezikhethekileyo zomzimba zabasetyhini abakhulelweyo, igazi lihambelana kakhulu kwaye ukuhamba kwegazi kuhamba kancinci. Inani labasetyhini abakhulelweyo abadala nabasengozini enkulu liyanda. Umngcipheko wabasetyhini abakhulelweyo abane-thrombosis uphindwe kane ukuya kahlanu kunabasetyhini abangakhulelwanga. Isifo se-thrombosis ikakhulu sisifo se-deep vein thrombosis kwimilenze esezantsi. Ukufa kwe-pulmonary embolism okubangelwa yi-thrombosis kuphezulu ukuya kuma-30%. Siye sasongela kakhulu ukhuseleko lwabasetyhini abakhulelweyo, ngoko ke kubalulekile ekuchongweni kwangethuba kunye nonyango lwe-venous thrombosis. Ingakumbi i-cesarean section yokopha emva kokubeletha okanye usulelo, okanye izigulane ezinezigulane ezifana nokutyeba kakhulu, uxinzelelo lwegazi, isifo se-autoimmune, isifo sentliziyo, isifo se-sickle cell, ukukhulelwa okuninzi, iingxaki zangaphambi kwexesha okanye iingxaki zokubeleka. Umngcipheko we-intravenous thrombosis uyanda kakhulu.