Kutheni abafazi abakhulelweyo nabasemva kokubeleka kufuneka banikele ingqalelo kutshintsho lokujiya kwegazi? Inxalenye yesiBini


Umbhali: Succeeder   

1. Ukujiya kwemithambo yegazi elahliweyo (DIC)
Abafazi ngexesha lokukhulelwa bande ngokwanda kweeveki zokukhulelwa, ingakumbi izinto ezibangela ukujiya kwesisu II, IV, V, VII, IX, X, njl. xa sele bekhulelwe, kwaye igazi labasetyhini abakhulelweyo likwi-condensate ephezulu. Inika isiseko esibonakalayo, kodwa kulula nokukhokelela ekubeni kubekho ii-DICs zokukhulelwa. Isifo esibangelwa yi-pathology sesinye sezizathu eziphambili zokufa komama. Uphando olwenziwe eJapan lubonisa ukuba ukwanda kwe-DIC ye-obstetrics kunye ne-gynecology yi-0.29% kwaye izinga lokufa liyi-38.9%. Phakathi kwezibalo ze-DICs ezingama-2471 kwilizwe lam, izithintelo ze-pathological zimalunga ne-24.81%, zilandela i-DIC esulelayo, zibekwe kwindawo yesibini.
I-DIC yokukhulelwa inokwenzeka ngexesha elifutshane, okanye ixesha elifutshane ekukhulelweni okukhawulezileyo, ekubelekeni, okanye emva kokubeleka. Ukopha okukhawulezileyo kwe-perinatal (ubuthathaka bokuncipha kwesibeleko, ukukrazuka kwesibeleko, ukugqabhuka kwesibeleko), ukukhupha isisu okubomvu kunye nosulelo lwangaphakathi kwesibeleko, isibindi esinamafutha ngexesha lokukhulelwa, kunye nokunye ukukhupha isisu okusulelayo nako kunokubangela i-DIC.

2. Kulula ukuyifaka
Ububi bungumngcipheko wesibini ngobukhulu kwi-VTE ngexesha lokukhulelwa, kwaye sesinye sezizathu zokukhupha isisu ngokuphindaphindiweyo kunye nokungazali. Phakathi kwezigulana ezine-VTE ngexesha lokukhulelwa kunye nokubeleka, ama-20%-50% anesifo esirhanelekayo, kwaye umngcipheko wokufumana ukuchaphazeleka ngokwesondo nakwimfuza wonyusa umngcipheko we-VTE ngexesha lokukhulelwa. Kubantu baseHan, ama-50% okulula kwemigaqo yokuziphatha kubangelwa kukungabikho kweproteni ye-anticoagulant. I-Anticoagulain ibandakanya i-PC, i-PS, kunye ne-AT. I-AT yeyona anticoagulant ibalulekileyo kwi-physiological plasma, ebangela ama-70-80% eziphumo ze-physiological anticoagulant zenkqubo engaphakathi. Ukususwa kunokuthintela ukwenzeka kwe-venous thrombosis kwaye kufumane izizathu zokukhupha isisu ngokuphindaphindiweyo kunye nokungazali.