Imbangela yokufa kowesifazane okhulelwe ngemuva kokopha kwegazi kwesigaba esiphakathi, i-amniotic fluid embolism, i-pulmonary embolism, i-thrombosis, i-thrombocytopenia, ukutheleleka kwe-puerperidal kubekwe phakathi kwezinhlanu eziphezulu. Ukutholwa komsebenzi wokugoba kwama-coagulation kukamama kungavimbela ngempumelelo isisekelo sesayensi se-DIC esibi kanye nesifo se-thrombosis esibangelwa ukopha kwegazi kwangemva kokubeletha ngesikhathi sokubeletha ngesikhathi sokubeletha.
1. Ukopha ngemva kokubeletha
Ukopha ngemva kokubeletha kungenye yezimbangela eziyinhloko zezinkinga zokubeletha njengamanje kanye nezimbangela eziyinhloko zokufa kwabesifazane abakhulelwe, futhi izinga lokwenzeka libalelwa ku-2%-3% yenani eliphelele lokubeletha. Izimbangela eziyinhloko zokopha ngemva kokubeletha ukufinyela kwamafutha, izici ze-placenta, ukuqhekeka okuthambile kokusika kanye nokungasebenzi kahle kokugaya. Phakathi kwazo, ukopha okubangelwa ukungasebenzi kahle kokugaya ngokuvamile kuba inani elikhulu lokopha okunzima ukulilawula. I-Essence PT, i-APTT, i-TT, kanye ne-FIB yizivivinyo ezivamile zokuhlola ezivame ukusetshenziswa ku-plasma coagulation factor.
2. Isifo se-Thromic
Ngenxa yezimpawu ezikhethekile zomzimba zabesifazane abakhulelwe, igazi lihambisana kahle futhi ukugeleza kwegazi kuhamba kancane. Inani labesifazane abakhulelwe asebekhulile nabasengozini enkulu liyakhula. Ingozi yabesifazane abakhulelwe abane-thrombosis iphindwe kane kuya kahlanu kuneyabesifazane abangakhulelwe. Isifo se-thrombosis ikakhulukazi i-deep vein thrombosis ezithweni ezingezansi. Ukufa kwe-pulmonary embolism okubangelwa yi-thrombosis kuphezulu ngamaphesenti angama-30. Kusongele kakhulu ukuphepha kwabesifazane abakhulelwe, ngakho-ke kubalulekile ekuhlonzweni nasekulashweni kwe-venous thrombosis kusenesikhathi. Ikakhulukazi ukuhlinzwa kokuhlinzwa kokuphuma kwegazi ngemuva kokubeletha noma ukutheleleka, noma iziguli ezineziguli ezifana nokukhuluphala ngokweqile, umfutho wegazi ophakeme, isifo sokuzivikela komzimba, isifo senhliziyo, isifo se-sickle cell, ukukhulelwa okuningi, izinkinga zangaphambi kwesikhathi noma izinkinga zokubeletha Ingozi ye-thrombosis emithanjeni iyanda kakhulu.
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