Kungani abesifazane abakhulelwe kanye nabesifazane abakhulelwe kufanele banake izinguquko zokwakheka kwamahlule? Ingxenye Yesibili


Umbhali: Succeeder   

1. Ukujiya kwemithambo yegazi elahliwe (DIC)
Abesifazane ngesikhathi sokukhulelwa bande ngokwanda kwamasonto okukhulelwa, ikakhulukazi izici zokuqina kwesisu II, IV, V, VII, IX, X, njll. ekupheleni kokukhulelwa, futhi igazi labesifazane abakhulelwe lisekujuleni okuphezulu. Kuhlinzeka ngesisekelo esibonakalayo, kodwa futhi kulula ukuholela ekuveleni kwe-DIC yokubeletha. Isifo esivame ukuba khona yisifo sesifo singenye yezimbangela eziyinhloko zokufa komama. Ucwaningo olwenziwe eJapane lubonisa ukuthi ukwanda kwe-DIC yokubeletha kanye ne-gynecology kungu-0.29% kanti izinga lokufa lingu-38.9%. Phakathi kwezibalo ze-DIC ezingu-2471 ezweni lami, ukuvinjelwa kwesifo kubalwa cishe ngo-24.81%, okwesibili kuphela kune-DIC ethelelanayo, okubekwe endaweni yesibili.
I-DIC yokubeletha ingenzeka ngesikhathi esifushane, noma isikhathi esifushane ekukhulelweni kokugcina, ekubelethweni, noma ngemva kokubeletha. Ukopha okubukhali kokubeletha (ubuthakathaka bokufinyela kwesibeletho, ukudabuka kwesitho sangasese sowesifazane, ukuqhekeka kwesibeletho), ukukhipha isisu okunobuthi kanye nokutheleleka ngaphakathi kwesibeletho, isibindi esinamafutha ngesikhathi sokukhulelwa, kanye nokunye ukukhipha isisu okuthelelanayo nakho kungaba yi-DIC.

2. Kulula ukuqopha
Ububi buyisici sesibili esikhulu sengozi ye-VTE ngesikhathi sokukhulelwa, futhi esinye sezizathu zokukhipha isisu okuphindaphindiwe kanye nokungazali. Phakathi kweziguli ezine-VTE ngesikhathi sokukhulelwa kanye nangemuva kokubeletha, u-20%-50% unesifo esingasolisayo, kanti ingozi yokuthola ukuthambekela kocansi kanye nofuzo yandise ingozi ye-VTE ngesikhathi sokukhulelwa. Kubantu baseHan, u-50% wokulula kokuziphatha kubangelwa ukuntuleka kweprotheni ye-anticoagulant. I-Anticoagulain ifaka phakathi i-PC, i-PS, kanye ne-AT. I-AT iyi-anticoagulant ebaluleke kakhulu ye-physiological plasma, ebangela u-70-80% wemiphumela ye-physiological anticoagulant yesistimu evalekile. Ukususwa kungavimbela ukwenzeka kwe-venous thrombosis futhi kutholakale izimbangela zokukhipha isisu okuphindaphindiwe kanye nokungazali.