Kodi ndi zifukwa ziti zomwe zimayambitsa kusokoneza msanga?
Poyambirira, ziyenera kunenedwa kuti vutoli lingakhalepo panthawi yobereka mwana, komanso panthawi yobereka. Pachiyambi choyamba, madokotala amayesa momwe chikhalidwe cha uterine chimakhalira, kuwerengera malo a mwana wamwamuna amene ali ndi feteleza, ndipo ngati kuli kotheka, zimalimbikitsa njira yoberekera kapena kuika gawo la chakudya.
Pa nthawi yobereka, chitukuko cha maselo chimachepetsa nthawi ya njira yoperekera, kotero madokotala amatha kuyang'anitsitsa chikhalidwe cha mwanayo.
Ngati tilankhula momveka bwino zomwe zimayambitsa vutoli, ndiye kuti tifunika kutchula:
- Matenda a mtima wamtima (matenda oopsa kwambiri);
- matenda a urinary system (pyelonephritis, glomerulonephritis);
- late gestosis;
- zovuta;
- kupweteka m'mimba;
- polyhydramnios;
- mzere wamfupi wa umbilical;
- zokopa za njira yoberekera.
Kodi zizindikiro zazikulu zowonongeka kwa msanga ndi ziti?
Zizindikiro zazikulu za kuphwanya ndi izi:
- liwu lowonjezeka la uterine myometrium;
- kupweteka koopsa kwa pakhosi pamimba;
- chitukuko cha magazi oyambitsa uterine;
- hypoxia pachimake mwa mwanayo.
Tiyenera kudziwa kuti kutuluka kwa magazi kungakhale kunja ndi mkati (monga zotsatira, chimbudzi chimapangidwira). Pachifukwachi, matendawa amapezeka pokhapokha atathandizidwa ndi makina a ultrasound.
Kodi zotsatira za kusokonezeka kwa msanga kwa msanga?
Pankhani ya zotsatira za mkazi wobereka, zotsatirazi zikhoza kusankhidwa monga:
- Kutaya magazi mwachangu mu uterine myometrium (chiberekero Kuvelera);
- Matenda omwe amafalitsidwa ndi intravascular coagulation (kupanga magazi m'mitsempha ya magazi);
- kusokonezeka kwa magazi.