Bloody bugun jini

A cikin aikin obstetrical, matsalolin jini suna da matukar dacewa. Bayan haka, zubar da jini mai yawa zai iya zama ba kawai dalilin mutuwar tayin ba, amma har ma yanayin barazana ne ga rayuwar mace.

Ƙayyade na zub da jini a cikin obstetrics

Hanyar zubar da jini a lokacin daukar ciki an rarraba cikin kungiyoyi masu zuwa:

• zub da jini a farkon rabin ciki;
• lalacewa na rabin rabi na ciki;
• zub da jini lokacin aiki;
• kwantar da jini a kwakwalwa.

Na gode da wannan jigilar haɓakar obstetric, ya zama bayyananne cewa zasu iya faruwa a matakai daban-daban na ciki. Ya kamata a lura cewa asalin jini zai bambanta dangane da lokacin gestation. Sabili da haka, asarar jini za a haɗa tare da takamaiman don kowace yanayin cututtuka.

Hanyoyin jini na jini

Dalilin cututric hemorrhages a cikin rabin farko na ciki zai iya zama mai tsaurin ciki, wani mafitsara , wani ɓarna. A rabi na biyu na gestation, zub da jini yana tare da haɗuwa da ƙananan ciwon jini ko kuma gabatarwa.

Na dabam, zamu bincika abubuwan da ke haifar da haɓakar obstetric kai tsaye a lokacin haihuwa. Idan zub da jini ya faru a lokacin farko na aiki, wato, yayin da aka buɗe magunguna, to wannan yana iya zama sakamakon:

• gurɓataccen gurɓataccen gurbi;
• ciwo na cervix;
• rupture na mahaifa .

Irin wannan yanayi ne dalilin hadarin jini a mataki na biyu na haihuwa. Hanya na uku na aiki, wato, rabuwa da ƙwayar cuta, yana tare da halayen obstetric masifa a cikin wadannan lokuta:

• tare da mai zurfi, mai zurfi mai zurfi na ƙwayar villi cikin bango na mahaifa;
• tare da jinkirin sassa daban-daban na jikin mutum cikin ƙwayar uterine;
• lalacewa ga takalma mai laushi na canal haihuwa.

A cikin kwanakin baya, zubar da jinin zai iya haifar da sautin rageccen mahaifa. A wannan yanayin, ƙwayoyin ƙwayoyin tsoka ba su yin kwangila kuma jinin jini ba su ragu ba, sakamakon abin da hasara na jini ya ci gaba. Har ila yau da abubuwan da ke haifar da zub da jini a wannan lokacin sun haɗa da cuta na jini da kuma yaduwa ta hanyar ruwa.

Da yake magana game da zub da jini, dole ne a lura da abubuwan da suka fi dacewa akan zub da jini a jikin gynecology a lokacin da yaron yaron. Wadannan sun hada da polyps da ciwon daji, ƙwayar fibroids, endometriosis da cuta na hormonal.

Rigakafin da magani

Yin rigakafi na haɓakar obstetric ya kamata ya fara tun kafin farawar ciki. Bayan haka, haɗin haɓaka tsarin tsarin haihuwa na mace ya riga ya rage haɗarin ci gaban pathology yayin yarinyar. Muhimmancin rigakafi shine maganin cututtukan cututtuka.

Duk wani zub da jini yana buƙatar gaggawa zuwa ga asibiti. Jiyya na haɓakar obstetric ya kamata ya nuna matakai masu zuwa:

• dakatar da jini;
• kawar da dalilin da ya haifar da zub da jini;
• sabuntawa na hemodynamics ta hanyar kawar da ƙarancin ƙarar jini.

Duk gyaran da ake nufi da kawar da asarar jini ya kamata a gudanar da sauri sosai. Maganin magani ya dogara da ƙimar jini da kuma tsawon lokacin ciki. Tsayawa na zub da jini yana da mahimmanci. Idan ba zai yiwu a kawar da zub da jini ba, zubar da mahaifa ya nuna. Alal misali, tare da hypo- da atonic mahaifa a cikin lokacin postpartum, lokacin da babu wata tasiri daga kwayoyi uterotonic.

Kiran gaggawa a cikin abin da ke faruwa na kwantar da jini na obstetric shine yaki da girgizar hypovolemic. Don yin wannan, yi amfani da farfaɗɗun jituwa tare da wasu mafita. Don ƙoƙarin dakatar da zub da jini a cikin intravenously, Dicinone, aminocaproic da tranexamic acid, NovoSeven ana gudanar.