Atony o ka Uterus

Anter

• He aha nā hōʻailona o Atony o ka Uterus?
• He aha ke kumu o Atony o ka Uterus?
• Nānā Atony o ka Uterus
• Nā pilikia o Atony o ka Uterus
• Lapaʻau no Atony o ka Uterus
• He aha ka manaʻo no ka poʻe me Atony o ka Uterus?
• Kāohi ʻana iā Atony o ka Uterus

He aha ka Atony o ka Uterus?

ʻO Atony o ka kōpū, i kapa ʻia he atony uterine, kahi ʻano koʻikoʻi e hiki ke hana ma hope o ka hānau ʻana. Hana ʻia ia ke kō ʻole ka uterus ma hope o ka hānau ʻana o ka pēpē, a hiki ke alakaʻi i kahi ʻano hoʻoweliweli paha i ʻike ʻia ʻo hemorrhage postpartum.

Ma hope o ka hānau ʻana o ka pēpē, hoʻopaʻa pinepine nā mākala o ka uterus, a i ʻole ka ʻaelike, e hāʻawi i ka placenta. Kōkua pū nā kuʻikuʻi i ke kō ʻana i nā kīʻaha koko i hoʻopili ʻia i ka placenta. Kōkua ka compression i pale i ke kahe ʻana o ke kahe. Inā ʻaʻole lawa ka ikaika o nā mākala o ka uterus, hiki i nā kīʻaha koko ke kahe wale. ʻO kēia ke alakaʻi i ka kahe nui ʻana o ke kahe, a i ʻole ka hemorrhage.

Inā loaʻa ʻoe atony o ka kōpū, pono ʻoe i ka lāʻau koke e kōkua i ka hoʻōki ʻana i ke kahe ʻana a me ke pani ʻana i ke koko i nalowale. Hiki ke koʻikoʻi loa ka hemorrhage postpartum. Eia nō naʻe, hiki i ka ʻike mua ʻana a me ka mālama ʻana ke alakaʻi i kahi ola hou.

He aha nā hōʻailona o Atony o ka Uterus?

ʻO ka ʻōuli nui o atony o ka kōpū kahi ʻōpū e hoʻomaha hoʻomaha a me ka ʻole o ka haunaele ma hope o ka hānau ʻana. ʻO Atony o ka kōpū kekahi o nā kumu maʻamau o ka hemorrhage postpartum. Hoʻomaopopo ʻia kahi hemorrhage postpartum ma ke ʻano he nalo o ka 500 mau mililiter o ke koko ma hope o ka lawe ʻia ʻana o ka placenta.

ʻO nā ʻōuli o ka heʻe hemorrhage:

• ka kahe nui loa a kaohi ʻole ʻia ma hope o ka hānau ʻana o ka pēpē
• hoʻemi i ke kahe o ke koko
• hoʻonui i ka helu o ka puʻuwai
• ʻeha
• he ʻehaʻeha

He aha ke kumu o Atony o ka Uterus?

Nui a hewahewa nā kumu i pale i nā mākala o ka uterus mai ka hana ʻana ma hope o ka hana. Pākuʻi ʻia kēia mau mea:

• hana hoʻolōʻihi
• hana wikiwiki loa
• overdistention o ka uterus, a i ʻole ka hoʻonui nui ʻana o ka uterus
• ka hoʻohana ʻana i ka oxytocin (Pitocin) a i ʻole nā ​​lāʻau ʻē aʻe a i ʻole ka anesthesia ākea i ka wā o ka hana
• hana hoʻokomo

Hiki paha ʻoe i kahi makaʻu kiʻekiʻe o atony o ka kōpū inā:

• ke hāʻawi nei ʻoe i nā lehulehu, e like me nā māhoe a i ʻole nā ​​kolikolu
• ʻoi aku ka nui o kāu pēpē ma mua o ka awelika, i kapa ʻia ʻo fetal macrosomia
• ʻoi aku kou nui ma mua o 35 mau makahiki
• momona ʻoe
• ʻoi aku ka nui o kāu wai amniotic, i kapa ʻia polyhydramnios
• ua hānau mua ʻoe he nui

Hiki pū kekahi ʻo atter Uterine i nā wahine i loaʻa ʻole nā ​​mea weliweli.

Nānā Atony o ka Uterus

Hoʻomaopopo pinepine ʻia ʻo Atony o ka pūpū ke palupalu a ʻoluʻolu ka uterus a nui ke kahe o ke kahe ma hope o ka hānau ʻana. Kuhi paha kāu kauka i ke kahe o ke koko ma ka helu ʻana i ka helu o nā pads saturated a i ʻole ke kaupaona ʻana i nā ʻanuʻu i hoʻohana ʻia e omo i ke koko.

E hana pū kāu kauka i kahi hoʻokolohua kino a hoʻopau i nā kumu ʻē aʻe o ke kahe ʻana. Hoʻopili pū kēia me ka hōʻoia ʻana ʻaʻohe waimaka o ka cervix a i ʻole ka pūpū a ʻaʻohe ʻāpana o ka placenta i loko o ka kōpū.

Hiki paha i kāu kauka ke hōʻoia a nānā paha i kēia:

• helu pākuʻi
• kaomi koko
• helu ʻulaʻula koko
• nā kumu hoʻohui i ke koko

Nā pilikia o Atony o ka Uterus

Hoʻokumu ʻo Atony o ka kōpū i ka 90 pakeneka o nā hihia hemorrhage postpartum, e like me ka Blood Transfusion i ka Clinical Practice. Hana pinepine ka hemorrhage ma hope o ka hānau ʻia ʻana o ka placenta.

ʻO nā pilikia ʻē aʻe o ka atony uterine pū kekahi:

• orthostatic hypotension, ʻo ia ka lightheadedness a i ʻole dizziness ma muli o ke kahena haʻahaʻa
• anemia
• luhi
• hoʻonui i ka makaʻu o ka hemorrhage postpartum i kahi hāpai hope

Hoʻonui ka anemia a me ka luhi ma hope o ka hānau ʻana i nā manawa o ka makuahine i loaʻa i ke kaumaha postpartum.

ʻO kahi paʻakikī koʻikoʻi o atony o ka kōpū ʻo hemorrhagic shock. Hiki ke hoʻoweliweli i kēia ʻano.

Lapaʻau no Atony o ka Uterus

Hoʻopaʻa ʻia ka mālama ʻana i ka hoʻōki ʻana i ke kahe ʻana a hoʻololi i ke koko i nalowale. Hāʻawi ʻia ka makuahine i nā wai IV, ke koko, a me nā huahana koko ke hiki koke.

ʻO ka mālama ʻana no atony o ka kōpū pū kekahi:

• ʻo ka lomilomi uterine, kahi e kau ai i kāu kauka i hoʻokahi lima i ka wana a hoʻokuʻikuʻi aku i ka ʻōpū ʻoiai ka lima ʻē aʻe e kaomi i ka kōpū ma o ka paia ʻōpū.
• nā lāʻau uterotonic me oxytocin, methylergonovine (Methergine), a me nā prostaglandins, e like me Hemabate
• hoʻoliʻiliʻi koko

I nā hihia koʻikoʻi, hoʻopili ʻia ka mālama ʻana:

• ʻoki kino e hoʻopaʻa i nā kīʻaha koko
• uterine artery embolization, e pili ana i ka hoʻopili ʻana i nā huna liʻiliʻi i loko o ke aʻa o ka uterine e ālai ai i ke kahe o ke koko i ka uterus
• hysterectomy inā pau ʻole nā ​​mālama ʻē aʻe

He aha ka manaʻo no ka poʻe me Atony o ka Uterus?

ʻO ka hemorrhage postpartum kahi kumu nui o ka make ma hope o ka hānau ʻana i nā ʻāina i kaupalena ʻia nā keʻena olakino a me ka nele o nā limahana olakino hoʻomaʻamaʻa. ʻO ka make ʻana mai ka hemorrhage postpartum he mea liʻiliʻi ia ma ʻAmelika Hui Pū ʻIa. Loaʻa ia ma lalo o 1 pakeneka o nā hihia.

Hoʻonui ka makaʻu o ka wahine i ka make mai ke ʻano ke loaʻa nā lohi i ka lawe ʻana i kahi haukapila, i ka hana ʻana i ka hōʻailona, ​​a i ka loaʻa ʻana o ka lāʻau i koi ʻia. Kūleʻa ka paʻakikī inā hāʻawi ʻia kahi lāʻau kūpono.

Kāohi ʻana iā Atony o ka Uterus

ʻAʻole hiki ke pale ʻia ʻo Atony o ka kōpū. He mea nui e ʻike kāu kauka pehea e mālama ai i kēia ʻano i nā pae hana āpau. Inā pilikia nui ʻoe i ka atony o ka uterus, pono ʻoe e hāʻawi i kāu pēpē i kahi haukapila a kikowaena paha i loaʻa nā lako pono āpau e hoʻoponopono ai i ke kahe o ke koko. Pono e hoʻomākaukau kahi laina intravenous (IV) a aia ma ka lima ka lāʻau. Pono e loaʻa nā limahana kahu hānai a me nā anesthesia i nā manawa āpau. He mea nui nō paha e hoʻomaopopo i ka panakō koko o ka pono kūpono no ke koko.

E nānā mau kāu kauka i kāu mau hōʻailona koʻikoʻi a me ka nui o ke kahe ʻana o ke kahe ma hope o ka hānau ʻana e ʻike ai i ka hemorrhage. Hāʻawi ʻia ka Oxytocin ma hope pono o ka lawe ʻana hiki ke kōkua i ka ʻaelike uterus. ʻO ka massage Uterine ma hope pono o ka lawe ʻia ʻana o ka placenta e hoʻoliʻiliʻi paha i ka makaʻu o atony o ka kōpū a he hana maʻamau ia i kēia manawa.

Lawe pū i nā huaora prenatal, me nā hoʻopiha hao, hiki ke kōkua i ka pale ʻana i ka anemia a me nā pilikia ʻē aʻe o atony uterine a me ka hemorrhage ma hope o ka hānau ʻana.