Ungakugwema kanjani amahlule egazi ngesikhathi sokukhulelwa

Imfundo Yezempilo Izinkinga Zomama

Akukho lutho olufana nomuzwa wokungakwazi ukubamba umoya wakho. Lapho ngineminyaka engu-22 ubudala, ngaba nenkinga yokuphefumula. Ekugcineni ngaya esibhedlela lapho bangithola khona ngine-pulmonary embolism — ihlule legazi emaphashini, okuyisimo esingajwayelekile kumuntu oseminyakeni yami. Kamuva ngathola ukuthi nginesifo sofuzo esandisa amathuba ami okuba negazi.

Ihlwili lami laqhekeka futhi ngelashwa isikhashana ngemuva kwalokho ngabahlinza igazi. Kepha, bengazi ukuthi ngokuzayo kuzodingeka ngithathe izinyathelo ezisebenzayo uma ngizokhulelwa noma ngihlinzwa. Amahlule egazi ngesikhathi sokukhulelwa ayakhathaza omama abaningi abakhulelwe, kepha njengoba ngifundile, kunjalo kuyinto kungenzeka ukuphatha ubungozi bakho obukhulu.

Imbangela yamahlule egazi ngesikhathi sokukhulelwa

Ukujiya kwegazi kuyinqubo engokwemvelo eyenzeka lapho igazi lihlangana ndawonye lakha isisindo se-gelatinous. Le nqubo ivikela umzimba wakho ekopheni kakhulu lapho ulimele, njengoba ukunqandeka kungasivimba isilonda. Ekukhulelweni, umzimba unconyelwe ukuvimba ukuvimbela ukulahleka kwegazi ngesikhathi sokubeletha. Yize lokhu kubalulekile, ukuvala igazi (okubizwa nge-thrombosis) nakho kungadala izingqinamba, ikakhulukazi uma kwenzeka ngaphakathi emithanjeni yakho yegazi.

Lokhu kungenzeka kunoma yisiphi isitsha segazi emzimbeni. Kodwa-ke, indawo ejwayeleke kakhulu lapho amahlule egazi angajwayelekile ekhona emithanjeni ejulile yemilenze yakho. Lokhu kubizwa ngokuthi yi-deep vein thrombosis (DVT). Okukhathaza kakhulu ukuthi ihlwili lingagqashula liye kwezinye izingxenye zomzimba (amaphaphu ajwayelekile), okungaholela ezinkingeni ezinkulu noma ngisho nasekufeni.

Kulinganiselwa ukuthi abesifazane abakhulelwe bangase benze kuze kube amathuba aphindwe kahlanu ukuzwa amahlule egazi kunabesifazane abangakhulelwe. Izinguquko zeHormonal ekukhulelweni, kanye nengcindezi eyengeziwe emithanjeni evimbela ukuhamba kwegazi, kungadala amahlule egazi.

Ukuqina kwegazi emaphashini, okwaziwa nangokuthi i-pulmonary embolism, kuyimbangela ehamba phambili yokufa komama kwabesifazane abakhulelwe e-U.S., Ngokusho kwe Isikhungo se-UNC Hemophilia and Thrombosis . Futhi ingozi yokuba namahlule egazi ayikhona nje ngesikhathi sokukhulelwa-iyaqhubeka nokukhathazeka cishe amasonto ayisithupha ngemuva kokubeletha. Ukulethwa ngesigaba se-cearean (c-section) kucishe kuyiphindaphinde ingozi yakho ngemuva kokuzalwa.

Ubani osengozini yamahlule egazi ngesikhathi sokukhulelwa?

Noma ngubani angaba negazi ngesikhathi sokukhulelwa, noma kunjalo kungenzeka kakhulu ngaphansi kwezimo ezithile, noma kulabo abanezici ezithile eziyingozi.

Abesifazane abakhulelwe basengozini enkulu ye-DVT ngezizathu eziningana, kusho UNisha Bunke, MD , uchwepheshe we-vein kanye nodiplomate we-American Board of Venous and Lymphatic Medicine, isimo esingenakunyakaziswa (amaprotheni egazini asenza sibe sikhulu, futhi sibe namathuba amaningi okuba namahlule), isibeletho esikhulisiwe singafaka ingcindezi emithanjeni esesiswini esingezansi, futhi ama-hormone anciphisa ithoni ye-venous.

UDkt. Bunke unezela ngokuthi abanye besifazane banezici zobungozi ezandisa ubungozi be-DVT ngisho nangaphezulu ngesikhathi sokukhulelwa, njengezinkinga zokuzungeza igazi ezizuzwe njengefa, izimo zezokwelapha ezifana ne-lupus ne-sickle cell disease, ukukhuluphala ngokweqile, ukungakwazi ukuhamba nokuba neminyaka engaphezu kwama-35.

Ezinye izinto ezingakhuphula ubungozi bokujiya yilezi:

• Umlando womndeni wamahlule egazi
• Ukukhulelwa okuningi (amawele noma ngaphezulu)
• Ukuhamba amabanga amade (ukuhlala isikhathi eside)
• Ukuthula isikhathi eside, njengokulala embhedeni ngesikhathi sokukhulelwa
• Ezinye izimo zezokwelapha

Ngokwengeziwe, abanye abantu bangahle bathambekele ekutholeni amahlule egazi uma bene-thrombophilias, iqembu lezinkinga ezandisa ingozi yomuntu ye-thrombosis (ukujija kwegazi ngokungajwayelekile). Lokhu bekuyindaba yami, ngesimo esaziwa ngokuthi yi-Protein C Deficiency.

Izimpawu ze-DVT ekukhulelweni

Uphawu olusobala kakhulu lwe-DVT ukuvuvukala nobuhlungu obunzima noma ukuzwela ngokweqile komunye wemilenze yakho, kusho UDkt Kendra Segura , MD, i-OBGYN eqinisekiswe yibhodi eSouthern California. Ezinye izimpawu zifaka:

• Ubuhlungu emilenzeni ngenkathi ihamba
• Isikhumba sizwa sifudumele noma sithambile
• Ububomvu, imvamisa ngemuva kwedolo
• Ukuvuvukala
• Ukuzwela okunzima, okubuhlungu

UDkt Segura uthi uma uhlangabezana nalezi zimpawu kumele ufune usizo lwezempilo ngokushesha. Umhlinzeki wakho wezokunakekelwa kwempilo angadinga ukuhlolwa okwengeziwe ngoba akulula ngaso sonke isikhathi ukuxilonga i-DVT ekukhulelweni kusuka ezimpawu kuphela, ngokusho kukaDkt Segura.

Yize ukukhula kwamahlule egazini ngesikhathi sokukhulelwa kungaba yingozi, kusalokhu kungavamile — futhi kuyelapheka. Imithi ye-Anticoagulant (eyaziwa nangokuthi i-blood thinner) ingabhalwa ukusiza ukusiza ukuqeda ihlwili futhi igazi lihambe futhi. UDkt Segura uthi bobabili uHeparin no i-Heparin enesisindo esincane ziphephile lapho ukhulelwe kumama nengane . Umphumela oyinhloko wokuthatha izinciphisi zegazi yingozi eyengeziwe yokopha, ngakho-ke udokotela wakho uzokuqapha njengoba ukukhulelwa kuqhubeka.

Thola ikhadi lesaphulelo sakwaSingleCare

Ukopha kwesitho sangasese sowesifazane kanye namahlule egazi ngesikhathi sokukhulelwa

Kwesinye isikhathi ngesikhathi sokukhulelwa, abesifazane badlulisa amahlule egazi esithweni sangasese, okuyisizathu esiqondakalayo sokukhathazeka.

Esikhathini sokuqala sokuqala sokukhulelwa (izinyanga ezintathu zokuqala), abesifazane bangopha ngenxa yokufakwa (lapho iqanda elikhulelisiwe linamathela odongeni lwesibeletho) noma ngenxa yokukhulelwa kwasekuqaleni (ukukhulelwa kwesisu). Yize kungewona wonke amacala okudlula kwamahlule emasontweni okuqala ayi-12 ekhulelwe akhombisa ukulahleka, ukuphuma kwegazi esithweni sangasese ngesikhathi sokukhulelwa kuyimbangela yokukhathazeka, ngakho-ke kungcono ukulandela udokotela wakho wokubelethisa, udokotela wezifo zabesifazane, noma omunye uchwepheshe wezempilo.

Ku-trimesters wesibili nowesithathu, Ukopha kungadalwa yizinto ezahlukahlukene. Lokhu kungabandakanya ukukhulelwa kwesisu, ukubeletha ngaphambi kwesikhathi, noma okungahambi kahle kokubelethiswa kufaka phakathi i-placenta previa, noma ukuphazamiseka kweplacenta. Ukopha futhi ikakhulukazi ukudlula amahlule ngesikhathi sokukhulelwa kungaba uphawu lokukhulelwa kwesisu, ukubeletha ngaphambi kwesikhathi, noma ezinye izinkinga, ngakho-ke qiniseka ukuthi uxhumane nomhlinzeki wakho wezokunakekelwa kwezempilo uma uphuma igazi.

Ungayinciphisa kanjani ingozi yamahlule egazi lapho ukhulelwe

Uma kukhulunywa nge-DVT ekukhulelweni, ukuvikela kuyisihluthulelo. Ngokwami, ngangaziwa ukuthi nginengozi enkulu ngenxa yesifo se-thrombophilic, kanye nomlando wamahlule wangaphambilini. Lokhu kusho ukuthi nganikezwa umjovo we-Heparin (LMWH) onemijovo ephansi(Amakhuphoni kaFragmin | Imininingwane kaFragmin)isikhathi sokukhulelwa kwami ​​njengendlela yokuvimbela.

Kukhona nezinye izindlela zokuvimbela ezingasiza ekwehliseni ubungozi bamahlule, uDkt Segura uthi, kufaka phakathi:

• Ukugqoka amasokisi aminyene
• Ukugcina i-hydrated kahle
• Ukuhlala usebenza (Ukuvivinya umzimba njalo kuthuthukisa ukujikeleza kwegazi, amanothi kaDkt. Segura.)
• Ukugwema ukubhema
• Ukuxhumana nezinye izimo zezokwelapha kudokotela wakho

Amahlule egazi ayelapheka, noma ngabe ukhulelwe; kodwa-ke, ngenxa yezingozi ezihambisanayo kuwe nasenganeni yakho ekhulayo, ukutholakala nokwelashwa ngokushesha okukhulu kubalulekile.