Ukuphuma kwesibeletho kungumonakalo owenziwe ngomshini ezindongeni zawo, okuholela ekwephuleni ubuqotho. Ngenye yezinkinga ezivame kakhulu futhi ezinzima ezenzeka kokubili ngesikhathi sokukhulelwa nangesikhathi sokuzalwa. Ukuqaphela okungenakuqhathaniswa nokuxilongwa kwesifo sofuba ezingaphezu kwamaphesenti angu-93% kubangela ukufa komama ekubelethweni. Ukuzibandakanya kuze kube yimanje kuyinto engavamile kakhulu, futhi ingaphansi kwe-1% yazo zonke ukuzalwa.
Ukuhlukaniswa kwe-uterine rupture
Ngokuya ngesikhathi sokubeleka kwesibeletho, okulandelayo kubonakala:
- ukuphuka komzimba okwenzeka ngesikhathi sokukhulelwa;
- ukuphuka komzimba, kuthuthukiswe ngesikhathi sokubeletha;
- ukuphumula okukodwa kwesibeletho.
Uhlobo lokuqala lwezinkinga luvele luvame kakhulu, futhi luba ngu-10% kuwo wonke ama-uterine rupture. Ngesikhathi sokubeletha ukukhulelwa kwesibeletho kungenzeka esikhathini sokuqala noma sesibili senqubo yokuzalwa. Lokhu kuchazwa kalula yilokho okwamanje ngalesi sibeletho esinokucindezeleka okukhulu ezindongeni zayo.
Ngokwezibonakaliso zemitholampilo, lezi zinhlobo zezinkinga ezilandelayo zihlukaniswa:
- Ukwesabisa ukuphuka kwesibeletho. Ivela lapho kusengaphambili kwe-fetus endleleni yokhokho isithiyo esikhiqiza esingavumeli ikhanda ukuba liqhubeke.
- Ukuqala kwegebe.
- I-uterus ephukile.
Izimbangela zokuphuka kwesisu
Izizathu eziyinhloko zokukhulelwa kwesibeletho yizi:
- I-pelvis encane yowesifazane. Kuyabonakala ezimweni lapho umthamo webeletha womama ungahambisani nobukhulu bekhanda le-fetus.
- Ukufaka okungalungile kwekhanda le-fetal ngaphakathi kwesikhumba somfazi ekubelethweni. Isibonelo sokwephulwa okunjalo kungase kube yi-previa kuhlobo oluxhasayo.
- Ukudumala kwezitho zokuzala. Ukuphuka kungenzeka ngesifo ezifana ne- uterine fibroids , etholakala entanyeni noma engxenyeni engezansi yesibeletho.
- Izibazi ezinzima. Ngokuvamile phakathi nenqubo yokuzalwa, inkinga efana nokuphuka kwesibeletho kulesi sikhungu kungenzeka. Cishe amaphesenti angu-90 azo zonke izikhala zenzeka ngokuqondile ku-cicatrix ekhona emgodini wesibeletho noma ezindongeni zesifazane. Izinguquko kwi-myometrium yomlingiswa wakhe we-hertopathic zihlala kuqala, phakathi kwezimbangela ezibangelwa ukuqubuka kwesisu.
- Ukukhipha isisu njalo emlandweni wesifazane. Indaba yukuthi ngesikhathi sokukhipha isisu ukwenziwa kwe-fetus kwenziwa, futhi ngenxa yalokho, ungqimba lwesibindi esiswini lulimale ngokungenakuphikelela.
Izimpawu zegebe
Ukuze kutholakale ukuthi kutholakala ukwanda kwesibindi ngesikhathi, ngesikhathi sokukhulelwa okwamanje owesifazane kufanele azi izimpawu ezilandelayo ezihambisana nale nkinga:
- isicasuli;
- ukuhlanza;
- izinhlungu ezitholakala ngokuyinhloko esifundeni se-epigastric, ngakwesokudla, yingakho abaningi bedidanisa le nkinga ngokuvuvukala kwesithasiselo.
Noma yikuphi ukukhulelwa okwenzeka ngemuva kokuqhekeka kwesibeletho kumele kube njalo ngudokotela.