'ano o ke kahe ana ke koko

Profluvium i kapaia o kahe ana ke koko mai ka moku i ke koko, a ia lŘlŘ like me ka hopena o kekahi poino. Ke kaumaha ma muli o nāʻano o ka poho, traumatic kahe ana ke kokoʻAno i (ma muli o ka poino) a me ka nontraumatic (ka popopo moku ola foci, e laʻa me, tuberculosis, Ka maʻi 'aʻai, ulcers).

I ka papa kuhikuhiE symptom mea he traumatic ka eha kahe ana ke koko. Ka wai kahe ana ma muli o ka hopena, puncture, incision, hōʻoni i ka vascular paia.

Koko clotting no kēlā me kēia kanaka pākahi. Mahalo i kēia aiiayʻano papa hana meaola i malama ia ia iho mai ka papakaukau koko poho a spontaneously mahana kekahi mea liʻiliʻi,ʻano nui capillary kahe ana ke koko. Kaʻeha ua sila ia me ka clot hana. Nō hoʻi, i ke kahe ana ke koko hiki ke hoopaaia ko moku contraction.

Kahe ana ke koko no ka i kapaia ka nele o ke koko clotting. Ua hiki ke hoike mai ai ia ia iho i loko o slowness a disproportionate lōʻihi like 'ole. People ka poe i ae aku i keia maʻi e kahe mau mai lohi me iki'aʻaʻa ka pōʻino.

Kekahi 'ano o nā hemorrhages mea he pilikia i ke kanaka kino. Nui ke koko poho hiki i ole wale i ka 'aʻe' ana i kino oihana, akā, i ona. Mua o nā mea a pau, i ka lolo, a me ka naau ia maʻiʻaʻai ka mea, aole i lawa ka lako me ka oxygen. E like me ia i kaʻilihune, ka mea i e lolo hypoxia.

Ke kaumaha ma muli o ka wahi, kahi a ke koko kahe, ke ano o ka kahe ana ke koko hiki ke maheleia i na a mawaho. Ma hope he mea hoʻomāhuahua o ka loli connective'aʻaʻa i loko o ke kino cavities.

Mawaho kahe ana ke koko, ano o ka a i hōʻike capillary (koko oozes paka ua o superficial eha), venous (ʻula wai copiously kahe ana mai o ka eha hohonu), ke koko (ao alohilohi iʻulaʻula ke koko, i mai eha hohonu) a me ka hui pū (o na aa koko a me arteries), Ua i ke koko o ke kanaka kino.

Pinepine i loko o nā wāhine ma hope o ka nahunahu hanau wehe postpartum hemorrhage. He hoʻonui i keia na membranes, kā lākou residues mea i aia i loko o ka uterus, haʻahaʻa ke koko, atonic uterine ana, kāna hana o ke koko coagulation, rupture o ka uterus.

Ma hope o ka hanau ana, i ka moʻolelo membranes aʻo i loko o au mamuli e hooholo i ko lakou completeness. Ka loa, he pono ole kumu o ke kahe ana ke koko o ka hikiʻole o ka uterus i ka palapala, i ka mea, i ke alo o ka postpartum uterine atony. Pela hoi, aole i auhele mea hiki ia i contractions o ka uterus.

Ke dysfunction kena ae la ia e preeclampsia, ahu iho myometrium, mea'ōnaehana mānowai koko maʻi, hakuʻala maʻi a ake maʻi, he Central ko mākou hopohopo'ōnaehana kāna hana, scarring myometrium, uterine neoplasms o ka uterine lua a me sprains. Ua ka poʻea pau i ka hua aʻe 'ana, e like me mau hāpai keiki, ka hua nui.

Ano o ka postpartum hemorrhage i kaawale ma kā lākou mau symptoms. He nui, ma a ka uterus mea i loko o atony, a me ka undulating, ma a ka uterus kekahi manawa relaxes a hookuu aku oia i ke koko clots.

e hiki ke koke a competently hoihoi kauka leo o ka uterus, hooki ke kahe ana ke koko. I ka wā i ke kino o ka hoʻokō 'ole' ia i kōkua inventories, a offset he nui koko poho, hope, a hiki aku i ka mahuahua koko. Pinepine i hoʻohuiʻia a hiki i kēia hemostasis, a ma laila hemorrhagic kŰia.

Pākōlea epekema no ka puka paha-partum kahe ana ke koko e lapaʻauʻia, me mechanical, aʻoki lāʻau lapaʻau. Me ka hopena maikaʻi result, i kēia mau kiʻina hana, kauka e manuale Ka Ikepili o ka uterine lua pa. Eia hou, i ka manuale lomilomi ua hana i ka mea e hoʻoulu uterine nona iho. ʻoki lāʻau lapaʻau ki ina hana like i hoʻohana ma inefficiency.