Lochia

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N'ọhịa obstetrics, lochia bụ ihe na-apụta n'ahụ nwanyị mgbe ọ mụsịrị nwa, nke nwere ọbara, mucus, na anụ ahụ akpa nwa.[1] Lochia discharge na-aga n'ihu ruo izu anọ ruo asatọ mgbe amuchara, oge a maara dị ka oge postpartum ma ọ bụ puerperium.[2] Nnyocha nke n'afọ 2016 jikọtara "oge obodo" a na omenala zuru ụwa ọnụ nke ịnọ n'ụlọ mkpọrọ mgbe amuchara, oge maka nne ọhụrụ na nwa ọhụrụ iji jikọta.

Lochia bụ nwa amụrụ n'ụbọchị abụọ mbụ, mana ọ bụghị n'ụbọchị nke atọ ma ọ bụ nke anọ, ka akpa nwa na-amalite site na commensals dị ka non-hemolytic streptococci na E. coli.[3]

Usoro[dezie | dezie ebe o si]

  1. Lochia rubra (ma ọ bụ cruenta) bụ mbupụ mbụ, nke nwere ọbara, iberibe nke membranes nwa, decidua, vernix caseosa, lanugo na membranes. Ọ na-acha uhie uhie n'ihi nnukwu ọbara ọ nwere. Ọ na-adịru 1 ruo 4 ụbọchị mgbe amuchara, tupu ọ dị mfe "ịcha".[4]
  2. Lochia serosa bụ okwu maka lochia nke na-agbada ma ghọọ na-acha nchara nchara ma ọ bụ pinki. O nwere serous exudate, erythrocytes, leukocytes, cervical mucus na microorganisms. Nzọụkwụ a na-aga n'ihu ruo n'ihe dị ka ụbọchị nke iri mgbe a mụsịrị ya. Lochia serosa nke na-adịgide ruo izu ole na ole mgbe amuchara nwere ike igosi ọbara ọgbụgba mgbe amucharịrị, a ga-ekwukwa ya na ndị dibịa .
  3. Lochia alba (ma ọ bụ purulenta) bụ aha maka lochia ozugbo ọ ghọrọ ọcha ma ọ bụ odo odo. Ọ na-adịkarị site na izu nke abụọ ruo nke atọ ruo nke isii mgbe a mụsịrị ya. O nwere mkpụrụ ndụ ọbara uhie ole na ole ma bụrụ nke leukocytes, mkpụrụ ndụ epithelial, cholesterol, abụba, mucus na microorganisms. Nga n'ihu karịa izu ole na ole nwere ike igosi mmerụ ahụ n'ahụ, nke a ga-agwa ndị dibịa.

Mgbagwoju anya[dezie | dezie ebe o si]

N'ozuzu, lochia nwere ísì yiri nke mmiri ịhụ nsọ. Ọsụsọ ọ bụla na-akpasu iwe ma ọ bụ mgbanwe na-acha agba agba na-egosi mmetọ site na ihe ndị dị ndụ dịka chlamydia ma ọ bụ staph saprophyticus.[5]

Lochia nke a na-ejidere n'ime akpa nwa a maara dị ka lochiostasis[6] ma ọ bụ lochioschesis, ma nwee ike ịkpata lochiometra[7] (distention nke akpa nwa - na-ebupụ ya n'ọdịdị). Lochiorrhea na-akọwa oke eruba nke lochia ma nwee ike igosi ọrịa.[8]

Ntụaka[dezie | dezie ebe o si]

  1. Murkoff (2002). What To Expect When You're Expecting, 3rd, New York: Workman. ISBN 0-7611-2132-3. “This discharge of leftover blood, muscus, and tissue from your uterus, known as lochia, is normally as heavy as (and sometimes even heavier than) a menstrual period for the first three to ten postpartum days.” 
  2. Oppenheimer (July 1986). "The duration of lochia". Br J Obstet Gynaecol 93 (7): 754–757. DOI:10.1111/j.1471-0528.1986.tb08063.x. PMID 3755355. 
  3. Hanretty (2009). Obstetrics Illustrated, Illustrated by Ian Ramsden and Robin Callander, 7th, Churchill-Livingston. ISBN 978-0-7020-3066-6. Retrieved on 13 November 2013. 
  4. Postpartum Bleeding: What To Expect and How To Manage It. Yoppie.com.
  5. What Is Lochia. Elite Doula.
  6. lochioschesis - definition of lochioschesis in the Medical dictionary - by the Free Online Medical Dictionary, Thesaurus and Encyclopedia..
  7. lochiometra - definition of lochiometra at the Free Dictionary by Farlex.
  8. Shevtsova. Postpartum Bleeding – The Healing Wound. Mother How. “Also, a profuse lochia discharge three weeks after childbirth can be a Àtụ:Sic of lochiorrhea. Lochiorrhea may indicate an infectious disease in a woman or a sign of disturbed blood coagulation.”