Zvakajairika kunzwa kutya uye kunetseka kana chiremba wako akaita scan panguva yekuzvitakura obva ati, "Pane mvura shoma yakakomberedza mwana." Kana kuti ko kana kurova kwemoyo kwemwana kukanonoka panguva yekusununguka uye ukaudzwa kuti imhaka yekushaikwa kwemvura? Muzviitiko izvi, tichataura nezvekurapa kwakakosha uye kwakakosha kunoshandiswa navanachiremba kubatsira amai nemwana.
Zvichitaurwa zviri nyore, chii chinonzi Amnioinfusion?
Kuiswa kweamnioinfusion inzira inodzoreredza huwandu hwemvura yeamniotic yakabviswa nekuisa mvura yakakosha muchibereko chako, uko mwana wako ari. Zvichitaurwa zviri nyore, iri kupa chibereko chako mvura yakaita sesaline. Izvi zvinosanganisira kuisa saline kana lactated Ringer's solution muchibereko chako uchishandisa chubhu tete inonzi catheter . Kuzadza mvura iyi kunobatsira kudzikamisa kurova kwemoyo wemwana wako uye kudzivirira mwana kuti asawane oxygen yakawandisa.
Tisati tanzwisisa kurapwa uku, ngatiziveiwo nezvezvinhu izvi
Tisati tataura zvakawanda nezvekurapa uku, ngatikurukurei muchidimbu zvinhu zviviri zvakakosha panyaya iyi.
Chii chinonzi Amniotic Fluid?
Mvura yeamniotic imvura inodzivirira inokomberedza mwana ari mudumbu. Inoshanda sechishongo chinodzivirira mwana. Mvura iyi inodzivirira mwana kubva kuzvirwere, inodzivirira rukuvhute kubva mukumanikidzwa, uye inobatsira mwana kufamba-famba mudumbu pasina matambudziko. Pamusoro pezvo, mvura iyi yeamniotic inokosha pakukura kwehurongwa hwekufema nekugaya kwemwana, uye pakugadzirisa tembiricha yemuviri. Saka kana mvura iyi isina kukwana, inogona kukanganisa hutano hwemwana pamwe nekusununguka.
Chii chinonzi Umbilical Cord?
Tambo yerukuvhute ndiyo nzira yehupenyu hwemwana ari mudumbu. Ndiyo inobatanidza mwana neplacenta. Mwana anowana okisijeni, kudya kunovaka muviri, neropa raanoda kuburikidza netambo iyi yerukuvhute. Saka, kana mvura yeamniotic yadzikira, tambo iyi yerukuvhute inogona kumanikidzwa. Kana izvozvo zvikaitika, okisijeni nekudya zvinogamuchirwa nemwana zvinokanganiswa, uye mwana anogona kusanzwa zvakanaka (fetal distress).
Muzviitiko zvipi panodiwa kurapwa kweamnioinfusion?
Kurapa uku hakusi kwemunhu wese. Vanachiremba vanongokushandisa mune dzimwe nguva. Ngationei kuti chii.
| Mamiriro | Tsananguro |
|---|---|
| Mvura yeamniotic yakaderera (Oligohydramnios) | Ichi ndicho chikonzero chikuru. Kurapwa uku kunofungwa kana huwandu hwemvura yakakomberedza mwana hwakaderera pane hwakajairwa . |
| Kudzvinyirirwa kwetambo yemusana | Kana mvura yemudumbu yaderera, tambo yemudumbu inogona kumanikidzwa. Izvi zvinoita kuti kurova kwemoyo wemwana kuchinje. Kana mvura yacho yaiswa, tambo yemudumbu inobvumirwa kuyerera zvakasununguka. |
| Kudzivirira kuberekwa nguva isati yakwana (Preterm Premature Ripture of Membranes) | Dzimwe nguva, mvura inogona kupwanyika nguva isati yakwana. Kana izvi zvikaitika, kunyanya mumwedzi yekutanga yekuzvitakura, mvura inopinzwa muchibereko kuti igadzire nzvimbo yakakodzera yekuti mwana agare mudumbu kwenguva yakareba. |
| Kudzivirira chirwere cheMeconium Aspiration | Meconium ndiyo tsvina yekutanga inobuda mudumbu. Inogona kusanganiswa nemvura yeamniotic. Inonyanya kuipa kana mwana akaimedza, asi inogonawo kufemedzwa. Amnioinfusion inoderedza njodzi iyi nekudiridza meconium. |
Chinhu chinonyanya kukosha ndechekuti chiremba wako asarudze kana uchida kurapwa uku kana kuti kwete, uye zvakanakira nekuipira kwahwo, zvichienderana nemamiriro ehutano hwako.
Pane zviitiko here apo amnioinfusion haifanirwe kuitwa?
Ehe, dzimwe nguva kurapwa uku hakuna kukodzera nekuti zvakachengeteka kusununguka mwana nekukurumidza pane kumurapa panguva iyoyo.
- Kana mwana ari mudambudziko guru remwana asati aberekwa, kurapwa uku hakugone kunonotswa kunyangwe nemaminitsi mashoma.
- Kana uine hutachiona hwakaita sehwemapundu kana humwe hutachiona hwechibereko.
- Kana uine placenta iri pasi (placenta previa) kana paine fungidziro yekuti placenta inogona kuvharika.
- Kana mwana ari mubhurukwa kana kuti ari mune imwe nzvimbo isingawanzoitiki, pane kudzika musoro pasi.
Kurapwa uku kunoitwa sei?
Izvi zvinganzwika sekutyisa zvishoma, asi zvinoitwa zvakarongeka.
Kutanga, chiremba achava nechokwadi chekuti mwana ari panzvimbo yemusoro-kutanga. Muromo wechibereko chako unofanirawo kunge wakakura nemasendimita 1-2.
Zvadaro, chubhu yakakosha inonzi Intrauterine Pressure Catheter (IUPC) inopinzwa muchibereko. Chubhu iyi yakabatana nezvishandiso zvakasiyana-siyana. Imwe inoyera kurova kwemoyo wemwana, imwe inoyera marwadzo echibereko, uye yechitatu inobaya saline solution.
Mushonga wesaline unoiswa zvishoma nezvishoma muchibereko kwemaminitsi gumi kusvika makumi matatu. Munguva iyi, vanachiremba nevanamukoti vachanyatsokutarisa iwe nemwana wako. Unganzwa kusagadzikana kana kurwadziwa mushure mekurapwa, izvo zvakajairika.
Ndezvipi zvakanakira kurapwa kweamnioinfusion?
Kuwedzera pakudzorera kurova kwemoyo wemwana, kurapwa uku kune zvimwe zvakanakira zvakawanda.
- Kuderedzwa kwenjodzi yekuvhiyiwa kwemwana (C-section).
- Kushomeka kwekushandisa zvishandiso zvakaita se forceps kana vacuum cleaner kunoderedza.
- Kuvandudza kuyerera kweropa neokisijeni kumwana kuburikidza nerukuvhute.
- Kubatsira kunonotsa kusununguka zvishoma kudzivirira matambudziko anokonzerwa nekuzvarwa nguva isati yakwana.
- Kuderedza kuwanda kwemvura yeamniotic ine meconium-stained.
- Mapoinzi eApgar emwana - chiyero chehutano hwemwana mushure mekuzvarwa - akakwira.
- Kuderedzwa kwenjodzi ye endometritis mushure mekusununguka, iyo inogona kuitika nekuda kwekushaikwa kwemvura yeamniotic.
Pane njodzi kana matambudziko here neizvi?
Kazhinji, kuisirwa amnioinfusion inzira yakachengeteka uye inoshanda. Zvisinei, semamwe maitiro ekurapa, kune dzimwe njodzi. Izvi hazviwanzoitiki.
| Njodzi / Matambudziko | Tsananguro |
|---|---|
| Chorioamnionitis | Kutapukirwa kweplacenta uye amniotic fluid. |
| Kudonha kwetambo yemusana | Tambo yerukuvhute ichidzika nepamuromo wechibereko. Izvi zvinokonzeresa emergency. |
| Polyhydramnios | Kuwedzera kwehuwandu hwemvura yeamniotic muchibereko. |
| Kuzvimba kwechibereko zvakanyanya | Chibereko chinokura nekuda kwekuwedzera kwemvura. |
| Kuboorwa kwechibereko | Kashoma, kukuvara kwemadziro echibereko nekuda kwecatheter. |
Chiremba wako achakuzivisa nezvenjodzi idzi dzose uye achakutarisa nokungwarira panguva yekurapwa uye mushure mekurapwa.
Mharidzo Yekuenda Nayo Kumba
- Kuiswa kweamnioinfusion inzira yekurapa inodzoreredza huwandu hwemvura yemudumbu panguva yekusununguka kana kuti vasati vasununguka nekuisa mvura yakaita sesaline muchibereko.
- Chinangwa chikuru cheizvi ndechekudzivirira kudzvanywa kwerukuvhute, kudzoreredza kurova kwemoyo wemwana, uye kuona kuti mwana anowana okisijeni.
- Kunyangwe iyi nzira yakachengeteka, sezvinoitwa nedzimwe nzira dzese dzekurapa, pane dzimwe njodzi diki.
- Kana uchinzwa sekuti uri kubuda mvura kubva munhengo yako yesikarudzi panguva yekuzvitakura, enda kuna chiremba wako nekukasika kuti uone kana iri tsvina inobva munhengo yako yesikarudzi.
- Kana muine mibvunzo nezvekurapa uku kana huwandu hwecalcium muropa renyu, musazeza kutaura nachiremba wenyu. Iye achakutsanangurirai zvese.
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