Kuwedzera kwemvura yakakomberedza mwana panguva yekuzvitakura (Polyhydramnios): Chinhu chekunetseka nacho here?

Kana uri amai vane rudo vari kutarisira mwana, une zvinhu zvakawanda mupfungwa dzako nezvemwana ari mudumbu mako. Unoda kunzwa zvinotaurwa nachiremba mushure mekuongororwa kwese kwese. Asi kana chiremba akangoerekana ati chimwe chinhu chakaita sekuti "kune mvura yakawandisa yakakomberedza mwana", zvakajairika kunzwa kutya uye kunetseka. Asi usatya. Nhasi tiri kutaura nezvechirwere ichi chinogona kusangana navanaamai vazhinji, kureva kuti, chirwere ichi chinozivikanwa se `(Polyhydramnios)`.

Zvichitaurwa zviri nyore, chii chinonzi Polyhydramnios?

Zvakanaka, ngatitangei pakutanga. Kune mvura yakakomberedza mwana wako mudumbu mako, ndiko kuti, muchibereko chako. Tinoidaidza kuti mvura yeamniotic . Yakafanana nedziva diki rekushambira rinodzivirira mwana. Mvura iyi yakakosha zvikuru pakukura kwemwana, kufamba, uye kuchengetedzeka.

Polyhydramnios inoitika kana mvura yeamniotic yakawandisa muamniotic sac. Dambudziko iri rinowanzoitika muhafu yechipiri yekuzvitakura, asi dzimwe nguva rinogona kuitika pakutanga kwemavhiki gumi nematanhatu. Chinhu chakakosha ndechekuti kana kuwedzera kwemvura kuri kushoma, kazhinji hakukonzeri matambudziko. Chiremba wako achakutarisa iwe nemwana wako zvakanyanya uye achakupa mazano anodiwa.

Ndingaziva sei kana ndine chirwere ichi? Ndezvipi zviratidzo zvacho?

Kazhinji, kana chirwere ichi chiri chinyoro, ungasaona zviratidzo chaizvo. Zvisinei, kana mvura yakawanda zvakanyanya, unogona kusangana nezviratidzo izvi.

Chiremba angapokana sei neizvi?

Paunoenda kukiriniki, chiremba achaongorora dumbu rako. Anogona kunge achikufungira kana akaona zvinhu zvakaita seizvi:

• Kana chibereko chako chikaita sechikuru kupfuura mavhiki ekuberekwa, unenge wava nepamuviri.
• Kana zvakaoma kunzwa kurova kwemoyo wemwana.
• Kana usingakwanise kunzwa nzvimbo yemwana zvakanaka.

Sei izvi zvichiitika? Ndezvipi zvinokonzera polyhydramnios?

Uyu mubvunzo unobvunzwa navanaamai vazhinji. "Pane chandakanganisa here?" Ungashamisika. Usafunge kudaro. Kazhinji, kunyanya kana mvura yakakwira zvishoma, zvakaoma kuwana chikonzero chakajeka.

Zvisinei, kana huwandu hwemvura hwakanyanya kukwira (pakati nepakati kusvika pakanyanya), zvinogona kunge zvichikonzerwa nechimwe kana kupfuura chezvikonzero zvinotevera:

• Mwana haakwanise kumedza mvura yeamniotic: Kazhinji, mwana anomedza mvura iyi, oipinza mumuviri, obva aiburitsa zvakare seweti. Izvi zvakafanana nedenderedzwa. Kana mwana aine chirwere chekuzvarwa nacho chinokanganisa maitiro ekumedza aya, mvura yacho inogona kuungana.
• Kuwanda kweshuga muropa raamai: Ungave uine chirwere cheshuga usati wava nepamuviri kana kuti wakaita chirwere cheshuga panguva yekuzvitakura, kana huwandu hweshuga muropa rako husingadzoreki, mwana wako achawedzera kuita weti. Izvi zvinogona kukonzera kuwedzera kwemvura yeamniotic.
• Kuva nemapatya akafanana: Dzimwe nguva, chirwere chinonzi Twin to Twin Transfusion Syndrome (TTTS), uko ropa rinoyerera pakati pemapatya risina kuenzana, chinogona kukonzera kuwanda kwemvura pamwana mumwe chete.
• Kusawirirana kweRh factor: Nekuda kwematambudziko anogona kuitika kana ropa raamai riri ``Rh-negative'' uye ropa remwana riri ``Rh-positive''.
• Matambudziko nekurova kwemoyo kwemwana.
• Kutapukirwa kwemwana ari mudumbu.

Vanachiremba vanowana sei izvi chaizvo?

Kana chiremba wako achifungidzira izvi, nzira huru yekusimbisa izvi ndeyekushandisa ultrasound scan .

Panguva yekuongororwa, anogona kuyera huwandu hwemvura nenzira mbiri:

1. Amniotic Fluid Index (AFI): Izvi zvinosanganisira kupatsanura chibereko chako muzvikamu zvina, kuyera nzvimbo yakadzika yehuwandu hwemvura muchikamu chimwe nechimwe, uye kuwedzera zvese zvina.

2. Maximum Vertical Pocket (MPV): Iyi inongoyera chete nzvimbo yakadzika yemvura iri muchibereko.

Kana bvunzo idzi dzikaramba dzichiratidza kuti mvura iri muropa yakawandisa, chiremba anogona kukurudzira dzimwe bvunzo dzakawanda kuti aone chikonzero chacho.

• Echocardiogram yemwana ari mudumbu: Kuongororwa kwakakosha kunotarisa mashandiro uye chimiro chemwoyo wemwana.
• Kuongororwa Kusina Kushushikana: Kuongororwa kunoongorora kurova kwemoyo kwemwana kuti uone kana mwana ari kuita zvakanaka.
• Biophysical Profile: Kuongororwa kwemuviri kunoongorora zvinhu zvishanu, zvakaita sekufamba kwemwana uye kufema kwake.
• Amniocentesis: Dzimwe nguva, mvura shoma inotorwa kubva muchibereko kuti ione kana mwana ane chirwere chemajini.
• Kuongororwa kweGlucose Challenge: Kuongororwa kwekuona kana une chirwere cheshuga.

Ndezvipi zvinorapwa izvi?

Kana mvura iri mudumbu iri shoma uye uri muchikamu chekupedzisira chepamuviri wako, kazhinji hapana mushonga wakakosha unodiwa . Chiremba anongokutarisa iwe nemwana wako nguva nenguva kuti ave nechokwadi chekuti zvese zviri kufamba zvakanaka.

Zvisinei, kana huwandu hwemvura hwakanyanya uye uri kunzwa kusagadzikana kwakanyanya, kurapwa kungave kwakakosha.

• Kurapa chikonzero chiripo: Semuenzaniso, kana uine chirwere cheshuga, mazano ekuti ungadzora sei huwandu hweshuga muropa rako.
• Kubvisa mvura yakawandisa: Mune zvimwe zviitiko, nzira inonzi ``Amnioreduction'' inoshandisa chubhu tete kubvisa mvura yakawandisa muchibereko.
• Kusununguka nguva isati yakwana: Kana mwana akura zvakakwana uye amai vari kunzwa kusagadzikana kukuru, chiremba anogona kusarudza kukonzera kusununguka pakati pemavhiki makumi matatu nemanomwe nemakumi matatu nemapfumbamwe.

Ndezvipi njodzi dze polyhydramnios?

Chekutanga, kuwedzera kwemvura yeamniotic hakukuvadzi mwana zvakananga. Zvisinei, pane mukana mudiki wekuti chibereko chive chakakura zvakanyanya.

Usatya zvinhu izvi. Izvi zvinongova njodzi chete. Hazviitiki kune wese munhu. Chiremba wako anoziva nezvenjodzi idzi uye achatora matanho anodiwa kuti adzidzivirire.

Izvi zvichakanganisa here kuberekwa kwangu?

Kazhinji, mwana wako anozvarwa zvakanaka. Zvisinei, chiremba wako acharamba achitarisa kurova kwemoyo wemwana wako panguva yekusununguka. Kana mvura yako yabuda, mvura yakawanda inogona kubuda ipapo ipapo. Chiremba wevana achaongorora mwana wako paanongozvarwa.

Panogona kuwedzera zvishoma mukana wekuti muzoda kuitwa cesarean section (C-section), asi izvi zvichasarudzwa nachiremba wenyu zvichienderana nemamiriro enyu nemwana wenyu.

Ndingaitei kuti ndideredze kusagadzikana kwandinonzwa?

Zvakajairika kuti unzwe kunetseka kana ukaona kuti une chirwere ichi, asi unogona kuita zvinhu izvi kuti uwane zororo.

• Zorora zvakakwana: Zorora zvakanyanya sezvinobvira. Usazvinetsa zvakanyanya.
• Zororodza pfungwa dzako: Zorodza pfungwa dzako nekuita chimwe chinhu chaunofarira, senge kufungisisa kana kuteerera mimhanzi.
• Taura nachiremba: Taura nachiremba nezvematambudziko ako ese nekutya kwako. Uchanzwa zororo guru.
• Ziva zviratidzo zvitsva: Kana dumbu rako rikatanga kukura kana kuti rava kuoma kufema, zivisa chiremba wako nekukasika.