Pamuviri inguva iyo amai vese vane tariro yakawanda uye kutya zvishoma. Munguva iyi, unogara uchifunga nezvekukura kwemwana mudumbu mako uye kugara zvakanaka kwake. Dzimwe nguva, panguva yekuongororwa, chiremba anoti, "Pane mvura yakawandisa yakakomberedza mwana." Zvakajairika kunzwa kutya panguva iyoyo. Asi usazvidya mwoyo, kana ukanyatsonzwisisa izvi, unogona kugadzirisa mamiriro ezvinhu aya zvakanaka. Nhasi tiri kutaura nezve 'mvura yakawedzera yakakomberedza mwana' kana kuti izwi rezvekurapa rekuti 'Hydramnios' kana kuti 'Polyhydramnios'.
Zvichitaurwa zviri nyore, chii chinonzi Polyhydramnios?
Mukati mechibereko chako, mwana wako ari mubhegi rine mvura rinonzi amniotic sac. Mvura iri mubhegi iri inonzi amniotic fluid. Mvura iyi inokosha zvikuru kumwana wako. Yakaita sechishongo chinodzivirira. Inodzivirira mwana wako kuti asasvetuka-svetuka, inodzora tembiricha yemuviri wemwana wako, uye inobatsira mapapu emwana wako nehurongwa hwekugaya chikafu kukura.
Kazhinji, huwandu uhwu hwemvura hunofanira kunge huri padanho rakati panguva yekuzvitakura. Polyhydramnios inguva apo panenge paine mvura yakawanda yeamniotic kupfuura yakajairwa. Dambudziko iri rinowanzoitika mupamuviri mumwe chete kana vaviri pavanhu zana.
Dambudziko iri rinogona kunge rakapfava, riri pakati nepakati, kana kuti rakakomba. Kazhinji, kana dambudziko iri rikatanga pakutanga kwekuzvitakura, pane mukana wekuti huwandu hwemvura huchawedzera. Sezvo huwandu hwemvura huchiwedzera, njodzi yematambudziko uye mwana anogona kunge aine zvimwe zvirema zvekuzvarwa zvinogona kuwedzera zvishoma.
Sei izvi zvichiitika? Ndezvipi zvikonzero zveizvi?
Mumuviri wemwana, mvura iyi yeamniotic inoumbwa zvakanyanya ne weti yemwana. Mwana anomedza mvura iyi, obva aiburitsa zvakare se weti. Izvi zvinoitika mudenderedzwa. Saka kana paine dambudziko pane imwe nzvimbo mudenderedzwa iri, huwandu hwemvura hunogona kuwedzera. Semuenzaniso, kana mwana akaita weti yakawandisa, kana kana mwana asingakwanise kumedza mvura yacho zvakanaka, chirwere ichi chinogona kuitika.
Asi kazhinji, kureva kuti, muzviitiko zvinenge 60%-70%, hapana chikonzero chaicho chingawanikwa. Tinozvidaidza kuti 'Idiopathic Polyhydramnios'. Zvisinei, mune zvimwe zviitiko, pane zvinhu zvakawanda zvinokonzera izvi.
| Chikonzero | Tsananguro pfupi |
|---|---|
| Chirwere cheshuga chepamuviri | Nekuti huwandu hweshuga muropa raamai hwakakwira, shuga muropa remwana inowedzerawo, zvichiita kuti mwana aite weti yakawanda. Ichi ndicho chikonzero chinowanzoitika. |
| Matambudziko nemwana | Kuomerwa nekumedza mvura nekuda kwekusakwana kwemwana pakuberekwa, tsinga, kana kusakwana kwema chromosomes. |
| Mapatya (Twin-to-Twin Transfusion Syndrome) | Mamwe mapatya ane ropa rakasiyana rinobuda mu placenta, izvo zvinogona kukonzera kuti mwana mumwe awane mvura yakawanda uye kuti mumwe mwana awane mvura shoma. |
| Matambudziko emwoyo wemwana | Kugadzirwa kweweti yakawandisa nekuda kwedambudziko rekushanda kwemoyo wemwana. |
| Utachiona panguva yekuzvitakura | Zvimwe zvirwere, zvakaita separvovirus B19, zvinogona kukonzera kupererwa kweropa uye kuchengetwa kwemvura mumuviri wemwana. |
| Zvimwe zvirwere zvemajini | Zvirwere zvemajini zvisingawanzoitiki zvinokanganisa itsvo dzemwana, zvakaita seBartter Syndrome. |
Ungaziva sei chirwere ichi?
Polyhydramnios inonyanya kuongororwa kuburikidza ne ultrasound scan . Inogona kuonekwa panguva yekuongororwa kwako kwekiriniki kana panguva yekuongororwa kwezvimwe zviratidzo.
Dzimwe nguva, kana chibereko chako (dumbu) chiri kukura nekukurumidza zvakanyanya kuti chisakwane pamuviri wako, kana kuti kana ukanzwa mwana wako asinganyanyi kufamba, chiremba wako anogona kukufungira izvi uye anogona kukutumira kunoongororwa.
Panguva yekuskena, nyanzvi kana chiremba anoyera mvura iri mukati mechibereko uye overenga huwandu hwemvura yacho. Kuskena kwacho kwakakoshawo pakuona kana mwana ane zvikanganiso zvekuzvarwa nazvo.
Ndezvipi zviratidzo zvaungaona?
Kana uine mvura shoma, ungasaona zviratidzo. Asi huwandu hwemvura pahunowedzera, ungatanga kunzwa kusagadzikana .
Chinhu chinonyanya kukosha ndechekusasanganisa zviratidzo izvi nekusagadzikana kwakajairika kwepamuviri. Kana ukanzwa chimwe chinhu chisina kujairika, taurira chiremba wako nekukasika.
Izvi ndizvo zviratidzo zvinogona kuonekwa kazhinji:
- Kuoma kwekufema : Unganzwa kuoma kufema sezvo chibereko chichikura uye chichidzvanya mapapu ako.
- Kusagadzikana mudumbu nekurema: Nekuti dumbu rakakura kwazvo, pane kunzwa kwekuremerwa nekusagadzikana.
- Chizvaro chakakura kupfuura zvachinofanira kuva: Semuenzaniso, kunyangwe chiri mavhiki makumi matatu nemaviri, chinoita sedumbu rine mavhiki makumi matatu nematanhatu.
- Marwadzo ekusununguka nguva isati yakwana : Kutanga kwemarwadzo ekusununguka nguva isati yakwana.
- Kuzvimba kwemuviri wepazasi: Kuzvimba munzvimbo dzakadai semakumbo netsoka.
Ndezvipi zvinetso zvinogona kukonzera izvi?
Kana polyhydramnios yakanyanya, pane njodzi yematambudziko panguva yekuzvitakura nekusununguka. Yeuka kuti izvi hazviitiki kune wese munhu, asi zvakakosha kuziva njodzi dzacho.
| Dambudziko | Tsananguro iri nyore |
|---|---|
| Zvirwere zvekuzvarwa nazvo mumwana asati aberekwa | Vanenge 20% yevana vane polyhydramnios vanogona kunge vaine imwe mhando yehurema hwekuzvarwa nahwo (kunyanya pamwoyo). |
| Kuzvara nguva isati yakwana | Kuzvara mwana nguva isati yakwana nekuda kwekutatamuka zvakanyanya kwechibereko. |
| Kuputika kwekutanga kwebhegi remvura | Kuputika kweamniotic sac nguva isati yakwana nekuda kwekumanikidzwa kwakanyanya. |
| Kubviswa kweplacenta | Placenta inobuda pamadziro echibereko nekuda kwekunzwa kurwadziwa kwechibereko kamwe kamwe mushure mekunge mvura yapwanyika. |
| Kudonha kwetambo yemusana | Kana mvura yaputika, rukuvhute nerukuvhute zvinopinda munhengo yemukadzi pamberi pemusoro wemwana. Izvi zvinokonzeresa emergency. |
| Mwana ari panzvimbo isiriyo | Nekuda kwemvura yakawandisa, mwana anenge aine nzvimbo yakawandisa muchibereko. Saka, anogona kurara padivi kwete panzvimbo chaiyo ( musoro wakadzika) pakusununguka. |
| Kuda kuitwa cesarean section (C-section) | Matambudziko ari pamusoro apa anoita kuti kubereka mwana kwakaoma uye zvinoda kuitwa cesarean section. |
| Kubuda ropa rakawanda mushure mekusununguka | Kubuda ropa rakawanda mushure mekusununguka nekuda kwekutambanudzwa kwetsandanyama dzechibereko nekuda kwemvura yakawanda. |
Ndezvipi zvinorapwa izvi?
Kurapwa kwako kunoenderana nekuoma kwechirwere chako, danho repamuviri pako, uye chikonzero chacho.
- Zvirwere zvisina kunyanya kuoma: Kana mvura yacho yakawedzera zvishoma, hapana kurapwa kunowanzo diwa. Zvisinei, chiremba wako achakutarisa iwe nemwana wako zvakanyanya. Vachakukumbira kuti uuye kukiriniki kakawanda kupfuura zvawagara uchiita, uye vachakuongororwa kakawanda.
- Matambudziko akakomba: Kana mvura yacho yakawandisa uye uri kunetseka, kurapwa kungave kwakakosha.
- Kurapa Chikonzero: Kana chikonzero chechirwere ichi chiri chirwere cheshuga chepamuviri, kuchirapa nemazvo kunogona kubatsira kudzora huwandu hwemvura.
- Kubviswa kweAmnioreduction: Tsono tete inoshandiswa kubvisa mvura yakawandisa kubva muchibereko. Izvi zvakafanana nekuongorora amniocentesis. Izvi zvingada kuitwa kakawanda.
- Mushonga: Dzimwe nguva mushonga (`Indomethacin`) unoderedza huwandu hweweti inoburitswa nemwana unopiwa. Zvisinei, izvi hazvikurudzirwi mushure memavhiki makumi matatu nerimwe ekuzvitakura.
- Kusununguka nguva isati yakwana: Kana matambudziko akanyanya uye mapapu emwana akakura, chiremba anogona kusarudza kusununguka mwana nguva isati yakwana.
- Kuramba uchitarisa: Pamwe chete nezvose izvi, kurova kwemoyo wemwana nekukura kwake zvinoongororwa nguva nenguva. Kana paine fungidziro yekuti pane dambudziko pamoyo wemwana, kuongororwa kwakakosha kwakadai se 'Fetal Echocardiogram' kunogona kuitwawo.
Kana uine Hydramnios, unofanira kuitei?
Mushure mekuziva chirwere ichi, uchafanira kuchinja mararamiro ako nezvirongwa zvako.
- Zorora zvakanyanya: Edza kudzivirira kuomesa muviri wako zvakanyanya sezvinobvira. Zorora wakasimudza makumbo ako. Kana zvichibvira, tora zororo rekusununguka nekukurumidza.
- Gadzirirai kusvika kwemwana nekukurumidza: Musafunga kuti muchakwanisa kumirira kusvika zuva rekuzvarwa. Gadzirirai zvinhu zvinodiwa nemwana, zvakaita sembatya, manapukeni, nemubhedha wemwana, pachine nguva.
- Gadzira hurongwa hwekukurumidzira: Taura nemurume wako, mhuri yako, nachiremba nezve zvekuita kana mvura yako ikavhurika nekukurumidza uye kuti ungasvika sei kuchipatara.
- Udza chiremba wako nezve chero kusagadzikana kwauri kusangana nako (kunetseka kufema, kurwadziwa). Iye achakupa mazano ekuti ungaderedza sei kurwadziwa kwacho.
Mharidzo Yekuenda Nayo Kumba
- Polyhydramnios kuwedzera kwehuwandu hwemvura yeamniotic yakakomberedza mwana ari muchibereko.
- Kazhinji, hapana chikonzero chaicho chinogona kuwanikwa, asi zvinhu zvakaita sechirwere cheshuga chepamuviri zvinogonawo kuita basa racho.
- Chirwere ichi chinoonekwa kuburikidza ne ultrasound scan.
- Kuungana kwemvura kushoma hakudi kurapwa, asi kuongororwa kwakanyatsoitwa nachiremba kwakakosha.
- Muzviitiko zvakakomba, kurapwa kunosanganisira kubvisa mvura iri mudumbu, kupa mushonga, kana kubereka mwana nguva isati yakwana.
- Chinhu chinonyanya kukosha kusatya zvisina kufanira, kugara uchitaurirana nachiremba wako, uye kutevedzera mirairo yake nemazvo.Taura naye nezvekusava nechokwadi kana matambudziko.
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