Kana uri amai vane mimba, unofanira kunge wakanzwa nezvemvura yakakomberedza mwana wako ari mudumbu mako. Mukurapa, tinoidaidza kuti ' amniotic fluid '. Mvura iyi yakaita sechishongo chekudzivirira mwana wako. Mvura iyi inokosha kuchengetedza, kupa chikafu, uye kubvumira mwana wako kufamba-famba. Asi dzimwe nguva, huwandu hwemvura iyi hunogona kupfuura zvakajairika. Ndiyo mamiriro atinodaidza kuti Polyhydramnios. Usatye paunonzwa zita iri. Ngatitaure nezvazvo zvakajeka uye zviri nyore nhasi.
Kutanga, ngationei, chii chinonzi amniotic fluid iyi?
Zvichitaurwa zviri nyore, mwana wako ari mubhegi rine mvura mukati mechibereko chako. Tinodana bhegi iri kuti amniotic sac. Mvura yakachena iri mukati inonzi amniotic fluid. Izvi zvakakosha pakukura kwemwana wako. Mwana anomedza mvura iyi oiwedzerazve mumvura seweti. Izvi ndizvo zvinoita kuti mwero wemvura ugare wakaenzana.
Huwandu hwemvura iyi hunochinja panguva yekuzvitakura. Paavhareji, pane inenge 800 milliliters yemvura pamavhiki angangoita 34. Zvisinei, sezvo nguva yekusununguka yava pedyo, pamavhiki angangoita 40, huwandu uhwu hunoderera kusvika pamamiriyoni angangoita 600. Dzimwe nguva, huwandu uhwu hwemvura hunogona kuva hushoma pane hwakajairika (Oligohydramnios) kana kupfuura zvakajairika (Polyhydramnios) .
Saka chii chinonzi Polyhydramnios?
Polyhydramnios, sezvambotaurwa, inoitika kana mvura yeamniotic yakawandisa muchibereko. Izvi zvinogona kukonzera kuti chibereko chako chikure kupfuura zvakajairika. Izvi zvinowanzoonekwa muchikamu chekupedzisira chepamuviri. Zvisinei, dzimwe nguva zvinogona kuitika pakutanga kwemavhiki gumi nematanhatu.
Chinhu chakakosha ndechekuti chirwere ichi hachiwanzoitiki . Chinongobata 1% kusvika 2% chete yevakadzi vane pamuviri. Saka hapana chikonzero chekuzvidya mwoyo zvisina basa nezvazvo.
Ndezvipi zvikonzero zvekuwanda kwemvura mudumbu?
Kazhinji zvakaoma kuziva chikonzero chaicho, asi kune zvimwe zvikonzero zvakajairika izvo vanachiremba vakaona.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Kuremara kwekuzvarwa kwemwana | Mwana anogona kutadza kumedza mvura nekuda kwedambudziko rekugaya chikafu kana tsinga dzemuviri dzemwana. |
| Chirwere cheshuga chemadzimai | Chirwere cheshuga chepamuviri kana chirwere cheshuga chisati chamboonekwa. |
| Mapatya | Kusawirirana kwekufamba kweropa pakati pemapatya akafanana (Twin-to-twin transfusion syndrome). |
| Kupererwa kweropa kwemwana asati aberekwa | Kuderera kwehuwandu hwemasero matsvuku eropa mumwana. |
| Matambudziko epamuviri | Pane dambudziko ne placenta, iyo inopa mwana chikafu ne oxygen. |
| Kusawirirana kwerudzi rweropa | Kusawirirana pakati pemhando dzeropa raamai neremwana (kunyanya Rh factor). |
| Utachiona | Zvimwe zvirwere zvinobata amai panguva yekuzvitakura. |
Ndezvipi zviratidzo zvaungaona kana uine Polyhydramnios?
Kana dumbu rako richinzwa sekunge riri kukura zvakanyanya munguva pfupi, zvinogona kunge zviri chiratidzo che polyhydramnios, chirwere chinoitika kana mvura yacho yaungana yoisa simba pachibereko nenhengo dzakapoteredza.
- Kana huwandu hwemvura hwakanyanya kuderera (polyhydramnios dzisina kusimba): Ungasava nezviratidzo.
- Kana huwandu hwemvura hwakawandisa (Severe polyhydramnios): Unogona kusangana nechimwe kana kupfuura chezviratidzo zvinotevera:
- Dumbu racho rakaoma zvikuru.
- Kutadza kufema zvakanaka.
- Matambudziko ekugaya chikafu uye kuzvimba kwechipfuva.
- Kuzvimba kwemuviri .
- Kuzvimba kwezvidya, makumbo, netsoka.
- Kusagadzikana kana kuzvimba kwechibereko.
- Kusaita zvakanaka kwemwana ari mudumbu .
- Kunzwa mafambiro emwana kushoma.
Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere ichi?
Kana huwandu hwemvura hukanyanya kuwanda mumavhiki ekutanga epamuviri (polyhydramnios yakanyanya), pane njodzi yematambudziko. Zvakakosha kuziva izvi, asi yeuka kuti izvi hazviitike kune wese munhu.
- Kuzvara mwana nguva isati yakwana: Kuzvara mwana asati asvika mavhiki makumi matatu nemanomwe.
- Kuputika kwema membranes nguva isati yakwana: Kuputika kwe amniotic sac (water bag) mwana asati aberekwa.
- Kubviswa kweplacenta: Placenta inobuda pamadziro echibereko mwana asati aberekwa.
- Kudonha kwetambo yemukumbo: Tambo yemukumbo inopinda munhengo yemukadzi mwana asati aberekwa.
- Kukura kwemwana: Mwana ari kukura.
- Kudiwa kwekubvisa pamuviri (C-section).
- Kuzvara mwana akafa: Izvi hazviwanzoitiki.
- Kubuda ropa rakawanda mushure mekusununguka.
Usatya kunzwa zvinhu izvi. Chiremba wako anoziva nezvenjodzi idzi. Ndosaka achigara achikuongorora iwe nemwana wako uye achikupa rubatsiro rwakanakisisa.
Chiremba anoongorora sei chirwere ichi?
Kana uine zviratidzo zvataurwa pamusoro apa, chiremba wako anotanga aita ultrasound scan . Izvi zvinoyera huwandu hwemvura mudumbu mako. Pane nzira mbiri dzinoshandiswa pakuita izvi:
1. AFI (Amniotic Fluid Index): Fungidzira uchikamura chibereko chako kuita zvikamu zvina, uchiyera nzvimbo yakadzika yemvura iri muchikamu chimwe nechimwe, wozobatanidza zvese pamwe chete. Kana huwandu hwacho hunopfuura masendimita 24-25, hunonzi Polyhydramnios.
2. MPV (Maximum Vertical Pocket): Izvi zvinoyera kudzika kwemvura yakadzika mukati mechibereko. Kana chiyero ichi chakaenzana kana kupfuura masendimita masere, chinoonekwawo sePolyhydramnios.
Uye zvakare, mimwe miedzo inogona kuitwa kuti ione chikonzero:
- Kuongororwa kweropa: Kutarisa kana amai vane hutachiona kana zvirwere zvakaita sechirwere cheshuga.
- Amniocentesis: Izvi zvinosanganisira kushandisa tsono yakapfava kutora mvura shoma kubva muchibereko uye kuiedza. Izvi zvinogona kupa ruzivo nezvezvinhu zvakaita sematambudziko ekuberekwa kwemwana.
Kana chirwere ichi chaonekwa, chiremba wako achakutarisa iwe nemwana wako nguva dzose. Kuti uite izvi, uchafanirwa kuita bvunzo isina kushushikana .Miedzo yakaita seye fetal echocardiogram (kutarisa kurova kwemoyo kwemwana) uye biophysical profile (scan inowanzoongorora kufamba kwemwana, kufema, uye huwandu hwemvura).
Ndezvipi zvirongwa zvekurapa polyhydramnios?
Mashoko akanaka ndeekuti kazhinji kacho vanhu vanongoramba vaine mvura shoma mumuviri havadi kurapwa . Dambudziko racho rinopera roga nekufamba kwenguva. Rinogonawo kuvandudzika kana chimwe chikonzero chakadai sechirwere cheshuga chikarapwa.
Zvisinei, kana mvura yacho yakakwira zvakanyanya (yakanyanya) uye uchinetseka kufema, kurwadziwa mudumbu, kana zviratidzo zvekusununguka nguva isati yakwana, ungangoda kurapwa. Ungatofanira kuendeswa kuchipatara.
Senzira dzekurapa:
- Kubviswa kwemvura: Kufanana neamniocentesis, tsono inoshandiswa kubvisa mvura yakawandisa kubva muchibereko. Zvisinei, nekuti nzira iyi ine njodzi diki yekuputika kwema membranes nguva isati yakwana, chiremba wako achaita izvi chete kana zvichidikanwa.
- Mishonga: Mishonga yakaita seIndomethacin inogona kunyorerwa. Iyi inoderedza huwandu hweweti inoburitswa nemwana uye inoderedza huwandu hwemvura. Zvisinei, mishonga iyi inopihwa mavhiki makumi matatu nerimwe epamuviri asati asvika. Sezvo mishonga iyi ichigona kukanganisa moyo wemwana, chiremba anogara achiongorora moyo wemwana.
Chinonyanya kukosha ndechekuti sarudzo idzi dzese dzinoitwa nachiremba wako. Iye ndiye achasarudza zvakakunakira, achifunga nezvemamiriro ako ezvinhu uye hutano hwemwana wako.
Mharidzo Yekuenda Nayo Kumba
- Polyhydramnios huwandu hwakawanda hwemvura yeamniotic muchibereko. Ichi chirwere chisingawanzoitiki.
- Kazhinji zvakaoma kuwana chikonzero chakajeka cheizvi, asi chirwere cheshuga, kuberekwa kwevana vakawanda, uye mamwe matambudziko nemwana zvinogona kunge zviri zvimwe zvinhu zvinokonzera izvi.
- Zvirwere zvisina kunyanya kuoma hazviwanzo kukonzera zviratidzo. Zvirwere zvakakomba zvinogona kukonzera zviratidzo zvakaita sekuoma kufema uye kurwadziwa mudumbu.
- Chirwere ichi chinoonekwa ne ultrasound scan.
- Kana mvura yacho yakawandisa zvishoma, kurapwa hakuwanzoitiki uye kunopora kwega.
- Kana chirwere chacho chakanyanya kuipa ndipo panorapwa nekubviswa kwemvura kana mushonga.
- Usatya kufunga nezvechimwe chinhu wega. Taura zvese nachiremba wako. Iye ndiye achapa rubatsiro rwakanakisisa kwauri nemwana wako.
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